Abstract: Systems and methods for training and implementing a machine learning algorithm to generate feature maps depicting spatial patterns of features associated with osteolysis, synovitis, or both. MRI data, including multispectral imaging data, are input to the trained machine learning algorithm to generate the feature maps, which may indicate features such as a location and probability of a pathology classification, a severity of synovitis, a type of synovitis, a synovial membrane thickness, and other features associated with osteolysis or synovitis. In some implementations, synovial anatomy are segmented in the MRI data before inputting the MRI data to the machine learning algorithm. These segmented MRI data may be generated using another trained machine learning algorithm.

Abstract: Suture delivered patches adapted for interposition, augmentation or repair devices for use in tendon and ligament repair, including rotator cuff repair, have been developed as well as methods for their delivery using suture guided arthroscopic methods. The repair patches may be provided from suitable biocompatible materials. The patches may be delivered using anchored sutures already in use during a surgical repair including, open, minimally invasive, endoscopic, and arthroscopic repair procedures. Additionally, fixation of the suture delivered repair patch is secured along with the normal suture securing workflow of the one or more sutures used to deliver the patch.

Abstract: The present invention provides a method for creating a computer model of a patient specific joint for treatment planning. The method includes identifying a ligament of a joint of a patient under a load at a predefined position of the joint. The method further includes constructing, with the use of a computer, a computer model of the joint of the patient having: a first bone model, a second bone model, and a ligament model connecting the first and second bone models corresponding to the identified ligament, wherein the ligament model is constructed as at least one fiber based on a predefined slack length.

Abstract: A cleat assembly for a shoe comprising an anchor for anchoring to the shoe, a cleat, a first biasing member circumscribing the anchor and engaged with the cleat, and a second biasing member biasing the first biasing member. The second biasing member can directly engage the first biasing member or a bushing that circumscribes the anchor. So constructed, the cleat assembly provides multiple degrees of freedom. That is, the cleat assembly provides effective axial shock absorbance coupled with 360° tilting of the cleat for enhancing a user's ability to suddenly change direction when wearing a shoe equipped with the cleat assembly, thereby minimizing stress and impact on muscles, joints and ligaments and enhancing the performance of athletes wearing such shoes.

Abstract: Suture delivered patches adapted for interposition, augmentation or repair devices for use in tendon and ligament repair, including rotator cuff repair, have been developed as well as methods for their delivery using suture guided arthroscopic methods. The repair patches may be provided from suitable biocompatible materials. The patches may be delivered using anchored sutures already in use during a surgical repair including, open, minimally invasive, endoscopic, and arthroscopic repair procedures. Additionally, fixation of the suture delivered repair patch is secured along with the normal suture securing workflow of the one or more sutures used to deliver the patch.

Abstract: An apparatus for determining 3D load displacement characteristics of an anatomical joint formed by a first body portion and a second body portion moveable with respect to the first body portion. The apparatus includes a first frame for receiving and securing the first body portion and a load displacement assembly. The load displacement assembly includes a first axis for alignment with a first anatomical plane of the joint, a second frame for receiving and securing the second body portion. The second frame is movable relative to the first frame. The load displacement assembly also includes a first counterweight configured to balance the weight of the second frame, a force for applying a load to the second frame, and a displacement sensor for measuring displacement of the second frame relative to the first frame upon application of the force.

Abstract: Suture delivered patches adapted for interposition, augmentation or repair devices for use in tendon and ligament repair, including rotator cuff repair, have been developed as well as methods for their delivery using suture guided arthroscopic methods. The repair patches may be provided from suitable biocompatible materials. The patches may be delivered using anchored sutures already in use during a surgical repair including, open, minimally invasive, endoscopic, and arthroscopic repair procedures. Additionally, fixation of the suture delivered repair patch is secured along with the normal suture securing workflow of the one or more sutures used to deliver the patch.

Abstract: An apparatus for evaluating motions of a joint is provided that is designed for determining stability of an anatomical joint. The apparatus includes a support frame, a fixation assembly for securing a first body segment of a joint, and a displacement assembly mounted to the support frame. The fixation assembly includes an axis of rotation movable relative to the support frame. The displacement assembly includes a first frame pivotably mounted to the support frame and rotatably connected to a first end of the fixation assembly, and a second frame pivotably mounted to the support frame and rotatably connected to a second end of the fixation assembly.

Abstract: A method includes: accessing MRI data acquired from a joint area, the MRI data including a series of spatially mapped spectral data points; generating MRI images of the joint area; receiving information encoding a region of interest that encompasses a suspected metal particle deposition area over at least one of the MRI images; constructing magnetic field maps using the MRI data, each representing off-resonance frequency shifts over the joint area; removing a background of off-resonance field inhomogeneity from the magnetic field map such that the region of interest is free from off-resonance field inhomogeneity; identifying clusters from the magnetic field maps with the background of off-resonance field inhomogeneity removed, the clusters defined over a first dimension of offset frequencies and a second dimension of cluster volumes; and computing a quantitative metric by combining information from the identified clusters according to both the first dimension and the second dimension.

Abstract: A system for controllably turning over a patient in a bed includes a flexible body sling and a ratchet device. The flexible body sling includes a main torso portion that terminates in a first end and an opposing second end and is configured for placement under the patient between a head and a tailbone of the patient. The flexible sling has a first sling strap that is coupled to the first end and a second sling strap that is coupled to the second end. The ratchet device has a mount that includes a curved portion for placement over a side rail of the bed to detachably secure the ratchet device to the bed. The ratchet device has a rotatable spool with a slot for receiving one of the first sling strap and the second sling strap. The ratchet device has a pivotable handle for driving the rotatable spool.

Abstract: An implant comprising at least three components, namely, a solid hydrogel, a porous hydrogel adjacent to or surrounding the solid hydrogel (together considered “the hydrogel”), and a porous rigid base. The solid hydrogel and porous rigid base carry joint load, and the porous hydrogel layer and the porous rigid base allow for cellular migration into and around the implant. The invention is also a novel method of manufacturing the implant, a novel method of implanting the implant, and a method of treating, repairing or replacing biological tissue, more preferably musculoskeletal tissue, with the implant.

Abstract: A suture fixation device and method thereof is provided. The suture fixation device includes a suture fiber having a length of about 24 to 40 inches and a plurality of knots spaced apart from each other along the length of the suture fiber. Each of the plurality of knots has an overall width of about 3.0 to 4.0 mm.

Abstract: The present invention provides a method for creating a computer model of a patient specific joint for treatment planning. The method includes identifying a ligament of a joint of a patient under a load at a predefined position of the joint. The method further includes constructing, with the use of a computer, a computer model of the joint of the patient having: a first bone model, a second bone model, and a ligament model connecting the first and second bone models corresponding to the identified ligament, wherein the ligament model is constructed as at least one fiber based on a predefined slack length.

Abstract: This invention relates to compositions and methods for activating and promoting mineralization in tissue that does not normally mineralize, specifically intervertebral discs. The composition comprises agents that increase the expression of the gene that encodes TNAP and/or the activation, amount or activity of TNAP protein, and agents that decrease the expression of ANK and/or ENPP and/or the activation, amount or activity of these proteins. The composition can be in the form of a cell or cells. The invention also relates to methods of using the composition.

Abstract: A delivery vehicle for delivering biological products to a surgical site is provided that includes a container for housing the biological product and a fastener that extends from the container for securing the container at a location adjacent to the surgical site. The container is a flexible container having an access that is moveable between an open position and a closed position prior to and after being secured to the surgical site.

Abstract: Apparatus and methods for total elbow replacement are provided to allow a surgeon to intraoperatively select a linked or unlinked constraint by utilizing a connection located on the body of the ulnar and/or humeral stem. Additional modularity also allows the selection of a cemented or cementless stem as described herein. The modularity and adjustability provides a number of advantages.

Abstract: The present invention provides a method for creating a computer model of a patient specific joint for treatment planning. The method includes identifying a ligament of a joint of a patient under a load at a predefined position of the joint. The method further includes constructing, with the use of a computer, a computer model of the joint of the patient having: a first bone model, a second bone model, and a ligament model connecting the first and second bone models corresponding to the identified ligament, wherein the ligament model is constructed as at least one fiber based on a predefined slack length.

Abstract: A method for intraoperatively measuring joint contact mechanics of a patient's joint is provided. The method includes inserting a sensor between first and second bones of a joint. Then a predetermined force is applied to one of the first and second bones. Afterwards, contact mechanics such as, contact stresses, contact areas and/or forces are measured between the first and second bones in response to the applied predetermined force.

Abstract: A method for intraoperatively measuring joint contact mechanics of a patient's joint is provided. The method includes inserting a sensor between first and second bones of a joint. Then a predetermined force is applied to one of the first and second bones. Afterwards, contact mechanics such as, contact stresses, contact areas and/or forces are measured between the first and second bones in response to the applied predetermined force.

Abstract: In one embodiment of the present invention, a method is provided for assisting cartilage diagnostic and therapeutic procedures and includes the steps of acquiring 3D osteocartilaginous parameters by using multimodal 3D tracked devices; incorporating these parameters into a volumic anatomic osteocartilaginous model from which a bone tracking virtual real-time environment is built; three-dimensionally computing an osteocartilaginous quality score from this multiparametric 3D osteocartilaginous model; providing real-time navigation in this 3D virtual environment in order to make ongoing therapeutic assessments and adjustments; and updating steps 1 to 3 according to the performed therapy. It will be appreciated that the above steps are compatible with arthroscopic procedures involving cartilage.