Systems and methods are disclosed in which changes in the position and/or orientation of an anatomical structure or of a surgical tool can be measured quantitatively during surgery. In some embodiments, the systems and methods disclosed herein can make use of inertial motion sensors to determine a position or orientation of an instrument or anatomy at different times and to calculate changes between different positions or orientations. In other embodiments, such sensors can be utilized in conjunction with imaging devices to correlate sensor position with anatomical landmarks, thereby permitting determination of absolute angular orientation of a landmark. Such systems and methods can facilitate real-time tracking of progress during a variety of procedures, including, e.g., spinal deformity correction, etc.

A surgical system is provided for robotically resecting tissue. The system includes a surgical robot with an end-effector configured to remove tissue along a path up to a planned boundary. A computing system interfaces with the surgical robot and includes one or more processors, non-transient storage memory, and software executable instructions. The computing system records deviations between the end-effector and the planned boundary while the end-effector removes tissue along the path during a first pass. The system then determines if the end-effector should perform a subsequent pass along at least a portion of the path based on the recorded deviations. A method for robotically resecting tissue along a path up to a planned boundary is also provided that determined on the recorded deviations, if the end-effector should perform a subsequent pass along at least a portion of the path.

An augmented reality guidance system for guiding surgical operations on an articulating portion of a bone includes a tracking element to be attached to the articulating portion and-having a surface bearing against the portion that is custom-designed from a virtual model , and a three-dimensional reference mark ; a probe with a three-dimensional reference mark for probing at least three regions of a portion apart from the cartilage area; a camera for displaying and tracking the reference marks ; and a processing system for processing virtual bone model data and real-time image data from the camera to determine the position and relative direction of the tracking element and probe, to display on a display device , a three-dimensional virtual representation of a geometric datum relating to the bone model having position and direction determined by the position and direction of the tracking device and corrected after probing.

Systems and methods are disclosed in which changes in the position and/or orientation of an anatomical structure or of a surgical tool can be measured quantitatively during surgery. In some embodiments, the systems and methods disclosed herein can make use of inertial motion sensors to determine a position or orientation of an instrument or anatomy at different times and to calculate changes between different positions or orientations. In other embodiments, such sensors can be utilized in conjunction with imaging devices to correlate sensor position with anatomical landmarks, thereby permitting determination of absolute angular orientation of a landmark. Such systems and methods can facilitate real-time tracking of progress during a variety of procedures, including, e.g., spinal deformity correction, etc.

Device 1 for fixation to the skull 2 of a patient that can serve as a fiducial marker in scan guided surgical operations using a surgical instrument. The device 1 comprises a material translucent for the applied electromagnetic waves of the scan and a fiducial marker and where the device 1 comprises means to fixate the device in a well-defined manner to the surgical instrument.

Systems and methods for adjusting bone cut positioning are disclosed that can aid in optimizing implant size selection and positioning relative to bone during, e.g., orthopedic surgical procedures such as knee arthroplasty, hip arthroplasty, etc. In one embodiment, such a surgical method can include performing a first bone cut of a first bone using an at least partially robot-assisted surgical instrument, detecting one or more parameters related to bone hardness, selecting a bone hardness index based on the one or more detected parameters, and adjusting a position of a second bone cut of the first bone based on the selected bone hardness index to optimize implant fit relative to bone. Detecting the one or more parameters related to bone hardness can be performed in a number of manners, including by monitoring energy required to perform the first bone cut.

A method of evaluating a human joint including bones and ligaments under anatomical tension to connect the bones. The method includes: defining a primary datum oriented and fixed in six degrees of freedom; defining at least one secondary datum having fixed origins relative to one of the bones of the joint and relative to a tracking device affixed to the bone; providing an electronic receiving device; associating continuous position and orientation of the at least one secondary datums with respect to the primary datum; while moving the joint, using the electronic receiving device to collect data from the at least one tracking device, wherein the data includes information describing the position and movement in six degrees of freedom of the at least one secondary datum to produce a digital geometric model of at least a portion of the joint; and storing the digital geometric model for further use.

Measured forces applied by a medical professional during a gap assessment can be measured. A plurality of force sensors is placed at a lateral ankle position, a medial ankle position, a lateral foot position, and/or a medial foot position, and each detects an applied force during an abduction-adduction examination. Further, a computing device receives, from each of the plurality of sensors during the abduction-adduction examination, data representing an applied force occurring during the abduction-adduction examination at respective ones of the lateral ankle position, the medial ankle position, the lateral foot position, and the medial foot position. The computing device calculates, using the received data, respective peak applied forces during the abduction-adduction examination in extension and flexion, and provides information representing a correlation of the respective peak applied forces with other information.

This disclosure relates to systems for assisting surgeons in implanting joint replacement implant components. One aspect provides a system for assisting a surgeon in implanting a joint replacement implant component during a surgery of replacing a joint. The system comprises: an instrument for medullary canal preparation; a video camera to capture image data of the instrument; a computer system to: store a surgical plan; determine a pose of the instrument relative to the bone or the joint based on the image data from the video camera; assess the pose of the instrument against the surgical plan; and provide an indication to the surgeon of a clinical consequence of the pose in relation to the surgical plan.

A system and method for determining a location for a surgical jig in a surgical procedure includes providing a mixed reality headset, a 3D spatial mapping camera, an infrared or stereotactic camera, and a computer system configured to transfer data to and from the mixed reality headset and the 3D spatial mapping camera. The system and method also include attaching a jig to a bone, mapping the bone and jig using the 3D spatial mapping camera, and then identifying a location for the surgical procedure using the computer system. Then the system and method use the mixed reality headset to provide a visualization of the location for the surgical procedure.