Abstract: A stemless humeral shoulder assembly having a base member and an anchor advanceable into the base member. The base member can include a distal end that can be embedded in bone and a proximal end that can be disposed at a bone surface. The base member can also have a plurality of spaced apart arms projecting from the proximal end to the distal end. The anchor can project circumferentially into the arms and into a space between the arms. When the anchor is advanced into the base member, the anchor can be exposed between the arms. A recess can project distally from a proximal end of the anchor to within the base member. The recess can receive a mounting member of an anatomical or reverse joint interface.

Abstract: Disclosed herein are insertion and extraction instruments for orthopaedic procedures that are used for inserting and extracting trials and implants. The instruments include a body extending along a central axis having first and second arms extending from the body along first and second axes. The first and second arms may be moveable with the distal ends of the arms being configured to engage first and second engagement feature of a trial or an implant. The first and second axes define an angle therebetween such that when the distal end of the first arm is received in a first engagement feature of the implant and the distal end of the second arm is in the second engagement feature, the distal ends of the arms are urged against respective first and second side walls of the first and second arms to secure the instrument to the trial or implant.

Abstract: A humeral head implant system includes a head component including a first articulating surface, a second bottom surface extending from the first spherical articulating surface, a first cavity extending a first distance into the head component from the second bottom surface, and a second cavity extending into the head component along a cavity axis. The head component defines a head axis extending through a center of the first articulating surface parallel to the cavity axis. A base component defines a slot extending from a first width to a second width. An insert component includes an insert body, a first engagement feature, and a slot engagement feature. The first engagement feature is received in the second cavity along the cavity axis. The insert body has an insert thickness less than the first distance, and the slot engagement feature slides into the slot in a direction transverse to the cavity axis.

Abstract: A dynamic trialing method generally allows a surgeon to perform a preliminary bone resection on the distal femur according to a curved or planar resection profile. With the curved resection profile, the distal-posterior femoral condyles may act as a femoral trial component after the preliminary bone resection. This may eliminate the need for a separate femoral trial component, reducing the cost and complexity of surgery. With the planar resection profile, shims or skid-like inserts that correlate to the distal-posterior condyles of the final insert may be attached to the distal femur after the preliminary bone resection to facilitate intraoperative trialing. The method and related components may also provide the ability of a surgeon to perform iterative intraoperative kinematic analysis and gap balancing, providing the surgeon the ability to perform necessary ligament and/or other soft tissue releases and fine tune the final implant positions based on data acquired during the surgery.

Abstract: A total knee prosthesis system that includes a guide having first and second wedges each having a thickness configured to be located between the tibial and femoral component. When the first and second wedges are located between the tibial and femoral component, the first and second wedges align the first axle opening of the tibial component with the second axle opening of the femoral component for receipt of an axle. The guide includes a guide recess extending between the first and second wedges and a post extending into the guide recess. The guide also includes a bridge connected to and extending between the first and second wedges such that the bridge at least partially defines the guide recess.

Abstract: Surgical kit inspection systems and methods are provided for inspecting surgical kits having parts of different types. The surgical kit inspection system comprises a vision unit including a first camera unit and a second camera unit to capture images of parts of a first type and a second type in each kit and to capture images of loose parts from each kit that are placed on a light surface. A robot supports the vision unit to move the first and second camera units relative to the parts in each surgical kit. One or more controllers obtain unique inspection instructions for each of the surgical kits to control inspection of each of the surgical kits and control movement of the robot and the vision unit accordingly to provide output indicating inspection results for each of the surgical kits.

Abstract: An expandable interbody implant is expandable from a contracted configuration to an expanded configuration by moving opposing first and second vertebral-engaging surfaces apart from one another. The implant includes a locking system for restraining contraction of the implant. The locking system may have a locked configuration, in which the first and second surfaces are prevented from moving back towards the contracted configuration, and the locking system may have an unlocked configuration, in which the first and second surfaces are permitted to move back towards the contracted configuration. The locking system may be controlled by rotation of one or more pinions. The pinions may, in turn, be controlled by linear movement of a rack. The rack may be configured so as to bias the locking system towards the locked configuration. The implant may also include a stop for constraining the maximum expansion of the implant.

Abstract: Guides for guiding a tool into a medullary canal of a bone. The guides can include a base and a guide feature. The base can include a first surface configured to contact the bone and a second surface opposite the first surface. The guide feature can be disposed to guide the tool along a central portion of the medullary canal.

Abstract: An example method includes obtaining, a virtual model of a portion of an anatomy of a patient obtained from a virtual surgical plan for an orthopedic joint repair surgical procedure to attach a prosthetic to the anatomy; identifying, based on data obtained by one or more sensors, positions of one or more physical markers positioned relative to the anatomy of the patient; and registering, based on the identified positions, the virtual model of the portion of the anatomy with a corresponding observed portion of the anatomy.

Abstract: A selectively expanding spine cage has a minimized cross section in its unexpanded state that is smaller than the diameter of the neuroforamen through which it passes in the distracted spine. The cage conformably engages between the endplates of the adjacent vertebrae to effectively distract the anterior disc space, stabilize the motion segments and eliminate pathologic spine motion. Expanding selectively (anteriorly, along the vertical axis of the spine) rather than uniformly, the cage height increases and holds the vertebrae with fixation forces greater than adjacent bone and soft tissue failure forces in natural lordosis. Stability is thus achieved immediately, enabling patient function by eliminating painful motion. The cage shape intends to rest proximate to the anterior column cortices securing the desired spread and fixation, allowing for bone graft in, around, and through the implant for arthrodesis whereas for arthroplasty it fixes to endpoints but cushions the spine naturally.

Abstract: A method for removing a stem portion of an orthopedic implant from a bone comprises exposing an implanted orthopedic implant having a body portion, a stem portion interconnected to the body and a porous metal section forming an interconnection between the body and the stem portion. A cutting tool is mounted on a holder connected to an exposed surface of the orthopedic implant. The porous section is aligned with the cutting tool mounted on the holder. The entire porous section is cut by moving the cutting tool therethrough in a direction transverse to the stem portion axis. The implant body portion is then removed and then the stem portion is removed from the bone. The cutting tool may be a saw or chisel which may be mounted on a guide fixed to the body portion.

Abstract: An example physical tracking tool includes a main body defining a channel configured to receive a tool, the channel having a longitudinal axis; and one or more physical tracking features attached to the main body, each physical tracking feature comprising a plurality of planar faces, each planar face of the plurality of planar faces including different a graphical pattern of a plurality of graphical patterns.

Abstract: A method of repairing a fractured humerus may include implanting a prosthetic humeral stem into a humeral canal of the fractured humerus. First and second tuberosities of the fractured humerus may be robotically machined to include first and second implant-facing surfaces that are substantially negatives of first and second surface portions of the proximal end of the prosthetic humeral stem. The first and second tuberosities may be machined so that the first and second tuberosities have first and second interlocking surfaces shaped to interlock with each other. During implantation, the first and second implant-facing surfaces are in contact with the first and second surface portions of the proximal end of the prosthetic humeral stem, and the first interlocking surface interlocks with the second interlocking surface.

Abstract: Described herein are cannulated reamer designs and methods. In one embodiment, a reamer comprises a cannulated central body portion, a plurality of cutting legs and outer frame. The cannulated central body portion has an inner wall surface and an opposing outer wall surface defining a thickness and a bone contacting surface and an opposing distal end surface defining a length, the inner wall surface defining a bore about a central longitudinal axis of the cannulated central body portion. The plurality of cutting legs extends outwardly from the cannulated central body portion. The other defines a periphery of the reamer, the outer frame coupled to a lateral end of each of the plurality of cutting legs. The cannulated central body portion has a recess extending entirely through the thickness and only partially though the length.

Abstract: An example physical targeting tool includes a main body defining a channel configured to receive a tool, the channel having a longitudinal axis; a first physical targeting feature attached to the main body; and a second physical targeting feature attached to the main body, wherein the first physical targeting feature and the second physical targeting feature are displaced along the longitudinal axis of the channel.

Abstract: In some embodiments, the present disclosure relates to a method of securing an implant into a body of a patient. Initially, the implant is placed into the body of the patient. Then, an impactor tool is used to apply a force to the implant. Subsequent to the application of force to the implant, a portion of an impaction pad on an end of the impactor tool is monitored. When the portion is observed to be deformed, the application of force onto the implant is discontinued.

Abstract: A High Energy Beam Processing (HEBP) system provides feedback signal monitoring and feedback control for the improvement of process repeatability and three-dimensional (3D) printed part quality. Signals reflecting process parameters and the quality of the fabricated parts are analyzed by monitoring feedback signals from artifact sources with a process controller which adjusts process parameters. In this manner, fabricated parts are produced more accurately and consistently from powder feedstock by compensating for process variation in response to feedback signals.

Abstract: In one embodiment, a method of planning implantation of a knee prosthesis is performed. Data is collected that is representative of a position of a tibia relative to a femur at a plurality of positions of the tibia relative to the femur through a range of motion of the knee. The data at each position of the plurality of positions includes: a medial maximum convergence of a low point on a medial femoral condyle and a medial tibial articular surface of the tibia and a lateral maximum convergence of a low point on a lateral femoral condyle and a lateral tibial articular surface of the tibia. The medial and lateral convergence locations from the plurality of positions are analyzed to determine a kinematic pattern that is then used to determine an implant position and an implant orientation for a tibial implant to be placed on a resected tibial surface.