Abstract: An exemplary process includes determining a desired pore size, selecting an initial pore size greater than the target pore size, manufacturing a porous structure with the initial pore size, forging the porous structure to form a forged part having the desired pore size, and forming an orthopedic device from the forged part.

Abstract: Disclosed herein is a device, and a method for using the device to measure the range-of-motion of a hip joint during a hip resurfacing surgery. The device comprises a temporary femoral component for rigidly affixing an array holder to the resurfaced femoral head to hold a primary array of tracking markers that are tracked through the range-of-motion by a computer-assisted surgical system (CASS).

Abstract: Certain aspects provide a method, including: receiving a depth image from a depth sensor; receiving a segmentation mask corresponding to the depth image and segmenting the depth image into a set of foreground pixels and a set of background pixels; determining a set of seed pixels in the depth image; for each respective seed pixel of the set of seed pixels: determining a sampling line in the depth image that starts at the respective seed pixel and passes through a portion of the depth image; for each respective sampling line pixel in the sampling line having a value in the segmentation mask indicating a foreground object in the depth image: determining one or more data attribute values based on a depth value for the respective sampling line pixel in the depth image; and adding the one or more data attribute values to a feature vector.

Abstract: Methods, apparatuses, and systems for determining a surgical plan for an arthroplasty procedure using constraint modeling are disclosed. For example, a method for determining a surgical plan may include determining a constraint model associated with an anatomical model the constraint model configured to indicate at least one valid configuration of an implant model in association with the anatomical model, receiving placement input indicating placement of the implant in association with the anatomical model, and performing, based on the placement input, a violation process based on a violation event responsive to the placement input violating the constraint model, or a placement process positioning the implant according to the placement input. Other embodiments are described.

Abstract: An external fixation K-wire clamp including an elongated channel arranged and configured to receive a K-wire. In some examples, the elongated channel is devoid of any predefined grooves so that a K-wire can be positioned anywhere along the length of the elongated channel and/or in various orientations. In addition, and/or alternatively, an exemplary method of use for treating a distal radius fracture is disclosed. The method enabling earlier hand/wrist therapeutics.

Abstract: Methods, non-transitory computer readable media, surgical tracking devices, and systems that facilitate improved tracking in surgical environments are disclosed. With this technology, a fiber optic shape sensing (FOSS) device is rigidly attached to patient anatomy and/or surgical instrument(s) to facilitate location and/or flexibility tracking. The data provided by the FOSS device can be analyzed and registered to preoperative or intraoperative 3D anatomy model(s). The FOSS device can be attached to a surgical instrument to provide intraoperative guidance, used to locate a hollow needle for tracking bones in a minimally invasive manner, and/or used to detect bending in an instrument such as an arthroscope or tissue removing burr shaft, for example. The tracked location and/or flexibility data provided by the FOSS device can also be used to automatically control the location and/or operation of a surgical instrument during a surgical proceeding to facilitate improved surgical accuracy and patient outcomes.

Abstract: A surgical tool positioning device for positioning and holding a surgical tool is disclosed. The device includes an adjustable-friction ball and socket joint configured to provide three degrees of rotational freedom. A variable holding force may be applied to the ball via a locking member to selectively lock and unlock the adjustable-friction ball and socket joint. The socket includes a friction-inducing member housed therein and in contact with the ball. When the ball and socket joint is unlocked, this friction-inducing member provides sufficient frictional force to hold a position of the surgical tool. However, this frictional force may be overcome with intentional external forces such as during repositioning of the surgical tool.

Abstract: Tissue repair systems which use knotless all-suture anchors and have the ability to lock multiple repair sutures within the anchor construct. The anchor construct includes a tension suture wrapped or looped upon itself to create an open eyelet, through which multiple repair sutures originating in soft tissue are passed. The location of the eyelet may be anywhere inside the all-suture anchor or adjacent to the exterior of the anchor body. Tensioning of the tension suture causes the eyelet to restrict movement of the repair sutures and secures them within or against the anchor body.

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: Systems and methods for delivering pharmaceutical compositions to the nasal cavity using iontophoresis. The systems and methods include a delivery system that is disposed in operative apposition with a tissue surface, which delivery system can circulate iontophoretic solution having ions of a therapeutic substance in the nasal cavity. The circulation can be continuous or periodic. The circulation can replace the iontophoretic solution within the nasal cavity over a period of time, such as from 15 seconds to 1 minute. The systems and methods further include an electrode device that is utilized to apply current to perform the iontophoresis while the circulating of the iontophoretic solution in the nasal cavity. In some embodiments, the therapeutic substance is a steroid, and in further embodiments, the ions are betamethasone ions.

Abstract: A method of calibrating a frontal 2D image of a pelvis of a patient is disclosed. Frontal and lateral 2D images are received, where a fiducial marker is positioned on the patient's suprapubic region during image capture. A first distance of the fiducial marker from the imaging detector is determined based on the fiducial marker's measured diameter in the frontal image. A second distance of the fiducial marker from a coronal plane of the pelvis is determined based on the fiducial marker's measured diameter in the lateral image. The second distance is corrected based on a rotational offset of the patient in the lateral image. A third distance of the coronal plane from the imaging detector in the frontal image is determined from the first distance and corrected second distance. A calibration factor for the frontal image is calculated from the third distance and used to scale the frontal image.

Abstract: An electrosurgical wand is disclosed for treating a plurality of tissues at a variety of tissue locations. The electrosurgical wand includes a handle on a proximal end and an elongate shaft with a combination active electrode at the distal end. The combination active electrode includes with a blade and screen portion; the blade portion extending along and laterally from the wand longitudinal axis, forming a dissecting tip. The screen portion extends from the blade portion at an obtuse angle and has at least one aspiration aperture through it. The wand also includes a second and third electrode, proximally spaced from the combination active electrode. The second electrode spans a portion of an outside surface of the wand adjacent the blade portion, while the third electrode spans a portion of the outside surface of the wand opposite the second electrode.

Abstract: Disclosed is a hydrogel comprising a hydrophilic gelling agent that includes a nonionic cellulose ether, and active thermolysin, wherein the proteolytic activity of the thermolysin does not decrease by more than 20% when stored at room temperature for 6 months.

Abstract: Pump systems with pinch valves for surgical procedures. At least some of the example embodiments are pump systems including a stationary housing defining a front face. A tube support extends outwardly from the front face for aligning and supporting a first tube and a second tube. At least one pinch member is movable relative to the tube support by a power actuator operably coupled to the at least one pinch member and configured to have three orientations that define: a first arrangement of the pinch member relative to the tube support configured to pinch closed the first tube, a second arrangement of the at least one pinch member relative to the tube support configured to pinch closed the second tube, and a third arrangement of the at least one pinch member relative to the tube support configured to pinch closed neither the first tube nor the second tube.

Abstract: Orthopedic systems, methods, and instrumentation for preforming knee arthroplasty. In some embodiments, the systems, methods, and instruments utilized improved quick connect mechanisms such as, for example, snap-fit connectors, to facilitate easier assembly and disassembly of the various components. For example, various connection mechanisms for coupling a tibial base trial to a guide (e.g., a fin punch guide), and/or for coupling the guide (e.g., fin punch guide) to a punch. In use, the systems, methods, and instruments provide an improved workflow for facilitating knee arthroplasty surgery.

Abstract: Surgical procedures, tools and implants are disclosed for both conventional and reverse shoulder implant surgeries. The improved procedures, tools and implants relate to humeral head resurfacing, humeral head resection for standard implants, humeral head resection for reverse shoulder implants, glenoid resurfacing for standard shoulder implants and glenoid resurfacing for reverse shoulder implants. 3D scans and x-rays are used to develop virtual models of the patient anatomy, identify patient specific landmarks for anchoring guide wire installation blocks, templates and drill guides. 3D scans are also used to design patient specific tools and implants for the shoulder implant procedures and to pre-operatively determine the appropriate inclination and retroversion angles.

Abstract: Methods of measuring a force using a tracking system are disclosed. A first vector is determined between a first tracking array and a second tracking array on a tool. The tool has a flexible portion that has a known modulus of elasticity and moment of inertia. A force is applied to the tool, and a second vector is determined between the first tracking array and the second tracking array. An amount of deflection is determined for the tool, and the magnitude and direction of the applied force are determined based on at least the amount of deflection, the modulus of elasticity and the moment of inertia. Information pertaining to the magnitude and direction of the applied force is provided to a user.

Abstract: Variable aspiration control in surgical procedures. At least one example is a method of performing a surgical procedure, the method comprising: driving, by a surgical controller, a motor within a handpiece coupled to a resection instrument, the driving causes mechanical resection of tissue by the resection instrument; aspirating, by a peristaltic pump associated with the surgical controller, fluid and tissue fragments through a suction lumen of the resection instrument during the resection of tissue; and modulating, by the surgical controller, speed of the peristaltic pump during the driving and aspirating, the modulating responsive to an interface device defined on an exterior surface of the handpiece.

Abstract: Methods and devices for tissue fixation. A cortical button with a rib between two slotted openings. The rib increases the cortical button structural rigidity without increasing palpability. An adjustable loop construct with two discrete locking passages that provides manageable loop reduction and improved tissue coupling. The adjustable loop construct may be coupled to tissue via a passing construct. An assembly with a reduction bar, a button and an adjustable loop construct, the assembly provided assembled in a first configuration that disassembles to guide steps of tissue fixation. The reduction bar may be assembled to the reduction bar for reducing the adjustable loop construct.

Abstract: Embodiments of reduced pressure systems and methods for operating the systems are disclosed. In some embodiments, a system can include a source of negative pressure and a controller configured to present GUI screens for controlling and monitoring operation of the system. The controller can be configured to receive, via the GUI, an adjustment of a negative pressure therapy parameter and adjust (or cause adjustment) of the operation of the negative pressure source based on received adjustment. The controller can be further configured to record historical data parameters associated with negative pressure therapy parameters. The controller can also be configured to transmit (or cause transmission) over a communication channel at least some of recorded historical data. The system can be configured to provide external connectivity for accomplishing various activities, such as location tracking, compliance monitoring, tracking of operational data, remote selection and adjustment of therapy settings, etc.