Abstract: Surgical instruments for performing wedge-shaped osteotomies are disclosed herein. One surgical instrument includes a body with a distal end, a proximal end, a bottom surface, and a top surface including a slope extending upward and along a single plane from the distal end to the proximal end. The surgical instrument further includes multiple columns of cutting blades positioned on the top surface in which each of the cutting blades are spaced apart and extend vertically along at least a portion of the slope from the distal end to the proximal end. Another surgical instrument includes the cutting blades positioned in multiple rows of cutting blades on the top surface such that the multiple rows of cutting blades extend along the slope from the distal end to the proximal end and each cutting blade in the plurality of cutting blades extends horizontally across the top surface.

Abstract: A guide operates in the creation of a bone spur to facilitate harvesting a quadriceps tendon and includes an end having a width equal to a desired graft width with a terminal slope equal to a cutting angle desired. In use, the guide may be initially positioned parallel to the femur to form guide cuts in the patella. The guide is then rotated ninety degrees to allow an angled cut at the guide cut. The guide is again rotated, this time one hundred eighty degrees and a second angled cut made on the other guide cut. A final lateral cut is made and the bone spur may be lifted from the patella.

Abstract: A capital fragment guide is configured to be temporarily secured to a capital fragment of a metatarsal that has been surgically separated from a proximal portion of the metatarsal. The capital fragment guide can be manipulated to correspondingly manipulate the capital fragment, thereby correcting a bunion. An implant can permanently secure the proximal portion to the capital fragment.

Abstract: A passive end effector of a surgical system includes a base, a first mechanism, and a second mechanism. The base attaches to an end effector coupler of a robot arm positioned by a surgical robot. The first mechanism extends between a rotatable connection to the base and a rotatable connection to a tool attachment mechanism. The second mechanism extends between a rotatable connection to the base and a rotatable connection to the tool attachment mechanism. The first and second mechanisms pivot about the rotatable connections to constrain movement of the tool attachment mechanism to a range of movement within a working plane. The tool attachment mechanism is configured to connect to a surgical saw including a saw blade for cutting.

Abstract: Bone deformity correction devices and methods of using such devices to correct bone deformities. The device can include an elongate body, an adjustable manipulation arm movably coupled to the elongate body, wherein the adjustable manipulation arm is configured to move axially and laterally, and a cutting guide removably attachable to the device elongate body.

Abstract: A replaceable battery unit for a surgical power tool and a method of operating a surgical power tool including the replaceable battery unit. The replaceable battery unit includes a housing containing one or more battery cells, a motion sensor unit, and a controller. The controller is operable to determine, from an output of the motion sensor unit, a sudden movement of the replaceable battery unit indicative of a kickback event of the surgical power tool. The controller is also operable, in response to the determination, to disconnect power from the replaceable battery unit to the surgical power tool.

Abstract: An instrumentation set for preparing a proximal tibia during a bi-cruciate retaining procedure can include a tibial resection block and a stylus. The tibial resection block can be configured to be fixed to an anterior portion of the proximal tibia. The tibial resection block can define a slot that extends in a medial-lateral direction when the tibial resection block is fixed to the proximal tibia. The stylus can have a first block attachment feature and a second block attachment feature. The first block attachment feature can be offset from the stylus a first distance. The second block attachment feature can be offset from the stylus a second distance. The first and second block attachment features of the stylus can be selectively and alternatively received by the slot of the tibial resection block to position the stylus at distinct offset locations relative to the slot.

Abstract: A surgical system is provided. The surgical system includes a camera operable to capture images and/or video. A projector is operable to project light, and a controller is communicatively coupled with the camera and the projector. The controller is operable to track movement of bone in real-time during surgery based on the images and/or video captured by the camera, and control the projector to project the light including a cutting line on the bone to indicate a cutting plane for cutting the bone during surgery.

Abstract: A surgical image capture and display system includes a handheld image capture and pointing device and a display assembly. An image is captured by an image sensor of the handheld device and displayed on the display assembly. The image sensor detects light emitted by one or more beacons of the display assembly. The system determines, based on the light emitted by the one or more beacons, a position or orientation of the handheld device relative to the display assembly. The system updates display of a graphical user interface comprising the image on the display assembly in accordance with the determined position or orientation of the handheld device.

Abstract: A bone resection instrument, comprising means of support and positioning for the correct alignment of the tool with respect to the bone to be cut, a cutting guide, connected to the means of support and positioning, comprising a support attachable to a bone to be cut. The cutting guide comprises a gauge block having a cutting surface and removably connected to said support. The instrument is part of a bone resection kit comprising a plurality of gauge blocks, each differing in height from one another.

Abstract: A novel and improved elbow prosthesis and method of implanting same including a novel aggregate prosthesis having a retaining system in conjunction with a set plate.

Abstract: A surgical system includes a robotic device having a surgical tool, a tracking system, and a processing system communicably coupled to the robotic device. The processing system is configured to store a surgical plan comprising a first planned cut and one or more additional planned cuts, each additional cut defined by a relative angle and distance from the first planned cut, receive tracking data from the tracking system while the surgical tool makes a cut substantially corresponding to the first planned cut, and determine a recorded first cut plane based on the first tracking data. The processing system is further configured to determine an error between the recorded first cut plane and the planned first cut, the error comprising a deviation from the planned first cut, and update the surgical plan by modifying the one or more additional planned cuts based on the deviation.

Abstract: A telescoping access cannula comprising: an outer tube; an inner tube carried by the outer tube, the inner tube being coaxial with the outer tube and longitudinally movable relative to the outer tube; and a rotatable member carried by the outer tube and connected to the inner tube, wherein rotation of the rotatable member causes longitudinal movement of the inner tube relative to the outer tube.

Abstract: A surgical saw blade cartridge includes a bar, a blade and a drive link. The bar includes a first plate and an opposed second plate defining a space therebetween, and an opening in at least one of the plates for releasable connection to a saw. The blade includes a base moveably disposed in the space between the plates and a head integral with the base located outside of the bar. The head has teeth at least as wide as a portion of the bar adjacent the head. The drive link extends through the bar and is moveable therein with a proximal end configured for attachment to a drive component of the saw and a distal end connected to either the base of the blade or a pivot link. The bar includes a structural member adjacent the head that extends forward of the head.

Abstract: Knee arthroplasty instrument systems directly reference and align with the anterior distal femoral cortex and the mechanical axis of the leg. The anterior femoral resection is aligned in the same plane as the anterior distal femoral cortex. The center of the femoral head, the medial/lateral center of the distal femur, the medial/lateral center of the proximal tibia, and the second toe, medial/lateral center of the ankle, or anterior tibial spine are all aligned to the mechanical axis of the leg. Methods of using the instrument systems are disclosed.

Abstract: A patient-matched cutting block including a surface or point contact features adapted to at least partially conform to or reference a patient specific anatomy. The cutting block having guide slots configured for guiding the movement of cutting tools relative to the patient specific anatomy or features configured to mate to and guide standard cutting guides relative to patient specific anatomy in order to form plateau and eminence resections of the patient specific anatomy.

Abstract: Resection guides include a body a plurality of alignment pin through-holes and a plurality of guide through-holes so that the pattern of guide through-holes is operable for receiving a drill for use in resecting the at least a portion of the anatomical structure of the patient. Sweeping reamers include a body having a plurality of alignment pin through-holes and an elongated opening, and a reamer extendable through the elongated opening of the body. Decoupled resection guides include a first body having a plurality of alignment pin through-holes and a second body having a plurality of fixation pin through-holes and at least one guide aperture operable for guiding a cutting tool for use in resecting a portion of the second anatomical structure of the patient. Methods employing the same are disclosed and operable in, for example, total ankle replacement.

Abstract: Surgical instruments for performing wedge-shaped osteotomies are disclosed herein. One surgical instrument includes a body with a distal end, a proximal end, a bottom surface, and a top surface including a slope extending upward and along a single plane from the distal end to the proximal end. The surgical instrument further includes multiple columns of cutting blades positioned on the top surface in which each of the cutting blades are spaced apart and extend vertically along at least a portion of the slope from the distal end to the proximal end. Another surgical instrument includes the cutting blades positioned in multiple rows of cutting blades on the top surface such that the multiple rows of cutting blades extend along the slope from the distal end to the proximal end and each cutting blade in the plurality of cutting blades extends horizontally across the top surface.

Abstract: A surgical sagittal saw cartridge that includes a guide bar formed from an inner plate and opposed outer plates, the inner plate defining a head. The cartridge has a blade that is disposed against the head of the inner plate. The inner plate may comprise an inner tine and/or two opposed outer tines. The inner tine may be formed to define the head against which the blade is disposed. The outer tines extend distally so as to define a space between the outer tines in which the blade is seated.

Abstract: A medical assistive device for quick positioning which can be combined with surgical reduction forceps rapidly, free from angle limitation, operated more conveniently. It comprises a base, the top surface thereof can hold the patient's wrist region; a socket holder located under the bottom surface of the base, provided with a round cavity-like hole slot; multiple support columns vertically located on the bottom surface of the base, surrounding the socket holder, forming connected passages under the base; a universal joint, embedded in the hole slot of socket holder, flexibly diverted. Thereby, the lower forceps body of surgical reduction forceps can reach the lower part of socket holder at any angle under the base, so that the lower forceps body is combined with the universal joint quickly, the combination is rapid, and the lower forceps body can rotate flexibly.

Abstract: A robotic cutting system including a robotic manipulator and a cutting tool coupled to the robotic manipulator. The cutting tool comprises a saw blade. A controller is also coupled to the robotic manipulator. The controller is configured to control operation of the robotic manipulator, the cutting tool, and/or another cutting tool, to cut the bone in an initial stage of cutting until a notch is created in the bone at a predetermined depth. A final stage of cutting is then completed by cutting along the cutting plane.

Abstract: A system and method for performing a procedure is disclosed. The procedure may include preparing one or more bones for a prosthetic implant. The method may include provide instructions to a user for using identified instruments to perform a procedure. Instructions and may be provided for settings of adjustable instruments.

Abstract: A surgical sagittal saw blade cartridge that includes a guide bar formed from an inner layer and opposed outer plates. The inner layer comprising an outer tine extending distally from the proximal end of the guide bar. An outer surface of the outer tine forms a section of a side surface of the guide bar. A side weld may be formed along the side surface of the guide bar. The cartridge may include a blade coupled to the guide bar, the blade comprising a web disposed between the two outer plates. The blade may include a blade head integral with and located distal to the web, the head formed with teeth located distal to the guide bar, the teeth having a sufficient thickness to form a kerf able to receive the guide bar. A method of forming the cartridge is also contemplated, including welding the inner layer to the outer plates.

Abstract: A system and method for generating a model of a patient specific cut guide instrument for harvesting a graft comprises a model of a graft defined by an implant interface surface, a bone interface surface, and a spatial geometry therebetween, the model being specific to a patient.

Abstract: Compositions that include a clay such as kaolin dispersed in a liquid such as water may be useful for promoting the clotting of blood. The compositions may be in a liquid, gel, paste, foam, or another form. Uses may include treating a traumatic injury such as in injury caused by a bullet, an explosive, a blade etc., or an injury caused during a medical procedure such as surgery.

Abstract: An orthopedic instrument assembly for placing an implant into a medial cuneiform of a foot, the assembly includes a targeting guide having a body with an elongated linear base. A threaded rack is disposed along the elongated linear base. A compression-distraction frame pre-compresses the joint prior to placement of a joint fixation element. The compression-distraction frame is translatably connected to the rack of the guide body base. The compression-distraction frame is releasably, statically connectable to a first metatarsal bone and a post. The post has a generally cylindrical shape and a longitudinal axis, and has a plurality of threaded cylindrical bores disposed therethrough at predefined angles relative to the longitudinal axis. The post is releasably, statically connectable to the targeting guide.

Abstract: A cutting apparatus for resecting a distal face of a femur prior to implanting a femoral component of a total knee prosthesis, comprises an elongate rod adapted for inserting into an intramedullary canal of the femur, a distal femoral cutting block, and a distal femoral jig assembly. The jig assembly can position the distal femoral cutting block on either left leg or right leg. It includes a distal femoral jig having at least one passage for slidingly receiving the rod with a preset valgus angle and a distal end face being adapted for abutting against on the distal face of the femur of either left leg or right leg dependent on its two flip orientations.

Abstract: A bone fusion implant for fusing a first bone region to a second bone region of a mammalian bone includes a first fixing region having multiple securing means receiving holes for attaching to the first bone and a second fixing region which is connected to the first fixing region and has multiple securing means receiving holes for attaching to the second bone region, wherein a cutting tool guiding contour which specifies a severing line is formed between the first and the second fixing region. A method for the individualized production of such a bone fusion implant includes recording an actual 3D model of the mammalian bone implant in a first data set, drafting a target 3D model, and producing the bone fusion implant by way of the target 3D model.

Abstract: A surgical sagittal saw cartridge that includes a guide bar formed form an inner plate and opposed outer plates, the inner plate having a head. The cartridge has a blade that is disposed against the head of the inner plate. The inner plate is formed to have an inner tine and two opposed outer tines. The inner tine is formed to define the head against which the blade is disposed. The outer tines extend forward of the inner tine so as to define a space between the outer tines in which the blade is seated.

Abstract: An instrument set and related method for preparing a proximal tibia during a bi-cruciate retaining procedure are disclosed. The instrument set can include a tibial resection block, a cut guide, and a locking arm. The tibial resection block can be configured to be fixed to an anterior portion of the proximal tibia. The tibial resection block can define a slot that extends in a medial-lateral direction when the tibial resection block is fixed to the proximal tibia. The cut guide can have a body, a medial arm, and a lateral arm. A medial cut slot can be defined between the body and the medial arm. A lateral cut slot can be defined between the body and the lateral arm. The cut guide can further comprise a tongue extending therefrom. The tongue can be configured to be received by and slidably translate along the slot of the tibial resection block.

Abstract: A minimally invasive system for dynamic correction of a spinal deformity in patients includes: a flat ligament made of synthetic material, a plurality of staples intended to be anchored on a respective vertebral body of the patient to hold the ligament against each vertebral body, and a device for mechanically tensioning the ligament.

Abstract: An orthopedic surgical instrument includes a polymer 4-in-2 cutting instrument having a number of metallic cutting guides secured thereto. An A/P femoral cutting block of the instrument is removably secured to the instrument's chamfer femoral cutting block.

Abstract: A cutting apparatus for resecting a distal face of a femur prior to implanting a femoral component of a total knee prosthesis, comprises an elongate rod adapted for inserting into an intramedullary canal of the femur, a distal femoral cutting block, and a distal femoral jig assembly. The jig assembly can position the distal femoral cutting block on either left leg or right leg. It includes a distal femoral jig having at least one passage for slidingly receiving the rod with a preset valgus angle and a distal end face being adapted for abutting against on the distal face of the femur of either left leg or right leg dependent on its two flip orientations.

Abstract: A femoral slideway and femoral slideway/femur-size template combination is employed to create an installed knee prosthesis that creates a reduced amount of stress in the collateral ligaments relative to previous prosthesis. In one embodiment, the reduced stress is achieved by employing a femoral slideway/femur-size template combination which results in installation of a femoral slideway which has a smaller dorsal-ventral dimension than a corresponding dimension of the femur prior to resection.

Abstract: A surgical rib cutter is disclosed. The surgical rib cutter includes a housing defining one or more guide slots. The surgical rib cutter also includes an anterior arm unit comprising an anterior effector configured to interact with an anterior side of a rib. The surgical rib cutter further includes a posterior arm unit comprising a posterior effector configured to interact with a posterior side of said rib. The surgical rib cutter also has an actuator movable relative to the housing and operationally coupled to at least one of the anterior and posterior arm units to move said at least one of the anterior and posterior arm units within at least one of the one or more guide slots to create a relative movement between the anterior and posterior arm units, said relative movement causing one of the anterior effector or the posterior effector to create a green stick break in said rib.

Abstract: A femoral component trial for a knee joint of the present invention includes a trial body. The trial body includes a medial condyle and a lateral condyle that are located away from each other on an external surface, a through hole that is located between the medial condyle and the lateral condyle and has an approximately rectangular shape whose long side is an outer edge of an inner wall located along a back-and-forth direction and whose short side is an outer edge of an inner wall located along a right-and-left direction in an external surface view, a first guide slit that is located ahead of and above the through hole and extends in the right-and-left direction, and four second guide slits respectively extending from four corner parts of the through hole and along the long side.

Abstract: A tool (1, 31) for cutting bone comprises an elongate blade (7, 37) connectable to a generator of longitudinal-mode ultrasonic vibrations. The blade (7, 37) has two lateral cutting edges (9, 10) linked by a rounded distal tip (8). A series of triangular teeth (13) extends along each cutting edge (9, 10) and the distal tip (8). The blade (37) may taper towards each cutting edge (9,10) and the distal tip (8). A variant of the tool (21) comprises an elongate part-cylindrical blade (27) connectable to a generator of torsional-mode ultrasonic vibrations. The blade (27) has a cutting edge at its distal tip (28) provided with a plurality of triangular teeth (23). All forms of the tool (1, 21, 31) are particularly suitable for cutting cancellous bone around an implant to be removed during revision of a joint arthroplasty.

Abstract: A novel and improved elbow prosthesis and method of implanting same including a novel aggregate prosthesis having a retaining system in conjunction with a set plate.

Abstract: A method of performing a total knee arthroplasty including the steps of inserting a first pin into the distal femur and through the knee center, locating the femoral mechanical axis, inserting at least one additional pin into the distal femur, locating the tibial mechanical axis, sizing the femur and applying a femoral cutting block having at least one cutting guide to an end of the femur, positioning a tibial cutting block having a least one cutting guide in a cutting position relative to the tibia, aligning the femoral cutting block relative to the tibial cutting block, aligning the femur relative to the tibia, cutting the femur using the at least one femoral cutting guide, cutting the tibia using the at least one tibial cutting guide, removing the femoral and tibial cutting blocks, and positioning permanent femoral and tibial components on the cut portions of the femur and tibia, respectively.

Abstract: The present disclosure generally pertains to a digital controller for surgical handpieces. The controller is programmable and configurable by software which may be used with a variety of types of handpieces. The controller is equipped with environmental sensors that detect pressure, humidity and temperature, and operational sensors that detect the angle and placement of the rotor of a motor. These sensors provide data used for testing and evaluating the function of the handpiece. A filter program is provided which removes electronic noise from collected data. The controller includes an electronic memory writer and reader to download firmware, control parameters for handpiece operation and read logged data from sensors to determine motor function. The sensor includes a hermetic enclosure constructed from a heat conducting material and that is non-ferromagnetic to allow communication between the trigger and controller.

Abstract: The present embodiments provide systems and methods suitable for delivering a therapeutic agent to a target site. The systems generally comprise a container having first and second regions and a reservoir containing the therapeutic agent. A pressure source having pressurized fluid is in selective fluid communication with at least a portion of the reservoir. An outlet tube is in fluid communication with the reservoir of the container. At least one slot is formed in a lateral surface of the outlet tube at a position between first and second ends of the outlet tube.

Abstract: An instrument set and related method for preparing a proximal tibia during a bi-cruciate retaining procedure are disclosed. The instrument set can include a tibial resection block, a cut guide, and a locking arm. The tibial resection block can be configured to be fixed to an anterior portion of the proximal tibia. The tibial resection block can define a slot that extends in a medial-lateral direction when the tibial resection block is fixed to the proximal tibia. The cut guide can have a body, a medial arm, and a lateral arm. A medial cut slot can be defined between the body and the medial arm. A lateral cut slot can be defined between the body and the lateral arm. The cut guide can further comprise a tongue extending therefrom. The tongue can be configured to be received by and slidably translate along the slot of the tibial resection block.

Abstract: The present embodiments provide systems and methods suitable for delivering a therapeutic agent to a target site. The systems generally comprise a container having first and second regions and a reservoir containing the therapeutic agent. A pressure source having pressurized fluid is in selective fluid communication with at least a portion of the reservoir. An outlet tube is in fluid communication with the reservoir of the container. At least one slot is formed in a lateral surface of the outlet tube at a position between first and second ends of the outlet tube.

Abstract: Disclosed herein are tools for repairing articular surfaces repair materials and for repairing an articular surface. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty.

Abstract: A cutting guide instrument for use in a cutting step in an orthopedic surgical procedure comprises a reference component comprising a first element which can be attached or otherwise aligned relative to the bone in a predetermined arrangement and a locator arm. The invention further comprises a cutting block comprising a reference surface which can be engaged by a cutting tool to define the location and orientation of the tool during the cutting step. The cutting block further comprises at least one fixation bore for receiving a fixation pin to fix the cutting block to the bone. The locator arm can be fitted against the reference surface so that the reference component and cutting block are arranged in a predetermined manner.

Abstract: Sensing technology methods related thereto for determining cut through of bone and a depth of penetration of a working portion of a surgical instrument (e.g., an oscillating saw blade in a cut). A first sensor outputs a first signal representative of a displacement of the cutting edge of the saw blade in the cut. A second sensor outputs a second signal representative of a force applied to the cutting edge of the saw blade. As such, monitoring the first and/or second sensor may allow for the saw to be stopped upon completion of a cut (e.g., when the saw passes completely through a medium to be cut or upon reaching a predetermined depth for the cut).

Abstract: Sensing technology methods related thereto for determining cut through of bone and a depth of penetration of a working portion of a surgical instrument (e.g., an oscillating saw blade in a cut). A first sensor outputs a first signal representative of a displacement of the cutting edge of the saw blade in the cut. A second sensor outputs a second signal representative of a force applied to the cutting edge of the saw blade. As such, monitoring the first and/or second sensor may allow for the saw to be stopped upon completion of a cut (e.g., when the saw passes completely through a medium to be cut or upon reaching a predetermined depth for the cut).

Abstract: Sensing technology methods related thereto for determining cut through of bone and a depth of penetration of a working portion of a surgical instrument (e.g., an oscillating saw blade in a cut). A first sensor outputs a first signal representative of a displacement of the cutting edge of the saw blade in the cut. A second sensor outputs a second signal representative of a force applied to the cutting edge of the saw blade. As such, monitoring the first and/or second sensor may allow for the saw to be stopped upon completion of a cut (e.g., when the saw passes completely through a medium to be cut or upon reaching a predetermined depth for the cut).

Abstract: A surgical cutting blade for cutting bone material when the blade is coupled to a hand-held surgical saw having protrusions extending therefrom that interface with the cutting blade. The cutting blade includes a distal end comprising a plurality of cutting teeth and a shank portion adjacent the distal end. It also includes a proximal end adjacent the shank portion. The proximal end is shaped to attach to the surgical saw and includes an upper substantially planar surface and a lower substantially planar surface and a side edge extending between the upper and lower planar surfaces. The side edge at least in part defines an outer perimeter extending about the proximal end. The outer perimeter includes a plurality of indentations forming openings configured to receive and interface with the protrusions of the surgical saw in a manner that the protrusions cooperatively impart motion to drive the blade.

Abstract: A method and system are provided for preparing an interspinous space to receive an implantable device. The system may comprise a cutting tool guide having a guiding surface for directing a cutting tool therethrough and a holder for positioning the cutting tool guide relative to the interspinous space. The holder may be configured to adjustably attach to at least one of a pair of spinous processes defining the interspinous space.