Abstract: A method for treating a spine comprises the steps of: inserting a surgical instrument into a tissue cavity, the surgical instrument including an image guide oriented relative to a sensor to communicate a signal representative of a position of the surgical instrument relative to the tissue cavity; displaying a selected configuration with a distal end of the surgical instrument in the tissue cavity; tracking movement of the selected configuration in the tissue cavity with a tracking device that communicates with a processor to generate data for display of the movement; and determining a volume of the tissue cavity based on the data. Systems, spinal constructs, implants and surgical instruments are disclosed.

Abstract: A surgical platform and trolley assembly and an interface of a robotic system are provided. The surgical platform and trolley assembly includes a trolley portion and a surgical platform portion. The trolley portion supports the surgical platform portion, and affords positioning and repositioning of the surgical platform portion relative to the interface of the robotic system. An end portion of the surgical platform portion is attachable relative to the robotic system via engagement to the interface.

Abstract: A surgical platform system facilitating manipulation of a patient support thereby is provided. The surgical platform system can include a support supporting a linkage portion, a first platform portion, and a second platform portion relative to the ground. The linkage portion can include a base pivotally attached to the support, a first connector pivotally supported by the base, and a first support portion and a second support portion pivotally supported by the first connector. The first platform portion can be supported by the first support portion and the second support portion, and the second platform can be supported by the base. Pivotal movement of the first platform portion relative to the base via pivotal movement of the connector, and pivotal movement of the second platform portion relative to the support via pivotal movement of the base can serve to separately articulate the first platform portion and the second platform portion relative to one another.

Abstract: A method for treating a spine comprises the steps of: inserting a surgical instrument into a tissue cavity, the surgical instrument including an image guide oriented relative to a sensor to communicate a signal representative of a position of the surgical instrument relative to the tissue cavity; displaying a selected configuration with a distal end of the surgical instrument in the tissue cavity; tracking movement of the selected configuration in the tissue cavity with a tracking device that communicates with a processor to generate data for display of the movement; and determining a volume of the tissue cavity based on the data. Systems, spinal constructs, implants and surgical instruments are disclosed.

Abstract: An interface for moveably interconnecting a surgical table with a stationary gantry supporting a surgical robotic system is provided. The interface includes a collar portion, an actuator portion, and a locking portion. The collar portion is attached relative to a longitudinal cross-member of the surgical table via receipt of a portion of the longitudinal cross-member through the collar portion. The actuator portion is one of attached to the collar portion and attached to and/or supported by the gantry, and includes gearing operatively engaged to gearing attached to the longitudinal cross member. The locking portion is attached to and/or supported relative to the gantry, and includes a shoulder portion configured to contact an exterior surface of the collar portion, and at least one engagement portion moveable between a disengaged position and an engaged position.

Abstract: A surgical platform system including a first platform portion, a second platform portion, and a support portion is provided. The support platform supports the first platform portion, and can be moveable relative to a surgical robotic system supporting the second platform portion. With the support portion and the first platform portion positioned relative to the surgical robotic system, the first platform portion supporting a first portion of the patient and the second platform portion supporting a second portion of the patient can be adjusted relative to one another to correspondingly adjust positions/orientations of the first portion and the second portion of the patient. To illustrate, using an end portion supporting the first platform portion, the first platform portion can be rotated about a vertical axis and moved side to side to adjust the position/orientation thereof relative to the second platform portion.

Abstract: A surgical platform system including a first platform portion, a second platform portion, and a support portion is provided. The support platform supports the first platform portion, and can be moveable relative to a surgical robotic system supporting the second platform portion. With the support portion and the first platform portion positioned relative to the surgical robotic system, the first platform portion supporting a first portion of the patient and the second platform portion supporting a second portion of the patient can be adjusted relative to one another to correspondingly adjust positions/orientations of the first portion and the second portion of the patient.

Abstract: A surgical table including a first platform portion and a second platform portion that are independently moveable relative to one another is provided. A first portion of a patient can be supported by the first platform portion and a second portion of the patient can be supported by the second platform portion, and the first platform portion and the second platform portion can be adjusted relative to one another to correspondingly adjust positions/orientations of the first portion and the second portion of the patient. To illustrate, using a first end portion supporting the first platform portion, the first platform portion can be rotated about a vertical axis and moved side to side to adjust the position/orientation thereof relative to the second platform portion, and using a second end portion supporting the second platform portion, the second platform portion can be moved toward and away from first platform portion.

Abstract: A digital pedicle screw assembly may be installed inside of the body of a patient and be configured to sense various attributes of the assembly and the patient. Embodiments may include a receiver having a U-shaped cavity for supporting a longitudinal rod and set screw therein. The receiver may include a lower cavity configured to couple to a pedicle screw and a side portion integrally connected to the receiver and including a housing defining a sealed cavity for supporting a microelectronics assembly and a battery therein. Embodiments may include at least one antenna attached to an outside of the housing and being in electrical communication with the microelectronics assembly, and at least one strain gauge configured to detect a localized force experienced by the receiver and being in electrical communication with the microelectronics assembly.

Abstract: Load sensing spinal implants having at least one sensor and an antenna are disclosed. An example implant may include an interbody cage extending in a longitudinal direction from a proximal end to a distal end and in a widthwise direction from a first lateral end to a second lateral end; and an electronics portion including a housing defining a sealed cavity for supporting an electronics assembly and a battery therein. The implant may include at least one antenna in electrical communication with the electronics assembly; and at least one strain gauge configured to detect a localized force experienced by the interbody cage. The at least one antenna may be configured to transmit information received from the at least one strain gauge to an external device. The electronics assembly may be disposed on the side of the cage, a distal end of the cage, or inside a window of the cage.

Abstract: A surgical platform and trolley assembly and an interface of a robotic system are provided. The surgical platform and trolley assembly includes a trolley portion and a surgical platform portion. The trolley portion supports the surgical platform portion, and affords positioning and repositioning of the surgical platform portion relative to the interface of the robotic system. An end portion of the surgical platform portion is attachable relative to the robotic system via engagement to the interface.

Abstract: Disclosed herein are systems and methods for a robotic arm guide used as a depth stop. For example, a system for positioning a surgical tool includes a surgical robotic system having a robot arm with a guide sleeve, the guide sleeve defining axial and lateral directions. The system is further configured to (i) receive a surgical plan associated with a subject, the surgical plan including three-dimensional preoperative data related to the subject, (ii) determine, based on the surgical plan, a desired trajectory of a distal end of the surgical tool as the surgical tool is inserted into the guide sleeve, and (iii) transmit one or more control signals to the surgical robotic system, causing the surgical robotic system to orient and position the guide sleeve such that the distal end of the surgical tool follows the desired trajectory when the surgical tool is inserted in the guide sleeve.

Abstract: A method comprises the steps of: imaging a patient anatomy; selecting an implant strategy for at least one bone fastener having a first member; registering the imaging of the patient anatomy with imaging of at least a portion of a robot; engaging the first member with tissue of the patient anatomy via robotic guidance according to the implant strategy; and subsequently, manipulating the patient anatomy. Systems, spinal constructs, implants and surgical instruments are disclosed.

Abstract: A spinal implant includes an intermediate portion and a first portion extending in a transverse orientation from the intermediate portion. The first portion includes an inner surface connectable with vertebral tissue adjacent a lamina. A second portion is spaced from the first portion and extends in a transverse orientation from the intermediate portion. The second portion includes an inner surface connectable with vertebral tissue adjacent a lamina. At least one of the first portion and the second portion includes an outer surface having a mating element engageable with a mating element of a surgical instrument. Systems, surgical instruments and methods are disclosed.

Abstract: A spinal implant includes an intermediate portion and a first portion extending in a transverse orientation from the intermediate portion. The first portion includes an inner surface connectable with vertebral tissue adjacent a lamina. A second portion is spaced from the first portion and extends in a transverse orientation from the intermediate portion. The second portion includes an inner surface connectable with vertebral tissue adjacent a lamina. At least one of the first portion and the second portion includes an outer surface having a mating element engageable with a mating element of a surgical instrument. Systems, surgical instruments and methods are disclosed.

Abstract: A bone screw has a first portion including a head. A second portion includes a threaded shaft having a length and a major diameter. The shaft includes a length-to-major diameter ratio of less than about 2.0. The thread has a minor diameter and includes a major-diameter-to-minor diameter ratio of greater than about 2.0. The shaft further has at least one thread including a pitch of greater than about 1.0 mm and defining a pitch cavity for disposal of tissue. Systems and methods of use are disclosed.

Abstract: A surgical instrument comprises a member connected with a spinal implant defining an axis. A first image guide is connected with the member and oriented relative to a sensor to communicate a signal representative of a position of the member. A second image guide is connected with the member and oriented to represent an angle measuring a second orientation of the axis relative to a first orientation. Systems, implants and methods are disclosed.

Abstract: A bone screw has a first portion including a head. A second portion includes a threaded shaft having a length and a major diameter. The shaft includes a length-to-major diameter ratio of less than about 2.0. The thread has a minor diameter and includes a major-diameter-to-minor diameter ratio of greater than about 2.0. The shaft further has at least one thread including a pitch of greater than about 1.0 mm and defining a pitch cavity for disposal of tissue. Systems and methods of use are disclosed.

Abstract: Methods and systems for performing a preliminary registration is provided. Image data corresponding to an image depicting a tracking device and an anatomical element may be received. Robot positional data corresponding to a position of a robot may also be received. The robot and the anatomical element may be located in a common three-dimensional coordinate system based on the image data and the positional data to yield a preliminary registration. A suggested robot position may be determined based on the preliminary registration and a dimensional reach of a robot arm of the robot.

Abstract: A method comprises the steps of: imaging a patient anatomy; selecting an implant strategy for at least one bone fastener having a first member; registering the imaging of the patient anatomy with imaging of a surgical driver; engaging the first member with tissue of the patient anatomy via the surgical driver according to the implant strategy; manipulating the patient anatomy; acquiring data points representative of a position of the first member relative to tissue; and retrieving the data points from a computer database for attaching a second member with the first member. Systems, spinal constructs, implants and surgical instruments are disclosed.