Abstract: Medical devices, such as implants, and corresponding methods of manufacturing using an additive manufacturing technique, wherein the finished medical devices include a build plate retained therein, are disclosed. In some embodiments, the medical device includes a build plate having a plurality of peaks and a plurality of indentations, the plurality of peaks and the plurality of indentations together defining a surface roughness of an exterior surface of the build plate. The medical device may further include a first layer formed atop the exterior surface of the build plate, the first layer comprising a plurality of powder structures disposed over the plurality of peaks and the plurality of indentations. In some embodiments, an average peak distance between adjacent peaks of the plurality of peaks is less than an average width dimension of at least a portion of the plurality of powder structures.

Abstract: An improved orthopedic broach used to prepare an intramedullary canal of a patient's bone such as, for example, a patient's femur, to receive an orthopedic implant such as, for example, a hip stem implant. The broach has differential teeth or tooth patterns. In one preferred example, the broach includes three different types of teeth including diamond teeth, compaction teeth, and extraction teeth. The different teeth patterns being specifically arranged on the sides of the broach to optimize bone removal and bone compaction for a subsequently implanted hip stem implant. In addition, the different teeth patterns and locations enhancing rotational stability. As such, the broach is configured to compact bone in certain areas while removing bones in other areas, all while maintaining broach rotation.

Abstract: Devices, systems, and methods for measuring a force applied to a joint during a surgical procedure are disclosed. The device includes an insertion tool, a handle, and one or more force indicators. The insertion tool includes an insertion end and a base end. The one or more force indicators may be attached to the insertion tool and the handle. The insertion end of the device may be inserted into a joint during a surgical procedure and used to apply a force to the joint and/or measure the force using the one or more force indicators when the force is applied.

Abstract: Some examples are directed to methods and related systems for intraoperatively selecting and displaying cross-sectional images.

Abstract: Some examples are directed to methods and related systems for generating 3D models of existing bone tunnels for surgical planning.

Abstract: A method for creating a patient-specific surgical plan includes receiving one or more pre-operative images of a patient having one or more infirmities affecting one or more anatomical joints. three-dimensional anatomical model of the one or more anatomical joints is created based on the one or more pre-operative images. One or more transfer functions and the three-dimensional anatomical model are used to identify a patient-specific implantation geometry that corrects the one or more infirmities. The transfer functions model performance of the one or more anatomical joints as a function of anatomical geometry and anatomical implantation features. surgical plan comprising the patient-specific implantation geometry may then be displayed.

Abstract: A system for improving graft harvesting including a blade guide (320) having a handle (370) and a guide portion with an elongate slot (330). The system may also include a first blade assembly (750) that slides along the elongate slot (330), the blade assembly (750) having a cutting blade (765) rotatably coupled to a handle (780). The cutting blade (765) may include a leading cutting edge and a trailing cutting edge. The blade assembly (350, 750) and blade guide (320) may cooperate to control a depth of blade penetration into a tissue, as the blade slides along the elongate slot (330). The blade guide (320) may include means to stabilize the guide with the tissue.

Abstract: A system for delivering tissue anchors into an operative space may include a tissue anchor delivery device including a handle and an elongate shaft, and a tissue anchor magazine separate and detached from the tissue anchor delivery device. The magazine may be configured to be delivered subcutaneously into the operative space separate from the tissue anchor delivery device. Another tissue anchor delivery device may include an elongate shaft having a length from a handle to a distal end of the shaft of at least 10 cm, a tissue anchor magazine coupled to the handle in communication with the shaft, and a tissue anchor advancement mechanism configured to advance a plurality of tissue anchors from the magazine out the distal end of the shaft. The tissue anchor advancement mechanism may be configured to advance only one tissue anchor along the length of the shaft at a time.

Abstract: Disclosed herein is a system and method providing a tool for use by a surgeon, either preoperatively or intra-operatively, to visualize the effect of and select optimal design and placement of an implant used in a total hip replacement surgical procedure on both the range-of-motion of the patient's leg and the jump distance of the implant. This will assist the surgeon in determining the optimal selection and placement of the implant to provide the best outcome for the patient.

Abstract: An orthopedic surgical instrument or impactor is disclosed. The surgical instrument being configured to provide a first forward energy or motion to drive a surgical tool (e.g., a broach, a rasp, a cutting tool, etc.) and/or an orthopedic implant (e.g., an intramedullary nail, a stem, etc.) into a patient's bone and a second reverse energy or motion to, for example, remove a stuck or lodged surgical tool or implant from a patient's bone. In one embodiment, the surgical instrument incorporates dual springs and dual masses (impactors) to store and release energy on demand to deliver an impact force in both forward and reverse directions. In one embodiment, the surgical instrument may also include a forward energy adjuster and a reverse energy adjuster so that a user can independently adjust the amount of energy provided in the forward and reverse directions as well as a means to adjust impact frequency.

Abstract: Disclosed herein is a system and method for providing pre-operative planning and intra-operative guidance to a surgeon to assist in the optimal placement of the stem portion of a femoral implant within the intramedullary canal of a patient's femur during hip replacement surgery. In particular, the system and method provide information regarding contact points between the femoral stem in the patient's intramedullary canal to alleviate risk, inform the surgeon on key pre- and intra-operative decisions and guide femoral broaching and/or stem placement for optimal proximal fixation of the femoral implant.

Abstract: Disclosed are examples of a patella bone plate. In some examples, the patella bone plates may include a contoured body with a longitudinal axis, and with a radius of curvature, a plurality of contoured arms and extending superiorly from the contoured body, the plurality of contoured arms spaced apart from the longitudinal axis, the plurality of contoured arms, a plurality of holes, a hook, the hook having a radius of curvature configured to allow the hook to extend around an apex of the patella, a hole located on the hook, the hole defining a distal fixation screw path that is substantially parallel to and offset from the longitudinal axis. In various examples, the contoured body may have a single arm with a staggered hole arrangement. The plurality of holes may include variable angle holes, locking holes, fixation holes, slots, or a combination thereof.

Abstract: Disclosed herein is a patella clamp configured to grip a patient's patella. The patella clamp includes a clamping assembly, a ratchet arm assembly, and a handle assembly. The clamping assembly includes first and second patella grip portions mounted in opposing relationship. In use, actuation of the handle assembly moves the second patella grip portion towards the first patella grip portion to clamp the patient's patella. The handle assembly is configured to be moveably adjustable (e.g., rotatable) relative to the clamping assembly. In addition, and/or alternatively, the patella clamp may be configured as a tracking patella clamp arranged and configured to be used in an orthopedic computer-assisted and/or robotic surgical surgery to enable a surgeon to view a virtual patella model to visualize patella preparation steps in a computer-based environment prior to making the preparations on the patient.

Abstract: An orthopedic instrument or inserter arranged and configured to insert, position (e.g., align), and remove, if necessary, an orthopedic implant (e.g., a femoral stem or implant). In one embodiment, the inserter and femoral stem are configured to enable the inserter to be quickly and easily coupled to the femoral stem via, for example, a quick-connect, non-threaded connection. Moreover, in one or more preferred embodiments, the inserter is configured to be angularly adjustable relative to the femoral stem. For example, the angular position of the inserter may be adjusted relative to the position of the femoral stem to accommodate different patient anatomy and/or various surgical approaches. In one embodiment, the inserter includes a ball-shaped head portion for coupling to a cavity formed in the femoral stem.

Abstract: Methods and systems of placing a medical fastener at a predetermined depth in a bone are described. A surgical tool can include an attachment assembly configured to interchangeably engage a medical fastener and a cutting element or bone removal tool and a drive assembly coupled to the attachment assembly. The attachment assembly can be configured to automatically release the medical fastener in response to the drive assembly reaching its end or distal-most position to place the medical fastener at a predetermined depth within the bone.

Abstract: A computer assisted system is disclosed that includes an optical tracking system. The optical tracking system includes an RGB sensor and is configured to capture color images of an environment in the visible light spectrum and tracking images of fiducials in the environment in a near-infrared spectrum. The computer assisted surgical system is configured to generate a color image of the environment using the color images, identify fiducial locations using the tracking images, register pre-operative and/or intra-operative data to the color images using the fiducial locations, and generate an augmented reality (AR) image of the environment by overlaying the data over the color image. The computer assisted surgical system can further include a monitor or a head-mounted display (HMD) configured to present the AR image.

Abstract: An orthopedic surgical instrument or impactor arranged and configured to convert rotational motion of a motor into linear (e.g., reciprocating) motion of an internal hammer to drive an orthopedic implant (e.g., an acetabular cup, a femoral hip implant, an intramedullary nail, etc.) and/or a surgical tool (e.g., a broach, a rasp, a cutting tool, etc.) into a patient's bone. In addition, and/or alternatively, the orthopedic surgical instrument may be reversed to assist with removal of the orthopedical implant and/or surgical tool. In some examples, the orthopedic surgical instrument includes a swashplate and a wobble shaft to convert the rotational motion into linear motion. In addition, and/or alternatively, the orthopedic surgical instrument may be arranged and configured with multiple modes of operation to enable a user to selectively, and independently, adjust the impact energy, frequency, etc.

Abstract: Trial implant components or inserts (105), bone preparation tools (750), and methods for using same to determine bone characteristics and bone preparation processes for differentially preparing bone regions for cementless implants based on bone characteristics are disclosed. For example, in any preceding or subsequent example, a trial implant component may be configured as a bone property measurement trial implant configured to be inserted within a joint to determine measurement trial information of a bone in forceful contact therewith. In another example, operating characteristics of a bone preparation tool (e.g., voltage, torque, and/or the like) in contact with a patient bone may be measured. The measurement trial information or operating characteristics may be converted to bone characteristic information, such as bone hardness. The bone characteristic information may be used to determine, inter alia, whether a cementless implant may be supported and/or a bone preparation process for an implant.

Abstract: Touchless control of surgical devices. One example is a method of performing a surgical procedure, the method comprising: receiving, by a touchless-interface controller, a touchless command directly identifying an operational parameter of a target surgical controller of a plurality of surgical controllers used for performing the surgical procedure; generating, by the touchless-interface controller, a command value from the touchless command; and communicating, by the touchless-interface controller, a control command to the target surgical controller of the plurality of surgical controllers based on the command value.

Abstract: Methods, non-transitory computer readable media, and arthroscopic video analysis apparatuses and systems that facilitate improved analysis of videos of arthroscopic procedures are disclosed. With this technology, analytical data related to the video feed of an arthroscopic surgery can be obtained using machine learning models and associated with the video feed. The generated videos can be output in real-time to provide contextual information related to the surgical procedure, or can be saved for playback for training or informational purposes.