Abstract: Systems and methods for joint replacement are provided. The systems and methods include a surgical orientation device and at least one orthopedic fixture. The surgical orientation device and orthopedic fixtures can be used to locate the orientation of an axis in the body, to adjust an orientation of a cutting plane or planes along a bony surface, to distract a joint, or to otherwise assist in an orthopedic procedure or procedures.

Abstract: A gap balancing assembly includes an alignment plateau adapted to abut against an articular surface of a first bone, and at least one gap spacer portion adapted to space the articular surface from a second bone, the at least one gap spacer portion having a thickness profile. A spacer member has a first contact surface for being abutted against said tibial alignment plateau, and a second contact surface oriented and spaced relative to the first contact surface to correspond to the thickness profile of the at least one gap spacer portion, the second contact surface adapted to contact a cut guide to align same with the articular surface of the first bone.

Abstract: The present disclosures describe devices and methods to repair cartilage defects using arthroscopic surgical methods. The disclosed devices include a cannula assembly including a cannula body, a dam seal sub-assembly disposed proximally from the cannula body, and an obturator inserted coaxially through both the cannula body and the dam seal sub-assembly; an articulated arthroscopic cutting tool; a ring curette; a square curette; a rake curette; a matrix shuttle delivery device for delivering a cell-seeded support matrix including chondrocytes; and an applicator tool.

Abstract: An intervertebral cage and intervertebral cage apparatus and a method for using the intervertebral cage and/or the intervertebral cage apparatus. The intervertebral cage can be any desired material including a memory material. The intervertebral cage apparatus can include the intervertebral cage and one or both of a variable volume pouch and a deployment cable. The variable volume pouch can be inserted into an internal volume of the intervertebral cage and affixed to the intervertebral cage. The variable volume pouch can be filled with material to achieve an expanded state. The variable volume pouch can assist in the deployment of the intervertebral cage. The deployment cable can be attached to the intervertebral cage and can include features to facilitate that attachment. The deployment cable can apply a force to the intervertebral cage to deploy the intervertebral cage, and can include features to lock the intervertebral cage in the deployed configuration.

Abstract: A modular system for treating a bone includes a main body including a channel extending therethrough. A distal end includes a driving feature sized and shaped to engage a corresponding driving structure of one of first and second bone screws. The system also includes an inner shaft sized and shaped to be inserted into the channel and including a distal end including a retaining feature for engaging a corresponding retaining structure extending within a recess at a proximal end of the first screw. Furthermore, the system includes an outer shaft extending longitudinally and including a channel extending therethrough. The channel of the outer shaft is sized and shaped to slidably receive the main body therein and including a retaining feature extending along a distal end thereof. The retaining feature of the outer shaft engages a retaining structure extending along an exterior surface of the second screw.

Abstract: An apparatus for transforming teeth into bone material, which is suitable to treat the teeth by immersion in liquids and includes a reactor device including a contactor, a reaction chamber, an ejection chamber, a cartridge including a plurality of containers for the processing and washing liquids, separated liquid-tight from each other, a fragmentation device suitable to fragment teeth, a guide suitable to detachably connect the cartridge and the fragmentation device to the apparatus, and a movement device suitable to detachably connect at least partially the reactor device and allow it to sequentially withdraw the teeth from the fragmentation device and the liquids from the cartridge.

Abstract: Joint balancing methods and apparatus for arthroplasty procedures are disclosed. An example method of preparing a knee to receive a knee implant includes: (a) positioning a knee comprising a distal femur and a proximal tibia at a mid-flexion angle; (b) performing soft tissue balancing of the knee at the mid-flexion angle; (c) determining a location of a posterior chamfer cut of the distal femur configured to engage the posterior chamfer angle of a femoral component of a knee implant based at least in part upon the soft tissue balancing of the knee at the mid-flexion angle; and, (d) resecting the distal femur to create the posterior chamfer cut.

Abstract: An invention for connecting an extracorporeal circulation apparatus 35 to the patients' circulatory system 26B for providing extracorporeal blood circulation through a plurality of transfixions 44 in a tissue 25 space apart by a distance, comprising: a holder 10; and the plurality of ducts 14 connected to said holder 10; wherein said holder 10 is adapted to connect to the extracorporeal circulation apparatus 35; wherein at least one of said plurality of ducts 14 is adapted to connect to the patients' circulatory system 26B; wherein said holder 10 and said plurality of ducts 14 includes blood passageways 3. The invention including an internal connection 33 including a proximal portion 33A and a distal portion 33B; wherein said distal portion 33B is adapted to connect to the patients' circulatory system 26B; wherein said proximal portion 33A is connectable to said ducts 14. The methods are provided.

Abstract: A bone drill guiding device including a drill entry part comprising a cannula having a distal end portion and sized to receive a bone drill, a drill exit part comprising a fixation tip portion and a coupling that rigidly couples the drill entry part and the drill exit part so that longitudinal axes of the cannula distal portion and the fixation tip portion are arranged on a single mutual axis. In some embodiments, the coupling is a linear sliding coupling that parallels the single mutual axis.

Abstract: Methods and a kit for a navigated procedure, such as a navigated surgical procedure relate to an optical sensor system such as a sterile optical sensor system. The methods relate to using components of the optical sensor system and a processing unit, for example, performing a navigated procedure using an optical sensor as draped and using the processing unit coupled to the optical sensor. Performing the navigated procedure comprises receiving instructions for the navigated procedure from the processing unit, and using the optical sensor comprises interacting with a button on the optical sensor through the drape to provide input to the processing unit. A kit comprises optical sensor system components and instructions for performing a method.

Abstract: A bone plate for reconstruction or trauma treatment of a bone which comprises first and second ends, a first contact surface for contacting and securing on a first region of the bone, and a plurality of receiving mechanism each having at least one opening for receiving at least one securing element. At least two adjacent wings extend at least from the first end of the main section, each has a second contact surface for contacting and securing to a second region of the bone, as well as at least one receiving mechanism having at least one opening for each receiving a securing element. A minimum bending stiffness of the main section, in relation to an axis (x) running perpendicular to the first contact surface, is greater than the minimum bending stiffnesses of the wings, but smaller than the total minimum bending stiffness of all wings extending from the first end.

Abstract: Disclosed are system and methods that use at least one non-threaded anchor and an implant with at least one aperture to join boney structures, where the interaction of the head of the anchor with the implant aperture causes the anchor to move transversely with respect to an initial trajectory. This movement causes compression or distraction of the boney structures which are coupled to the anchors.

Abstract: A method for correcting position of an osteotomy guide tool is disclosed. A trackable element mounted on the osteotomy guide tool or on the robotic arm tracks the position of the osteotomy guide tool and generates position information of the trackable element. According to the current position and the desired position of the trackable element, a robotic arm drives the osteotomy guide tool and the trackable element to move, until the trackable element is moved to the desired position. This method does not need to consider the absolute position accuracy of the robotic arm, and does not rely on the experience of the surgeon. The tool has several guiding features, which can provide guides for osteotomy operations, so that the same osteotomy guide tool can perform multiple operations of osteotomy and punching, thus greatly reducing the operation time and improving the operation efficiency.

Abstract: Disclosed herein are a reversible bone plate template and a method for using the same to size an implant. The bone plate template may include first and second portions. The second portion may be wider than the first portion and asymmetrical about a longitudinal axis. A section between the first and second portions may allow the second portion to be moved between first and second positions such that either a first or a second surface may be a bone contacting surface. A method for sizing an implant with a bone plate template may include determining whether a first or second surface is to be placed on bone, moving a portion of the bone plate template, placing it on bone and selecting an implant based upon the bone plate template.

Abstract: Methods of tissue repair. At least one example method includes: pulling a tissue in place over a bone location; abutting a distal end of a guide tool against the tissue at a first location, and driving a first bone anchor through a delivery tube of the guide tool, through the tissue, and into the bone at the first location, the first bone anchor coupled to a first suture line; abutting the distal end of the guide tool against the tissue at a second location displaced from the first location, and then driving a second bone anchor through the delivery tube, through the tissue, and into the bone at the second location, the second bone anchor associated with the first suture line; withdrawing the guide tool away from the tissue; and tightening the first suture line to create a first suture over the tissue.

Abstract: A surgical system including a machining tool aimed at being manually displaced by an operator, a lockable unit including at least two linked and manually displaceable elements aimed at being manually arranged according to a least one calculated locked configuration, a sensor unit including at least one sensor aimed at following, in real time, a real time configuration of the lockable unit within an anatomical reference system, where the at least two elements of the lockable unit cooperate with lockable element, the lockable element being configured to be activated by a control unit when the real time configuration of the lockable unit corresponds to the at least one locked configuration recorded inside the control unit.

Abstract: Systems, methods and a sensor alignment mechanism are disclosed for medical navigational guidance systems. In one example, a system to make sterile a non-sterile optical sensor for use in navigational guidance during surgery includes a sterile drape having an optically transparent window to drape the optical sensor in a sterile barrier and a sensor alignment mechanism. The alignment mechanism secures the sensor through the drape in alignment with the window without breaching the sterile barrier and facilitates adjustment of the orientation of the optical sensor. The optical sensor may be aligned to view a surgical site when the alignment mechanism, assembled with the sterile drape and optical sensor, is attached to a bone. The alignment mechanism may be a lockable ball joint and facilitate orientation of the sensor in at least two degrees of freedom. A quick connect mechanism may couple the alignment mechanism to the bone.

Abstract: A model production device generates one or more contact bodies of a patient-specific surgical instrument model based on a parameterized model of a patient's bone. The parameterized model includes a predetermined number of polygons each having a predetermined position relative to the patient's anatomy. The parameterized model may be generated based on a three-dimensional model that was generated based on multiple images of the patient's bone. The model production device adds parametric fixed geometry to the patient-specific surgical instrument model based on the parameterized model and subtracts the three-dimensional model of the patient's bone from the patient-specific surgical instrument model. Each contacting body may be positioned at a high-confidence part of the parametric model, and the parametric fixed geometry may be positioned at a low-confidence part. A patient-specific surgical instrument may be manufactured based on the patient-specific surgical instrument model.

Abstract: A system for preparing a femur to receive an implant includes a saw blade positionable in a first saw blade slot of a distal cutting block and operable to form an axial cut surface on the patient's femur. The saw blade carries on a first side thereof nominal A/P sizing indicia that increments negatively from an anterior top of concavity of the medial condyle to a posterior top of concavity of the medial condyle, when the saw blade is positioned on the axial cut surface of the patient's femur. The saw blade also carries nominal M/L sizing indicia on a second, opposing side of the saw blade. An A/P chamfer cutting block is positionable on the axial cut surface of the femur and is coupled to at least one rotational guide that rotationally orients the A/P chamfer cutting block relative to the patient's femur.

Abstract: Provided is a customizable surgical bone-cutting jigsaw puzzle-type guide device. The customizable surgical bone-cutting jigsaw puzzle-type guide device includes: a main guide portion that includes a main contact surface lengthily formed along a required main incision line of a bone to be cut and shaped to be brought into contact with the bone, and a main guide surface forming a guide line together with the main contact surface along the same line as the main incision line and shaped to be brought into contact with a cutting blade for guiding the movement of the cutting blade during cutting of the bone; and a connection portion extending from the main guide portion and connected to a side of the bone such that the main guide portion may be supported on the bone, the connection portion being configured to be detachably attached to the side of the bone.