A surgical guide tool and methodology includes a non patient-specific platform including one or more supports for attaching to a body part of a subject. A non patient-specific block has a top planar surface and a bottom planar surface, and includes a guide aperture extending from the top planar surface to the bottom planar surface for guiding a surgical instrument in making at least one of a cut and a drill hole. An intermediate module is removably positioned between the platform and the block. The intermediate module has patient-specific dimensions such that the guide aperture has a desired alignment relative to the body part when the surgical guide tool is attached to the body part of the patient and the intermediate module is positioned between the platform and the block.

A surgical guide tool and methodology includes a non patient-specific platform including one or more supports for attaching to a body part of a subject. A non patient-specific block has a top planar surface and a bottom planar surface, and includes a guide aperture extending from the top planar surface to the bottom planar surface for guiding a surgical instrument in making at least one of a cut and a drill hole. An intermediate module is removably positioned between the platform and the block. The intermediate module has patient-specific dimensions such that the guide aperture has a desired alignment relative to the body part when the surgical guide tool is attached to the body part of the patient and the intermediate module is positioned between the platform and the block.

The present disclosure relates to a device that can guide perpendicular drilling and simultaneously measure flatness of an insertion surface through a locking protrusion by rotating the device in bone conduction implantation. According to the present disclosure, it is possible to measure flatness and guide perpendicular boring with a constant force even without using a separate flatness measurer in surgery. Further, it is also possible to guide drilling using a spacer having a smaller diameter by using an assistant guide member.

Multi-component systems and methods for determining the proximity of surgical tools to key anatomical features are provided. The inventive systems and methods can be applied in any surgical procedure requiring precision to avoid damage to key anatomical features such as nerves, with a particular example being the robotic cochlear implantation minimally invasive approach to cochlear implantation. Use of purpose built surgical robots, electromyography and tissue impedance, stereotactic tracking and drilling force/bone density measurements are all key components, with inputs from these various modalities being dynamically weighted. In the example of robotic cochlear implantation, the inventive concepts are used to provide key surgical guidance so as to avoid damage to the facial nerve and the chorda tympani, among other anatomical features.

A method and device for ensuring better placement of an implant, such as an implant that is affixed via bone bed drilling to a recipient's skull. In particular, the technology comprises an apparatus and method of deploying the same that can lead to an improved goodness of fit of the implant. The apparatus and process of the present disclosure are particularly applicable to affixing auditory prostheses such as cochlear implants. The implant is provided with a template that has the same dimensions as the implant that is to be affixed. This template has a dye-impregnated material on its distal surface that is used during bone bed drilling to identify bony spots that have to be drilled away to get a flat surface and a better alignment of the implant with the bone bed. The template may also be provided in kit form.

A surgical guide tool and methodology includes a non patient-specific platform including one or more supports for attaching to a body part of a subject. A non patient-specific block has a top planar surface and a bottom planar surface, and includes a guide aperture extending from the top planar surface to the bottom planar surface for guiding a surgical instrument in making at least one of a cut and a drill hole. An intermediate module is removably positioned between the platform and the block. The intermediate module has patient-specific dimensions such that the guide aperture has a desired alignment relative to the body part when the surgical guide tool is attached to the body part of the patient and the intermediate module is positioned between the platform and the block.

A tool, consisting of an enclosure and a rotatable knob retained by, and protruding from, the enclosure. The tool has a tube having a proximal end that is retained by the enclosure, and the tube has an axis of symmetry. A Geneva drive is retained within the enclosure, the Geneva drive consisting of a drive wheel fixedly attached to the rotatable knob and a driven wheel fixedly attached to the proximal end of the tube, so that an axis of rotation of the driven wheel coincides with the axis of symmetry of the tube. Thus, a continuous rotation of the rotatable knob causes the tube to rotate about the axis of symmetry in discrete angular steps.

A positioning aid for surgical procedures has a carrier system and a template. The carrier system consists of a carrier plate, which is provided with a recess, and supports. The carrier plate can be secured to a cranial bone via the supports over an operating field for the surgical procedure. The template has a template plate which can be connected to the carrier plate in a play-free manner and which comprises a guiding aperture. The guiding aperture is arranged and oriented in the template plate, which consists of a blank, in an individualized manner according to coordinates ascertained in advance. The central longitudinal axis of the guiding aperture matches a trajectory for accessing the operating field for the surgical procedure when the carrier system and the template are assembled and the carrier system is secured to the cranial bone.

A device for providing assistance in otologic surgery of a patient who is to be implanted with a cochlea implant. The device includes a mechanism for identifying the positions of an entry point (21) on the surface of the cochlea and of a control point (20) in the sinus tympani, and operable via the external auditory canal; a processor (100) to respond to the coordinates of the points to determine a straight-line path (T) passing through the two points and defining a docking point (22) on the outside surface of the mastoid bone; and a drilling mechanism (25, 27) for drilling a passage up to the cochlea through the mastoid bone along the straight-line path, so as to create a passage up to the cochlea.

A tool, consisting of an enclosure and a rotatable knob retained by, and protruding from, the enclosure. The tool has a tube having a proximal end that is retained by the enclosure, and the tube has an axis of symmetry. A Geneva drive is retained within the enclosure, the Geneva drive consisting of a drive wheel fixedly attached to the rotatable knob and a driven wheel fixedly attached to the proximal end of the tube, so that an axis of rotation of the driven wheel coincides with the axis of symmetry of the tube. Thus, a continuous rotation of the rotatable knob causes the tube to rotate about the axis of symmetry in discrete angular steps.