Abstract: Surgical systems and methods for use with a hand-guided tool. The surgical system includes a robotic manipulator that holds a tool guide. The tool guide receives and guides the surgical tool to enable the tool to manipulate a bone. The robotic manipulator autonomously aligns the tool guide to a target orientation relative to the bone. The tool guide is moved to an initial location adjacent to the bone while remaining aligned with the target orientation. The initial location is suitable for the tool to perform an initial manipulation of the bone. The robotic manipulator facilitates withdrawal of the tool guide away from the initial location to a spaced location after the initial manipulation of the bone while maintaining alignment of the tool guide with the target orientation at the spaced guide location. The spaced guide location is suitable for the tool to perform a further manipulation of the bone.

Abstract: A system for tracking the position of a surgical tool manipulated by a surgical robotic system, to determine that the tool is correctly positioned and orientated. Miniature 3-D tracking cameras are mounted on the end effector of the robotic system, one viewing markers on the surgical tool, and the other markers attached to the anatomy part being operated on. The initial spatial position and orientation of the surgical tool on the surface of the anatomy part is measured, and the progress of the surgical tool into the anatomic body part is tracked using one of the miniature cameras. The cameras or sensors are close to the surgical region of interest, and all the mechanical and sensor elements necessary for the system operation are mounted within the realm of the robot. The system thus avoids interruption of communication between a remotely positioned navigation camera and the robot or patient.

Abstract: Various implementations include an alignment device for carrying out a periacetabular osteotomy operation on a patient that includes a patient-specific acetabular unit, to be fixed in a univocal position on the iliac bone, in proximity of the acetabulum; a patient-specific iliac unit, to be fixed in a univocal position on the iliac bone, in a lateral position with respect to the acetabular unit; and a patient-specific bridge, to be connected in a rigid and univocal manner to the acetabular unit and to the iliac unit. The acetabular unit and the iliac unit assume a first mutual position incompatible with the bridge. When osteotomy is carried out and the bridge is connected to the acetabular unit and the iliac unit, they assume a second position, different from the first position and corresponding to a bio-mechanically correct position of the acetabulum with respect to the remaining portion of the iliac bone.

Abstract: A laparoscopic surgery support system can include a plurality of ports configured to receive a trocar therethrough and a plurality of arms connecting the plurality of ports together and configured to allow fixation of a relative position of the plurality of ports. For example, the plurality of ports can include three or more ports.

Abstract: Systems and methods are described herein to generate a 3D surface scan of a surface profile of a patient's anatomy. The 3D surface scan may be generated by reflections of structured light off the surface profile of the anatomy. The 3D surface scan may be used during intra-operative surgical navigation by a localization system. Optionally, a pre-operative medical image may also be registered to the localization system or used to enhance the 3D surface scan.

Abstract: Milling device for prosthetic surgery comprising a milling tool and a handler body. The handler body is provided with a rotating drive shaft which develops along a longitudinal axis of rotation and is connected to the milling tool to rotate the milling tool around the longitudinal axis.

Abstract: An inflatable bone tamp for performing a minimally invasive surgical procedure includes an outer shaft defining an internal lumen, an inflatable structure coupled to the outer shaft, and an inner shaft movably disposed within the internal lumen and coupled to a distal end region of the inflatable structure. The internal lumen is sized to receive the inflatable structure, such that by moving the inner shaft relative to the outer shaft, the inflatable structure can be retracted into the internal lumen (and likewise can be extended from within the internal lumen for deployment in bone). This retraction capability can beneficially protect the inflatable structure during positioning/removal, and can also enhance recovery from radial tears of the inflatable structure.

Abstract: Disclosed is an accessory for bone surgery, advantageously for operative arthroscopy, suitable for positioning and attaching a bone fragment on a target bone surface. This accessory includes a body of a sighting body including at least one sighting hole which opens on the two end faces, and a feeler member, extending in protrusion from the front end face of the sighting body. A front end face of the sighting body and a lower face of the feeler member together form a dihedral receiving surface against which the bone fragment is intended to bear. This accessory also includes pressing element capable of temporarily maintaining the bone fragment bearing against the dihedral receiving surface.

Abstract: A selection system comprises a ring, a plurality of shims, a measurement device, and at least one glenoid component. The ring is configured to couple to a humerus. A shim of the plurality of shims is configured to couple to the ring. The measurement device is configured to couple to the shim. Each shim of the plurality of shims has a different height when coupled to the ring. The selection system generates measurement data to support the selection of at least one prosthetic component for a shoulder joint in a surgical environment. The shoulder joint geometry can be adjusted by changing shims, changing glenoid component or both. The selection system is removed after the selection of the final prosthetic components for the shoulder joint. The final prosthetic components are installed in the shoulder joint. The measurement device is placed in the shoulder joint and measurement data is generated to verify performance.

Abstract: A selection system comprises a ring, a plurality of shims, a measurement device, and at least one glenoid component. The ring is configured to couple to a humerus. A shim of the plurality of shims is configured to couple to the ring. The measurement device is configured to couple to the shim. Each shim of the plurality of shims has a different height when coupled to the ring. The selection system generates measurement data to support the selection of at least one prosthetic component for a shoulder joint in a surgical environment. The shoulder joint geometry can be adjusted by changing shims, changing glenoid component or both. The selection system is removed after the selection of the final prosthetic components for the shoulder joint. The final prosthetic components are installed in the shoulder joint. The measurement device is placed in the shoulder joint and measurement data is generated to verify performance.

Abstract: A single-use handle is configured to attach to a working shaft that can support a sounder for measuring the medullary canal of a proximal radius, and a planarizer that is configured to planarize a proximal edge of the proximal radius after the proximal radius has been resected. The handle can further include a plurality of sizing cavities that are configured to receive the resected bone so as to determine the size of the resected bone. The handle can further include an ejector that is configured to decouple the planarizer from the working shaft.

Abstract: An impactor system is for impacting a base of a shoulder implant into a humerus. The system may include a housing having distal stabilizer configured to contact a proximal resected surface of the humerus. The distal stabilizer may define an open space. An impaction member may be slidably received within the housing. The impaction member may have a proximal surface and a distal connection mechanism adapted to connect to the base of the shoulder implant. The impaction member may be movable from a first proximal position in which the base of the shoulder implant, when connected to the impaction member, is positioned within the open space defined by the distal stabilizer, to a second distal position in which the base of the shoulder implant, when connected to the impaction member, is positioned at least partially distal to the open space defined by the distal stabilizer.

Abstract: The present invention relates to a device for the selective biological synthesis of a bone tissue arranged to allow the stabilization of a fracture or an osteoporotic bone tissue and for the introduction of medicinal substances for bone diseases.

Abstract: Methods, non-transitory computer readable media, surgical tracking devices, and systems that facilitate improved tracking in surgical environments are disclosed. With this technology, a fiber optic shape sensing (FOSS) device is rigidly attached to patient anatomy and/or surgical instrument(s) to facilitate location and/or flexibility tracking. The data provided by the FOSS device can be analyzed and registered to preoperative or intraoperative 3D anatomy model(s). The FOSS device can be attached to a surgical instrument to provide intraoperative guidance, used to locate a hollow needle for tracking bones in a minimally invasive manner, and/or used to detect bending in an instrument such as an arthroscope or tissue removing burr shaft, for example. The tracked location and/or flexibility data provided by the FOSS device can also be used to automatically control the location and/or operation of a surgical instrument during a surgical proceeding to facilitate improved surgical accuracy and patient outcomes.

Abstract: An arthroscopic port introduction system includes an elongate hollow introducing needle and an elongate stylet sized and adapted to be disposed within the elongate hollow introducing needle together forming a single tissue-penetrating tip. The system also includes an elongate hollow enlarging shaft adapted to be disposed over the elongate hollow introducing needle. An operative tissue-penetrating length of the elongate hollow introducing needle is exposed beyond a distal end of the elongate hollow enlarging shaft. The elongate hollow introducing needle can be removed in a proximal direction from the elongate hollow enlarging shaft. An arthroscopic port sheath is disposed over the elongate hollow enlarging shaft and an operative tissue-penetrating length of the elongate hollow enlarging shaft is exposed beyond a distal end of the arthroscopic port sheath. The elongate hollow enlarging shaft can be removed in a proximal direction from the arthroscopic port sheath.

Abstract: A bone material dispensing system is provided. The bone material dispensing system comprises a loading device having a perimeter surrounding a base plane and a rim, the perimeter comprising a side wall extending along a longitudinal axis and a bar joining the side wall at a corner of the perimeter and extending in a direction transverse to the longitudinal axis, the base plane comprising a loading surface bordered by the side wall along the longitudinal axis, the loading surface having an end edge extending in a direction transverse to the longitudinal axis such that the side wall, the bar and the end edge form a rim adjacent to the loading surface and the bar. A method of loading bone material with the bone material dispensing system is also provided.

Abstract: Provided is a guide assembly for guiding a bone cutting tool through a small incision in the skin near the bone that allows movement of the cutting tool in the bone in a wide angle while the cutting tool is rotated about a pivot point that is located at the small incision. The guide assembly includes a 2-piece construction that includes a guide component that holds the cutting tool and a track component having a semicircular arc shape on which the guide component is slidably engaged whereby sliding the guide component along the track component guides the movement of the cutting tool to rotate about a pivot point that is the center of curvature of the semicircular arc shape of the track component.

Abstract: The present disclosure provides a medical device and method to determine proper implant screw sizing for inserting within the intramedullary canal of a patient's bone. The medical device includes a radiolucent base that includes radiopaque markings indicative of an implant screw. The markings therefore appear on a radiographic image taken of the provided medical device. The markings may include first diameter markings and length markings, and may also include second diameter markings. The first and second diameter markings may be indicative of a major and minor diameter of an implant screw, respectively. The markings may also include an indication of a type or model of implant screw. In some instances, the medical device may include multiple sets of markings. In such instances, each set of markings is indicative of a different implant screw.

Abstract: A surgical method utilizes a surgical instrument having an elongate probe with a distal end having at least one egress or outlet port. The method comprises inserting a distal end portion of the elongate probe into a spinal disc space adjacent two spinal vertebrae, ejecting or streaming a plasma jet from the at least one egress or outlet port into spinal disc material in the spinal disc space, and subsequently removing the elongate probe from the spinal disc space.

Abstract: In various embodiments, a targeting guide is disclosed. The targeting guide includes a handle defining a targeting hole and a targeting tower configured to be coupled to the handle. The targeting tower defines at least a first guide hole and a second guide hole. Each of the first and second guide holes are sized and configured to receive a respective first guide pin and second guide pin therethrough. The first and second guide pins are configured to indicate alignment of a k-wire inserted through the targeting hole defined by the handle. Methods of using a targeting guide are also disclosed.