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 robotic system for removing bony material from an anatomical structure of a patient, comprising:—a base (4), —an end effector (2) configured to hold a surgical tool (1), —an actuation unit (3) configured to translate the end effector relative to the base at least along one feed axis (A), —a control unit coupled to the actuation unit (3) and configured to turn off the tool (1) and command the actuation unit (3) to translate the end effector (2) along the feed axis (A) while the tool is turned off, the control unit comprising a feedback unit configured to measure a force exerted by the surgical tool (1) onto the anatomical structure during said translation of the end effector (2) and, based on the measured force, detect a contact of the tool with bony material of the anatomical structure.

Abstract: The disclosure relates to a method for guiding position and orientation of a robotic device holding a surgical tool configured for working a planned region of an anatomical structure, the robotic device comprising a base and an actuation unit coupled to the base and configured to move the surgical tool relative to the base, the method comprising: providing a user interface displaying a virtual representation (1) of the anatomical structure and a virtual representation (2) of a target region on the anatomical structure; detecting a presence of a distal tip (3) of the tool in the target region; changing a visual aspect of the virtual representation (2) of the target region when the tool tip (3) is detected in said target region; based on the position of the target region, computing a virtual goal (4) defining a spatial range of position and orientation of the robotic device in which the tool is capable of working at least a determined part of the planned region of the anatomical structure; displaying the vir

Abstract: A patient-specific surgical guide including at least one guiding element for guiding a surgical instrument to treat a subcutaneous anatomical structure of the patient. A first patient-specific contact element with a first patient-specific contact surface to fit a portion of the subcutaneous anatomical structure is rigidly connected to the at least one guiding element. The patient-specific surgical guide includes at least one second patient-specific contact element having at least one support element for supporting a percutaneous pin or needle whose tip is intended to contact a point of the subcutaneous anatomical structure or an anatomical structure rigidly connected thereto. An elongated junction member rigidly couples the at least one guiding element to the at least one second contact element.

Abstract: The invention relates to a method for determining a trajectory of a motorized X-ray imaging system for acquiring images of a patient to whom a phantom comprising radiopaque fiducials having a known spatial arrangement has been attached so as to be visible on at least one 2D image of a body region of interest acquired by the X-ray imaging system by acquiring one first 2D image of the phantom by the X-ray imaging system in a given position; detecting the fiducials of the phantom in the acquired first image; based on the detected fiducials, determining the position of the phantom in a referential of the X-ray imaging system; determining a set of positions of the X-ray imaging system configured to acquire a set of 2D X-ray images of the region of interest such that the set of 2D X-ray images complies with at least one imposed requirement on the position of the phantom relative to a part of the set of images and combining the set of determined positions to determine a trajectory of the X-ray imaging system with re

Abstract: The invention relates to a method for displaying the position and orientation of a linear instrument (1) navigated with respect to a 3D medical image (V), wherein: said linear instrument (1) is coupled to a guide (2); the guide (2) is tracked by a navigation system with respect to the 3D image (V); a plane (4) containing the axis of the linear instrument (1) is virtually attached to the guide (2); a slice reformatted in the 3D image and containing said plane (4) is displayed. Another object of the invention is a system for carrying out said method.

Abstract: A method for detecting an anomaly, associated with a magnetic locating device including a first magnetic element and a second magnetic element that are associated with a first object and with a second object, respectively. The first object includes a first movement sensor configured to determine a first datum dependent on inclination of the first object in a basic reference frame, or the terrestrial reference frame. The method includes: determining the first datum from the first movement sensor; determining a second datum dependent on inclination of the second object in the basic reference frame; determining at least one orientation parameter with the magnetic locating device using the first and second magnetic elements; using the at least one orientation parameter and the first and second data to generate an indicator of presence of the anomaly.

Abstract: A device for positioning a cutting guide with respect to a bone comprising a body forming the cutting guide or intended to be fixed to the cutting guide; a least two contact members intended to freely contact the bone; and adjustment means for individually varying the relative position of the body with respect to each contact member.

Abstract: The invention relates to a telemetry communication system for an implantable medical device (1) comprising a radiofrequency transceiver, comprising: a remote controller (2) adapted to be used by a patient into whom said medical device (1) is implanted, said remote controller comprising a radiofrequency transceiver configured to communicate with said implantable medical device in a first frequency band (RF1), the transceiver of the remote controller (2) being paired with the transceiver of the implantable medical device (1), a programming device (3) said implantable medical device adapted to be used by a practitioner, comprising a user interface (30), and configured to communicate with the remote controller (2) through a wire connection or a wireless connection in a second frequency band (RF2) different from the first frequency band, the programming device (3) being configured to, when said connection is established between the remote controller (2) and the programming device (3), establish a communication

Abstract: The invention concerns a system for partially cutting a bone, comprising a device for guiding a cutting tool. According to the invention, the device comprises: —an upper face forming a mechanical stop for a first part of the cutting tool, the upper face being non-cutting and thicker than the blade, so as to limit the insertion of the blade into said bone in order to partially cut said bone, the upper stop face having a profile that is a homothety of the edge profile of said hinge, the guide device having a pre-defined range to ensure the steering of the blade of the cutting tool in a pre-defined direction of partial cutting of the bone, —a second part that fastens to the bone and a first fastening means for fastening the guide device to the second part and —a means for adjusting the orientation of the guide device relative to the second part.

Abstract: The invention relates to a method for controlling movement of a motorized C-arm, comprising: receiving position information of a user (U) relative to the C-arm (1), continuously receiving current position information of the C-arm (1) relative to a reference position of the C-arm, from said current position information and from the position information of the user, computing a graphical representation of the current position of the C-arm according to the user's point of view, from the computed graphical representation of the current position of the C-arm, computing a graphical representation of at least one command button suited to the current position information of the C-arm and to the user's point of view to move the C-arm in a determined direction according to a respective degree of freedom, displaying on a control panel a graphical user interface (7) comprising said computed representation (70) of the current position of the C-arm and said at least one command button (710).

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 system for guiding a surgical tool (200) held by a user relative to at least one target axis (T) defined in a coordinate system of a patient's spine, comprising: (i) a robotic device (300) comprising: —a base (301), —a guiding device (303) configured for constraining the tool to a guiding axis (G), —a compact motorized actuation unit (304) movable relative to the base (301), coupled to the guiding device (303) for adjusting a position and orientation of said guiding device relative to the target axis, —a support unit (305) connected to the base (301), comprising at least one element designed to make contact with the spine or a region of the patient's body adjacent to the spine so as to provide a partial mechanical link between the guiding device and the spine, (ii) a passive articulated lockable holding arm (400) supporting the base (301) of the robotic device, (iii) a tracking unit (500) configured to determine in real time the pose of the guiding axis with respect to the coordinat

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 present application provides an apparatus and method for determining a position of a joint prosthesis using a computer assisted orthopedic surgery system in support of an arthroplasty surgery. The apparatus and method includes attaching a first locatable element to a first bone on one side of a joint, providing a sensor having a second locatable element and moving the sensor in proximity of the joint to locate a plurality of positions of the sensor relative to the first locatable element using a tracking devise. The apparatus and method further includes selecting a generic model of a joint, determining the generic model in response to the plurality of positions located using the tracking device to generate a deformed model, determining a position for a joint prosthesis on the deformed model, and outputting on a display the determined position upon the deformed model.

Abstract: The invention relates to a system for positioning a surgical device, said surgical device comprising: a base (1) designed to be held in a user's hand, an end-effector (2) for mounting a surgical tool, respectively a guide (20) for guiding a surgical tool (3), said surgical tool being designed to treat a planned volume of a part (P1) of a patient's body, an actuation unit (4) connected to said base (1) and said end-effector (2) for moving said surgical tool (3), respectively tool guide (20), with respect to the base (1) in order to treat said planned volume, said positioning system comprising: (i) a tracking unit (200) configured to determine in real time the pose of at least one of the tool (3), the end-effector (2) and the base (1) with respect to the part to be treated, (ii) a control unit (300) configured to: (a) compute in real time the working space of the surgical tool for said determined pose, (b) compute in real time the volume that remains to be treated to achieve the treatment of the planned v

Abstract: The invention relates to a method for constructing a patient-specific surgical guide comprising at least one contact element comprising a contact surface intended to match an anatomical structure to be treated and at least one guiding element for guiding a surgical instrument to treat said anatomical structure, said method comprising: —receiving a 3D medical image of the anatomical structure of the patient; —determining, in said 3D medical image, at least one region of interest containing a portion of the external surface of the anatomical structure intended to match a respective contact element of the surgical guide; —segmenting the 3D medical image in said determined region of interest so as to locally reconstruct the external surface of the anatomical structure; —computing the contact surface of the contact element from said reconstructed local surface of the anatomical structure; —constructing the at least one contact element to include the contact surface.

Abstract: A method for detecting an anomaly, associated with a magnetic locating device including a first magnetic element and a second magnetic element that are associated with a first object and with a second object, respectively. The first object includes a first movement sensor configured to determine a first datum dependent on inclination of the first object in a basic reference frame, or the terrestrial reference frame. The method includes: determining the first datum from the first movement sensor; determining a second datum dependent on inclination of the second object in the basic reference frame; determining at least one orientation parameter with the magnetic locating device using the first and second magnetic elements; using the at least one orientation parameter and the first and second data to generate an indicator of presence of the anomaly.

Abstract: A computerized bone motion tracking system according to one exemplary embodiment is configured to: provide a non-invasive means for accurate measurement and tracking of the motion of a bone using a volumetric ultrasound transducer and a three dimensional position measurement system; provide relative measurements of one bone relative to another bone of a joint; decompose relative joint motion into specific components; and measure joint instability and range of motion.