Abstract: A model production device generates one or more contact bodies of a patient-specific surgical instrument model based on a parameterized model of a patient's bone. The parameterized model includes a predetermined number of polygons each having a predetermined position relative to the patient's anatomy. The parameterized model may be generated based on a three-dimensional model that was generated based on multiple images of the patient's bone. The model production device adds parametric fixed geometry to the patient-specific surgical instrument model based on the parameterized model and subtracts the three-dimensional model of the patient's bone from the patient-specific surgical instrument model. Each contacting body may be positioned at a high-confidence part of the parametric model, and the parametric fixed geometry may be positioned at a low-confidence part. A patient-specific surgical instrument may be manufactured based on the patient-specific surgical instrument model.

Abstract: The helical balloon assist device includes a tubular balloon formed at least partially into an independent helical shape in an uninflated state and an inflation tube in sealed communication with the balloon and extending from the helical balloon assist device in a proximal direction. The helical balloon assist device may include an inner core member formed at least partially into an independent helical shape and supporting the helical shape of the tubular balloon.

Abstract: Various methods and devices are provided for tensioning a tether. In one embodiment, a tether tensioning device is provided and includes an elongate shaft adapted to be positioned adjacent to a bone anchor implanted in bone, and a tensioning mechanism pivotally associated with the elongate shaft and adapted to couple to a tether seated across the bone anchor and to pivot relative to the elongate shaft to apply a tensioning force to the tether.

Abstract: The present disclosure includes a polyaxial bone fixation element for use in spinal fixation to interconnect a longitudinal spinal rod with a patient's vertebra. The polyaxial bone fixation element preferably includes a bone anchor, a collet, a body, and a locking cap. The polyaxial bone fixation element preferably enables in-situ assembly. That is, the polyaxial bone fixation element is preferably configured so that in use, the bone anchor may be secured to the patient's vertebra prior to being received within the body. Accordingly, the polyaxial bone fixation element enables a surgeon to implant the bone anchor without the body to maximize visibility and access around the anchoring site. Once the bone anchor has been secured to the patient's vertebra, the body can be snapped-onto the bone anchor. The bone anchor preferably also includes a second tool interface so that a surgical instrument can be directly coupled to the bone anchor.

Abstract: Technologies for determining the accuracy of three-dimensional models include a device having circuitry to obtain two-dimensional images of an anatomical object (e.g., a bone of a human joint), to obtain a candidate three-dimensional model of the anatomical object, and to produce two-dimensional silhouettes of the candidate three-dimensional model. The circuitry is also to apply an edge detection algorithm to the two-dimensional images to produce corresponding edge images and to compare the two-dimensional silhouettes to the edge images to produce a score indicative of an accuracy of the candidate three-dimensional model.

Abstract: In some embodiments, a connector can be configured to couple a first fixation element (e.g., a first rod) to a second fixation element (e.g., a second rod). One or both of the first and second fixation elements can be included with the connector, or one or both can be separately provided. In some instances, at least one of the fixation elements is previously implanted in a patient. The connector can provide one or more degrees of freedom between the first and second fixation elements. The connector can also include a locking element configured to (1) lock one or more of the fixation elements to the connector, and (2) lock one or more of the degrees of freedom between the fixation elements. The connector can be configured to snap onto or otherwise engage a fixation element in a manner that provides tactile and/or audible feedback to the surgeon.

Abstract: A device for capturing an obstruction in a vasculature can include an expandable braid, an invertible braid, and elongated members such as tubes or wires that can be moved to cause the expandable braid to expand and the invertible braid to form a pocket facing toward the expandable braid to thereby capture the obstruction within the pocket. The expandable braid can form a cap at an open end of the pocket so that the pocket and cap define a cavity in which the obstruction can be confined. The device can also have an expandable framework between the expandable braid and the invertible braid that can engage the obstruction to further secure the obstruction between the expandable braid and invertible braid.

Abstract: The present invention is directed an anchor assembly for use in spinal fixation to interconnect a longitudinal spinal rod with a patient's vertebra. The anchor assembly preferably includes a bone anchor, a body with a rod-receiving channel, an insert member (preferably a bushing), and a locking cap with a saddle. The anchor assembly preferably enables in-situ assembly where the bone anchor may be secured to the patient's vertebra prior to being received within the body of the bone anchor assembly. Accordingly, the anchor assembly enables a surgeon to implant the bone anchor without the body to maximize visibility and access around the anchoring site. Once the bone anchor has been secured to the patient's vertebra, the body may be snapped onto the bone anchor and a spinal rod may be inserted into the rod-receiving channel.

Abstract: A guide provides for placing a suture anchor into an outer rim of a glenoid cavity of a patient adjacent an edge of a glenoid labrum. The guide comprises an elongated guide tube having an axial lumen with a distal opening a rim engagement member pivotally attached to the elongated tube adjacent the distal opening. The rim engagement member has a first contact surface and a second contact surface each of which are distal of the guide tube and are separated from each other and disposed on opposite lateral sides of the guide tube whereby to allow placement of the contact member over the glenoid rim, with subsequent angular positioning of the guide tube and passage of an instrument down the lumen to the labrum.

Abstract: An orthopaedic surgical instrument system that includes an orthopaedic surgical instrument adapted to be positioned on a proximal end of a patient's tibia, and a tibial bearing trial assembly, and a tibial evaluation component, and a tibial base trial component configured to be coupled to the orthopaedic surgical instrument. A tibial evaluation component includes a base plate and a generally Y-shaped posterior buttress extending upwardly from a superior surface of the base plate, such that the posterior buttress of the insert component is configured to be received in the opening of the tibial bearing trial assembly to prevent rotation of the tibial bearing trial component relative to the tibial base trial component.

Abstract: Tension isolating adjustable adapters are disclosed, along with kits and systems containing same, as well as methods of production and use thereof. The tension isolating adjustable adapters include a percutaneous device holder that can be releasably connected to a percutaneous device via a locking element, and a tensioning member that engages the percutaneous device holder. The tensioning member has at least one tension pad that is shaped and configured to be disposed about the percutaneous device insertion site in the patient's skin, and the engagement of the tensioning member(s) to the percutaneous device holder allows for adjustment of the tension pad(s).

Abstract: An orthopedic fixation system includes an orthopedic implant and an implant retainer. The orthopedic implant transitions between a natural shape and an insertion shape whereby a transition of the orthopedic implant from the natural shape to the insertion shape stores deliverable energy and a transition of the orthopedic implant from the insertion shape to the natural shape delivers stored energy. The implant retainer is configured to engage the orthopedic implant and constrain the orthopedic implant in the insertion shape such that the implant grip prevents a transition of the orthopedic implant from the insertion shape to the natural shape.

Abstract: Sterile connectors for robotic or robot-assisted surgery and related systems and methods can be used to establish a sterile barrier between a non-sterile robot arm and a surgical site. More particularly, a sterile connector can include a first component connector to couple to a distal end of a robot arm, a second component connector to couple to an end effector, and a sterile drape extending from the sterile connector. The sterile drape can drape the robot arm and can maintain a sterile barrier around the robot arm throughout the course of a surgical procedure. In this manner, an end effector can be swapped out during the procedure without the need to re-drape or re-establish the sterile surgical field. In some embodiments, the sterile connector can facilitate the passage of electrical signals and/or light between the sterile connector and at least one of the robot arm and end effector.

Abstract: The disclosure extends to methods, systems, and computer program products for enhancing edges within an image in a light deficient environment, which utilizes knowledge of the expected noise pixel by pixel, to control the strength of the edge enhancement and thereby limit the impact of the enhancement on the perception of noise.

Abstract: A method of constructing a detachment system for delivering an implantable medical device to a target location of a body vessel is presented. The method includes forming a compressible portion on a distal tube, engaging an implantable medical device with an engagement system, extending the engagement system through the distal tube such that the implantable medical device is distal of a distal end of the distal tube, applying a force to the engagement system to compress the compressible portion to a compressed state, fixing the engagement system to the distal tube to maintain the compressed state of the compressible portion, and joining a proximal end of the distal tube to a distal end of a proximal tube. The engagement system can include a loop wire that is fixed to the distal tube and engages the medical device.

Abstract: Various systems and methods are provided for surgical and interventional planning, support, post-operative follow-up, and functional recovery tracking. In general, a patient can be tracked throughout medical treatment including through initial onset of symptoms, diagnosis, non-surgical treatment, surgical treatment, and recovery from the surgical treatment. In one embodiment, a patient and one or more medical professionals involved with treating the patient can electronically access a comprehensive treatment planning, support, and review system. The system can provide recommendations regarding diagnosis, non-surgical treatment, surgical treatment, and recovery from the surgical treatment based on data gathered from the patient and the medical professional(s).

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: Provided are biocompatible and implantable scaffolds for treating a tissue defect, such as a bone gap. The scaffolds can have a modular design comprising a tissue scaffold rack designed to accommodate one or more modules. Also provided are methods for fabrication and use of such scaffolds.

Abstract: A suture anchor method including a suture anchor and a suture anchor drive. The suture anchor is positionable on a rod of the suture anchor drive. The rod defines an awl for forming a hole in a bone. The suture anchor drive further has an impactor for moving the suture anchor along the rod between a retracted position and an advanced position so as to implant the suture anchor in the bone with the awl positioned in the bone.

Abstract: A surgical planning computing system and related surgical method include identifying an anatomical landmark of a patient's bony anatomy in a three-dimensional anatomical image and determining positioning criteria for an orthopedic prosthesis to be implanted into the patient's bony anatomy. The positioning criteria may define an alignment between the anatomical landmark and a feature of the orthopaedic prosthesis. A three-dimensional model of the orthopaedic prosthesis is positioned in the three-dimensional model based on the positioning criteria to provide a surgical plan for the implantation of the orthopaedic prosthesis.