Abstract: A method of manufacturing a surgical kit for cartilage repair in an articulating surface of a joint, comprising the steps of receiving radiology image data representing three dimensional image of a joint; generating a first three dimensional representation of a first surface of the joint in a trainable image segmentation process dependent on a trained segmentation process control parameter set and said radiology image data; generating a set of data representing a geometrical object based on said first surface, wherein said geometrical object is confined by said first surface; generating control software adapted to control a CAD or CAM system to manufacture a surgical kit for cartilage repair dependent on said set of data representing a geometrical object and on a predetermined model of components of said surgical kit.

Abstract: The present invention relates to a medical implant for cartilage and/or bone repair at an articulating surface of a joint. The implant comprises a contoured implant body and at least one extending post. The implant body has an articulating surface configured to face the articulating part of the joint and a bone contact surface configured to face the bone structure of a joint, where the said articulating and bone contact surfaces face mutually opposite directions and said bone contact surface is provided with the extending post. A cartilage contact surface connects the articulating and the bone contact surfaces and is configured to contact the cartilage surrounding the implant body in a joint. The articulating surface has a layer that consists of titanium nitride (TiN) as the wear-resistant material. The cartilage contact surface has a coating that substantially consists of a material having chondrointegration properties.

Abstract: A system for performing osteochondral transplantation surgery includes a harvesting guide tool for harvesting one or more osteochondral plugs and a transfer guide tool for insertion of each osteochondral plug in a damage site on an articular surface of a joint. A cartilage contact surface of each respective guide tool is adapted to follow the shape of a surface of cartilage or subchondral bone such that they conform to each other. Each respective guide tool includes one or more guide channels adapted to receive a respective surgical tool that slides within the guide channel, and is supported by the guide channel during surgery. The guide channels are configured to harvest and insert a plurality of osteochondral plugs of different sizes. The interiors of the guide channels are provided with markings for marking a rotational position of harvested plugs enabling positioning of the osteochondral plugs at a predetermined angle of rotation.

Abstract: A drill tool for implant surgery including a first drill part having a first, smaller diameter for drilling a recess for an implant post and a second drill part having a second, larger diameter for drilling a recess for an implant hat is disclosed. The second drill part has one or more shape cutting edges and one or more sharp pre-cutting edges extending beyond said one or more shape cutting edges.

Abstract: A system for creating decision support material indicating damage to an anatomical joint of a patient. The system is configured to: i) receive a series of radiology images of at least a part of the anatomical joint; ii) obtain a three-dimensional image representation of the at least part of the anatomical joint; iii) identify tissue parts of the anatomical joint using image analysis; iv) determine damage to the anatomical joint by analyzing said image representation; v) mark damage to the anatomical joint in the obtained three-dimensional image representation; and vi) generate decision support material. The analysis comprises: detecting an irregular shape of a contour of a tissue part; and/or detecting that the intensity in an area within or adjacent to bone and/or cartilage parts differs from a predetermined value; and/or comparing at least one identified tissue part with a template representing a predefined damage pattern for an anatomical joint.

Abstract: A medical implant for cartilage repair at an articulating surface of a joint. The implant includes an implant body and at least one extending post. The implant body has an articulate surface configured to face the articulating part of the joint and a bone contact surface configured to face the bone structure of a joint. A cartilage contact surface connects the articulate and the bone contact surfaces and is configured to contact the cartilage surrounding the implant body in a joint. The cartilage contact surface has a coating that includes bioactive material.

Abstract: In accordance with one or more embodiments herein, a system for optimizing a position of an implant having an individually customized implant hat and at least one implant protrusion extending from the implant hat in the direction of an implant axis in an anatomical joint of a patient is provided.

Abstract: A drill tool for implant surgery including a first drill part having a first, smaller diameter for drilling a recess for an implant post and a second drill part having a second, larger diameter for drilling a recess for an implant hat is disclosed. The second drill part has one or more shape cutting edges and one or more sharp pre-cutting edges extending beyond said one or more shape cutting edges.

Abstract: Embodiments herein relate to design methods for design of an individually customized implant, based on a 3D virtual model of an implant. The design method comprises identifying a damage area, presenting a virtual 3D view of said identified damage area, creating a 3D virtual implant comprising virtually placing in said 3D view a shape, wherein the area of the shape covers or partly covers said identified damage area, producing an implant based on said created 3D virtual implant.

Abstract: A method for designing and making a rig that includes a hollow tubular shell, and the interior of said shell defines at least first and second intersecting cylinders. The method includes identifying a damage area, presenting a 3D view of identified damage area, generating a 3D model of a virtual rig, and producing a rig according to the virtually created rig. The generating includes virtually placing in 3D view a shape covering or partly covering damage area, and creating, based on the position of the virtually placed shape, a position of hollow tubular rig shell of the virtual rig; and selecting the at least first and second intersecting cylinders of the virtual rig, based on the size and form of the virtually placed shape, and creating a positioning surface of the virtual rig which is a bone and/or cartilage-engaging end of hollow tubular shell.

Abstract: A medical implant for cartilage repair at an articulating surface of a joint includes a contoured, substantially plate shaped, implant body and at least one extending post. The implant body has an articulate surface configured to face the articulating part of the joint and a bone contact surface configured to face the bone structure of a joint, where the articulate and bone contact surfaces face mutually opposite directions and the bone contact surface is provided with the extending post. A cartilage contact surface connects the articulate and the bone contact surfaces and is configured to contact the cartilage surrounding the implant body in a joint. The cartilage contact surface has a coating that substantially only includes a bioactive material.

Abstract: Embodiments of the present disclosure relate to design methods for designing a mandrel for hammering, pressing and/or pushing an implant into position in a recess made in a joint and firmly attach the implant to the bone of a patient, the mandrel comprising a contacting surface adapted to be in contact with an articulate surface of the implant to be inserted, the method comprising designing the contacting surface of the mandrel to fit the articulate surface of the implant in that the contacting surface of the mandrel has a cross-sectional profile corresponding to the cross-sectional profile of the implant.

Abstract: The present invention relates to a method for designing an implant comprising designing a contour curvature of the implant so that an articulating surface of the implant is designed to correspond to a simulated healthy articulating surface of a damaged articulating surface of a joint. The implant is provided with at least one positioning mark designed to be used for determining the orientation in which the implant is to be placed in a recess made in a damaged articulating surface of a joint. Further, the present invention relates to methods for positioning and inserting a medical implant in a recess.

Abstract: A surgical kit suitable for repair of articular surfaces in the talocrural joint, includes: a surgical implant having a cap with an outer surface conforming to a talus dome surface and an inner surface having a central implant anchoring peg extending perpendicularly from said inner surface, a hollow tubular shell suitable for correct pre-drilling for implantation of the surgical joint implant in the dome of the talus, and a saw guide conforming and fixable to the lower portion of the tibia and providing saw guide surfaces in at least one plane, suitable for osteotomy of a lower portion of a tibia to expose the dome of the talus.

Abstract: A method of manufacturing a surgical kit for cartilage repair in an articulating surface of a joint, comprising the steps of receiving radiology image data representing three dimensional image of a joint; generating a first three dimensional representation of a first surface of the joint in a trainable image segmentation process dependent on a trained segmentation process control parameter set and said radiology image data; generating a set of data representing a geometrical object based on said first surface, wherein said geometrical object is confined by said first surface; generating control software adapted to control a CAD or CAM system to manufacture a surgical kit for cartilage repair dependent on said set of data representing a geometrical object and on a predetermined model of components of said surgical kit.

Abstract: A method of manufacturing a surgical kit for cartilage repair in an articulating surface of a joint, comprising the steps of receiving radiology image data representing three dimensional image of a joint; generating a first three dimensional representation of a first surface of the joint in a trainable image segmentation process dependent on a trained segmentation process control parameter set and said radiology image data; generating a set of data representing a geometrical object based on said first surface, wherein said geometrical object is confined by said first surface; generating control software adapted to control a CAD or CAM system to manufacture a surgical kit for cartilage repair dependent on said set of data representing a geometrical object and on a predetermined model of components of said surgical kit.