Abstract: Described are surgical systems comprising a robotic device comprising a cutting tool, an actuation unit having at least two motorized rotational degrees of freedom about respective rotational axes that are substantially orthogonal to each other, and configured for adjusting a position and orientation of the cutting tool relative to each target plane, a planar mechanism connecting the last segment of the actuation unit to the cutting tool, a passive articulated lockable holding arm supporting the actuation unit, a tracking unit configured to determine in real time the pose of the cutting plane with respect to the coordinate system of the anatomical structure, a control unit configured to determine the pose of the cutting plane with respect to the target plane and to control the actuation unit to bring the cutting plane into alignment with the target plane.

Abstract: Systems, methods, and devices are disclosed for navigational arrays for attaching to surgical tools, the arrays comprising a frame comprising fiducials for detection by an optical navigation system, and a body having a first end for supporting the frame and a second end defining an opening, wherein the opening is aligned with a first axis of the surgical tool, wherein the opening engages a stationary surface adjacent to the surgical tool, and wherein the opening engages features disposed at predetermined even intervals on the stationary surface adapted to allow repositioning of the array from a first position to a second position, wherein the second position is at least one of a rotational offset or an axial offset from the first position. The stationary surface may be a step disposed on an adapter inserted into the surgical tool. The stationary surface may be a sheath covering a rotatable shaft inserted into the surgical tool. The stationary surface may be a sleeve disposed on the surgical tool.

Abstract: The invention relates to a surgical system for cutting an anatomical structure (F, T) of a patient according to at least one target plane defined in a coordinate system of the anatomical structure, comprising: (i) a robotic device (100) comprising: —an end effector (2), —an actuation unit (4) having at least three motorized degrees of freedom, configured for adjusting a position and orientation of the end effector (2) relative to each target plane, —a passive planar mechanism (24) connecting the terminal part (40) of the actuation unit (4) to the end effector (2); (ii) a tracker (203) rigidly attached to the end effector (2), (iii) a tracking unit (200) configured to determine in real time the pose of the end effector (2) with respect to the coordinate system of the anatomical structure, a control unit (300) configured to determine the pose of the end effector with respect to the target plane and to control the actuation unit so as to bring the cutting plane into alignment with the target plane.

Abstract: The invention relates to a surgical system for cutting an anatomical structure (F, T) of a patient according to at least one target plane defined in a coordinate system of the anatomical structure, comprising: i) a robotic device (100) comprising: —a cutting tool, —an actuation unit (4) comprising from three to five motorized degrees of freedom, said actuation unit comprising at least one portion having a parallel architecture comprising a base (40) and a platform (41) selectively orientable relative to the base (40) according to at least two of said motorized degrees of freedom, —a planar mechanism (24) connecting a terminal part of the actuation unit (4) to the cutting tool (2), ii) a passive articulated lockable holding arm (51) supporting the actuation unit, iii) a tracking unit (200) configured to determine in real time the pose of the cutting plane with respect to the coordinate system of the anatomical structure, iv) a control unit (300) configured to determine the pose of the cutting plane with respec

Abstract: Systems, methods, and devices are described for high accuracy molded navigation arrays. In example embodiments, a navigation array may be formed by molding, as a single component, an array having a plurality of marker regions that may include a reflective layer disposed thereon. In other embodiments, a navigation array may be formed by molding over a frame having a plurality of marker elements. In still other embodiments, a navigation array may be formed by molding over individual marker elements. In certain embodiments, a navigation array may be formed by molding a frame with a plurality of voids and subsequently molding marker elements into each void where the marker elements may include a reflective layer disposed thereon. In some embodiments, a navigation array may be formed by molding a plurality of marker elements on a frame and disposing a reflective layer on the marker elements.

Abstract: A modular fluoro-navigation instrument including a base made of a substantially radiotransparent material. The base is intended to be rigidly secured to a patient's bone and a tracker rigidly attachable to the base. The instrument has a registration phantom separate from the tracker which includes a plurality of radiopaque fiducials. The base and the registration phantom includes respective attachment members for reproducibly attaching the registration phantom to the base.

Abstract: A fluoro-navigation system for navigating a tool relative to a medical image. The system includes a motorized X-ray imaging system for acquiring a plurality of images of a region of interest of a patient, the position of each image being known. Also included is a localization system, a registration phantom with a plurality of radiopaque fiducials, a tracker for being tracked by the localization system, a processor for receiving the plurality of images and for reconstructing a 3D medical image from the images using radiopaque fiducials visible in the plurality of images. Also included is base made of a substantially radiotransparent material, to be rigidly secured to a patient's bone and having a reproducible fixation system for attaching the registration phantom and/or tracker.

Abstract: The invention relates to a surgical system for cutting an anatomical structure (F, T) of a patient according to at least one target plane defined in a coordinate system of the anatomical structure, comprising: (i) a robotic device (100) comprising: —an end effector (2), —an actuation unit (4) having at least three motorized degrees of freedom, configured for adjusting a position and orientation of the end effector (2) relative to each target plane, —a passive planar mechanism (24) connecting the terminal part (40) of the actuation unit (4) to the end effector (2); (ii) a tracker (203) rigidly attached to the end effector (2), (iii) a tracking unit (200) configured to determine in real time the pose of the end effector (2) with respect to the coordinate system of the anatomical structure, a control unit (300) configured to determine the pose of the end effector with respect to the target plane and to control the actuation unit so as to bring the cutting plane into alignment with the target plane.

Abstract: The invention relates to a surgical system for cutting an anatomical structure (F, T) of a patient according to at least one target plane defined in a coordinate system of the anatomical structure, comprising: i) a robotic device (100) comprising: —a cutting tool, —an actuation unit (4) comprising from three to five motorized degrees of freedom, said actuation unit comprising at least one portion having a parallel architecture comprising a base (40) and a platform (41) selectively orientable relative to the base (40) according to at least two of said motorized degrees of freedom, —a planar mechanism (24) connecting a terminal part of the actuation unit (4) to the cutting tool (2), ii) a passive articulated lockable holding arm (51) supporting the actuation unit, iii) a tracking unit (200) configured to determine in real time the pose of the cutting plane with respect to the coordinate system of the anatomical structure, iv) a control unit (300) configured to determine the pose of the cutting plane with respec

Abstract: The invention relates to a surgical system for cutting an anatomical structure (F, T) of a patient according to at least one target plane defined in a coordinate system of the anatomical structure, comprising: (i) a robotic device (100) comprising: —a cutting tool, —an actuation unit (4) having a serial architecture comprising from three to five motorized degrees of freedom, at least two of said motorized degrees of freedom being rotational degrees of freedom about respective rotation axes that are substantially orthogonal to each other, configured for adjusting a position and orientation of the cutting tool relative to each target plane, —a planar mechanism connecting the last segment of the actuation unit to the cutting tool; (ii) a passive articulated lockable holding arm (5) supporting the actuation unit (4); (iii) a tracking unit (200) configured to determine in real time the pose of the cutting plane with respect to the coordinate system of the anatomical structure, (iv) a control unit (300) configured

Abstract: The invention relates to a device for minimally invasive attachment of a tracker (20) and/or a registration phantom (30) to a patient's bone, comprising a base (10) made of a substantially radiotransparent material, characterized in that the base (10) comprises: a support surface (11) intended to face the bone, a plurality of non-parallel through holes (14) for passing a respective percutaneous pin (2) through the base (10); at least one slot (15) extending from an edge of the base (10) in a direction transversal to the through holes (14), said slot (15) passing throughout the base (10) until the support surface (11) and being intended to engage a percutaneous pin (2) implanted into the patient's bone so as to allow the base (10) to slide along said pin (2); and a reproducible fixation system for attaching the tracker (20) and/or the registration phantom (30) to the base.

Abstract: The disclosure relates to a method for disassembling a marker array (10) comprising at least three optical markers (100) arranged according a determined array geometry configured to be tracked by a localization camera from an array fixation (11) to which the marker array (10) is connected, the method comprising, prior to or during disconnecting the marker array (10) from the array fixation (11), actuating a mechanism configured to selectively modify the array geometry so as to unable tracking of the marker array by the localization camera.

Abstract: The invention relates to a surgical system comprising: (i) a handheld device (100) comprising: a base (1), an end-effector (2) for mounting a surgical tool or tool guide, an actuation unit (4) connected to said base (1) and end-effector (2), a support unit (5) designed to make contact with the treated part to be treated or an adjacent region to provide a partial mechanical link between the base (1) or end-effector (2), and the part to be treated, (ii) a tracking unit (200), (iii) a control unit (300) configured to: (a) compute in real time an optimized path of the end-effector, (b) detect whether said computed path of the tool or end-effector can be achieved without changing the pose of the base, and, if not, determine a possible repositioning of the base with respect to the part to be treated, (c) configure the actuation unit so as to move the end-effector according to said computed path, and (d) iterate steps (a) to (c) until the planned volume has been treated, (iv) a user interface (400).

Abstract: The invention relates to a surgical system comprising: (i) a handheld device (100) comprising: a base (1), an end-effector (2) for mounting a surgical tool or tool guide, an actuation unit (4) connected to said base (1) and end-effector (2), a support unit (5) designed to make contact with the treated part to be treated or an adjacent region to provide a partial mechanical link between the base (1) or end-effector (2), and the part to be treated, (ii) a tracking unit (200), (iii) a control unit (300) configured to: (a) compute in real time an optimized path of the end-effector, (b) detect whether said computed path of the tool or end-effector can be achieved without changing the pose of the base, and, if not, determine a possible repositioning of the base with respect to the part to be treated, (c) configure the actuation unit so as to move the end-effector according to said computed path, and (d) iterate steps (a) to (c) until the planned volume has been treated, (iv) a user interface (400).

Abstract: The invention relates to a device for minimally invasive attachment of a tracker (20) and/or a registration phantom (30) to a patient's bone, comprising a base (10) made of a substantially radiotransparent material, characterized in that the base (10) comprises: a support surface (11) intended to face the bone, a plurality of non-parallel through holes (14) for passing a respective percutaneous pin (2) through the base (10); at least one slot (15) extending from an edge of the base (10) in a direction transversal to the through holes (14), said slot (15) passing throughout the base (10) until the support surface (11) and being intended to engage a percutaneous pin (2) implanted into the patient's bone so as to allow the base (10) to slide along said pin (2); and a reproducible fixation system for attaching the tracker (20) and/or the registration phantom (30) to the base.

Abstract: The invention relates to a fluoro-navigation system for navigating a tool relative to a medical image, comprising: a motorized X-ray imaging system adapted to acquire a plurality of images of a region of interest of a patient, the position of each image being known in a referential of the imaging system, a localization system; a registration phantom (30) comprising a plurality of radiopaque fiducials (31); a tracker (20) adapted for being tracked by the localization system; a processor configured for receiving the plurality of images acquired by the motorized X-ray imaging system and for reconstructing a 3D medical image from said images using radiopaque fiducials (31) visible in the plurality of images; a base (10) made of a substantially radiotransparent material, the base (10) being adapted to be rigidly secured to a patient's bone (B) and comprising a reproducible fixation system for attaching said registration phantom (30) and/or said tracker (20).

Abstract: The invention relates to a modular fluoro-navigation instrument (1) comprising: a base (10) made of a substantially radiotransparent material, the base being intended to be rigidly secured to a patient's bone (B); a tracker (20) rigidly attachable to the base (10); characterized in that said instrument further comprises a registration phantom (30) separate from the tracker (20) comprising a plurality of radiopaque fiducials (31) and in that the base (10) and the registration phantom (30) comprise respective fixation means (12, 32) for reproducibly attaching the registration phantom to the base.

Abstract: The invention relates to a surgical instrument comprising: a distal tool (5) securely fastened at a distal end of a rotation shaft (4) and rotatably mounted on and in the extension of a distal member (30) rotatably mounted at an end of an elongated arm (3), an comprising motorized means (20) for actuating the distal motion of the distal tool (5) and further comprising controlling means (21) for a user to control the motorized means (20); a handle (1) extending from the actuation unit (2) and comprising a lever (11) mechanically coupled to the distal tool (5) for actuation of said distal tool (5); characterized in that the handle (1) has a non-axially-symmetric shape and is mounted on and in the extension of the actuation unit (2) with coupling means (12,22) enabling rotation of the handle (1) relative to the actuation unit (2) around the longitudinal axis, and wherein the controlling means (21) are adapted to be operated by the user whatever the rotational position of the handle (1) relative to the actuat

Abstract: The invention relates to a surgical instrument comprising: a distal tool (5) securely fastened at a distal end of a rotation shaft (4) and rotatably mounted on and in the extension of a distal member (30) rotatably mounted at an end of an elongated arm (3), an comprising motorized means (20) for actuating the distal motion of the distal tool (5) and further comprising controlling means (21) for a user to control the motorized means (20); a handle (1) extending from the actuation unit (2) and comprising a lever (11) mechanically coupled to the distal tool (5) for actuation of said distal tool (5); characterized in that the handle (1) has a non-axially-symmetric shape and is mounted on and in the extension of the actuation unit (2) with coupling means (12,22) enabling rotation of the handle (1) relative to the actuation unit (2) around the longitudinal axis, and wherein the controlling means (21) are adapted to be operated by the user whatever the rotational position of the handle (1) relative to the actuat

Abstract: The invention relates to a surgical instrument comprising: —a distal tool (5) securely fastened to a distal end of a rotation shaft (4) and rotatably mounted on and in the extension of a distal member (30) rotatably mounted at an end of an elongated arm (3), —an comprising motorized means (20) for actuating the distal motion of the distal tool (5) and further comprising controlling means (21) for a user to control the motorized means (20); —a handle (1) extending from the actuation unit (2) and comprising a lever (11) mechanically coupled to the distal tool (5) for actuation of said distal tool (5); characterized in that the handle (1) has a non-axially-symmetric shape and is mounted on and in the extension of the actuation unit (2) with coupling means (12, 22) enabling rotation of the handle (1) relative to the actuation unit (2) around the longitudinal axis, and wherein the controlling means (21) are adapted to be operated by the user whatever the rotational position of the handle (1) relative to the actuat