Trackx Technology, Inc.

Nuvasive, Inc.

David Alexander Skwerer

Robert E Isaacs

Samuel Morris Johnston

Randall Graham Campbell

Farah Hamouda

Randall Campbell

A computer-assisted imaging and localization system assists the physician in positioning surgical effecters, such as implants, tools and instruments, within a surgical site in a patient's body. An image-guided intramedullary nail arrangement includes an intramedullary nail connected to a U-shaped drill guide. The body of the guide defines a plurality of thru-holes that are aligned with a plurality of openings in the nail, with the thru-holes acting as guides for conventional fasteners for engagement within the nail openings. The drill guide includes a tracking element fixed to the body of the guide that allows the position of the drill guide to be determined by a tracking system. The position of the intramedullary nail, and the plurality of openings, is determined by software based on the fixed geometry between the tracking element and the nail fastened to the drill guide.

System and method for image localization of effecters during a medical procedure

A surgical effecter, such as a tool, implant or instrument, or a tracking element mounted to the surgical effecter, includes an elongated shaft with a marker affixed thereon that is detectable by cameras or detectors of a localizer or tracking system configured to track the position and orientation of the effecter during a surgical procedure. The marker is wrapped around the circumference of the shaft and presents a top edge and a bottom edge that are perpendicular to the longitudinal axis of the shaft, and a visible spiral edge extending from the top edge to the bottom edge.

Tracking elements for use in systems and methods for image localization of effecters during a medical procedure

A computer-assisted imaging and localization system assists the physician in positioning surgical effecters, such as implants, tools and instruments, within a surgical site in a patient's body. The system displays overlapping images—one image of the surgical site with the patient's anatomy and another image showing the surgical effecter(s). The overlapping image of the surgical effecter(s) is moved over the static image of the anatomy as the implant/instrument is moved. The movement of the surgical effecter(s) is determined in a three-dimensional coordinate system at a home base location in the patient's anatomy, which home base can be moved during the procedure without interrupting the displays of the overlapping images.

A system and method for displaying images of internal anatomy includes an image processing device configured to provide high resolution images of the surgical field from low resolution scans during the procedure. The image processing device digitally manipulates a previously-obtained high resolution baseline image to produce many representative images based on permutations of movement of the baseline image. During the procedure a representative image is selected having an acceptable degree of correlation to the new low resolution image. The selected representative image and the new image are merged to provide a higher resolution image of the surgical field. The image processing device is also configured to provide interactive movement of the displayed image based on movement of the imaging device, and to permit placement of annotations on the displayed image to facilitate communication between the radiology technician and the surgeon.

Imaging system and method for use in surgical and interventional medical procedures

A computer-assisted imaging and localization system assists the physician in positioning surgical effecters, such as implants, tools and instruments, within a surgical site in a patient's body. The system displays overlapping images&#x2014;one image of the surgical site with the patient's anatomy and another image showing the surgical effecter(s). The overlapping image of the surgical effecter(s) is moved over the static image of the anatomy as the implant/instrument is moved. The movement of the surgical effecter(s) is determined in a three-dimensional coordinate system at a home base location in the patient's anatomy, which home base can be moved during the procedure without interrupting the displays of the overlapping images.

A computer-assisted imaging and localization system assists the physician in positioning implants and instruments into a patient's body. The system displays overlapping images&#x2014;one image of the surgical site with the patient's anatomy and another image showing the implant(s) or instrument(s). The overlapping image of the implant/instrument is moved over the static image of the anatomy as the implant/instrument is moved. These moving image of the implant/instrument can be an unaltered image or an image altered to intensify or mitigate the anatomical or non-anatomical aspects of the moving image. Sliding these images over one another helps the surgeon in positioning devices or instruments with a high degree of accuracy and with a limited number of additional x-rays.

A computer-assisted imaging and localization system assists the physician in positioning implants and instruments into a patient's body. The system displays overlapping images&#x2014;one image of the surgical site with the patient's anatomy and another image showing the implant(s) or instrument(s). The overlapping image of the implant/instrument is moved over the static image of the anatomy as the implant/instrument is moved. The moving image of the implant/instrument can be an unaltered image or an image altered to intensify or mitigate the anatomical or non-anatomical aspects of the moving image. Sliding these images over one another helps the surgeon in positioning devices or instruments with a high degree of accuracy and with a limited number of additional x-rays.

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Raleigh, NC, United States of America

David Alexander Skwerer