Abstract: A system including an instrument adapted to be manually supported and moved by a user. The instrument having a hand-held portion, a drive mechanism movably coupled to the hand-held portion, and a plurality of actuators operatively coupled to the drive mechanism for moving the drive mechanism in at least two degrees of freedom relative to the hand-held portion. The instrument also includes a tracking device for tracking the instrument and a working portion removably coupled to the drive mechanism by a coupling assembly. The system further comprises a navigation system for determining a position of the working portion and a bone to be cut during the medical procedure and a control system in communication with the actuators and configured to control the actuators to actively position the working portion such that the working portion is substantially maintained on a plane.

Abstract: A system including an instrument adapted to be manually supported and moved by a user. The instrument having a hand-held portion, a working portion movably coupled to the hand-held portion, and a plurality of actuators operatively coupled to the working portion for moving the working portion in a plurality of degrees of freedom relative to the hand-held portion. A tracking device is attached to the hand-held portion for tracking the instrument. The tracking device is in communication with a control system, which is used to keep the working portion within or outside of a boundary. A plurality of actuators are operatively coupled to the working portion. The control system instructs the actuators to move the working portion relative to the hand-held portion during the medical procedure in order to maintain a desired relationship between the working portion and the boundary.

Abstract: The present teachings generally include a hand-held surgical robotic system for supporting a surgical tool, the handheld surgical robotic system comprising a hand-held portion, a tool support movably coupled to the hand-held portion, the tool support configured to support a surgical tool, a plurality of actuators operatively interconnecting the tool support and the hand-held portion, the plurality of actuators configured to move the tool support relative to the hand-held portion in a plurality of degrees of freedom, a controller in communication with the plurality of actuators and a flexible circuit connecting the controller with each of the plurality of actuators, such that the flexible circuits are arranged to maintain the connection between the controller and the plurality actuators and/or an input module while the tool support is moved in the plurality of degrees of freedom relative to the hand-held portion.

Abstract: A system including an instrument adapted to be manually supported and moved by a user. The instrument having a hand-held portion, a working portion movably coupled to the hand-held portion, and a plurality of actuators operatively coupled to the working portion for moving the working portion in a plurality of degrees of freedom relative to the hand-held portion. The instrument having a tracking device attached to the hand-held portion. The system including a navigation system for determining a position of the working portion relative to a target volume, and a control system in communication with the actuators to control the actuators to move the working portion relative to the hand-held portion such that the working portion autonomously follows a path defined in the control system to remove material of the target volume while the user maintains the hand-held portion in a gross position relative to the target volume.

Abstract: The present teachings provide for a hand-held robotic system for use with a saw blade or other surgical tool. The hand-held robotic system also includes an instrument with a hand-held portion, a blade support coupled to the hand-held portion by a plurality of actuators, the actuators configured to move the blade support or tool support in a plurality of degrees of freedom relative to the hand-held portion. The system includes a localizer and a control system coupled to the localizer and the plurality of actuators. The control system is configured to control each of the plurality of actuators and/or the tool drive motor.

Abstract: A robotic device includes one or more actuators to position an end effector in a plurality of degrees of freedom. A navigation system tracks an actual position of the end effector. A controller identifies a condition wherein the actual position of the end effector contacts a virtual constraint. The controller determines that an anticipated movement of the end effector from an actual position to the home position would cause a collision between the end effector and a virtual constraint and computes a target position of the end effector that avoids the collision. The target position is spaced from the actual position and computed with respect to the virtual constraint. The one or more actuators are controlled to move the end effector from the actual position to target position along the virtual constraint.

Abstract: A surgical instrument comprises a hand-held portion configured to be manipulated by a user and a pivoting portion operatively coupled to the hand-held portion. The pivoting portion is configured to pivot with respect to the hand-held portion according to first and second degrees of freedom. The pivoting portion includes an accessory drive motor, an accessory drive member configured to be driven by the accessory drive motor, a plurality of lead screws, a carriage including a central aperture axially extending through the carriage and configured to interface with and linearly translate along the plurality of lead screws, and a linear drive motor configured to rotate the plurality of lead screws to linearly translate the carriage relative to the hand-held portion with respect to a third degree of freedom. The accessory drive member extends through and is configured to move within the central aperture of the carriage.

Abstract: A surgical instrument comprises a hand-held portion configured to be manipulated by a user and a pivoting portion operatively coupled to the hand-held portion. The pivoting portion is configured to pivot with respect to the hand-held portion according to first and second degrees of freedom. The pivoting portion includes an accessory drive motor, an accessory drive member configured to be driven by the accessory drive motor, a plurality of lead screws, a carriage including a central aperture axially extending through the carriage and configured to interface with and linearly translate along the plurality of lead screws, and a linear drive motor configured to rotate the plurality of lead screws to linearly translate the carriage relative to the hand-held portion with respect to a third degree of freedom. The accessory drive member extends through and is configured to move within the central aperture of the carriage.

Abstract: A system is provided comprising a robotic instrument for use with a tool. In some versions, the robotic instrument comprises a hand-held portion to be held by a user and a tool support movably coupled to the hand-held portion to support the tool. A plurality of actuators operatively interconnect the tool support and the hand-held portion to move the tool support in three degrees of freedom relative to the hand-held portion. An optional constraint assembly may operatively interconnect the tool support and the hand-held portion to constrain movement of the tool support relative to the hand-held portion in three degrees of freedom. A guidance array assists users in positioning the tool and/or portions of the instrument.

Abstract: A system including an instrument adapted to be manually supported and moved by a user. The instrument having a hand-held portion, a working portion movably coupled to the hand-held portion, and a plurality of actuators operatively coupled to the working portion for moving the working portion in a plurality of degrees of freedom relative to the hand-held portion. The instrument having a tracking device attached to the hand-held portion. The system including a navigation system for determining a position of the working portion relative to a target volume, and a control system in communication with the actuators to control the actuators to move the working portion relative to the hand-held portion such that the working portion autonomously follows a path defined in the control system to remove material of the target volume while the user maintains the hand-held portion in a gross position relative to the target volume.

Abstract: An instrument for treating tissue during a medical procedure includes a hand-held portion and a working portion. The hand-held portion is manually supported and moved by a user and the working portion is movably coupled to the hand-held portion. A tracking device is attached to the hand-held portion for tracking the instrument. The tracking device is in communication with a control system, which is used to keep the working portion within or outside of a boundary. A plurality of actuators are operatively coupled to the working portion. The control system instructs the actuators to move the working portion relative to the hand-held portion during the medical procedure in order to maintain a desired relationship between the working portion and the boundary.

Abstract: A robotic device includes one or more actuators to position an end effector in a plurality of degrees of freedom. A navigation system tracks an actual position of the end effector. A controller identifies a condition wherein the actual position of the end effector contacts a virtual constraint. The controller determines that an anticipated movement of the end effector from an actual position to the home position would cause a collision between the end effector and a virtual constraint and computes a target position of the end effector that avoids the collision. The target position is spaced from the actual position and computed with respect to the virtual constraint. The one or more actuators are controlled to move the end effector from the actual position to target position along the virtual constraint.

Abstract: A robotic device includes one or more joints to position an end effector in a plurality of degrees of freedom. A navigation system tracks an actual position of the end effector. One or more controllers identify a condition wherein the actual position of the end effector contacts a virtual constraint. An anticipated movement of the end effector is evaluated from the actual position to a home position of the end effector. The one or more controllers detect an anticipated collision between the end effector and the virtual constraint and compute a target position of the end effector that evades the anticipated collision. The target position is spaced from the actual position and also contacts the virtual constraint. The one or more joints are controlled to slide the end effector from the actual position to target position along the virtual constraint.

Abstract: An electrode array and a delivery assembly are disclosed. The array is wrapped around a flexible core part of the delivery assembly. A sheath, also part of the delivery assembly, is disposed over the array and core. Steering cables extend through the core. Once the delivery assembly-encased array is inserted in the body, the combination is advanced to the tissue over which the array is to be deployed. By pulling on the steering cables the array and assembly are steered into position. Once the array is in position, the sheath is retracted, the array deploys over the target tissue.

Abstract: Methods of removing tissue from a patient during a surgical procedure, such as for preparing a spine of a patient to receive an implant during a fusion procedure. A working portion of an instrument is moved with actuators relative to a hand-held portion in at least three degrees of freedom including pivoting in pitch and yaw about a pivot. The working portion is translated while the hand-held portion is manually grasped and moved during the surgical procedure. The working portion is rotated with a drive mechanism to remove a volume of the tissue of the patient with a cutting accessory of the working portion. The actuators may move the working portion to substantially maintain the cutting accessory in a desired relationship to a virtual boundary defining the volume of the tissue to be removed. A position of the cutting accessory relative to the virtual boundary may be determined and tracked.

Abstract: A surgical instrument comprises a hand-held portion configured to be manipulated by a user and a pivoting portion operatively coupled to the hand-held portion. The pivoting portion is configured to pivot with respect to the hand-held portion according to first and second degrees of freedom. The pivoting portion includes an accessory drive motor, an accessory drive member configured to be driven by the accessory drive motor, a plurality of lead screws, a carriage including a central aperture axially extending through the carriage and configured to interface with and linearly translate along the plurality of lead screws, and a linear drive motor configured to rotate the plurality of lead screws to linearly translate the carriage relative to the hand-held portion with respect to a third degree of freedom. The accessory drive member extends through and is configured to move within the central aperture of the carriage.

Abstract: A surgical instrument comprises a hand-held portion configured to be manipulated by a user and a pivoting portion operatively coupled to the hand-held portion. The pivoting portion is configured to pivot with respect to the hand-held portion according to first and second degrees of freedom. The pivoting portion includes a telescoping nose mechanism including a nose tube, an intermediate unit having a carriage extending from the nose tube to enable linear translation of the nose tube, and a drive motor cooperating with the carriage to linearly translate the nose tube relative to the hand-held portion with respect to a third degree of freedom.

Abstract: A robotic device includes one or more joints to position an end effector in a plurality of degrees of freedom. A navigation system tracks an actual position of the end effector. One or more controllers identify a condition wherein the actual position of the end effector contacts a virtual constraint. An anticipated movement of the end effector is evaluated from the actual position to a home position of the end effector. The one or more controllers detect an anticipated collision between the end effector and the virtual constraint and compute a target position of the end effector that evades the anticipated collision. The target position is spaced from the actual position and also contacts the virtual constraint. The one or more joints are controlled to slide the end effector from the actual position to target position along the virtual constraint.

Abstract: An electrode array and a delivery assembly. The array is wrapped around a flexible core part of the delivery assembly. A sheath, also part of the delivery assembly, is disposed over the array and core. Steering cables extend through the core. Once the delivery assembly-encased array is inserted in the body, the combination is advanced to the tissue over which the array is to be deployed. By pulling on the steering cables the array and assembly are steered into position. Once the array is in position, the sheath is retracted, the array deploys over the target tissue.

Abstract: An electrode array and deployment assembly includes an access cannula comprising an outer structural member formed from material insertable in living tissue and defining a lumen opening at a distal end. An electrode assembly has a frame and at least one electrode disposed on the frame. A deployment cannula has a lumen and a distal end opening. The deployment cannula is disposed in the lumen of the outer structural member and configured to be discharged from the lumen opening and rotated during discharge. The electrode assembly is disposed in the lumen of the deployment cannula for discharge from the distal end opening of the deployment cannula lumen. The electrode assembly is seated in the deployment cannula lumen in a select orientation and is configured to rotate with the deployment cannula so that the rotation of the deployment cannula results in a rotation of the electrode assembly.