A system includes a console assembly, a trocar assembly operably coupled to the console assembly, a camera assembly operably coupled to the console assembly having a stereoscopic camera assembly, and at least one rotational positional sensor configured to detect rotation of the stereoscopic camera assembly about at least one of a pitch axis or a yaw axis. The console assembly includes a first actuator and a first actuator pulley operable coupled to the first actuator. The trocar assembly includes a trocar having an inner and outer diameter, and a seal sub-assembly comprising at least one seal and the seal sub-assembly operably coupled to the trocar. The camera assembly includes a camera support tube having a distal and a proximal end, the stereoscopic camera operably coupled to the distal end of the support tube and a first and second camera module having a first and second optical axis.

The invention relates to a system for determining an optimal position of a surgical instrument relative to a patient's bone tracker, the system comprising:—a medical imaging system configured to acquire at least one cone beam computed tomography intraoperative image of the patient;—a localization device;—a computer configured to receive images from the medical imaging system and localization data from the localization device and to implement the following method: the method comprising: ⋅(a) receiving at least one preoperative 2D X-ray image of the bone while the patient is in a position of interest; ⋅(b) acquiring an intraoperative 3D medical image of the bone by cone beam computed tomography while the patient is in an operative position different from the position of interest, the 3D image being registered with the coordinate system of the bone tracker; ⋅(c) registering the intraoperative 3D medical image onto the at least one preoperative 2D X-ray image, so as to obtain a registered 3D image representing the bone in the position of interest; ⋅(d) planning a surgical procedure on the registered 3D medical image taking into account said position of interest; ⋅(e) determining an optimal position of the surgical instrument relative to the patient's bone tracker for implementing said planned surgical procedure.

Tools used within a surgical area may be equipped with sensors that allow them to be tracked within the magnetic field of an image guided surgery (IGS) system. These tools may include a probe which is instrumented with a position sensor allowing it to be used not only for registration of non-magnetic objects within the magnetic field, but also for providing additional inputs.

In one embodiment, a medical system includes a catheter configured to be inserted into a body part of a living subject, a display configured to provide a view of at least part of a hand of a user, and a processor configured to track a position of the catheter in the body part, render to the display a three-dimensional view of an interior of an anatomical map of the body part and a representation of the catheter inside the anatomical map responsively to the tracked position, while the display is providing the view of the at least part of the hand of the user, recognize a gesture of the at least part of the hand of the user selecting a portion of the catheter, and perform an action responsively to recognizing selection by the user of the portion of the catheter.

An interactive and dynamic surgical simulation system may be used in the context of a computer-implemented interactive surgical system. The surgical simulation system may provide coordinated surgical imagining. A processor may be configured to execute a simulation of a surgical procedure. The surgical procedure may be simulated in a simulated surgical environment. The processor may generate a first visual representation and a second visual representation. The first visual representation may be of a first portion of the simulated surgical environment. The second visual representation may also be of the first portion of the simulated surgical environment. The processor may coordinate generation of the first visual representation and the second visual representation such that the first visual representation and the second visual representation correspond to a common event in the surgical procedure. And the processor may present the first visual representation and the second visual representation for user interaction within the simulated surgical environment.

A trackable guidewire apparatus and method for use are described. Longitudinally spaced proximal and distal guidewire ends are separated by a guidewire body. A plurality of longitudinally spaced position sensors are configured to provide signals corresponding to a three-dimensional position of at least one position sensor in a coordinate system of an associated tracking system in response to an electromagnetic field/stimulus. At least one retention mechanism is provided for maintaining the medical device in a predetermined retention position longitudinally along the guidewire body. At least one stop structure is provided in a predetermined stop position longitudinally along the guidewire body.

A robotic surgical system may be used to perform a surgical procedure. Providing guidance for the robotic surgical system includes integrating a Point of View (PoV) surgical drill with a camera to capture a PoV image of a surgical area of a subject patient; displaying an image of the surgical area, based on a viewing angle of the PoV surgical drill, thus enabling the surgeon to operate on the surgical area using the PoV surgical drill. The PoV surgical drill operates based on the surgeon's control of a guidance drill. The content of the images may change based on a change in the viewing angle of the PoV surgical drill.

The position and orientation of an ultrasound probe is tracked in three dimensions to provide highly-accurate three-dimensional bone surface images that can be used for anatomical assessment and/or procedure guidance. The position and orientation of a therapy applicator can be tracked in three dimensions to provide feedback to align the projected path of the therapy applicator with a desired path for the therapy applicator or to provide feedback to align the potential therapy field of a therapy applicator with a target anatomical site. The three-dimensional bone surface images can be fit to a three-dimensional model of the anatomical site to provide or display additional information to the user to improve the accuracy of the anatomical assessment and/or procedure guidance.

Wearable user interface devices are described. A wearable user interface device can include a wearable base connected to a trackable device component by a linkage. The linkage can connect to a pivoted support that the trackable device is mounted on, and which maintains poses when the user interface device is not manipulated by a user's hand. The pivoted support has several orthogonal axes intersecting at a center of rotation located inside a device body of the trackable device. Other embodiments are also described and claimed.

Surgical systems, navigation systems, and methods involving a robotic manipulator configured to control movement of an instrument to facilitate a surgical procedure. The navigation system includes a camera unit configured to optically track a pose of the instrument and a non-optical sensor coupled to the instrument. The navigation system includes a computing system coupled to the camera unit and being configured to obtain readings from the non-optical sensor. The computing system detects a condition whereby the camera unit is blocked from optically tracking the pose of the instrument. In response to detection of the condition, the computing system tracks the pose of the instrument with the readings from the non-optical sensor.