Abstract: Disclosed herein are bi-spring surgical hammer impact tools and methods of use thereof. The bi-spring surgical hammer impact tools can include an elongated drive rod disposed in the housing and including an impact flange in a mid-region thereof. A tool implement can be mounted to a first end of the elongated drive rod. An impact shuttle can be mounted on the elongated drive rod and can include first and second impact surfaces opposing opposite faces of the impact flange. A plurality of annular teeth can be defined by an exterior surface of the impact shuttle. First and second springs can be disposed against opposite ends of the impact shuttle. A partial tooth pinion attached to a drive shaft and movable for engagement with the plurality of annular teeth of the impact shuttle can be included.

Abstract: A robotically controlled depth limiter for a reamer, the depth limiter including a cylindrical housing configured to encompass a portion of a driveshaft of a reamer. The cylindrical housing can define a bore extending therethrough. The depth limiter can include a depth stop engaging the cylindrical housing within the bore, and define an opening configured to receive the driveshaft of the reamer. The depth stop can be configured to receive a signal via processing circuitry of a robotic arm to operate the depth stop to limit distal translation of the driveshaft relative to the cylindrical housing to control a cutting depth of the reamer.

Abstract: The present disclosure provides knee prostheses that replicate at least a portion of the function of an individual patient's anterior cruciate ligament (ACL). An exemplary knee prosthesis includes a femoral component configured to be implanted on the distal end of the patient's femur and a tibial component configured to be implanted on the proximal end of the patient's tibia. In extension, the femoral component and the tibial component may cooperate to limit anterior movement of the tibial component relative to the femoral component. In flexion, the femoral component may be free to rotate relative to the tibial component.

Abstract: The present disclosure relates to prosthesis systems having trays and liners having an asymmetrical locking mechanism to bias the strength of the liner to resist loading forces and associated methods. The tray has a lateral groove disposed in an inner surface of a lateral circumferential portion of the tray and a medial groove disposed in an inner surface of a medial circumferential portion of the tray. The liner has an upper segment and a lower segment. The liner has a locking portion for lockingly engaging the tray that includes the lower segment. The locking portion has a lateral toe positioned generally diametrically opposite a plurality of resiliently deformable medial fingers defined therein. The liner and the tray are engageable in a lateral-to-medial direction so that the plurality of medial fingers can resiliently deform to engage the medial groove subsequent to engagement of the lateral toe within the lateral groove.

Abstract: An anchor can be coupleable to a bone, where the anchor includes a head, a shank, a first extension, and a second extension. The head can include a distal head portion and a proximal head portion, where the proximal head portion can be open at a proximal end of the head. The shank can extend distally from the distal head portion, where the shank including a threaded portion configured to engage the bone. The second extension can be opposing the first extension, and the second extension can include a second proximal support coupled to a second end of a first elongate portion, where a first proximal support can extend transverse to the longitudinal axis, and the first proximal support portion and the second proximal support portion can be separated in a first condition and can be engaged to transfer forces there between in a second.

Abstract: Implementations described herein include a system that may include a deliver device, an annular anchor and an implant. The delivery device may include a distal end, a proximal and a lumen extending from the distal end to the proximal end. The annular anchor may be removably coupleable to the distal end of the delivery device. The annular anchor may be implantable at a target site in a patient via manipulation of the delivery device. The delivery device may be extendable outside the patient when the anchor is implanted at the target site. The implant may be deliverable through the delivery device to the target delivery site and implantable through the annular anchor. The delivery device may be coupled to the annular anchor to control a trajectory of the implant to the target site.

Abstract: An orthopedic instrument for insertion of an orthopedic device into an intramedullary canal of a bone is disclosed. The orthopedic instrument can include an elongate post and a stud. The post can have a longitudinal axis and can extend along the longitudinal axis between a first end portion and a second end portion. The stud can be connected to the post along a portion of a longitudinal length thereof comprising a first end part, A second part of the stud can be free to elastically deflect laterally with respect to the longitudinal axis when subjected to a bending load and return to a first position when unloaded.

Abstract: Disclosed herein are rotary electric surgical hammer impact tools and methods of use thereof. The rotary electric surgical hammer impact tools can include a too body, a motor located within the tool body, a shaft operatively couple to the motor, a disk hammer element, and a tool holder element. The disk hammer element can be connected to the shaft and include a radial impact projection. The tool holder element can include a shaft configured to support an implement at one end and a C-shaped structure straddling the disk hammer element. Axial movement within the tool body can cause the radial impact projection to impart impacts to the tool holder element.

Abstract: A force and rotation sensing device can be suitable for measuring a force within a knee joint. A force sensor can measure a force exerted between opposing surfaces of a housing. A force display positioned on the housing can visually represent a value of the measured force, such as with a dual-sided light-emitting diode display that is visible from opposing sides of the housing. A first rotation sensor can measure a flexion/extension position of the housing. A flexion/extension display can visually represent a value of the measured flexion/extension position. In some examples, a zero button can set a reference orientation of the housing, so that the first rotation sensor can measure the flexion/extension position as a relative rotation with respect to the reference orientation. In some examples, circuitry can wirelessly transmit data corresponding to the value of the measured flexion/extension position.

Abstract: According to one example, a posterior-stabilized femoral prosthesis for a knee arthroplasty. The femoral prosthesis can include medial and lateral condyles, a femoral cam and a recess. The medial and lateral condyles can be shaped to articulate with a tibial articular surface of a tibial bearing component through a range of motion, in which full extension corresponds to zero degrees flexion of a knee joint and positive flexion corresponds to greater than zero degrees flexion of the knee joint. In a sagittal plane, the medial and lateral condyles can define medial and lateral multi-radius curves, respectively. The medial multi-radius curve can have a single common radius swept through a first angular extent to define a single arc length that extends from between substantially ?20 degrees flexion to substantially 90 degrees flexion, inclusive.

Abstract: Various embodiments discussed in the present document relate to an implant assembly. The implant assembly includes a porous metal coating. The implant assembly further includes a biocompatible implant material. A polymeric binder layer is disposed between the porous metal coating and the biocompatible implant material.

Abstract: A joint alignment method comprises using imaging data of at least a portion of a leg to create a leg model, wherein the leg model includes a femur having medial and lateral condyles and a tibia having tibial plateaus that are configured to engage the medial and lateral condyles at a knee joint, displaying an image of the leg model for manipulation by a user, locating a pivot point within one of the medial or lateral condyles, and rotating, in the displayed image, the tibia with respect to the femur, about the pivot point, to obtain a desired knee joint articulation in a specified plane.

Abstract: An implant-trialing instrument for objectively determining a recommended implant size based at least in part on results of inserting a pressure sensitive trial implant into the intervertebral space. The trial implant instrument can include a handle coupled to a pressure sensitive trial. The handle can include an elongate shaft. The pressure sensitive trial implant can be disposed on a distal end of the elongate shaft and include a superior end plate surface configured to engage a first end plate of a first vertebral body and an inferior end plate configured to engage a second end plate of a second vertebral body. The pressure sensitive trial implant also includes a pressure sensitive film disposed on at least one of the superior end plate and the inferior end plate.

Abstract: Dental implants, dental abutments, and dental systems are disclosed. A dental implant can include an implant body having a longitudinal axis, a coronal end, and an apical end. An internal bore can be provided within the implant body, and can have a coronal end, adjacent to the coronal end of the implant body, and an apical end. The internal bore can include a first internally facing surface, extending from the coronal end of the internal bore towards the apical end of the internal bore, at least a portion of which tapers inwardly towards the apical end of the internal bore. The internal bore can further include an internally threaded portion positioned between an apical end of the first internally facing surface and the apical end of the internal bore. A dental abutment can be configured to engage with the dental implant.

Abstract: The subject matter includes a system and method for providing graphical feedback visualizing forces within a joint through a range of motion of the joint. The method can comprise receiving position data, receiving force data, and generating a graphical representation based on the position data and the force data. The receiving position data can include data for at least one bone of a joint while the at least one bone is moved through a range of motion (ROM). The receiving force data can occur concurrently to receiving the position data and using one or more processors, the force data can be collected from at least one force sensor embedded within a trial prosthesis in the joint. The graphical representation can illustrate changes in the force data versus locations of the bone as it moved through the ROM.

Abstract: A bone anchor system can comprise a fastener, a rod housing and a first directional component configured for connection to the fastener. The fastener can comprise a shaft having a shaft diameter, an anchoring projection on the shaft, and a head at an end of the shaft. The rod housing can be connected to the head of the fastener. The first directional component can comprise a first body portion having a first outer diameter larger than the shaft diameter, a first bore extending through the first body portion, the first bore sized to receive the shaft diameter, and a first locking component extending from the first body portion configured to engage the rod housing to limit movement of the housing.

Abstract: Retractors for surgical procedures such as spinal surgical procedures includes a pair of pivotable armatures and a translatable armature. A body for supporting the armatures is provided, with a handle connected thereto. The handle includes a first rotary actuator, wherein a rotation of the first rotary actuator moves the pair of pivotable armatures in opposite arcuate directions, and a second rotary actuator, wherein a rotation of the second rotary actuator translates the translatable armature in a linear direction. Methods of use for the retractors during surgical procedures are also disclosed.

Abstract: Devices and methods for performing total knee arthroplasty procedures with kinematic alignment are described herein. A method of performing a total knee arthroplasty can comprise positioning a femoral cut guide adjacent a distal end of a femur, positioning a tibial cut guide proximate a proximal end of a tibia adjacent an anterior surface of the tibia, adjusting a position of the femoral cut guide and the tibial cut guide relative to each other using a tibial positioning device, fixing the position of the femoral cut guide relative to the tibial cut guide using the tibial positioning device, and resecting the femur and tibia with parallel resections using the femoral and tibial cut guides.

Abstract: Patient-specific instrumentation for use when performing articular joint repair is provided. A patient-specific jig is adapted to be positioned over a bone at an articular surface thereof for assisting in preparing the bone surface for reception of a prosthesis. The jig comprises a bone contacting portion adapted to matingly contact a portion of the articular surface of the bone and a cutting slot adapted to receive therein a saw blade for resecting the articular surface of the bone. The cutting slot may be press-fitted into the opening of a cut guide. A patient-specific plate and a patient-specific rotational guide are also provided for guiding a positioning of the prosthesis over the resected surface of the bone. A method for manufacturing the patient-specific jig is further provided.

Abstract: Systems, devices, and methods suitable for use with procedures performed at least partially percutaneously are provided. In some procedures, two or more access devices for providing access to adjacent surgical locations within a patient are used. Certain embodiments of the access device comprise an elongate body having a distal end with one or more cutouts. The cutouts on adjacent access devices are generally aligned with each other to permit passage of a portion of a fixation element from one access device to the other access device. A fastener with an elongated removable head may be delivered to the surgical site through the access device. After a distal end of the fastener is secured to the surgical site, a portion of the elongated housing is detached from the remainder of the fastener and removed from the patient.