Abstract: An auto-suture device includes a spiral drive mechanism having a first spiral drive tube including a cylindrical body having an internal surface defining a first travel path, a second spiral drive tube moveably coupled to the first spiral drive tube, and a first spiral drive element including a drive interface and a needle drive. The needle drive is sized and configured to be received within the first travel path defined by the first spiral drive tube.

Abstract: Systems and methods for presenting force information related to a provisional is disclosed. A user interface may be provided for presenting objects on a display related to a knee joint, the user interface including a representation of an area of the knee joint for presentment on the display and a force center indicator for presentment on the display. The user interface providing an indication of when a position of the force center indicator corresponds to a desired position of the force center indicator.

Abstract: Systems for determining force balance on a knee joint during a surgical procedure are disclosed. A system can include a tibial prosthesis. The tibial prosthesis can include a bearing component, a base component, and a shim component. The bearing component can have a superior articulating surface and an inferior surface. The bearing component can include a top portion, a bottom portion, a frame disposed between the top portion and the bottom portion, and a plurality of sensors disposed between the frame and the bottom portion. The frame can have a plurality of apertures corresponding in size or shape to the plurality of sensors. The base component can have a superior surface and an inferior surface. The shim component can be configured to be slidable between the inferior surface of the bearing component and the superior surface of the base component in an anterior to posterior direction.

Abstract: Tibial prosthesis systems for implantation or use in a knee joint are disclosed. A tibial prosthesis system can include a bearing component, a base component, a shim component, and optionally a spacer component. The shim or spacer component can be inserted between an inferior surface of the bearing component and a superior surface of the base component. The insertion of the shim or spacer component can provide spacing adjustment between the bearing and base components. The shim component can include one or both of a medial edge having a different height than a lateral edge or an anterior edge having a different height than a posterior edge. The differing edge height of the shim component can provide a surgeon with knee joint kinematic insight regarding an angled bone cut before the cut is made, and can allow for sizing of an appropriately permanent prosthesis system using a reduced number of provisional components.

Abstract: The present disclosure provides a provisional tibial prosthesis system for a set of prosthetic knee joints for implantation in a natural knee, the provisional tibial prosthesis system including a bearing component and a bearing support, the spacing of the bearing component from the bearing support is adjustable to allow for representation of a variety of different sized final tibial prostheses. In this system, only one provisional bearing component corresponding to each level of constraint is needed and shims are used to adjust the spacing of the bearing component from the bearing support. The shims are slidably insertable between the bearing component and the bearing support in an anterior/posterior direction to allow for adjustment of the spacing of the bearing component from the bearing support. The number of provisional components needed during knee surgery is reduced and adjustment of the system only requires the knee join to be distracted by a distance equal to the height of a particular shim.

Abstract: The present disclosure provides a provisional tibial prosthesis system for a set of prosthetic knee joints for implantation in a natural knee, the provisional tibial prosthesis system including a bearing component and a bearing support, the spacing of the bearing component from the bearing support is adjustable to allow for representation of a variety of different sized final tibial prostheses. In this system, only one provisional bearing component corresponding to each level of constraint is needed and shims are used to adjust the spacing of the bearing component from the bearing support. The shims are slidably insertable between the bearing component and the bearing support in an anterior/posterior direction to allow for adjustment of the spacing of the bearing component from the bearing support. The number of provisional components needed during knee surgery is reduced and adjustment of the system only requires the knee join to be distracted by a distance equal to the height of a particular shim.

Abstract: Tibial prosthesis methods for balancing a knee joint during a surgical procedure are disclosed. A method can comprise inserting a first tibial shim component between a tibial bearing component and a tibial base or a tibial plate component in an anterior/posterior direction. The first tibial shim component can include one or both of a medial edge having a different height than a lateral edge or an anterior edge having a different height than a posterior edge. The method can further comprise testing one or more of a stability, a force balance, or a range of motion of a knee joint in which the first tibial shim component is inserted. If the testing result is not satisfactory, the method can include removing the first tibial shim component, and inserting a second tibial shim component between the tibial bearing component and the tibial base or tibial plate component in the anterior/posterior direction.

Abstract: Systems for determining force balance on a knee joint during a surgical procedure are disclosed. A system can include a tibial prosthesis. The tibial prosthesis can include a bearing component, a base component, and a shim component. The bearing component can have a superior articulating surface and an inferior surface. The bearing component can include a top portion, a bottom portion, a frame disposed between the top portion and the bottom portion, and a plurality of sensors disposed between the frame and the bottom portion. The frame can have a plurality of apertures corresponding in size or shape to the plurality of sensors. The base component can have a superior surface and an inferior surface. The shim component can be configured to be slidable between the inferior surface of the bearing component and the superior surface of the base component in an anterior to posterior direction.

Abstract: Tibial prosthesis systems for implantation or use in a knee joint are disclosed. A tibial prosthesis system can include a bearing component, a base component, a shim component, and optionally a spacer component. The shim or spacer component can be inserted between an inferior surface of the bearing component and a superior surface of the base component. The insertion of the shim or spacer component can provide spacing adjustment between the bearing and base components. The shim component can include one or both of a medial edge having a different height than a lateral edge or an anterior edge having a different height than a posterior edge. The differing edge height of the shim component can provide a surgeon with knee joint kinematic insight regarding an angled bone cut before the cut is made, and can allow for sizing of an appropriately permanent prosthesis system using a reduced number of provisional components.

Abstract: Tibial prosthesis systems for implantation or use in a knee joint are disclosed. A tibial prosthesis system can include a bearing component, a base component, a shim component, and optionally a spacer component. The shim or spacer component can be inserted between an inferior surface of the bearing component and a superior surface of the base component. The insertion of the shim or spacer component can provide spacing adjustment between the bearing and base components. The shim component can include one or both of a medial edge having a different height than a lateral edge or an anterior edge having a different height than a posterior edge. The differing edge height of the shim component can provide a surgeon with knee joint kinematic insight regarding an angled bone cut before the cut is made, and can allow for sizing of an appropriately permanent prosthesis system using a reduced number of provisional components.

Abstract: Systems and methods for presenting force information related to a provisional is disclosed. A user interface may be provided for presenting objects on a display related to a knee joint, the user interface including a representation of an area of the knee joint for presentment on the display and a force center indicator for presentment on the display. The user interface providing an indication of when a position of the force center indicator corresponds to a desired position of the force center indicator.

Abstract: A multi-positionable cut guide including a bone attachment device, base, and guide member. Bone attachment device is adapted to be coupled to the bone and has a base receiving portion. Base includes a mounting portion slideably coupled to base receiving portion such that base is slideable relative to attachment device along at least one dimension. Guide housing is pivotally mounted to base and guide member is rotatably mounted to guide housing. Guide member defines an axis about which it is rotatable. Guide member defines an elongated guide slot extending along the axis and adapted to receive and guide a saw for resecting the end of the bone. Guide slot defines a cut guide plane, the position of which is adjustable relative to the bone via sliding of base along at least one dimension, pivoting of the guide housing relative to base, and rotation of guide member about the axis.

Abstract: An adjustable cut guide for use in resecting the end of a bone. The cut guide of the includes guide slots, the position of which may be adjusted to one of multiple guiding positions that guide a saw in making the anterior, posterior and/or chamfer cuts in the bone. The cut guide includes a base adapted to attach to the end of a bone and including an anterior end and a posterior end. First and second guide housings are coupled to the base and disposed adjacent the opposing anterior and posterior ends, respectively. Anterior and posterior guide members are rotatably coupled to the first and second guide housings, respectively. Each of the anterior and posterior guide members are rotatable about a guide axis and have a guide slot extending therethrough along the guide axis.

Abstract: An apparatus is provided for supporting a surgical component adjacent to a bone during a surgical procedure. The apparatus includes an integral body having a hinge platform, a hinge integral with the hinge platform; and a surgical component mounting portion integral with the hinge for rotation generally about a hinge axis relative to the hinge platform. An adjustment mechanism is operably connected between the hinge platform and the surgical component mounting portion to allow selective incremental rotation of the surgical component mounting portion relative to the hinge platform.

Abstract: The present invention provides a device for determining the shape and/or position of an anatomic surface and converting the data into machine readable form. The device includes a plurality of sensing probes positionable against an anatomic surface and a mechanism able to read the probe positions to determine the shape of the surface. The device may also include a tracking element trackable by a surgical navigation system to determine the position of the probes relative to a surgical coordinate system.

Abstract: An orthopaedic pin driver is presented for impacting bone during a surgical procedure.

Abstract: A multi-positionable cut guide including a bone attachment device, base, and guide member. Bone attachment device is adapted to be coupled to the bone and has a base receiving portion. Base includes a mounting portion slideably coupled to base receiving portion such that base is slideable relative to attachment device along at least one dimension. Guide housing is pivotally mounted to base and guide member is rotatably mounted to guide housing. Guide member defines an axis about which it is rotatable. Guide member defines an elongated guide slot extending along the axis and adapted to receive and guide a saw for resecting the end of the bone. Guide slot defines a cut guide plane, the position of which is adjustable relative to the bone via sliding of base along at least one dimension, pivoting of the guide housing relative to base, and rotation of guide member about the axis.

Abstract: An adjustable cut guide for use in resecting the end of a bone. The cut guide of the includes guide slots, the position of which may be adjusted to one of multiple guiding positions that guide a saw in making the anterior, posterior and/or chamfer cuts in the bone. The cut guide includes a base adapted to attach to the end of a bone and including an anterior end and a posterior end. First and second guide housings are coupled to the base and disposed adjacent the opposing anterior and posterior ends, respectively. Anterior and posterior guide members are rotatably coupled to the first and second guide housings, respectively. Each of the anterior and posterior guide members are rotatable about a guide axis and have a guide slot extending therethrough along the guide axis.

Abstract: A navigated guide is provided for establishing datums used to position subsequent components during a surgical procedure.