Think Surgical, Inc.

Other

In K Mun

Allen B Kantrowitz

Nathan A Netravali

Stan G Shalayev

Joel F Zuhars

Charles E Dinkler, Ii

Feimo Shen

Denise A Miller

James P Morash

Simon R Grover

Bryan Z Wei

Daniel Fuller

Hosna Akhlaghpour

Lu Li

Li Lu

Boris Fuchs

Dan Fuller

Simon Grover

The present invention relates to novel tools and systems that provide a precision platform for professional health-related (PHR) communication where clinical relevance is standardized for the achievement of clinical precision. In particular, the present invention provides methods, tools, and systems using precision architecture control structure (PACS) comprising professional health-related (PHR) structured dialogs suitable for precise clinical diagnosis, in combination with encrypted transmission which is capable of HIPAA compliant communication of a healthcare information system with a credentialed user. The increased clinical precision of these tools, systems, and related methods affords greater efficiency in clinical treatment that is translated into increased safety in patient care, which extends far beyond simple communication of clinically relevant information.

Precision professional health-related (PHR) communication systems and related interfaces

A system and method for intra-operatively measuring or verifying the placement of an implant within a bone in joint arthroplasty procedures are described herein. Pre-operative bone data of the patient is collected. A user plans the position of one or more implants relative to the pre-operative bone data. Intra-operatively, the patients bone is registered to the pre-operative bone data and to a computer-assist device. The bone is prepared and a physical implant is installed with the bone. A plurality of points are digitized on at least one of the physical implant or an apparatus associated with the physical implant. The computer-assist device calculates any errors between the planned position and orientation (POSE) of the implant relative to the actual POSE of the physical implant using the digitized points. The system may further notify a user of any errors and provide instructions to minimize the errors.

System and method for implant verification

An articulating drill system is provided that includes a hand-held portion and a drill portion. At least two actuators are provided for controlling at least two axes of the drill portion. A navigation system is provided to control the at least two actuators. In some embodiments, a tool is provided with the drill portion and adapted to interact with patient tissue. The drill portion can be modified to include at least two rigid objects in communication with the actuators and attached to the drill portion. The system can be used to make any linear cut within a deviation of &#xb1;1.0 mm and &#xb1;1.0&#xb0;, or better in patient tissue.

Articulating drill system

Described herein are systems and methods for creating a custom registration guide. In general, the methods may include receiving scan data of a patient's bone; creating instructions based on the scan data for creating a three-dimensional surface model of the patient's bone; and moving a plurality of moveable elements, coupled to the adjustable model, based on the instructions. The method may further include the steps of placing a malleable registration guide onto the adjustable model and shaping the registration guide to fit to the adjustable model. The method may further include the step of intraoperatively determining the location of a patient's bone using the custom registration guide. The step of determining the location of the patient's bone may include the steps of coupling the registration guide and fiducial markers to the patient's bone.

System and method for registration in orthopaedic applications

Systems and methods for monitoring an operative site during a surgical procedure using a computer controlled surgical device. In general, the methods include the steps of processing one or more defined cutting paths having one or more cut regions; determining a correlation between the cut region and one or more critical regions to generate an alert, wherein the alert indicates a movable end-effector is within a defined proximity of the critical region; and requiring a user acknowledgment of the alert to allow processing of the cutting path to continue. Also described herein are systems and methods for minimizing user fatigue during a semi-computer controlled surgical procedure. In general, the methods includes the step of requiring a user generated acknowledgment in response to a computer generated alert, wherein the user acknowledgment is generated using a user controller, the user controller being minimally intrusive to the user experience.

Systems and methods for monitoring a surgical procedure with critical regions

An articulating drill system is provided that includes a hand-held portion and a drill portion. At least two actuators are provided for controlling at least two axes of the drill portion. A navigation system is provided to control the at least two actuators. In some embodiments, a tool is provided with the drill portion and adapted to interact with patient tissue. The drill portion can be modified to include at least two rigid objects in communication with the actuators and attached to the drill portion. The system can be used to make any linear cut within a deviation of 1.0 mm and 1.0?, or better in patient tissue.

Multi-planar variable geometry zigzag cut articulating drilling system

A process for creating a curved contour on or within a bone is provided, where the process includes positioning a bone of a patient in a fixed position in a coordinate system, generating scan data of the bone, creating a three-dimensional surface model of the bone based on the scan data, generating a cutting program to modify a surface of the bone based on the three-dimensional surface model and a prosthesis having a bone interface shape that is complementary to the curved contour, and modifying the bone with one or more curved blades or a curved drill bit that is robotically driven and positioned with the cutting program to form the curved contour. A system for creating a curved congruent contour on or within a bone for mounting a prosthesis is also described.

Rotatable curved bit and robotic cutting in orthopaedic applications

A process and system for performing orthopedic surgery with the use of computer systems and robotic assistance to remove bone, bone cement, and a bone prosthesis, typically a bone prosthesis used in hip replacement surgery, knee replacement surgery, and the like. The process for replacing one or more bone prostheses using a robotic system includes receiving image data comprising an image of each bone, including at least one prosthesis implanted within each bone; creating three-dimensional models of the prosthesis, and the bone; creating a plan for positioning new prostheses within the bone; determining the location and amount of bone and any non-bone material to be removed for the new prostheses; and removing the bone prosthesis from the bone. The inventive process may be used for the replacement of hip joints, shoulder joints, ankle joints, wrist joints, finger joints, toe joints, or other joints.

Systems and processes for revision total joint arthroplasty

A barrier protection device and dispensing system are provided in the form of a medical service or examination glove with sensory indicators that respond to contact with infectious agents or substances. The glove and dispensing system prevent transmission of infectious agents from a healthcare worker to a patient or vice versa.

Infection control glove with sensory contamination indicator

Systems and methods for monitoring an operative site during a surgical procedure using a computer controlled surgical device. In general the methods include the steps of processing one or more defined cutting paths having one or more cut regions; determining a correlation between the cut region and one or more critical regions to generate an alert, wherein the alert indicates a movable end-effector is within a defined proximity of the critical region; and requiring a user acknowledgment of the alert to allow processing of the cutting path to continue. Also described herein are systems and methods for minimizing user fatigue during a semi-computer controlled surgical procedure. In general the methods includes the step of requiring a user generated acknowledgment in response to a computer generated alert, wherein the user acknowledgment is generated using a user controller, the user controller being minimally intrusive to the user experience.

A process and system for performing orthopedic surgery to create a series of channels with a subject's bone to allow a reduced pressure system to be applied directly to the bone-implant interface to enhance bone healing is provided. The process for to promote healing of a bone of a subject includes creating a three-dimensional model of the bone; preoperatively planning a location of an implant relative to the model; creating a plan for the location of precision channels that reach the bone-implant interface based on the model and the implant; resurfacing the bone to fit the implant into or onto the bone based on the preoperative plan; and milling the precision channels into the bone in the location to promote healing of the bone and/or bone implant interface; and applying a pressure reduction system at the bone-implant interface to promote bone healing.

Process for creating bone cavities for bone healing

A system is provided for subject movement compensation during a medical procedure. The system uses passive radiofrequency identification tags associated with a subject, and at least one active RFID reader is positioned to interrogate the position of at least three such passive radiofrequency identification tags so as to triangulate the geometric position of a subject body tissue. The reader generates an output signal corresponding to a distance between said reader and a tag. A microprocessor calculates a displacement of a tag relative to the reader from said output signal to yield a value corresponding to subject movement. A medical device operates in synchronicity with the calculation corresponding to subject movement to compensate for subject movement during a treatment process in essentially real time. A process for subject movement compensation during a medical procedure is also provided.

Fiducial marker system for subject movement compensation during medical treatment

A protective barrier, such as a medical examination glove is provided that includes a bracelet defining a plane with a cylinder attached to the bracelet at a first end. The cylinder is compressed into a compressed conformation in the plane without rolling about the bracelet. When the barrier is a glove, three fenestrated caps are provided, each such cap attached to the cylinder at different locations along the length of the cylinder when said first cylinder is in an extended conformation. Multiple finger cylinders are each attached to the cylinder at a location of a fenestrated cap, the finger cylinders each having an end cap. The first cylinder and the finger cylinders each compressed into a compressed conformation in the plane such that each of the caps forms a portion of the surface of the plane.

Surgical glove appliance device

Improved systems and methods are provided for monitoring compliance with an order for a patient specimen. Broadly, an inventive system incorporates a machine readable wireless identification and sensor technology to provide feedback to a caregiver regarding compliance with a specimen order. In particular, a system for monitoring compliance with an order for a specimen is provided which includes a specimen container having an attached machine readable wireless tag. The tag contains specimen container characteristic information. The tagged container aids in indicating to a user whether the correct specimen container type has been chosen. Further, a system is provided which includes a sensor useful in indicating whether a sufficient quantity of specimen has been obtained in order to perform the requested laboratory test as part of the patient's care.

Growing community of inventors

Nanuet, NY, United States of America

In K Mun