Devices and systems can be configured to guide an instrument to a target region. The guide system may include an imaging guide including a first segment, the first segment including a guide region and imaging coils surrounding the guide region; and a platform. The platform may include a first rail, a second rail disposed parallel to the first rail, and a positioning member disposed between the first rail and the second rail. The positioning member may include a positioning frame having an entry region. The positioning frame may be movably disposed with respect to the first and second rails in a first direction and a second direction that is perpendicular to the first direction. The platform may be disposed with respect to the imaging guide so that a position of the entry region is within the guide region.

A system and method is provided for estimating orientation and position of surgical instrumentation or tools relative to a patient's bone structure. The system and/or method may include registering an axis and/or plane associated with a patient's bone. The system and/or method may further include receiving, from magnetic and orientation sensors, information indicative of orientation and position of the surgical instrument or tool relative to the registered axis and/or plane.

A method and system for determining the orientation of a surgical tool with respect to a bone of a patient discloses initializing a first active sensor and a second active sensor relative to each other with the first active sensor and second active sensor having a predetermined (relative) orientation. The first active sensor is configured to sense a change in its orientation, provide first information relating to the change and be attached to a bone in a relationship to a reference plane therefor, for use during an operation. The second active sensor is configured to sense a change in its orientation, provide second information relating to the change and be attached to a surgical tool. The relative orientation of the active sensors is useful to determine the relative orientation of the tool and the reference frame of the bone.

A system comprising: a sensor configured to be introduced into a clearance hole of a surgical implant, wherein the sensor is configured to be introduced in proximity to a generated magnetic field and cause distortion of the magnetic field; and one or more field measuring coils configured to: measure a characteristic of the magnetic field when the sensor is in proximity to the magnetic field; and provide, to a computing device, a signal representative of the measured characteristic of the magnetic field, wherein the computing device is configured to determine one or both of a position and an orientation of the sensor and the clearance hole based on the measured characteristic of the magnetic field.

An electromagnetic intramedullary nail screw positioning system is used to assist an orthopaedic surgeon to correctly aligned a screw drill guide with a screw receiving aperture in an intramedullary nail during surgery. However due to the large number of different types of intramedullary nail, the system must be calibrated during each surgery. An improved calibration system is described that no longer requires the surgeon to perform the calibration during the surgery in order to save time and improve robustness. The system is periodically calibrated and a memory stores offset information for a range of nails types relative to a reference nail. During surgery, the surgeon enters a nail identifier, and the system looks up the associated offset and applies this offset to the measured signals to guide alignment of the screw drill guide with the screw receiving aperture.

In one embodiment, an intramedullary nail has a nail body that has a proximal end and a distal end that are offset from one another such that the body is elongate from the proximal end to the distal end. The body has an outer surface, and an inner surface. The inner surface defines a cannulation that extends into the proximal end towards the distal end. The body defines a proximal bone-anchor hole that extends into the outer surface and entirely through the nail, and a distal bone-anchor hole that extends into the outer surface and entirely through the intramedullary nail at a location between the proximal bone-anchor hole and the distal end. The nail also defines an access hole extends into the outer surface between the leading portion and the trailing portion. The access hole terminates at the cannulation and is in communication with the cannulation.

A system and method is provided for estimating orientation and position of surgical instrumentation or tools relative to a patient's bone structure. The system and/or method may include registering an axis and/or plane associated with a patient's bone. The system and/or method may further include receiving, from magnetic and orientation sensors, information indicative of orientation and position of the surgical instrument or tool relative to the registered axis and/or plane.

A method and system for determining the orientation of a surgical tool with respect to a bone of a patient discloses initializing a first active sensor and a second active sensor relative to each other with the first active sensor and second active sensor having a predetermined (relative) orientation. The first active sensor is configured to sense a change in its orientation, provide first information relating to the change and be attached to a bone in a relationship to a reference plane therefor, for use during an operation. The second active sensor is configured to sense a change in its orientation, provide second information relating to the change and be attached to a surgical tool. The relative orientation of the active sensors is useful to determine the relative orientation of the tool and the reference frame of the bone.

Systems and methods for joint replacement are provided. The systems and methods include a surgical orientation device and at least one orthopedic fixture. The surgical orientation device and orthopedic fixtures can be used to locate the orientation of an axis in the body, to adjust an orientation of a cutting plane or planes along a bony surface, to distract a joint, or to otherwise assist in an orthopedic procedure or procedures.

A distal targeting device for a surgical instrument includes a field generator having a coupling element configured to receive a shaft that is elongate along an axis and a bridge connectable to the field generator so as to be spaced from the field generator in a proximal direction with respect to the axis. The bridge includes an attachment device that is connectable to a tool that is configured to manipulate the shaft. The bridge also includes a pair of arms configured to clasp a body of the tool in a manner substantially rigidly coupling the bridge to the tool. At least one of the arms is positionable with respect to the attachment member at a distance that is adjustable so as to enable the arms to substantially rigidly clasp tool bodies having one or more of various shapes and sizes.