Abstract: A surgical device of a drill/driver with bit recognition to set a desired application mode and a method of utilization thereof is provided. Various operating modes of the drill/driver are automatically set by a sensor which recognizes the bit applied to the drill/driver. A method of utilizing the drill/driver allows the drill driver to apply surgical screws at very high speeds while automatically preventing excessive torque levels that would strip out the surgical screw from the patient's bone.

Abstract: An arthroplasty trial assembly for a human shoulder can include a first implant securable to a first bone and a second implant securable to a second bone. The second implant can include a body, a stem, an articulation component, and a sensor. The stem can extend from the body, and the stem can be insertable into the second bone. The articulation component can be coupled to the body opposite the stem, and the articulation component can be articulable with the first implant. The sensor can be connected to the articulation component and can be configured to monitor a condition of the second implant and can produce a sensor signal as a function of the condition that is indicative of stability of the shoulder.

Abstract: The present invention relates to a pharmaceutical topical gel solution that contains 5-aminolevulinic acid (5-ALA) and an aqueous low viscous gel matrix. This invention also relates to a pharmaceutical preparation containing this composition. The formulation of this type can be used in photodynamic therapy as well as in the photodynamic detection of abnormally proliferating cells.

Abstract: The present disclosure provides a shoulder prosthesis. The shoulder prosthesis includes a glenoid component, a humeral component, and an articulation component. The glenoid component includes a glenoid body having a proximal side and a distal side, the proximal side shaped to engage with a resected portion of a glenoid cavity. The humeral component includes a humeral body having a proximal side and a distal side, the distal side shaped to engage with a resected portion of a humerus. The articulation component is positionable between the distal side of the glenoid component and the proximal side of the humeral component, the articulation component configured to be maintained between the glenoid and humeral components, after implantation, by at least one of a deltoid muscle and a rotator cuff.

Abstract: An end effector coupler for a surgical arm can include an end effector body, a proximal coupler, and a tool lock. The tool lock can releasably retain a tool stem to the end effector coupler. The tool lock can include a keyed opening, a pin bore, a pin disposed in the bin bore, a biasing element located in the pin bore, and a pin release including an actuator, the pin release operable to retract the pin into to the end effector body to disengage the pin from the tool stem allowing release of the tool stem from the keyed opening.

Abstract: Two spaced bodily tissues are approximated with a surgical tensioning device comprising a resilient member and a pressure locking device. The method comprises a step of routing one end of a length of suture through both spaced bodily tissues and inserting the suture end into and through the pressure locking device. The suture is then tensioned by pulling on the suture end passing through the pressure locking device. Responsive to tension changes in the suture, the pressure locking device is actuated by moving at least one surface in the pressure locking device to clamp the suture in position.

Abstract: Implementations described herein include a system for guiding medical waste fluid into a medical waste collection canister. The system includes a manifold and a filter. The manifold includes a top surface and a sidewall extending from the top surface in a first direction. The top surface and the sidewall define an interior chamber of the manifold. The top surface includes an inlet port and a vacuum port disposed therein. The inlet port connects to a source of medical waste fluid and the vacuum port connects to a vacuum source. The manifold can be formed from a first polymer. A filter is positioned within the interior chamber of the manifold and immediately upstream of the vacuum port so as to filter air flowing into the vacuum port. The filter extends away from the top surface of the manifold in the first direction and the filter is formed from a second polymer.

Abstract: Systems and methods and augments for supporting an acetabular shell at a hip bone. An example system of modular augments can include first and second augments, each having a body extending from a respective first end portion to a respective second end portion. The first augment second end portion can include a first coupling element and the second augment first end portion can include a second coupling element. Together the first and second coupling elements can form a coupling mechanism to join the first and second augments together. In some examples, the coupling mechanism can include a bulbous tip portion and a recess to receive and retain the bulbous tip portion.

Abstract: Illustrative methods and systems for customizing a pre-manufactured acetabular shell to a specific patient are described herein. An illustrative method can include positioning a provisional shell at an acetabulum of the patient, the provisional shell having a plurality of selectable openings. The method further including marking, based on the assessing of the bone, a patient-matched hole location on a provisional liner that corresponds to one of the plurality of selectable openings in the provisional shell. With the provisional liner marked, the method can further include removing the provisional liner from the provisional shell and positioning the provisional liner in the pre-manufactured acetabular shell that is to be implanted in the patient. Using the provisional liner as a guide, the method can include forming a hole in the acetabular shell corresponding to the marked patient-matched hole location on the provisional liner.

Abstract: A ratcheting driver can be configured to selectively transmit a torque to a fastener. The driver can include a handle, a geared body, and a shaft. The handle can include a housing, a pawl, and a biasing element. The housing can include a central bore and a shaft bore extending through a distal portion of the housing. The pawl can extend radially inward from the housing into the central bore. The biasing element can engage the housing. The geared body can be rotatably engageable with the pawl to allow rotation of the geared body relative to the handle in a first direction and to limit rotation of the geared body relative to the handle in a second direction, where the biasing element can be engageable with the geared body to bias the geared body distally.

Abstract: A femoral head press can comprise: a frame having first end second ends; a clamp connected to the first end to define a holding plane; a mechanical drive mechanism mounted to the second end and having a drive axis; a ram connected to the second end; and a femoral head cup connected to the ram; wherein the mechanical drive mechanism is configured to drive the ram along the drive axis substantially perpendicular to the holding plane to advance the femoral head cup toward the clamp. A method for assembly a femoral head to a stem neck can comprise: attaching a clamp of a frame of a femoral head press to a neck of a femoral stem; connecting a femoral head to a cup connected to a ram slidably engaged with the frame; and actuating a mechanical drive mechanism coupled to the frame to advance the cup toward the neck.

Abstract: Systems and methods are disclosed herein. According to one example, the method can comprise imaging a target location of an anatomy of a patient to collect image data regarding at least one of a bone size, a bone orientation and a bone shape of the patient, displaying based upon the collected image data one or more patient-specific characteristics of the anatomy of the patient, and determining one or more of a size, a shape and an orientation for at least one bone graft based at least in part upon the one or more patient-specific characteristics of the anatomy of the patient. The method can convert the one or more patient-specific characteristics of the anatomy of the patient to a setting for a cutting instrument.

Abstract: A pectus bar stabilizer insertion tool can include a first handle, a second handle, a first head, a second head, and a locking shaft. The first handle can include a first distal portion. The second handle can include a second distal portion, and the second handle can be pivotably coupled to the first handle. The first and second handles can be moveable between an open position and a closed position. The first head can be coupled to the first distal portion and can be engageable with a first portion of a stabilizer. The first head can include a driver engageable with a lock of the stabilizer. The second head can be coupled to the second distal portion and can be engageable with a second portion of the stabilizer. The locking shaft can be coupled to the driver and operable to lock and unlock the stabilizer to a pectus bar.

Abstract: A method of creating a patient specific instrument (PSI) for use in knee replacement surgery is described which includes performing at least two two-dimensional X-ray scans of a bone, each of the X-ray scans being taken from different angular positions, generating a digital bone model of the bone based on the X-ray scans, planning the PSI based on the digital bone model, including determining locations for one or more anchor points on the PSI which are adapted to abut a surface of the bone, the determined locations of the anchor points being disposed on the PSI at locations corresponding to areas of expected high accuracy on the digital bone model generated by the X-ray scans. The areas of expected high accuracy include at least a peripheral bone contour in at least one of the angular position of the X-ray scans. A suite of such PSI instruments is also described.

Abstract: Embodiments provide methods, apparatuses, and systems for fixation of a fractured bone. In various embodiments, the systems and plates may provide elastic suspension of the receiving holes relative to the osteosynthesis plate. This elastic suspension may promote load distribution between the screws that connect a bone segment to the plate, thereby reducing stress risers and load shielding effect. In addition, stress at the screw holes, and within the construct as a whole, is reduced by incorporation of these elastic elements in the plate. Additionally, in some embodiments, for instance if fracture healing by callus formation is desired, elastic suspension of the receiving holes relative to the osteosynthesis plate may enable small, controlled amounts of relative motion between bone fragments connected by the plate, which may promote fracture healing by callus formation.

Abstract: A method of anatomically positioning screw holes in an acetabular implant that can be used in surgery, such as a total hip arthroplasty. In some examples the method can be used to position holes in a shell of the implant. The method can include, for example, obtaining anatomic data including data defining an arch of bone behind an acetabulum of the living being, the arch of bone extending from a superior anterior portion to an inferior posterior portion of the acetabulum. The method can further include positioning a first series of holes along a first arched line within the acetabular shell, the first arched line determined based on the anatomic data for the arch of bone proximate the acetabulum of the living being.

Abstract: A method of depositing a relatively thin film of bioinert material onto a surgical implant substrate, such as a dental implant. Chemical vapor deposition (CVD) may be used to deposit a layer of tantalum and/or other biocompatible materials onto a solid substrate comprised of an implantable titanium alloy, forming a biofilm-resistant textured surface on the substrate while preserving the material properties and characteristics of the substrate, such as fatigue strength.

Abstract: The present disclosure relates to prosthesis systems having trays and liners having an asymmetrical locking mechanism to bias the strength of the liner to resist loading forces and associated methods. The tray has a lateral groove disposed in an inner surface of a lateral circumferential portion of the tray and a medial groove disposed in an inner surface of a medial circumferential portion of the tray. The liner has an upper segment and a lower segment. The liner has a locking portion for lockingly engaging the tray that includes the lower segment. The locking portion has a lateral toe positioned generally diametrically opposite a plurality of resiliently deformable medial fingers defined therein. The liner and the tray are engageable in a lateral-to-medial direction so that the plurality of medial fingers can resiliently deform to engage the medial groove subsequent to engagement of the lateral toe within the lateral groove.

Abstract: A surgical helmet assembly including a ventilation system for circulating air around the head of a user. The surgical helmet assembly includes a surgical helmet including a brow bar to be positioned around the head of the user and a chin bar extending from the surgical helmet to be positioned in front of the chin of the user. The chin bar and brow bar include an airflow channel in fluid communication with a fan at the rear of the surgical helmet. The fan generates a flow of air from an airflow inlet at the rear of the surgical helmet through the airflow channel in the chin bar to an airflow outlet in the chin bar and past a user's face in an upward direction and through the airflow channel in the brow bar to an airflow outlet in the brow bar and upward over the user's head.

Abstract: An external fixation clamp for receiving a fixation element includes an inner jaw and an outer jaw movable between an open position that permits the fixation element to be placed between the inner and outer jaws and a closed position that restricts removal of the fixation element from between the inner and outer jaws. A latch assembly may cooperate with the inner and outer jaws to secure the jaws in a closed position. The latch assembly may comprise a latch and a latch biasing member. The latch may be configured to translate linearly relative to one of the inner and outer jaws, and the latch biasing member may have a first higher level of stored energy when the inner and outer jaws are in the open position and a second lower level of stored energy when the inner and outer jaws are in the closed position.