IP Library Granted Patent US 12,419,697
Granted Patent B2
US 12,419,697 · App. 18/235,551 · Granted Sep 23, 2025

Robotic shoulder repair and reconstruction

Inventors: Orsa Britton (Warsaw, IN); Pierre Couture (Montreal, CA)
Assignee: MedTech S.A.
A61B34/20A61B34/30A61B34/35A61B34/70A61B90/06A61B90/50A61B17/1684A61B34/10A61B2034/105A61B2034/107A61B2034/108A61B2034/2046A61B2034/2055A61B34/32A61F2002/4633
View Patent ↗
Loading inventors, assignments & file history…
Monitor This Case
Get email alerts when status or documents change.
Order Certified Copies
Most orders are placed with the USPTO same day — all within 24 business hours.
Order via The Patent Place →
Pre-filled with this patent's details
Quick Facts
Patent No.
US 12,419,697
App. No.
18/235,551
Granted
Sep 23, 2025
Kind
B2
Abstract

Methods and surgical system for performing a surgical procedure. The surgical system includes a robotic system with a robotic arm having a surgical instrument attached thereto. A computer system of the robotic system receives at least one image and forms a model of a surgical area. A computer operated tracking system of the robotic system obtains position data related to a patient's bone from tracking elements. Based on the model of the surgical area and the tracked bone position, the robotic arm then performs the surgical procedure with the surgical instrument, and the robotic system adjusts the procedure as a result of the tracked bone position.

Claims (36)

1. A method for preparing a humeral bone for an implant, the method comprising:

tracking a humeral bone position within a three-dimensional space using a computer-operated tracking system of a robotic system;

receiving an image of the humeral bone;

reaming a canal within the humeral bone with a surgical instrument of a robotic system;

during reaming, tracking movement in the humeral bone position; and

adjusting position of the surgical instrument based on the movement in humeral bone position.

2. The method of claim 1 , wherein the robotic system comprises a first robotic arm having a reamer for reaming the canal in the humeral bone and a second arm having a gripping device to hold the humeral bone.

3. The method of claim 1 , wherein the reaming the canal includes receiving guidance inputs via the surgical instrument.

4. The method of claim 3 , wherein the reaming the canal includes limiting movements of the robotic arm in response to the guidance inputs received via the surgical instrument.

5. The method of claim 4 , wherein the limiting movement includes referencing a pre-operative plan to determine a set of reaming parameters.

6. The method of claim 3 , wherein the reaming the canal includes overriding safety boundaries enforced by the robotic system via the guidance inputs.

7. The method of claim 1 , further comprising implanting a prosthesis into the canal within the humeral bone using a robotic arm of the robotic system.

8. The method of claim 7 , wherein the implanting the prosthesis includes positioning the prosthesis using the robotic arm.

9. The method of claim 8 , wherein the positioning the prosthesis includes adjusting depth, inclination and version in accordance with a pre-operative plan.

10. The method of claim 7 , further comprising stabilizing the prosthesis within the canal using the robotic arm during bone fragment reattachment.

11. The method of claim 10 , wherein the stabilizing the prosthesis includes:

monitoring prosthesis position and humeral bone position;

maintaining prosthesis orientation; and

maintaining prosthesis depth within the canal.

12. The method of claim 10 , further comprising placing, matingly, the bone fragments together with a second robotic arm of the robotic system based on a 3D shoulder model.

13. A method for robotically assisted shoulder repair, the method comprising:

accessing, with a robotic system, a pre-operative plan;

initializing the robotic system including registering a humeral bone within a three-dimensional space using a computer-operated tracking system of the robotic system;

reaming a canal within the humeral bone with a surgical instrument of a robotic system based on the pre-operative plan;

during reaming, tracking movement in the humeral bone position and adjusting position of the surgical instrument based on the movement in humeral bone position; and

implanting a prosthesis into the canal using a robotic arm of the robotic system.

14. The method of claim 13 , further comprising stabilizing the prosthesis within the canal using the robotic arm to facilitate bone fragment reattachment.

15. The method of claim 14 , wherein the stabilizing the prosthesis includes:

monitoring prosthesis position and humeral bone position;

maintaining prosthesis orientation; and

maintaining prosthesis depth within the canal.

16. The method of claim 14 , further comprising placing, matingly, the bone fragments together with a second robotic arm of the robotic system based on a 3D shoulder model.

17. The method of claim 16 , wherein placing the bone fragments includes positioning the bone fragments within the surgical field.

18. The method of claim 16 , wherein placing the bone fragments includes attaching the bone fragments to the prosthesis or a portion of the humeral bone.

19. The method of claim 18 , wherein the attaching the bone fragments includes manual or robotic suturing.

20. The method of claim 16 , wherein placing the bone fragments includes tracking and identifying individual fragments within the surgical field using a stereo-optic visual tracking device mounted near an end effector of the robotic system.

Continuity (5)
Division 17218455 · Mar 31, 2021
Continuation 16210787 · Dec 5, 2018
Provisional Application 62688749 · Jun 22, 2018
Provisional Application 62595442 · Dec 6, 2017
Related Publication 20230389994A1 · Dec 7, 2023
References Cited (238)
US 2752116A · Minnis · 1956 [cited by applicant]
US 3910538A · Baitella · 1975 [cited by applicant]
US 4402481A · Sasaki · 1983 [cited by applicant]
US 4514117A · Scott · 1985 [cited by applicant]
US 5348259A · Blanco et al. · 1994 [cited by applicant]
US 5779209A · Rello · 1998 [cited by applicant]
US 5824085A · Sahay · 1998 [cited by examiner]
US 5899425A · Corey, Jr. et al. · 1999 [cited by applicant]
US 6467362B2 · Erikson · 2002 [cited by applicant]
US 6575653B1 · Kräuter · 2003 [cited by applicant]
US 6860877B1 · Sanchez et al. · 2005 [cited by applicant]
US 7182731B2 · Nguyen et al. · 2007 [cited by applicant]
US 7611378B1 · Brekosky et al. · 2009 [cited by applicant]
US 9592096B2 · Maillet et al. · 2017 [cited by applicant]
US D878585S · Garcia · 2020 [cited by applicant]
US 10687792B2 · Garcia et al. · 2020 [cited by applicant]
US 10687915B2 · Schlosser et al. · 2020 [cited by applicant]
US 10772704B2 · Garcia et al. · 2020 [cited by applicant]
US 10786264B2 · Chegini et al. · 2020 [cited by applicant]
US 10835345B2 · Billard et al. · 2020 [cited by applicant]
US D910848S · Garcia · 2021 [cited by applicant]
US 10987175B2 · Britton et al. · 2021 [cited by applicant]
US 11179222B2 · Schlosser et al. · 2021 [cited by applicant]
US 11389142B2 · Garcia et al. · 2022 [cited by applicant]
US 20020017857A1 · Hashimoto et al. · 2002 [cited by applicant]
US 20020074472A1 · Gaida et al. · 2002 [cited by applicant]
US 20020117857A1 · Eckstein · 2002 [cited by applicant]
US 20020177857A1 · Otsuka et al. · 2002 [cited by applicant]
US 20020188293A1 · Manzo · 2002 [cited by applicant]
US 20040172012A1 · Otsuka et al. · 2004 [cited by applicant]
US 20080142658A1 · Jurja · 2008 [cited by applicant]
US 20080164395A1 · Chang et al. · 2008 [cited by applicant]
US 20100020002A1 · Van et al. · 2010 [cited by applicant]
US 20100200002A1 · Orban, III et al. · 2010 [cited by applicant]
US 20110290855A1 · Moore et al. · 2011 [cited by applicant]
US 20110315843A1 · Hung · 2011 [cited by applicant]
US 20120182134A1 · Doyle · 2012 [cited by applicant]
US 20120265240A1 · Ganske et al. · 2012 [cited by applicant]
US 20130187022A1 · Duportal et al. · 2013 [cited by applicant]
US 20130292522A1 · Sears · 2013 [cited by applicant]
US 20130299658A1 · Hung · 2013 [cited by applicant]
US 20140343572A1 · Windolf · 2014 [cited by examiner]
US 20140379038A1 · Dogramadzi et al. · 2014 [cited by applicant]
US 20150032215A1 · Slamin et al. · 2015 [cited by applicant]
US 20150100066A1 · Kostrzewski et al. · 2015 [cited by applicant]
US 20160081753A1 · Kostrzewski · 2016 [cited by applicant]
US 20160151120A1 · Kostrzewski et al. · 2016 [cited by applicant]
US 20160270780A1 · Hall et al. · 2016 [cited by applicant]
US 20170340210A1 · Chuang · 2017 [cited by applicant]
US 20170340389A1 · Otto et al. · 2017 [cited by applicant]
US 20170360521A1 · Johnson · 2017 [cited by applicant]
US 20180116758A1 · Schlosser et al. · 2018 [cited by applicant]
US 20180256217A1 · Dekel · 2018 [cited by examiner]
US 20180360544A1 · Vanheule · 2018 [cited by examiner]
US 20190167356A1 · Britton et al. · 2019 [cited by applicant]
US 20190274665A1 · Garcia · 2019 [cited by applicant]
US 20190274777A1 · Garcia et al. · 2019 [cited by applicant]
US 20190274778A1 · Billard et al. · 2019 [cited by applicant]
US 20190274780A1 · Nowatschin et al. · 2019 [cited by applicant]
US 20200281576A1 · Garcia et al. · 2020 [cited by applicant]
US 20200352676A1 · Schlosser et al. · 2020 [cited by applicant]
US 20210236211A1 · Britton et al. · 2021 [cited by applicant]
CN 107614817A · 2018 [cited by applicant]
DE 102015104810A1 · 2016 [cited by applicant]
EP 1327814A2 · 2003 [cited by applicant]
EP 2777539A2 · 2014 [cited by applicant]
EP 2143372B1 · 2014 [cited by applicant]
EP 3274521A1 · 2018 [cited by applicant]
JP S57144399A · 1982 [cited by applicant]
JP 63280911A · 1988 [cited by applicant]
JP S63280911A · 1988 [cited by applicant]
JP 2001187064A · 2001 [cited by applicant]
JP 2018509273A · 2018 [cited by applicant]
JP 2021062232A · 2021 [cited by applicant]
WO WO9639944A1 · 1996 [cited by applicant]
WO WO2014108898A1 · 2014 [cited by applicant]
WO WO2016160272A1 · 2016 [cited by applicant]
WO WO2017017443A1 · 2017 [cited by applicant]
WO WO2017151887A1 · 2017 [cited by applicant]
WO WO2019177567A1 · 2019 [cited by applicant]
WO WO2019177569A1 · 2019 [cited by applicant]
WO WO2019177570A1 · 2019 [cited by applicant]
US 10,792,124 B2, 10/2020, Billard et al. (withdrawn) [cited by applicant]
U.S. Appl. No. 15/560,894 U.S. Pat. No. 10,687,915, filed Sep. 22, 2017, Rapidly Repositionable Powered Support Arm. [cited by applicant]
U.S. Appl. No. 16/877,023 U.S. Pat. No. 11,179,222, filed May 18, 2020, Rapidly Repositionable Powered Support Arm. [cited by applicant]
U.S. Appl. No. 16/210,787 U.S. Pat. No. 10,987,175, filed Dec. 5, 2018, Robotic Shoulder Repair and Reconstruction. [cited by applicant]
U.S. Appl. No. 17/218,455, filed Mar. 31, 2021, Robotic Shoulder Repair and Reconstruction. [cited by applicant]
U.S. Appl. No. 15/918,531 U.S. Pat. No. 10,687,792, filed Mar. 12, 2018, End Effector Coupler for Surgical Arm. [cited by applicant]
U.S. Appl. No. 29/721,682 U.S. Pat. No. D. 910,848, filed Jan. 22, 2020, End Effector Coupler Stem. [cited by applicant]
U.S. Appl. No. 29/640,121 U.S. Pat. No. D. 878,585, filed Mar. 12, 2018, End Effector Coupler Stem. [cited by applicant]
U.S. Appl. No. 16/879,500 U.S. Pat. No. D. 878,585, filed May 20, 2020, End Effector Coupler for Surgical Arm. [cited by applicant]
U.S. Appl. No. 15/919,150 U.S. Pat. No. 10,772,704, filed Mar. 12, 2018, End Effector Coupler for Surgical Arm. [cited by applicant]
U.S. Appl. No. 16/994,181, filed Aug. 14, 2020, End Effector Coupler for Surgical Arm. [cited by applicant]
U.S. Appl. No. 15/919,161 U.S. Pat. No. 10,835,345, filed Mar. 12, 2018, End Effector Coupler for Surgical Arm. [cited by applicant]
U.S. Appl. No. 17/015,734, filed Sep. 9, 2020, End Effector Coupler for Surgical Arm. [cited by applicant]
“3840 Series Holder”, Fisso—Rail-mounted instrument holding arm / articulated, [Online]. [Accessed Oct. 26, 2017]. Retrieved from the Internet: <URL: http://www.medicalexpo.com/prod/fisso/product-67723-681104.html>, 3 p… [cited by applicant]
“3D-Arm™”, Elekta—Minimally invasive surgery instrument holding arm, [Online]. [Accessed Oct. 16, 2017]. Retrieved from the Internet: <URL: http://www.medicalexpo.com/prod/elekta/product-70692-509376.html>, 8 pgs. [cited by applicant]
“ALLY Uterine Positioning System”, Cooper Surgical, [Online]. [Accessed Oct. 16, 2017]. Retrieved from the Internet: <URL: https://www.coopersurgical.com/Products/Detail/ALLY-Uterine-Positioning-System>, 2 pgs. [cited by applicant]
“Anatomical Shoulder Fracture System”, Zimmer Surgical Technique, 97-4223-003-00 Rev. 1, (2005), 24 pgs. [cited by applicant]
“Anatomical Shoulder Glenoid”, Zimmer Surgical Technique, (2014), 12 pgs. [cited by applicant]
“U.S. Appl. No. 15/560,894, Final Office Action mailed Nov. 29, 2019”, 8 pgs. [cited by applicant]
“U.S. Appl. No. 15/560,894, Non Final Office Action mailed May 16, 2019”, 9 pgs. [cited by applicant]
“U.S. Appl. No. 15/560,894, Notice of Allowance mailed Feb. 13, 2020”, 8 pgs. [cited by applicant]
“U.S. Appl. No. 15/560,894, Preliminary Amendment filed Sep. 22, 2017”, 7 pgs. [cited by applicant]
“U.S. Appl. No. 15/560,894, Response filed Jan. 28, 2020 to Final Office Action mailed Nov. 29, 2019”, 7 pgs. [cited by applicant]
“U.S. Appl. No. 15/560,894, Response filed Mar. 21, 2019 to Restriction Requirement mailed Dec. 31, 2018”, 9 pgs. [cited by applicant]
“U.S. Appl. No. 15/560,894, Response filed Aug. 16, 2019 to Non Final Office Action mailed May 16, 2019”, 11 pgs. [cited by applicant]
“U.S. Appl. No. 15/560,894, Restriction Requirement mailed Dec. 31, 2018”, 7 pgs. [cited by applicant]
“U.S. Appl. No. 15/560,894, Supplemental Preliminary Amendment filed Sep. 29, 2017”, 7 pgs. [cited by applicant]
“U.S. Appl. No. 15/918,531, Corrected Notice of Allowability mailed May 20, 2020”, 2 pgs. [cited by applicant]
“U.S. Appl. No. 15/918,531, Non Final Office Action mailed Sep. 26, 2019”, 12 pgs. [cited by applicant]
“U.S. Appl. No. 15/918,531, Notice of Allowance mailed Feb. 19, 2020”, 11 pgs. [cited by applicant]
“U.S. Appl. No. 15/918,531, Response filed Dec. 26, 2019 to Non Final Office Action mailed Sep. 26, 2019”, 12 pgs. [cited by applicant]
“U.S. Appl. No. 15/919,150, Non Final Office Action mailed Jan. 13, 2020”, 10 pgs. [cited by applicant]
“U.S. Appl. No. 15/919,150, Notice of Allowance mailed May 12, 2020”, 5 pgs. [cited by applicant]
“U.S. Appl. No. 15/919,150, Response filed Apr. 10, 2020 to Non Final Office Action mailed Jan. 13, 2020”, 11 pgs. [cited by applicant]
“U.S. Appl. No. 15/919,150, Supplemental Notice of Allowability mailed Jul. 6, 2020”, 2 pgs. [cited by applicant]
“U.S. Appl. No. 15/919,150, Supplemental Notice of Allowability mailed Jul. 29, 2020”, 2 pgs. [cited by applicant]
“U.S. Appl. No. 15/919,161, Corrected Notice of Allowability mailed Jul. 29, 2020”, 2 pgs. [cited by applicant]
“U.S. Appl. No. 15/919,161, Corrected Notice of Allowability mailed Aug. 26, 2020”, 4 pgs. [cited by applicant]
“U.S. Appl. No. 15/919,161, Corrected Notice of Allowability mailed Oct. 15, 2020”, 2 pgs. [cited by applicant]
“U.S. Appl. No. 15/919,161, Final Office Action mailed Feb. 19, 2020”, 7 pgs. [cited by applicant]
“U.S. Appl. No. 15/919,161, Non Final Office Action mailed Sep. 26, 2019”, 18 pgs. [cited by applicant]
“U.S. Appl. No. 15/919,161, Notice of Allowance mailed Jun. 4, 2020”, 9 pgs. [cited by applicant]
“U.S. Appl. No. 15/919,161, Response filed May 18, 2020 to Final Office Action mailed Feb. 19, 2020”, 10 pgs. [cited by applicant]
“U.S. Appl. No. 15/919,161, Response filed Dec. 26, 2019 to Non Final Office Action mailed Sep. 26, 2019”, 13 pgs. [cited by applicant]
“U.S. Appl. No. 16/210,787, Non Final Office Action mailed Sep. 15, 2020”, 7 pgs. [cited by applicant]
“U.S. Appl. No. 16/210,787, Notice of Allowance mailed Jan. 4, 2021”, 8 pgs. [cited by applicant]
“U.S. Appl. No. 16/210,787, Response filed Jun. 15, 2020 to Restriction Requirement mailed Apr. 16, 2020”, 6 pgs. [cited by applicant]
“U.S. Appl. No. 16/210,787, Response filed Dec. 9, 2020 to Non Final Office Action mailed Sep. 15, 2020”, 8 pgs. [cited by applicant]
“U.S. Appl. No. 16/210,787, Restriction Requirement mailed Apr. 16, 2020”, 5 pgs. [cited by applicant]
“U.S. Appl. No. 16/877,023, Corrected Notice of Allowability mailed Aug. 16, 2021”, 2 pgs. [cited by applicant]
“U.S. Appl. No. 16/877,023, Ex Parte Quayle Action mailed Apr. 29, 2021”, 7 pgs. [cited by applicant]
“U.S. Appl. No. 16/877,023, Notice of Allowance mailed Jul. 22, 2021”, 8 pgs. [cited by applicant]
“U.S. Appl. No. 16/877,023, Preliminary Amendment filed Jul. 31, 2020”, 7 pgs. [cited by applicant]
“U.S. Appl. No. 16/877,023, Response filed Mar. 26, 2021 to Restriction Requirement mailed Jan. 26, 2021”, 10 pgs. [cited by applicant]
“U.S. Appl. No. 16/877,023, Response filed Jun. 24, 2021 to Ex Parte Quayle Action mailed Apr. 29, 2021”, 4 pgs. [cited by applicant]
“U.S. Appl. No. 16/877,023, Restriction Requirement mailed Jan. 26, 2021”, 7 pgs. [cited by applicant]
“U.S. Appl. No. 16/879,500, Non Final Office Action mailed Jan. 6, 2022”, 11 pgs. [cited by applicant]
“U.S. Appl. No. 16/879,500, Notice of Allowance mailed Mar. 21, 2022”, 8 pgs. [cited by applicant]
“U.S. Appl. No. 16/879,500, Preliminary Amendment filed Jun. 19, 2020”, 6 pgs. [cited by applicant]
“U.S. Appl. No. 16/879,500, Response filed Mar. 3, 2022 to Non Final Office Action mailed Jan. 6, 2022”, 8 pgs. [cited by applicant]
“U.S. Appl. No. 17/218,455, Notice of Allowance mailed May 31, 2023”, 8 pgs. [cited by applicant]
“U.S. Appl. No. 17/218,455, Preliminary Amendment filed Jun. 24, 2021”, 6 pgs. [cited by applicant]
“U.S. Appl. No. 29/640,121, Corrected Notice of Allowability mailed Jan. 21, 2020”, 4 pgs. [cited by applicant]
“U.S. Appl. No. 29/640,121, Notice of Allowance mailed Nov. 5, 2019”, 8 pgs. [cited by applicant]
“U.S. Appl. No. 29/721,682, Corrected Notice of Allowability mailed Jan. 19, 2021”, 3 pgs. [cited by applicant]
“U.S. Appl. No. 29/721,682, Examiner Interview Summary mailed Sep. 17, 2020”, 3 pgs. [cited by applicant]
“U.S. Appl. No. 29/721,682, Non Final Office Action mailed Jun. 23, 2020”, 7 pgs. [cited by applicant]
“U.S. Appl. No. 29/721,682, Notice of Allowance mailed Oct. 5, 2020”, 7 pgs. [cited by applicant]
“U.S. Appl. No. 29/721,682, Response filed Sep. 14, 2020 to Non Final Office Action mailed Jun. 23, 2020”, 9 pgs. [cited by applicant]
“Assisto Arm System”, Geomed GMBH, [Online]. [Accessed Oct. 16, 2017]. Retrieved from the Internet: <URL: http://www.geomed.de/index.php?id=65&L=1>, 1 pg. [cited by applicant]
“Atlas™ Flex Arm System”, Axcess Surgical, [Online]. [Accessed Oct. 16, 2017]. Retrieved from the Internet: <URL: http://www.axcesssurgical.com/axcess-surgical-innovations-products/atlas-flex-arm-system/>, 5 pgs. [cited by applicant]
“Atlas™ Rigid Arm System”, Axcess Surgical, [Online]. [Accessed Oct. 16, 2017]. Retrieved from the Internet: <URL: http://www.axcesssurgical.com/axcess-surgical-innovations-products/atlas-rigid-arm-system/>, 6 pgs. [cited by applicant]
“Australian Application Serial No. 2016243292, First Examination Report mailed Apr. 7, 2020”, 4 pgs. [cited by applicant]
“Australian Application Serial No. 2016243292, Response filed Jun. 29, 2020 to First Examination Report mailed Apr. 7, 2020”, 30 pgs. [cited by applicant]
“Australian Application Serial No. 2016243292, Response filed Sep. 30, 2020 to Subsequent Examiners Report mailed Jul. 30, 2020”, 30 pgs. [cited by applicant]
“Australian Application Serial No. 2016243292, Subsequent Examiners Report mailed Jul. 20, 2020”, 5 pgs. [cited by applicant]
“Australian Application Serial No. 2016243292, Subsequent Examiners Report mailed Oct. 14, 2020”, 3 pgs. [cited by applicant]
“Bookler® StrongArm™ Holder”, Mediflex, [Online]. [Accessed Nov. 2, 2017]. Retrieved from the Internet: <URL: http://www.mediflex.com/product/bookler-strongarm-holder-and-positioner-set-12-30cm-post/>, (2015), 4 pgs. [cited by applicant]
“Canadian Application Serial No. 2,980,725, Office Action mailed May 21, 2021”, 6 pgs. [cited by applicant]
“Canadian Application Serial No. 2,980,725, Office Action mailed Nov. 12, 2020”, 4 pgs. [cited by applicant]
“Canadian Application Serial No. 2,980,725, Response filed Mar. 11, 2021 to Office Action mailed Nov. 12, 2020”, 17 pgs. [cited by applicant]
“Canadian Application Serial No. 2,980,725, Response filed Sep. 21, 2021 to Office Action mailed May 21, 2021”, 13 pages. [cited by applicant]
“Canadian Application Serial No. 3,002,354, Office Action mailed Apr. 27, 2020”, 3 pgs. [cited by applicant]
“Canadian Application Serial No. 3,002,354, Office Action mailed Jul. 4, 2019”, 4 pgs. [cited by applicant]
“Canadian Application Serial No. 3,002,354, Response filed Aug. 4, 2020 to Office Action mailed Apr. 27, 2020”, 18 pgs. [cited by applicant]
“Canadian Application Serial No. 3,002,354, Response filed Dec. 20, 2019 to Office Action mailed Jul. 4, 2019”, 14 pgs. [cited by applicant]
“Chinese Application Serial No. 201680027778.9, Office Action mailed Feb. 6, 2020”, with English translation, 6 pages. [cited by applicant]
“Chinese Application Serial No. 201680027778.9, Office Action mailed Jun. 12, 2020”, with English translation, 18 pages. [cited by applicant]
“Chinese Application Serial No. 201680027778.9, Office Action mailed Jul. 12, 2019”, w/English Translation, 20 pgs. [cited by applicant]
“Chinese Application Serial No. 201680027778.9, Response filed Mar. 19, 2020 to Office Action mailed Feb. 6, 2020”, with English claims, 8 pages. [cited by applicant]
“Chinese Application Serial No. 201680027778.9, Response filed Jul. 15, 2020 to Office Action mailed Jun. 12, 2020”, with English claims, 71 pages. [cited by applicant]
“Chinese Application Serial No. 201680027778.9, Response filed Oct. 31, 2019 to Office Action mailed Jul. 12, 2019”, (w/English Claims), 15 pgs. [cited by applicant]
“Comprehensive Segmental Revision System, Proximal Humeral Reconstruction, Distal Humeral Reconstruction, Total Humeral Reconstruction”, Zimmer Biomet Surgical Technique, 0097.1-US-en-REV0416, (2016), 68 pgs. [cited by applicant]
“EndoArm”, Olympus, [Online]. [Accessed Nov. 2, 2017]. Retrieved from the Internet: <URL: https://www.olympus.co.jp/jp/news/2003b/nr030925endoj.html>, (Sep. 25, 2003), 4 pgs. [cited by applicant]
“EndoCrane”, Karl Storz—LEROY Retractors for Laparoscopic Colorectal Surgery, [Online]. [Accessed Oct. 16, 2017]. Retrieved from the Internet: <URL: https://www.karlstorz.com/cps/rde/xbcr/karlstorz_assets/ASSETS/2193800… [cited by applicant]
“European Application Serial No. 16773696.6, Communication Pursuant to Article 94(3) EPC mailed May 30, 2022”, 5 pgs. [cited by applicant]
“European Application Serial No. 16773696.6, Extended European Search Report mailed Nov. 19, 2018”, 8 pgs. [cited by applicant]
“European Application Serial No. 16773696.6, Response filed Jun. 4, 2018 to Office Action mailed Nov. 22, 2018”. [cited by applicant]
“European Application Serial No. 16773696.6, Response filed Jun. 17, 2019 to Extended European Search Report mailed Nov. 19, 2018”, 18 pgs. [cited by applicant]
“European Application Serial No. 18210813.4, Extended European Search Report mailed Apr. 12, 2019”, 7 pgs. [cited by applicant]
“European Application Serial No. 18713116.4, Response to Communication pursuant to Rules 161(1) and 162 EPC filed Apr. 29, 2021”, 20 pgs. [cited by applicant]
“European Application Serial No. 18713548.8, Response to Communication pursuant to Rules 161(1) and 162 EPC filed Apr. 29, 2021”, 21 pgs. [cited by applicant]
“European Application Serial No. 18713549.6, Response to Communication pursuant to Rules 161(1) and 162 EPC filed May 20, 2021”, 23 pgs. [cited by applicant]
“Genzyme Remote Surgical Retractor Arm Hands Free Pneumatic System”, Renix International/Alibaba.com Copyright 1999-2017, [Online]. [Accessed Nov. 2, 2017]. Retrieved from the Internet: <URL: http://renix.trustpass.alib… [cited by applicant]
“Helping Hand”, Fraunhofer IPA—The helping hand in the operation room Research News, [Online]. [Accessed Oct. 16, 2017]. Retrieved from the Internet: <URL:https://www.fraunhofer.de/en/press/research-news/2015/november/h… [cited by applicant]
“International Application Serial No. PCT/US2016/021076, International Preliminary Report on Patentability mailed Oct. 12, 2017”, 11 pgs. [cited by applicant]
“International Application Serial No. PCT/US2016/021076, International Search Report mailed Aug. 11, 2016”, 4 pgs. [cited by applicant]
“International Application Serial No. PCT/US2016/021076, Invitation to Pay Add'l Fees and Partial Search Report Mailed May 25, 2016”, 2 pgs. [cited by applicant]
“International Application Serial No. PCT/US2016/021076, Written Opinion mailed Aug. 11, 2016”, 8 pgs. [cited by applicant]
“International Application Serial No. PCT/US2018/021988, International Preliminary Report on Patentability mailed Sep. 24, 2020”, 8 pgs. [cited by applicant]
“International Application Serial No. PCT/US2018/021988, International Search Report mailed Dec. 20, 2018”, 4 pgs. [cited by applicant]
“International Application Serial No. PCT/US2018/021988, Written Opinion mailed Dec. 20, 2018”, 6 pgs. [cited by applicant]
“International Application Serial No. PCT/US2018/022004, International Preliminary Report on Patentability mailed Sep. 24, 2020”, 14 pgs. [cited by applicant]
“International Application Serial No. PCT/US2018/022004, International Search Report mailed Feb. 14, 2019”, 8 pgs. [cited by applicant]
“International Application Serial No. PCT/US2018/022004, Invitation to Pay Additional Fees mailed Dec. 19, 2018”, 15 pgs. [cited by applicant]
“International Application Serial No. PCT/US2018/022004, Written Opinion mailed Feb. 14, 2019”, 14 pgs. [cited by applicant]
“International Application Serial No. PCT/US2018/022006, International Preliminary Report on Patentability mailed Sep. 24, 2020”, 15 pgs. [cited by applicant]
“International Application Serial No. PCT/US2018/022006, International Search Report mailed Feb. 8, 2019”, 8 pgs. [cited by applicant]
“International Application Serial No. PCT/US2018/022006, Invitation to Pay Additional Fees mailed Dec. 12, 2018”, 16 pgs. [cited by applicant]
“International Application Serial No. PCT/US2018/022006, Written Opinion mailed Feb. 8, 2019”, 15 pgs. [cited by applicant]
“IronIntern”, Automated Medical, [Online]. [Accessed Oct. 16, 2017]. Retrieved from the Internet: <URL: http://ironintern.com/iron-intern%E2%84%A2>, 1 pg. [cited by applicant]
“Japanese Application Serial No. 2018-501138, Examiners Decision of Final Refusal mailed May 11, 2021”, (W/ English Translation), 6 pgs. [cited by applicant]
“Japanese Application Serial No. 2018-501138, Final Notification of Reasons for Refusal mailed Sep. 29, 2020”, (W/ English Translation), 5 pgs. [cited by applicant]
“Japanese Application Serial No. 2018-501138, Notification of Reasons for Refusal mailed Nov. 5, 2019”, (w/English Translation), 15 pgs. [cited by applicant]
“Japanese Application Serial No. 2018-501138, Response filed Apr. 22, 2020 to Notification of Reasons for Refusal mailed Nov. 5, 2019”, with English claims, 15 pgs. [cited by applicant]
“Japanese Application Serial No. 2018-501138, Response filed Sep. 13, 2021 to Examiners Decision of Final Refusal mailed May 11, 2021”, with English claims, 18 pages. [cited by applicant]
“Japanese Application Serial No. 2018-501138, Response filed Dec. 28, 2020 to Final Notification of Reasons for Refusal mailed Sep. 29, 2020”, (W/ English Claims), 11 pgs. [cited by applicant]
“Jarit Endoscope Holder”, Integra, [Online]. [Accessed Oct. 16, 2017]. Retrieved from: <URL:https://www.integralife.com/endoscope-instrument-holder-set/product/surgical-instruments-hospitals-surgery-centers-tissue-banks… [cited by applicant]
“Korean Application Serial No. 10-2017-7030940, Notice of Preliminary Rejection mailed Feb. 4, 2021”, (W/ English Translation), 4 pgs. [cited by applicant]
“Korean Application Serial No. 10-2017-7030940, Notice of Preliminary Rejection mailed Aug. 10, 2020”, (W/ English Translation), 13 pgs. [cited by applicant]
“Korean Application Serial No. 10-2017-7030940, Response filed Mar. 31, 2021 to Notice of Preliminary Rejection mailed Feb. 5, 2021”, (W/English Translation), 11 pgs. [cited by applicant]
“Korean Application Serial No. 10-2017-7030940, Response filed Oct. 8, 2020 to Notice of Preliminary Rejection mailed Aug. 10, 2020”, (W/ English Translation), 34 pgs. [cited by applicant]
“M-Trac”, Aesculap / B Braun, [Online]. [Accessed—Oct. 16, 2017]. Retrieved from the Internet: <URL: https://www.bbraun.com/en/products/b/m-trac.html>, 2 pgs. [cited by applicant]
“Martin's Arm”, Hayden Medical (& others), [Online]. [Accessed Oct. 16, 2017]. Retrieved from the Internet: <URL: http://haydenmedical.com/surgical-retractors-martins-arm-retractors/>, 2 pgs. [cited by applicant]
“Mechanical Arm—Mod. 8470”, Ansabere Surgical, [Online]. [Accessed Oct. 16, 2017]. Retrieved from the Internet: <URL: http://www.ansaberesurgical.com/en/productos/brazos-mecanicos/brazo-mecanico-mod-8470/>, 5 pgs. [cited by applicant]
“Phantom ML”, TeDan Surgical Innovations, [Online]. [Accessed Nov. 14, 2017]. Retrieved from the Internet: <URL: http://www.tedansurgical.com/spine/articulating-arms/>, 2 pgs. [cited by applicant]
“Point Setter”, Mitaka Kohki Co., Ltd. Operating / User's Manual Model: PSMS2, (Feb. 14, 2010), 28 pgs. [cited by applicant]
“PositionOR”, Surgical Concept Designs, [Online]. [Acessed Nov. 14, 2017]. Retrieved from the Internet: <URL: http://surgical-concepts.com/products/PositionOR/>, 1 pg. [cited by applicant]
“Postioning Arm”, Civco-Laparostat™ Kit, [Online]. [Accessed Oct. 16, 2017]. Retrieved from the Internet: <URL: http://www.civco.com/mmi/resources/ifu/043687.pdf>, 16 pgs. [cited by applicant]
“SaphLITE | RadLITE”, Teleflex Medical, [Online]. [Accessed Nov. 14, 2017]. Retrieved from the Internet: <URL: https://www.teleflex.com/en/usa/prod_saphlite-radlite.php>, 1 pg. [cited by applicant]
“Saphlite/Saphlift”, Genzyme Surgical Products (Jan. 7, 1999), [Online]. [Accessed Oct. 16, 2017]. Retrieved from the Internet: <URL: https://www.accessdata.fda.gov/cdrh_docs/pdf/K990062.pdf>, 5 pgs. [cited by applicant]
“Speed-Tract”, Integra-Table Mounted Speed-Tract Retractor System, [Online]. [Accessedd Oct. 16, 2017]. Retrieved from the Internet: <URL: http://occ.integralife.com/products%2Fpdfs%2Fintegra%20table%20mounted%20speed-t… [cited by applicant]
“Spider2 Limb Positioner”, Smith & Nephew, [Online]. [Accessed Nov. 14, 2017]. Retrieved from the Internet: <URL: http://www.smith-nephew.com/new-zealand/advanced-surgical-devices/key-products/sports-medicine/spider2-li… [cited by applicant]
“Spine Endoscope & Endoscope Holder”, Maxer, [Online]. [Accessed Nov. 2, 2017]. Retrieved from the Internet: <URL: http://www.maxerendoscopy.com/index.php?option=com_content&view=article&id=190:spine-endoscope-endoscope… [cited by applicant]
“SurgiAssist Camera Holder”, SurgiToolsMIS, [Online]. [Acessed Nov. 14, 2017]. Retrieved from the Internet: <URL: https://www.surgitools.com/surgiassist-camera-holder.html>, 4 pgs. [cited by applicant]
“Synaptive BrightMatter Drive Robotic Surgical Video Arm System”, Synaptive, [Online]. [Accessed Nov. 14, 2017]. Retrieved from the Internet: <URL: https://www.medgadget.com/2016/05/synaptive-brightmatter-drive-robotic-… [cited by applicant]
“TEE Transducer Holder”, Civco, [Online]. [Accessed Oct. 16, 2017]. Retrieved from the Internet: <URL: http://www.civco.com/mmi/resources/product-support/TEE-Holder-Brochure_2008P-2339-Rev-2_low-res-819rv5.pdf>, 8 pgs. [cited by applicant]
“The Freehand System”, Freehand-V1.2, [Online]. [Acessed Oct. 16, 2017]. Retrieved from the Internet: <URL: http://freehandsurgeon.com/Products/Detail?id=2>, 3 pgs. [cited by applicant]
“TiREX® Retractor System”, Orion Surgical, [Online]. [Accessed Nov. 2, 2017]. Retrieved from the Internet: <URL: http://www.orion-surgical.com/english/tirex-retractor-system/components-of-the-tirex.html>, (2017), 2 pgs. [cited by applicant]
“Trimano 3D Support Arm”, Maquet, [Online]. [Accessed Oct. 16 , 2017]. Retrieved from the Internet: <URL: https://www.maquet.com/int/products/trimano-3d-support-arm/>, 3 pgs. [cited by applicant]
“UniARM Surgical Support System”, Mitaka Kohki Co., Ltd. Operating / User Manual Version 1.1, [Online]. [Accessed Nov. 2, 2017]. Retrieved from the Internet: <URL: http://mitakausa.com/uniarm/>, (Mar. 20, 2009), 19 pgs. [cited by applicant]
“Unitrac Retraction & holding system for open & minimally invasive surgery”, Aesculap Surgical Technologies—Surgical Instruments, (2010), 12 pgs. [cited by applicant]
“Unitrac® Pneumatic Holding Arm”, Aesculap / B Braun, [Online]. [Accessed Oct. 16, 2017]. Retrieved from the Internet: <URL: https://www.bbraun.com/en/products/b/unitrac-pneumaticholdingarm.html>, 3 pgs. [cited by applicant]
“Vertek Articulating Arm”, Medtronic—Copyright 2013, [Online]. [Accessed Nov. 2, 2017]. Retrieved from the Internet: <URL: http://global.medtronic.com/xg-en/healthcare-professionals/products/neurological/surgical-naviga… [cited by applicant]
“Viky”, Endocontrol Medical, [Online]. [Accessed 2014]. Retrieved from the Internet: <URL: http://www.endocontrol-medical.com/en/viky-en/>, 5 pgs. [cited by applicant]
“Wingman Scope Holder”, Stryker, [Online]. [Accessed Nov. 14, 2017]. Retrieved from the Internet: <URL: http://www.stryker.com/cn/products/OREquipmentTelemedicine/EndoscopicSurgeryEquipment/Laparoscopy/Accessories/Scope… [cited by applicant]