Abstract: An aiming arm system comprises an aiming arm and a guide sleeve. The aiming arm has 1) a body and a guide hole that extends through the body along a hole axis, and 2) a retention element supported relative to the body. The aiming arm is configured to be positioned such that the hole axis is aligned with a target location of an anatomical implant. The guide sleeve extends along a linear direction, and is sized to be inserted through the guide hole in the linear direction. Relative rotation between the guide sleeve and the retention element transitions the aiming arm system between an unlocked configuration whereby the guide sleeve is insertable through the guide hole, and a locked configuration whereby the retention element applies a retention force to the guide sleeve that substantially prevents the guide sleeve from moving further along the linear direction.

Abstract: A method of evaluating a bone fracture reduction includes imaging, intraoperatively, a fractured bone to obtain a representation of the fractured bone in a computing system. The fractured bone defines at least first and second bone fragments separated by a fracture. The method includes imaging a contralateral bone of the patient to obtain a representation of the contralateral bone in the computing system and further includes generating, intraoperatively in the computing system, a virtual model of the fractured bone from data presented in the representation of the fractured bone and a virtual model of the contralateral bone from data presented in the representation of the contralateral bone. The method includes comparing, intraoperatively in the computing system, a spatial dimension measured with respect to the virtual model of the fractured bone with a corresponding spatial dimension measured with respect to the virtual model of the contralateral bone.

Abstract: The disclosure extends to methods, systems, and computer program products for enhancing edges within an image in a light deficient environment, which utilizes knowledge of the expected noise pixel by pixel, to control the strength of the edge enhancement and thereby limit the impact of the enhancement on the perception of noise.

Abstract: A method of constructing a detachment system for delivering an implantable medical device to a target location of a body vessel is presented. The method includes forming a compressible portion on a distal tube, engaging an implantable medical device with an engagement system, extending the engagement system through the distal tube such that the implantable medical device is distal of a distal end of the distal tube, applying a force to the engagement system to compress the compressible portion to a compressed state, fixing the engagement system to the distal tube to maintain the compressed state of the compressible portion, and joining a proximal end of the distal tube to a distal end of a proximal tube. The engagement system can include a loop wire that is fixed to the distal tube and engages the medical device.

Abstract: An orthopedic implant having a metal surface and a calcium phosphate layer disposed on at least part of the metal surface is described. The calcium phosphate layer has an average crystallite size of less than about 100 nm in at least one direction and dissolves for more than 2 hours in vitro. The calcium phosphate layer is substantially free of carbonate. The coating, which is formed on a sodium titanate surface, has increased shear strength and tensile strength. The coating is formed by a solution deposited hydroxyapatite process under inert conditions. The pH of the solution varies by less than 0.1 pH unit/hour during coating formation.

Abstract: An orthopedic implant having a metal surface and a hydroxyapatite layer comprising gallium ions therein disposed on at least part of the metal surface is described. The hydroxyapatite layer has an average crystallite size of less than about 75 nm in at least one direction and dissolves for more than 2 hours in vitro. The hydroxyapatite layer is substantially free of carbonate. The coating, which is formed on a sodium titanate surface, has increased shear strength and tensile strength. The coating is formed by a solution deposited hydroxyapatite process under inert conditions. The pH of the solution varies by less than 0.1 pH unit/hour during coating formation.

Abstract: An orthopaedic surgical instrument includes a customized patient-specific 5-in-1 cutting block having a plurality of ribs and cutting guide slots extending between each rib. A bone-facing surface of each rib has a customized patient-specific negative contour configured to receive a portion of a corresponding positive contour of the patient's femur.

Abstract: A suture anchor method including a suture anchor and a suture anchor drive. The suture anchor is positionable on a rod of the suture anchor drive. The rod defines an awl for forming a hole in a bone. The suture anchor drive further has an impactor for moving the suture anchor along the rod between a retracted position and an advanced position so as to implant the suture anchor in the bone with the awl positioned in the bone.

Abstract: Various systems and methods are provided for surgical and interventional planning, support, post-operative follow-up, and functional recovery tracking. In general, a patient can be tracked throughout medical treatment including through initial onset of symptoms, diagnosis, non-surgical treatment, surgical treatment, and recovery from the surgical treatment. In one embodiment, a patient and one or more medical professionals involved with treating the patient can electronically access a comprehensive treatment planning, support, and review system. The system can provide recommendations regarding diagnosis, non-surgical treatment, surgical treatment, and recovery from the surgical treatment based on data gathered from the patient and the medical professional(s).

Abstract: Provided are biocompatible and implantable scaffolds for treating a tissue defect, such as a bone gap. The scaffolds can have a modular design comprising a tissue scaffold rack designed to accommodate one or more modules. Also provided are methods for fabrication and use of such scaffolds.

Abstract: A cutting burr that includes a pair of axially spaced diamond-shaped portions designed to be keyed into a spindle of a locking mechanism of a high speed surgical drilling instrument and adapted to fit into a single pawl thereof to lock said cutting burr in place so as to prevent axial movement thereof and provide concentric rotation of said cutting burr without any wobbling. The orientation of both portions may be identical with respect to a center plan and diamond shape in the portion at the proximal end of the shank of the cutting tool may be larger than the intermediately located diamond shape of the other portion. The apexes of the facets of the six-sided diamond shape may be disposed below the surface of the shank of the cutting burr.

Abstract: An implantable device includes a substrate and protective cover that cooperate to define an enclosed sensor volume. A sealed enclosure is provided within the sensor volume, with an electronic component assembly (ECA) being located within the sealed enclosure. A flexible circuit board assembly (FCBA) is electrically coupled with the ECA through a wall of the sealed enclosure. At least one transducer is provided on the FCBA in contact with the substrate, and the FCBA is held apart from the enclosure via a polymeric spacer provided therebetween. An inert polymer fill is provided within the sensor volume external to the enclosure.

Abstract: A surgical planning computing system and related surgical method include identifying an anatomical landmark of a patient's bony anatomy in a three-dimensional anatomical image and determining positioning criteria for an orthopedic prosthesis to be implanted into the patient's bony anatomy. The positioning criteria may define an alignment between the anatomical landmark and a feature of the orthopaedic prosthesis. A three-dimensional model of the orthopaedic prosthesis is positioned in the three-dimensional model based on the positioning criteria to provide a surgical plan for the implantation of the orthopaedic prosthesis.

Abstract: A catheter can have a textured outer body surface with protrusions and/or indentations that can reduce friction between the outer body surface and vascular anatomy or an inner lumen of another catheter in contact with the outer body surface. The catheter can include protrusions and/or indentations on an inner lumen surface that can reduce friction between the inner lumen surface and an outer body surface of another catheter within the example catheter. The protrusions can be filled with a lubricant or vasodilating drug, and the protrusions can be configured to break to release the fluid in response to forces on the protrusion during navigation through vascular anatomy and/or an inner lumen of another catheter. The catheter can include a metallic tubular reinforcing layer with openings through which the protrusions and/or indentations extend and/or protrusions and/or indentations shaped into the reinforcing layer.

Abstract: An insertion instrument is configured to eject at least one anchor body into respective target locations, and subsequently apply a predetermined tensile force at least one actuation member of the at least one anchor member so as to actuate the at least one anchor body from a first configuration to a second expanded configuration. The insertion instrument can include a tension assembly that applies the predetermined tensile force to the at least one actuation member. The predetermined tensile force can be defined by a distance of travel, a predetermined failure force of a fuse, or a combination of distance of travel and a predetermined failure force of a fuse.

Abstract: Disclosed herein are various exemplary systems, devices, and methods for delivering an implantable medical device to a target location of a body vessel. The system can include a generally hollow deliver tube that includes a lumen therethrough, a proximal end, and a distal end. An implant can be disposed on the distal end, and can have a proximal end having a plurality of engagement grooves. A pull member can be disposed within the lumen with a coiled distal end engaged to the engagement grooves. The pull member can be configured to disengage from the engagement grooves in response to being rotated axially or being translated proximally. In another aspect, the implant can have a notch member on a proximal end, and the pull member can include a distal end that is shaped to engage the notch member and disengage in response to the pull member being rotated axially.

Abstract: A modular reverse shoulder orthopaedic implant includes a humeral stem component and a separable fracture epiphysis component having a number of suture holes formed therein. The fracture epiphysis component is configured to receive a number of sutures for surgically repairing a proximal humeral fracture.

Abstract: Disclosed is an apparatus for use with an instrument handle, the apparatus including a housing, a knob receivable in the housing, the knob having a key hole structure to receive an instrument bulb and neck, a slot in the housing to receive the knob, wherein the knob is pressed into the slot to facilitate installation and removal of the instrument bulb and neck.

Abstract: An orthopedic impacting tool comprises 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. 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.