Abstract: Methods for whip-stitching soft tissue with a needle and a looped suture avoid placing the tissue graft through the suture loop, which also eliminates the need for passing a tissue clamp through the suture loop. The methods described herein can also include combinations of the techniques described.

Abstract: Logic may provide a deformity analysis to create a treatment plan for external fixators. Logic may further perform additional refinements to the treatment plan to improve the patient experience. Logic may further include pre-operative osteotomy to select an osteotomy and to provide real-time updates to a post-operative image based on changes to an osteotomy line, orientation, and/or rotation point. Logic may facilitate movement of one or two portions of a medical image to determine an alignment of bone segments in the portions of the medical image. Logic may generate deformity parameters based on a combination of translations and/or rotations of the movement to align the portions. Logic may create a treatment plan including a prescription for an external fixator based on deformity parameters.

Abstract: A kit and corresponding methods of use are disclosed. In use, the kit includes a plurality of articulating clamps for coupling to one of the rings of an external fixation system. In use, the clamps include a body portion having a stem arranged and configured to be received within an opening formed in one of the rings. The clamp further including a clamp assembly for engaging a rod spanning the first and second rings. Thus arranged, the clamp may be directly coupled to one of the rings and the rod, the clamp enabling the position of the ring to be adjusted relative to the rod. As such, the clamps may enable, inter alia, a hexapod external fixation system to be converted into a static frame, a static frame to be constructed in a more efficient manner, and/or creation of an enlarged visualization or working window.

Abstract: A computer-implemented method for creating an activity-optimized cutting guides for surgical procedures includes receiving one or more pre-operative images depicting one or more anatomical joints of a patient, and creating a three-dimensional anatomical model of the one or more anatomical joints based on the one or more pre-operative images. One or more patient-specific anatomical measurements are determined based on the three-dimensional anatomical model. A statistical model of joint performance is applied to the patient-specific anatomical measurements to identify one or more cut angles for performing a surgical procedure. A patient-specific cutting guide is created that comprises one or more apertures positioned based on the one or more cut angles.

Abstract: Disclosed herein is a system and a method for registering a surgical site to a surgical navigation system when the surgical site contains an implant for revision joint replacement surgery. The method creates a depth map of the surgical site and provides a possible identification of the existing implant using surface matching algorithms. The model of the implant is iteratively oriented with respect to the to the depth map until an optimal fit is achieved. Once the implant has been identified and localized, the registered landmarks are used in robotic-assisted surgery.

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: 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: A system for displaying an intraoperative user interface for a surgical procedure is disclosed. The system comprises an arthroscopic imaging device, a display device, an input device, a processor, and a non-transitory, computer-readable medium. The arthroscopic imaging device is configured to capture one or more images of a patient anatomy within a joint of a patient. The input device is configured to receive input from a user. The processor is configured to receive the images from the arthroscopic imaging device and display a user interface on the display device that includes the images from the arthroscopic imaging device. The processor is also configured to receive the input from the input device, display one or more visual overlays over the one or more images based on the input, and apply one or more digital markers in a fixed location on the one or more images based on the input.

Abstract: Logic may determine how to reduce bone segments. Logic may communicate one or more images to display with at least two bone segments. Logic may identify a first reduction point and a third point on a first bone segment and identify a second reduction point and a fourth point on the second bone segment. Logic may identify a fifth point on the first bone segment and a sixth point on the second bone segment. Logic may also divide the one or more images along a line or plane between the bone segments, bring the second reduction point and the associated image segment to the first reduction point, align the line or plane of the second bone segment with a line or plane of the first bone segment. Furthermore, logic may adjust alignment and record the movement of the image segments or compare original and final positions, to determine deformity parameters.

Abstract: Implant delivery systems are disclosed. One implant delivery system includes an outer shaft, an inner shaft movable within the outer shaft, a yoke coupled to the distal end of the inner shaft, and an implant retainer pivotably coupled to the yoke. The implant retainer is configured to retain a sheet-like implant for implantation at a treatment site. Another implant delivery system includes a handle, a delivery sheath extending from the handle, and a delivery shaft extending through the delivery sheath to a frame attachable to a sheet-like implant. A tether extends from the frame within the lumen of the delivery shaft. An actuation member is translatable within a channel of the handle to deploy the frame from the delivery sheath. A tether clamp, positioned within the handle, is manipulatable by the actuation member to selectively unlock the tether within the handle.

Abstract: A method of generating a custom three-dimensional (3D) model of a patient bone from one or more 2D images is disclosed. The method includes obtaining a 2D image of a bone, optionally of a joint, and identifying a 3D bone template for a candidate or representative bone from a pre-aligned library of representative bones. The method further includes repositioning one or more views of the 3D model or 2D images (e.g., with respect to rotation angle or caudal angle). In an iterative process, another 3D bone model for another candidate bone can be identified based on the repositioning until an accuracy threshold is satisfied. When the accuracy threshold is satisfied, surface region(s) of the current 3D bone model can then be modified to generate the resulting 3D model for the patient bone. The process can then be repeated for other bone(s) associated with the joint of the patient.

Abstract: An automated and/or motorized spatial frame including a control unit and a plurality of motorized struts is disclosed. The control unit being configured as a controller for exchanging data with an external computing system, exchanging data with the plurality of motorized struts, and delivering power to the motorized struts. Thus arranged, the control unit may be configured as a fully integrated power supply and controller for powering and controlling the motorized struts. In some embodiments, the control unit includes a plurality of PCB modules, each positioned within the spaces or pockets formed between adjacent tabs on a ring of the frame. The PCB modules being detachably coupled to the ring. In some embodiments, the PCB modules may be detachably coupled to the ring via interconnecting male and female connectors. Alternatively, the PCB modules may be detachably coupled to the ring via a plurality of brackets.

Abstract: A cannula for passing surgical instruments through tissue. In some instances, the cannula may include a distal flange flexible between a radial configuration and a longitudinal configuration. In some instances, the cannula may also include an actuator configured to move the distal flange between the radial configuration and the longitudinal configuration. In some instances, the cannula may include a valve disposed within the lumen of the cannula, and a cap configured to secure the valve to the cannula. The valve may include a body member having a base and first and second opposing walls extending from the base. In some instances, the valve has an arcuate cutout in the lower surface configured to fit around an instrument shaft inserted therethrough. In some instance, the cannula includes a slit extending an entire length of the cannular to permit an instrument shaft to be inserted and/or removed laterally.

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: Electrosurgical coagulation devices. At least some of the example embodiment are methods including: applying RF energy between a first electrode and a second electrode, the first and second electrodes define an interstice; flowing an electrically conductive fluid through a first nozzle and a second nozzle of the first electrode, the first nozzle defines a first spray direction, the second nozzle defines a second spray direction, and a first angle between the first spray direction and the second spray direction is 180 angular degrees or less measured through the interstice; flowing an electrically conductive fluid through a third nozzle and a fourth nozzle of the second electrode, the third nozzle defines a third spray direction, the fourth nozzle defines a fourth spray direction, and a second angle between the third spray direction and the fourth spray direction is 180 angular degrees or less measured through the interstice.

Abstract: A medical device configured to form one or more holes within a bone of a patient may include a handle assembly including a housing, a lever rotatably coupled to the housing, and a sheath extending distally from the housing, the handle assembly including a spring biasing the lever toward an initial or intermediate position; and a bone punch including an elongate shaft, a head at a proximal end of the elongate shaft, and a piercing tip at a distal end of the elongate shaft configured to be driven into the bone. The elongate shaft may be slidably disposed within the sheath in a first position when the lever is in the initial or intermediate position. Translation of the bone punch distally within the sheath from the first position to a second position may cause a distal end of the lever to rotate away from the housing to an extended position.

Abstract: Methods and systems for identifying and determining the size and orientation of a reamed portion of a patient's bone are disclosed. A tracking array and/or point probe may be inserted into an adapter device. The adapter device comprising a plurality of openings, having various connection means therein, such that when the tracking array is inserted into the adapter, a secure and robust connection is created. A reamer, stem, or similar tool may then be inserted into the opposing side of the adapter, during which, a secure and robust connection is created between the adapter and the tool. Thus, through the use of Computer Assisted Surgery Systems, a more accurate representation of the patient's anatomy can be obtained.

Abstract: A tendon/ligament repair implant for treatment of tears or lesions of tendons and ligaments, including capsular reconstruction, and compositions for delivering calcium and/or phosphate ions in combination with a collagen solution that can be placed between soft tissue and bone to facilitate healing of the soft tissue-bone interface are provided. The implant may incorporate features of rapid deployment and fixation by arthroscopic means that complement current procedures; tensile properties that result in desired sharing of anatomical load between the implant and native tendon during rehabilitation, or, in situations where the native tissue cannot be repaired tensile properties that provide for substitution of the native tissue selected porosity and longitudinal pathways for tissue in-growth; and may include an at least partially bioabsorbable construction to provide transfer of additional load to new tendon-like tissue and native tendon over time.

Abstract: Systems and methods for determining a care plan for a patient are disclosed. Data from a one or more databases are received or retrieved and used to determine a preferred care plan used to perform a surgical procedure or otherwise treat a patient. The data may include data pertaining to a patient, a healthcare professional, a healthcare facility, an implant, economic data, simulation data, imaging data, and/or the like. The data may be used to determine a plan that provides a positive outcome and patient satisfaction. The data may be updated over time or in real time to improve or refine the determination of care plans for the current patient or other patients.