Abstract: An implant delivery system including a fixation member delivery system including an elongate shaft, first and second rails, a plurality of fixation members with each fixation member slidably disposed on the first and second rails and an actuation assembly. The actuation assembly includes a first elongate member including a first plurality of engagement members disposed along the first elongate member with a distal end region of each engagement member in engagement with one of the fixation members, a second elongate member including a second plurality of engagement members disposed along the second elongate member with a distal end region of each engagement member in engagement with one of the fixation members. Additionally, cyclical actuation of the actuation assembly is configured to incrementally move the fixation members distally along the first and second rails to deploy each of the plurality of fixation members in sequence.

Abstract: A surgical drilling device includes a drill bit at a distal end of a shaft configured to drill a bone hole having a first diameter. A cutter disposed within the shaft can move between a closed position and an extended position. The cutter is configured to drill a bone hole having a second diameter in the extended position. An adjustable member is at least partially disposed in the handle. An actuator is operatively coupled to both the adjustable member and the cutter. A distal end of the actuator has an arcuate projection configured to engage an arcuate slot in the cutter. Incremental movement of the adjustable member causes a corresponding incremental degree of extension of the cutter between the closed position and the extended position to drill the bone hole having the second diameter.

Abstract: Medical implants are disclosed. A medical implant includes a first base material having a first end region, a second end region and a feltable material adjacent to the first base material. Further, the feltable material includes a plurality of feltable fibers configured to attach the implant to a target tissue.

Abstract: Embodiments of the invention include an external fixation system that includes at least one external fixation strut that is both acutely adjustable and precisely adjustable and related methods of adjustment. Acute adjustment may be accomplished using one or more mobile jaws that may be engaged with or disengage from a threaded rod of each external fixation strut. Precise adjustment of each external fixation strut may be accomplished after releasing a lock biased toward a locked position. When each external fixation strut's lock is released, a portion of each of the precise adjustment mechanism of each external fixation strut may be activated to increase and decrease the length of each of the at least one external fixation struts.

Abstract: A suspension fixation device includes a first fastener assembled to an adjustable loop of suture. The second fastener has a slot configured to allow the second fastener to be assembled to the suture loop once the suture loop has been passed through a drill hole. The second fastener further comprises a suture bridge formed through a post of the fastener for housing the suture loop while the slot is configured to prohibit the suture loop from migrating back out of the suture bridge.

Abstract: Tube delivery. One example is a tube delivery system comprising: a hand piece body; a shaft assembly extending from the hand piece body; and a drive assembly. The shaft assembly may comprise: an elongate outer tube; an introducer (310) defining a distal end, a first leaf on the distal end, a second leaf on the distal end, and an inside diameter; a tympanostomy tube disposed within and abutting the inside diameter of the introducer; and a pusher concentrically disposed within the introducer. The drive assembly may be disposed within the hand piece body, the drive assembly configured to longitudinally translate the introducer and the pusher relative to the elongate outer tube, wherein the drive assembly is configured to dilate the first leaf (508) and second leaf (510) by the pusher distally translating the tympanostomy tube relative to the introducer.

Abstract: Ligament repair. Some examples are directed to methods and related systems for calibration of optical equipment for use in a computer-guided endoscopic ligament repair, such as repair of an anterior cruciate ligament (ACL). Other examples are directed to methods and related systems verification of registration between three-dimensional bone models and bone visible through an endoscope during ligament repair. Yet still further examples are directed to intraoperative changes to the tunnel plans for ligament repair.

Abstract: A guidance system for performing alignment of an off-axis surgical instrument includes a surgical system configured to receive first data indicating a location of a planned tunnel through a surgical site, receive second data indicating a position of the surgical instrument relative to the planned tunnel at the surgical site, and, based on the first data and the second data, cause a display to present a visual representation indicative of a current position of a portion of the surgical instrument relative to the planned tunnel, a first rotational orientation of the aimer tool relative to the planned tunnel, and a second rotational orientation of the aimer tool relative to the planned tunnel.

Abstract: A tissue anchor system includes an anchor assembly including a first anchor, a second anchor, and a suture extending therebetween, and an inserter instrument including a penetrating member and a retainer positioned proximally of and laterally offset from the penetrating member. The penetrating member includes a lumen configured to removably receive the first anchor. The retainer includes a lumen configured to removably receive the second anchor. A longitudinal axis of the first anchor when disposed within the penetrating member is parallel to a longitudinal axis of the second anchor when disposed within the retainer. A method of deploying the anchor assembly includes advancing the penetrating member into tissue or bone until a distal shoulder of the inserter instrument abuts an outer surface of the tissue or bone, deploying the first anchor from the penetrating member, and deploying the second anchor from the retainer outside of the tissue or bone.

Abstract: An implant delivery system including a fixation member delivery system having a handle, an elongate shaft, a first elongate member coupled with the elongate shaft, and a second elongate member fixed relative to the handle. Cyclical actuation of the elongate shaft and the first elongate member may incrementally move a plurality of fixation members distally. The first elongate member may include a plurality of first engagement members disposed along the first elongate member with a distal end region of each of the one or more of the first engagement members configured to engage with one fixation member of the plurality of fixation members. The second elongate member may include a plurality of second engagement members disposed along the second elongate member with a distal end region of each of one or more of the second engagement members configured to engage with one fixation member of the plurality of fixation members.

Abstract: A method of operating an electrosurgical coagulation device includes applying radio frequency (RF) energy between a first electrode and a second electrode of the electrosurgical coagulation device and flowing an electrically conductive fluid through one or more nozzles of the electrosurgical coagulation device. Applying the RF energy includes, responsive to a first button on the electrosurgical coagulation device, controlling an on or off state of first RF energy to be applied between the first electrode and the second electrode, and, responsive to a second button on the electrosurgical coagulation device, applying second RF energy between the first electrode and the second electrode, wherein the second RF energy is increased relative to the first RF energy.

Abstract: A probe for registering an anatomical surface for a registration procedure includes a probe shaft, a probe tip having a base end coupled to a distal end of the probe shaft, a contact ball disposed and configured to rotate within a contact end of the probe tip, and a biasing element disposed within the probe tip. The biasing element is configured to bias the contact ball toward the contact end of the probe tip and the contact ball is configured to, in response to external force against the contact ball, push against the biasing element. The probe is configured to generate a signal in response to the contact ball pushing against the biasing element.

Abstract: Disclosed herein are systems and devices for performing computer-aided surgical navigation. Specifically, a system for augmented reality assisted trauma fixation, which displays various views of one or more tracked items, including a guide device, a fixation plate, a surgical tracking device, and an augmented reality display. The guide device having a tip, a handle, and a fixation guide. The fixation plate having at least one aperture designed to receive the tip of the guide. The surgical tracking device configured to track one or more trackable objects associated with the guide, fixation plate, and display, and thereby calculate a location of a fixation device, such as a screw, relative to the fixation plate.

Abstract: A tissue repair implant includes a sheet-like structure having a first component comprising a biological material, and a second component comprising a fibrous felt material. The second component is configured to pass entirely through a thickness of the first component to extend into and engage with a body tissue to affix the repair implant to the tissue.

Abstract: A bipolar prosthesis subassembly (100) is provided. The bipolar prosthesis subassembly (100) comprises: an outer shell (10); an inner liner (20) configured to dispose inside of the outer shell (10) in a manner of non-interference fit, the inner liner (20) is provided with a circumferential groove (24); and a split lock ring (30) configured to elastically snap into the circumferential groove (24) of the inner liner (20).

Abstract: A system and a method for positioning and operating of a surgical cutting instrument. Dimensions associated with an implant surface plane of an implant are received. The implant surface plane is defined by at least one transition edge separating the implant surface plane from another implant surface plane of the implant. The surgical instrument includes a cutting blade for cutting a bone surface in the bone corresponding to the implant surface plane. Cutting blade parameters including a reference distance representative of a distance from a reference location on the cutting blade to the transition edge, a normal distance from the transition edge to a surface of the cutting blade, and a direction of cutting of the cutting blade are identified. A reach parameter of the cutting blade in relation to the bone surface is determined. The cutting blade is aligned using the reach parameter.

Abstract: A system for preparing a bone for implantation of a component of an orthopedic implant device. The system includes a forming tool having a sleeve member that is selectively received within a handle member. The sleeve member has a guide slot that is sized to receive axial passage of at least a portion of a guide. The guide slot and/or sleeve member may be positioned and/or configured to facilitate at least linear and/or rotational displacement of the forming tool about, or relative to, the guide, and thereby provide a degree of freedom in the location at which the forming tool may form a shape or opening in the bone relative to one or more reference axes. The handle member may include a connection member that is structured to be operably coupled to a bone preparation device that is structured to facilitate the displacement of bone material.

Abstract: A geared-motor assembly for use in a spatial frame is disclosed. Each of the geared-motor assemblies being selectively attachable and detachable from a manually adjustable strut in a spatial frame. In use, with the geared-motor assemblies detached, the struts can be manually adjusted (e.g., rotated) to, for example, facilitate initial construction of the spatial frame in the operating room, to allow patients to manually adjust the struts if desired, etc. Thereafter, with the geared-motor assemblies coupled to the struts, motorized and/or automated adjustment of the struts according to a treatment plan can be achieved. In use, each of the geared-motor assemblies is configured as a stand-alone device including all of the needed intelligence (e.g., microprocessor, printed-circuit board, etc.) and power supply to control and power the geared-motor assembly so that no external wires or centralized controller is required.

Abstract: Methods, non-transitory computer readable media, and surgical computing devices are illustrated that improve robotic surgical systems. With this technology, one or more machine learning models are trained based on historical state data obtained for a computer-assisted surgical system (CASS) at each of a plurality of time periods during a plurality of historical knee arthroplasty surgical procedures. One or more of the machine learning models are applied to initial state data for a current knee arthroplasty surgical procedure to generate robotic commands required to achieve one or more future states of the CASS. The initial state data comprises a surgical plan. One or more surgical tools of the CASS are then manipulated based on the robotic commands to achieve the one or more future states of the CASS and thereby carry out at least a portion of the surgical plan.

Abstract: A tensioner tool for assessing joint laxity is disclosed. The tensioner tool comprises a pair of pivotally coupled arms, each arm comprising a proximal handle portion, a distal portion, and an insertion tip selectively coupled to the distal portion. The pair of arms pivot between a compressed configuration for insertion within the joint and an expanded configuration for distraction of the joint by applying a force to the handles, thus spreading the insertion tips. The tensioner tool also comprises a force sensor configured to measure the force applied to the handle portion and a positional sensor configured to measure a separation distance between the pair of arms. The tensioner tool also comprises a processor configured to calculate a distraction force at the insertion tips based on the measured force and to calculate a tip distance between the insertion tips based on the measured separation distance.