JPWO2020198457A5 - - Google Patents

Claims (25)

A customized patient-specific device for use with an augmented reality system, said device comprising:
a central portion of the patient-specific device comprising first and second extensions;
at least a first surface configured to be complementary to a predetermined portion of a patient's bony anatomy;
at least a second surface, distinct from the at least first surface, configured to be complementary to another predetermined portion of the patient's bony anatomy;
at least one marker in communication with the augmented reality system;
with
the at least one marker conveys the location and orientation of the device to the augmented reality system;
The arrangement of the at least first surface on the predetermined portion of the patient's bony anatomy and the arrangement of the at least second surface on the another predetermined portion of the patient's bony anatomy with the at least one marker. device demonstrated by said augmented reality system through communication of 3. The device of Claim 1, wherein the marker is removable from the device. The device further comprises a hole, said hole being used to guide an instrument or instrument to form an opening in a predetermined portion of the patient's bony anatomy for placement of said at least one marker. 3. The apparatus of claim 2. 2. The device of claim 1, wherein said at least one marker is selected from the group consisting of recording markers, microchips, circuits, coils, gyroscopes and displays. 5. The device of Claim 4, wherein the at least one marker is embedded in the device. 2. The device of claim 1, wherein the at least one marker is selectively engaged within an opening in the central portion of the device. 5. The device of claim 4, wherein the at least one marker configuration is selected from the group consisting of various orientations, lengths and sizes. 7. The method of claim 6, wherein the configuration and position of the at least one marker relative to the central portion is communicated to the augmented reality system after the at least one marker is selectively engaged within the opening. Device. The device further comprises at least a third surface distinct from the at least first and second surfaces, the at least third surface being different from the first and second surfaces of the patient's bone. 11. The device of claim 1, configured to be complementary to a portion of an anatomy. 2. The apparatus of claim 1, wherein at least one planned orientation of surgical instruments and implants with respect to said at least one marker is displayed on at least one peripheral device. 3. The device of claim 1, wherein the position and orientation of the device are displayed on at least one peripheral device. The at least one peripheral device is a wearable device, a handheld device, a voice-activated device, glasses, goggles, a pair of headphones, a speaker, a microphone, a haptic device, a holographic imaging device, a monitor, a screen, a visual display, a glasses-mounted display. and an audible device. An augmented reality system for performing one or more surgical procedures facilitated by a computer-assisted navigation device, comprising:
at least one robotic device;
a processor in communication with the at least one robotic device;
a patient-specific device configured to be positioned over at least one patient-specific feature;
at least one marker positioned at a known location relative to the patient's anatomy and configured to transmit location information to the processor;
the at least one patient-specific feature corresponds to a patient's bony anatomy;
The processor is configured to receive the position information received from the at least one marker and relay it to the augmented reality system to determine the position and orientation of the at least one robotic device relative to the patient's bony anatomy. system. 14. The system of claim 13 , wherein said at least one marker is selected from the group consisting of recording markers, microchips, circuits, coils, gyroscopes and displays. 14. The system of Claim 13 , wherein the marker is embedded in the device. 14. The system of Claim 13 , wherein the marker is selectively engaged with the device. 14. The system of claim 13 , wherein said device further comprises an aperture, said aperture used to guide an instrument or instrument to form an opening in said at least one patient-specific feature. 18. The system of Claim 17 , wherein the marker is selectively engaged with the opening. 14. The system of claim 13 , wherein the patient-specific device location is displayed on at least one peripheral device. The at least one peripheral device is a wearable device, a handheld device, a voice-activated device, glasses, goggles, a pair of headphones, a speaker, a microphone, a haptic device, a holographic imaging device, a monitor, a screen, a visual display, a glasses-mounted display. and an audible device. The patient-specific device comprises at least a first patient-specific surface and a second patient-specific surface, wherein the first patient-specific surface and the second patient-specific surface comprise at least one of various 14. The system of claim 13 , configured to be positioned over one patient-specific feature. 22. The system of claim 21 , wherein said patient-specific device comprises at least a third patient-specific surface. 14. The system of Claim 13 , wherein the processor is configured to deliver a warning, caution or other signal based on the position of the at least one marker. 4. The warning, caution or other signal comprises a warning when the at least one marker is in an undesired position and a different warning when the at least one marker is in a predetermined desired position. 24. The system according to 23 . The robotic device aligns or interfaces with the patient-specific device when the device fits the patient's bony anatomy, the robotic device also aligning with one or more of the patient-specific features . 14. The system of claim 13 , oriented with respect to.