Abstract: A surgical instrument comprises a first member including a drive engageable with a first mating surface of a bone fastener. A second member is rotatable relative to the first member and includes an element engageable with a second mating surface of the bone fastener. The members are engageable with the bone fastener in a release configuration, an intermediate configuration and a locked configuration. Systems, surgical adaptors, spinal implants and methods are disclosed.

Abstract: A guidewire, which can be used with a surgical navigation system, is provided. An elongate tube body defines a tube lumen and has longitudinally spaced proximal and distal body ends. The tube body includes a first longitudinal biasing portion including at least one first-direction helical cut therealong. The tube body also includes a second longitudinal biasing portion, including at least one second-direction helical cut therealong. The first direction is radially opposite the first direction. A core wire is at least partially located inside the tube lumen and has longitudinally spaced proximal and distal core wire ends. A tracking sensor is located at least partially within the tube lumen.

Abstract: This invention is a system and method for utilizing artificial intelligence to operate a surgical robot (e.g., to perform a laminectomy), including a surgical robot, an artificial intelligence guidance system, an image recognition system, an image recognition database, and a database of past procedures with sensor data, electronic medical records, and imaging data. The image recognition system may identify the tissue type present in the patient and if it is the desired tissue type, the AI guidance system may remove a layer of that tissue with the end effector on the surgical robot, and have the surgeon define the tissue type if the image recognition system identified the tissue as anything other than the desired tissue type.

Abstract: An electronic device includes a processor configured to generate a position movement prediction field indicating prediction of a potential positional change of a branch path by a patient's biological activity for one or more branch paths based on a blood vessel image of a reference frame, correct guidewire information extracted from a blood vessel image of a target frame with respect to a catheter position of the reference frame, and select a branch path to dispose the guidewire information, among one or more branch paths of a blood vessel region based on the position movement prediction field and the corrected guidewire information; and a display configured to visualize the guidewire information on the selected branch path.

Abstract: A user system for a robotic surgical system, the user system including a handheld groundless user interface device configured to control the robotic surgical system, and a user console. The user console includes a seat and a first adjustable, ergonomic arm support linkage coupled to the seat, in which the first arm support linkage is movable between a folded storage configuration and at least one unfolded use configuration corresponding to at least one of a user characteristic and a surgical task characteristic. The at least one unfolded use configuration may be pre-stored in a database.

Abstract: A computer-implemented medical data processing method for controlling a geometric status of a mechatronic articulable arm. Current geometric status data is acquired describing a current geometric status of the mechatronic articulable arm defined by a set of current spatial relationship between connected elements of the mechatronic articulable arm. Changed geometric status data describing a changed geometric status of the mechatronic articulable arm defined by a set of changed spatial relationship between the connected elements is determined based on current device position data, the current geometric status data, changed device position data, and device definition data. Instruction data describing an instruction for changing the geometric status of the mechatronic articulable arm from the current geometric status to the changed geometric status is determined. The instruction describes changes from the current spatial relationship to the changed spatial relationship.

Abstract: One method for fleet management of robotic surgical systems includes receiving, by a management server from a robotic surgery system, a provisioning request; in response to receiving the provisioning request: generating an encryption key pair for the robotic surgery system, the encryption key pair comprising a private key and a public key, communicating the private key to the robotic surgery system, and communicating a set of secure certificates to the robotic surgery system, at least one of the secure certificates enabling secure communications between the robotic surgery system and the management server; receiving from the robotic surgery system, and using the at least one secure certificate enabling secure communications, a message indicating one or more software packages, each software package indicating a version of an installed software package on the robotic surgery system; communicating one or more software updates to the robotic surgery system based on the message; and registering, at the management

Abstract: The present invention is directed to a device for allowing universal surgical tool exchange. The device of the present invention includes a tool-side adapter and a robot-side adapter that combine the benefits of a robot in the operating room (OR) with a system that has minimal impact on the current surgical workflow. The device of the present invention allows surgeons to preserve their natural grip on the surgical tool, creates a reliable and repeatable connection between the tool and the robot, and allows the user to rapidly swap the tools in and out from the surgical robot using a single-handed motion. A unique RFID tag and receiver is embedded in the tool-side adapter and the robot-side adapter, respectively to allow the robot to identify the tool that has been engaged. The present invention is universally applicable to any robotic system that is intended to hold a set of hand instruments.

Abstract: Systems and methods for performing surgical procedures. Such a system includes a cannula having proximal and distal portions. At least one carriage unit is slidably mounted within the proximal portion of the cannula for translation in axial directions of the cannula, and a tool has a shaft that is coupled to the carriage unit and protrudes through a port at the distal portion of the cannula. The tool has a working element mounted on a portion of the shaft that protrudes from the cannula to perform tasks within the cavity. A translation mechanism is provided for translating the carriage unit and its tool in the axial directions of the cannula, and a rotation mechanism is provided for rotating the tool about an axis of its shaft and relative to the first carriage unit. Rotation and translation mechanisms of each carriage unit are preferably individually and independently controlled.

Abstract: An adaptor for detachably connecting a surgical instrument to a robot arm of a robotic surgical system according to an embodiment may include: a base body including a first surface to be attached to the robot arm and a second surface to which an attachment surface of the surgical instrument is mounted; and drive transmission members rotatably provided on the base body. The second surface of the base body includes first and second guide rails respectively corresponding to first and second guide grooves provided on the attachment surface of the surgical instrument. The first and second guide rails of the second surface are configured to be inserted respectively into the first and second guide grooves of the attachment surface, and guide the surgical instrument to be slid to a position where the drive transmission members respectively correspond to rotation members provided on the attachment surface of the surgical instrument.

Abstract: A surgical instrument according to an embodiment may include: a base body including an attachment surface to be attached to the adaptor; an elongated shaft including one end connected to the base body; a treatment tool provided on a side of the other end of the shaft, elongate elements for operating the surgical tool, driven members rotatably provided on the base body and connected with end portions of the elongate elements; a holding member provided such that one end of each driven member is rotatably held by the base body and the other end of each driven member is rotatably held by the holding member; and a movable member provided movable with respect to the holding member and the base body and engageable with an adaptor. The movable member is configured, when moved with respect to the holding member and the base body, to be disengaged from the adaptor.

Abstract: A tool apparatus and a method for actuating a tool apparatus are disclosed. The tool apparatus includes an actuator housing, and an elongate tool manipulator extending outwardly from the actuator housing and having a plurality of control links extending along a length of the tool manipulator. The control links are operable to cause movement of a distal end of the tool manipulator in response to movement of the control links in an actuating direction generally aligned with the length of the tool manipulator. The apparatus also includes a plurality of actuators, each actuator being associated with at least one of the control links and being mounted in the actuator housing to facilitate a range of travel in a transverse direction substantially orthogonal to the actuating direction, and a plurality of linkages.

Abstract: Surgical instruments and their methods of use are disclosed. In some embodiments, the surgical instrument may include a handle and an elongated shaft extending distally from the handle. The surgical instrument may also include a fastener deployment system for deploying fasteners from the elongated shaft including a reciprocating driveshaft disposed within the elongated shaft. In other embodiments, the fastener deployment system may include a follower disposed within the elongated shaft for displacing one or more fasteners within the elongated shaft towards a distal fastener deployment position. In some embodiments, the surgical instrument may include a removable preload lock-out attached to the elongated shaft to prevent the follower from applying a preload to the fasteners.

Abstract: The present invention relates to a head immobilization system for immobilizing a patient's head in a supine position of the patient, the system comprising: a support rail structure adapted to be coupled to a patient rest and extending at least on both lateral sides of the patient's head, a mask frame adapted to be coupled to at least one deformable upper mask sheet, wherein the mask frame is releasably connected to the support rail structure via a first interface section and a second interface section, with at least two pins protruding from the first interface section in a first direction, and at least two pin-receptions provided at the second interface section, wherein each one of the pin-receptions receives one of the pins, and a catch-mechanism for each pin-reception and each corresponding pin, which allows the pin to be pushed further into the pin-reception in the first direction, but which interlocks in case of an attempted withdrawal of the pin from the pin-reception in a second, opposite direction.

Abstract: The present invention is an improved dental drill and system of assisting patients with anxiety due to dental visits. The Audio Drill system collects data such as music and time for the purposes of receiving audio data packets from a mobile device. Mobile devices such as smart phones, tablets, Internet computers, and other hand-held mobile devices are ideal for submitting music to the proposed invention. The affiliations are determined based upon the audio date and other critical markers. The system may even be enhanced by use of features tailored by the user.

Abstract: The tool for extracting broken endodontic instrument has a cylindrical, tubular body. The body has a cap at one end and a conical nose at the opposite end. A gripper tube for gripping a broken endodontic file extends from the conical nose. The body of the tool houses a heating or soldering device equipped with a magazine of balls of solder. The gripper tube has an open tip dimensioned for slidably receiving an end of the broken file and resilient gripper prongs inside the tube allowing insertion of the end of the file but preventing the file from exiting the gripper tube. The heating device may be turned on to melt a ball of solder to solder the gripper prongs to the broken file to further secure the broken file to the gripper tube for extraction of the broken endodontic tube from the root canal.

Abstract: A cartridge and a piston for storing and dispensing a two-component dental material. The cartridge and the piston have a cross-section which substantially correspond to a D-shape in which the perimeter of the D-shape is defined by a plurality of circle segments only. At least two of the circle segments are based on different radii. The invention helps maximizing the time period over which a dental material can be stored in the compartment.

Abstract: An orthodontic appliance may include an outer shell having a plurality of cavities shaped to receive the patient's teeth and generate one or more of a force or a torque in response to the appliance being worn on the patient's teeth. The orthodontic appliance may also include an inner structure having a stiffness different than a stiffness of the outer shell. The inner structure can be positioned on an inner surface of the outer shell in order to distribute the one or more of a force or a torque to at least one tooth received within the plurality of cavities.

Abstract: Systems and methods of simulating dental treatments are disclosed. A method may include capturing a first 2D image of a patient's face, including the patient's teeth, building a parametric 3D model of the patient's teeth and gingiva based on the first 2D image, developing a simulated outcome of a dental treatment of the patient's teeth by rendering the parametric 3D model with the patient's teeth in one or more positions and/or orientations corresponding to the treatment goals of the dental treatment plan, and rendering a second 2D image of the patient's face with gingiva and teeth according to a simulated outcome of the dental treatment plan. As noted herein, the dental treatment plan may include orthodontic and/or restorative elements. The simulated outcome may correspond to estimated outcomes and/or intended outcomes of the dental treatment plan.

Abstract: An orthodontic tool includes a trimmer having a lever, a base, and a spring positioned between the lever and the base. A first substantially transversely extending portion extends from the lever and a second substantially transversely extending portion extends from the base. A cutting surface is associated with each transversely extending portion. The orthodontic tool also includes a tool set having at least two arms coupled together at one end by a fastener and the arms including two or more of a sanding tool, a hook, and a pick.

Abstract: An orthodontic tool includes a trimmer having a lever, a base, and a spring positioned between the lever and the base. A first substantially transversely extending portion extends from the lever and a second substantially transversely extending portion extends from the base. A cutting surface is associated with each transversely extending portion. The orthodontic tool also includes a tool set having at least two arms coupled together at one end by a fastener and the arms including two or more of a sanding tool, a hook, and a pick.

Abstract: An orthodontic appliance can include a shell having a plurality of cavities shaped to receive a patient's teeth is disclosed. The orthodontic appliance may comprise an interior surface and an exterior surface, and an elastic coating covering at least a portion of one or more of the interior surface or exterior surface of the shell. A stiffness of a portion of the orthodontic appliance corresponding to the portion of the shell covered by the elastic coating can be determined by a stiffness of the elastic coating.

Abstract: A system includes a dental appliance having a polymeric shell with a plurality of cavities for receiving one or more teeth; and a biocompatible cosmetic aqueous liquid in the cavities of the polymeric shell of the dental appliance. The aqueous liquid includes a viscosity modifier chosen from a water compatible polymer, a polysaccharide, a silica compound, and mixtures and combinations thereof, a tooth re-mineralizing agent, and water. The aqueous liquid is substantially free of tooth whitening agents and fluoride, and has a refractive index of greater than 1.3 at room temperature.

Abstract: A universal attachment device configured to be secured to a tooth for engagement with a removable dental positioning appliance including a base including a lateral surface including a plurality of faces for effecting a plurality of repositioning forces on a tooth, wherein when the device is engaged with the appliance and when the base is secured to the tooth, one of the repositioning forces is effected upon the tooth and at least one of the other repositioning forces are not effected upon the tooth. A method of using the device is also disclosed.

Abstract: A cap part (1) placed on an interface (100) or on an attachment to act jointly as a scanning post. The cap part has a cavity (2) for housing at least one cylindrical portion (101) with a circular base of the interface or of the attachment. The cap part is configured by a single body having an upper portion (11) formed by a solid head (3) without holes or notches, and a lower portion (12) provided with a longitudinal blind hole forming the cavity (2). The blind hole has a retaining segment (4), the inner wall of which is partially or entirely formed by a concave, cylindrical retaining surface (40) with an elliptical or oval-shaped base for retaining by embedding an essentially cylindrical portion (101) of the interface (100) or of the attachment.

Abstract: A three-dimensional device is fabricated in a layer-by-layer approach using a support material. The support material is deposited in a liquid form on a surface, hardened by cooling or ultraviolet (UV) curing, and selectively ablated to create an area within which the desired structure of the device will be formed. Active material is deposited into this area, and the layer-by-layer process repeated until the three-dimensional device has been completed. Thereafter, any remaining support material is removed by water or other solvent.

Abstract: An oral irrigator handle including a housing and a first fitting, the first fitting including a first fitting inlet in fluid communication with a handle inlet in fluid communication with a fluid source and a first fitting outlet in fluid communication with the first fitting inlet. The handle includes a seal positioned around the first fitting and between the first fitting inlet and the first fitting outlet. A second fitting includes a second fitting inlet in fluid communication with the first fitting outlet and a second fitting outlet in fluid communication with the second fitting inlet. A bottom portion of the second fitting seats on a portion of the first fitting so that the seal engages an interior surface of the second fitting, a flow passage is coupled to the second fitting and in fluid communication with the second fitting outlet.

Abstract: A light device includes an elongated arm comprising a plurality of light emitting diodes (“LEDs”) disposed at a first end of the elongated arm and configured to be positioned inside an oral cavity and to deliver one of a plurality of types of light treatments to the inside of the oral cavity according to a selected one of a plurality of operating modes. The light device further includes a body coupled to the elongated arm at a second end of the elongated arm. The body includes a battery for providing power to the LEDs. The body further includes a mode module coupled to the battery and the plurality of LEDs and configured to deliver power from the battery to at least one of the plurality of LEDS based on the selected operating mode.

Abstract: An incontinence clamp is provided. The incontinence clamp includes an upper clamp arm and a lower clamp arm. Each of the upper and lower clamp arms include a first end, a second end, an inner surface and an outer surface. The inner surfaces face each other. A hinge pivotally connects the first ends of the upper and lower clamp arms together. An upper guide is coupled to the inner surface of the upper clamp arm and a lower guide is coupled to the inner surface of the lower clamp arm. A connector releasably connects the second ends of the upper clamp arm and the lower clamp arm together.

Abstract: The system and method for laparoscopic repair of abdominal wall hernia using umbrella mesh includes an umbrella mesh having a substantially circular mesh attached to an umbrella-like frame having a plurality of radially spaced spokes resiliently mounted at a hub, the spokes being hollow and housing helical tacks. The umbrella mesh is folded and mounted on an umbrella load cartridge. The cartridge may be loaded on the distal end of a pistol-grip laparoscopic instrument having a rotary control for orienting the mesh over the weakened area, a mesh release handle for gradually opening and releasing the mesh, and a firing handle for firing helical tacks from the spokes for fastening the mesh to the supporting abdominal wall.

Abstract: A size adjustable cover used for soft tissue reinforcement which is adapted to envelop an implantable device, such as a breast implant, in a surgical application. The cover is formed using a circular two-dimensional implantable matrix material having an inner circle and a plurality of fringes which radiate circumferentially from the inner circle. The implantable device is positioned upon the inner circle, and the plurality of fringes are folded inwardly to form an overlapping implant pocket which envelops the implantable device. Each fringe further has a punched opening, allowing a loop of suture thread to link each fringe together. Certain fringes are excluded from the loop to create stabilization tabs which radiate from the inner circle and are attached to a site of host implantation to stabilize the cover and the implantable device within.

Abstract: An apparatus includes a flexible container, a port, and a support structure. The container includes a first layer coupled to a second layer to define a storage volume within which a tissue specimen can be contained. The first layer is characterized by a first stiffness and the second layer characterized by a second stiffness. An edge of the first layer is spaced apart from an edge of the second layer to define an opening into the storage volume. The edge of the first layer and the edge of the second layer are configured to form a peelable seal that hermetically seals the storage volume such that the first layer can be peeled away from the second layer to expose the storage volume. The port is coupled to the flexible container and allows fluid communication between the storage volume and an external volume. The support structure is configured to support the tissue specimen within the storage volume and is characterized by a third stiffness.

Abstract: Systems and methods for the intravascular treatment of clot material within a blood vessel of a human patient are disclosed herein. A method in accordance with embodiments of the present technology can include, for example, positioning a distal portion of a catheter proximate to the clot material within the blood vessel. The method can further include coupling a pressure source to the catheter via a tubing subsystem including a valve or other fluid control device and, while the valve is closed, activating the pressure source to charge a vacuum. The valve can then be opened to apply the vacuum to the catheter to thereby aspirate at least a portion of the clot material from the blood vessel and into the catheter.

Abstract: The invention provides a filter assembly including a string or wire such that a lasso type cincture is effected, said filter being openable and closeable while in deployed within a bodily vessel. A string lengthen or shorting adjustment mechanism, such as a ratchet or reel allows more length of string into the device or alternatively to shorten the length of available string in the system. The described invention, when used to ameliorate venous clots and most arterio-venous dialysis grafts, a filter-tipped aspirator is used downstream from the clot to capture and remove dislocated emboli. A method of using same is disclosed.

Abstract: The invention provides a filter assembly including a string or wire such that a lasso type cincture is effected, said filter being openable and closeable while in deployed within a bodily vessel. A string lengthen or shorting adjustment mechanism, such as a ratchet or reel allows more length of string into the device or alternatively to shorten the length of available string in the system. The described invention, when used to ameliorate venous clots and most arterio-venous dialysis grafts, a filter-tipped aspirator is used downstream from the clot to capture and remove dislocated emboli. A method of using same is disclosed.

Abstract: A bioartificial device, such as a bioartificial pancreas, for implantation in a patient's vascular system. The bioartificial pancreas includes a scaffold adapted to engage an interior wall of a blood vessel, a cellular complex support by the scaffold and extending longitudinally within the interior cavity of the scaffold so as to be exposed to the blood flow when the scaffold is engaged with the blood vessel, the cellular complex support comprising one or more pockets bordered by thin film; and cellular complex comprising pancreatic islets disposed in the one or more pockets, the thin film being adapted to permit oxygen and glucose to diffuse from flowing blood into the one or more pockets at a rate sufficient to support the viability of the islets. The invention also includes methods of making and using a bioartificial pancreas.

Abstract: A stent body having a frame having a plurality of openings. A first cover overlies and is attached to the frame to cover a first portion of the frame and has a free floating end unattached to the frame. A second cover overlies and is attached to the frame to cover a second portion of the frame, the second cover having a free floating end unattached to the frame. The first cover overlaps a first region of the second cover.

Abstract: A hair implant suitable for subcutaneous implantation is provided having an anchor comprising an anchor body, and at least one collagen receiving structure selected from the group consisting of at least one tunnel disposed through the anchor body and an external surface feature of the anchor body. The anchor further comprises at least one hair strand projecting from a distal end of the anchor body, wherein the at least one collagen receiving structure is configured to support collagen ligature growth after subcutaneous implantation of the hair implant so as to anchor the anchor to a hair implant recipient, and the collagen receiving structure is free of hair.

Abstract: Provided are intraoperative devices, the devices comprising a substrate having a plurality of discontinuous cuts formed therein, the plurality of discontinuous cuts being formed such that when the substrate is subjected to deformation, the substrate is capable of deformation beyond an initial state so as to achieve a first shaped three-dimensional state. Through design of the cut patterns in 2D, one can locally control the stretchability and elasticity within the substrate. The substrate can then be deformed into a 3D structure that can provide shape and support to reconstructed tissue in the desired regions while also minimizing operative time and cost. Also provided are related methods of using the disclosed devices; the devices can be used in autologous tissue donation procedures as well as prosthetic procedures.

Abstract: Soft tissue repair grafts are provided for supporting, covering, and/or retaining an implant positioned in the body of a subject. The grafts are particularly suitable for use for pre-pectoral breast reconstruction with a breast implant or tissue expander. The grafts include positional notches for more accurate positioning in a subject. The grafts also include at least one cuff element which is folded to form a reinforced folded edge for suturing the graft more securely to adjacent tissues than previously known grafts. The grafts also include a plurality of arcuate slots which form a plurality of circular patterns arranged concentrically about a focal point, thereby enabling the grafts to expand without tearing and to conform more closely to the implant and/or adjacent body tissues such as the breast pocket, than previously known grafts. Acellular dermal matrices are particularly suitable for making the soft tissue repair grafts.

Abstract: The present invention provides novel intraocular lens compositions comprising a hydroxyl functional acrylic monomerand have a high Abbe number, minimal glistenings, and suitable mechanical properties for small incision delivery.

Abstract: An intraocular lens (IOL) with a shape-changing optic is provided. The shape-changing optic includes an elastic anterior face located anterior to the equator. The anterior face has an anterior surface, a posterior surface, and a periphery. The shape-changing optic also includes a posterior face having an anterior surface, a posterior surface, and a periphery. An elastic side wall can extend across the equator and extend from the anterior face to the posterior face. A chamber can be located between the anterior face and the posterior face. The IOL can further include at least one haptic extending from the periphery of the anterior face, the periphery of the posterior face, or both.

Abstract: Systems, methods, and apparatuses for removably attaching a drive mechanism handpiece to an intraocular lens (IOL) cartridge that folds the IOL upon removal of a cap, are provided. The IOL cartridge comprises a nozzle and a housing comprising a slide. A compartment configured to receive an IOL is disposed within the housing. An interior portion of the slide is exposed to the compartment. The nozzle is in fluid communication with the compartment. The cap covers the nozzle and the slide. The cap is configured to expose the nozzle and advance the slide to fold the IOL upon removal of the cap.

Abstract: A transcatheter atrio-ventricular valve prosthesis for functional replacement of an atrio-ventricular heart valve in a connection channel, the prosthesis comprising a radially expandable tubular body extending along an axis, and a valve arranged within and attached to the tubular body. The tubular body is provided with an outer circumferential groove which is open to the radial outside of the tubular body, whereby the tubular body is separated by the outer circumferential groove into first and second body sections. The tubular body is provided with a first plurality of projections which extend from the first or second body section in an axial direction of the tubular body and each of which has a free end arranged to overlap the outer circumferential groove. An elongate outer member may be disposed at the exterior of the connection channel wall structure at a level of the circumferential groove.

Abstract: An implant includes a frame comprising a tubular body formed by a plurality of interconnected struts that are manufactured to reduce stresses and strains resulting from component interaction during chronic use. At least a portion of a longitudinal corner of one or more struts of the frame may be chamfered, rounded, or otherwise modified to distribute stresses experienced at the strut corner throughout the strut body. Chamfering and/or rounding corners along at least a portion of a strut of the frame may reduce stresses on the frame caused by interactions between the frame and other components of the implant. The implant may be manufactured by cutting (e.g., laser cutting) a plurality of struts from a tubular metal alloy, polymer, or the like forming the tubular body, and softening at least a portion of an edge of the strut by cutting, grinding, and/or micro-blasting the edges of the corner.

Abstract: A medical implant includes a body and a porous structure attached to the body. A boss integral with the body extends outwardly from a surface of the body. The porous structure has a surface that cooperates with the boss of the body to prevent pullout of the body from the porous structure. In fabricating the medical implant, the body and the porous structure are formed separately and subsequently secured together.

Abstract: An inserter includes a first end, a second end, and a body extending between the first end and the second end. A first impacting surface is disposed at the first end, and a second impacting surface is disposed adjacent to the second end. An interface disposed at the second end and is configured to engage an implant. The first impacting surface is configured to direct a first impacting force along the body of the inserter in a first direction, and the second impacting surface is configured to direct a second impacting force along the body in a second direction that is different from the first direction. Methods of use also are disclosed.

Abstract: An implant includes a curved first plate section having a curvature about a longitudinal axis extending in a longitudinal direction. The first plate section has a first hole and a second hole. The first hole and the second hole are positioned to receive respective bone screws for attaching the implant to a first curved surface of a bone having a syndesmosis. A second plate section extends continuously from the first plate section. The second plate section has at least a third hole that is positioned to be offset from the first hole and the second hole in a direction that is anterior or posterior from the first hole and the second hole in a case where the longitudinal axis is aligned along a superior-inferior direction. The third hole is configured to receive at least one screw or at least one button for holding a suture at a position offset from the first line segment hole and the second hole in the anterior or posterior direction, for reducing the syndesmosis.

Abstract: A bone fusion implant is provided for treating conditions of Proximal Interphalangeal (PIP), Distal interphalangeal (DIP), and metatarsophalangeal (MTP) foot joints. The bone fusion implant may be a cortical bone allograft sized to fuse the foot joint to be treated. A proximal portion of the implant may be pressed into a hole drilled in a proximal bone portion of the foot joint, and a distal portion of the implant may be pressed into a hole drilled in a distal bone portion of the foot joint. Ramps on the proximal and distal portions facilitate press-fitting the implant into the holes in the bone portions. Side ramps ensure that the bone fusion implant remains substantially aligned with the foot joint while the distal portion is pressed into the hole into the distal bone portion. Grooves on the ramps alleviate pressure and ease inserting the implant into the holes in the bone portions.

Abstract: Techniques for implantable orthopedic pain management devices are disclosed, including incising an opening in a synovial capsule substantially surrounding a joint, using a first tool to form an enlarged opening in the synovial capsule, determining whether to modify the joint, the joint being modified using a second tool if a bone structure coupled to one or more bones is found within the joint and the bone structure is configured to limit articulation of the one or more bones when an implantable device is inserted into the synovial capsule and the joint, and inserting the implantable device into the synovial capsule through the enlarged opening, the implantable device being inserted into the joint using a third tool.