Abstract: A system and device (110) for determining bone laxity. For example, the system includes a tracked probe (300) comprising at least one probe marker (310) and a computer assisted surgical (CAS) system (100). The CAS system includes a navigation system (130) and a processing device (110) operably connected to the navigation system and a computer readable medium configured to store one or more instructions that, when executed, cause the processing device to receive location information from the navigation system, generate (820) a surgical plan comprising a post-operative laxity assumption (720), collect (850) first motion information related to movement of the joint through a first range of motion, collect (860) second motion information related to movement of the joint through a second range of motion, determine (870) a post-operative laxity (710), and compare the post-operative laxity and the post-operative laxity assumption to determine laxity results.

Abstract: Devices and methods for an autovance intraosseous device. The autovance intraosseous device can include a trigger activated system or pressure activated system that causes a needle to advance distally for a predetermined distance. The predetermined distance ensures a needle tip extends through the bone cortex, to access the medullary cavity, without penetrating a far wall of the medullary cavity. The advancement can be driven by a spring based system or an electric motor.

Abstract: Devices and methods for stabilizing bone. An exemplary device may comprise a plate, an arm, and a buttress member. The plate may define one or more apertures configured to receive one or more fasteners that secure the plate onto a first bone region. The arm may project from an edge of the plate. The buttress member may be connected pivotably to an end of the arm. The buttress member may be configured to be pivoted by contact with a second bone region to conform an orientation of the buttress member to the second bone region, and may apply compression to, and/or support, the second bone region.

Abstract: A bone fastener assembly instrument that can assemble a two-component bone fastener during surgery is provided. The bone fastener may be of a type that comprises a threaded bolt and nut for securing an implantable device to bone, such as a spinous process. A method for using the bone fastener assembly instrument is also provided.

Abstract: A laryngopharyngoscope retractor system including: a plurality of components including: a base frame with a coupling region and a spatula holder that is adjustable in terms of position and orientation by way of adjusting screws; a spatula that is releasably fastenable in the spatula holder; two cheek holder adapters that are releasably fastenable to the base frame; and two cheek holders, each of which is releasably fastenable to a respective cheek holder adapter, wherein one or more of the base frame, the spatula holder, the spatula, the cheek holder adapter and the cheek holder, in the respective regions provided for the releasable connection to another one of the plurality of components have a visible unique code that corresponds to the corresponding regions on the other of the plurality of components.

Abstract: An instrument for establishing orientation of a pelvic prosthesis comprises a hub, a first arm attached to and extending from the hub, and a second arm attached to and extending from the hub. The first and second arms define a nominal plane of the apparatus, and may extend from the hub at an angle relative to each other. Distances between the first and second legs and between the first and third legs are adjustable. The first, second, and third legs have tips, and the tips of the first, second, and third legs define a plane having a predefined geometric relationship to the nominal plane of the apparatus.

Abstract: A device includes an outer sleeve of flexible material forming an outer conduit extending longitudinally therethrough for the insertion of a bone treatment device (“BTD”) to target sites within a living body. A distal opening of the outer conduit is open so that, when the outer sleeve is in a desired position within the body, BTD is inserted through the outer conduit exits the outer sleeve adjacent to a target portion of a bone. The device also includes an inner sleeve received within the outer sleeve and defining an inner conduit within the outer conduit to form a protective covering. The inner sleeve is split longitudinally. Portions of the inner sleeve on opposite sides of the split are coupled to one another so that a diameter of the inner conduit is adjustable in response to forces exerted thereon by one of BTD and tissues surrounding the outer sleeve.

Abstract: The invention provides a surgical device for performing a controlled resection of the neck of a femur during a hip replacement procedure. The surgical device comprises a body portion having: a frame comprising an aperture dimension for receipt of a femoral head of the femur to position the body portion with respect to a centre of the femoral head; a resection guide for indicating a position of a resection plane on the femoral neck, and an arm extending between the frame and the resection guide. The body portion includes a linear alignment surface for alignment with a femoral shaft axis of the femur while the frame is mounted on the anterior or posterior aspect of the femoral head.

Abstract: A method facilitates the treatment of the spine of a patient by providing simultaneous access through at least a first opening and a second opening formed in the patient. For example, the method can include the acts of positioning the patient on a surgical table, providing the first opening into a posterior portion of the patient, providing the second opening into a lateral portion of the patient, inserting a first device through the first opening into the patient to contact the spine in a first direction that is transverse to the coronal plane of the patient, and inserting a second device through the second opening into the patient to contact the spine in a second direction that is transverse to the sagittal plane of the patient, where the first and second openings are accessible simultaneously, and, when the first and second devises are inserted into the patient, the position of the patient is stationary with respect to a portion of the table.

Abstract: An electronically assisted artificial vertebral disc having an upper disc plate and a lower disc plate is disclosed. An actuator imparts movement to at least one of the upper and lower disc plates. A control device controls the actuator and the amount of movement between the disc plates. The actuator includes a plurality of either linear actuators or rotary actuators that are driven by electric motors in response to the control device. The control device includes at least a first sensor for detecting the position of the actuator and at least a second sensor for detecting the spatial orientation of at least one of the upper and lower disc plates. The control device also preferably includes a microprocessor that calculates the desired positions of the upper and lower disc plates and provides a control signal to the actuator to drive the upper and lower disc plates to their desired positions.

Abstract: Implantable fixation devices for rejoining opposed portions of a separated bone. The devices include plates that may be affixed to a rib and realign separated portions of the rib or other body part. The devices may also include various locking mechanisms that receive a cable that may be used to realign and bring together separated portions of a bone or other body part. The devices may further include plates that may be affixed to a sternum and realign separated portions of the sternum or other body part.

Abstract: A surgical access system comprising a tissue dilation assembly and a tissue retraction assembly, both of which may be equipped with one or more electrodes for use in detecting the existence of (and optionally the distance and/or direction to) neural structures.

Abstract: A housing containing an electrical energy source is coupled between a first end cap comprising a control and an interstitial member comprising an LED selectively electrically couplable to the electrical energy source by the control, and a second end cap coupled to the interstitial member comprises an optical filtering component in optical alignment with light emitted by the LED. At least a portion of an exterior of at least one of the housing, the first end cap, the interstitial member, and the second end cap may have a cross-sectional shape that is not substantially circular. The end caps, housing, interstitial member, and optical filtering component may each be sealingly interconnected. A method of using the apparatus may comprise directing light emitted by the apparatus into a human oral cavity without inserting the apparatus into the human oral cavity.

Abstract: A driven fastener guide for guiding a fastener into a hole of a bone plate. The driven fastener guide includes an elongated driver configured for connecting to a drill and a fastener guide member operably connected to the elongated driver. The fastener guide member includes a split body and a through-bore configured for receiving the fastener. The fastener guide member is configured for aligning the fastener relative to the hole of the bone plate.

Abstract: A vertebral insert may include a first linkage, a second linkage, and a third linkage. The first, second, and third linkages may at least partially defining a cavity. The insert may be movable between a collapsed configuration and an expanded configuration, and the movement of the first and second linkages with respect to one another may be configured to reciprocally move the insert between the collapsed and expanded configurations.

Abstract: A fastener guide that includes a body. The body includes a through-bore configured for receiving a fastener and an end configured for contacting a bone plate. The fastener guide further includes at least one member configured for contacting and retaining the fastener within the body.

Abstract: Implant positioning devices for use with and assisting in positioning orthopaedic fixation devices (such as bone plates, etc.). An implant positioning device may include a body that has a fastener guide with slits in a first end of the fastener guide that form a retaining arm proximal to the first end of the fastener guide. The implant positioning device may also be coupled to a bone plate by a retaining beam positioned within the implant positioning device to facilitate ease of alignment and insertion of the fastener into a fastener apertures of the bone plate.

Abstract: A system including includes an intraosseous needle and a handle. The intraosseous needle includes a distal end configured for insertion into a bone and a proximal end configured to extend from the bone. The handle is configured to releasably engage the intraosseous needle. The handle includes a cylindrical body portion, a handle portion, and a channel. The cylindrical body portion includes a distal end configured to receive the proximal end of the intraosseous needle. The handle portion extends from the cylindrical body portion and has a bulb-like cross-sectional shape and opposing first and second substantially planar surfaces. The channel is configured to receive the proximal end of the intraosseous needle.

Abstract: Implant delivery systems for delivering sheet-like implants include a delivery shaft, an implant expander, a sheath, and a sheet-like implant. In some embodiments, the delivery shaft has a proximal end and a distal end. The implant expander is mounted to the distal end of the delivery shaft. The implant expander includes a central portion and a plurality of leg portions radiating from the central portion. The implant expander is evertable between an unstressed configuration in which a distal surface of the implant expander defines a concave surface, and a first compact configuration in which the distal surface of the implant expander defines a convex surface. The implant expander has a first lateral extent when the implant expander is free to assume the unstressed configuration. The sheath defines a lumen having a lumen diameter. At least a portion of the delivery shaft is slidably disposed in the lumen.

Abstract: A patella fracture fixation system includes a bone plate that is configured to be implanted along an anterior approach. The bone plate has a fixation hub and a plurality of fixation nodes that are connected to the fixation hub. The fixation hub and the fixation nodes can define respective fixation holes. The bone plate can further include legs that are configured to be bent around respective inferior aspects of the patella.