The present disclosure describes a device and methods for safely and accurately placing screws into bones with a powered driving device. By employing multiple
layers of fail-safe features and image-guidance systems, the powered driving device provides safe, accurate, and efficient
screw placement. That is, the powered driving device may continuously monitor a screw advancement and placement and may automatically shutdown when improper placement is detected. Monitoring placement may be conducted by a microcurrent-
monitoring system, by an image-
guidance system, or by any other appropriate
sensory system. Additionally, upon detecting that screw
insertion is complete, the powered driving device may be automatically shutdown. As
screw placement is continuously simulated by image-guidance in real time, multiple redundant
verification steps are eliminated, providing highly accurate
screw placement while decreasing clinician error, device
contamination, and surgical time, the decreased surgical time associated with decreased patient-
recovery time and associated medical costs.