Abstract: Piezoelectric osteotomy devices and corresponding systems and methods for removing an acetabular cup or shell from a patient's acetabulum are disclosed. In one embodiment, the piezoelectric osteotomy device includes a piezoelectric element to actuate a cutting tip on an armature. In some such embodiments, the cutting tip may be extended and/or retracted to facilitate cutting of bone around an acetabular cup. The armature may include a fluid output port located proximate the cutting tip to mitigate heat generated by the cutting tip. In one embodiment, the piezoelectric osteotomy device is arranged and configured to provide constant current adjustment.

Abstract: The present disclosure provides an additively manufactured resurfacing implant (100) configured for use in a resurfacing surgery in which one or more porous regions (130) are provided at an internal fixation surface of a resurfacing head (110) of the resurfacing implant. In various embodiments, the additively manufactured resurfacing implant comprises one or more substantially nonporous regions that correspond to the resurfacing head and a stem (120) of the resurfacing implant and one or more porous regions that are positioned on an internal surface of the resurfacing head. The present disclosure also provides an intermediate constructions and an additive manufacturing process for forming such a resurfacing implant.

Abstract: Example implant delivery systems are disclosed. An example implant delivery system includes an elongate shaft and a frame coupled to a distal end region of the elongate shaft. The frame includes a body portion and a plurality of attachment arms extending from the body portion, wherein each of the attachment arms includes a support member configured to extend through an aperture of an implant. Further, each of the attachment arms includes a stop disposed on a free end region of the support member, wherein the stop is configured to releasably secure the implant to the frame.

Abstract: Drill guide assemblies are adjustable for proper alignment of drill holes in the glenoid with the drill holes in the coracoid during a Latarjet procedure. The drill guide has an aimer arm extending from the body of the drill guide which has a fixed angle with respect to a drill sleeve inserted through the guide. The aimer arm can move up or down relative to the drill sleeve while maintaining the fixed angle relative to the drill sleeve by actuation of a translation member on the body.

Abstract: Anchor delivery systems include anchors having a generally cylindrical body with a rail on top for positioning within a delivery device slot. The rail incorporates a side-bulge as a retaining feature which axially extends along a majority of the length of the rail. The bulge interferes with a corresponding hourglass cutout in the delivery device slot to prevent the anchor from stripping out of the delivery device when the delivery device is retracted through tissue. The anchors are symmetrical along a length and width to facilitate loading within the delivery device. The distal portion of the delivery device includes a series of distally-extending barbs that intentionally change the penetration force required to push the device tip through tissue.

Abstract: A system is disclosed that includes an optical tracking device and a surgical computing device. The optical tracking device includes a structured light module and an optical module that includes an image sensor and is spaced from the structured light module at a known distance. The surgical computing device includes a display device, a non-transitory computer readable medium including instructions, and processor(s) configured to execute the instructions to generate a depth map from a first image captured by the image sensor during projection of a pattern into a surgical environment by the structured light module. The pattern is projected in a near-infrared (NIR) spectrum. The processor(s) are further configured to execute the stored instructions to reconstruct a 3D surface of anatomical structure(s) based on the generated depth map. Additionally, the processor(s) are configured to execute the stored instructions to output the reconstructed 3D surface to the display device.

Abstract: Methods, non-transitory computer readable media, and arthroscopic video analysis apparatuses and systems that facilitate improved analysis of videos of arthroscopic procedures are disclosed. With this technology, analytical data related to the video feed of an arthroscopic surgery can be obtained using machine learning models and associated with the video feed. The generated videos can be output in real-time to provide contextual information related to the surgical procedure, or can be saved for playback for training or informational purposes.

Abstract: The present disclosure provides a machine learning model to model a normal version of a bone from an abnormal version of the bone. The machine learning model can be trained with a training set including abnormal bone images and corresponding normalized, or post-operative, bone images. The abnormal bone image and the inferred normal bone image can be used to plan a surgery to correct the abnormal bone with a surgical navigation system.

Abstract: Systems for fusing arthroscopic video data are described. A system comprises an arthroscopic assembly, an inertial measurement unit (IMU) mounted on the arthroscopic assembly, a processor, and a processor-readable storage medium. An arthroscopic surgical plan, images from the arthroscopic assembly, and measurements from the IMU may be obtained. The images and the measurements may be combined to form a data combination. The data combination may be filtered to form a fused data set. The fused data set may control a device. A map of an arthroscopic surgical site may be created based on the fused data set, and a position of the arthroscopic assembly with respect to the arthroscopic surgical site may be calculated. The arthroscopic surgical plan may be updated based on at least one of the map of the arthroscopic surgical site and the position of the arthroscopic assembly.

Abstract: The present disclosure provides a surgical navigation system that utilizes multimodal tracking along with low profile/small diameter bone pins to fix FBG sensors to a patient. With some embodiments, a multi-core fiber optic cable having both an infrared (IR) tracking sensor disposed at a known location in the multi-core fiber optic cable and FBGs. The FBGs can be used to locate the tip of the cable relative to the IR marker, where the tip of the cable is embedded in a bone, the location of the done can be determined.

Abstract: In order to position an ankle prosthesis including a tibial implant and a talus implant provided with a talo-calcaneal anchoring keel, the invention proposes a surgical instrumentation assembly including: a tibial phantom (60) of the tibial implant, adapted so as to be attached to the tibia (T) of a patient, and an aiming guide (80) adapted for setting into place an instrumentation element (90) through the talus (A) and the calcaneus (C) of the patient, along an axis (Z-Z) for implanting the talo-calcaneal anchoring keel, the tibial phantom and the aiming guide mechanically cooperating with each other to restrict movement of the tibial phantom and the aiming guide relative to each other along vertical and medio-lateral directions, wherein the aiming guide is configured to guide placement of the instrumentation element.

Abstract: A method if disclosed for operating a computing device communicatively coupled to a cloud-based data management system.

Abstract: Methods and systems of placing a medical fastener at a predetermined depth in a bone are described. A surgical tool can include an attachment assembly configured to interchangeably engage a medical fastener and a cutting element or bone removal tool and a drive assembly coupled to the attachment assembly. The attachment assembly can be configured to automatically release the medical fastener in response to the drive assembly reaching its end or distal-most position to place the medical fastener at a predetermined depth within the bone.

Abstract: A method of establishing access to a hip joint is disclosed. Pre-operative images of the hip joint are processed to produce a first three-dimensional model (pelvis) and a second three-dimensional model (femur). Data from the first probe and data from the second probe are collected and processed to produce a third three-dimensional model (pelvis) and a fourth three-dimensional model (femur), respectively. The first and third three-dimensional models are aligned to produce a first aligned model (pelvis), and the second and fourth three-dimensional models are aligned to produce a second aligned model (femur). A target location is determined between the first and second aligned models, and an entry vector cone is determined from the target location. A navigated guide wire is inserted along the entry vector cone to the target location.

Abstract: Variable aspiration control in surgical procedures. At least one example is a method of performing a surgical procedure, the method comprising: driving, by a surgical controller, a motor within a handpiece coupled to a resection instrument, the driving causes mechanical resection of tissue by the resection instrument; aspirating, by a peristaltic pump associated with the surgical controller, fluid and tissue fragments through a suction lumen of the resection instrument during the resection of tissue; and modulating, by the surgical controller, speed of the peristaltic pump during the driving and aspirating, the modulating responsive to an interface device defined on an exterior surface of the handpiece.

Abstract: The present invention relates to a method for registering a first anatomical structure (1) which is articulately coupled to a second anatomical structure (2), the method being constituted to be executed by a computer and comprising the steps of: acquiring second structure correlation data describing the spatial position of at least one correlation feature (3) relative to the second anatomical structure (2); acquiring coupling data describing a positional fixation (6) of the first anatomical structure (1) relative to the second anatomical structure (2), which is set by the articulated coupling (4) between the first anatomical structure (1) and the second anatomical structure (2); determining, based on the second structure correlation data and the coupling data, first structure correlation data describing the spatial position of the at least one correlation feature (3) relative to the first anatomical structure (1). The present invention further relates to a corresponding computer program and system.

Abstract: Tube delivery. One example is a tube delivery system comprising: a hand piece body; a shaft assembly extending from the hand piece body; and a drive assembly. The shaft assembly may comprise: an elongate outer tube; an introducer (310) defining a distal end, a first leaf on the distal end, a second leaf on the distal end, and an inside diameter; a tympanostomy tube disposed within and abutting the inside diameter of the introducer; and a pusher concentrically disposed within the introducer. The drive assembly may be disposed within the hand piece body, the drive assembly configured to longitudinally translate the introducer and the pusher relative to the elongate outer tube, wherein the drive assembly is configured to dilate the first leaf (508) and second leaf (510) by the pusher distally translating the tympanostomy tube relative to the introducer.

Abstract: Delivering an anesthetizing solution into the ear canal. One example embodiment is a method of treatment, the method comprising: adhering a pad to a patient, the adhering on the patients face proximate to a tragus of the patient, and the pad being a member of an earset assembly; inserting an earset into an ear canal of the patient; locking relative orientations of the earset and pad by way of a connection assembly, the locking in place to hold the earset in the ear canal; filling the ear canal with therapeutic fluid; and performing iontophoresis with the therapeutic fluid by way of an electrode of the earset.

Abstract: Methods, non-transitory computer readable media, and arthroscopic video segmentation apparatuses and systems that facilitate improved, automatic segmentation analysis of videos of arthroscopic procedures are disclosed. With this technology, a video feed of an arthroscopic surgery can be automatically segmented using machine learning models and one or more tags related to the segments can be associated with the video feed. The generated videos can be output in real time to provide segmented information related to the surgical procedure or can be saved with the one or more segments tagged for playback for training or informational purposes.