Abstract: An example apparatus is provided for placing a nail and a first anchor within a first bone, such as the fibula. The first anchor may include a proximal end and a distal end and may be configured for insertion into a first hole in the first bone, wherein the proximal end may be configured to interface with the nail.

Abstract: Mechanical modifications to a spinal rod that will enable the rod to accept various coating technologies in such a way that the spinal construct's biomechanical performance is not compromised. These modifications preserve construct biomechanics in the presence of a coating and increase the bactericidal payload of an anti-infective spinal rod coating.

Abstract: The disclosure extends to methods, systems, and computer program products for detecting whether an illumination source of an endoscope is in use (inside the body of a patient) versus not in use (outside the body of a patient). The disclosure relies on the fact that the working environment is lit solely by the endoscope and its components. Thus, communication between the illumination or light source controller and the imaging device, such as a surgical camera, is required. When the illumination or light source is turned off and the endoscope is outside the body, a sensor will detect ambient light alerting the illumination source controller that it is outside the body, which then keeps the illumination source off or at a low intensity level. Conversely, when the illumination source is turned off and the endoscope is inside the body, the sensor will not detect any light (or will detect only a very low level of light).

Abstract: A detachment system for delivering an embolic coil implant to a treatment site is provided. A pull wire through a lumen of the detachment system that engages a loop wire can include a slack section. The slack section can be one or more bends, a spiral coil, or a stretchable material. The slack section is effective to inhibit premature detachment of the implantable medical device by inhibiting movement of the distal end of the pull wire when the detachment system is traversing a microcatheter.

Abstract: Embodiments of a hybrid imaging sensor and methods for pixel sub-column data read from the within a pixel array.

Abstract: An intervertebral implant for insertion into an intervertebral disc space between adjacent vertebral bodies or between two bone portions. The implant includes a spacer portion, a plate portion operatively coupled to the spacer portion and one or more blades for securing the implant to the adjacent vertebral bodies. The blades preferably include superior and inferior cylindrical pins for engaging the adjacent vertebral bodies. The implant may be configured to be inserted via a direct lateral trans-psoas approach. Alternatively, the implant may be configured for insertion via an anterior approach.

Abstract: Disclosed herein are methods for quantifying total endotoxin load in a biofilm sample. Also provided are methods for identifying a gram-negative biofilm derived bacterial infection. The disclosed methods more accurately define actual total endotoxin levels and can detect the presence of endotoxin in a given biofilm volume at a higher resolution than current extraction techniques.

Abstract: In general, orthopedic instrument adapters and methods of using orthopedic instrument adapters are provided. In an exemplary embodiment, an adapter is configured to releasably attach to an end effector configured to impact bone. The end effector can be a broach, chisel, or other surgical implement. The adapter includes a spring-loaded hook that is configured to releasably seat in a cut-out formed in the end effector. The adapter is also configured to releasably attach to a surgical impacting tool, such as an orthopedic impactor, configured to drive impacting of the end effector relative to bone.

Abstract: The disclosure relates to an endoscopic light source that includes a first emitter. The first emitter may emit light of a first wavelength at a dichroic mirror which reflects the light of the first wavelength to a plurality of optical fibers. The endoscopic light source further comprises a second emitter. The second emitter may emit light of a second wavelength at a second dichroic mirror which reflects the light of the second wavelength to the plurality of optical fibers. In one embodiment, the first dichroic mirror may be transparent to the light of the second wavelength, allowing the light of the second wavelength to pass through the first dichroic mirror.

Abstract: The objectives for the designs presented herein can be for a variably flexible catheter for vascular applications. The catheter can include a catheter shaft extending along a longitudinal axis. The catheter can include an exterior surface that includes an exterior surface area. The catheter can include a plurality of ridges each including an apex, an amplitude, a wavelength, and a trough with respect to the longitudinal axis. The apexes of the plurality of ridges can define a contact exterior surface area less than the exterior surface area. When the exterior surface of the catheter is applied to vascular tissue, contact between the vascular tissue made primarily by the contact exterior surface area.

Abstract: An embolic implantation system configured to deliver an embolic implant intravascularly to a treatment site includes an elongated delivery tube to which the embolic implant is detachably attached by a flexible loop extending through a retaining ring or opening on the embolic implant and an elongated detachment member or pull wire extending through the delivery tube and flexible loop. The pull wire has a bump near its distal end that inhibits the pull wire from moving further distally when the bump presses distally against the flexible loop and/or retaining ring. The flexible loop and retaining ring thereby serve as a distal obstruction obstructing distal movement of the bump and thereby distal movement of the pull wire into the implant.

Abstract: A battery-powered tracking component may be attached to a sterilization case. The tracking component may collect, store and transmit usage information associated with the sterilization case. The supplying of power to the tracking component may be temporarily stopped during autoclave processes. As the high temperatures and pressurized steam of autoclave processes may drain an active battery, the lifespan of the battery may be elongated by deactivating the battery during the autoclave processes. A temperature sensor may detect when the temperature of the sterilization case rises above a threshold indicating a start of the autoclave process, and when the temperature of the sterilization case falls below a threshold indicating an end of the autoclave process. The usage information may include a count of autoclave processes and durations of time periods between autoclave processes. The usage information may be used to determine times at which autoclave processes are performed.

Abstract: Systems, methods, and devices are disclosed for surgical systems comprising an applicator having a first shaft, an implant having a first member pivotably and detachably coupled to the first shaft, and a second member for converting rotational motion of the implant to a translational offset, and at least one of a sensor for determining the offset or an indicator for indicating the offset, provided that the indicator is not a protrusion located at an end of the applicator. A controller may be provided, the controller being configured to receive offset data from the sensor, determine an angle of the implant in a patient using dimensions of the implant and the offset, and display a current position of the implant relative to patient anatomy. The applicator may have a second shaft slidably disposed on the first shaft along an axis defined by a longitudinal axis of the applicator.

Abstract: An occlusive device can include a braided segment including an open end, a pinched end, and an embolic coil. The tubular braid can include a band positioned approximate the pinched end which can attach the embolic coil to the braided segment. In a deployed configuration, the embolic coil can extend in a distal direction from the band and form a looped shape within an approximately spherical cavity, and the braided segment can extend from the band in a distal direction and include two inversion forming three sections which at least partially overlap each other, with the pinched end affixed to an innermost section, the band affixed to the innermost section, and a middle section between the two inversion positioned within an outermost section and around the innermost section.

Abstract: Surgical systems and methods are disclosed, including, in one embodiment, a system having a coupling system disposed on a distal end portion of a surgical robot arm that secures a navigation array to the robot arm in a plurality of different orientations. The system further includes a navigation system configured to determine a precise location of the distal end portion by measuring a precise location of the navigation array by visually observing the navigation array, receiving a location of the coupling system via one or more encoders in the robot arm, determining the orientation of the navigation array relative to the robot arm based on the visual observation of the navigation array and the received location of the coupling system, and determining the precise location of the distal end portion of the surgical robot arm based on a known spatial relationship between the distal end portion and the coupling system.

Abstract: A bone plate system is designed for use on a bone, which may be a humerus. The system includes an elongated bone plate extending along a longitudinal axis, the bone plate having an upper surface, an opposed bone-facing surface, and a boundary edge of the bone plate; and at least one threaded fastener hole extending from the upper surface to the bone-facing surface. The fastener holes are designed to receive a bone fastener to couple the bone plate to the bone. A plurality of first suture-receiving structures are connected with the bone plate and project from the boundary edge of the bone plate, so that the first suture-receiving structures are spaced from each another along the boundary edge of the bone plate. Each of the first suture-receiving structures comprises a wire loop anchored to the upper surface or to the bone-facing surface of the bone plate.

Abstract: The disclosure extends to methods, systems, and computer program products for producing an image in light deficient environments and correction of white balance and/or fixed pattern noise at startup or at any other time during a procedure.

Abstract: A bone plate includes a plate body defining an outer surface, an opposed bone-facing surface, and a combination hole comprising a locking hole and a compression hole that intersect one another and each extending from the outer surface to the bone-facing surface. The locking hole and the compression hole extend away from each other along a longitudinal axis. The plate body further defines a locking surface that defines the locking hole, and a second surface that defines the compression hole. The locking surface further defines a plurality of columns sequentially located about a central axis of the locking hole, a plurality of recesses located, respectively, between at least some of the columns, and plate threads that traverse each of the columns. Crests of the plate threads extend linearly from a first side of each column to a second side of each column.

Abstract: Disclosed herein are expanding spinal fusion cage embodiments including an expandable cage assembly configured to expand from a collapsed state to an expanded state in an intervertebral space when inflated with a material. The assembly can include an inflatable section defining an interior volume configured to receive the material and expand the interior volume in response to a pressure from the received material to cause the expandable cage assembly to transition from the collapsed state to the expanded state, and a stabilization section configured to restrain the inflatable section during inflation.

Abstract: An occlusive device can include a segment including an open end and a proximal end. The occlusive device can include a push wire that is positioned proximal of the proximal end. The occlusive device can include a detachment feature that is attached to the push wire via a detachment groove. The occlusive device can include a sleeve surrounding the push wire. In a non-deployed configuration, the sleeve can surround the detachment feature and prevent release of the proximal end of the segment from the push wire. In a deployed configuration, the proximal end can be flush with a proximal end of the spherical cavity.