A system and process for performing orthopedic surgery is provided that uses a patient's existing implant as a registration tool in an orthopedic surgical procedure. The systems and processes may be used with computer assisted systems or navigation systems to aid in the removal of bone, bone cement, or a bone prosthesis, typically a bone prosthesis used in hip replacement surgery, knee replacement surgery, and the like. The removal of the prosthesis may be done by conventional methods, with navigation systems, robotic assistance or articulating hand held systems. The removal of bone and/or bone cement may be performed with navigated systems, robotic systems, articulating hand-held systems and combinations thereof.

The subject matter includes systems, methods, and prosthetic devices for joint reconstruction surgery. A computer-assisted intraoperating planning method can include accessing a first medical image providing a first view of a joint within a surgical site as well as receiving selection of a first component of a modular prosthetic device implanted in the first bone of the joint. The method continues by displaying a graphical representation of the first component of the modular prosthetic device overlaid on the first medical image, and updating a graphical representation of the first component based on receiving positioning inputs representative of an implant location of the first component relative to landmarks on the first bone visible within the first medical image. The method concludes by presenting a selection interface enabling visualization of additional components of the modular prosthetic device virtually connected to the first component and overlaid on the first medical image.

Methods, apparatuses, and systems for robotic insertion of a screw, a rod, or another component of a surgical implant into a patient are disclosed. Synchronous insertion of screws is performed by multiple surgical robots or a single surgical robot having multiple arms and end effectors. The movements of each robotic arm are coordinated into position in preparation of the insertion of multiple surgical implant components at the same time or in the same surgical step. The insertion of the surgical implant components is performed while monitoring the insertion progress. The insertion is completed autonomously or in coordination with a surgeon.

A data processing method performed by a computer for judging implant orientation data representing an orientation of a first implant part relative to a first bone, the first implant part being part of an implant pair which further comprises a second implant part for a second bone, the implant pair being envisaged to be implanted in a patient, comprising the steps of: —acquiring the implant orientation data, -acquiring second implant orientation data representing the orientation of the second implant part relative to the second bone, -acquiring implant shape data representing the shapes of the first and second implant parts, —acquiring activity data representing at least one desired activity of the patient to be possible after implanting the implant, wherein each desired activity has an associated range of motion between the first bone and the second bone, —calculating a range of motion volume, which represents possible orientations between the first bone and the second bone over three rotational axes, from the implant orientation data, the second implant orientation data and the implant shape data, and —judging the implant orientation data to be feasible if the ranges of motion of all desired activities lie within the range of motion volume.

A computer-implemented method for creating an activity-optimized cutting guides for surgical procedures includes receiving one or more pre-operative images depicting one or more anatomical joints of a patient, and creating a three-dimensional anatomical model of the one or more anatomical joints based on the one or more pre-operative images. One or more patient-specific anatomical measurements are determined based on the three-dimensional anatomical model. A statistical model of joint performance is applied to the patient-specific anatomical measurements to identify one or more cut angles for performing a surgical procedure. A patient-specific cutting guide is created that comprises one or more apertures positioned based on the one or more cut angles.

A surgical upper computer for a total knee arthroplasty, and a total knee arthroplasty system, and in the field of surgical equipment. The surgical upper computer includes a memory storing a first computer program which enables a processor to execute a first operating mode of the surgical upper computer, where the first operating mode includes: exhibiting, by an interactive interface, to a user, first information to be input, the first information including a magnitude range and change interval of a pushing force applied between a femur and a tibia; in response to user input, controlling a butting member and a push plate to apply different pushing forces at a preset joint flexion angle, and acquiring relationship data between the pushing force and a gap; and displaying the relationship data. Accordingly, the force and gap between soft tissues in the total knee arthroplasty can be acquired and displayed.

A system and method for providing a surgical instrument having a shaft with a proximal end, a distal end, a longitudinal axis, and a central lumen extending therethrough; and a tapered head at the distal end. The tapered head has a plurality of longitudinal channels, a plurality of threaded sections, and a plurality of lateral lumens. The plurality of longitudinal channels may form a plurality of flutes configured to cut bone, tissue, or both.

Proposed are an apparatus and method for spinal surgery planning, the spinal surgery planning method including: acquiring a two-dimensional (2D) spinal image of a patient through a medical imaging apparatus; calculating a registration relationship between coordinates in an image space and coordinates in a surgical space by registering the image space for the spinal image and the surgical space where spinal surgery is performed on the patient; generating a virtual three-dimensional (3D) figure in the surgical space; projecting the 3D figure onto the spinal image based on the registration relationship; adjusting the 3D figure so that the 3D figure can correspond to a predetermined landmark on the spinal image; and setting an insertion position and insertion path of a spinal prosthesis based on the spinal image and the 3D figure.

Robotic system and methods for preparing a bone of a joint to receive an implant. Virtual object(s) are used to define a volume of material to be removed from the bone for receipt of the implant. A robotic manipulator controls a cutting tool based on the virtual object(s) to form a first cavity and a second cavity in the bone. The second cavity is formed beneath the first cavity and is rotated relative to the first cavity to define an undercut in the bone. The first and second cavities receive a body and a locking member of the implant in an unlocked position. The locking member is rotated within the second cavity to a locked position whereby the undercut engages the locking member to limit withdrawal of the implant from the bone.

Devices, systems, and computer-implemented and surgical methods for providing and/or using optical, visual, and/or audio feedback when using a surgical instrument, such as to position and orient an implant are disclosed. A device includes a frame and a C-ring. The frame includes a fixation component optionally located at a first end and a tracking array optionally located at an opposing second end. The fixation component can be positioned at or near a center axis of the C-ring and is configured to releasably engage a surgical instrument. The tracking array may include tracking elements, such as reflective surfaces. The C-ring may include a plurality of light sources optionally arranged in a radial pattern. The light sources may be selectively illuminated based on a determined realignment to provide optical feedback with respect to at least a direction in which the surgical instrument should be moved to achieve a planned alignment.