Abstract: A surgical device and method for performing a controlled resection of the neck of a femur during a hip replacement procedure. The surgical device includes a body portion. The body portion has a mounting portion. The mounting portion is mountable on a femoral head of the femur to position the body portion with respect to a center of the femoral head. The body portion also has an opening for mounting the body portion on an intramedullary pin located in an intramedullary canal of the femur. The surgical device also includes a resection guide. The resection guide is adjustably locatable at a plurality of positions on the body portion for positioning a resection plane indicator of the resection guide with respect to the neck of the femur according to a measured radius/diameter of the femoral head.

Abstract: A twist-drivable pin assembly includes first and second drivers, each having a driving end which can be received in a bore in the end of a twist-drivable pin, and an opposite end at which torque can be applied. The cross-sectional shape of each of the drivers at its driving end has a first plurality of apexes whose relative locations coincide with the apexes of a regular polygon such as a hexagon. The drivers differ from one another in their cross-sectional shapes at the driving end by virtue of one or more faces of at least one of the drivers between adjacent pairs of apexes having a groove formed in it. Each of first and second twist-drivable pins has a bore extending into it which is defined by a second plurality of apexes arranged as a regular polygon such as a hexagon and which is open at one end.

Abstract: A connection member for connecting a surgical tool to a plurality of different kinds of corresponding connector. A surgical tool including the connection member. A surgical kit including the surgical tool. The connection member includes an elongate shaft having a longitudinal axis, a proximal end and a distal end. The connection member also includes a plurality of connection features located at the proximal end of the shaft. The plurality of connection features includes at least one connection feature for mating with a first kind of corresponding connector. The plurality of connection features also includes at least one connection feature for mating with a second, different kind of corresponding connector. The connection member may be a male connection member and the corresponding connectors may be female. A method including providing the surgical tool and connecting the connection member to a corresponding connector.

Abstract: A replaceable battery unit for a surgical power tool and a method of operating a surgical power tool including the replaceable battery unit. The replaceable battery unit includes a housing containing one or more battery cells, a motion sensor unit, and a controller. The controller is operable to determine, from an output of the motion sensor unit, a sudden movement of the replaceable battery unit indicative of a kickback event of the surgical power tool. The controller is also operable, in response to the determination, to disconnect power from the replaceable battery unit to the surgical power tool.

Abstract: Kits and methods for use in intraoperative trailing of hip prostheses to determine an appropriate length for the femoral neck component of a prosthetic hip joint, are described. A kit for use in selecting a femoral neck component of an orthopaedic joint prosthesis kit comprises a first (10) and a second (110) broach. Each of the first and second broaches has a neck connection element comprising a projection (12, 112) extending from a proximal surface (14, 114) of the broach, each projection having a length (L). The projection on the first broach has a different length than the projection on the second broach. The kit also includes a trial femoral neck (30) component having a neck connection element in the form of a recess (36) in a distal surface (34).

Abstract: A femoral trialling kit and method for assessing acetabular cup orientation during a left hip joint surgical procedure and a right hip joint surgical procedure are described. The kit includes a trial femoral head (104, 414, 514, 614, 814) having an inner wall defining a cavity extending along a head axis and a visual alignment guide on an outer surface of the trial femoral head and a trial femoral neck (126, 412, 512, 612, 812) having a taper at a free end, the taper being receivable within the cavity. One of the taper and the inner wall has a first anti-rotation feature (684, 698) and a second anti-rotation feature (686, 700), the first anti-rotation feature and the second anti-rotation feature being inclined, and the other of the taper and the inner wall has a third anti-rotation feature (702).

Abstract: The invention relates to an attachment mechanism for detachably coupling a first component to a second component as part of a surgical instrument. There is also provided a surgical instrument comprising the attachment mechanism.

Abstract: A bent trial femoral neck (400) and method for visually assessing the orientation of an acetabular cup implanted in a pelvis of a patient are described. The bent trial femoral neck comprises a body (402) extending along a femoral neck axis, an attachment formation (408, 410) extending from the body for releasably attaching the trial femoral neck to a femoral part received with a femur of the patient and a taper (404). The taper extends along a taper axis and the taper axis is tilted anteriorly relative to the femoral neck axis by an angle configured to position a trial femoral head having an indicium on an outer surface so that the indicium is parallel to a plane of a rim of the acetabular cup, or a rim of a liner within the acetabular cup, when the acetabular cup is oriented in the pelvis of the patient with a target orientation and the hip joint is in a predetermined position.

Abstract: An orientation guide (400, 450, 452, 470, 472, 480, 482, 484, 486, 488, 490, 492, 494) and method for visually assessing the orientation of an acetabular cup implanted in a patient are described. The orientation guide comprises a body (402) adapted to be mounted on a femoral neck, a support (404) extending from the body and an alignment member (406, 483, 491) mounted on the support. The alignment member is tilted relative to the body and configured to extend along an alignment axis parallel to a target anteversion angle of the acetabular cup when the orientation guide in use is attached to the femoral neck and the femoral neck includes a femoral head which is received in the acetabular cup to form a hip joint.

Abstract: Apparatus and Method for Hip Surgery. An adjustable trial femoral head (400) for assessing anteversion of an acetabular cup relative to a pelvis of a patient are described. The adjustable trial femoral head comprises a spherical body (402) having a bore extending along a polar axis of the spherical body and configured to receive a free end of a femoral neck. A visual alignment guide (420) is mounted on the at least partially spherical body and the orientation of the visual alignment guide relative to the spherical body is adjustable.

Abstract: An apparatus and method for measuring a version angle of a restored neck of a femur during a hip replacement procedure. The apparatus includes a broach. The broach has a distal end that is insertable into a medullary canal of the neck of the femur. The broach also has a proximal end that extends along a neck axis of the broach. The apparatus also includes a protractor. The protractor includes a rod which is attachable to the proximal end of the broach to extend away from the neck axis of the broach for measuring the version angle of the restored neck of the femur relative to a vertical direction. The method includes inserting the broach, flexing the knee at approximately ninety degrees, orienting the tibia vertically, attaching the protractor to the proximal end of the broach and using it to measure the version angle.

Abstract: A trial femoral head for use in a trial fitting of a hip prosthesis, the head having an outer surface and a plurality of cavities configured to mate with a male connection member of a femoral stem component, each cavity having an opening located in the outer surface of the head, each opening being of a different size such that when the male connection member of the femoral stem component is mated with a first cavity it is received at a first depth, and when it is mated with a second cavity it is received at a second depth.

Abstract: A bone broach is formed from a plurality of substantially planar members which are positioned adjacent to each other with each of the substantially planar members attached to at least one other substantially planar member. At least some of the substantially planar members defines at least one cutting profile at its perimeter. The plurality of substantially planar members include a first group of substantially planar members defining planes which are substantially parallel to each other, and at least one additional substantially planar member defining a plane which is angled relative to the planes defined by the first group of substantially planar members.

Abstract: The present invention relates generally to the field of orthopedics, and more particularly to a pelvic referencing guide and methods of using the guide in orthopaedic surgery, specifically total hip arthroplasty.

Abstract: A patient status monitor for providing an estimate of the risk of an adverse health event such as death or intensive care readmission based on a first risk estimate using patient data collected over a first time period, such as a stay in an intensive care unit, and a second risk estimate based on current vitals signs measurements. The first and second risk estimates are based on different models, the first being a static logistic regression on data selected from electronic patient records, and the second being a novelty detection algorithm based on a a training data set of vital signs measurements representing normality. The two risk estimates are combined in a weighted combination, with the first risk estimate having a weight which decreases with time from the end of the first time period.

Abstract: An instrument assembly and method for use in hip joint replacement surgery are described. The instrument assembly comprises a guide arm (102) having first (104) and second (106) ends, with a mount (108) at its first end (104) for locating the guide arm (102) relative to a landmark on the patient's back. An instrument (110) is provided at or towards the second end (106) of the guide arm (102) for modifying a patient's acetabulum. The guide arm (102) is arched to accommodate the patient's torso between its first and second ends (102, 104), and defines a reference axis extending between its first and second ends (102, 104) relative to which the instrument (110) is orientated. A surgical method is also described in which the instrument assembly is used in hip joint replacement surgery.

Abstract: A twist-drivable pin assembly includes first and second drivers, each having a driving end which can be received in a bore in the end of a twist-drivable pin, and an opposite end at which torque can be applied. The cross-sectional shape of each of the drivers at its driving end has a first plurality of apexes whose relative locations coincide with the apexes of a regular polygon such as a hexagon. The drivers differ from one another in their cross-sectional shapes at the driving end by virtue of one or more faces of at least one of the drivers between adjacent pairs of apexes having a groove formed in it. Each of first and second twist-drivable pins has a bore extending into it which is defined by a second plurality of apexes arranged as a regular polygon such as a hexagon and which is open at one end.

Abstract: A cutting guide assembly comprises a mounting block having a guide surface into which may be mounted an articulated mounting arm. The mounting arm has a first post which is retained in the mounting block and a second post. A cutting tool attachment component is provided to attach the cutting tool to the cutting guide assembly. The cutting tool attachment component has a first surface against which the saw blade can be retained for oscillation around an axis of oscillation, and a shaft which cooperates with the second post such that the longitudinal axis of the shaft is collinear with the axis of oscillation of the saw blade. When the saw blade is retained against the first surface, the plane of oscillation is parallel to, and displaced from, the guide surface of the mounting block.

Abstract: A cutting guide assembly comprises a mounting block having a guide surface into which may be mounted an articulated mounting arm. The mounting arm has a first post which is retained in the mounting block and a second post. A cutting tool attachment component is provided to attach the cutting tool to the cutting guide assembly. The cutting tool attachment component has a first surface against which the saw blade can be retained for oscillation around an axis of oscillation, and a shaft which cooperates with the second post such that the longitudinal axis of the shaft is collinear with the axis of oscillation of the saw blade. When the saw blade is retained against the first surface, the plane of oscillation is parallel to, and displaced from, the guide surface of the mounting block.

Abstract: The invention provides a device for fitting into a hollow component to provide an indication of whether the hollow component has been deformed, which includes a frame which can be fitted in the) component, and an elongate indicator suspendedly connected to the frame, with any deformation of the frame being visualised as a deflection of the indicator.