Abstract: In various embodiments, a surgical instrument, systems including the surgical instrument, and methods of use of the surgical instrument are disclosed. The surgical instrument includes a handle body extending from a proximal end to a distal end substantially along a longitudinal axis. The handle body defines a first channel sized and configured to receive a guide element therein. A plurality of indicators are formed on the handle body. Each of the plurality of indicators correspond to a size of one of a plurality of fixation elements sized and configured for insertion into a bone. A countersink element is coupled to a distal end of the body. The countersink element defines a second channel sized and configured to receive the guide element therethrough that is circumferentially located with and coupled to the first channel. The countersink element includes a head sized and configured to form a countersink in the bone.

Abstract: Systems and methods for training an implant plan evaluation model is provided. A first implant plan option having a first set of parameters and a second implant plan option having a second set of parameters may be received. The first set of parameters and the second set of parameters may be inputted into a model configured to score the first implant plan option based on the first set of parameters and the second implant plan option based on the second set of parameters. The score of the first implant plan option and the score of the second implant plan option may be compared. when the score of the second implant plan option is higher than the score of the first implant plan option the model may be adjusted to score the first implant plan option higher than the second implant plan option.

Abstract: A device for providing a bone cement dough from two starting components, comprising a hollow cylindrical cartridge with an interior space, wherein a bone cement powder as the first starting component is stored in a proximal part of the interior space, and at least two pouches containing a monomer liquid as a second starting component are stored in a distal part of the interior space, wherein a dispensing plunger axially movable in the interior space is arranged between the bone cement powder and the at least two pouches, and a delivery plunger axially movable in the interior space is arranged on a side of the at least two pouches that is axially opposite the dispensing plunger, wherein the proximal part and the distal part of the interior space are fluidically connected to one another via a conduit means.

Abstract: Devices and methods for stabilizing bone. The devices and methods may provide a more balanced proximal and distal compression when stabilizing bone. An exemplary device may comprise a staple member including a bridge connecting a first leg to a second leg. The device also may comprise a resilient arm elongated between a fixed end and a free end, and projecting from the first leg and/or from an end region of the bridge adjoining the first leg. At least a portion of the resilient arm intermediate the fixed and free ends may be inwardly adjacent and spaced from an upper region of the first leg.

Abstract: Disclosed are surgical tools (10) comprising a surgical clamp (20) having at least two, preferably exactly two legs (21) and a base (22) connecting the legs (21).

Abstract: An orthopedic rotary tool may include a motor, a first clutch, a first drive path, a second drive path, a second clutch, a rotating mass, and an output anvil. The orthopedic rotary tool may drive, by the motor and the first clutch, a first drive path that causes the output anvil to rotate at a speed. The orthopedic rotary tool may selectively enable, by the motor and the second clutch, a second drive path that causes the rotating mass to engage to the output anvil and increase the speed of the output anvil.

Abstract: A surgical retractor includes a structure including a plurality of legs and a plurality of joints, each leg being connected to at least one second leg at a joint. The structure has a non-expanded state, and an expanded state in which the structure forms a three dimensional structure having an internal volume. The structure has first and second manipulator arms, each of the manipulator arms being connected to at least two joints of the structure. The manipulator arms may be manipulated by a hand of a user. The retractor also includes a connector that holds the first and second manipulator arms in a crossed position. The connector holds the first and second manipulator arms at a point of intersection. The connector allows a user to move the manipulator arms and cause an angle formed by the manipulator arms to change. Movement of the first and second manipulator arms causes the structure to move between the non-expanded state and the expanded state.

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.

Abstract: Surgical tools and robotic systems adaptable for treating a left side or a right side of a patient with minimal interference with the patient and surrounding operative site are disclosed. In some embodiments, a surgical tool can include a body, an end-effector, a first connector, a second connector, and a third connector. The end-effector can extend from a distal end of the body and be movable relative to the body about a pivot axis. The first connector can rigidly secure the body to a planar mechanism. The second and third connectors can rigidly secure a distal part and a proximal part of a tracker, respectively, to the body. The first and second connectors can be symmetrical to each other with respect to a plane including a longitudinal axis of the body and the pivot axis and can be suited for attachment of either the tracker or the planar mechanism.

Abstract: An orthopedic cast splitter apparatus for splitting an orthopedic cast may include a frame, a handle pivotally coupled to the frame, a drive rod configured to translate relative to the frame, and a jaws. The jaws may include a first plate coupled to the frame, and a second plate coupled to the drive rod and extending parallel to the first plate, with the second plate being configured to translate relative to the first plate. The jaws also may include a first tooth removably coupled to the first plate and extending beyond an end of the first plate, and a second tooth removably coupled to the second plate and extending beyond an end of the second plate, with the first tooth and the second tooth being configured to be inserted within a fissure formed in the orthopedic cast.

Abstract: A cutting tool and an attachment mechanism configured to removably securely couple the cutting tool and a cutting instrument together. The cutting tool comprises a tang end portion, a tip end portion, and a cutting edge on the tip end portion. The attachment mechanism comprises a first and second clamping members with first and second engagement surfaces, respectively. The second clamping member further comprises a pair of axially-spaced projections extending and a pair of laterally-spaced projections extending past the second engagement surface. The attachment mechanism further comprises an adjustment mechanism configured to selectively adjust the distance between the first and second engagement surfaces. The tang end portion comprises an axially extending coupling slot and a pair of elastically-deformable securement members at lateral sides that extend laterally outward as they extend axially from the tang end portion toward the tip end portion.

Abstract: A sealant delivery system includes a syringe assembly having side-by-side syringes and a vial assembly having side-by-side vials. A first vial is aligned with a distal end of a first syringe and has a vial opening at the proximal end thereof that is closed by a first sealing membrane. A second vial is aligned with a distal end of a second syringe and has a second vial opening at the proximal end thereof that is closed by a second sealing membrane. The vial assembly includes a first piercing element moveable between a retracted position and an extended position for piercing the first sealing membrane to provide fluid communication between the first fluid chamber and the first vial, and a second piercing element moveable between a retracted position and an extended position for piercing the second sealing membrane to provide fluid communication between the second fluid chamber and the second vial.

Abstract: A decompression surgery system includes an instrument shuttle configured to engage a first side of a target anatomical location, the instrument shuttle including a track. The system further includes a working channel configured to couple to and advance along the track of the instrument shuttle, the working channel having a distal end configured to engage a second side of the target anatomical location so that the target anatomical location is positioned between a portion of the instrument shuttle and the distal end of the working channel. The working channel is configured to receive one or more instruments therethrough.

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: A reamer attachment system for attaching a reamer to a robotic arm comprises a reaming guide comprising a guide shaft and a collar attached to the guide shaft, a reamer shaft extending through the collar to articulate against the collar, and a reamer lock couplable to the reamer shaft to engage the collar and prevent axial displacement of the reamer shaft relative to the collar while permitting the reamer shaft to articulate against the collar. A method for collaborative reaming of a bone between a surgical robot and a surgeon comprises positioning a reamer guide at a location in a coordinate system for the surgical robot system using a robotic arm of the surgical robot, coupling a reamer to the reamer guide such that a reamer axis passes through the location, constraining movement of the reamer along the reamer axis, and pivoting the reamer at the location to remove bone.

Abstract: A bone plate includes a main body defining one or more openings and a cavity. A support member formed of a different material than the material of the main body is disposed in the cavity and defines one or more openings, each of which is coaxial with an opening of the main body. The support member extends into circumferential recesses defined by the main body. Circumferential projections bounding each main body opening are disposed between circumferential projections of the main body and are disposed entirely within the support member. Bone plate systems, methods of treatment, and methods of manufacturing are also described.

Abstract: Medical or surgical devices, instruments, systems, and methods for use in optically sensing loads acting on a patient's anatomy may include a surgical device or instrument configured for insertion to a surgical site and an interrogator coupled to the surgical device or instrument via an optical fiber having a sensing area at a location of the surgical device or instrument at which a load is to be sensed. The measured load may be used as being indicative of a load acting on a patient's anatomy. Such measured or determined load may be used to make decisions before, during, or after a patient procedure.

Abstract: A rotary tool configured for high speed condensing and/or cutting action to form a hole. The tool has a body around which is formed a plurality of flutes. Each flute has a cutting face on one side and a densifying face on the other side. A land between adjacent flutes establishes a substantially margin-less working edge along each cutting face. The working edges are configured to produce osseodensification when the tool is operated in the condensing mode. A cavity is formed inside the body with access through its apical end. A plurality of spurs rim the apical end. Each spur has a grinding edge that is offset from said longitudinal axis in the cutting direction of rotation. Some of the flutes open directly into a gullet formed between adjacent spurs. Some of the flutes open directly into leading flanks that fall away from each grinding edge.

Abstract: A joint distraction lever includes a lever body, a projection coupled to the lever body such that the projection is movable relative to the lever body, and a force sensor positioned between the lever body and the projection and configured to measure a force of the projection on the lever body.

Abstract: The disclosure relates to a robotic system for removing bony material from an anatomical structure of a patient, comprising:—a base (4), —an end effector (2) configured to hold a surgical tool (1), —an actuation unit (3) configured to translate the end effector relative to the base at least along one feed axis (A), —a control unit coupled to the actuation unit (3) and configured to turn off the tool (1) and command the actuation unit (3) to translate the end effector (2) along the feed axis (A) while the tool is turned off, the control unit comprising a feedback unit configured to measure a force exerted by the surgical tool (1) onto the anatomical structure during said translation of the end effector (2) and, based on the measured force, detect a contact of the tool with bony material of the anatomical structure.