Abstract: A system and method to identify, convey, and reduce the risk of hip dislocations following hip replacement surgery. Preoperative images are used to identify the pelvic tilt of a patient while the patient is in a sitting position, a standing position, and a supine position. Based on the pelvic tilt and pelvic mobility depicted in the preoperative images, the system can identify a quantitative and/or qualitative risk of hip dislocation when the patient is seated, standing, and lying. During surgery, an intraoperative image can confirm the acetabular cup orientation once implanted and the system can determine the risk of hip dislocation when patient is in the supine position. The system can also extrapolate the dislocation risk when the patient is seated and standing based on acetabular cup position and orientation depicted in the intraoperative image.

Abstract: The present disclosure is directed to a method of preparing an osteogenic bone graft. The method includes introducing an anticoagulant compound into a volume of cellular material including a mononuclear cell population from the intramedullary canal of a long bone; collecting an effluent including the volume of cellular material containing the anticoagulant compound at a collection point; separating a concentrated cell fraction from the effluent, the concentrated cell fraction including the mononuclear cell population and the anticoagulant compound; and preparing an osteogenic bone graft from the concentrated cell fraction.

Abstract: A C-arm, or a mobile intensifier device, is one example of a medical imaging device that is based on X-ray technology. Because a C-arm device can display high-resolution X-ray images in real time, a physician can monitor progress at any time during an operation, and thus can take appropriate actions based on the displayed images. Monitoring the images, however, is often challenging during certain procedures, for instance during procedures in which attention must be paid to the patient's anatomy as well as a medical imaging device display. In an example, a surgical instrument assembly includes a processor, a surgical instrument configured to operate on an anatomical structure, and a display coupled to the processor and attached to the surgical instrument. The display can be configured to display visual information comprising X-ray images generated by a medical imaging device.

Abstract: A method and instrumentation for performing a patellofemoral arthroplasty orthopaedic procedure includes coupling an anterior cutting block to a femur of a patient such that the cutting block references local anatomy of the femur. The anterior cutting block is used to perform a number of bone cuts to establish a trochlear cavity in the femur. The trochlear cavity is formed such that a trochlear prosthesis may be inset into the cavity and substantially flush with the surrounding cartilage. A finishing burring guide and burr bit may be used to detail the shape and/or size of the trochlear cavity. Additionally, a trochlear drill guide may be used to facilitate establishing peg holes in the patient's femur to receive corresponding pegs of the trochlear prosthesis.

Abstract: The present disclosure is directed to temporary antimicrobial-eluting cement spacer implants, and assemblies, kits, and methods for forming the same. Particularly preferred disclosures are to modular spacers, assemblies, and kits, as well as methods of manufacturing the same, where the modular nature of the spacer permits the selection of specific desired length spacers, as well as specific selection of antimicrobial compounds and dosages, along with the components and processes for forming the same.

Abstract: A control system for use with an adjustable bone fixation device having a frame connectible to bone tissue and a plurality of struts connected to the frame, the control system comprising: a plurality of actuators associated with the plurality of struts, each actuator configured for adjusting a length of at least one strut; and circuitry configured to: signal the plurality of actuators to adjust the struts according to a predefined actuation plan which sets operational parameters and permitted ranges thereof; determine a situation of potential failure associated with at least one actuator and involving at least one of the operational parameters being out of the permitted range; and implement, by signaling the at least one actuator, a recovery protocol designed to attempt completion of strut adjustment according to the predefined actuation plan.

Abstract: An implant for placing a first bone anchor within a first bone. The first bone anchor may include an outer body including an outer surface configured to engage the first bone, an opening configured to pass a suture therethrough, and an inner channel. The first bone anchor may include a resilient element being deformable between a first and second state. The first bone anchor may include a suture coupler disposed within the inner channel, configured to couple to the suture and engage to the resilient element such that a force on the suture coupler in a proximal direction results in deformation of the resilient element to the second state and proximal translation of the suture coupler in relation to the outer body and a release of the force results in a return of the resilient element to the first state and distal translation of the suture coupler.

Abstract: A bone plate includes a plate body defining an interior surface that defines a combination hole that includes intersecting locking and compression holes that each extend between outer and bone-facing surfaces of the plate body. A central axis of the compression hole is spaced from a central axis of the locking hole in an offset direction. A locking surface of the plate body defines the locking hole and at least one locking structure therein. A compression surface of the plate body defines the compression hole. An intersection boundary between the locking and compression surfaces is configured to translate the bone plate in the offset direction during contact between the intersection boundary and a head of a compression screw as it advances within the combination hole along an insertion axis offset from the central axis of the locking hole at an offset distance in a direction having a directional component in the offset direction.

Abstract: In one embodiment, an intramedullary nail has a body that includes proximal and distal ends and an inner surface that defines at least one locking hole that extends into an outer surface of the body so as to receive a bone anchor to lock the nail in a medullary canal of a bone. The body has a first biocompatible material that defines at least a portion of the outer surface. The nail has a second material that is different from, and at least partially encapsulated in, the first material. The second material can produce at least one of an electrical current and a magnetic field, and is supported by the nail body such that a position of the at least one bone-anchor locking hole can be detected based on the at least one of the electrical current and the magnetic field.

Abstract: Technologies for determining the accuracy of three-dimensional models include a device having circuitry to obtain two-dimensional images of an anatomical object (e.g., a bone of a human joint), to obtain a candidate three-dimensional model of the anatomical object, and to produce two-dimensional silhouettes of the candidate three-dimensional model. The circuitry is also to apply an edge detection algorithm to the two-dimensional images to produce corresponding edge images and to compare the two-dimensional silhouettes to the edge images to produce a score indicative of an accuracy of the candidate three-dimensional model.

Abstract: A method for constructing a braided implant delivery system and treating an aneurysm can include attaching a braided implant having a band attached thereto to a delivery tube, positioning the braided implant within the aneurysm, and releasing the band from the delivery tube, thereby releasing the braided implant. The band can include movable extensions that can press into an outer surface of the delivery tube to secure the band to the delivery tube then move away from the outer surface of the delivery tube to release the band. A pull wire can be engaged to the band to secure the band to the delivery tube then be pulled proximally to release the band from the delivery tube. At least a portion of the braid of the braided implant can be positioned within a lumen of the delivery tube.

Abstract: Implants described herein can be used as flow diverters and can generally include a plurality of twisting struts extending from a central node. The twisting struts can be twisted along a long axis of each strut. The implant can have a proximal portion affixed to the central node and extending radially from the central node. The twisting struts can have a distal portion. The long axis can be disposed between the proximal portion and the distal portion of the twisting struts. The implant can have a collapsed configuration to be delivered through a catheter into an aneurysm. The implant can have an expanded configuration to anchor within the aneurysm.

Abstract: The disclosure extends to systems and methods for reducing the area of an image sensor by employing bi-directional pads used for both image data issuance and configuration command reception and internal supply voltage generation, for reducing the number of conductors in an endoscope system.

Abstract: An orthopedic impacting tool including a motor, an energy storage chamber, a striker, and an anvil. The motor stores energy in the energy storage chamber and then releases it, causing the striker to apply a controlled force on an adapter to create a precise impact for use in a surgical setting. The tool may further comprise a combination anvil and adapter. Alternatively, the tool may comprise a gas spring assembly system for generating an impact force. The tool further allows forward or backward impacting for expanding the size or volume of the opening or for facilitating removal of a broach, implant, or other surgical implement from the opening. An energy adjustment control of the tool allows a surgeon to increase or decrease the impact energy. A light source and hand grips improve ease of operation of the tool.

Abstract: A device for treating bone in a living body includes (a) comprises an implant configured for attachment to a bone; (b) a first sensor measuring a strain on a first portion of the implant, the first portion of the implant being configured to be mechanically coupled to a weakened portion of a bone when the implant is coupled to the bone in a target position in combination; and (c) a second sensor measuring strain in a non-weakened portion of the bone.

Abstract: In one embodiment, a bone screw includes a shaft having a proximal shaft end and a distal shaft end spaced from the proximal shaft end in a distal direction along a central axis. The shaft is helically threaded between the proximal and distal shaft ends. A tip extends from the distal shaft end in the distal direction, and defines a plurality of lands with cutting flutes disposed between adjacent lands. Each land has a bore-cutting edge that extends from an inner cutting edge end to an outer cutting edge end. The inner cutting edge end is disposed at a center of the distal end of the tip, and the outer cutting edge end is spaced from the center of the distal end of the tip. The bore-cutting edges may blunt the feel of the tip so as to reduce the likelihood of soft-tissue damage.

Abstract: In general, data modules for surgical instruments and methods of using data modules for surgical instruments are provided. In an exemplary embodiment, a data module is configured to be removably attached to a powered surgical tool such as an electrosurgical tool. The data module is a standalone device including electronic components that are configured to, with the data module attached to the electrosurgical tool, interact with the electrosurgical tool.

Abstract: Various systems and methods of deploying an implant to a target location of a body vessel are disclosed. A delivery system can include a tubular body having a lumen extending therethrough. A pull wire can extend through the lumen with the pull wire including a distal portion. An elastic loop wire can include a loop opening which is positioned approximate a distal end of the tubular body and can include a proximal attachment point that is affixed to the pull wire. The elastic loop wire and the pull wire can be positioned to secure the implantable medical device to the delivery system. The elastic loop wire can be effective to inhibit premature detachment of the implantable medical device from the delivery system by inhibiting proximal translation of the pull wire with respect to the loop opening of the elastic loop wire.

Abstract: An orthopaedic surgical instrument comprising a metallic customized patient-specific surgical instrument is disclosed. The metallic customized patient-specific surgical instrument includes a base plate sized to be positioned on a resected surface of a distal end of a patient's femur, an anterior resection guide body attached to, and extending from, the distal surface of the base plate to a free distal end, a posterior resection guide body attached to, and extending from, the distal surface to a free distal end, and a pair of chamfer resection guide bodies attached to, and extending from, the distal surface.