Stryker Corporation

Mako Surgical Corporation

Stryker Leibinger Gmbh & Co Kg

Howmedica Osteonics Corporation

Stryker European Holdings I LLC

Stryker European Operations Holdings LLC

Howmedica Leibinger Inc.

José Luis Moctezuma De La Barrera

Donald W Malackowski

Patrick Roessler

David Gene Bowling

Joel N Beer

Jerry A Culp

John Michael Stuart

Chunwu Wu

Hans-Ulrich Becker

Stuart L Axelson, Jr

Timothy Wade Perez

Jens Rueber

Andrei Danilchenko

John S Ketchel

Jeremy Weinstein

Hyosig Kang

Mark Ellsworth Nadzadi

Michael C Ferko

Michael Dale Dozeman

Amir Sarvestani

Wolfgang Wein

Helmut Rohs

Gregory Garcia

Norbert Riedlinger

Raphael Prevost

Vladimir Gershuni

Markus Jan Boehringer

Mehrdad Salehi

Peter Zimmermann

Wenjie Deng

Waldean Allen Schulz

Mark A Wasserman

Hans Schoepp

John R Fossez

Don Malackowski

Matt Harrow

Harald Hoppe

Ulrich Buehner

Christopher Alan Lightcap

Peter Zimmerman

John Michael Green, Ii

Amir Sarvestini

Peter Hess

James Keith Rains

Christine Merz

A surgical navigation system and method of operating the same involve a pointer tool and a localizer configured to track the pointer tool. Controller(s) is/are coupled to the localizer and are configured to generate a virtual boundary relative to a bone at a surgical site. The virtual boundary has a shape that delineates a region of the bone to be removed from a region to be avoided. The controller(s) identify, with the localizer, a position of one or more landmarks at the surgical site in response to the pointer tool touching the one or more landmarks at the surgical site. The controller(s) revise the shape of the virtual boundary based on the position of the one or more landmarks.

Surgical systems and methods for dynamic virtual boundary adjustment

Systems and methods are disclosed involving a navigation system including a localizer and a tracker detected within a field-of-view of the localizer. In one example, a virtual line-of-sight boundary is generated based on a line-of-sight relationship between the tracker and localizer. Additionally, or alternatively, a virtual field-of-view boundary is generated based on the field-of-view of the localizer. A virtual object is associated with a physical object and/or the tracker. Controller(s) detect whether a virtual collision occurs between the virtual object and the virtual line-of-sight boundary and/or virtual field-of-view boundary. The controller(s) enable a response based on detecting the virtual collision.

Navigation systems and methods for reducing tracking interruptions during a surgical procedure

A method of robotically evaluating soft tissue characteristics of a joint includes measuring, by a robotic device, information about a joint during a controlled range of motion manipulation of the joint; determining a motion limit of the joint, using the information about the joint measured during the controlled range of motion manipulation of the joint, wherein the motion limit is at least one of a displacement limit or a force limit of the joint; and replicating, using a joint positioner controlled by the robotic device, the controlled range of motion manipulation of the joint while introducing perturbations to the joint, wherein the replicated range of motion manipulation is controlled, at least in part, based on the motion limit. The method further includes using data obtained by the computer-assisted surgery system during the range of motion manipulation with perturbations to characterize the constraints of a soft tissue envelope of the joint.

Systems and methods for robotic soft tissue evaluation

Surgical systems and methods of operating the same involve controlling a robotic manipulator to move a cutting instrument to cut away material from a bone at a surgical site. A machine vision system uses a vision camera to detect an object at, or in proximity to, the surgical site. A control system associates a virtual boundary with the detected object and controls the robotic manipulator to move the cutting instrument based on the virtual boundary such that the cutting instrument avoids the detected object. In one example, the control system modifies a tool path of the cutting instrument based on the virtual boundary to avoid the detected object. Additionally, or alternatively, the control system can automatically adjust an orientation of the cutting instrument based on the virtual boundary to avoid the detected object.

Systems and methods for establishing virtual constraint boundaries

A mixed reality system includes a head-mounted device (HMD) having an HMD coordinate system and a camera to capture images. A localizer has a localizer coordinate system and position sensors supported by a housing to track a pose of a real object. Registration markers are configured to be recognized from the captured images of the camera of the HMD. The registration markers are disposed on the housing of the localizer in a predetermined spatial relationship with respect to the localizer coordinate system. At least one controller is configured to utilize the registration markers recognized from the captured images to register the localizer coordinate system and the HMD coordinate system.

Systems and methods for surgical navigation

A user control device for a surgical system. The surgical system includes a robotic manipulator to support and move a surgical instrument that has an energy applicator. One or more controllers operate the robotic manipulator in a semi-autonomous mode and calculate an instrument feed rate, which is the velocity at which the energy applicator advances along a tool path in the semi-autonomous mode. The user control device includes a housing configured as a pendant configured to be held in one hand of a user. A first control member is mounted to the housing and can be depressed to initiate operation of the robotic manipulator in the semi-autonomous mode. A second control member is mounted to the housing and can be depressed to modify the instrument feed rate in the semi-autonomous mode.

Hand-held pendant for controlling a surgical robotic manipulator in a semi-autonomous mode

A head-mounted device (HMD) and method for assisting a user during a surgical procedure. The HMD has a camera and display supported by a head-mountable structure. The display is positionable in front of eyes of the user. A controller accesses workflow data defining workflow steps associated with the surgical procedure. The controller obtains data from the camera related to an environment of the surgical procedure. The camera data is monitored to detect a deviation or a potential deviation from one or more of the workflow steps. The controller generates an instruction/recommendation to assist the user in taking action to address the deviation or the potential deviation. The instruction/recommendation is specifically tailored to workflow responsibilities of the user. A computer-generated image related to the instruction or the recommendation is provided on the display.

Surgical workflow deviation detection involving head-mounted device

A tracking device for a navigation system that includes a localizer. The tracking device has a tracking body. At least one tracking element is supported by the tracking body and configured to transmit a tracking signal for the localizer. A visual indicator is supported by the tracking body and has an emitter configured to generate a visible light. A tracker controller supported by the tracking body is configured to receive a signal from the navigation system indicative of the tracking signal being received by the localizer, and in response, control the visual indicator to activate the emitter to generate the visible light to produce a color to indicate to a user that the tracking signal is being received by the localizer.

Navigation systems and methods for indicating and reducing line-of-sight errors

Surgical systems and methods for manipulating an anatomy includes a surgical tool, a robotic manipulator configured to support and move the surgical tool, and controller(s) that generate a virtual boundaries delineating a portions of the anatomy allowed to be removed by the surgical tool. The controller(s) control the robotic manipulator to autonomously move the surgical tool in relation to a first virtual boundary and according to a first feed rate or first frequency of path oscillations to remove a first portion. The controller(s) control the robotic manipulator to autonomously move the surgical tool in relation to a second virtual boundary that is spaced from the first virtual boundary, and according to a different feed rate or different frequency of path oscillations, to remove a second portion.

System and method for manipulating an anatomy

Surgical systems, computer-implemented methods, and software programs for generating a milling path for a bone. The implementations involve obtaining a virtual model of the bone, a resection volume defined relative to the virtual model of the bone, and a reference guide defined with respect to the resection volume. Section planes are successively arranged along the reference guide, and each section plane intersects the reference guide and intersects the resection volume. A section path is generated within each section plane and is defined relative to the resection volume. Transition segments are generated to connect section paths of section planes. The milling path is then generated by combining the section paths and the transition segments.

Techniques for patient-specific milling path generation

A surgical system and method involve a manipulator including a plurality of links and joints and a tool coupled to the manipulator. A navigation system includes a localizer, a first tracker coupled to the robotic manipulator or the tool, and a second tracker coupled to a workpiece. Controller(s) determine, from the navigation system, a pose of the tool relative to the workpiece. The controller(s) control the robotic manipulator to facilitate removal of a first portion from the workpiece with the tool and sense interaction between the tool and the workpiece during removal of the first portion to detect a density of the workpiece. The controller(s) control the robotic manipulator to facilitate removal of a second portion from the workpiece with the tool, wherein a cutting depth for the second portion is based, at least in part, on the detected density.

Robotic systems and methods for controlling a tool to remove material from a workpiece

Systems and methods for calibrating ultrasound imaging directed towards a bone region. An ultrasound imaging device generates a first steered frame and a second steered frame, wherein the first steered frame and the second steered frame are directed towards the bone region at different angles from one another and are superimposed with one another. Parameters of each of the first steered frame and the second steered frame are applied to a cost function that outputs an estimated propagation speed of ultrasound waves to the bone region for optimizing an appearance of the first steered frame and the second steered frame. The ultrasound imaging device is calibrated based on the estimated propagation speed.

Ultrasound bone registration with learning-based segmentation and sound speed calibration

A plate for attaching to an anatomic structure with fasteners. The plate has a body with a top surface and a bottom surface opposite the top surface. The body defines one or more openings to receive a respective one of the one or more fasteners. The bottom surface is concave to define a space to accommodate a portion of the anatomic structure. A bone pad surface extends from the bottom surface. A spike extends away from the bone pad surface. An extension arm can be coupled to the plate and the extension arm can support a tracking head to implement a surgical tracking assembly.

Bone plate for attaching to an anatomic structure

A surgical system, method and CAD program are provided. The surgical system includes a digitization device including a pointer tip to contact a target site and actuatable control input(s). A surgical tool can manipulate the target site. A navigation system tracks a state of the digitization device. Controller(s) receive the tracked state of the digitization device and display, within a virtual reference frame, a virtual representation of the pointer tip. In response to actuation of the control input(s), the controller(s) register virtual reference points within the virtual reference frame based on the pose of the virtual representation of the pointer tip and enable arrangement of one or more geometrical design objects within the virtual reference frame relative to the registered virtual reference points to generate a virtual boundary that defines a region of the target site to be avoided by the surgical tool.

Surgical systems and methods for facilitating ad-hoc intraoperative planning of surgical procedures

Surgical systems and methods for generating a tool path. A manipulator is configured to support and move a surgical instrument. Controller(s) obtain data that defines a volume of tissue to be removed from a surgical site. The controller(s) operate the manipulator to move the surgical instrument to remove first portions of the volume and acquire data defining the first portions removed from the volume. The controller(s) identify, based on the volume and the acquired data, additional portions of the volume of tissue that require removal. The controller(s) generate a tool path that passes through the additional portions and operate the manipulator to move the surgical instrument along the tool path to remove the additional portions.

Robotic system and method for removing a volume of material from a patient

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Freiburg, Germany

José Luis Moctezuma De La Barrera