Abstract: Systems and methods for robotic retraction or robotic distraction are disclosed such as for a surgical procedure. An example system is a localization system to automatically position a trackable surgical retractor or distraction with respect to a patient comprising a patient tracking element adapted to be coupled to a patient; a processing unit configured to: track the poses of the patient via the patient tracking element, and the trackable surgical retractor or distractor; and command a robotic manipulator to move a tip of the trackable surgical retractor or distractor coupled to the manipulator from a first position, in engagement with the patient, to a second position while remaining in engagement with the patient.

Abstract: Provided are systems and methods to facilitate processing and communicating planning data for computer assisted surgery (CAS) procedures. Smart compression may be performed to reduce operational data (e.g. for encoding and/or communicating).

Abstract: Planning tools for surgery, particularly for THA, are provided. Images of musculoskeletal structure of a patient (e.g. associated with respective planes and in a same or different functional position) may be displayed together and via co-registration and spatial transformations, 3D implants or other objects may be rendered and overlaid in a same position correctly with respect to each image. The 3D implant may be fit (e.g. via handles or automatically using image processing) to an existing implant in the patient and moved to other positions, for example, to measure the existing position or plan for an initial or new position. Measures may be represented with respect to various planes associated with the respective image and/or with respect to an existing implant.

Abstract: The present application relates to systems and methods used to characterize or verify the accuracy of a tracker comprising optically detectable features. The tracker may be used in spatial localization using an optical sensor. Characterization results in the calculation of a Tracker Definition that includes geometrical characteristics of the tracker. Verification results in an assessment of accuracy of a tracker against an existing Tracker Definition.

Abstract: Disclosed are methods and systems to provided planning tools for surgery, particularly for THA. Images of musculoskeletal structure of a patient (e.g. associated with respective planes and in a same or different functional position) may be displayed together and via co-registration and spatial transformations, 3D implants or other objects may be rendered and overlaid in a same position correctly with respect to each image. Measures may be represented with respect to various planes associated with the respective image and/or with respect to an existing implant. A safe zone (graphical element) may be rendered and overlaid with respect to each displayed image to indicate a clinically accepted safe range of positions for the 3D implant. Different instances of implants having respective characteristics affecting range of motion may be available for use during a procedure. For a set of available implants minimal and maximal safe zones may be presented for planning assistance.

Abstract: There is provided a system for assisting a bone reorientation that includes (or communicates with) localization system components comprising a reference element to mount to the patient's bone and a tracker element to mounting to a bone fragment; and at least one computing unit coupled to the localization system components. The computing unit is configured to: define change in bone fragment orientation data (CBFOD) responsive to tracking measurements received from the localization system components; receive mapping information (e.g. generated from a pre-operative medical image of the patient's bone and bone fragment region) to define a map between the CBFOD and clinical parameters; and calculate and provide for display one or more clinical parameters based on the CBFOD and the map. A tracker element coupling component is also described with quick-connect and adjustment features. Method and other aspects are provided.

Abstract: Computing devices and methods are provided to automatically characterize a localization system tracker for a procedure. A starting tracker definition is refined until convergence using an iterative process and measured features of the tracker in images provided by a localization system camera. In each iteration, poses are determined from the measured features using a current tracker definition. The current definition is then refined using the poses and an optimization function. Tracker images may be captured passively, when performing other procedure steps. In a robotic context, command trajectories move a robot may be to respective poses where images to characterize the tracker are captured. An updated trajectory may be commanded to optimize convergence, additionally using the measured features at the updated pose in the iterative process. A robot kinematic model may be defined, refining a starting model using tracker poses from the localization system and sensor positions from the robot system.

Abstract: Systems, methods and apparatus register a bone for milling during a procedure. A surgeon mills the bone without first performing an explicit registration of a tool relative to the bone. Tool location measurements in combination with a 3-dimensional (3D) model of the patient's bone, such as a segmented CT scan, are used to automatically construct a registration. The 3D model identifies a border where cancellous bone within the bone ends and the cortical bone begins at an inner cortical bone surface. Responsive to movement of the tool within the bone along an initial trajectory, and, using a localizing system to identify the location of tool when in contact with the inner cortical bone surface, a shape/map of the cortical bone is generated and fit to the 3D model automatically to obtain a registration. An updated trajectory may be output such as from 3D implant plan information to guide further milling.

Abstract: Preoperative planning of a procedure such as an orthopedic procedure is enabled to use first images of patient anatomy in a functional position to define a 3D model and a plan for the procedure and to export the plan to systems configured to use surface information derived from second images of the patient. First images may comprise X-rays including biplanar X-rays. Second images may comprise volumetric datasets such as CT scans. The plans and the surface information may be used together via relative to a common coordinate system. Systems configured to use surface information derived from CT scans, typically of patients in non-functional positions are thus enabled to use plans prepared from images of patients in functional positions such as from (synchronized) biplanar X-rays of patient anatomy.

Abstract: Planning tools for surgery, particularly for THA, are provided. Images of musculoskeletal structure of a patient (e.g. associated with respective planes and in a same or different functional position) may be displayed together and via co-registration and spatial transformations, 3D implants or other objects may be rendered and overlaid in a same position correctly with respect to each image. The 3D implant may be fit (e.g. via handles or automatically using image processing) to an existing implant in the patient and moved to other positions, for example, to measure the existing position or plan for an initial or new position. Measures may be represented with respect to various planes associated with the respective image and/or with respect to an existing implant.

Abstract: The present application relates to systems and methods used to characterize or verify the accuracy of a tracker comprising optically detectable features. The tracker may be used in spatial localization using an optical sensor. Characterization results in the calculation of a Tracker Definition that includes geometrical characteristics of the tracker. Verification results in an assessment of accuracy of a tracker against an existing Tracker Definition.

Abstract: There is provided a system for assisting a bone reorientation that includes (or communicates with) localization system components comprising a reference element to mount to the patient's bone and a tracker element to mounting to a bone fragment; and at least one computing unit coupled to the localization system components. The computing unit is configured to: define change in bone fragment orientation data (CBFOD) responsive to tracking measurements received from the localization system components; receive mapping information (e.g. generated from a pre-operative medical image of the patient's bone and bone fragment region) to define a map between the CBFOD and clinical parameters; and calculate and provide for display one or more clinical parameters based on the CBFOD and the map. A tracker element coupling component is also described with quick-connect and adjustment features. Method and other aspects are provided.

Abstract: Preoperative planning techniques are described such as for hip surgery. Rather than pre-operatively planning by reorienting a model of the boundaries of the acetabulum derived from a 3D medical image, the proposed solution reorients portions of the 3D medical image itself and simulates one or more x-ray images using the reoriented 3D data. Optionally, simulated x-ray(s) of the un-modified CT scan may also be generated for comparison purposes. The user then measures acetabular metrics on the simulated x-ray(s) in order to determine the radiographic outcomes that a given magnitude and direction of reorientation would achieve. By iteratively selecting a reorientation and measuring the simulated x-ray(s), an optimal reorientation plan is determined by the user.

Abstract: The present application relates to systems and methods used to characterize or verify the accuracy of a tracker comprising optically detectable features. The tracker may be used in spatial localization using an optical sensor. Characterization results in the calculation of a Tracker Definition that includes geometrical characteristics of the tracker. Verification results in an assessment of accuracy of a tracker against an existing Tracker Definition.

Abstract: The present application relates to systems and methods used to characterize or verify the accuracy of a tracker comprising optically detectable features. The tracker may be used in spatial localization using an optical sensor. Characterization results in the calculation of a Tracker Definition that includes geometrical characteristics of the tracker. Verification results in an assessment of accuracy of a tracker against an existing Tracker Definition.

Abstract: Systems, methods and apparatus register a bone for milling during a procedure. A surgeon mills the bone without first performing an explicit registration of a tool relative to the bone. Tool location measurements in combination with a 3-dimensional (3D) model of the patient's bone, such as a segmented CT scan, are used to automatically construct a registration. The 3D model identifies a border where cancellous bone within the bone ends and the cortical bone begins at an inner cortical bone surface. Responsive to movement of the tool within the bone along an initial trajectory, and, using a localizing system to identify the location of tool when in contact with the inner cortical bone surface, a shape/map of the cortical bone is generated and fit to the 3D model automatically to obtain a registration. An updated trajectory may be output such as from 3D implant plan information to guide further milling.

Abstract: The present application relates to systems and methods used to characterize or verify the accuracy of a tracker comprising optically detectable features. The tracker may be used in spatial localization using an optical sensor. Characterization results in the calculation of a Tracker Definition that includes geometrical characteristics of the tracker. Verification results in an assessment of accuracy of a tracker against an existing Tracker Definition.

Abstract: The present application relates to systems and methods used to characterize or verify the accuracy of a tracker comprising optically detectable features. The tracker may be used in spatial localization using an optical sensor. Characterization results in the calculation of a Tracker Definition that includes geometrical characteristics of the tracker. Verification results in an assessment of accuracy of a tracker against an existing Tracker Definition.

Abstract: The present application relates to systems and methods used to characterize or verify the accuracy of a tracker comprising optically detectable features. The tracker may be used in spatial localization using an optical sensor. Characterization results in the calculation of a Tracker Definition that includes geometrical characteristics of the tracker. Verification results in an assessment of accuracy of a tracker against an existing Tracker Definition.

Abstract: There is provided a tracing platform configured to rigidly attach to an anatomy of a patient that has at least one surface configured to provide a defined path (represented by path definition data) for tracing by a surgical instrument. An intra-operative computing unit receives pose data for the instrument when tracing the path and calculates a location of the defined path using the pose data and the path definition data. A change in location may be determined from pose data of different traces. Tracing the defined path generates a plurality of pose data which may increase accuracy of the location calculations. Redundant trace data may be received to eliminate bias. A geometric feature (e.g. V-groove), shape and/or magnetic properties of the platform may assist with tracing. The platform may rigidly attach to a bone using at least one of spikes, a bone screw, a cerclage wire, and a bone clamp.