Abstract: A process according to certain embodiments includes generating a distal femur model including an intercondylar surface model, receiving information related to user-selected points on the intercondylar surface model, generating a datum line extending between the points, generating an axis line, and determining an AP axis based upon the axis line. Generating the axis line includes performing an axis line procedure including generating a plurality of planes along the datum line, generating a plurality of contours at intersections between the intercondylar surface model and the planes, generating saddle points at local extrema of the contours, and fitting the axis line to the saddle points. The process may further include generating an updated datum line based upon the axis line, and performing a subsequent iteration of the axis line procedure using the updated datum line.

Abstract: A tissue transfer device includes a handle and a chisel attached to the handle. A pusher rod or tamp extends through the chisel and is axially moveable relative to the chisel. A control mechanism coupled to the handle moves the tamp distally relative to the outer tube to expel a tissue graft from the chisel in a controlled manner. The tamp has a measurement scale that allows the user to leave the harvested graft in the harvest tool during measurement.

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: 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: A modular variable blade augment including an augment component and a blade component. The blade component includes a buttress portion and a neck portion, with the neck portion having a body segment and a face segment that is contoured for mating engagement with an outer surface of the acetabular shell. The augment component has a first opening sized and shaped to receive insertion of the body segment, and which is also sized to accommodate selective adjustment of linear and angular orientations of the blade component relative to the augment component when the body segment is positioned in the first opening. Additionally, the body segment has a length that is sized to facilitate direct contact of the face segment with the acetabular shell when the modular variable blade augment is in an assembled configuration. Further, cement can be injected into the internal cavity to unitize the connection between the acetabular shell and the blade component.

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: 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: An orthopedic device, such as an intramedullary nail for internal fixation of a bone and a method of manufacturing the same. The orthopedic device may be formed from a medical grade powder via an additive manufacturing process. The forming process may include heat treating the additive manufactured component and machining the heat treated additive manufactured component to form the orthopedic device. Further, the orthopedic device may be formed to include an internal sensor probe channel that extends within at least a portion of the wall of the device, but which does not protrude through an outer portion of the wall. Embodiments further include a dynamizing intramedullary nail that accommodate adjustments in the relative axial positions of one or more sections of the orthopedic device. The devise may include features in an inner region of the orthopedic device that may alter an elastic modulus of the orthopedic device.

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: Augments for implantation of an orthopedic implant device in a bone. A distal end of an outer portion of the augment can have a shape that is configured to generally conform to the shape of a metaphyseal-diaphyseal junction of an intramedullary canal of the bone. Further, a proximal end of the outer portion of the augment has a shape that is configured to generally conform to a shape of the metaphyseal region of the intramedullary canal. Additionally, the shape of the outer portion at the distal end can be separated from the shape of the outer portion at the proximal end by a distance that is approximately equal to the distance between the metaphyseal-diaphyseal junction and the metaphyseal region of the intramedullary canal.

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: A device and method for treating a wound of a patient with negative pressure is provided. The device comprises a heat-assisted pump system. The pump system can be powered in part by heat derived from the patient. The pump system may be configured to be highly planar, light weight, and portable. The pump system may comprise a Stirling engine or a thermal acoustic engine.

Abstract: Embodiments disclosed herein are directed to the treatment of wounds using negative pressure. Some embodiments disclosed herein provide for a foam pad, which may be suitable for use in abdominal wound sites, and which may be sized in a dimensionally-independent manner. Additional embodiments provide for a wound contact layer, as well as a system for the treatment of abdominal wounds.

Abstract: Devices and methods for encapsulating a portion of a wound dressing with a coating are disclosed. In some embodiments, a method can comprise positioning a substantially flexible wound contact layer of the wound dressing on a perforated plate. The wound contact layer can include a first side supporting a plurality of electronic components protruding from a surface of the first side and a second side opposite the first side. The second side can be substantially smooth. The method can further comprise applying a vacuum to the wound contact layer through perforations in the perforated plate to hold the wound contact layer against the perforated plate and coating the wound contact layer with a coating.

Abstract: Systems, devices, and methods are described for providing patient anatomy models with indications of model accuracy included with the model. Accuracy is determined, for example, by analyzing gradients at tissue boundaries or by analyzing tissue surface curvature in a three-dimensional anatomy model. The determined accuracy is graphically provided to an operator along with the patient model. The overlaid accuracy indications facilitate the operator's understanding of the model, for example by showing areas of the model that may deviate from the modeled patient's actual anatomy.

Abstract: Some embodiments have a pump assembly mounted to or supported by a dressing for reduced pressure wound therapy. The dressing can have visual pressure, saturation, and/or temperature sensors to provide a visual indication of the level of pressure, saturation, and/or temperature within the dressing. Additionally, the pump assembly can have a pressure sensor in communication with the flow pathway through the pump, and at least one switch or button supported by the housing, the at least one switch or button being accessible to a user and being in communication with the controller. The pump assembly can have a controller supported within or by the housing, the controller being configured to control an operation of the pump. The pump can be configured to be sterilized following the assembly of the pump such that all of the components of the pump have been sterilized.

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: 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.