Abstract: Systems and methods of repairing tissue are disclosed. Systems and methods may repair an opening through a hip capsule. Systems and methods preferably repair the tissue while minimally encroaching on the tissue immediately behind the repair, such as the hip joint tissues. Some systems may repair the tissue with a suture passer having a needle that slides in axial alignment with the passer and includes a first recess for passing the suture in a first axial direction and a second recess for passing the suture in an opposing axial direction. Some systems may pass a portion of a repair construct in a retrograde direction, placing the repair construct in a preferred arrangement accommodating for the stresses on the tissue.

Abstract: Systems for fusing arthroscopic video data are described. A system comprises an arthroscopic assembly, an inertial measurement unit (IMU) mounted on the arthroscopic assembly, a processor, and a processor-readable storage medium. An arthroscopic surgical plan, images from the arthroscopic assembly, and measurements from the IMU may be obtained. The images and the measurements may be combined to form a data combination. The data combination may be filtered to form a fused data set. The fused data set may control a device. A map of an arthroscopic surgical site may be created based on the fused data set, and a position of the arthroscopic assembly with respect to the arthroscopic surgical site may be calculated. The arthroscopic surgical plan may be updated based on at least one of the map of the arthroscopic surgical site and the position of the arthroscopic assembly.

Abstract: A method for optimizing a knee arthroplasty surgical procedure includes receiving pre-operative data comprising (i) anatomical measurements of the patient, (ii) soft tissue measurements of the patient's anatomy, and (iii) implant parameters identifying an implant to be used in the knee arthroplasty surgical procedure. An equation set is selected from a plurality of pre-generated equation sets based on the pre-operative data. During the knee arthroplasty surgical procedure, patient-specific kinetic and kinematic response values are generated and displayed using an optimization process. The optimization process includes collecting intraoperative data from one or more surgical tools of a computer-assisted surgical system, and using the intraoperative data and the pre-operative data to solve the equation set, thereby yielding the patient-specific kinetic and kinematic response values. A visualization is then provided of the patient-specific kinetic and kinematic response values on the displays.

Abstract: Optical tracking of objects in arthroscopic surgery. Examples comprise a resection instrument system including: a handpiece; a mechanical resection device comprising a stationary outer hub, an elongate outer tube coupled to and extending away from the stationary outer hub, and a cutter disposed at a distal end of the elongate shaft, the stationary outer hub coupled to the handpiece; a fiducial array; and a sleeve connector. The sleeve connector may include: a sleeve defining a distal end, a proximal end, and a through bore, the sleeve concentrically arranged with the elongate shaft; an array connector coupled to the proximal end of the sleeve, the array connector coupled to the fiducial array.

Abstract: Surgical methods and devices that facilitate registration of arthroscopic video to preoperative models are disclosed. With this technology, a machine learning model is applied to diagnostic video data captured via an arthroscope to identify an anatomical structure. An anatomical structure in a three-dimensional (3D) anatomical model is registered to the anatomical structure represented in the diagnostic video data. The 3D anatomical model is generated from preoperative image data. The anatomical structure is then tracked intraoperatively based on the registration and without requiring fixation of fiducial markers to the patient anatomy. A simulated projected view of the registered anatomical structure is generated from the 3D anatomical model based on a determined orientation of the arthroscope during capture of intraoperative video data. The simulated projected view is scaled and oriented based on one or more landmark features of the anatomical structure extracted from the intraoperative video data.

Abstract: A method for optimizing a knee arthroplasty surgical procedure includes receiving pre-operative data comprising (i) anatomical measurements of the patient, (ii) soft tissue measurements of the patient's anatomy, and (iii) implant parameters identifying an implant to be used in the knee arthroplasty surgical procedure. An equation set is selected from a plurality of pre-generated equation sets based on the pre-operative data. During the knee arthroplasty surgical procedure, patient-specific kinetic and kinematic response values are generated and displayed using an optimization process. The optimization process includes collecting intraoperative data from one or more surgical tools of a computer-assisted surgical system, and using the intraoperative data and the pre-operative data to solve the equation set, thereby yielding the patient-specific kinetic and kinematic response values. A visualization is then provided of the patient-specific kinetic and kinematic response values on the displays.

Abstract: Apparatus and methods are disclosed for determining and placing a first bony segment in relation with a second bony segment, both segments belonging to the same bone, including cutting said bone partially, to separate it into the first and second bony segment. The two bony segments are linked together by a bony hinge and placing the two boney segments in relation to each other may include distracting both bony segments around said hinge. The hinge may be configured to allow distraction of both bony segments around a single degree of freedom of the hinge and accommodate corrections in two substantially orthogonal planes.

Abstract: Systems and methods for performing an osteotomy with robotic assistance are disclosed. The disclosed systems and methods includes receiving a three-dimensional model of a patient bone, receiving a surgical plan, determining, based on the three-dimensional model and the surgical plan, one or more corrective cuts to be made to the patient bone, and performing, using a tracked end effector interfaced to a robotic arm, the one or more corrective cuts. A surgeon may utilize software, tracking, robotics, and the like to plan and execute bone resection in complex and/or intricate shapes not previously possible.

Abstract: A system for displaying an intraoperative user interface for a surgical procedure is disclosed. The system comprises an arthroscopic imaging device, a display device, an input device, a processor, and a non-transitory, computer-readable medium. The arthroscopic imaging device is configured to capture one or more images of a patient anatomy within a joint of a patient. The input device is configured to receive input from a user. The processor is configured to receive the images from the arthroscopic imaging device and display a user interface on the display device that includes the images from the arthroscopic imaging device. The processor is also configured to receive the input from the input device, display one or more visual overlays over the one or more images based on the input, and apply one or more digital markers in a fixed location on the one or more images based on the input.

Abstract: A medical implant for treating a shoulder joint. The implant includes a humeral head attachment region configured to be attached to a humeral head of the shoulder joint, a glenoid attachment region configured to be attached to a glenoid of the shoulder joint, and a rotator cuff tendon attachment region configured to be attached to a rotator cuff tendon of the shoulder joint.

Abstract: A tissue repair assembly is disclosed, including a soft anchor body and at 5 least a first suture operably coupled to the anchor body. Tensioning on first and/or second ends of first suture may deploy the anchor body to a second configuration, in which the anchor body is axially compressed and radially extended. The tissue repair assembly may also include a means to cinch around a portion of a first and/or second suture and knotlessly lock the tissue repair assembly. Some embodiments 10 may include a pre-formed knot. In some embodiments, the preformed knot may be a nail knot, provided wrapped around an insertion instrument and configured to receive and cinch around a suture extending therethrough.

Abstract: Methods and devices for tissue graft fixation include fixation devices attached to an adjustable fixation loop of suture without compromising the graft or requiring additional material to complete the repair. Other fixation devices are attachable to an independent adjustable suture system. Adjustable fixation loops minimize slip/creep of the suture within the loop.

Abstract: A system and method for harvesting autologous tissue, mincing it into fragments that are visible and measurable when filtered, and delivering a portion of the tissue back into the patient without the need to directly touch the tissue. During the same surgical procedure, the tissue can be mixed with a biocompatible agent before introduction into the repair site.

Abstract: A system and method for harvesting autologous tissue, mincing it into fragments that are visible and measureable when filtered, and delivering a portion of the tissue back into the patient without the need to directly touch the tissue. During the same surgical procedure, the tissue can be mixed with a biocompatible agent before introduction into the repair site.

Abstract: Systems and methods of repairing tissue are disclosed. Systems and methods may repair an opening through a hip capsule. Systems and methods preferably repair the tissue while minimally encroaching on the tissue immediately behind the repair, such as the hip joint tissues. Some systems may repair the tissue with a suture passer having a needle that slides in axial alignment with the passer and includes a first recess for passing the suture in a first axial direction and a second recess for passing the suture in an opposing axial direction. Some systems may pass a portion of a repair construct in a retrograde direction, placing the repair construct in a preferred arrangement accommodating for the stresses on the tissue.

Abstract: A system for improving graft harvesting is disclosed including a tendon harvesting instrument for producing a graft from a tendon. The instrument includes a handle, a shaft and a blade portion operatively coupled to the shaft. The blade portion defines a cutting edge that at least partially corresponds to the shape of a graft cross section of the graft. The blade portion is inserted into the tendon by axially rotating the instrument shaft. The blade portion may include a free end for piercing the tendon as the blade portion is rotated into the tendon. The harvesting instrument may also include amputating means for removing the end connection of the graft to the tendon, the amputating means including a means of changing an orientation of an end portion of the cutting edge.

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: The present disclosure relates to a system for use in tissue repair. The system includes a cannulated guide, an obturator configured for insertion through the guide, a drill configured for insertion through the guide, and an anchor delivery tool configured for insertion through the guide.

Abstract: A system and method for harvesting autologous tissue, mincing it into fragments that are visible and measureable when filtered, and delivering a portion of the tissue back into the patient without the need to directly touch the tissue. During the same surgical procedure, the tissue can be mixed with a biocompatible agent before introduction into the repair site.

Abstract: The present disclosure concerns a surgical instrument for manipulating suture. In particular, the present disclosure relates to an instrument for passing suture through tissue. There is described a surgical instrument having a shaft and a handle connected to the proximal end of the shaft. The shaft is formed from a tubular member having a proximal end and a distal end, with a lumen extending between the proximal and distal ends, and a tip distal to the tubular member. The shaft also includes a distal portion having an opening in a sidewall, proximal to the tip. The opening is in communication with the lumen through a side channel. The instrument further includes a suture snare, the snare being slidably receivable within the lumen and side channel, and movable between extended and retracted positions for capturing suture.