Abstract: An endoscopic camera system having a camera that captures and outputs an image; a camera controller coupled to the camera; a user input device coupled to the camera or the camera controller, wherein the user input device is usable to select a region of interest in the image, the region of interest being a sub-part of the image; and wherein the camera controller: computes a measured luminance value for the region of interest; and adjusts an exposure in response to a comparison of the measured luminance value with a target luminance value.

Abstract: Surgical constructs, assemblies and methods of tissue fixation are disclosed. An anterior glenoid guide is a cuboid block configured to be introduced via the rotator interval to lie on the anterior glenoid. The guide has an internal thread for a handle and two flanges which lie on the anterior glenoid. On the anterior face (opposite the neck of the glenoid), the guide is provided with two holes which are sized to receive a drill guide. The holes mate with slots such that the block can be removed after sutures and fixation devices are installed. The anterior glenoid guide can be an arthroscopic anterior glenoid graft guide.

Abstract: A system for interactively visualizing different options for tendon repair for a surgeon and for informing the surgeon in a descriptive way of the different options is disclosed. The system may be configured to determine the size of a damaged tendon and propose solutions consisting of the anchor types, number of anchors and a free tendon-to-bone healing area associated with each proposed solution. As such, the system may make a surgeon aware of solutions for which the surgeon was otherwise unaware that are superior in free tendon-to-bone healing area or number of anchors, or both. The system increases the likelihood that a patient will receive the optimum number of anchors and free tendon-to-bone healing area in a tendon repair.

Abstract: Knotless surgical constructs and methods of tissue repairs. A surgical construct can offer both repair and shuttling capabilities to allow for a single pass to load multiple sutures at once. A surgical construct can pass or shuttle multiple repair sutures while making a single pass through or around soft tissue.

Abstract: This disclosure relates to a defect gauge instrument and method for repairing bone defects. The defect gauge instrument disclosed herein may be utilized to determine one or more characteristics of a bone defect prior to positioning a graft and/or implant at a surgical site.

Abstract: A suture anchor includes an anchor body having a longitudinal axis, a proximal end, and a distal end. The anchor body includes a central bore located at the proximal end and a passage extending between the central bore and the distal end. The central bore has a first dimension substantially perpendicular to the longitudinal axis, and the passage has a second dimension substantially perpendicular to the longitudinal axis less than the first dimension. The suture anchor includes a flexible strand extending through the passage, and a first knot formed in the flexible strand at the distal end has a third dimension greater than the second dimension to prevent the first knot from passing through the passage. A closed loop is positionable at least partially within the central bore and formed entirely by the flexible strand without forming any additional knots on the flexible strand extending proximally from the first knot.

Abstract: A TPLO plate configured to accommodate flexible strands (flexible loops) attached to tissue to be attached to bone. The TPLO plate has one or more suture eyelets, to allow the user (surgeon) to pass a flexible strand through the eyelets and attach/reattach the tissue to the plate at the anatomical location, and to improve the rotational stability of the joint or bone. The eyelets may have various shapes, forms and configurations and may be provided on or within a surface of the TPLO bone plate in any number, depending on the characteristics of the fractured bone or bone segments, or of the plate design. The eyelets preferably receive one or more flexible strands.

Abstract: A TPLO plate configured to accommodate flexible strands (flexible loops) attached to tissue to be attached to bone. The TPLO plate has one or more suture eyelets, to allow the user (surgeon) to pass a flexible strand through the eyelets and attach/reattach the tissue to the plate at the anatomical location, and to improve the rotational stability of the joint or bone. The eyelets may have various shapes, forms and configurations and may be provided on or within a surface of the TPLO bone plate in any number, depending on the characteristics of the fractured bone or bone segments, or of the plate design. The eyelets preferably receive one or more flexible strands.

Abstract: An adjustable construct for fixation of a tendon or ligament graft in a tunnel. The construct comprises a flexible, adjustable loop connected to tissue (for example, graft, ligament or tendon). The adjustable loop may be integrated with an additional tissue supporting device (for example, a wedge or a plug). The tissue is secured within a bone socket/tunnel by adjusting the length of the flexible adjustable loop.

Abstract: Surgical constructs and methods for soft tissue to bone repairs, without knot tying. The soft tissue repair constructs include a fixation device, a flexible strand, and a shuttle/pull device attached to the flexible strand and provided within the body of the fixation device. A splice is formed by pulling on the shuttle/pull device to allow desired tensioning of soft tissue to be fixated or repaired relative to the bone.

Abstract: A handheld medical device with a distal implement is disclosed. The handheld rotary medical device may include an inner drive shaft, an elongated, tubular, outer housing encapsulating the inner drive shaft such that the inner drive shaft is positioned within the outer housing. The inner drive shaft may include one or more inner drive shaft bendable sections, and the outer housing may include one or more outer housing bendable sections. The inner drive shaft bendable section may be heated to anneal the material forming the inner drive shaft bendable section such that during use the inner drive shaft bendable section may be bent into a desired position and, once bent, the inner drive shaft bendable section remains in the desired position and does not bind against the elongated, tubular, outer housing.

Abstract: Surgical suturing constructs, suture anchor assemblies, and methods of tissue fixation are disclosed. The suturing construct includes a bumpy suture. A suturing construct may include one or more small loops on a distal end. A suturing construct may include a splice terminating into a tapered portion/region at a proximal end. A bumpy suture of a suturing construct may form a knotless, closed, self-locking loop around tissue.

Abstract: An adjustable construct for fixation of a tendon or ligament graft in a tunnel. The construct comprises a flexible, adjustable loop connected to tissue (for example, graft, ligament or tendon). The adjustable loop may be integrated with an additional tissue supporting device (for example, a wedge or a plug). The tissue is secured within a bone socket/tunnel by adjusting the length of the flexible adjustable loop.

Abstract: This disclosure relates to reaming assemblies and methods for repairing bone defects. The reaming assemblies disclosed herein may be utilized for removing bone prior to positioning a graft and/or implant at a surgical site.

Abstract: A reinforced graft construct for repairing a tendon or ligament formed by inserting a piece of material, such as suture, through the graft lengthwise. The material may be inserted along only a portion of the graft or along the entire graft. The material may be a reinforcement (reinforcing) material such as suture, tape, weave, or mesh passed lengthwise through the graft (for example, along the center of the graft). The ends of the graft may be whipstitched to provide additional fixation when implanted. The material may be bioabsorbable such that it will resorb away after a period of time in the body.

Abstract: A system for determining elapsed time for a surgical procedure conducted using an endoscope is disclosed. The system may be configured to determine elapsed time for management overseeing operating rooms to determine performance metrics of the operating room such as, but not limited to, operating room consistency and frequency of unusual procedure times to assess operating room efficiency. The system may include determining insertion of an endoscope into a patient and determining removal of the endoscope from a patient. The system may then generate an elapsed surgery time based upon the insertion time of the endoscope into the patient and the removal time of the endoscope from the patient.

Abstract: This disclosure relates to a graft preparation station and methods for repairing bone defects. The station described herein may be utilized for dimensioning a graft prior to positioning the shaped graft at a surgical site.

Abstract: A TPLO plate configured to accommodate flexible strands (flexible loops) attached to tissue to be attached to bone. The TPLO plate has one or more suture eyelets, to allow the user (surgeon) to pass a flexible strand through the eyelets and attach/reattach the tissue to the plate at the anatomical location, and to improve the rotational stability of the joint or bone. The eyelets may have various shapes, forms and configurations and may be provided on or within a surface of the TPLO bone plate in any number, depending on the characteristics of the fractured bone or bone segments, or of the plate design. The eyelets preferably receive one or more flexible strands.

Abstract: A flip cutter and drill instrument and method of antegrade drilling and retrograde cutting using such an instrument. The flip cutter and drill instrument is provided with a drill which has a multi-blade configuration and which engages an inner tube or inner member of the instrument to articulate between at least a first “straight” position (for example, about parallel to the longitudinal axis of the instrument) when the instrument is in the drilling mode, and at least a second “flip” position (for example, a non-parallel position relative to the longitudinal axis of the instrument) when the instrument is in the cutting mode.

Abstract: Surgical constructs, assemblies and methods of tissue fixation are disclosed. An anterior glenoid guide is a cuboid block configured to be introduced via the rotator interval to lie on the anterior glenoid. The guide has an internal thread for a handle and two flanges which lie on the anterior glenoid. On the anterior face (opposite the neck of the glenoid), the guide is provided with two holes which are sized to receive a drill guide. The holes mate with slots such that the block can be removed after sutures and fixation devices are installed. The anterior glenoid guide can be an arthroscopic anterior glenoid graft guide.