Abstract: Some examples are directed to methods, systems, and related tools for calibrating a unique fiducial to a surgical instrument with which it is to be physically associated or on which it is to be marked.

Abstract: An implant delivery device may include a handle, an elongate shaft extending distally from the handle, and a support frame coupled to a distal end of the shaft. The shaft includes a lumen extending along an entire length of the shaft. The lumen opens to a proximal end of the handle and is configured to receive a bone anchor insertion device having a bone anchor thereon. A medical device system includes the implant delivery device and a bone anchor insertion device advanceable through the lumen of the shaft to secure an implant coupled to the support frame to a bone. A method may include advancing the implant to a treatment site with the implant delivery device, deploying the implant with the support frame, and advancing the bone anchor through the shaft to secure the implant to bone while the support frame remains coupled to the shaft and the implant.

Abstract: An apparatus for monitoring neural response and/or providing treatment includes an electrical stimulator configured to apply electrical stimulation, and one or more processors configured to analyze stimulation response. The one or more processors can be further configured to operate the electrical stimulator, adjust the electrical stimulation, and determine one or more wound characteristics based at least in part on at least one of the electrical stimulation or the stimulation response, e.g. a movement of a patient, a color absorption characteristic, or other physiological responses. An indication of the one or more wound characteristics can be provided.

Abstract: A method and apparatus are disclosed for dressing a wound. The apparatus comprises a sealing layer comprising at least one orifice, an absorbent layer over the sealing layer, absorbing wound exude and a liquid impermeable, gas permeable filter layer over the absorbent layer.

Abstract: Tissue repair devices described herein allow for meniscal root repair with sutures and anchors delivered by a needle. The needle houses two deployable anchors, each connected to a separate suture. The device also includes a push mechanism that allows for reliable anchor deployment through the needle. The needle can have various degrees of curvature to access the superior or inferior surfaces of the meniscal roots. Each advancement of the push mechanism by the surgeon expels an individual suture/anchor construct from the distal tip of the needle at the desired location.

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: Apparatus for the application of topical negative pressure therapy to a wound site is described, the apparatus comprising: a wound contacting element for retaining wound exudate fluid therein; a wound covering element that provides a substantially airtight seal over the wound contacting element and wound site; a vacuum connection tube connecting a wound cavity to a vacuum source; and a vacuum source connected to a distal end of the vacuum connection tube.

Abstract: Improved randomized porous structures and methods of manufacturing such porous structures are disclosed. The scaffold of the porous structures are formed from by dividing the space between a plurality of spatial coordinates of a defined volume, where the plurality of spatial coordinates have been moved in a random direction and a random finite distance according to a predetermined randomization limit.

Abstract: Adjustable, flexible cannulas of this disclosure include a body having a proximal end and a distal end. The body defines a through hole extending from the proximal end to the distal end. The distal end of the body has a flange for engaging a surface of tissue. An outer surface of the body includes a plurality of axially spaced first engagement features extending around a circumference of the body. A moveable member has a lumen for receiving the body therethrough. An inner surface of the lumen has a plurality of second engagement features for selectively engaging a corresponding one of the first engagement features. The moveable member is moveable along a length of the body to adjust a distance between the flange and the moveable member.

Abstract: An impactor and methods of operation of an impactor. The impactor includes an electromagnetic component that has a stationary electromagnetic housing and a moving magnet actuator, a striker, and one or more strike plates. The striker is coupled to an object. The stationary electromagnetic housing includes a coil that receives an electric current. The moving magnet actuator includes one or more magnets. The magnets generate a high potential magnetic field that interacts with the electric current applied to the coil disposed within the stationary electromagnetic housing and trigger translation movement of the moving magnet actuator. The electromagnetic field, generated as a result of application of the electric current to the coil, forces the moving magnet actuator to translate. Translation of the moving magnet actuator causes the moving magnet actuator to strike at least one of the strike plates to thereby translate the striker.

Abstract: A bone cutting device, such as a burr or saw blade, is irrigated to cool not only the bone cutting device itself, but also the bone of the subject on which a bone resection procedure is being performed. The bone cutting device can have one or more (e.g., a plurality of) internal flow channels that eject a cooling medium (e.g., water or an inert gas) from the bone cutting device. This emission of the cooling medium can not only flush bone chips from the resection site, thereby reducing frictional heating of the bone cutting device, but can also provide internal cooling to the bone cutting device while flowing through the one or more internal flow channels and also can cool the surface of the bone via conductive heat transfer (e.g., by the flow stream of the cooling medium impinging on the bone surface).

Abstract: Embodiments described herein relate to apparatuses, systems, and methods for the treatment of wounds, for example using multiple wound dressings in combination with negative pressure wound therapy. A negative pressure would therapy apparatus can include a negative pressure source and a controller. The negative pressure source can include inlets configured to couple via fluid flow paths to wound dressings. The fluid flow paths can include pressure sensors configured to measure pressure in the fluid flow paths. The pressure sensors can include a first pressure sensor configured to measure pressure in the first fluid flow path and a second pressure sensor configured to measure pressure in the second fluid flow path. The controller can be configured to operate the negative pressure source and provide, based on measured pressure, indication of at least one operating condition associated with at least one of the fluid flow paths.

Abstract: Disclosed herein are several embodiments of a negative pressure appliance and methods of using the same in the treatment of wounds. Some embodiments are directed to improved filter assemblies for use with in a canister for collecting wound exudate from a wound site, the canister comprising a filter and a shield configured to protect the filter from components within the interior of the canister.

Abstract: In some aspects, a method of managing communication between a first electronic device and a second electronic device. The method includes facilitating, by a first electronic device, motion of a second electronic device in a motion sequence; detecting, by the second electronic device, motion of the second electronic device in the motion sequence; determining, by the second electronic device, a key from the motion sequence from the detecting, the key being usable to communicate with the first electronic device; and wirelessly communicating, by a communication interface of the second electronic device, with the first electronic device using the key.

Abstract: A combination medical device for removing and treating tissue in a patient is disclosed. The device includes a reusable handle and a blade selectively connectable to the handle. The blade includes an outer sleeve having a lumen with an inner shaft disposed therein. The inner shaft may be coupled to a motor drive unit disposed within the handle and may rotate so as to mechanically cut tissue as the inner shaft rotates. The outer sleeve includes at least one electrode for electrosurgically treating tissue. The reusable handle includes at least one control switch for controlling a parameter associated with the rotation of the inner shaft. The blade also may include a switch assembly in electrical communication with the at least one electrode, the switch assembly including attachment means for selective attachment of the switch assembly to the reusable handle.

Abstract: Surgical systems and methods are disclosed for creating a 3D model of a patient's affected area using an imaging device, using the model to determine an implant orientation and position, creating patient-matched instrumentation, placing the patient-matched instrumentation on the patient's anatomy, registering a computer-assisted surgical tool, and acquiring registration information. The methods and systems also include associating the surgical tool with a computer to perform a computer assisted surgery. Also disclosed are embodiments of patient-matched instrumentation to acquire registration information.

Abstract: A method of generating a custom three-dimensional (3D) model of a patient bone from one or more 2D images is disclosed. The method includes obtaining a 2D image of a bone, optionally of a joint, and identifying a 3D bone template for a candidate or representative bone from a pre-aligned library of representative bones. The method further includes repositioning one or more views of the 3D model or 2D images (e.g., with respect to rotation angle or caudal angle). In an iterative process, another 3D bone model for another candidate bone can be identified based on the repositioning until an accuracy threshold is satisfied. When the accuracy threshold is satisfied, surface region(s) of the current 3D bone model can then be modified to generate the resulting 3D model for the patient bone. The process can then be repeated for other bone(s) associated with the joint of the patient.

Abstract: Embodiments of delivering reduced pressure wound therapy are disclosed. In some embodiments, a system includes a reduced pressure wound therapy device and a remote computer. The device can be configured to apply reduced pressure to a wound of a patient according to a default reduced pressure therapy prescription. The device can be configured to monitor usage data and transmit the usage data to the remove computer for determining compliance with a reduced therapy prescription. In some cases, non-compliance can be determined due to change of the prescription from the default prescription to a prescription more suitable for treating the wound. A non-compliance notification can be transmitted to the device. The device settings can be updated to the current prescription.

Abstract: Embodiments of negative pressure wound therapy systems and methods are disclosed. In one embodiment, an apparatus includes a driving circuit that supplies a driving signal to a negative pressure source to cause the negative pressure source to provide negative pressure via a fluid flow path to a wound dressing. The apparatus furthers include a controller that adjusts a frequency of the driving signal supplied by the driving circuit according to a comparison of a previous magnitude and a subsequent magnitude of the driving signal while the negative pressure source provides negative pressure. The transfer of power to the negative pressure source can thereby be tuned to maximize an amount of power transferred to the negative pressure source.

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.