Abstract: A compression force magnifier comprising: an engaging surface for attaching to a bone plate; a ramped component above the engaging surface, the ramped component having a bottom surface adjacent the engaging surface and an angled upper surface; and a hole extending through the ramped component and the engaging surface.

Abstract: A bone fastener system can comprise a fastener and a first sizing component. The fastener can comprise a shaft that provides an anchoring footprint. The first sizing component can be configured to be connected to the shaft and can include a first anchoring feature, or circumferential bone engaging feature, to increase a size of the anchoring footprint. The first anchoring feature can comprise a sleeve that radially expands a diameter of the threaded shaft. The first anchoring feature can comprise axially extending teeth. The system can further comprise a second sizing component including a second anchoring feature to increase the size of the anchoring footprint, the second anchoring feature being different from the first anchoring feature. The second anchoring feature can expand the diameter of the threaded shaft a greater amount than the first anchoring feature. The second anchoring feature can have a length greater than the first anchoring feature.

Abstract: Systems and methods may be used to perform robot-aided surgery. A system may include a display device and a computing device including a memory device with instructions. The instructions can cause the system to access surgical data, calculate medial and lateral gap data, calculate a recommended component set, and generate a graphical user interface. Accessing surgical data can include accessing soft tissue data indicative of at least tension in soft tissues surrounding a surgical location. The graphical user interface can include an interactive trapezoidal graphic overlaid onto a graphical representation of a distal femur and a proximal tibia. The interactive trapezoidal graphic can include a graphical representation of a medial total gap, a lateral total gap, and a recommended spacer size. The interactive trapezoidal graphic can update in response to adjustments in implant parameters to assist in surgical planning.

Abstract: A system, a method, and instruments for manipulating a surgical cord into spinal implants to assist in correcting a spinal deformity are described. The system may include a tensioner, a tensioner extension, and a counter tensioner. One of the instruments can include an elongate body, a dual coupler, and a nose member. The elongate body has a flexible cylindrical member adapted to carry tension along a longitudinal axis, where the flexible cylindrical member is sized to receive a surgical cord through a lumen within the flexible cylindrical member. The dual coupler is disposed on a proximal end of the elongate body, and include a bore for receiving a nose portion of a tensioner and for guiding the surgical cord into the tensioner. The nose member is disposed on a distal end of the elongate body, and be adapted to discharge the surgical cord from the elongate body.

Abstract: A surgical derotator instrument comprises a shaft, a handle and an articulating coupler. The shaft comprises a first end portion having a bone anchor coupling and a second end portion opposite the first end portion. The handle comprises a body portion and a slot extending in the body portion. The articulating coupler connects the shaft and the handle. A method for coupling a plurality of derotator instruments into a series of derotator instruments comprises: attaching a plurality of derotator instruments to a plurality of adjacent bone anchor housings, each derotator instrument comprising: a shaft for connecting to a bone anchor housing, a handle having a slot, and an adjustable coupler connecting the shaft and the handle; adjusting one or more of the adjustable couplers to align at least one of the slots of the series with other slots of the series; and inserting an elongate member through the at least one slots that are aligned.

Abstract: An engagement mechanism for a driver instrument (24) can comprise a mobile shaft (121, 221), a collet (122, 222) and an angled engagement interface (124; 136A-D). The mobile shaft comprises a first shaft portion (128, 228) located at a proximal end of ON the mobile shaft, a driver portion (126, 226) located at a distal end of the mobile shaft, and an internal passageway (180, 280) extending from the proximal end to the distal end. The collet comprises a second shaft portion (134, 234) disposed within the passageway at co the first shaft portion, and flexible arms (132A-D, 232A-D) extending from the second shaft portion within the driver portion. The angled engagement interface is positioned between the driver portion and the flexible arms, and is configured to permit the driver portion to push or deflect the flexible arms radially inward when the first shaft portion is slid along the second shaft portion.

Abstract: A system including a bone punch tool and a needle guide. The bone punch tool can include a support arm having a support arm proximal portion and a support arm distal portion, a pivot arm having a pivot arm proximal portion and a pivot arm distal portion, and an arcuate punch configured to punch through bone. The pivot arm distal portion can be pivotably coupled to the support arm distal portion, such that the pivot arm proximal portion is configured to be moved away from the support arm proximal portion to extend the arcuate punch into a punch position to punch an arcuate hole through bone. The needle guide can be configured to guide a needle through the arcuate hole.

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: A bone coupling device is configured for joining a first bone piece to a second bone piece which includes a first component having an inner surface bounding a first cavity and a first stem portion for insertion into the first bone piece. A second component includes a second stem portion for insertion into the second bone piece and an axially extending connector extending from the second stem portion and configured to be inserted into the first cavity. The connector has an outer surface which is complementarily shaped relative to an inner surface to inhibit rotation relative to each other when the connector is received in the cavity to engage the first component and the second component.

Abstract: A fiducial marker includes a fastener and a feedback component to provide a registration signal when engaged by a probe. The feedback component includes light-up cap, a conducting component, a magnetic component and an RFID tag. A cap for registering fiducial markers with robotic surgical systems includes a housing, a socket in the housing for coupling to a fastener, an access port in the housing, a switch disposed in the housing proximate the access port, and a sensory indicator device coupled to the switch, wherein the sensory indicator device produces a signal when activated through the access port to confirm marker contact. Methods of registering a fiducial marker fastener, such as with robotic surgical systems, include manipulating a probe to align with a signal-producing feedback component attached to or integrated with the fastener, and engaging the feedback component with the probe to activate a sensory feedback indicator.

Abstract: Systems (100, 900, 1100), devices, and methods may be used to print or use a patient-specific waterjet cut guide (104, 302, 902, 1102). A method may include receiving, at a processor, image data of a bone (102, 308) of a patient (702), rendering a model of the bone (102, 308) (704) and generating a cut guide model using the model of the bone (102, 308) (706). The method may include printing, using a three-dimensional (3D) printer, a waterjet cut guide (104, 302, 902, 1102) using the cut guide model. A method may include using the patient-specific waterjet cut guide (104, 302, 902, 1102) to perform a resection using a waterjet cutting device, the waterjet cutting device including a nozzle (108, 306, 406, 500A, 500B) insertable into a cut guide slot (106B, 304, 310, 906, 1104) of the patient-specific waterjet cut guide (104, 302, 902, 1102).

Abstract: An orthopedic assembly is disclosed. This orthopedic assembly can include a ring portion, a second portion and indicia. The ring portion can define an aperture configured to allow the ring portion to seat on a head of a bone. The second portion can extend from the ring portion. The second portion can define a slot that is curved along a first length. The indicia can extend along a portion of one or both of the ring portion and the second portion.

Abstract: A pectus bar pectus bar assembly can include a pectus bar and a stabilizer. The pectus bar can include a first portion including a first periphery and a second portion opposite the first portion. The stabilizer can include a stabilizer body including a recess engageable with the second portion. The stabilizer can also include a locking cam rotatable within the body to secure the stabilizer to the first portion.

Abstract: A footplate assembly for ankle includes a footplate base; a slider arm that is rotatably coupled to the footplate base, the slider arm being configured to be couplable to external ankle instrumentation; a locking fastener configured to lock the slider arm in a chosen orientation relative to the footplate base; and a knob coupled to the footplate base having a scale to display the angle of the slider arm relative to the footplate base.

Abstract: An apparatus includes a pump body, two or more arms extending from the pump body configured to hold a cement mixing container, a vacuum port exposed on an exterior surface of the pump body and positioned to engage a port on the cement mixing container, a venturi positioned proximate the vacuum port; a perforator within the pump body, the perforator configured to puncture a gas container to release gas to the venturi to create a vacuum at the vacuum port; and an actuator configured to puncture the gas container with the perforator.

Abstract: To replace costal cartilage that has been surgically removed, a surgeon can implant a flexible element to connect a rib to the sternum. In some examples, the flexible element can be formed from a material having a selected durometer (e.g., a measure of material stiffness or hardness), and can be shaped to have a selected geometry (e.g., cross-sectional size and shape), to match the flexibility (e.g. resistance to bending) of the natural costal cartilage. The flexible element can connect to the rib via a rib bracket, which can be rigid, and can attach to a sternal end of the rib via one or more fasteners. The flexible element can connect to the sternum via a sternum bracket, which can also be rigid, and can also attach to the sternum via one or more fasteners. The fasteners can be screws, nails, staples, or others.

Abstract: An apparatus for applying a vacuum during a surgical procedure can include a vacuum pump assembly having a port, a first housing, a second housing, a first silencer or tubular magnet and a second silencer. The first housing can define a first cavity receiving the vacuum pump assembly therein. A portion of the first housing can be formed by a portion of the port. The second housing can define a second cavity receiving the first housing therein. A portion of the second housing can be formed by a second portion of the port. The first silencer or tubular magnet can be coupled to the first housing and can have a longitudinal extent along a longitudinal axis. The first silencer or tubular magnet can extend from the first housing within the second cavity. The second silencer can be coupled to the second housing and can have a longitudinal extent along a longitudinal axis. The second silencer can extend from the second housing within second cavity.

Abstract: An orthopedic guide that can comprise a base, a first attachment and a second attachment is disclosed. The base can have a plurality of connection features spaced from one another along a longitudinal extent. The base can be configured to seat on a rim of a bone. The first attachment can be selectively coupled to the base at a first end portion thereof and can be selectively coupled to the base at a second end portion thereof. The first attachment can be arch shaped when coupled to the base. The first attachment can define a first plurality of apertures. The second attachment can be selectively coupled to the base at a first end portion thereof and can be selectively coupled to the base at a second end portion thereof. The second attachment can be arch shaped when coupled to the base. The first attachment can define a second plurality of apertures.