Abstract: Systems, methods, software and techniques for generating a milling path for a tool of a surgical system are provided. The milling path is designed to remove a resection volume associated with an anatomical volume. A reference guide is defined with respect to the resection volume. Sections are defined along the reference guide in succession. Each section intersects the reference guide at a different intersection point and is at a specified orientation relative to the reference guide at the intersection point. Each section further intersects the resection volume. A section path is generated to be bounded within each section and defined relative to the resection volume. A plurality of transition segments are generated and each transition segment connects section paths of successive sections along the reference guide.

Abstract: System and methods for surgical navigation providing mixed reality visualization are provided. The mixed reality visualization depicts virtual images in conjunction with real objects to provide improved visualization to users.

Abstract: Systems and methods for arranging objects in an operating room in preparation for a surgical procedure. The objects are arranged based on surgical procedure information provided to a guidance station. The surgical procedure information dictates the desired placement of the objects. Placement of the objects is then guided according to their desired placement using one or more tracking elements.

Abstract: Systems and methods for arranging objects in an operating room in preparation for a surgical procedure. The objects are arranged based on surgical procedure information provided to a guidance station. The surgical procedure information dictates the desired placement of the objects. Placement of the objects is then guided according to their desired placement using one or more tracking elements.

Abstract: A surgical workflow system for performing a surgical procedure. The surgical workflow system comprises one or more locators arrangeable to determine locations of a plurality of surgical objects. Information conveyor devices are coupled to the one or more locators and are assigned to different participants in the surgical procedure. A workflow controller accesses a pre-scripted workflow having a plurality of workflow steps associated with the surgical procedure, identifies a change event that indicates a deviation from the pre-scripted workflow, determines event information tailored to the different participants based on the change event, and transmits the event information to the participants through the plurality of information conveyor devices so that different event information can be conveyed to the different participants, wherein the event information is provided in the context of the surgical objects.

Abstract: A surgical robotic system and method for controlling an instrument feed rate. The surgical robotic system comprises a surgical manipulator for manipulating a surgical instrument and an energy applicator extending from the surgical instrument. At least one controller includes a feed rate calculator configured to calculate the instrument feed rate. A hand held pendant is operable by a user to adjust a defined feed rate of the surgical manipulator in the semi-autonomous mode.

Abstract: A workflow is disclosed to accurately register ultrasound imaging to co-modality imaging. The ultrasound imaging is segmented with a convolutional neural network to detect a surface of the object. The ultrasound imaging is calibrated to reflect a variation in propagation speed of the ultrasound waves through the object by minimizing a cost function that sums the differences between the first and second steered frames, and compares the first and second steered frames of the ultrasound imaging with a third frame of the ultrasound imaging that is angled between the first and second steered frames. The ultrasound imaging is temporarily calibrated with respect to a tracking coordinate system by creating a point cloud of the surface and calculating a set of projection values of the point cloud to a vector. The ultrasound imaging, segmented and calibrated, is automatically registered to the co-modality imagine.

Abstract: A method of operating a robotic system to efficiently remove material from a workpiece based on a density distribution of the material of the workpiece. The density distribution of the material of the workpiece is determined from a three-dimensional representation and evaluated by classifying the plurality of points or voxels into a first density classification and a second density classification. A navigation computer generates a first tool path and a second tool path for the tool based on the evaluated density distribution. The first tool path is associated with the first density classification, and the second tool path is associated with the second density classification. The position of the tool relative to the workpiece is tracked with a navigation computer and controlled with a manipulator controller based on the generated tool path to remove material along the first tool path, and remove material along the second tool path.

Abstract: A system includes a robotic manipulator comprising an arm and an end effector coupled to the arm and being moveable by the arm for interacting with a target site in a manual mode and an autonomous mode of operation. A navigation system is configured to track a position of the end effector and the target site. One or more controllers are configured to define a first virtual boundary relative to the target site, prevent the end effector from penetrating the first virtual boundary in the manual mode, and allow the end effector to penetrate the first virtual boundary in the autonomous mode.

Abstract: A surgical system and method for facilitating ad-hoc intraoperative planning of a surgical step to be performed at a target site, the system comprising a digitization device, a navigation system, and a computing device. The digitization device intraoperatively facilitates establishment of one or more local virtual references relative to the target site. The navigation system tracks states of the digitization device. The computing device is coupled to the navigation system and comprises one or more processors and a non-transitory storage medium having stored thereon a computer-aided design (CAD) program. When executed by the one or more processors, the CAD program is configured to generate a virtual reference frame, register the one or more local virtual references within the virtual reference frame, and enable arrangement of different geometrical design objects within the virtual reference frame relative to one or more registered local virtual references to intraoperatively plan the surgical step.

Abstract: Robotic systems and methods for controlling a tool to remove material from a workpiece. Workpieces such as bones are often non-homogenous and have varying density distributions throughout their volumes. In some embodiments, the systems and methods control the feed rate of the tool, the tool path of the tool, and the rotational speed of the tool based on the density distribution in order to provide a desired outcome for a surgical procedure.

Abstract: Surgical systems and methods for manipulating an anatomy with a tool include defining a first virtual boundary associated with the anatomy and a second virtual boundary associated with the anatomy. The first virtual boundary is activated in a first mode. Movement of the tool is constrained in relation to the first virtual boundary in the first mode. The first virtual boundary is deactivated in a second mode. Movement of the tool is constrained in relation to the second virtual boundary in the second mode.

Abstract: A tracking device for a surgical navigational system. A tracking head includes tracking elements configured to communicate tracking information to the surgical navigation system. An extension arm is configured to be coupled to the tracking head, and a bone plate is configured to be coupled to the extension arm. The bone plate is further configured to be coupled to anatomic structure and includes openings each configured to receive a fastener. A central opening may be provided to receive an additional fastener for coupling the extension arm to the bone plate. A recess within the top surface may receive the base plate of the extension arm. Spikes of the bone plate are configured to penetrate the anatomic structure and, in conjunction with the fasteners, prevent movement of the tracking device. The bottom surface is concave between the spikes to define a space configured to accommodate portions of the anatomic structure.

Abstract: System and methods for surgical navigation providing mixed reality visualization are provided. The mixed reality visualization depicts virtual images in conjunction with real objects to provide improved visualization to users.

Abstract: A plate for attaching to an anatomic structure. The plate comprises a top surface opposite a bottom surface. An opening through the top and bottom surfaces is configured to receive a fastener to attach the plate to the anatomic structure. The plate comprises spikes configured to penetrate the anatomic structure. With the fastener, the spikes prevent rotational movement of the body relative to the anatomic structure. The bottom surface is concave between the spikes and defines a space configured to accommodate portions of the anatomic structure. Bone pad surfaces are configured to prevent further penetration of the spikes into the anatomic structure when in contact the same. A tracking device for a surgical navigational system can comprise a tracking head coupled to the plate with a mounting arm. The plate, when attached to the anatomic structure, prevents movement of the tracking device relative to the anatomic structure.

Abstract: A system for providing substantially stable control of a surgical instrument is provided. The system includes a surgical manipulator for manipulating the surgical instrument and at least one computer configured to identify a first subset and a second subset of interaction geometric primitives associated with a virtual tool; determine, based on the first subset, control forces in a first subspace; and determine based on the second subset, control forces in a second subspace having at least one additional dimension. Control forces in the additional dimension are only determined based on the second subset of primitives, which is different than the first subset of primitives. The computer is further configured to determine a torque to constrain an orientation of the surgical instrument, wherein determining the torque comprises defining a virtual tool normal and a control plane normal and using the virtual tool normal and control plane normal to calculate the torque.

Abstract: System and method for controlling a surgical manipulator to apply an energy applicator to a patient. The surgical manipulator cooperates with a navigation system to position the energy applicator with respect to a boundary so that the energy applicator is constrained from moving outside the boundary. The boundary is generated based on energy applicator parameters measured after manufacture of the energy applicator.

Abstract: System and method for controlling a surgical manipulator to apply an energy applicator to a patient. The surgical manipulator cooperates with a navigation system to position the energy applicator with respect to a boundary so that the energy applicator is constrained from moving outside the boundary. The boundary is generated based on implant parameters measured after manufacture of the implant.

Abstract: Surgical systems and methods of demonstrating planned autonomous manipulation of an anatomy by a tool of a robotic surgical system include generating manipulation parameters representing planned constraints on autonomous manipulation of a volume of the anatomy by the tool in a first mode and generating demonstrative parameters relating to the manipulation parameters and defined in relation to a surface of the anatomy. The demonstrative parameters are less invasive to the anatomy than the manipulation parameters. The tool is moved in accordance with the demonstrative parameters in a second mode thereby demonstrating planned constraints on autonomous manipulation of the anatomy in relation to the surface of the anatomy.

Abstract: A camera and drape assembly for use with tracking elements of a surgical system includes a camera unit and a drape covering the camera unit. The camera unit includes a casing presenting a face for facing the tracking elements. Optical sensors are supported by the casing and are exposed through the casing for detecting the tracking elements. The drape covers the camera unit such that light signals from the tracking elements can be received by the optical sensors.