Abstract: Embodiments of the present application provide technologies related to adaptive surgeon-specific instrumentation, unique preparatory tools and procedures for bone resection and implant devices, and systems for selection of implantation preparatory tools for implantation procedures. The embodiments described herein may, for example, be utilized in connection with knee arthroplasty procedures.

Abstract: An orthopedic instrument assembly for placing an implant into a bone has a targeting guide having an adjustable targeting arm, and a targeting aperture, where the targeting aperture defines a targeting axis through the targeting aperture. The orthopedic instrument assembly has a post having a longitudinal axis and the post connectable to the targeting guide. The post has a post aperture a post aperture center. The post aperture is aligned at a predefined angle relative to the longitudinal axis, where the post aperture defines a post aperture axis through the post aperture, the post aperture axis intersecting the longitudinal axis at the post aperture center. The adjustable targeting arm is for aligning the targeting axis with the post aperture center and thereby aligning the targeting aperture with the post aperture.

Abstract: A bone cutting assembly includes a manually actuated upper cutting element that carries a plurality of cutting blades configured to cut through frozen bone segments. A lower cutting element supports a bone segment to be cut and can include cutting blades aligned with the cutting blades of the upper cutting assembly. A pivoting linkage or a rack and pinion arrangement can be provided between the upper cutting element and a manually operated handle to provide sufficient mechanical advantage or leverage to allow an operator to manually cut through the bone.

Abstract: The present invention relates to an apparatus and method for near-simultaneous and integrated delivery of bone graft material during the placement of surgical cages or other medical implants in a patient's spine. The integrated fusion cage and graft delivery device according to various embodiments delivers and disperses biologic material through a fusion cage to a disc space and, without withdrawal from the surgical site, may selectively detach the fusion cage for deposit to the same disc space. The integrated fusion cage and graft delivery device is formed such that a hollow tube and plunger selectively and controllably place bone graft material and a fusion cage in or adjacent to the bone graft receiving area. In one embodiment, the integrated fusion cage is an expandable integrated fusion cage.

Abstract: An apparatus for penetrating bone and accessing bone marrow is provided. The apparatus may include a penetrator assembly and a powered drill. The penetrator assembly may include a trocar having a stylet. The penetrator assembly may also include an outer penetrator having a hollow cannula and a luer lock attachment. The powered drill may include a housing enclosing a motor and a power supply and associated circuitry. The powered drill may also include a connector receptacle for receiving a penetrator assembly connector of the penetrator assembly. The connector receptacle may releasably lock the penetrator assembly connector into place with the powered drill. The power supply may include a rechargeable battery within the housing for supplying power to the motor. A battery indicator may be provided to indicate a level of the battery.

Abstract: A surgical instrument includes a first member defining an axis and having a scraping surface configured to scrape tissue. A second member includes a cutting surface that is rotatable relative to the first member. The second member has a maximum length defined by opposite end surfaces of the second member. The end surfaces are each disposed within the first member. A third member includes an outer surface defining at least a portion of a passageway configured for disposal of the scraped tissue. The third member is fixed with the first member. The cutting surface is rotatable relative to the third member to transfer the scraped tissue along the axis. Systems and methods are disclosed.

Abstract: A bone fastener includes a screw shaft having a proximal portion and a distal portion. The proximal portion is formed by a first manufacturing method and defines a distal face. The distal portion is formed onto the distal face by a second manufacturing method. In some embodiments, systems, spinal constructs, surgical instruments and methods are disclosed.

Abstract: A surgical device and method for performing arthrodesis are disclosed. The device includes a bone fixation plate, a jig, and a guiding unit. The plate has several fastener-accommodating apertures. The jig has a base for engaging the plate with several bolt-accommodating apertures positioned to align with the plate apertures and a cannulated guide attached to the jig's arm. The cannulated guide has a bore. The arm is oriented at an oblique angle relative to the jig's base. The guiding unit has a first end with a wire guide tube and a drill guide tube affixed to its second end. The wire guide tube and the drill guide tube have an outer diameter with a diameter less than the inner diameter of the cannulated guide of the jig so as to enter into the cannulated guide for the fusion process.

Abstract: The present disclosure relates generally to the field of medical devices. In particular, the present disclosure relates to a tissue traction device for endoscopic procedures such as tissue dissection. For example, a tissue traction device may include first and second attachment members pivotably attached by first and second swivels to opposite ends of a stretchable traction band comprising a compliant or semi-compliant material.

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: A posterior cervical fixation system includes a facet lock comprising an elongate member having distal and proximal ends. A tapered wedge projects axially from the distal end and defines a wedge axis, the wedge being sized and configured for insertion into a facet joint of a cervical spine. The facet lock includes opposing first and second dovetail recesses. The system further includes a tubular guide having distal and proximal ends and a lumen extending therethrough along a central axis. The tubular guide has a plurality of dovetail projections extending exteriorly outwardly, each dovetail projection terminating in an engagement surface that is spaced respectively at a different radial distance from the central axis. Each dovetail projection is configured for individual releasable attachment to one of the facet lock first or second dovetail recesses to selectively space the wedge axis and the central axis at different distances for lateral mass screw placement.

Abstract: A method of using a screw for reducing a malleolus bone fracture. The orthopedic screw includes a unitary shaft with screw threads on a distal end of the shaft and a head on a proximal end. An enlarged terminal end segment of the head includes a socket for receiving a tool adapted for rotating the screw into aligned fibula and malleolus bone fragments at the fracture site. First and second spaced-apart tapered transition segments are formed at a juncture of the shaft and head and a juncture of the head and an enlarged terminal end segment of the head the such that rotation of the screw provides progressively increased fracture-reducing pressure between the fibula and malleolus bone fragments as the first and second tapered transition segments drives the malleolus against the fibula.

Abstract: Surgical instruments, systems, and methods of performing orthopaedic surgical procedures on a patient's knee are disclosed.

Abstract: A medical compound preparation and delivery system, including a delivery device, the device including a depressible trigger operably coupled to move a plunger; a cartridge releasably coupled to the delivery device, the cartridge defining a lumen therethrough to receive at least a portion of the plunger therein; a receptacle defining a cavity therein for receiving a medical compound; a first tube slidably positionable within the cavity of the receptacle; and a second tube slidably positionable within the first tube, wherein the cartridge is slidably positionable within the second tube.

Abstract: An ultrasound device includes: an ultrasound generator; an ultrasound probe; and a distal end treatment portion capable of forming a bone hole when pressed against a bone. The distal end treatment portion includes a base portion, and a distal end portion. The distal end portion includes projections and a valley portion between adjacent projections. Each projection is formed of at least one excision surface that is inclined from a base of the projection to a distal top of the projection. The excision surface is capable of finely crushing the bone. The valley portion includes a valley peak at a distal-most meeting point of adjacent projections such that a surface of the valley extending distally from a point at which the valley meets an outer surface of the base portion to the valley peak is inclined.

Abstract: A bone screw implant is provided for immobilizing the articular surfaces of two bone segments by securing, fusing, or compression the two segments. The implant may be fabricated from a porous biocompatible metal and have a cylindrical shape and fully or partially threaded and may have variable pitch threads and a variable diameter of the shaft. The implant may include a blunt tip or a fluted self-drilling tip and a headless screwdriver socket. Large pitch cancellous threads may be in the leading-end portion of the cylinder shaft, and smaller pitch cortical threads may be at the trailing edge portion of the shaft. The implant may be fenestrated, it may have a roughened surface, and it may be coated with an osteoconductive material. The implant may be cannulated. In a specific embodiment, the implant is used for immobilizing the articular surfaces of a sacroiliac joint.

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: Systems and methods for stabilizing a bone structure of a patient. A stylet and a delivery tube is directed through an access cannula to form a curved path to a target site. The stylet is withdrawn with a distal portion of the flexible delivery tube maintaining a curved configuration along the curved path. The curable material including a plurality of elements disposed in a fluent material is directed through the flexible delivery tube with a distal portion of the flexible delivery tube maintaining the curved configuration against forces from the elements and the fluent material. A delivery cannula may be directed through the flexible delivery tube. An expandable member may deployed at the target site to create a cavity. A steerable assembly may be selectively activate to form the curved path. The plurality of elements may substantially follow a curved path created within the bone structure.

Abstract: A method for removing an implant attached to a bone during revision joint replacement surgery includes a library of implant models. A series of surface points are collected on the implant with a digitizer. A best match is computed between the collected surface points and an implant model in the library of implant models to register the position of the implant model to the implant. A location is computed of a material-implant interface based on the geometry of the implant model and the registered position of the implant model. Material is removed at the material-implant interface to separate the implant from the bone. A computer-assisted surgical system is provided for performing the method.

Abstract: The present disclosure relates to surgical port assemblies including a plurality of inflatable members for applying a force to a portion of a shaft of a surgical instrument which is inserted through an interior space of the surgical port assembly, and to surgical systems including a surgical port assembly, an endoscopic camera, and a control mechanism for controlling inflation and deflation of the plurality of inflatable members of the surgical port assembly.