Abstract: Disclosed herein is a system and method for generating a 3D map of a bone of a patient undergoing a total joint arthroplasty showing various volumes of the bone having different bone quality and/or patient characteristics and predicting, for each volume, a force threshold. The force threshold is used to automatically regulate the power output of a powered surgical tool depending on which volume of risk the tool is in contact with.

Abstract: A hinged knee prosthesis comprises a tibial component and a femoral component. The tibial component is configured to attach to a tibia. The tibial component has a bearing surface. The femoral component is configured to hingedly attach to the tibial component and rotate relative to the tibial component. The femoral component comprises a medial condyle and a lateral condyle. The medial and lateral condyles have an eccentric sagittal curvature surface configured to rotate and translate on the bearing surface of the tibial component. A method of rotating a hinged knee through a range of flexion is provided. The method fixedly attaches a femoral component to a tibial component. Axial rotation of the femoral component is induced relative to the tibial component when the hinged knee is flexed.

Abstract: Leak location devices and methods of using leak location devices that can be used in conjunction with negative pressure wound therapy systems are disclosed. In some embodiments, a leak location device can include a microphone for detecting sound pressure produced by a leak. Detected sound pressure can be compared to a threshold, which can correspond to background or ambient sound pressure. Background or ambient sound pressure can correspond to sound produced by a negative pressure source. The leak detection device can include a display configured to visually depict the detected sound, and a light source which creates a visual depiction of the coverage angle of the microphone.

Abstract: Disclosed is a dissolvable, gel-forming film, and methods for its use, comprising a water-soluble cellulose ether, a hydrophilic rheological modifying agent, and an active proteolytic enzyme or other drug substance. The gel-forming film has a water content of less than 15% w/w and is capable of forming a hydrogel when contacted with water or other aqueous medium. The disclosed films achieve delivery of stable proteolytic enzymes to the desired site of action in a manner that provides uniform delivery of the enzymes.

Abstract: An orthopedic intramedullary (“IM”) nail for internal fixation of a patient's bone is disclosed. In some examples, the IM nail is arranged and configured as a tibial IM nail arranged and configured for implantation into a patient's tibia. In some examples, the tibial IM nail is arranged and configured to be side-specific so that the anatomic specific tibial IM nails can be used to, for example, target specific bony anatomy such as, for example, the patient's posterior malleolus. In addition, the tibial IM nail may include a variable angle screw opening in the distal end portion thereof to target specific bony anatomy such as, for example, the patient's posterior malleolus, while avoiding anatomic structures such as nerves, vessels, tendons, etc. In addition, and/or alternatively, the tibial IM nail may include a variable angle screw opening in the proximal end portion thereof to enhance screw positioning.

Abstract: A system for translating a constant traction load to an object such as a medical device or a patient includes a plurality of independently rotatable, coaxially aligned spools, each housing a constant force spring fixed at respective ends to the spool and to a rigid member, a plurality of flexible biasing members each coupled on their respective first ends to a spool and at least partially wound around the spool. A plurality of connectors are connected to the respective other ends of the biasing members, which may comprise wire rope. The connectors are configured to quickly couple to and decouple, directly or indirectly, from the object to which the traction load is being delivered. A guide provides a partial path for one or more of the biasing members to the object. A selected load may be applied by coupling one or more of the reversible couplers tensioned by the constant force springs to the object, without use of gravitational loading.

Abstract: A system and method for harvesting autologous tissue, mincing it into fragments that are visible and measurable when filtered, and delivering a portion of the tissue back into the patient without the need to directly touch the tissue. During the same surgical procedure, the tissue can be mixed with a biocompatible agent before introduction into the repair site.

Abstract: An ultrasound probe captures real-time images of patient anatomy, which are analyzed by a processor to extract salient features pertaining to an anatomical structure. By tracking the location and orientation of the ultrasound probe, a model of that anatomical structure can be created. A visual indication of the position of segments of the anatomical structure can be presented holographically to a user of an augmented reality headset to provide information extracted from the ultrasound imaging, such as holographic display of a model of the anatomical structure at the approximate location of the visual field of the headset corresponding to the physical location of the actual anatomy being viewed by a user, without presenting the entirety of the ultrasound image to the user.

Abstract: There is provided a tibial component comprising a tibial tray having a superior side and an inferior side, and a support member connected to the inferior side of the tibial tray, the support member having a stem portion, the stem portion including one or more fins and a first arm angled relative to a second arm. In one form, the fins have a curvature that extends away from the stem portion. In another form, the first arm defines an opening sized to receive an anchor wherein the anchor is configured to penetrate a portion of bone and the opening in the first arm. Optionally, the stem portion includes a first portion having a first cross sectional area and a second portion having a second cross sectional area wherein the first cross sectional area is larger than the second cross sectional area. The fins and arms can include rail protrusions.

Abstract: Embodiments of negative pressure wound therapy systems and methods for operating the systems are disclosed. In some embodiments, a system includes a negative pressure source, a wound dressing configured to be positioned over a wound, and optionally a canister configured to store fluid aspirated from the wound. The negative pressure source, wound dressing, and canister (when present) can be fluidically connected to facilitate delivery of negative pressure to the wound. The system can be configured to automatically detect whether the canister is positioned in the fluid flow path between the negative pressure source and the dressing while negative pressure source provides negative pressure to the wound dressing. Operation of the system can be adjusted based on whether presence of the canister has been detected. For example, a value of an operational parameter can be set to indicate that the canister is present.

Abstract: Disclosed are systems and methods for a computerized framework that provides novel mechanisms for determining the automatic placement of a reference grid and an anatomical reference frame (ARF) of a bone. The disclosed framework is operational for the enablement of computerized mechanisms that, based on a three-dimensional (3D) model of a distal femur, can determine, provide and/or display the anatomically correct positions of femoral tunnels and/or other forms of surgical landmarks surgeons rely on for anterior cruciate ligament (ACL) procedures. The disclosed framework is also operational for the enablement of computerized mechanisms that, based on a three-dimensional (3D) model of a proximal tibia, can determine, provide and/or display the anatomically correct positions of tibial tunnels and/or other forms of surgical landmarks surgeons rely on for ACL procedures.

Abstract: Embodiments disclosed herein are directed to sealing compositions for negative pressure treatment systems and wound dressing systems, devices containing the same, apparatuses, uses and methods for creating a main wound dressing portion for use in wound care, more particularly for sealing a trimmable dressing, having a main dressing portion or cell in fluid (e.g., gas) communication with additional dressing portions or cells, for use in wound care, more particularly that may be used for the treatment of wounds. In particular, some embodiments are directed to compositions for improving the versatility of wound dressings for wounds of different shapes or sizes.

Abstract: Suture anchor insertion assemblies include needles pre-attached to suture or suture tape, which reside within a housing of an inserter. The suture extends around a suture bridge of a suture anchor having at least one rib extending through the internal volume. An outer surface of the shaft of the inserter includes a groove sized to receive both the rib of the suture anchor and the length of suture while still allowing the suture to slide relative to the inserter.

Abstract: A method including: determining a configuration for an orthopedic device to attach with bone segments, the orthopedic device including a proximal ring, a distal ring, and adjustable struts interconnecting the proximal ring and the distal ring; receiving input data for anatomy and boundaries for attachment of the orthopedic device with the bone segments; receiving input data for a level and a position for the proximal ring; determining a number and type of the transosscous elements for attachment of the orthopedic device; determining a final level and position for the distal ring; accessing a data structure including fixations for the transosseous elements; accessing a data structure including reference levels and positions for attachment of transosseous elements to the bone segments; and automatically determining levels and positions for the transosseous elements and the distal ring to avoid impingement of fixations and transosseous elements with struts of the orthopedic device.

Abstract: Methods, non-transitory computer readable media, and surgical computing devices are illustrated that improve surgical planning using machine learning. With this technology, a machine learning model is trained based on historical case log data sets associated with patients that have undergone a surgical procedure. The machine learning model is applied to current patient data for a current patient to generate a predictor equation. The current patient data comprises anatomy data for an anatomy of the current patient. The predictor equation is optimized to generate a size, position, and orientation of an implant, and resections required to achieve the position and orientation of the implant with respect to the anatomy of the current patient, as part of a surgical plan for the current patient. The machine learning model is updated based on the current patient data and current outcome.

Abstract: Certain embodiments of the invention provide plates for treating periarticular fractures or other non-full body weight bearing applications that combine polyaxial fixation with a low profile and enhanced contouring that more closely conforms to bone. Such plates can be designed to achieve buttressing effect and/or to be used in a reinforcement mode. Other features can be combined with these. Such plates can be created for use on bone sites such as on a tibia, fibula, metatarsal, calcaneous, other foot bone, humerus, radius, ulna, spinal, maxillofacial, as well as sites on other bones.

Abstract: Surgical methods and devices that facilitate registration of arthroscopic video to preoperative models are disclosed. With this technology, a machine learning model is applied to diagnostic video data captured via an arthroscope to identify an anatomical structure. An anatomical structure in a three-dimensional (3D) anatomical model is registered to the anatomical structure represented in the diagnostic video data. The 3D anatomical model is generated from preoperative image data. The anatomical structure is then tracked intraoperatively based on the registration and without requiring fixation of fiducial markers to the patient anatomy. A simulated projected view of the registered anatomical structure is generated from the 3D anatomical model based on a determined orientation of the arthroscope during capture of intraoperative video data. The simulated projected view is scaled and oriented based on one or more landmark features of the anatomical structure extracted from the intraoperative video data.

Abstract: Disclosed herein is a system and method for determining the position of a broach tool used in a total hip arthroplasty procedure, the broach still being positioned in the femoral canal of a femur of the patient and the position being determined post-broaching. Also disclosed herein are examples of broach tool adapters used to attach a tracking array to the broach tool, the adapters having a body shape to mate with the geometry of particular brands of broach tools and having a common slot defined therein to accept a tracking array such as to attach the tracking array to the broach tool.

Abstract: A processor is configured to execute instructions stored in memory to provide guidance during a surgical procedure. Executing the instructions causes the processor to obtain an image of patient anatomy including at least a femur and a pelvis, segment the image into a pelvis portion and a femur portion, generate a pre-operative plan for the surgical procedure using the segmented image, including calculating, using the segmented image, a surgical area of interest between the pelvis portion and the femur portion and a minimum distance between the femur and the pelvis within the surgical area of interest, and generate and provide, via a display, visual guidance for performing distraction during the surgical procedure, the visual guidance being generated based on the minimum distance.

Abstract: There is provided a tibial component comprising a tibial tray having a superior side and an inferior side, and a support member connected to the inferior side of the tibial tray, the support member having a stem portion, the stem portion including one or more fins and a first arm angled relative to a second arm. In one form, the fins have a curvature that extends away from the stem portion. In another form, the first arm defines an opening sized to receive an anchor wherein the anchor is configured to penetrate a portion of bone and the opening in the first arm. Optionally, the stem portion includes a first portion having a first cross sectional area and a second portion having a second cross sectional area wherein the first cross sectional area is larger than the second cross sectional area. The fins and arms can include rail protrusions.