A robotic system and methods for performing spine surgery are disclosed. The system comprises a robotic manipulator with a tool to hold a screw and to rotate the screw about a rotational axis. The screw is self-tapping and has a known thread geometry that is stored by one or more controllers. A navigation system tracks a position of a target anatomy. Movement of the robotic manipulator is controlled to maintain the rotational axis of the surgical tool along a planned trajectory with respect to the target anatomy based on the tracked position of the target anatomy. In autonomous or manual modes of operation, the rotational rate of the screw about the rotational axis and/or an advancement rate of the screw linearly along the planned trajectory is controlled to be proportional to the known thread geometry stored in the memory.

A universal drill guide system includes a universal drill guide, interchangeable drill tubes, and interchangeable drill bits. Each interchangeable drill tube corresponds to one of the interchangeable drill bits, and can be detachably coupled to the universal drill guide. A cannulated drill with K-wire retention features a drill bit with a retention mechanism that prevents axial advancement of a K-wire during drilling. A drill removal tool includes a drill remover that can be placed around a drill bit to remove it from bone after a hole is drilled, while leaving a K-wire in place in the bone. A bone screw driver with K-wire retention includes a shaft that can be passed over a K-wire, a distal end for attachment to a cannulated bone screw, and a K-wire retention module for preventing advancement of the K-wire as the screw driver drives the cannulated bone screw into bone.

A surgical instrument comprises a first member extending between a proximal end and a distal end configured for fixation with tissue. A second member defines a longitudinal passageway and is connected with a navigation component such that the distal end is disposable with the passageway at a selected distance from the navigation component. The navigation component is positioned relative to a sensor to communicate a signal representative of an orientation of the first member. A third member extends between a proximal end and a distal end. The third member is mountable with the first member along the orientation such that the distal end of the third member is engageable with the tissue. Systems, spinal implants, constructs and methods are disclosed.

A method comprises the steps of: fixing a distal end of a first member of a surgical instrument with tissue, the surgical instrument including a second member having a longitudinal passageway configured for disposal of the first member and being connected with a navigation component such that the distal end is disposable with the passageway at a selected distance from the navigation component, the navigation component being positioned relative to a sensor to communicate a signal representative of an orientation of the first member; removing the second member from the first member; and connecting a third member with the first member along the orientation such that a distal end of the third member is fixed with the tissue. Systems, spinal implants, constructs and instruments are disclosed.

Briefly, the invention relates to a surgical tool and method for forming a pilot bore by inserting a guide wire into bone. More particularly, the device includes a cannulated hand grip and driving tool used for the rotation of a bone or pedicle screw into bone. The rear portion of the hand grip includes a slide assembly that is suited to grip a guide wire. The slide assembly includes a user adjustable stop to control the sliding movement of the guide wire. The rear surface of the slide is constructed to be impacted with a hammer or similar device, whereby the stop prevents the guide wire from penetrating the bone further than desired. A jack member is included to allow the wire to be precisely retracted.

A system or method may be used to align a guide (e.g., a screw guide, a trajectory guide for biopsies, etc.) for insertion of a screw, instrument, or tool (e.g., a spinal screw) at a specified angle. The system and method may track the movement and angle of the guide which may be affixed to an articulated arm with respect to a reference point based on sensor data. The system and method may determine whether the guide is at the specified angle based on sensor data.

A robotic system and methods for performing spine surgery are disclosed. The system comprises a robotic manipulator with a tool to hold a screw and to rotate the screw about a rotational axis. The screw is self-tapping and has a known thread geometry that is stored by a controller. A navigation system tracks a position of a target site. Movement of the robotic manipulator is controlled to maintain the rotational axis of the surgical tool along a planned trajectory with respect to the target site based on the tracked position of the target site. In autonomous or manual modes of operation, the rotational rate of the screw about the rotational axis and/or an advancement rate of the screw linearly along the planned trajectory is controlled to be proportional to the known thread geometry stored in the memory.

The present invention discloses a device for stabilization of bone segment and an extending assembly thereof. The device comprises a screw assembly, two supporting members and two extending members. The screw assembly comprises a receiver and an anchoring member. The receiver has a retainer and two opposite arms extending along the longitudinal axis of the device from the positions adjacent to the retainer. The anchoring member is connected to the retainer. The supporting members are connected to the arms respectively and extend along the longitudinal axis. Each one of the extending members has a through hole respectively. The extending members are connected to the arms with the supporting members passing through the through holes respectively.

The present disclosure in one aspect provides an adjustable depth drill guide comprising a trigger assembly further comprising a trigger and a primary actuating element and a telescopic rotational assembly which abuts the primary actuating element and further comprises an intermediate actuating element. The drill guide described herein allows a surgeon to adjust the depth of the drill guide using only one hand while in-situ.

Vertebral probes for spinal surgeries and related surgical methods. In some embodiments, the probe may comprise a bicortical, vertebral probe that may comprise a shaft and a distal tip configured to penetrate a vertebral body to facilitate subsequent placement of a bone anchor providing bicortical purchase within the vertebral body. One or more features for facilitating safe placement of the probe may be provided, such as making the tip spring-loaded or otherwise axially movable relative to the shaft, providing sensors, and/or providing means for determining a position of the tip within a vertebral body.