Embodiments of architecture, systems, and methods to develop a learning/evolving system to robotically perform and model one or more activities of a medical procedure where the medical procedure may include diagnosing a patient's medical condition(s), treating medical condition(s), and robotically diagnosing a patient's medical condition(s) and performing one or more medical procedure activities based on the diagnosis without User intervention where the activities may be performed in computer-based environment formed by the learning/evolving system, live, or a combination thereof.

Medical devices are disclosed. For example, a medical device includes an elongated member. The medical device includes a hole forming surface along a portion of the elongated member. The medical device includes an open cell element in physical communication with the elongated member. The open cell element is configured to house at least a first portion of a biocompatible substance.

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.

A method comprises the steps of: imaging a patient anatomy; selecting an implant strategy for at least one bone fastener having a first member; registering the imaging of the patient anatomy with imaging of at least a portion of a robot; engaging the first member with tissue of the patient anatomy via robotic guidance according to the implant strategy; and subsequently, manipulating the patient anatomy. Systems, spinal constructs, implants and surgical instruments are disclosed.

A motor-driven orthopedic impacting tool is provided for orthopedic impacting in the hips, knees, shoulders and the like. The tool is capable of holding a broach, chisel, or other end effector, which when gently tapped in a cavity with controlled percussive impacts, can expand the size or volume of an opening of the cavity or facilitate removal of the broach, implant, or other surgical implement from the opening. A stored-energy drive mechanism stores potential energy and then releases it to launch a launched mass or striker to communicate a striking force to an adapter in either a forward or reverse direction. The tool may further include a combination anvil and adapter and an energy adjustment mechanism to adjust the striking force the launched mass delivers to the adapter in accordance with a patient profile.

Systems, methods, and devices are disclosed for surgical instruments, systems, and methods for detecting skiving of a surgical instrument, such as an instrument used during a robotic or robot-assisted surgery. The embodiments disclosed herein may include one or more sensors adjacent to, coupled to, disposed on, or embedded into an instrument in order to measure deflection thereof during use that may indicate skiving of the instrument. A variety of sensors may be utilized, including strain gauges, resistance-based sensors, fiber optic cables, laser distance measurement units, ultrasonic distance measurement units, optical cable measurement units, etc. In some embodiments, multiple such sensors may be included in an instrument in order to measure magnitude and/or direction of deflection.

Described herein are systems and apparatus of surgical instruments engineered for integration with robotic surgical systems to enhance precision in surgical procedures. Also described herein are methods of using such surgical instruments in performing surgical procedures. The use of such surgical instruments reduce complications arising from misalignment during surgery. The disclosed technology assists in stages of a surgical procedure that require a precise trajectory to be followed. Surgical instrument guides are attached to a universal surgical instrument guide, which is engineered to attach directly or indirectly with a robotic arm of a robotic surgical system. Surgical instruments can then be precisely guided along an axis defined by the universal surgical instrument guide. Individual instruments are easily inserted and removed from the channel of the universal surgical instrument guide, thus allowing a range of instruments to be used throughout a procedure while maintaining the surgical trajectory.

An orthopedic bone tap is provided, including a rod comprising a proximal end, a medial portion, and a distal end. The orthopedic bone tap also includes a plurality of cutting threads on the distal end of the rod. The orthopedic bone tap also includes an axial compression member engaged with at least one of the proximal end and the medial portion of the rod. The axial compression member is adapted and configured to exert compression that draws a bone fragment engaged with the plurality of cutting threads distally and against another bone fragment.

A surgical instrument is connectable to a bone anchor insertion device having a drive shaft that defines a coaxial channel for receiving a needle therethrough. The instrument includes a handle portion configured to be coupled to the drive shaft in a rotationally fixed manner to transmit torque to the drive shaft, a needle holder configured to hold a needle and movable axially relative to the handle portion, an actuator rotatable relative to the handle portion, and a transmission member connectable to the needle holder and movable axially relative to the actuator and comprising a first advancement surface engageable with a second advancement surface of the handle portion to convert rotational movement of the actuator into axial movement of the needle holder relative to the handle portion for axially advancing and retracting a needle held by the needle holder relative to the handle portion.

The vertebral pedicle screw placement device of the present application includes a bone drill mechanism and a depth advancing mechanism connected to the bone drill mechanism and used to generate linear reciprocating motion. The bone drill mechanism includes a bone drill driving device and a clamping mechanism connected and driven by the bone drill driving device. The present application provides the driving force of the linear reciprocating motion of the bone drill mechanism through a depth advancing mechanism, and combines the driving control of the clamping mechanism by the bone drill driving device. The clamping mechanism is used to clamp the guide pins, reamers, taps, vertebral pedicle screws, etc. required in the operation, so as to realize the screw placement in the operation, improve the operation efficiency and the accuracy of the screw placement, and avoid possible accidental injuries in the manual screw placement process in the prior art.