Abstract: Methods of joint repair employing sutures and attached fixation devices are discussed. For example, a bone block graft procedure (e.g., Latarjet) is discussed which employs fixation devices to secure contact between graft surfaces of two bones. A suture construct, including a continuous suture loop routed through a first fastener, is secured to a first bone. Looped ends of the suture loop are passed through passageways formed in the two bones. The looped suture ends are further routed through a second fastener. The second fastener is mounted to the second bone and a sliding knot, formed in the looped suture ends, is advanced into contact with the second fastener. The suture is further tensioned using a tensioner device to secure the two bones together.

Abstract: Methods of joint repair employing sutures and attached fixation devices are discussed. For example, a bone block graft procedure (e.g., Latarjet) is discussed which employs fixation devices to secure contact between graft surfaces of two bones. A suture construct, including a continuous suture loop routed through a first fastener, is secured to a first bone. Looped ends of the suture loop are passed through passageways formed in the two bones. The looped suture ends are further routed through a second fastener. The second fastener is mounted to the second bone and a sliding knot, formed in the looped suture ends, is advanced into contact with the second fastener. The suture is further tensioned using a tensioner device to secure the two bones together.

Abstract: Methods of joint repair employing sutures and attached fixation devices are discussed. For example, a bone block graft procedure (e.g., Latarjet) is discussed which employs fixation devices to secure contact between graft surfaces of two bones. A suture construct, including a continuous suture loop routed through a first fastener, is secured to a first bone. Looped ends of the suture loop are passed through passageways formed in the two bones. The looped suture ends are further routed through a second fastener. The second fastener is mounted to the second bone and a sliding knot, formed in the looped suture ends, is advanced into contact with the second fastener. The suture is further tensioned using a tensioner device to secure the two bones together.

Abstract: A system for targeting a feature on a surgical device, includes a shape sensing element coupled to an interrogator and operable to provide information to related to said portion's position in a reference frame in communication with the targeted feature. The interrogator is operable to poll the shape sensing element for information related to said portion's position in the reference frame. A surgical tool is coupled to the targeting system in communication with the shape sensing element. The data processor is operable to communicate with the interrogator to output position information of the portion of the shape sensing element with respect to a calibrated position, defined as the position of the portion of the shape sensing element in the reference frame when the guide axis is aligned to the targeted feature. A display provides the user visual information comparing the position of the tool to the targeted feature.

Abstract: A system and method for targeting a feature on a surgical device, includes a shape sensing element coupled to a surgical device. A guide system having a moveable guide aperture is coupled to the surgical device in communication with the shape sensing element. An interrogator is operable to poll the shape sensing element for information related to the deflection of the targeted feature coupled in communication with a portion of the shape sensing element. A data processor is operable to communicate with the interrogator and provide adjustment information to the user related to the change in shape of the shape sensing element, which is related to a translation of the guide aperture with respect to the first device end such that the guide axis is aligned with the target axis. The shape sensing element may comprise at least one optical fiber, which may comprise a set of Bragg Gratings.

Abstract: Methods and devices for tissue graft fixation include fixation devices attached to an adjustable fixation loop of suture without compromising the graft or requiring additional material to complete the repair. Other fixation devices are attachable to an independent adjustable suture system. Adjustable fixation loops minimize slip/creep of the suture within the loop.

Abstract: A surgical guide system comprises a guide body having a receiver and a reference plate joined by a connecting arm, a portion of the receiver and a portion of the reference plate intersecting a guide axis, the guide body operable for at least one bone to be interposed between the receiver and reference plate. The guide body further comprising a shuttle cable configured on the reference plate for engagement with a surgical tool A method includes positioning the surgical guide system on at least one bone, the bone the having a first side and a second side, guiding a surgical tool through a hole in the at least one bony structure, engaging a portion of the shuttle cable, and retrieving a first end of the shuttle cable through the hole.

Abstract: A surgical device for controlling a shuttle cable, comprises a shaft, a capture mechanism comprising a first and second jaw and cavity therebetween accessible by a shuttle cable, and a gate connected to a jaw and in rigid communication with a flexible hinge, the hinge operable to allow the gate to deflect from a closed position to an open position by a force acting on the distal side of the gate, wherein the gate resiliently returns from an open position to a closed position, the capture mechanism is operable to allow the shuttle cable to slide axially through a containment aperture. A method comprises guiding the surgical device through a bone aperture, coupling the surgical device to a portion of the shuttle cable; and retrieving the capture mechanism through the aperture to the first side of the bone.

Abstract: Methods of joint repair employing sutures and attached fixation devices are discussed. For example, a bone block graft procedure (e.g., Latarjet) is discussed which employs fixation devices to secure contact between graft surfaces of two bones. A suture construct, including a continuous suture loop routed through a first fastener, is secured to a first bone. Looped ends of the suture loop are passed through passageways formed in the two bones. The looped suture ends are further routed through a second fastener. The second fastener is mounted to the second bone and a sliding knot, formed in the looped suture ends, is advanced into contact with the second fastener. The suture is further tensioned using a tensioner device to secure the two bones together.

Abstract: Methods of joint repair employing sutures and attached fixation devices are discussed. For example, a bone block graft procedure (e.g., Latarjet) is discussed which employs fixation devices to secure contact between graft surfaces of two bones. A suture construct, including a continuous suture loop routed through a first fastener, is secured to a first bone. Looped ends of the suture loop are passed through passageways formed in the two bones. The looped suture ends are further routed through a second fastener. The second fastener is mounted to the second bone and a sliding knot, formed in the looped suture ends, is advanced into contact with the second fastener. The suture is further tensioned using a tensioner device to secure the two bones together.

Abstract: Methods, systems, and apparatus, including computer-readable storage media, for surgical alignment using references. In one general aspect, a method includes coupling a guide to a joint, the guide defining an axis and having an outer contour formed to substantially conform to a portion of the joint. The first reference is attached at a fixed position relative to the joint. A positioning system is used to determine a position of the axis relative to the first reference, where the position of the axis is determined based upon the position of the guide while the guide is coupled to the joint. The guide is removed from the joint, and after the guide is removed from the joint, an instrument is positioned relative to the axis based on a position of a second reference relative to the first reference.

Abstract: A system for targeting a feature on a surgical device, includes a shape sensing element coupled to an interrogator and operable to provide information to related to said portion's position in a reference frame in communication with the targeted feature. The interrogator is operable to poll the shape sensing element for information related to said portion's position in the reference frame. A surgical tool is coupled to the targeting system in communication with the shape sensing element. The data processor is operable to communicate with the interrogator to output position information of the portion of the shape sensing element with respect to a calibrated position, defined as the position of the portion of the shape sensing element in the reference frame when the guide axis is aligned to the targeted feature. A display provides the user visual information comparing the position of the tool to the targeted feature.

Abstract: Methods of joint repair employing sutures and attached fixation devices are discussed. For example, a bone block graft procedure (e.g., Latarjet) is discussed which employs fixation devices to secure contact between graft surfaces of two bones. A suture construct, including a continuous suture loop routed through a first fastener, is secured to a first bone. Looped ends of the suture loop are passed through passageways formed in the two bones. The looped suture ends are further routed through a second fastener. The second fastener is mounted to the second bone and a sliding knot, formed in the looped suture ends, is advanced into contact with the second fastener. The suture is further tensioned using a tensioner device to secure the two bones together.

Abstract: A suspensory fixation device includes a standing block at one end thereof and a set of at least two adjustable loops at the second end thereof. The standing block includes a rigid fixation member having a plurality of apertures forming at least one sheave and a becket. A single reeved fall, rigid fixation member, adjustable loops, and sliding knot form a block and tackle system. A suspensory fixation button includes a rigid body having a top side and a bottom side, a plurality of lobes extending radially from the center of the body, and at least one aperture through the body near the root of a lobe. A method of coupling a suspensory fixation button to a set of adjustable flexible loops includes passing each adjustable loop over an edge of an extension of the button from the top side to the bottom side.

Abstract: A surgical guide system comprises a guide body having a receiver and a reference plate joined by a connecting arm, a portion of the receiver and a portion of the reference plate intersecting a guide axis, the guide body operable for at least one bone to be interposed between the receiver and reference plate. The guide body further comprising a shuttle cable configured on the reference plate for engagement with a surgical tool A method includes positioning the surgical guide system on at least one bone, the bone the having a first side and a second side, guiding a surgical tool through a hole in the at least one bony structure, engaging a portion of the shuttle cable, and retrieving a first end of the shuttle cable through the hole.

Abstract: Methods, systems, and apparatus for determining anatomical orientations are described. Data is received that indicates a position of a reference device configured to move with a pelvis of a subject. Data is received that indicates locations corresponding to a reference surface. Data is received that indicates locations on the pelvis. One or more anatomical orientations are determined based on the locations corresponding to the reference surface and the locations on the pelvis. The anatomical orientations are registered to the reference device.

Abstract: Methods of joint repair employing sutures and attached fixation devices are discussed. For example, a bone block graft procedure (e.g., Latarjet) is discussed which employs fixation devices to secure contact between graft surfaces of two bones. A suture construct, including a continuous suture loop routed through a first fastener, is secured to a first bone. Looped ends of the suture loop are passed through passageways formed in the two bones. The looped suture ends are further routed through a second fastener. The second fastener is mounted to the second bone and a sliding knot, formed in the looped suture ends, is advanced into contact with the second fastener. The suture is further tensioned using a tensioner device to secure the two bones together.

Abstract: Methods of joint repair employing sutures and attached fixation devices are discussed. For example, a bone block graft procedure (e.g., Latarjet) is discussed which employs fixation devices to secure contact between graft surfaces of two bones. A suture construct, including a continuous suture loop routed through a first fastener, is secured to a first bone. Looped ends of the suture loop are passed through passageways formed in the two bones. The looped suture ends are further routed through a second fastener. The second fastener is mounted to the second bone and a sliding knot, formed in the looped suture ends, is advanced into contact with the second fastener. The suture is further tensioned using a tensioner device to secure the two bones together.

Abstract: Methods, systems, and apparatus for determining anatomical orientations are described. Data is received that indicates a position of a reference device configured to move with a pelvis of a subject. Data is received that indicates locations corresponding to a reference surface. Data is received that indicates locations on the pelvis. One or more anatomical orientations are determined based on the locations corresponding to the reference surface and the locations on the pelvis. The anatomical orientations are registered to the reference device.

Abstract: Methods, systems, and apparatus, including computer-readable storage media, for surgical alignment using references. In one general aspect, a method includes coupling a guide to a joint, the guide defining an axis and having an outer contour formed to substantially conform to a portion of the joint. The first reference is attached at a fixed position relative to the joint. A positioning system is used to determine a position of the axis relative to the first reference, where the position of the axis is determined based upon the position of the guide while the guide is coupled to the joint. The guide is removed from the joint, and after the guide is removed from the joint, an instrument is positioned relative to the axis based on a position of a second reference relative to the first reference.