Spinal surgery system and methods of use

Patent metadata

Field	Value
Publication number	US-12268450-B2
Application number	US-202318338597-A
Country	US
Kind code	B2
Filing date	Jun 21, 2023
Priority date	May 6, 2020
Publication date	Apr 8, 2025
Grant date	Apr 8, 2025

Abstract

A method for surgically treating a spine comprising the steps of: pre-operatively imaging vertebral tissue; displaying a first image of a surgical treatment configuration for the vertebral tissue from a mixed reality display and/or a second image of a surgical strategy for implementing the surgical treatment configuration with the vertebral tissue from the mixed reality display; determining a surgical plan for implementing the surgical strategy; and intra-operatively displaying a third image of the surgical plan with the vertebral tissue from the mixed reality display. Systems, spinal constructs, implants and surgical instruments are disclosed.

First claim

What is claimed is:

1. A method for surgically treating a spine, the method comprising the steps of:
pre-operatively imaging vertebral tissue;
displaying a first image of a surgical treatment configuration for the vertebral tissue from a mixed reality display and/or a second image of a surgical strategy for implementing the surgical treatment configuration with the vertebral tissue from the mixed reality display;
determining a surgical plan including robotic guidance for implementing the surgical strategy;
intra-operatively displaying a third image of the surgical plan with the vertebral tissue from the mixed reality display via a holographic overlay, the holographic overlay configured to alert a user of danger zones located on an anatomy of a patient; and
implementing the surgical plan with the robotic guidance.

2. A method as recited in claim 1 , wherein the danger zones include a posterior triangle of a neck including a great auricular, a lesser occipital, a spinal accessory, a supraclavicular, a phrenic, and/or suprascapular nerves.

3. A method as recited in claim 1 , wherein the danger zones include spinal nerves adjacent to C1 to C8 vertebrae, T1-T12 vertebrae, L1-L5 vertebrae, S1 to S5 vertebrae and/or a coccyxgeal nerve.

4. A method as recited in claim 1 , wherein the danger zones include a herniated disc level and a medial aspect of a facet joint adjacent to an insertion of a hypertrophic ligamentum flavum.

5. A method as recited in claim 1 , wherein the alert includes a human readable visual indicia, including a label, color coding, numbers or an icon.

6. A method as recited in claim 1 , further comprising the steps of transmitting data points of the pre-operative imaging to a computer database; and determining the surgical treatment configuration for the vertebral tissue and the surgical strategy for implementing the surgical treatment configuration.

7. A method as recited in claim 1 , further comprising the steps of generating data points representative of the first image and/or the second image.

8. A method as recited in claim 1 , further comprising the steps of imaging surgically treated vertebral tissue; and displaying a fourth image comparing the third image and the imaging of the surgically treated vertebral tissue from the mixed reality display.

9. A method as recited in claim 8 , wherein the step of displaying the fourth image includes a holographic reconciliation overlay of the surgical strategy to the surgically treated vertebral tissue.

10. A method as recited in claim 1 , wherein the mixed reality display includes a headset.

11. A method as recited in claim 1 , wherein the second image includes a holographic overlay.

12. A method as recited in claim 1 , wherein the second image includes a holographic overlay of one or more spinal implants on a surgical reconstruction of the vertebral tissue.

13. A method as recited in claim 1 , wherein the holographic overlay includes indicia on the vertebral tissue, the indicia representing one or more anatomical zones.

14. A method for surgically treating a spine, the method comprising the steps of:
pre-operatively imaging vertebral tissue;
displaying a first image of a segmentation and a surgical reconstruction of the vertebral tissue from a holographic display and/or a second image of a surgical strategy that includes one or more spinal implants with the vertebral tissue from the holographic display;
determining a surgical plan including robotic guidance for implementing the surgical strategy;
intra-operatively displaying a third image of the surgical plan with the vertebral tissue from the holographic display, the holographic display configured to alert a user of danger zones located on an anatomy of a patient; and
implementing the surgical plan with the robotic guidance.

15. A method as recited in claim 14 , wherein the danger zones include a herniated disc level and a medial aspect of a facet joint adjacent to an insertion of a hypertrophic ligamentum flavum.

16. A method as recited in claim 14 , further comprising the steps of imaging surgically treated vertebral tissue; and displaying a fourth image comparing the third image and the imaging of the surgically treated vertebral tissue from the holographic display.

17. A method as recited in claim 16 , wherein the step of displaying the fourth image includes a holographic reconciliation overlay of the surgical strategy to the surgically treated vertebral tissue.

18. A method for surgically treating a spine, the method comprising the steps of:
pre-operatively imaging vertebral tissue;
transmitting data points of the imaging to a computer database and determining a surgical treatment configuration for the vertebral tissue;
determining a surgical strategy for implementing the surgical treatment configuration;
generating data points representative of a first image of the surgical treatment configuration and a second image of the surgical strategy;
displaying the first image and/or the second image from a mixed reality display;
determining a surgical plan including robotic guidance for implementing the surgical strategy with the vertebral tissue and generating data points representative of a third image of the surgical plan;
displaying the third image including a holographic overlay with the vertebral tissue from the mixed reality display, the holographic overlay configured to provide an alert to a user of danger zones located on an anatomy of a patient;
implementing the surgical plan with the robotic guidance;
imaging surgically treated vertebral tissue;
generating data points representative of a fourth image comparing the third image and the imaging of the surgically treated vertebral tissue;
displaying the fourth image from the mixed reality display.

19. A method as recited in claim 18 , wherein the step of displaying the fourth image includes a holographic reconciliation overlay of the surgical strategy to the surgically treated vertebral tissue.

20. A method as recited in claim 18 , wherein the alert includes a human readable tactile indicia, including raised portions, dimples and/or texturing, and/or a human detectable audible indicia.

Assignees

• Warsaw Orthopedic Inc

Inventors

• Redmond Jerald
• Wickham Jeffrey
• Hebbale Pooja
• ARMSTRONG Kelli

Classifications

• A61B2017/564

  Methods for bone or joint treatment · CPC title

• A61B2034/2051

  Electromagnetic tracking systems · CPC title

• A61B34/20

  Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis · CPC title

• A61B34/30

  Surgical robots · CPC title

• A61B2034/2055

  Optical tracking systems · CPC title