A surgical implant planning computer is connectable to a fluoroscopy imager, a marker tracking camera, and a robot having a robot base coupled to a robot arm that is movable by motors relative to the robot base. Operations include performing a registration setup mode that determines occurrence of a first condition indicating the marker tracking camera can observe to track reflective markers that are on a fluoroscopy registration fixture of the fluoroscopy imager, and determines occurrence of a second condition indicating the marker tracking camera can observe to track dynamic reference base markers attached to the robot arm and/or an end-effector connected to the robot arm. While both of the first and second conditions occur, operations are allowed to be performed to obtain a first intra-operative fluoroscopic image of a patient along a first plane and to obtain a second intra-operative fluoroscopic image of the patient along a second plane that is orthogonal to the first plane.

The present application relates to systems and methods used to characterize or verify the accuracy of a tracker comprising optically detectable features. The tracker may be used in spatial localization using an optical sensor. Characterization results in the calculation of a Tracker Definition that includes geometrical characteristics of the tracker. Verification results in an assessment of accuracy of a tracker against an existing Tracker Definition.

Devices, systems, and methods for a robot-assisted surgery. Navigable instrumentation, which are capable of being navigated by a surgeon using the surgical robot system, and navigation software allow for the navigated placement of interbody fusion devices or other surgical devices.

A method and device for determining a radius of a spherically shaped surface portion of a tip of an instrument. A first pose of a first tracker and a second pose of a second tracker may be determined while the spherically shaped surface portion is in abutment with a calibration structure. A reference position of a first reference point relative to the second tracker may be determined when the first tracker is in the first pose and the second tracker is in the second pose based on the first pose, the second pose, and a first predetermined relationship. A third pose of the first tracker and a fourth pose of the second tracker may be determined. The radius of the spherically shaped surface portion may be determined based on the third pose, a second predetermined relationship, a reference position, the fourth pose, and an opening angle.

A system for determining an orientation of a tool axis with respect to a coordinate frame of a robot is described herein. The robot includes a tool holder and a plurality of fiducial markers for defining a first coordinate frame of the robot. A calibration device is provided having a second fiducial marker for a tracking system to track positions and configured to couple to the tool holder; and rotate relative to the tool holder when coupled to the tool holder. A computer having a processor is configured to fit a circle or arc to recorded positions of the calibration device. The recorded positions of the calibration device are recorded when coupled to the tool holder, is rotated relative to the tool holder. A vector normal to the fitted circle or arc is calculated to determine an orientation of the tool axis. A method of use is also provided.

A device and method for a trackable suction tool in surgical use. A trackable suction tool involves a tubular handle with a main tube and an entrance tube extending from the main tube, a flattened section of the main tube with a suction-regulating orifice, a tip coupled with the main tube distal end and a tracking mechanism coupled with a handle proximal end. A method of tracking position of a trackable suction device involves attaching a tip to a handle in one of a plurality of fixed positions, attaching a tracking mechanism to the handle in one of a plurality of fixed positions, calibrating the position of the tip with a positional tracking system using the tracking mechanism, positioning the tracking markers in view of the positional tracking system, and tracking a position of the distal end of the tip of the suction device.

A method performed by a computing system comprises receiving shape information for an elongate flexible portion of a medical instrument. The medical instrument includes a reference portion movably coupled to a fixture having a known pose in a surgical reference frame. The fixture includes a constraint structure having a known constraint structure location in the surgical reference frame. The elongate flexible portion is coupled to the reference portion and is sized to pass through the constraint structure. The method further includes receiving reference portion position information in the surgical reference frame; determining an estimated constraint structure location in the surgical reference frame from the reference portion position information and the shape information; determining a correction factor by comparing the estimated constraint structure location to the known constraint structure location; and modifying the shape information based upon the correction factor.

A surgical system includes an arm extending from the base and having a distal end configured to be coupled to a tool, a first marker coupled in fixed relation to the base, and a tracking system. The tracking system is configured to collect first data indicative of a position of the first marker and collect second data indicative of a position an anatomical feature of a patient. The surgical system also includes a processor configured to calculate a position of the tool relative to the anatomical feature based on the first data and the second data.

Embodiments of a system and method for surgical tracking and control are generally described herein. A system may include a robotic arm configured to allow interactive movement and controlled autonomous movement of an end effector, a cut guide mounted to the end effector of the robotic arm, the cut guide configured to guide a surgical instrument within a plane, a tracking system to determine a position and an orientation of the cut guide, and a control system to permit or prevent interactive movement or autonomous movement of the end effector.

A device and method is provided for a trackable suction tool for surgical use. The suction tool provides multiple configurations for the tip and reference tree, while allowing tracking by a navigation system. The tip and reference tree are attached to the suction tool handle by a snap fit, a threaded ring with key and slot connections or semi-Allen key connections, providing specific rotational configurations of the tip, handle and reference tree with each other. The handle may include a rotatable outer sleeve with a tear-shaped orifice for suction regulation and an inner sleeve with a corresponding opening, allowing variable placement of the tear-shaped orifice relative to the longitudinal axis of the suction tool. The features of the device allow a suction tool with multiple configurations to be trackable with a navigation system.