A medical apparatus, medical method, data processing program and program storage medium. A piece of reference position information of a reference element arranged on a bone is checked for agreement with a position of the reference element in a reference coordinate system, which is defined by a marking device and can be monitored by a navigation device. The model data set can be registered in the reference coordinate system.

Methods and systems for preparing a bone for a cementless joint implant are described. A first bone removal operation is performed using a burring device that has a first plurality of settings. The settings for the burring device are adjusted to a second plurality of settings, and a second bone removal operation is performed using the burring device. The adjustment to the settings may allow a surgeon to perform bulk bone removal in the first instance and fine bone removal in the second instance. The process of adjusting and performing subsequent bone removal operations may be performed any number of times during the bone preparation process. The adjustments to the settings may be received automatically from a computer-assisted surgical system, manually entered by a medical professional, or a combination of the two.

Systems and methods for performing an osteotomy with robotic assistance are disclosed. The disclosed systems and methods includes receiving a three-dimensional model of a patient bone, receiving a surgical plan, determining, based on the three-dimensional model and the surgical plan, one or more corrective cuts to be made to the patient bone, and performing, using a tracked end effector interfaced to a robotic arm, the one or more corrective cuts. A surgeon may utilize software, tracking, robotics, and the like to plan and execute bone resection in complex and/or intricate shapes not previously possible.

A mixed reality (MR) visualization system includes an MR device comprising a holographic display configured to display a holographic image to an operator, a hand-held ultrasound imaging device configured to obtain a real-time ultrasound image of a subject's anatomy, and a computing device communicatively coupled to the MR device and the hand-held ultrasound imaging device. The computing device includes a non-volatile memory and a processor. The computing device is configured to receive the real-time ultrasound image, determine a real-time 3D position and orientation of the hand-held ultrasound imaging device, generate a modified real-time ultrasound image by modifying the real-time ultrasound image to correspond to the real-time 3D position and orientation of the hand-held ultrasound imaging device, and transmit the modified real-time ultrasound image to the MR device for display as the holographic image positioned at a predetermined location relative to the hand-held ultrasound imaging device.

A computer platform is provided for computer assisted navigation during surgery. The computer platform includes at least one processor that is operative to transform pre-operative images of a patient obtained from a first imaging modality to an estimate of the pre-operative images of the patient in a second imaging modality that is different than the first imaging modality. The at least one processor is further operative to register the estimate of the pre-operative images of the patient in the second imaging modality to intra-operative navigable images or data of the patient.

A compact, hand-held, robotic assisted endoscopic system configured to derive the position and/or orientation CamPose of a distal part of a single-use portion relative to coordinates HandPose of a reusable portion of an endoscope and display juxtaposed images of an object such a patient's organ being diagnosed or treated in a medical procedure with the endoscope and the distal part of the endoscope, and to provide guidance to the system user with display of images such as prior images of the object, standardized images of the object of tutorial images related to the medical procedure.

A method for adjusting the operation of a surgical instrument using machine learning in a surgical suite is disclosed.

A surgical microscope for visualizing a tissue region contains an illumination device with a light source and an illumination beam path for illuminating an object region with an object plane and an observation device having an observation beam path for imaging the object region with the object plane into an observation plane. A first polarizer can be coupled into the illumination beam path and is suitable for polarizing the illumination light in a first orientation. A polarizer, which can be coupled into the observation beam path, has a second orientation at an angle between 80° and 100° relative to the first orientation. In a first mode, the light source emits illumination light in a first wavelength range between 450 nm and 550 nm, the first polarizer is coupled into the illumination beam path, and the second polarizer is coupled into the observation beam path.

A method for performing auto-focus in a camera is disclosed. The method includes: receiving, from a tracking system for tracking a position of a medical instrument, a signal; determining, based on the received signal, that the medical instrument is removed from a field of view of the camera; in response to determining that a continuous auto-focus mode for the camera is enabled: retrieving, from a database, a first focus distance value representing a focus distance that was most recently set with intent for the camera; and automatically updating a focus distance of the camera to the first focus distance value.

An augmented reality and extended reality surgical system comprising three 3D viewing options of: (i) an AR/XR headset or headsets, (ii) one or more autostereoscopic “3D glasses free” monitor(s); and (iii) one or more digital ocular stereoscopic 3D viewports which is mounted to a cobotic arm viewing option for ergonomically sound viewing. The system may comprise a wearable device, such as a head mounted display or glasses, that provides the user with virtual reality, augmented reality, and/or mixed reality for surgery visualization. This system is all digital and features both wired and wireless connections that have approximately the same latency of less than 20 milliseconds. This may allow the user to access 2D or 3D imaging, magnification, virtual visualization, six-degrees of freedom (6DoF) image management, and/or other images while still viewing real reality and thus maintaining a presence in the operating room. The all-digital multi-option 3D viewing surgery system provides an ergonomically sound surgery visualization system.