Abstract: A computer-assisted method is provided for determining a placement position for an implant relative to a bone. According to the method, a force profile exerted on a bone is calculated from bone density data and bone architecture data. A position and orientation (POSE) for an implant in relation to the bone based is then determined, at least in part, on the calculated force profile. A computing system is provided that includes a computer having a processor and non-transient memory programmed with operating planning software that when executed by the processor is configured to: calculate a force profile exerted on a bone from bone density data and bone architecture data and determine a position and orientation (POSE) for an implant in relation to the bone based, at least in part, on the calculated force profile.

Abstract: A system and method are described herein for installing hardware in a bone outside an end-effector's tool path prior to modifying the bone. The method includes the installation of a first piece of hardware in the bone. The bone and a cut volume to be created in the bone is registered to a computer-assist device. A processor calculates whether the hardware is within the cut volume based on the geometry and POSE of the hardware relative to the POSE of the cut volume. A user is notified if the hardware is at or inside the cut volume based on the calculation. If so, a second piece of hardware is installed in the bone and the calculation is repeated to determine if the second piece of hardware is at or inside the cut volume. The surgical procedure may commence when an installed piece of hardware is installed outside the cut volume.

Abstract: A system is provided that includes a surgical robot having an end-effector and a plurality of actuators for moving the end-effector. The end-effector movement being in response to first control signal to align the end-effector with a first virtual plane having a first predefined location relative to a first portion of a bone or bone fragments for performing a first operation thereon. A second control signal aligns the end-effector with a second virtual plane having a second predefined location relative to a second portion of the bone or bone fragments for performing a second operation thereon. A feedback mechanism can also be provided based on relative locations. A method for repairing a defect in a bone is provided based on the operation of an inventive system to move the end-effector. Bone modification results to correct a defect in the bone.

Abstract: A method of detecting a potential collision between an end-effector and bystander anatomy is provided. A cut-file or a representation of an implant is registered to a position of a first bone, the registered cut-file defining at least one orientation for an end-effector axis to assume while physically modifying the first bone. Imaging data of bystander anatomy is registered to a position of the bystander anatomy. The at least one orientation of the end-effector axis as defined in the registered cut-file is calculated in a computer if it has a spatial overlap with the registered imaging data to detect the potential collision. A portion of the registered representation can also projected along an axis with the projection used to determine possible collisions and if so provide the user with options.

Abstract: A method and system are provided to determine an optimal placement with respect to position and orientation for one or more bones in a workspace of a robot to improve robotic cutting and maximize the robot workspace during a robotic surgical procedure. The method is additionally useful to aid a user in positioning and orienting the bones in the operating room at the determined position and orientation.

Abstract: A magnetic impactor assembly is described herein. The magnetic impactor assembly generally includes a guide receptacle, and an impactor guide magnetically coupled to the guide receptacle to form a magnetic interface therebetween. The guide receptacle is attachable to a surgical device such as a surgical robotic manipulator arm. The impactor guide receives and guides an impactor to permit a user to impact a prosthesis into a bone of a patient in a planned position and orientation. The magnetic impactor assembly reduces the transmission of excessive forces to a patient or the surgical device if an off-axis impaction force is generated on the impactor through the decoupling of the impactor guide from the guide receptacle.

Abstract: A method for registering one or more surfaces associated with a bone for implant revision procedures includes a digitizer used to digitize surface points on remaining cement, bone surfaces, or both. The bone is adapted to hold a primary implant and from which the primary implant was removed. The position of the one or more surfaces associated with bone is registered by computing at least one of: a generic set of one or more planes using the surface points or a best match between a known implant geometry and the surface points. A computer-assisted surgical system is also provided to execute the method.

Abstract: A system, device, and method is provided that improves the point collection process during bone registration for computer-assisted surgical procedures. A user is guided in the point collection process by projecting a set of points directly on the bone with a tracked digitizer probe following a rough registration of the bone. The system, device, and method therefore negates the need for the user to constantly look-up on an instructional display monitor and make the complicated mappings between the displayed instructions on the monitor and the actual bone.

Abstract: Methods, devices and systems for the planning and execution of computer-assisted robotic surgery are provided. The methods include methods to collect information about bones and prostheses, use the information to create virtual models and simulations, optionally receive input based on user discretion in generating the cut file, and to generate instruction for the execution of cut paths during the surgery. The system and devices include computers and peripherals and set-ups to link the components together into functional systems.

Abstract: A rollable digitizer device for collecting a plurality of points on a bone that includes a wheel having multiple probes emanating circumferentially therefrom. One or more contact sensors adapted to detect if at least one of probes is in contact with the bone. The contact sensors located in the wheel, on the wheel, proximal to said one or more contact sensors, or a combination thereof. A handle connected to the wheel and adapted to permit a user to roll the probes along the bone, so each of the probes make sequential and detectable contact with the bone to facilitate the collection of multiple points on the bone. A method for collecting a multiple registration points on a bone with the rollable digitizer device includes wielding the rollable digitizer by the handle. The probes are rolled along the surface of the bone to collect the plurality of registration points.

Abstract: A system and process is provided for dynamically positioning or repositioning a robot in a surgical context based on workspace and task requirements, manipulator requirements, or user preferences to execute a surgical plan. The system and method accurately determines and indicates an optimal position for a robot with respect to a patient's anatomy before or during a surgical procedure. Optimal positions for a robot are intuitively indicated to a user. surgical procedures can illustratively include surgery to the knee joint, hip joint, spine, shoulder joint, elbow joint, ankle joint, jaw, a tumor site, joints of the hand or foot, and other appropriate surgical sites.

Abstract: An installation tool for installing a tracking member on a substrate is provided that includes a body with at least one guide hole located at a first end of the body for guiding a fixation element into the substrate. A holding mechanism is provided for holding the body to the fixation element. A coupler located at an opposing end of the body is provided for coupling the tracking member to the body. A removable handle has an opening for receiving at least portion of the coupler inside the removable handle. A system is also provide that includes the installation tool and a tracking member.

Abstract: A system, device, and method is provided that improves the point collection process during bone registration for computer-assisted surgical procedures. A user is guided in the point collection process by projecting a set of points directly on the bone with a tracked digitizer probe following a rough registration of the bone. The system, device, and method therefore negates the need for the user to constantly look-up on an instructional display monitor and make the complicated mappings between the displayed instructions on the monitor and the actual bone.

Abstract: A system for confirming registration of a bone involved in a joint replacement procedure is provided. The system includes a three-dimensional (3-D) bone model of the bone registered to a bone location, a visible light camera, and a display. The visible light camera captures images of the bone in the camera’s field-of-view (FOV). The display is configured to display the captured images of the FOV and an image of the 3-D bone model, where the displayed location of the image of the 3-D bone model corresponds to the location of the 3-D bone model registered to the bone location. The registration may be confirmed if the displayed location of the image of the bone as captured by the visible light camera corresponds to the displayed location of the 3-D bone model.

Abstract: A system and method for intra-operatively measuring or verifying the placement of an implant within a bone in joint arthroplasty procedures are described herein. Pre-operative bone data of the patient is collected. A user plans the position of one or more implants relative to the pre-operative bone data. Intra-operatively, the patients bone is registered to the pre-operative bone data and to a computer-assist device. The bone is prepared and a physical implant is installed with the bone. A plurality of points are digitized on at least one of the physical implant or an apparatus associated with the physical implant. The computer-assist device calculates any errors between the planned position and orientation (POSE) of the implant relative to the actual POSE of the physical implant using the digitized points. The system may further notify a user of any errors and provide instructions to minimize the errors.

Abstract: A coupling device is described herein for coupling two objects. The coupling device includes a body having a receiving member, a bore, and a locking pin situated inside the bore. The locking pin is translatable beyond the bore to intercept a portion of an attachment region of an object to removably couple the object to the coupling device. A lever connected to the locking pin allows a user to rotate the locking pin. Upon rotation of the lever, components in the body cause the locking pin to rotate and translate towards the object to intercept the portion of the attachment region of the object.

Abstract: A system and process for performing orthopedic surgery is provided that uses a tibial trial system in total knee arthroplasty for assessing optimal internal-external rotation and posterior tibial slope, and for measuring the rotation of a tibial trial throughout flexion-extension to determine and mark the best position for the final tibial component. The tibial trial system determines the internal-external location on a patient specific basis with improved component placement well within the present manual methods. One particular advantage to the tibial trial system is to assess the natural internal-external rotation that the tibial component will experience relative to the femoral component during flexion-extension as opposed to simply recording and balancing forces on a static tibial trial. The invention disclosed herein may also be adapted to be used with a computer assisted surgical device. Such surgical devices include active, semi-active, and haptic devices as well as articulating drill and saw systems.

Abstract: A method to guide in preparation of a bone relies on an instrument having a shaft with a working end and a stop member. The shaft is free to translate along an axis. Surgical planning data is registered to the bone to determine intra-operative coordinates of the desired axis and depth. The instrument holder is positioned by the bone so the stop member contacts the instrument holder to prevent translating beyond the desired depth. Alternatively, an arm is manipulated to align the instrument with the desired axis. The working end rests on the bone to define a linear separation to the desired depth. By proximally translating the instrument holder to contact the stop member and distally translating the instrument holder along the shaft, the stop member physically stops translating beyond the desired depth. A surgical system for performing the methods is provided; a reamer or impactor are also disclosed.

Abstract: Systems and methods are provided to aid in planning at least a portion of a total knee arthroplasty procedure. The system and method automatically aligns the implant components and the bones according to a desired clinical alignment goal with minimum user input. The system and method further allows the user to adjust the position and orientation of the femur, tibia, or implant in a clinical direction regardless of a pre-adjusted position and orientation of the femur, tibia, or implant. The graphical user interface is provided that includes a three-dimensional (3-D) view window, a view options window, a patient information window, an implant family window, a workflow-specific tasks window, and a limb and knee alignment measures window.