A modular surgical patient positioner unit apparatus, system and method for adjustably positioning human joints such as knees for surgical operating procedures having a base plate to support moveably a transformable carriage that can be releasably locked in position and which adjustably supports a boot or other limb holder which can be releasably locked in position by the carriage. The base plate also is configured with a side bar located at a mid-portion of the base plate to secure to an arc clamp configured to secure the positioning system to a side rail of an operating table in a medical procedure on the left or right side of the body. An extension unit also is provided and configured to secure to a lower surface of the base plate to extend the base plate of the system, as needed, for larger limbs of patients, which extension unit is configured with a stud and post locking portions for securing to the base plate and for positioning in a medical procedure on either side of the body.

A rail assembly for a knee positioning system that includes a base and a pair of rails removably coupled to the base. Each of the rails defines a plurality of positioning slots formed therein, each of the positioning slots being at least partially aligned with a corresponding positioning slot of the other rail. At least one of the rails and the base form at least one cleanout channel therebetween that is configured to receive a cleaning fluid for removing contaminants that collect on the at least one rail and the base.

Systems and methods may be used to perform robot-aided surgery. A system may include a robotic controller to monitor a position and orientation of an end effector coupled to an end of a robotic arm. The robotic controller may apply a force to a bone using the end effector, such as via a soft tissue balancing component. The robotic controller may determine soft tissue balance using information from a tracking system, such as a position of a first tracker affixed to the bone. The soft tissue balance may be output, such as to a display device.

Various embodiments, aspects and features of the present solution encompass a manually adjustable patient positioning device that is configured to reside on an operating table and outside the sterile field of a surgical environment. A carriage assembly rides along a pair of parallel guide rails and supports a cushioning device. A patient's foot, for example, may be placed on the cushioning device such that repositioning of the carriage assembly along the guide rails causes manipulation of the position and degree of articulation for the patient's knee during an orthopedic surgery.

Systems and methods may be used to perform robot-aided surgery. A system may include a robotic controller to monitor a position and orientation of an end effector coupled to an end of a robotic arm. The robotic controller may apply a force to a bone using the end effector, such as via a soft tissue balancing component. The robotic controller may determine soft tissue balance using information from a tracking system, such as a position of a first tracker affixed to the bone. The soft tissue balance may be output, such as to a display device.

A patient support apparatus is defined that includes a patient support having one or more pads for supporting a patient's torso and hip in a generally horizontal orientation. At least one, elongated leg support extends from the patient support. The leg support is movable through a generally horizontal plane. A portion of the leg support is declinable and inclinable from the horizontal plane. A traction device is connected to the leg support. The traction device is attachable to a patient's leg and operable to exert a traction force on the patient's leg along an axis of the traction device. The traction device is connected to the leg support by a slide assembly and the traction device can be secured stationary relative to the leg support or the traction device can slide relative to the leg support.

The present solution is generally directed to a patient positioning system used to position body parts, such as a knee, during a medical or surgical procedure. Further, the present solution is generally directed to a system and method for establishing and tracking virtual boundaries, and controlling a patient positioning system to adjust those virtual boundaries to facilitate an automated surgery procedure. Further, the present solution is generally directed to the synergistic combination of an autonomous patient positioning sub-system with a robotic surgical manipulator sub-system.

Systems and methods for adjusting bone cut positioning are disclosed that can aid in optimizing implant size selection and positioning relative to bone during, e.g., orthopedic surgical procedures such as knee arthroplasty, hip arthroplasty, etc. In one embodiment, such a surgical method can include performing a first bone cut of a first bone using an at least partially robot-assisted surgical instrument, detecting one or more parameters related to bone hardness, selecting a bone hardness index based on the one or more detected parameters, and adjusting a position of a second bone cut of the first bone based on the selected bone hardness index to optimize implant fit relative to bone. Detecting the one or more parameters related to bone hardness can be performed in a number of manners, including by monitoring energy required to perform the first bone cut.

A traction system for automatically tracking and displaying parameters of a joint during surgery. The traction system includes a traction device and a computing device. The traction device has a proximal end and a distal end. The proximal end has a platform with a perineal post extending therefrom and the distal end has one or more footrests extended therefrom. One or more sensors are connected to the traction device. The one or more sensors generate sensor data based on movement of the traction device. A computing device is connected to the one or more sensors and is configured to receive the sensor data and process the sensor data into a metric. A display connected to the computing device is configured to display the metric.

The present solution is generally directed to a patient positioning system used to position body parts, such as a knee, during a medical or surgical procedure. Further, the present solution is generally directed to a system and method for establishing and tracking virtual boundaries, and controlling a patient positioning system to adjust those virtual boundaries to facilitate an automated surgery procedure. Further, the present solution is generally directed to the synergistic combination of an autonomous patient positioning sub-system with a robotic surgical manipulator sub-system.