Abstract: A spinal surgery navigation system is disclosed for computer assisted navigation during spinal surgery. The spinal surgery navigation system is operative to obtain intra-operative feedback data and/or post-operative feedback data regarding spinal surgery outcome for a plurality of patients, and train a machine learning model based on the intra-operative feedback data and/or the post-operative feedback data. The operations obtain pre-operative patient data characterizing a spine of a defined-patient, generate a spinal surgery plan for the defined-patient based on processing the pre-operative patient data through the machine learning model, and provide the spinal surgery plan to a display device for review by a user.

Abstract: Pedicle-based intradiscal fixation devices, systems, instruments, and methods thereof. A pedicle-based intradiscal implant for stabilizing an inferior vertebra and a superior vertebra may include a bendable rod configured to engage bone, a bone fastener defining a channel for receiving the bendable rod, and a locking cap for securing the bone fastener and the bendable rod. The implant may be positioned through a pedicle of an inferior vertebra and the bendable rod may be deployable into the vertebral body of the inferior vertebra, through the disc space, and into the vertebral body of the superior vertebra to stabilize the spine.

Abstract: An apparatus for use in preparing the intervertebral disc space. The apparatus includes a powered disc cutter that can be inserted through a tube and into the disc space. Once inside the disc space, the cutter can be rotated on its axis and articulated through the disc space to break up and disconnect the disc tissue from the surrounding disc tissue and disc annulus. The device is powered by a handheld driver that utilizes a motor to impart motion, such as rotary motion, to an elongated shaft assembly having a cutting tool or assembly pivotably attached to the distal end thereof. The cutting tool is mounted to the end of the drive shaft assembly by a linkage so that the shaft may be inserted in a straight configuration down a narrow access port. The cutting assembly can spin on its axis while being articulated providing access to the intervertebral space.

Abstract: A spinal surgery navigation system is disclosed for computer assisted navigation during spinal surgery. The spinal surgery navigation system is operative to obtain intra-operative feedback data and/or post-operative feedback data regarding spinal surgery outcome for a plurality of patients, and train a machine learning model based on the intra-operative feedback data and/or the post-operative feedback data. The operations obtain pre-operative patient data characterizing a spine of a defined-patient, generate a spinal surgery plan for the defined-patient based on processing the pre-operative patient data through the machine learning model, and provide the spinal surgery plan to a display device for review by a user.

Abstract: Dynamic discectomy platform systems, tool differentiation systems, and related methods. A navigated discectomy instrument may have a tracking array and an articulating distal tip with a corresponding tracking marker configured to track movement of the distal tip when articulated. The discectomy instrument may be navigated using a robotic navigation platform, which views and tracks the instrument throughout the discectomy procedure. The discectomy platform may include imaging, planning, and machine learning to improve the quality and effectiveness of the discectomy. The instrumentation may be modular with automatic tool differentiation for discerning different types of articulating tips.

Abstract: Various implementations include a scalpel device and related surgical robots. In one implementation, a scalpel device includes: a body sized to translate within a guide tube for delivery to a patient; an expandable cutting tool coupled with a distal end of the body, the expandable cutting tool including a cutting assembly; and an actuator including a control feature coupled with a proximal end of the body, wherein the actuator enables adjustment of the cutting assembly according to an incision width selected from a set of incision widths defined by the control feature.

Abstract: An apparatus for use in preparing the intervertebral disc space. The apparatus includes a powered disc cutter that can be inserted through a tube and into the disc space. Once inside the disc space, the cutter can be rotated on its axis and articulated through the disc space to break up and disconnect the disc tissue from the surrounding disc tissue and disc annulus. The device is powered by a handheld driver that utilizes a motor to impart motion, such as rotary motion, to an elongated shaft assembly having a cutting tool or assembly pivotably attached to the distal end thereof. The cutting tool is mounted to the end of the drive shaft assembly by a linkage so that the shaft may be inserted in a straight configuration down a narrow access port. The cutting assembly can spin on its axis while being articulated providing access to the intervertebral space.

Abstract: A surgery navigation system is disclosed for computer assisted navigation during surgery. The surgery navigation system includes processing circuitry that is operative to obtain from a sensor circuit, intra-operative tactile sensing data indicating a sensed characteristic of a tool contacting a location on patient anatomy within a surgical site. The processing circuitry is further operative to process the intra-operative tactile sensing data through a machine learning model to generate intra-operative navigated guidance data, and to provide the intra-operative navigated guidance data to a display device and/or to a surgical robot to control movement of the tool.

Abstract: A spinal surgery navigation system is disclosed for computer assisted navigation during spinal surgery. The spinal surgery navigation system is operative to obtain intra-operative feedback data and/or post-operative feedback data regarding spinal surgery outcome for a plurality of patients, and train a machine learning model based on the intra-operative feedback data and/or the post-operative feedback data. The operations obtain pre-operative patient data characterizing a spine of a defined-patient, generate a spinal surgery plan for the defined-patient based on processing the pre-operative patient data through the machine learning model, and provide the spinal surgery plan to a display device for review by a user.

Abstract: Pedicle-based intradiscal fixation devices, systems, instruments, and methods thereof. A pedicle-based intradiscal implant for stabilizing an inferior vertebra and a superior vertebra may include a bendable rod configured to engage bone, a bone fastener defining a channel for receiving the bendable rod, and a locking cap for securing the bone fastener and the bendable rod. The implant may be positioned through a pedicle of an inferior vertebra and the bendable rod may be deployable into the vertebral body of the inferior vertebra, through the disc space, and into the vertebral body of the superior vertebra to stabilize the spine.

Abstract: Pedicle-based intradiscal fixation devices, systems, instruments, and methods thereof. A pedicle-based intradiscal implant for stabilizing an inferior vertebra and a superior vertebra may include a bendable rod configured to engage bone, a bone fastener defining a channel for receiving the bendable rod, and a locking cap for securing the bone fastener and the bendable rod. The implant may be positioned through a pedicle of an inferior vertebra and the bendable rod may be deployable into the vertebral body of the inferior vertebra, through the disc space, and into the vertebral body of the superior vertebra to stabilize the spine.

Abstract: Pedicle-based intradiscal fixation devices, systems, instruments, and methods thereof. A pedicle-based intradiscal implant for stabilizing an inferior vertebra and a superior vertebra may include a bendable rod configured to engage bone, a bone fastener defining a channel for receiving the bendable rod, and a locking cap for securing the bone fastener and the bendable rod. The implant may be positioned through a pedicle of an inferior vertebra and the bendable rod may be deployable into the vertebral body of the inferior vertebra, through the disc space, and into the vertebral body of the superior vertebra to stabilize the spine.

Abstract: Pedicle-based intradiscal fixation devices, systems, instruments, and methods thereof. A pedicle-based intradiscal implant for stabilizing an inferior vertebra and a superior vertebra may include a bendable rod configured to engage bone, a bone fastener defining a channel for receiving the bendable rod, and a locking cap for securing the bone fastener and the bendable rod. The implant may be positioned through a pedicle of an inferior vertebra and the bendable rod may be deployable into the vertebral body of the inferior vertebra, through the disc space, and into the vertebral body of the superior vertebra to stabilize the spine.

Abstract: Pedicle-based intradiscal fixation devices, systems, instruments, and methods thereof. A pedicle-based intradiscal implant for stabilizing an inferior vertebra and a superior vertebra may include a bendable rod configured to engage bone, a bone fastener defining a channel for receiving the bendable rod, and a locking cap for securing the bone fastener and the bendable rod. The implant may be positioned through a pedicle of an inferior vertebra and the bendable rod may be deployable into the vertebral body of the inferior vertebra, through the disc space, and into the vertebral body of the superior vertebra to stabilize the spine.