Abstract: Presented are methods and systems for determining, monitoring, and displaying the relative positioning of two rigid bodies during surgery. In particular, the present disclosure relates to methods and systems for positioning a prosthesis relative to a bone during a surgery as well as to systems and methods for verifying resulting relative positioning of adjacent bones.

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: There are provided systems and methods for soft tissue navigation. A sensor unit provides tracking information to determine positional data for a patient's structural anatomy and gravity direction measurements to determine a direction of gravity relative to the anatomy. A computing unit, during a procedure, computes the direction of gravity and determines spatial information for soft tissues of the patient, responsive to the direction of gravity. Expected soft tissue movement may be provided by a computer model modelling the mechanics of the soft tissues responsive to the direction of gravity, or by other means such as look up table. Surgical navigation data is presented via a display unit. Medical images may be registered and navigation provided relative to the images. Tool positions may be tracked via the sensor unit. Spatial differences in soft tissues between orientations of the patient (relative to gravity) may be determined and presented.

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: A method and system for determining the orientation of a surgical tool with respect to a bone of a patient discloses initializing a first active sensor and a second active sensor relative to each other with the first active sensor and second active sensor having a predetermined (relative) orientation. The first active sensor is configured to sense a change in its orientation, provide first information relating to the change and be attached to a bone in a relationship to a reference plane therefor, for use during an operation. The second active sensor is configured to sense a change in its orientation, provide second information relating to the change and be attached to a surgical tool. The relative orientation of the active sensors is useful to determine the relative orientation of the tool and the reference frame of the bone.

Abstract: Systems, methods and devices are disclosed for use in electronic guidance systems for surgical navigation. A sensor is provided with an optical sensor and an inclinometer (e.g. accelerometer or other inclination measuring sensor) and communicates measurements of patient inclination to an inter-operative computing unit. A registration device is useful to construct a registration coordinate frame. The direction of gravity may be used to construct the registration coordinate frame such as determined from inclination measurements.

Abstract: Systems, methods and a sensor alignment mechanism are disclosed for medical navigational guidance systems. In one example, a system to make sterile a non-sterile optical sensor for use in navigational guidance during surgery includes a sterile drape having an optically transparent window to drape the optical sensor in a sterile barrier and a sensor alignment mechanism. The alignment mechanism secures the sensor through the drape in alignment with the window without breaching the sterile barrier and facilitates adjustment of the orientation of the optical sensor. The optical sensor may be aligned to view a surgical site when the alignment mechanism, assembled with the sterile drape and optical sensor, is attached to a bone. The alignment mechanism may be a lockable ball joint and facilitate orientation of the sensor in at least two degrees of freedom. A quick connect mechanism may couple the alignment mechanism to the bone.

Abstract: Systems, methods and devices are disclosed for use in electronic guidance systems for surgical navigation. A sensor is provided with an optical sensor and an inclinometer (e.g. accelerometer or other inclination measuring sensor) and communicates measurements of patient inclination to an inter-operative computing unit. A registration device is useful to construct a registration coordinate frame. The direction of gravity may be used to construct the registration coordinate frame such as determined from inclination measurements.

Abstract: Systems and methods are described herein to calculate implant orientation measurements of an acetabular cup implant in hip replacement surgery, such surgery performed with minimally invasive incisions. Surgeons may obtain real-time updated implant orientation measurements that compensate for pelvic tilt of a patient, such tilt measured pre-operatively. Implant orientation measurements may be measured from the patient's anterior pelvic plane, supine coronal plane, standing coronal plane or any other reference plane that the surgeon may find useful. Also disclosed are systems, methods and devices to measure hip center of rotation and provide leg length and offset measurements in hip replacement surgery.

Abstract: Cutting tools, systems and methods for navigated procedures are provided. A cutting tool (e.g. oscillating blade, etc.) for a power tool has an optically trackable feature in a defined positional relationship relative to a cutting feature of the cutting tool. The trackable feature may include reflective material applied to a surface (e.g. a recessed blade surface). The trackable feature is be imaged by a camera integral with or attached to the power tool and provided to a computing unit of a navigation system to determine a relative pose of the cutting feature and camera. The camera may also track a patient's bone such that the computing unit may determine a relative position of the bone and camera. The unit then computes a relative pose of the cutting feature with respect to the patient's bone and provides same for determining display information and/or to a robotic controller for procedural control.

Abstract: A method and system for determining the orientation of a surgical tool with respect to a bone of a patient discloses initializing a first active sensor and a second active sensor relative to each other with the first active sensor and second active sensor having a predetermined (relative) orientation. The first active sensor is configured to sense a change in its orientation, provide first information relating to the change and be attached to a bone in a relationship to a reference plane therefor, for use during an operation. The second active sensor is configured to sense a change in its orientation, provide second information relating to the change and be attached to a surgical tool. The relative orientation of the active sensors is useful to determine the relative orientation of the tool and the reference frame of the bone.

Abstract: Systems, methods and devices for use in tracking are described, using optical modalities to detect spatial attributes or natural features of objects, such as, tools and patient anatomy. Spatial attributes or natural features may be known or may be detected by the tracking system. The system, methods and devices can further be used to verify a calibration of a tool either by a computing unit or by a user. Further, the disclosure relates to detection of spatial attributes, including depth information, of the anatomy for purposes of registration or to create a 3D surface profile of the anatomy.

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: A method and system for determining the orientation of a surgical tool with respect to a bone of a patient are disclosed. The method includes defining a bone reference plane using a processor; receiving first information at the processor from a first active sensor attached to the bone at a location having a predetermined relationship with the plane, the first information relating to a movement of the first sensor and wherein changes in orientation to the plane are trackable through changes in orientation of the first sensor; receiving second information from a second active sensor attached to the surgical tool, the second information relating to a movement of the second sensor; and determining a three-dimensional orientation of the surgical tool with respect to the plane based on the first and second information. The reference plane may be defined from distances between at least three predetermined reference locations on the bone.

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 a sensor alignment mechanism are disclosed for medical navigational guidance systems. In one example, a system to make sterile a non-sterile optical sensor for use in navigational guidance during surgery includes a sterile drape having an optically transparent window to drape the optical sensor in a sterile barrier and a sensor alignment mechanism. The alignment mechanism secures the sensor through the drape in alignment with the window without breaching the sterile barrier and facilitates adjustment of the orientation of the optical sensor. The optical sensor may be aligned to view a surgical site when the alignment mechanism, assembled with the sterile drape and optical sensor, is attached to a bone. The alignment mechanism may be a lockable ball joint and facilitate orientation of the sensor in at least two degrees of freedom. A quick connect mechanism may couple the alignment mechanism to the bone.

Abstract: Presented are methods and systems for determining, monitoring, and displaying the relative positioning of two rigid bodies during surgery. In particular, the present disclosure relates to methods and systems for positioning a prosthesis relative to a bone during a surgery as well as to systems and methods for verifying resulting relative positioning of adjacent bones.

Abstract: Provided are methods and systems related to computer-assisted joint replacement surgery, and corresponding instrumentation systems. In one example, there is provided a system for guided surgery comprising: a sensor for coupling to a first bone to receive positional signals; a beacon for coupling to an object to provide the positional signals to the sensor, the object comprising one of a second bone and a surgical tool; a patient-specific jig (PSJ) for guiding a relative position of the sensor and the first bone during coupling to position the sensor in a predetermined pose in an anatomical coordinate frame; and an intra-operative computing unit in communication with the sensor, the intra-operative computing unit configured to calculate poses of the beacon with respect to the anatomical coordinate frame utilizing pre-operative data representing the PSJ and display positional information for the object in real time.

Abstract: Systems, methods and devices for use in tracking are described, using optical modalities to detect spatial attributes or natural features of objects, such as, tools and patient anatomy. Spatial attributes or natural features may be known or may be detected by the tracking system. The system, methods and devices can further be used to verify a calibration of a tool either by a computing unit or by a user. Further, the disclosure relates to detection of spatial attributes, including depth information, of the anatomy for purposes of registration or to create a 3D surface profile of the anatomy.