Globus Medical, Inc.

Kb Medical Sa

Other

Chetan Patel

Szymon Kostrzewski

Roderik Berthelin

Billy Nussbaumer

Daniel Gehriger

Jean-Marc Wismer

Alexander Mason

Henry C Brown

Eeric Truumees

Described herein is a device and method used to effectively remove volume inside a patient in various types of surgeries, such as spinal surgeries (e.g. laminotomy), neurosurgeries (various types of craniotomy), ENT surgeries (e.g. tumor removal), and orthopedic surgeries (bone removal). Robotic assistance linked with a navigation system and medical imaging it can shorten surgery time, make the surgery safer and free surgeon from doing repetitive and laborious tasks. In certain embodiments, the disclosed technology includes a surgical instrument holder for use with a robotic surgical system. In certain embodiments, the surgical instrument holder is attached to or is part of an end effector of a robotic arm, and provides a rigid structure that allows for precise removal of a target volume in a patient.

Robot assisted volume removal during surgery

Described herein are systems and methods for use in preparing holes in bones. In certain embodiments, the trajectory followed in preparing a hole in a bone is optimized by adjusting characteristics of rotation of a drill bit (e.g., an anti-skiving drill bit). In certain embodiments, a change in material is determined once a hard outer layer of a bone has been drilled. Subsequently, characteristics of rotation of a drill bit are altered to allow natural features of a patient's anatomy to guide the drill bit. In this way, certain hard walls of certain bones can act to redirect a drill bit. The change in material may be determined, and/or characteristics of rotation altered, by a surgeon or a robotic surgical system (e.g., automatically). In certain embodiments, a robotic surgical system notifies a surgeon of a change in material to prompt the surgeon to alter the characteristics of rotation.

Robotic surgical systems for preparing holes in bone tissue and methods of their use

In certain embodiments, the systems, apparatus, and methods disclosed herein relate to robotic surgical systems with built-in navigation capability for patient position tracking and surgical instrument guidance during a surgical procedure, without the need for a separate navigation system. Robotic based navigation of surgical instruments during surgical procedures allows for easy registration and operative volume identification and tracking. The systems, apparatus, and methods herein allow re-registration, model updates, and operative volumes to be performed intra-operatively with minimal disruption to the surgical workflow. In certain embodiments, navigational assistance can be provided to a surgeon by displaying a surgical instrument's position relative to a patient's anatomy. Additionally, by revising pre-operatively defined data such as operative volumes, patient-robot orientation relationships, and anatomical models of the patient, a higher degree of precision and lower risk of complications and serious medical error can be achieved.

Robotic navigation of robotic surgical systems

Described herein is a surgical instrument guide for use with a robotic surgical system, for example, during spinal surgery. In certain embodiments, the guide is attached to or is part of an end effector of a robotic arm, and provides a rigid structure that allows for precise preparation of patient tissue (e.g., preparation of a pedicle) by drilling, tapping, or other manipulation, as well as precise placement of a screw in a drilled hole or affixation of a prosthetic or implant in a prepared patient situation.

Notched apparatus for guidance of an insertable instrument along an axis during spinal surgery

A simple yet effective adjustable laminoplasty implant and procedure includes a member positioned within or through a hole formed through a spinous process, and an elongated element is provided with a medial end coupled to the member and a lateral end configured for engagement with a bone mass fixation device. The elongated element may be a bent rod. The rod may have a medial end with a cross-section that is smaller than that of the lateral end. The member positioned within or through a hole formed through a spinous process may be a sleeve with angled endcaps. The endcaps may include bone-engaging teeth. Alternatively, the sleeve may have a central bore and barbs that engage with surrounding bone when an elongated member is inserted in the bore. The mass fixation device may a pedicle screw. The pedicle screw may be configured to receive a transverse rod. Alternatively, the mass fixation device may itself be a rod. Method of performing a laminoplasty In accordance with the invention are also disclosed.

Growing community of inventors

Altamonte Springs, FL, United States of America

Chetan Patel