Abstract: Adapters for surgical drilling systems, and methods of use, are provided for performing surgical procedures, such as surgical drilling into bony structures, while guided by a conductivity sensing system. The adapters may be configured to be coupled to a surgical drilling tool such as a conventional surgical drill and a drill bit having conductivity sensing capabilities, e.g., via a sensing drill bit, or a surgical hand tool having conductivity sensing capabilities. The adapters further include a controller configured to receive one or more signal indicative of measured electrical conductivity and/or penetration depth measurement, detect a condition associated with a change of measured electrical conductivity based on the signal, and arrest advancement of the surgical drilling tool responsive to detection of the condition.

Abstract: Adapters for surgical drilling systems, and methods of use, are provided for performing surgical procedures, such as surgical drilling into bony structures, while guided by a conductivity sensing system. The adapters may be configured to be coupled to a surgical drilling tool such as a conventional surgical drill and a drill bit having conductivity sensing capabilities, or a surgical hand tool having conductivity sensing capabilities. The adapters further include a controller configured to receive one or more signal indicative of measured electrical conductivity and/or penetration depth measurement, detect a condition associated with a change of measured electrical conductivity based on the signal, and arrest advancement of the surgical drilling tool responsive to detection of the condition.

Abstract: A medical device for penetrating a bone structure including a processing unit having a transfer function that associates an electrical conductivity value S with a depth value d, wherein the processing unit is configured to detect a threshold selected from amongst an absolute threshold, a relative threshold and a critical gradient, and to emit a warning signal and/or control signal responsive to detection of the threshold.

Abstract: A medical system comprising: a robotic arm, a control unit configured to issue a control signal, a medical device intended to penetrate an anatomical structure, the medical device being configured to emit a warning signal which varies as a function of a variable electrical characteristic of the anatomical structure, said medical device comprising a body with first and second electrodes, an electric generator suitable for applying at least one measurement electric current between the first and second electrodes, and a processing device suitable for determining a measurement parameter related to the electrical characteristic, based on said at least one measurement electric current, and for emitting the warning signal corresponding to the measurement parameter, wherein the control unit is configured to issue the control signal as a function of the warning signal.

Abstract: Systems, instruments, and methods are provided verifying the surgery is being performed in accordance with a surgical plan, wherein a surgical tool having a sensor outputs a data signal that enables the trajectory of the surgical tool to be displayed as an overlay on an image of an anatomical portion of a patient and a visual or audible signal that confirms the surgical tool is penetrating the anatomical portion in accordance with the surgical plan and/or that issues an alert indicating that the surgical tool is not being inserted into the anatomical portion according to the surgical plan.

Abstract: Systems, instruments, and methods are provided verifying that a robotic surgery is being performed in accordance with a surgical plan, wherein a surgical tool having a sensor outputs a data signal that enables the trajectory of the surgical tool to be displayed as an overlay on an image of an anatomical portion of a patient and a visual or audible signal that confirms the surgical tool is penetrating the anatomical portion in accordance with the surgical plan and/or that issues an alert indicating that the surgical tool is not being inserted into the anatomical portion according to the surgical plan.

Abstract: A medical system including a body; a first electrode; a second electrode; an electric generator; and a processing device suitable for determining an electrical characteristic that represents the capacity of the tissue of an anatomical structure between first and second contact surfaces of the first and second electrodes to conduct the electric current, and for emitting a warning signal corresponding to the determined electrical characteristic, the warning signal being intermittent. The processing device is suitable for detecting a variation in the electrical characteristic and for varying at least one variable parameter of the warning signal after a time delay, in accordance with the variation in the electrical characteristic, has elapsed.

Abstract: Systems, instruments, and methods are provided verifying that a robotic surgery is being performed in accordance with a surgical plan, wherein a surgical tool having a sensor outputs a data signal that enables the trajectory of the surgical tool to be displayed as an overlay on an image of an anatomical portion of a patient and a visual or audible signal that confirms the surgical tool is penetrating the anatomical portion in accordance with the surgical plan and/or that issues an alert indicating that the surgical tool is not being inserted into the anatomical portion according to the surgical plan.

Abstract: The invention relates to a medical system including: a body; a first electrode; a second electrode; an electric generator; and a processing device suitable for determining an electrical characteristic that represents the capacitance of the tissue of an anatomical structure between first and second contact surfaces of the first and second electrodes to conduct the electric current, and for emitting a warning signal corresponding to the determined electrical characteristic, the warning signal being intermittent. In said medical system, the processing device is suitable for detecting a variation in the electrical characteristic and for varying at least one variable parameter of the warning signal after a time delay, in accordance with the variation in the electrical characteristic, has elapsed.

Abstract: The invention relates to a system for the consolidation of a bone structure, comprising: a system for determining the quality of the bone structure, including a body, first and second electrodes arranged on the body, an electric generator for applying an electric current, a measurement device for measuring the electric current, and a processing device for determining an electrical magnitude representative of the aptitude of the bone structure for allowing electric current to pass therethrough and for delivering a signal representative of the quality of the bone structure, using the determined electrical magnitude; and a device selected from between an electrical stimulation device for applying an electric bone-growth stimulation and a fixation device for immobilizing the bone structure.

Abstract: The invention relates to a system for determining the quality of a bone structure, comprising: a body adapted for drilling through the bone structure; a first electrode arranged on the body so as to come into contact with the bone structure during drilling; a second electrode arranged on the body so as to come into contact with the bone structure at a distance from the first electrode during drilling; an electric generator adapted to apply an electric current between the first and second electrodes for a pre-determined period of time; a measuring device adapted (i) to measure the electric current, continuously and over the pre-determined period, an electrical magnitude representative of the aptitude of the bone structure for allowing electric current to pass therethrough and (ii) to deliver, continuously and over the pre-determined period, a signal representative of the quality of the bone structure between the contact surfaces of the first and second electrodes, using the determined electrical magnitude.

Abstract: The invention relates to a system for the consolidation of a bone structure, comprising: a system for determining the quality of the bone structure, including a body, first and second electrodes arranged on the body, an electric generator for applying an electric current, a measurement device for measuring the electric current, and a processing device for determining an electrical magnitude representative of the aptitude of the bone structure for allowing electric current to pass therethrough and for delivering a signal representative of the quality of the bone structure, using the determined electrical magnitude; and a device selected from between an electrical stimulation device for applying an electric bone-growth stimulation and a fixation device for immobilising the bone structure.

Abstract: The invention relates to a system for determining the quality of a bone structure, comprising: a body adapted for drilling through the bone structure; a first electrode arranged on the body so as to come into contact with the bone structure during drilling; a second electrode arranged on the body so as to come into contact with the bone structure at a distance from the first electrode during drilling; an electric generator adapted to apply an electric current between the first and second electrodes for a pre-determined period of time; a measuring device adapted (i) to measure the electric current, continuously and over the pre-determined period, an electrical magnitude representative of the aptitude of the bone structure for allowing electric current to pass therethrough and (ii) to deliver, continuously and over the pre-determined period, a signal representative of the quality of the bone structure between the contact surfaces of the first and second electrodes, using the determined electrical magnitude.

Abstract: A connecting device for spinal osteosynthesis has an osseous anchoring device, a connector that accommodates a joining shaft and is fixed to one end of the anchoring device, and a tightening device for immobilizing the joining shaft. The connecting device is characterized in that the connector is fixed to the anchoring device with the aid of a pin that penetrates the anchoring device and embodies a pivot joint. Furthermore, the device comprises an arrangement for stabilizing the connector relative to the anchoring device when the device is implanted in the patient, the stabilizing arrangement being located on the plane encompassing the shaft and the anchoring device.

Abstract: A connecting assembly for spinal osteosynthesis has a bone anchoring element including a connection zone designed to co-operate with a connecting device. The connecting device comprises in its lower part a spherical shape designed to enable the connecting device to be freely positioned in a connector or in a linking element having a cavity with matching shape, the spherical shape forming a stop element for longitudinal positioning with the connector or with the linking element.

Abstract: A connection assembly for spinal osteosynthesis has a bone-anchor having a connection zone intended to cooperate with a connection device, in which the connection device has, in its lower part, a spherical shape in order to permit a free positioning of the connection device in connector. The connector has a cavity of complementary shape to the spherical shape. This spherical shape forms a limit of longitudinal positioning with the connector.

Abstract: The invention concerns an instrument for moving a vertebra (1) relative to another (2) comprising: a stem (3) consisting of a substantially horizontal crosspicce (5) and a first arm (4) whereof the lower end (15) has means (24) to be anchored to a first vertebra (2); and a second arm (6) whereof the lower end (10) has means (25) for being anchored to a second vertebra (1), and one upper end has a means (7) for actuating in translation said second arm (6) along a direction substantially perpendicular to the crosspiece (5), said actuating means being associated with the crosspiece (5). The second arm (6) is deformable along at least one degree of freedom between the lower end (10) of the second arm (6) and its actuating means (7).

Abstract: A connecting device for spinal osteosynthesis has an osseous anchoring device, a connector that accommodates a joining shaft and is fixed to one end of the anchoring device, and a tightening device for immobilizing the joining shaft. The connecting device is characterized in that the connector is fixed to the anchoring device with the aid of a pin that penetrates the anchoring device and embodies a pivot joint. Furthermore, the device comprises an arrangement for stabilizing the connector relative to the anchoring device when the device is implanted in the patient, the stabilizing arrangement being located on the plane encompassing the shaft and the anchoring device.

Abstract: The present invention concerns a connection assembly for spinal osteosynthesis and a method permitting use of this assembly, said assembly comprising a bone-anchoring means having a connection zone (29) intended to cooperate with a connection means, in which the connection means has, in its lower part, a spherical shape (20) in order to permit a free positioning of the connection means in a connector (8), said connector having a cavity of complementary shape to said spherical shape, this spherical shape (20) forming a limit of longitudinal positioning with the connector (8).

Abstract: This invention relates to an ancillary for a spinal osteosynthesis system comprising at least one implant that will be implanted in a spine. The implant comprises accommodation means located approximately along a centerline and that will accommodate at least one rod type connecting element. The ancillary comprises holding means that will cooperate with the said implant, and a manipulation means free to move with respect to the said holding means that will be used to manipulate the said connecting element. The said holding means will be arranged on one side of the accommodation means, and the said manipulation means comprises attachment means that will cooperate with the said implant on the side of the centerline of the accommodation means opposite the accommodation means. This invention also relates to a process for implantation of a spinal osteosynthesis system comprising at least one implant, using an ancillary.