A system and method are provided for aligning a tool with a targeted axis in tissue to perform a medical procedure. medical plan is registered to the location of the tissue using a computer-assisted medical system, where the medical plan include a planned position for the targeted axis based on pre-procedure data. The tool is aligned with the planned position for the targeted axis using a computer- assisted medical system. The computer-assisted medical system includes a hand- held device having a handle and a working portion adjustable relative to the handle so as to orient the tool. A computing system is also provided comprising a tracking system and a control system for registering the medical plan to the location of the tissue, tracking the hand-held device relative to the tissue and the medical plan, and adjusting the working portion of the hand-held device relative to its handle.

In some embodiments, a microsurgical instrument includes a trocar having a rigid, hollow shaft formed with a lumen extending from a proximal end to a distal end of the shaft. The distal end of the shaft may be shaped for tissue penetration. The instrument may further include a composite microcannula slidably engaged with the trocar in the lumen. The microcannula includes a light guide and a flexible hollow tube having an outer diameter less than an inner diameter of the lumen in the trocar. Other embodiments include placing the microcannula in the lumen of the trocar, illuminating the end of the trocar by illuminating the end of the microcannula, advancing the trocar from a selected entry point on an eye into a selected structure in the eye, and extending the illuminated end of the microcannula from the trocar into the selected structure.

Systems, methods, software and techniques for generating a milling path for a tool of a surgical system are provided. The milling path is designed to remove a resection volume associated with an anatomical volume. A reference guide is defined with respect to the resection volume. Sections are defined along the reference guide in succession. Each section intersects the reference guide at a different intersection point and is at a specified orientation relative to the reference guide at the intersection point. Each section further intersects the resection volume. A section path is generated to be bounded within each section and defined relative to the resection volume. A plurality of transition segments are generated and each transition segment connects section paths of successive sections along the reference guide.

A laparoscopic surgery system calibrator and method for using the same are provided. The laparoscopic surgery system calibrator comprises a tool-retaining apparatus and at least one machine. The tool-retaining apparatus is constructed to releasably secure a surgical instrument having at least one fiducial marker thereon. The at least one machine is coupled to the tool-retaining apparatus to pivot the tool-retaining apparatus through a set of poses once the surgical instrument is secured by the tool-retaining apparatus.

A technique for determining a need for a re-registration of a patient tracker with medical image data of a patient is presented. The patient tracker comprises an acceleration sensor configured to generate inertial data indicative of an acceleration of the patient tracker. A method implementation of the technique comprises the following steps performed by a processor: receiving inertial data acquired by the acceleration sensor, analyzing the received inertial data, or data derived therefrom, with respect to at least one first predetermined condition indicative of a drift of the tracker or an impact on the tracker, and generating, when the at least one first predetermined condition is fulfilled, at least a first re-registration signal.

A surgical instrument system (1) for treatment of an anatomical structure (3, 5) comprises an instrument (8) and/or a patient specific instrument (2, 4) for performing the treatment on the anatomical structure. The instrument (8) and/or the patient specific instrument (2, 4) comprises an integrated measurement system (20, 40, 80) for tracking the instrument (8) and/or the patient specific instrument (2, 4) relative to the anatomical structure (3, 5), whereby the integrated measurement system comprises a tracking system (6, 10), which comprises a shadow imaging tracking system.

A method of performing bariatric surgery using a robotic surgical system includes positioning a gastrectomy device in a selected location in a stomach; applying an adherent material to the stomach along a desired transection line; and cutting the stomach along the desired transection line delineated by the adherent material.

A suturing device comprising an elongated member including a cavity formed in a surface thereof, a needle passage, and a vacuum port. When the elongated member is inserted into a body including tissue and a vacuum is applied to the cavity, the tissue is captured by the cavity. A needle pusher is operable to move a needle having a sutured attached thereto through the tissue until a first end of the needle is captured by a needle capturing assembly. A clamp coupled to the elongated member is used to extract the needle from the needle capturing assembly and reposition the needle with suture attached to be re-engaged by the needle pusher. The cavity may include a plurality of cavity portions for capturing multiple contiguous portions of the tissue such that a single pass of the needle and the suture results in the suturing of the multiple portions of the tissue.

A drill guide fixture may be configured to prepare a skull for attachment of a cranial insertion fixture. The drill guide fixture may include a central drill guide and a bone anchor guide at a base of the drill guide fixture. The central drill guide may define a central drill guide hole therethrough, wherein the central drill guide hole has a first opening at a base of the drill guide fixture and a second opening spaced apart from the base of the drill guide fixture. The bone anchor drill guide may define a bone anchor drill guide hole therethrough, and the bone anchor drill guide hole may be offset from the central drill guide hole in a direction that is perpendicular with respect to a direction of the central drill guide hole. Related cranial insertion fixtures, robotic systems, and methods are also discussed.

A system for localizing a region of interest (ROI) within a patient's body is disclosed. An embodiment of the system may comprise a pad that can be placed in association with the patient's body; one or more markers which are placed within a patient's body in association with the ROI, each marker being associated with one or more antennas and a unique collective ID; a locator comprising one or more antennas for transmitting/receiving a microwave (MW) signal into/from the patient's body in order to identify the one or more markers and a processing unit that is configured to control the operation of the system and for determining the distance from the locator to each one of the one or more markers.