Abstract: Described herein are systems, methods, and techniques for spatially-aware displays for computer-assisted interventions. A Fixed View Frustum technique renders computer images on the display using a perspective based on a virtual camera having a field-of-view facing the display and automatically updates the virtual position of the virtual camera in response to adjusting the pose of the display. A Dynamic Mirror View Frustum technique renders computer images on the display using a perspective based on a field-of-view of a virtual camera that has a virtual position behind the display device. The virtual position of the virtual camera is dynamically updated in response to movement of a user's viewpoint located in front of the display device. Slice visualization techniques are also described herein for use with the Fixed View Frustum and Dynamic Mirror View Frustum techniques.

Abstract: A technique for determining a transformation between a navigation reference coordinate system (302) for navigation of a surgical device (150) relative to patient image data and an image coordinate system (304) in which the patient image data define a shape of a patient surface is provided. A computer-implemented method implementation of that technique comprises receiving multiple data sets that have been taken from different perspectives of the patient surface. Feature coordinates of multiple features (170) identifiable in the picture data sets are determined from the picture data sets and in the navigation reference coordinate system (302). From the feature coordinates, a shape model of the patient surface in the navigation reference coordinate system (302) is determined.

Abstract: A system is disclosed for determining a position and a change in the position of an anatomical structure. The system utilizes a surgical navigation system and a substrate that is capable of being removably mounted to an outer surface of a patient's body. The substrate includes a sensor that is tracked by the surgical navigation system and a positional device that determines the position of an anatomical structure relative to the sensor. The concatenation of the position of the sensor and the relative position of the anatomical structure allows a global position of the anatomical structure to be determined by a computer system and displayed to the user.

Abstract: A system is disclosed for determining a position and a change in the position of an anatomical structure. The system utilizes a surgical navigation system and a substrate that is capable of being removably mounted to an outer surface of a patient's body. The substrate includes a sensor that is tracked by the surgical navigation system and a positional device that determines the position of an anatomical structure relative to the sensor. The concatenation of the position of the sensor and the relative position of the anatomical structure allows a global position of the anatomical structure to be determined by a computer system and displayed to the user.

Abstract: A system and method for planning volumetric treatment by percutaneous needle procedures obtains a volumetric image data set of a subject including an identifiable region requiring treatment. An effective treatment volume is defined relative to the needle position for at least one needle carrying a treatment applicator. One or more proposed inserted needle position is defined such that a effective treatment volume corresponding to the one or more proposed inserted needle position provides coverage of the region requiring treatment. The effective treatment volume for one or more needles can then be visualized in the context of slices of 3D image data. One or more entry point and corresponding virtual target are then defined relative to a frame of reference of the volumetric image data set for use in navigation of the at least one needle to the corresponding proposed inserted needle position.

Abstract: A bone anchor, orthopaedic device and orthopaedic system are described. A bone anchor for use in an orthopaedic procedure which comprises a bone fixation portion provided with a plurality of fixation openings, the fixation openings each being adapted to receive a fixation device for fixing the bone fixation portion to a bone of a patient, and a device attachment portion provided with a first attachment opening and a second attachment opening, the first attachment opening and the second attachment opening being connected to each other by a solid stabilizing portion and being adapted to receive an attachment device for attaching the device attachment portion to an orthopaedic device.

Abstract: An implant for use for adjacently arranged bone plates is described, having a first bearing part, a second bearing part and a coupling element for tension-proof coupling of the first bearing part to the second bearing part. The bearing parts are curved concavely and comprise a plurality of ribs, which extend radially outwards from a central portion of the respective bearing part. The upper bearing part comprises a main body and an insert connected thereto by means of at least one connecting element. The connecting element is supported against the coupling element with regard to movement into a release position. The upper bearing part additionally has a deflectable fixing element, which is supported against the upper bearing part in the event of movement of the upper bearing part away from the lower bearing part.

Abstract: A plate system for bone fixation including intermaxillary fixation which has at least one plate with one opening and at least one bone screw for securing the plate to an adjacent bone and/or other anatomical structures (e.g., the gingival) with space maintained in between. The plate system provides a fixed connection at both the plate and the bone. A method for achieving fixation while maintaining space between the plate and bone includes placement of a spacer over the desired bone screw insertion point, followed by placement of the plate over the spacer so that the bone screw may be inserted through the plate while the spacer is held in position.

Abstract: A computer-implemented technique for generating a data set that geometrically defines a bone plate design is presented. A method implementation of this technique comprises visualizing, based on shape data of a bone, a bone model on a display device, deriving, responsive to a user interaction signal that is indicative of a user interaction relative to the bone model, plate design data representative of a plate-specific design property, and generating a data set that geometrically defines a bone plate design from at least the plate design data and one or more generic plate parameters.

Abstract: A stand for use with a syringe is disclosed. The stand includes a base and a clip affixed to the base. The clip engages a portion of the syringe so as to removably secure the syringe to the stand in a position such that the distal end of the syringe is spaced vertically away from the base. Preferably, the syringe includes a handle extending outwardly from a barrel of the syringe, and the feature which the clip engages includes the handle of the syringe.

Abstract: A bending instrument for a surgical element has two branches or arms which are pivotable relative to one another. A bending punch and two counter members are provided. The counter members interact with the bending punch to deform the surgical element. An actuator for the bending punch is adapted to convert an actuating movement of the branches or arms into a linear movement of the bending punch in a direction towards a region between the two counter members in order to bend the surgical element therebetween. First and second bending structures are provided for co-operatively bending the surgical element, wherein the bending instrument is configured to convert an actuating movement of the branches into a mating movement of the first and second bending structures towards one another.

Abstract: A technique for generating a data set that geometrically defines a bone cut configuration for transverse maxillary distraction is using a computer-implemented method. An aspect of the technique comprises creating a numeric model of a maxilla based on patient-specific data of the maxilla. The numeric model is representative of mechanical properties of the maxilla. Based on the numeric model thus generated, one or more cut configurations for one or more bone cuts on at least one of a left hand side and a right hand side of the maxilla are determined. Each cut configuration has been determined to compensate for asymmetric mechanical properties of the maxilla. In a further step, a data set indicative of the one or more cut configurations thus determined is generated. The data set may be used to create a surgical template or jig, for computer-assisted surgery or a surgical navigation system.

Abstract: A sterilizable surgical power tool and an operating unit for the surgical power tool are described. The operating unit includes a hermetically sealed metal capsule for arrangement in the region of a housing of the surgical power tool, the capsule having a contact surface for a finger on an outer face. A force sensor which is in force-transmitting connection to the contact surface is arranged inside the capsule. At least one electrical contact leads out of the capsule. The capsule may be a low-cost standard transistor housing.

Abstract: The invention relates to a surgical retaining instrument for bone plates. The retaining instrument comprises a carrying element and two plate retaining jaws arranged on the carrying element. The mutual distance of the plate retaining jaws can be changed in order to pick up or release a bone plate. Furthermore, an actuating device is provided, which has two arms, which can be moved relative to each other and which are designed to change the mutual distance of the plate retaining jaws. The carrying element is rotatably mounted relative to the arms.

Abstract: A computer-implemented technique for calculating a position of a surgical device relative to a patient region imaged by an imaging device is described. One of the surgical device and the imaging device has a predetermined first positional relationship to a marking, and a first camera having a field of view that includes the marking has a predetermined second positional relationship to the other device. The positional relationships may be stored as calibration data. A method realization of the technique comprises the steps of receiving, from the imaging device, intra-operatively taken first image data representative of the imaged patient region, receiving, from the first camera, intra-operatively taken second image data representative of the marking, and intra-operatively calculating, based on the first and second image data and the calibration data, the position of at least a part of the surgical device relative to the imaged patient region.

Abstract: A surgical distance adjusting assembly for a distractor has a base having a first connecting portion configured to hold a first bone attachment member and a carrier having a second connecting portion configured to hold a second bone attachment member. The base and the carrier are movable relative to each other, wherein the first and second connecting portions provide a releasable mechanical coupling to the first and second bone attachment members. The releasable mechanical coupling comprises a hook member at one or both of the first and second connecting portions and configured to engage the respective bone attachment member. Alternatively, the releasable mechanical coupling comprises an opening at one or both of the first and second connecting portions. The opening has a thread for a fixation screw configured to releasable couple the respective bone attachment member to the respective connecting portion.

Abstract: A pediatric mandibular distractor comprising a housing member elongating along a longitudinal axis, the housing member having at least one elongated slot elongating along at least a portion of the longitudinal axis and opening laterally through at least a side portion of the housing member; at least one fixed footplate attached to the housing member; a drive rod; and at least one moveable footplate engageable with the drive rod through the elongated slot by a connector. Wherein, when the fixed and moveable footplates are attached to the respective first and second bone surfaces, a bottom portion of the housing member is proximate to the first and second bone surfaces, and the side portion is further from the bone surfaces than the bottom portion in a direction transverse to the longitudinal axis. Methods of assembling and installing the exemplary pediatric mandibular distractor summarized above are also disclosed.

Abstract: A surgical navigation system is disclosed including a camera that is fixedly attached to a patient. The camera space merges with the patient space and thereby eliminates the need for a separate patient tracker. The surgical navigation system calculates the position of a surgical tool with a tracking device in view of the camera and shows on a display device the position of the surgical tool with respect to the patient superimposed and in correlation with a scan image of the patient.

Abstract: A surgical navigation system is disclosed including a camera that is fixedly attached to a patient. The camera space merges with the patient space and thereby eliminates the need for a separate patient tracker. The surgical navigation system calculates the position of a surgical tool with a tracking device in view of the camera and shows on a display device the position of the surgical tool with respect to the patient superimposed and in correlation with a scan image of the patient.

Abstract: Methods and systems are disclosed for relating additional spatial information associated with one volume data set of an anatomical structure with another volume data set of the anatomical structure where the spatial information is not available. A unique spatial characteristic of the volume data set is identified, such as an image moment of inertia, and an arbitrary reference frame is assigned to the volume data set and correlated with the unique spatial characteristic. The additional spatial information is also correlated with the arbitrary reference frame. The additional spatial information is then correlated to a second volume data set of the anatomical structure by registering the first and second volume data sets based on the unique spatial characteristic. The methods and systems allow registration of different volume data sets of the same anatomical structure and transfer of the additional spatial information without establishing a local reference frame based on predefined landmarks.