Smith + Nephew

Blue Belt Technologies, Inc.

Smith & Nephew Orthopaedics Ag

Smith Nephew Asia Pacific Pte. Limited

Smith & Nephew, Inc.

Smith & Nephew Asia Pacific Pte. Limited

Constantinos Nikou

Branislav Jaramaz

Ryan Lloyd Landon

Barry M Fell

Randy C Winebarger

William L Bowers, Jr

Ruxandra Cristiana Marinescu Tanasoca

Benjamin Oliver McCandless

Sean M Haddock

Nathaniel Milton Lenz

Samuel Clayton Dumpe

James Bennett Wiebe, Iii

Brian W Mckinnon

Gene Edward Austin

Daniel Farley

Adam J Hahn

Cedric Corpa De La Fuente

Brett J Bell

Elizabeth Duxbury

Christoph Kolja Boese

Paul Alexander Torrie

Zachary Christopher Wilkinson

Shawn P Mcguan

Brian William McKinnon

Darren Wilson

Carlos A Rodriguez

Roger Ryan Dees, Jr

Adam Simone

Shawn Patrick McGuan

Riddhit Mitra

Ryan M Sheehan

Rahul Khare

James E Moody

Michael Bozeman

Xuanye Wang

Marius Giurgi

Jim Moody

Craig Markovitz

Joshua Updyke

Benjamin Mccandless

Craig S Markovitz

Marius Guirgi

Benjamin Oliver Mccandless

Methods, non-transitory computer readable media, and ultrasound imaging apparatuses and systems that facilitate improved ultrasound imaging that emphasizes structures of interest are disclosed. With this technology, position data for a transducer assembly is continuously obtained along with ultrasound scan data captured via the transducer assembly. Image processing techniques are applied to ultrasound images generated from the ultrasound scan data to identify structure(s) of interest included therein and highlight the identified structures on a composite representation generated from the ultrasound images. The intensity of portions of the resulting composite representation is then adjusted to reflect the time in which the associated ultrasound scan data was captured. The composite representation is then output to an augmented reality headset or superimposed over an image of the patient to facilitate improved visibility and relation of the structures of interest.

Methods for improved ultrasound imaging to emphasize structures of interest and devices thereof

A surgical system and method for markerless intraoperative navigation is provided. The system can includes a structured light system that can be utilized to intraoperatively sense three-dimensional surface geometry. The computer system is configured to segment a depth image to obtain surface geometry data of an anatomical structure embodied within the depth image, register the surface geometry data of the anatomical structure to a model, and update the surgical plan according to the registered surface geometry data. The surgical system is an endoscopic surgical system.

Markerless navigation system

A computer-implemented method of improving a patello-femoral response is described. A computing system characterizes an anterior geometry of a patella and determines a position of a posterior apex of the patella in relation to one or more features of the anterior geometry of the patella. The computing system further receives location information related to the patella as a knee joint is moved through a range of motion. The computing system provides one or more recommendations to improve a patello-femoral response.

Patella tracking method and system

A method of determining patient-specific implant parameters for an implant used in a surgical procedure is described. A surgical system receives one or more initial transfer functions and one or more preoperative input factors for a patient and generates a surgical plan comprising one or more patient-specific implant parameters based on the one or more initial transfer functions and the one or more preoperative input factors for the patient. The surgical system further receives one or more intraoperative input factors for the patient and updates the one or more patient-specific implant parameters based on the one or more intraoperative input factors for the patient. An implant for the patient is selected based on the one or more updated patient-specific implant parameters.

Patient-specific surgical method and system

An ultrasound probe captures real-time images of patient anatomy, which are analyzed by a processor to extract salient features pertaining to an anatomical structure. By tracking the location and orientation of the ultrasound probe, a model of that anatomical structure can be created. A visual indication of the position of segments of the anatomical structure can be presented holographically to a user of an augmented reality headset to provide information extracted from the ultrasound imaging, such as holographic display of a model of the anatomical structure at the approximate location of the visual field of the headset corresponding to the physical location of the actual anatomy being viewed by a user, without presenting the entirety of the ultrasound image to the user.

Anatomical feature extraction and presentation using augmented reality

A system for tracking a hand within a surgical environment is disclosed. The system comprises a hand covering including an opening to receive the hand and a plurality of trackable regions that each include at least one tracking feature. The system further comprises a tracking unit including one or more sensors configured to detect a location of each tracking feature. The system further comprises a processor configured to cause the system to receive the location of each tracking feature from the tracking unit, determine a position and an orientation of each trackable region of the hand covering, and calculate an overall position, orientation, and/or pose of the hand. Various actions or settings may be controlled within the surgical workspace by utilizing particular gestures or movements that are identified by the system via the processor.

Tracking device for hand tracking in surgical environment

A system for tracking resection planes during a surgical procedure includes a cutting block and a position tracker. The cutting block is configured to be mounted on an anterior surface of a bone during the surgical procedure. The cutting block comprises at least one slot configured to position a resection tool during the surgical procedure. The position tracker is configured to be directly attached to the cutting block after the cutting block is mounted on the anterior surface to allow positional tracking of the cutting block by a tracking device during the surgical procedure.

System and method for tracking resection planes

A method for optimizing a knee arthroplasty surgical procedure includes receiving pre-operative data comprising (i) anatomical measurements of the patient, (ii) soft tissue measurements of the patient's anatomy, and (iii) implant parameters identifying an implant to be used in the knee arthroplasty surgical procedure. An equation set is selected from a plurality of pre-generated equation sets based on the pre-operative data. During the knee arthroplasty surgical procedure, patient-specific kinetic and kinematic response values are generated and displayed using an optimization process. The optimization process includes collecting intraoperative data from one or more surgical tools of a computer-assisted surgical system, and using the intraoperative data and the pre-operative data to solve the equation set, thereby yielding the patient-specific kinetic and kinematic response values. A visualization is then provided of the patient-specific kinetic and kinematic response values on the displays.

Algorithm-based optimization for knee arthroplasty procedures

An augmented reality system and method for assisting surgical staff during an arthroplasty procedure includes a camera system configured to capture images of a surgical scene and a processor configured to determine from the images location and orientation information about one or more patient anatomical features and to maintain a three-dimensional model of these anatomical features within the surgical scene. The system models the field-of-view of augmented reality headsets worn by surgical staff, and maps this to the anatomical model, allowing the system to overlay relevant information to the user about particular anatomical features in the surgical plan.

Augmented reality in arthroplasty surgery

A method for creating a patient-specific surgical plan includes receiving one or more pre-operative images of a patient having one or more infirmities affecting one or more anatomical joints. three-dimensional anatomical model of the one or more anatomical joints is created based on the one or more pre-operative images. One or more transfer functions and the three-dimensional anatomical model are used to identify a patient-specific implantation geometry that corrects the one or more infirmities. The transfer functions model performance of the one or more anatomical joints as a function of anatomical geometry and anatomical implantation features. surgical plan comprising the patient-specific implantation geometry may then be displayed.

Patient-specific simulation data for robotic surgical planning

Methods and systems of placing a medical fastener at a predetermined depth in a bone are described. A surgical tool can include an attachment assembly configured to interchangeably engage a medical fastener and a cutting element or bone removal tool and a drive assembly coupled to the attachment assembly. The attachment assembly can be configured to automatically release the medical fastener in response to the drive assembly reaching its end or distal-most position to place the medical fastener at a predetermined depth within the bone.

Methods and systems for robotic-assisted insertion of medical fasteners

Devices, systems, and computer-implemented and surgical methods for providing and/or using optical, visual, and/or audio feedback when using a surgical instrument, such as to position and orient an implant are disclosed. A device includes a frame and a C-ring. The frame includes a fixation component optionally located at a first end and a tracking array optionally located at an opposing second end. The fixation component can be positioned at or near a center axis of the C-ring and is configured to releasably engage a surgical instrument. The tracking array may include tracking elements, such as reflective surfaces. The C-ring may include a plurality of light sources optionally arranged in a radial pattern. The light sources may be selectively illuminated based on a determined realignment to provide optical feedback with respect to at least a direction in which the surgical instrument should be moved to achieve a planned alignment.

Devices, systems and methods for providing instrument orientation feedback

A system and device () for determining bone laxity. For example, the system includes a tracked probe () comprising at least one probe marker () and a computer assisted surgical (CAS) system (). The CAS system includes a navigation system () and a processing device () operably connected to the navigation system and a computer readable medium configured to store one or more instructions that, when executed, cause the processing device to receive location information from the navigation system, generate () a surgical plan comprising a post-operative laxity assumption (), collect () first motion information related to movement of the joint through a first range of motion, collect () second motion information related to movement of the joint through a second range of motion, determine () a post-operative laxity (), and compare the post-operative laxity and the post-operative laxity assumption to determine laxity results.

Systems and methods for measuring bone joint laxity

Methods and apparatus for performing joint laxity measurement are disclosed. A retractor includes a plurality of spacers, such as plates, that are capable of being moved from a central portion of the retractor by a carriage mechanism. In some cases, the carriage mechanism may press against ramps connected to internal sides of the plates, thereby causing the plates to be displaced outwardly. In other cases, the carriage mechanism may include blades that rotate and press against the internal sides of the plates, thereby causing the plates to be displaced outwardly. The retractor is mounted on a surgical device configured to actuate the carriage mechanism. When the retractor is placed in a joint and the carriage mechanism is actuated, a measurement of the joint laxity may be determined based upon characteristics of the retractor and/or the surgical device.

Actuated retractor with tension feedback

Systems and methods for virtual implant placement to implement joint gap planning are discussed. For example, a method can include operations for receiving a first implant parameter set based on a surgical plan that was generated while moving the joint through a range of motion. The method can include generating a first set of candidate implant parameter sets that are the result of an incremental change, relative to the first implant parameter set, to at least one parameter of the first parameter set. The method can include calculating a result for at least one candidate implant parameter set and providing a graphical representation of the result according to at least one candidate implant parameter set. The result can be color-coded to correlate to a candidate implant parameter set. The display can include color-coded user interface controls to allow a user to execute incremental changes corresponding to candidate implant parameter sets.

Systems and methods for determining a position for placing of a joint prosthesis

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Monroeville, PA, United States of America

Constantinos Nikou