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: 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.

Abstract: The invention relates to a method of determining the sagittal rotation of a patient's pelvis based on a standard anterior posterior X-ray-image with known image parameters and a calibration of the image, for example by using at least one King-Mark calibration object. The angle of the pelvic rotation is determined between a pelvic plane which is orthogonal to the midsagittal plane of the pelvis, and the image plane of the X-ray-image. Assuming the patient's position shown on the X-ray-image represents a standard neutral position, the X-ray-image plane can be used as a functional reference plane for further calculations, for example during hip-replacement surgery. The present invention further relates to a corresponding computer program and system.

Abstract: A suture passing device has a curved, slotted shaft with a piercing end and an integral suture grasper, allowing the surgeon to pierce through a first tissue portion with the device and extend a looped portion of monofilament loaded within the shaft into the repair site. The shaft is then rotated so that the monofilament is allowed to fall out of the shaft through the slot. The surgeon then pierces a second tissue portion with the device and extends the suture grasper to capture the looped portion of monofilament. The monofilament is retrieved through the second tissue portion and a suture is passed through the looped portion of the monofilament. Finally, the flexible member is used to pull the suture through the tissue and the suture can be tensioned to close the hip capsule.

Abstract: Disclosed herein is a joint evaluation device and corresponding systems and methods for evaluating ligaments and other soft tissue connections between, for example, a tibia and a femur at a knee j oint. The joint evaluation device being arranged and configured to induce and measure forces while positions of the tibia and femur are monitored. Some embodiments use a computer assisted surgery device to track positions of the tibia and the femur, and may include a computing device configured to evaluate the forces measured between a first engagement portion and a second engagement portion of the joint evaluation device to output information related to the status of the ligament and other soft tissue connections prior to any bone resections being made to the tibia or the femur.

Abstract: Prostheses, acetabular apparatuses, and methods of use are disclosed. In some embodiments, an acetabular apparatus includes an acetabular cup and an acetabular cage disposed within an interior of the acetabular cup. The acetabular cage may include a central portion including a first section and a second section rotatably coupled together, and a first flange extending from the first section and a second flange extending from the second section. The acetabular prosthesis may further include a fastener extending through each of the acetabular cup and the central portion of the acetabular cage.

Abstract: A force-sensing joint tensioner assembly, surgical system, and method of use is provided. The joint tensioner assembly can include a housing that is configured to receive a fluid from a pump and a movable member that is configured to translate relative to the housing as the fluid is pumped into the housing. The tensioner and/or a surgical system including the tensioner can further include a pressure sensor configured to sense a pressure exerted by the movable member as the movable member translates and distracts the patient's joint. A surgical computer system can be configured to determine a distraction distance of the joint according to a volume of the fluid pumped into the joint tensioner assembly by the pump and/or determine a pressure exerted by the movable member according to the pressure sensor.

Abstract: Embodiments of the invention include instruments and methods useful in preparing and delivering graft material to a surgical site. Some embodiments may particularly be directed to forming a graft from a blood clot and accurately and effectively handling and delivering the graft to a surgical site. Graft material may include blood components such as clotted fibrin derived from a patient's or a donor's blood.

Abstract: An insert for use in a knee prosthesis is disclosed. In one embodiment, the insert includes a medial compartment and a lateral compartment. The medial compartment includes a top surface having a concave surface or curve with a more posterior sulcus and increased anterior lip. The lateral compartment includes a top surface having at least a segment or portion with a convex surface or curve. Thus arranged, the insert is arranged and configured to provide improved stability for varying grades of PCL deficiencies compared to existing inserts that have a mid-line sulcus and lateral convexity. In addition, the insert provides improved lateral posterior translation compared to existing designs with a concave or flat lateral articulation that lack a lateral posterior convexity.

Abstract: Knee implants and components thereof are disclosed. A femoral component of a knee implant may include a reduced constraint region arranged on a portion of a patella path. The reduced constraint region may be configured to provide increased freedom-of-movement of a patella traveling over the reduced constraint region. The increased freedom-of-movement may be with respect to medial-lateral movement and/or internal-external rotation of the patella. The patella path may include a constraint region (e.g., a trochlear groove) positioned inferiorly of the reduced constraint region. A patella may travel within the reduced constraint region during extension (or partial flexion) and within the trochlear groove during flexion. A prosthetic patella having a raised portion is also disclosed. The raised portion may be configured to facilitate engagement of the prosthetic patella with the trochlear groove of the femoral component as the patella transitions from the reduced constraint region to the trochlear groove.

Abstract: Pump systems with pinch valves for surgical procedures. At least some of the example embodiments are pump systems including a stationary housing defining a front face. A tube support extends outwardly from the front face for aligning and supporting a first tube and a second tube. At least one pinch member is movable relative to the tube support by a power actuator operably coupled to the at least one pinch member and configured to have three orientations that define: a first arrangement of the pinch member relative to the tube support configured to pinch closed the first tube, a second arrangement of the at least one pinch member relative to the tube support configured to pinch closed the second tube, and a third arrangement of the at least one pinch member relative to the tube support configured to pinch closed neither the first tube nor the second tube.

Abstract: An external fixation strut and corresponding systems and methods of use with a bone alignment device are disclosed. The external fixation strut may provide an enhanced range of adjustable lengths and may be connected to a bone alignment device, thereby enabling the bone alignment device to be used over a larger workable range. As a result, comfort of a patient may be improved as the need to switch out the external fixation strut may be prevented. The external fixation strut may also include a single measurement scale that may be easily viewed and used to adjust the length of the external fixation strut, thereby ensuring more accurate length adjustments.

Abstract: An implant delivery system is disclosed. The implant delivery system includes a delivery shaft and a detachable frame longitudinally advanceable relative to a delivery sheath. A tether is secured to the detachable frame and extends through a lumen of the delivery shaft to a handle. The tether may be secured to a connection assembly, including a tack member, a tack disk and a collar. The connection assembly may be attached to the detachable frame. The handle may include a tether clamp to secure the tether relative to the handle.

Abstract: Disclosed herein is a joint evaluation device and corresponding systems and methods for evaluating ligaments and other soft tissue connections between, for example, a tibia and a femur at a knee joint. The joint evaluation device being arranged and configured to induce and measure forces while positions of the tibia and femur are monitored. Some embodiments use a computer assisted surgery device to track positions of the tibia and the femur, and may include a computing device configured to evaluate the forces measured between a first engagement portion and a second engagement portion of the joint evaluation device to output information related to the status of the ligament and other soft tissue connections prior to any bone resections being made to the tibia or the femur.

Abstract: Touchless control of surgical devices. One example is a method of performing a surgical procedure, the method comprising: receiving, by a touchless-interface controller, a touchless command directly identifying an operational parameter of a target surgical controller of a plurality of surgical controllers used for performing the surgical procedure; generating, by the touchless-interface controller, a command value from the touchless command; and communicating, by the touchless-interface controller, a control command to the target surgical controller of the plurality of surgical controllers based on the command value.

Abstract: Disclosed herein are methods, systems, and apparatuses related to a computer-assisted surgical system including various hardware and software components working together to enhance surgical workflows. The disclosed techniques may be applied to, for example, shoulder, hip, and knee arthroplasties, as well as other surgical interventions. In one example, a device including a powered handheld device, a fixation mechanism, removably attached to the handheld device, and a surgical tool held by the fixation mechanism, wherein one or more combination surgical tools/fixation mechanisms are preoperatively attached to the handheld device and calibrated.

Abstract: An adjustment compliance device and systems and methods for use with an external fixator are disclosed. The adjustment compliance device can be attached to a strut of an external fixator and may include at least one indicator element to indicate adjustment parameters for an active step of an adjustment process for the external fixator. The adjustment parameters may include an active strut and/or a direction of adjustment for the strut. The adjustment compliance device may receive the adjustment parameters from a user device. The at least one indicator element may include a light element operative to emit light in a color corresponding to the active strut. The at least one indicator element may include a light element configured to indicate a direction of rotation of the active strut. As a result, a patient can more effectively comply with an adjustment prescription, thereby improving the likelihood of successful bone alignment.

Abstract: A knee prosthesis (e.g., a tibial implant or component) is disclosed. In one embodiment, the tibial implant includes a load bearing component (e.g., a tibial tray) and a support member arranged and configured to be at least partially positioned within an intramedullary canal of a patient's bone. In some embodiments, the tibial implant may also include one or more pegs positioned anteriorly on a bottom surface of the tray and one or more bridges for coupling the pegs to the support member so that loads received by the pegs are transferred to the support member via the bridge. In addition, and/or alternatively, the tibial implant may include one or more chamfers or loading zones for elongating the transition area between the support member and the bottom surface of the tibial tray to extend the area over which the load is transferred.

Abstract: Optical tracking of objects in arthroscopic surgery. Examples comprise a resection instrument system including: a handpiece; a mechanical resection device comprising a stationary outer hub, an elongate outer tube coupled to and extending away from the stationary outer hub, and a cutter disposed at a distal end of the elongate shaft, the stationary outer hub coupled to the handpiece; a fiducial array; and a sleeve connector. The sleeve connector may include: a sleeve defining a distal end, a proximal end, and a through bore, the sleeve concentrically arranged with the elongate shaft; an array connector coupled to the proximal end of the sleeve, the array connector coupled to the fiducial array.

Abstract: Methods and system for characterizing ligament properties using elastography are disclosed. An ultrasound system capable of performing shear wave elasticity imaging and/or supersonic shear imaging may retrieve one or more images from a proposed surgical site. The one or more images may be provided to a surgical planning system that identifies one or more properties of ligaments proximate to the surgical site. Musculoskeletal simulations may be performed using the identified properties to preoperatively identify a surgical plan. Preoperative identification of a surgical plan may enable a surgeon to select from more fine-tuning options for a joint replacement than conventional systems.