Abstract: Shoulder joint implants are disclosed herein for use in shoulder reconstruction that are configured to facilitate the inclusion a central bone screw for augmented bone fixation. The implant can include a baseplate (or metaglene) configured to secure a glenosphere or other prosthetic component to the glenoid. To facilitate lateral or proximal insertion of a central bone screw through the implant, a throughbore defined along the central axis of the metaglene can be widened to accommodate the maximum diameter of the screw. To enable fixation of the glenosphere to the metaglene, a collet can be configured to engage the smaller diameter of a glenosphere coupling element and inserted into the central throughbore. The collet and the bone screw can be separate parts, thereby making insertion of the bone screw optional. Alternatively, the collet and bone screw can be integrated together to form a unitary construct.

Abstract: A C-arm, or a mobile intensifier device, is one example of a medical imaging device that is based on X-ray technology. Because a C-arm device can display high-resolution X-ray images in real time, a physician can monitor progress at any time during an operation, and thus can take appropriate actions based on the displayed images. Monitoring the images, however, is often challenging during certain procedures, for instance during procedures in which attention must be paid to the patient's anatomy as well as a medical imaging device display. In an example, a surgical instrument assembly includes a processor, a surgical instrument configured to operate on an anatomical structure, and a display coupled to the processor and attached to the surgical instrument.

Abstract: A drill sleeve, including: an outer sleeve with an internal collet at a distal end of the outer sleeve, a slot, and an inner opening; a handle connected to the outer sleeve; an inner sleeve with an inner opening configured to receive and guide a drill bit, wherein the inner sleeve is configured to slide inside the inner opening of the outer sleeve; a trigger; a connection member connected to trigger and the inner tube, wherein the connection member passes through the slot in the outer sleeve and a biasing member configured to apply a biasing force between the handle and the trigger wherein the biasing force drives the inner sleeve into the outer sleeve, wherein when a distal end of the inner sleeve engages the internal collet, the internal collet is configured to engage a screw hole in a bone plate, align the drill sleeve with a nominal axis of the screw hole, and secure the drill sleeve to the screw hole.

Abstract: A method of using a combination device includes accessing a glenoid of a shoulder and coupling a power extension and the combination device, the power extension configured to couple with a power tool. The method further includes reaming a portion of the accessed glenoid using the coupled power extension and combination device and then decoupling the power extension and the combination device. Next, a manual extension and the combination device are coupled and the coupled manual extension is used to align a first drill guide of the combination device with a desired trajectory of a first fixation peg of a glenoid component with the combination device positioned against the reamed portion of the accessed glenoid. A drill bit is guided with the aligned first drill guide to bore a first fixation peg bore in the glenoid.

Abstract: The disclosure extends to systems and methods for reducing the area of an image sensor by reducing the imaging sensor pad count used for data transmission and clock generation.

Abstract: In general, data modules for surgical instruments and methods of using data modules for surgical instruments are provided. In an exemplary embodiment, a data module is configured to be removably attached to a powered surgical tool such as an electrosurgical tool. The data module is a standalone device including electronic components that are configured to, with the data module attached to the electrosurgical tool, interact with the electrosurgical tool.

Abstract: Methods of orthopedic fixation and imagery analysis are provided. Images of first and second bone segments attached to a fixation apparatus are captured. Fixator elements identified in the images can be used to obtain imaging scene parameters. Bone elements identified in the images can be used with the imaging scene parameters to reconstruct a three dimensional representation of positions and/or orientations of the first and second bone segments with respect to the fixation apparatus.

Abstract: The objectives for the designs presented herein can be for a variably flexible and kink-resistant catheter for vascular applications. The designs benefit from good compressive and tensile stiffness. A braided wire support structure can be disposed around an inner liner and an outer layer having a plurality of outer jackets of variable durometer. A metallic reinforcing layer can be cut from a hypotube and be used as the primary structure for catheter stiffness, reducing the reliance on and number of jackets to transition stiffness changes along the length of the catheter. The metallic reinforcing layer can have one or more ribbon cut segments and one or more axial hole patterns laser cut into the hypotube to progressively evolve the stiffness from proximally regions with more column stiffness and distal regions with greater lateral flexibility. The polymer jackets can be reflowed to bond the structure together.

Abstract: A system to stabilize and guide the growth of the spinal column includes an elongated support member having a width and a length and a guiding connector having a bone connecting portion and a guiding portion. The bone connecting portion secures the guiding connector to a vertebrae and the guiding portion has a bearing element with a passageway adapted to receive the elongated support member. The bearing element permits relative sliding movement of the elongated support element in the passageway of the bearing element. The system may further include a bone fixation element has an elongated support member receiving channel, a locking mechanism and a bone anchoring portion. The bone anchoring portion secures the bone fixation element to bone. The locking mechanism secures the elongated support member in the channel. The guiding connector is moveable along the elongated support member to permit and control the growth of the spinal column along a predetermined path.

Abstract: Disclosed embodiments determine, at an early stage, suitability of an intraoperative image for further intraoperative surgical analysis. The determination of suitability may be made using a first angle (such as a first obturator angle) based on at least three pelvic feature points in a preoperative image, a corresponding second angle (such as a corresponding second obturator angle) based on at least three corresponding pelvic feature points in an intraoperative image, and by comparing the first angle and the corresponding second angle to determine intraoperative image suitability. The first intra-operative image is indicated as suitable for further intraoperative analysis when an absolute value of a difference between the first angle and the corresponding second angle does not exceed a threshold. When the intraoperative image is determined as unsuitable for further intraoperative analysis, an indication of a movement direction for a fluoroscopy camera used to capture the intraoperative image is provided.

Abstract: Technologies for determining the spatial orientation of input imagery to produce a three-dimensional model includes a device having circuitry to obtain two-dimensional images of an anatomical object (e.g., a bone of a human joint), to determine candidate values indicative of translation and rotation of the anatomical object in the two-dimensional images, and to produce, as a function of the obtained two-dimensional images and the candidate values, a candidate three-dimensional model of the anatomical object. The circuitry is also to determine a score indicative of an accuracy of the candidate three-dimensional model, to determine whether the score satisfies a threshold, and to produce, in response to a determination that the score satisfies the threshold, data indicating that the candidate three-dimensional model is an accurate representation of the anatomical object.

Abstract: Technologies for a monitoring system for monitoring a user's movement include a sensor module and a monitoring device. The sensor module is attached to the user or wearable by the user. The monitoring device detects the sensor module positioned in proximity to the monitoring device, receives sensor data from the detected sensor module, analyzes the received sensor data to determine a position and an orientation of the detected sensor module relative to the monitoring device, compares the determined positions of the detected sensor module to predefined planned positions, and initiates an alert notification in response to a determination that a difference between the determined positions of the detected sensor module and the predefined positions is greater than a reference threshold.

Abstract: A catheter can have a textured outer body surface with protrusions and/or indentations that can reduce friction between the outer body surface and vascular anatomy or an inner lumen of another catheter in contact with the outer body surface. The catheter can include protrusions and/or indentations on an inner lumen surface that can reduce friction between the inner lumen surface and an outer body surface of another catheter within the example catheter. The protrusions can be filled with a lubricant or vasodilating drug, and the protrusions can be configured to break to release the fluid in response to forces on the protrusion during navigation through vascular anatomy and/or an inner lumen of another catheter. The catheter can include a metallic tubular reinforcing layer with openings through which the protrusions and/or indentations extend and/or protrusions and/or indentations shaped into the reinforcing layer.

Abstract: An occlusive device can include a tubular braid including an open end and a pinched end. The tubular braid can define a longitudinal axis. In a predetermined shape, the tubular braid can include an outer sack and an inner sack. The open end can include a plurality of braided wires that are deflected towards the longitudinal axis in the predetermined shape.

Abstract: A method of delivering a fusion cage to an intervertebral disc space bounded by adjacent vertebral endplates, comprising the step of delivering the fusion cage into the disc space without contacting its teeth to the vertebral endplates during delivery, wherein a sheath is interposed between a cage surface and the endplates to prevent contact therebetween during delivery.

Abstract: An apparatus for the approximation of two bones with a first anchor having a proximal end and a distal end configured for insertion into a first hole in a first bone. A second anchor has a proximal end and a distal end configured for insertion into a second hole in a second bone. A flexible link extends between the first and second anchors limiting a spacing from the first anchor to the second anchor when in a deployed configuration. The first hole comprises a first diameter, the second hole comprises a second diameter and the first diameter is smaller than the second diameter. The second diameter is uniform across the entire length of the second hole.

Abstract: Various exemplary gas spring surgical impacting tools and methods of using gas spring surgical impacting tools are provided. In general, a surgical impacting tool includes a gas spring assembly. The gas spring assembly includes a sealed chamber configured to contained compressed gas therein. The surgical impacting tool also includes a motor configured to cause compression of the gas in the sealed chamber. The compression and decompression of the gas is configured to drive movement of a surgical implement attached to the surgical impacting tool and configured to impact bone.

Abstract: A shoulder arthroplasty kit includes a humeral head component, a combination sizer and guide device substantially identical to the humeral component but including a including a guide bore, and a guide pin configured to be inserted into the resected surface of the humerus and configured to be guided by the guide bore to a center of the resected surface of the humerus which is covered by the at least one combination sizer and guide device.

Abstract: The invention relates to a modular humeral prosthesis for an inverse shoulder prosthesis, comprising an anatomical shaft (1) and a separable epiphyseal head (2) which may be angularly orientated by rotation about the longitudinal axis (XX) of the anatomical shaft. The anatomical shaft and the epiphyseal head comprise complementary angular indexing means (11, 28) for relative rotational fixation.

Abstract: The disclosure extends to methods, systems, and computer program products for producing an image in light deficient environments with luminance and chrominance emitted from a controlled light source.