Abstract: A surgical guide assembly for performing a knee osteotomy procedure, the assembly comprising: a body for securing to a patient's tibia bone; and a plurality of guide modules removably attachable to the body, each guide module being adapted to receive a corresponding surgical tool and to guide the corresponding surgical tool along a predetermined path during the knee osteotomy procedure.

Abstract: A surgical access device includes a cannula having a variable length. The cannula may include a shaft assembly including an outer shaft, an intermediate shaft disposed within and longitudinal slidable relative to the outer shaft, and an inner shaft disposed within and longitudinal slidable relative to the intermediate shaft. The shaft assembly is movable between an unextended position, a fully extended position, and a semi-extended position between the unextended and fully extended positions. The cannula may include a shaft having annular folds formed therein. The annular folds are axially movable relative to each other such that the shaft is longitudinally movable between an unextended position and a plurality of extended positions.

Abstract: A surgical access assembly including an elongated cannula member having proximal and distal end portions, a cannula housing coupled to the proximal end portion of the elongated cannula member, a balloon anchor coupled to the distal end portion of the elongated cannula member, and a collar disposed along the elongated cannula member and in fluid communication with the balloon anchor. The collar includes a first check valve and a manually actuatable pump. The first check valve is configured to control flow of air into the balloon anchor. The manually actuatable pump is coupled to the first check valve.

Abstract: Embodiments herein provide a chest wall repair plate device where a central portion of the device is comprised of an elastomer to allow for rapid resection using a standard surgical scalpel should there be a need to quickly re-enter the chest cavity. The elastomeric section adjoins two or more rigid plate sections creating a simple, easily removable sternal stabilization system.

Abstract: There is a process for correcting a bone injury, an implant for correcting the bone injury and a kit for applying the implant for correcting the bone injury. The process can be made substantially uniform with the application of a standardized kit. In at least one application the process is for correcting a bunion on a patient. The process can include applying a first drill guide to a bone, and then a second drill guide. Once the drill guides have been applied and wires have been inserted into a bone, an implant can then be applied to correct a bone injury and to allow the bone injury to heal.

Abstract: A surgical access device assembly includes a cannula hub and a cannula tube. The cannula tube extends distally from the cannula hub along a longitudinal axis. The cannula tube defines a working channel. The cannula tube includes a tissue engagement feature and a balancing feature. The balancing feature is configured to promote lateral stability of the cannula tube and the cannula hub relative to the body cavity wall of the patient. The balancing feature includes a proximal portion of the cannula tube having a first wall thickness. The balancing feature also includes a distal portion of the cannula tube having a second wall thickness that is greater than the first wall thickness. At least a portion of the proximal portion is proximal relative to the tissue engagement feature. At least a portion of the distal portion is distal relative to the tissue engagement feature.

Abstract: Neurosurgical apparatus has a guidance device having a guide tube and a neurosurgical instrument for insertion into the guide tube. The inner surface of the guide tube is arranged, for example profiled, to at least partially engage the outer surface of the neurosurgical instrument when inserted therein. The guide tube thus guides the neurosurgical instrument along a predefined path through the guide tube. At least one of the guidance device and the outer surface of the neurosurgical instrument are configured to provide a fluid return path for carrying any fluid displaced from within the guide tube during insertion of the neurosurgical instrument into the guide tube. A seal may also be provided for sealing the fluid return path.

Abstract: An orthopaedic surgical instrument is provided having a first customized patient-specific surgical instrument and a second customized patient-specific surgical instrument configured to be removably coupled to the first customized patient-specific surgical instrument. The second customized patient-specific surgical instrument includes a body positioned in a gap defined between posteriorly-extending arms of the first customized patient-specific surgical instrument.

Abstract: Variable angle holes in bone plates that are structured to facilitate the formation of axial compression or tension of a bone, or which can assist in bone distraction. The variable angle hole can extend about a central axis and includes an inwardly extending wedge wall. The variable angle hole can be sized to receive insertion of a fixation element at a location at which a central longitudinal axis of the fixation element is axially offset from the central axis of the variable angle hole by an offset distance at least when the fixation element is initially driven into bone at least in a transverse direction. The wedge wall can be configured to be engaged by a portion of the fixation element in a manner that axially displaces at least one of the bone plate, the fixation element, and/or bone(s) in a direction that can generally reduce or increase the offset distance.

Abstract: Methods for securing a intervertebral cage to one or more levels of the spine with fixation. The fixation, which is typically a staple, is intended to be driven perpendicular to the proximal face of the cage and in-line with the inserter. After the cage is placed and positioned according to surgeon preference, a single piece fixation clip is then deployed and fixed in a manner that produces a zero-profile device.

Abstract: A targeting device (100) for use in fixation of bone fragments at a bone fracture. The targeting device comprises an elongated body portion (110) comprising a first body end (111), an opposed second body end (112), and body through holes (113a, 113b, 113c) extending from the first body end to the second body end for guiding a respective fixation means (303; 303a, 303b, 303c) through the body portion. In its second body end the body portion is configured with a snap-fitting means (114) configured to removably attach a fixation plate (150) to the body portion such that fixation through holes (151) of the plate are located in line with a respective body through hole and, when in use, to provide a surface of the plate to abut a surface of an outer bone fragment for subsequent fixation of the plate to the fragment. The targeting device comprises further a bracket (120).

Abstract: Devices for treating a bone and methods of inserting such devices into a bone are disclosed. A device for treating a bone may include a flexible tube, a stiffening mechanism and an actuator. The flexible tube has a distal end and a proximal end. The stiffening mechanism within the flexible tube is configured to cause the flexible tube to become rigid. The actuator is configured to cause the stiffening mechanism to cause the flexible tube to become rigid in response to the actuator being actuated.

Abstract: A speculum includes a handle; a lower leaf extending forward and distally from the handle; at least one upper leaf supported on the handle; a lever pivotally coupled to the handle; and a pin extending from the lever and slidably coupled to the at least one upper leaf. Movement of the lever relative to the handle causes the lever to slide the pin and pivotally move the at least one upper leaf relative to the lower leaf from a collapsed position to an open position.

Abstract: An orthopaedic joint replacement system is shown and described. The system includes a number of prosthetic components configured to be implanted into a patient's knee. The system also includes a number of surgical instruments configured for use in preparing the bones of the patient's knee to receive the implants. A method or technique for using the surgical instruments to prepare the bones is also disclosed.

Abstract: A bone plate for treating periprosthetic fractures includes a head portion sized and shaped so that, in an operative position, a proximal end thereof aligns with a vastus ridge of a greater trochanter of a femur. The plate also includes a shaft portion extending distally from the head portion. The shaft portion includes offset holes to receive bone fixation elements therethrough. Each of the offset holes includes a first hole positioned on a first side of a longitudinal axis of the plate and a second hole positioned on a second side of the longitudinal axis opposite the first side so that bone fixation elements inserted therethrough extend anterior and posterior of a prosthetic received within the femur. The first and second holes are staggered relative to one another along a length of the shaft portion and extending beyond longitudinal edges of the shaft portion.

Abstract: A drilling jig for drilling a drill hole into a jaw of a patient for a medical tooth implant. The drilling jig includes a prosthesis adapted to at least one of teeth and the jaw of the patient and a drilling model. The prosthesis has a bipartite design and includes an individualized part adapted to the teeth, and a standardized plate part with at least two reference markers suitable to provide reference points in digital images of the prosthesis and a first coupling part which couples the drilling model to the prosthesis. The drilling model is a standardized part which includes a drill channel adapted to the medical tooth implant, and a second coupling part adaptable to the prosthesis so that the prosthesis and the drilling model are connectable with each other through the first and second coupling parts.

Abstract: The present disclosure provides an apparatus comprising a wire having a first end and a second end opposite the first end. A first portion of the wire including the first end comprises a malleable region that is configured to remain deformed after bending, and a second portion of the wire including the second end comprises a superelastic region that is configured to return to a straight configuration after bending.

Abstract: An orthopaedic joint replacement system is shown and described. The system includes a number of prosthetic components configured to be implanted into a patient's knee. The system also includes a number of surgical instruments configured for use in preparing the bones of the patient's knee to receive the implants. A method or technique for using the surgical instruments to prepare the bones is also disclosed.

Abstract: A positioning system comprising a first working element having a first tubular shaft, a second working element having a second tubular shaft, an arcuate element having a holding element and an arcuate rail, wherein the arcuate rail is disposed on the holding element and the holding element is adapted to be fixed on the receiving section by means of a fastening element, and a guiding element having a holding section and a guiding section, wherein the holding section is guided on the rail and the guiding section receives the second shaft, the holding section having a locking element securing the guiding element to the rail, wherein the locking element in a locking position blocks displacement of the holding section in a transverse direction and in a release position allows displacement of the holding section in the transverse direction.

Abstract: An insertion instrument for expandable spinal implants includes an elongate member, a shuttle, and a worm gear. The elongate member includes a handle portion of a proximal end and an end effector on a distal end, wherein the end effector is configured to be releasably engaged to an expandable spinal implant. The shuttle is slidably disposed within a cavity defined within the end effector and includes a wedged shaped distal end configured to engage an expandable spinal implant. The worm gear is rotatably disposed within the cavity defined in the end effector and is in mechanical communication with the shuttle, such that rotation of the worm gear effectuates movement of the shuttle. Distal movement of the shuttle effectuates articulation of an expandable spinal implant. A method of performing surgery is also disclosed.