Abstract: The present invention is directed to a system and method for performing tissue, preferably bone tissue manipulation. The system and method may include implanting markers on opposite sides of a bone, fractured bone or tissue to facilitate bone or tissue manipulation, preferably in-situ closed fracture reduction. The markers are preferably configured to be detected by one or more devices, such as, for example, a detection device so that the detection device can determine the relative relationship of the markers. The markers may also be capable of transmitting and receiving signals. An image may be captured of the bone or tissue and the attached markers. From the captured image, the orientation of each marker relative to the bone fragment may be determined. Next, the captured image may be manipulated in a virtual or simulated environment until a desired restored orientation has been achieved. The orientation of the markers in the desired restored orientation may then be determined.

Abstract: A self-expanding braided stent includes at least a distal radial expansion ring added to a distal end of the stent body to increase a radial expansion force of the self-expanding braided stent in deployment of the stent, and to facilitate advancement of the stent through a delivery sheath by a core advancement wire. A proximal radial expansion ring is optionally added to a proximal end of the stent body to allow the stent to be recaptured following partial deployment by retraction of the core advancement wire, prior to full deployment of a proximal portion of the stent body.

Abstract: A bone fixation clamp includes a first arcuate clamp member conforming to a shape of a bone and extending between a first connection end and a first free end, a second arcuate clamp member conforming to a shape of the bone, a second connection end of the second clamp member being pivotally attached to the first clamp member, the second clamp member extending between the second connection end and a second free end and a driving member received in the first clamp member passing out of the first clamp member to abut an abutment portion of the second member so that, as the driving member is extended further out of the first member, the driving member pivots the second clamp member relative to the first clamp member to draw the first and second free ends toward one another to apply a radially compressive force to the bone.

Abstract: A support rod for a hollow, flexible torque transmitting shaft for treating a bone includes support and flex portions. When the rod is received at a desired position within the shaft, the support portion extends through a first non-bendable portion of the shaft. An outer diameter of the support portion substantially corresponds to an inner diameter of the shaft to support the first portion. When the support rod is received at the desired position, the flex portion extends through a second bendable portion of the shaft. The flex portion includes a holding portion having an outer diameter substantially corresponding to an inner diameter of the second portion and a gap portion having an outer diameter reduced relative to the outer diameter of the holding portion to form an annular gap between the gap portion and an inner surface of the holding portion.

Abstract: An implant insertion assembly including an insertion handle extending from a proximal end to a distal end, the distal end including a recessed portion, an outer wall of the recessed portion having a first shape about a perimeter thereof and including an engagement mechanism. The implant insertion assembly also includes an implant extending from a distal end to a proximal end including an opening configured to receive the recessed portion of the insertion handle, the opening having a second shape configured to mechanically interlock with the outer wall of the recessed portion when the recessed portion is inserted therein to transmit torque from the insertion handle to the implant, the proximal end including a receiving structure in a wall thereof, the receiving structure being positioned and oriented to receive the engagement mechanism to removably lock the insertion handle to the implant in the axial direction.

Abstract: A bone screw extraction device includes a shaft extending longitudinally from a proximal end to a distal tip, a distal portion of the shaft including a tissue-receiving cavity extending proximally thereinto from the distal tip, the distal tip including a plurality of fingers configured to be received within a driving recess of a bone screw and a plurality of channels extending longitudinally along an exterior surface of the distal portion, each of the plurality of channels extending between adjacent ones of the plurality of fingers.

Abstract: Technologies for monitoring impaction and predicting impaction state during an orthopaedic surgical procedure include one or more impaction sensors that generate sensor data. The surgical procedure includes impaction of an orthopaedic implement such as a surgical instrument or a prosthetic component. An impaction analyzer generates an impaction state prediction with a machine learning model based on the sensor data. The impaction state prediction may include an unseated state, a seated state, and a fracture state. An impaction state user interface outputs the impaction state prediction. A model trainer may train the machine learning model with labeled sensor data.

Abstract: The present invention is directed to a bone plate and its method of use for reducing a bone fracture, the bone plate having a longitudinal axis, the bone plate comprising an upper surface, a lower surface, a first hole for engaging a head of a first bone anchor. The first hole is configured and adapted to fix a shaft of the first bone anchor along a first axis. A second hole is spaced apart from the first hole along the longitudinal axis. The second hole is for engaging a head of a second bone anchor, and is configured and adapted to fix a shaft of the second bone anchor along a second axis. The first hole and the second hole are configured such that the first axis and the second axis define a single plane and intersect at a point below the lower surface. The shafts of the first and second bone anchors may touch or nearly touch at the point of intersection, such that the first and second bone anchors form a truss.

Abstract: A crimping tool for crimping a crimp onto a cable includes a crimping unit, a housing unit, and a tensioning unit. The crimping unit includes an inner crimping tube having a distal end configured to receive the cable; and an outer crimping tube mounted around the inner crimping tube. The housing unit is configured to receive the outer crimping tube, and includes a housing having an open lower portion; a trigger-handle; and a first hinge connecting the trigger-handle to the housing. The tensioning unit is mounted to the housing, and is configured to apply tension to the cable. The trigger-handle releasably engages the open lower portion of the housing by rotation about the first hinge; and the outer crimping tube is configured to move in an axial direction relative to the inner crimping tube to crimp the cable when actuated by the trigger-handle.

Abstract: A generally tubular braided flow diverting stent is formed of alternating round and rectangular elongated members, for treatment of aneurysms. The generally tubular braided flow diverting stent maintains a significant wall thickness while increasing area coverage of a vessel wall. Sliding of the round elongated members over the rectangular elongated members allows the stent to be crimped to very low diameters for delivery in narrow portions of the vasculature.

Abstract: A surgical instrument for removing an implanted glenoid component from the glenoid of a patient includes a protective cannula and a flexible wire saw. The flexible wire saw is positioned in the protective cannula such that both ends of the flexible wire saw extend out of one end of the protective cannula, with a portion of the middle section of the wire saw forming a loop that extends out of the other end of the protective cannula. Surgical methods for the use of such a surgical instrument are also disclosed.

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: An implant system presented herein includes an engagement wire, a pull wire, and a braided implant having a distal ring thereon. The engagement wire has an elongated member with a radially extending engagement feature at its distal end. The braid can be moved from a delivery shape sized to traverse a catheter to an implanted shape sized to occlude an aneurysm neck. When the braid is in the delivery shape, the pull wire and the elongated member extend through the distal ring and the engagement feature is in a distal direction in relation to the distal ring. Once at least a portion of the braid is positioned in the aneurysm, the pull wire and the elongated member can be moved in a proximal direction to engage the engagement feature to the distal ring and move the distal ring proximally, thereby reshaping the braid within the aneurysm.

Abstract: A nut for treating a bone includes a head and a body extending longitudinally from the head to a free end and including a channel extending longitudinally thereinto from the free end, the channel configured to engage an end of a bone screw, and an exterior threading extending about the body from an exterior surface thereof along an entire length thereof, an outer contour of the exterior threading defined via radially outermost edges of the exterior threading, a first portion of the outer contour adjacent the head portion having a smaller diameter than a second portion of the outer contour extending from the first portion to the free end of the body.

Abstract: A suture anchor comprises a tubular body having an axial bore therethrough and having one or more purchase enhancements on an exterior surface of the body adapted to enhance purchase of the body within a bone hole, such as threads. A lateral port passes through the body from the bore to the exterior surface. A length of suture for attaching soft tissue to bone passes down along the exterior surface over the one or more purchase enhancements, over a distal end of the body, up into the bore through and then back out of the bore and up along the exterior surface over the one or more purchase enhancements.

Abstract: A screwdriver assembly includes a screwdriver shaft and an insert. The screwdriver shaft extends longitudinally from a proximal end to a distal end and having a longitudinal channel extending therethrough. The insert has a longitudinal shaft received within the longitudinal channel and a distal end extending distally relative to the distal end of the screwdriver shaft. The insert shaft is rotatable relative to the screwdriver shaft. The distal end of the insert is sized and shaped to engage a head of a screw. The distal end of the insert is disengaged from the screw head by rotating the insert relative to the screwdriver shaft.

Abstract: A radiolucent tissue retraction device (100), comprises a handle (106) extending along a handle axis (Lh) and a first paddle (102) coupled to a first end (103) of the handle (106), the first paddle (102) including a first portion (110) extending parallel to and offset from the handle (106) and a second portion (116) connecting the first portion (110) to the handle (106), the first portion (110) having at least one radiolucent feature extending into a surface thereof, wherein the first portion (110) is curved along a longitudinal axis (L1) thereof.

Abstract: An intramedullary nail includes a body sized and shaped for insertion into a medullary canal of a bone and extending along a longitudinal axis from a proximal end to a distal end and a channel extending through the body along the longitudinal axis in combination with a locking hole extending laterally through the body along a central axis and in communication with the channel, the locking hole defined by a first opening extending through a first portion of a wall of the nail and a second opening extending through a second portion of the wall substantially opposing the first portion, the first opening being elongated in a lateral direction relative to the longitudinal axis of the nail and the second opening including a coupling element configured to lock a portion of a bone fixation element therein.