Abstract: Systems, methods and devices are disclosed for use in electronic guidance systems for surgical navigation to determine the relationship between the three-dimensional coordinates of an anatomy of a patient and those of an electronic guidance system. These coordinates are required to assist in the determination of the angles with respect to which components, such as, an acetabular prosthesis, are inserted into a body of the patient. In one such example, during hip replacement surgery, a surgeon receives guidance of how to place an acetabular prosthesis in the body of the patient, specifically in the pelvis.

Abstract: Systems, methods and devices are disclosed for use in electronic guidance systems for surgical navigation to determine the relationship between the three-dimensional coordinates of an anatomy of a patient and those of an electronic guidance system. These coordinates are required to assist in the determination of the angles with respect to which components, such as, an acetabular prosthesis, are inserted into a body of the patient. In one such example, during hip replacement surgery, a surgeon receives guidance of how to place an acetabular prosthesis in the body of the patient, specifically in the pelvis.

Abstract: A system for performing a navigated surgery comprises a first target attached to a patient at a surgical site and a second target at the surgical site. An optical sensor is coupled to the user and detects the first target and second target simultaneously in a working volume of the sensor. An intra-operative computing unit (ICU) receives sensor data concerning the first target and second target, calculates a relative pose and provides display information. The sensor can be handheld, body-mounted or head-mounted, and communicate wirelessly with the ICU. The sensor may also be mountable on a fixed structure (e.g. proximate) and in alignment with the surgical site. The ICU may receive user input via the sensor, where the user input is at least one of sensor motions, voice commands, and gestures presented to the optical sensor by the user. The display information may be presented via a (heads-up) display unit.

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: The present invention generally relates to computer-assisted joint replacement surgery, and corresponding navigation systems. The systems and methods presented find particular use in performing hip replacement surgery. For example, in one embodiment, there is provided a system and method for: (a) measuring a pre-dislocation positional relationship between a patient's pelvis and the patient's femur; (b) performing a post-dislocation femoral registration of the femur; (c) tracking the position of the femur relative to the pelvis during a reduction procedure; (d) calculating a change in leg length and a change in offset, after the reduction procedure, based on the femoral registration and the pre-dislocation positional relationship between the pelvis and the femur; and (e) conveying the change in leg length and the change in offset.

Abstract: Systems, methods and computer program products are disclosed for medical navigational guidance systems. In one example, intra-operative leg position measurements are provided during hip arthroplasty. An optical sensor couples to a pelvis and a target couples to a femur in alignment with the sensor, which provides positional signals to a processing unit for determining a relative position of the sensor and target. The processing unit uses a baseline measurement of leg position and a map to calculate and display position measurements in real time. The map is defined through a registration range-of-motion procedure where instructions are presented to move the femur in at least two planes to generate signals to calculate the map. Leg position may be leg length, offset or anterior/posterior position. The map is used to present the leg position measurements in an anatomical, rather than a sensor, coordinate frame.

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: 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 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 computer program products are disclosed for medical navigational guidance systems. In one example, intra-operative leg position measurements are provided during hip arthroplasty. An optical sensor couples to a pelvis and a target couples to a femur in alignment with the sensor, which provides positional signals to a processing unit for determining a relative position of the sensor and target. The processing unit uses a baseline measurement of leg position and a map to calculate and display position measurements in real time. The map is defined through a registration range-of-motion procedure where instructions are presented to move the femur in at least two planes to generate signals to calculate the map. Leg position may be leg length, offset or anterior/posterior position. The map is used to present the leg position measurements in an anatomical, rather than a sensor, coordinate frame.

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: A method and system for determining the orientation of a surgical tool with respect to a bone of a patient, and a device for positioning a sensor are disclosed. The bone has at least three predetermined reference locations.

Abstract: The present invention generally relates to computer-assisted joint replacement surgery, and corresponding navigation systems. The systems and methods presented find particular use in performing hip replacement surgery. For example, in one embodiment, there is provided a system and method for: (a) measuring a pre-dislocation positional relationship between a patient's pelvis and the patient's femur; (b) performing a post-dislocation femoral registration of the femur; (c) tracking the position of the femur relative to the pelvis during a reduction procedure; (d) calculating a change in leg length and a change in offset, after the reduction procedure, based on the femoral registration and the pre-dislocation positional relationship between the pelvis and the femur; and (e) conveying the change in leg length and the change in offset.

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: A method and system for determining the orientation of a surgical tool with respect to a bone of a patient, and a device for positioning a sensor are disclosed. The bone has at least three predetermined reference locations.