Abstract: A sizing caliper for facilitating the selection of a femoral component of a knee prosthesis includes a caliper body, two drill guide bodies, a stylus tower configured to be slidably linked to each other wherein as the caliper body and the stylus tower are linearly displaced at an equal rate relative to the drill guide body portions and the drill guide holes remain located at the midpoint of an anterior/posterior dimension defined by the distance between the tip of the stylus and the base portion. The caliper body comprises a base portion configured to couple and decouple from the caliper body using a sliding mechanism.

Abstract: A procedure and system for determining and placing spinal implants or prostheses includes measuring a change in position of vertebrae at an affected level of a patient's spine from a first position where the patient reports greatest pain at the affected level, to a second position where the patient reports least pain at the affected level. Spinal implants or prostheses are selected so as to urge the affected level of the spine toward the second position and away from the first position when the implants are placed at the affected level. In one embodiment, an implant device is formed by one or more inflatable balloons that are placed at determined locations inside a disc space at the affected level. When the balloons are inflated, vertebrae above and below the balloons are urged toward the second position and away from the first position at the affected level.

Abstract: A patellar resection instrument has an integral depth adjustment assembly that is easily, intuitively, and intra-operatively adjustable between a plurality of discrete positions. Each position corresponds to a particular, known depth of resection, and this depth may optionally be inscribed on the depth adjustment knob for easy visual selection and/or confirmation of the resection depth. The depth adjustment assembly provides positive tactile feedback as the stylus is moved between positions. The unique configuration of the depth adjustment assembly maintains the resection depth stylus in a chosen position throughout the patellar resection procedure, even if the procedure causes vibration or other forces to be transmitted to the patellar resection instrument.

Abstract: The present disclosure relates to a device for use in ligament reconstruction surgery. The device includes a handle, a tube coupled to the handle, and a locking mechanism coupled to the handle. A method for use during ligament reconstruction surgery is also disclosed.

Abstract: An instrument includes a flexible shaft portion and a hook portion. The flexible shaft portion has a proximal end and a distal end and includes markings along an outer surface of the shaft portion. The hook portion is located at the distal end of the shaft portion. The shaft portion and the hook portion define a lumen that terminates in an opening at the hook portion.

Abstract: Methods of selecting and implanting prosthetic devices for use as a replacement meniscus are disclosed. The selection methods include a pre-implantation selection method and a during-implantation selection method. The pre-implantation selection method includes a direct geometrical matching process, a correlation parameters-based matching process, and a finite element-based matching process. The implant identified by the pre-implantation selection method is then confirmed to be a suitable implant in the during-implantation selection method. In some instances, the during-implantation selection method includes monitoring loads and/or pressures applied to the prosthetic device and/or the adjacent anatomy. In some instances, the loads and/or pressures are monitored by a trial prosthetic device comprising one or more sensors. Methods of implanting meniscus prosthetic devices are also disclosed.

Abstract: Embodiments of the invention include templates and methods for evaluating the appropriate size and shape for a medical implant. In particular, some embodiments include expandable templates and methods for evaluating appropriate size and shape for implantation of a spinal rod.

Abstract: The invention includes a system and method for the loosening of tissue. In one embodiment, a method of removing intervertebral tissue includes removing tissue with a loosening member to form a void, inserting a portion of the loosening member into the void, and determining the amount of tissue removed based upon the volume defined by the portion of the loosening member inserted into the void.

Abstract: A surgical resection guide comprising: a housing (36); a stylus arm (38) extending through the housing (36) and a linear adjustment mechanism. The linear adjustment mechanism comprises: a shaft (30) at least partially received within a bore extending through the housing (36) such that the shaft (30) can slide along its longitudinal axis relative to the housing (36), the shaft (30) incorporating a shaft tooth (50); and a dial (44) rotatably coupled to the housing (36) and incorporating a helical dial groove (48) defining a longitudinal axis offset from the longitudinal axis of the shaft (30). The shaft tooth (50) engages the dial groove (48) such that rotating the dial (44) relative to the housing (36) causes the shaft tooth (50) to slide along the dial groove (48) causing the shaft (30) to slide within the bore along its longitudinal axis. The housing (36) and the stylus arm (38) can rotate about the shaft (30) without causing the shaft (30) to slide within its bore along its longitudinal axis.

Abstract: A method for measuring geometric quantities intrinsic to an anatomical system of a patient, based on two stereoscopic images. Registration data are received on each of the two stereoscopic images. By using geometric calibration information, a three-dimensional geometric primitive is determined defined by at least a portion of the received registration data. Based on the three-dimensional geometric primitive, a value of geometric quantity intrinsic to the anatomical system is computed.

Abstract: An instrument for obtaining spinal rod measurements in situ includes a measurement member, a first indicating member, and a second indicating member. The measurement member measures a length between two spinal implants. The first indicating member couples with the measurement member and includes a first measurement scale coupled with a first shaft for engaging a first spinal implant of the two spinal implants. The second indicating member couples with the measurement member and includes a second measurement scale coupled with a second shaft for engaging a second spinal implant of the two spinal implants.

Abstract: A measurement system for measuring a parameter of the muscular-skeletal system is disclosed. The measurement system comprises a capacitor, a signal generator, a digital counter, counter register, a digital clock, a digital timer, and a data register. The sensor of the measurement system is the capacitor. The measurement system generates a repeating signal having a measurement cycle that corresponds to the capacitance of the capacitor. The capacitor comprises more than one capacitor mechanically in series. Electrically, the capacitor comprises more than one capacitor in parallel. In one embodiment, the capacitor includes a dielectric layer comprising polyimide. A force, pressure, or load is applied to the capacitor that elastically compresses the device.

Abstract: An apparatus for locating a central axis of a spinal column and method of using the same is disclosed. The apparatus and method includes one or more members capable of spanning a center line which may then be identified by at least one additional member positioned therebetween. Furthermore, the device may contain or be capable of accommodating various additional tools for marking the location of the central axis of a spinal column.

Abstract: A spine measurement system includes a plurality of sensored heads, a spinal instrument, and a remote system. The spinal instrument comprises a handle, a shaft, sensored heads, and a module. The sensored heads includes one or more sensors that couple to module and each has a different height. The module includes an electronic assembly for receiving, processing, and sending quantitative data from sensors in sensored heads. The module can be coupled to and removed from handle. Similarly, sensored heads can be coupled to and removed from shaft. A sensored head can be inserted between vertebra and report vertebral conditions such as force, pressure, orientation and edge loading. A GUI of remote system can display a workflow and report load and position of load during the workflow.

Abstract: An assembly tool for assembly of a first component of a prosthesis to a second component of the prosthesis for use in joint arthroplasty is provided. The tool includes a first member operably associated with the first component and a second member. The second member is operably associated with the second component. At least one of the first member and the second member are adapted to provide for the assembly of the first component of the prosthesis to the second component of the prosthesis. The second member is operably associated with the first member for relative motion between the first member and the second member for assembly of the first component of the prosthesis to the second component.

Abstract: The invention relates generally to orthopaedic implants, and more particularly to orthopaedic implants having data acquisition capabilities and their use in monitoring and diagnosing fracture healing. RSA is also disclosed as a method for measuring inter-fragmentary movement in long bone fractures in order to confirm whether the fracture is reduced and for detecting changes in stiffness of the healing callus.

Abstract: A hand-held mobile device configured to measure spinal curves for detecting and analyzing kyphosis. The measuring device is equipped with a detector that can sense the angle of at certain points of the spine by holding an edge of the device against the spine and detecting the angle of inclination of the device. The device can interface with a server for collecting, storing and analyzing several data points collected over time, and providing diagnoses and remedial measures.

Abstract: A reference guide comprising an attachment portion configured to abut with and attach to an anatomical feature such as a bone. The reference guide further comprises a reference indicator that may be formed integrally with, or selectively securable to, the attachment portion and that indicates a reference point with respect to the attachment portion. The reference guide may be used to identify a target location during a surgical procedure even in the absence of traditional landmarks.

Abstract: A prosthetic component suitable for long-term implantation is provided. The prosthetic component measures a parameter of the muscular-skeletal system is disclosed. The prosthetic component comprises a first structure having at least one support surface, a second structure having at least one feature configured to couple to bone, and at least one sensor. The electronic circuitry and sensors are hermetically sealed within the prosthetic component. The sensor couples to the support surface of the first structure. The first and second structure are coupled together housing the at least one sensor. In one embodiment, the first and second structure are welded together forming the hermetic seal that isolates the at least one sensor from an external environment. The at least one sensor can be a pressure sensor for measuring load and position of load.

Abstract: The present invention provides tools and methods designed to aid in the placement of artificial facet joints at virtually all spinal levels. One aspect of the present invention is a measurement tool for installing an artificial cephalad facet joint including a fixation measurement element and a support arm element. This measurement tool assists in the selection and/or configuration of an artificial cephalad facet joint for implantation in a patient. Another aspect is a measurement tool for installing a caudad facet joint including a stem element and a trial caudad bearing surface element. This measurement tool assists in the selection and/or configuration of a caudad facet joint for implantation in a patient. Yet another aspect is a measurement tool holder including a measurement surface connected to a holder element. This tool holder assists in determining the measurements obtained with the caudad facet joint measurement tool.

Abstract: A disposable measuring device for use in measuring the width, height and depth of an intradiscal space is provided, the device including an elongated body having an upper surface, a lower surface, a proximal end and a distal end. The elongated body also has a first pair of members configured for receiving a first cursor slidably arranged for measuring a width dimension, a second pair of members configured for receiving a second cursor slidably arranged for measuring a height dimension; and a detachable stop operatively connected to the first pair of members and the second pair of members, the detachable stop insertable into at least one opening located at the proximal end of the elongated body, the detachable stop configured for measuring a depth dimension.

Abstract: Medical or dental instruments, preferably handpieces having different temperature-measuring devices for measuring the temperature in the instrument or of at least a part of the instrument are described. The temperature-measuring devices are designed, for example, to measure the temperature contacht-freely by detection of electromagnetic radiation or to measure the temperature of an interior of the instrument that can be heated by a heat source. The temperature-measuring devices may be designed, for example, as electrical temperature-measuring devices or may have a magnetic material whose magnetic property is a function of temperature and/or has a temperature-dependent course. The temperature-measuring device may comprise for example, an electrical switching device and a signal device to switch the signal device at least between a first signal condition and a second signal condition when a temperature limit value is reached or exceeded or is underrun.

Abstract: A feeler gauge and alignment device comprises a first outer shim having a first end, a second end, and an alignment aperture disposed between the first end and the second end, a second outer shim having a first end, a second end, and an alignment aperture disposed between the first end and the second end, and one or more inner shims disposed between the first outer shim and the second outer shim, each of the one or more inner shims having a first end, a second end, and an alignment aperture disposed between the first end and the second end. The first outer shim, the second outer shim, and the one or more inner shims are rotatably coupled about the first ends.

Abstract: Apparatus and methods for preparing a disc space and inserting an intervertebral disc implant therein are disclosed. Among the various instruments disclosed are a midline marker, a reference pin drill and insertion guide, a pin drill guide, a chisel guide, a sizer, a serrated broach, an implant dispenser, and an implant insertion tool. Methods of utilizing these tools are also disclosed.

Abstract: A spinal implant system and method of assembling the system. The system includes an implant, an integral holder/connector to grasp the implant and to connect to a plate before the assembly is inserted into a patient.

Abstract: The invention includes both a method for acquiring the position of a patient's anterior pelvic plane, and a patient positioner or holder (apparatus) for securing a patient and acquiring the position of the patient's anterior pelvic plane. The method and apparatus facilitate definition of the anterior pelvic plane (APP) in the context of computer assisted hip surgery.

Abstract: A sizing caliper for facilitating the selection of a femoral component of a knee prosthesis includes a caliper body, a drill guide body, a stylus tower and a graduated stylus slidably coupled to the stylus tower. The caliper body, the stylus tower and the two drill guide body portions are configured to be slidably linked to each other, whereby as the caliper body and the stylus tower are linearly displaced, in opposite directions along the longitudinal axis L of the sizing caliper, relative to the two drill guide body portions, the caliper body and the stylus tower are linearly displaced at an equal rate relative to the drill guide body portions and the drill guide holes remain located at the midpoint of an anterior/posterior dimension defined by the distance between the tip of the stylus and the base portion.

Abstract: An instrument for recording or replicating the orientation of an adjustable component of an implant with respect to a stem portion of the implant includes a base assembly configured to clamp the stem portion of the implant in a predetermined orientation, and a fixture supported on the base assembly in a predetermined orientation with respect to the base assembly, the fixture including a locking assembly configured to be adjusted in three dimensions and locked in a configuration which angularly locks an alignment tool relative to the fixture in the three dimensions when the alignment tool is engaged with the adjustable component and the adjustable component is operably assembled with the stem portion and the stem portion is clamped by the base assembly.

Abstract: A digitizer device comprises an elongated body and legs connected to the elongated body. At least one joint is between the legs and the elongated body such that free ends of the legs are displaceable relative to one another. An inertial sensor unit is connected to the elongated body, the inertial sensor unit having a preset orientation aligned with the elongated body. A table reference device comprises a body adapted to be fixed to an operating table. An inertial sensor unit is with a preset orientation related to the operating table.

Abstract: An orthopedic instrument for knee arthroplasty includes an anterior-posterior sizer assembly, a tensor assembly and a rotation mechanism. The sizer assembly includes a stylus, a sizer body including medial and lateral posterior feet extending substantially perpendicularly from the sizer body, and a sizer slider that can slide relative to the sizer body along a medial-lateral direction relative to a patient's knee. The tensor assembly includes a tensor frame having a central portion, medial and lateral wings extending at an angle from the central portion, and medial and lateral posterior feet extending substantially perpendicularly to the central portion. The rotation mechanism includes a portion coupled to the tensor frame of the tensor assembly and a portion coupled to the sizer body. The rotation mechanism is configured to rotate the medial and lateral posterior feet of the sizer body relative to the tensor frame toward a lateral side of the patient's knee.

Abstract: An apparatus and methods for locating the axis of rotation of one or more condyles are disclosed. A condyle axis locator can include a first concave member, a second concave member, and a handle extending between the first and second concave members. The first and second concave members can include first and second locating members, respectively, extending from a surface of the first and second concave members. The first and second locating members can each include at least one opening for receiving a marking instrument. A method for locating the axis of rotation of a condyle can include positioning a first longitudinal bone in flexion relative to an adjacent second longitudinal bone, placing one of the concave members of the condyle axis locator under the condyle, and inserting a marking instrument in the opening of the locating member to mark the axis of rotation of the condyle.

Abstract: A method and device for finding isometric points in the joints of mammals for use in surgical repair of a joint. Isometric points are first identified in radiographic or other two dimensional images and then located in the actual joint. A method for repairing a cruciate ligament-deficient canine stifle employing the method and device for finding isometric points is described. A method and apparatus for locating the axis of rotation of a joint is also described.

Abstract: A tool for digitizing a mechanical axis of a tibia using a computer-assisted surgery system is described. The tool includes upper and lower mounting ends interconnected by an alignment rod extending therebetween. The upper mounting end is releasably fastenable to an upper reference point on a tibial plateau and the lower mounting end includes a self-centering malleoli engaging mechanism having opposed caliper arms displaceable in a common plane relative to each other for clamping engagement with the medial and lateral malleoli of the ankle. At least one trackable member is mounted to the alignment rod of the tool and is in communication with the computer assisted surgery system for providing at least orientation information of the alignment rod. The mechanical axis of the tibia is parallel to the alignment rod and extends between the upper and lower reference points when the tool is mounted on the tibia.

Abstract: A dimensioned grid apparatus for determining: 1) leg length, offset, and cup position during arthroplasty replacement surgery; 2) fracture reduction/correction position during trauma procedures and 3) an apparatus to be used for deformity correction planning is provided.

Abstract: Improved assessment probes and measuring tools, systems, procedures and methods to facilitate the selection and/or implantation of prosthetic joint components, and assist a surgeon or medical practitioner with the proper assessment, balancing and/or restoration of natural and/or desired joint kinematics during a joint replacement procedure.

Abstract: A graft caliper provides for a first member having a first pick at its distal end and its proximal end attached to a handle. A second member of the graft caliper is disposed above the first member and has a second pick at its distal end that extends beyond the first pick. The proximal end of the second member is attached to an adjuster which causes the second member to move from a first position to a second position in order to change a distance the second pick extends beyond the first pick. The graft caliper provides for an indication of at least one metric for describing the distance the second pick extends beyond the first pick and places an identifier on a surface of bone representing the location of a tunnel to be formed through a femur, tibia or any other anatomical structure.

Abstract: The present disclosure provides a provisional tibial prosthesis system for a set of prosthetic knee joints for implantation in a natural knee, the provisional tibial prosthesis system including a bearing component and a bearing support, the spacing of the bearing component from the bearing support is adjustable to allow for representation of a variety of different sized final tibial prostheses. In this system, only one provisional bearing component corresponding to each level of constraint is needed and shims are used to adjust the spacing of the bearing component from the bearing support. The shims are slidably insertable between the bearing component and the bearing support in an anterior/posterior direction to allow for adjustment of the spacing of the bearing component from the bearing support. The number of provisional components needed during knee surgery is reduced and adjustment of the system only requires the knee joint to be distracted by a distance equal to the height of a particular shim.

Abstract: Device and a method for positioning and monitoring the rotary orientation of extremity bone fragments when implanting an intramedullary implant, and in particular to a device and a method for monitoring the rotary orientation of extremity bone fragments of the leg when implanting an intramedullary nail by using a monitoring of locking means of the intramedullary nail which so as to improve the accuracy of the orientation of extremity bone fragments.

Abstract: Disclosed herein are methods, compositions and tools for repairing, replacing or otherwise treating bone ligaments using devices designed from patient-specific information, including without limitation, surgical alignment instruments that have a surface that conforms to at least a portion of a patient's bone, cartilage or other component of the joint or ligament being treated.

Abstract: A universal targeting apparatus includes a generally U-shaped body having one end configured to be coupled to the proximal end of the intramedullary implant and a mounting portion at an opposite end of said body. An arm is rotatably mounted to the mounting portion of the U-shaped body and includes bores defined at its opposite ends. Each bore is arranged at a different angle to correspond to the angle of a transverse aperture in the intramedullary implant. The arm can be rotated so an appropriate one of the angled bores is aligned with the transverse aperture to serve as a guide for creating targeting holes in the bone.

Abstract: The present invention is directed to a femoral sizing device that can be used in knee surgery and to techniques in which this device may prove useful.

Abstract: A method and system for determining the orientation of a surgical tool with respect to a bone of a patient, and a device for positioning a sensor are disclosed. The bone has at least three predetermined reference locations.

Abstract: A surgical instrument is configured for determining the size and/or height of an intervertebral implant insertable into an intervertebral space between two adjacent vertebral bodies of two human or animal vertebrae. The implant includes a first abutment element for abutment against an articular surface of one of the two adjacent vertebral bodies and a second abutment element supported directly or indirectly on the first abutment element for abutment against an articular surface of the other of the two adjacent vertebral bodies. The instrument includes a holding part defining a longitudinal direction and at least one test implant, which includes a first and a second test-implant abutment element each having at least one abutment surface for abutment against one of the articular surfaces. A distal end of the holding part includes at least one abutment-element holding element for detachable connection to the at least one test implant 149.

Abstract: An instrument for recording and replicating the spatial orientation of a dialable component of an implant relative to a bone engaging component of the implant includes a base assembly configured to support the trial implant so that the datum is in a predetermined orientation, a fixture supported on said base assembly, said fixture including an alignment tool configured to engage the first dialable component of the trial implant when the trial implant is supported by said base assembly, and a locking assembly configured to record the angular orientation of said alignment tool relative to said fixture with said alignment tool engaged with the first dialable component, and to replicate the recorded angular orientation with the alignment tool and a second dialable component.

Abstract: A surgical instrument comprising a symbol formed in or on a smooth surface surrounding the symbol, wherein the symbol comprises a plurality of angled surfaces over at least part of the area of the symbol, wherein the angled surfaces define a plurality of parallel ridges and grooves in the symbol. These ridges and grooves create an improved contrast for the symbol relative to the surrounding surface by a combination of different specular reflection of incident light compared to the surrounding surface and shadows formed by the ridges and grooves. A method of marking a surgical instrument with a symbol formed in or on a smooth surface is also described. The method comprises forming a symbol in or on a smooth surface of the surgical instrument; and forming a plurality of angled surfaces over at least part of the area of the symbol, wherein the angled surfaces define a plurality of parallel ridges and grooves in the symbol.

Abstract: The present invention discloses a measuring and guiding device for reconstruction surgery. The measuring and guiding device includes: a pair of rotary aims, a connector, and a pair of fixators. Each rotary arm includes: a first shaft, a first joint body and a second joint body. The pair of rotary arms is joined together by extending through each of the first joint bodies using the connector. Besides, each fixator includes: a second shaft, a third joint body and a guiding portion, and each third joint body is connected with one of the second joint bodies. With the implementation of the present invention, the measuring and guiding device is capable of measuring an operating site and guiding the operation precisely during reconstruction surgery.

Abstract: A surgical template system for use in working on a bone comprises: a tool guide block comprising at least one guide aperture for receiving and guiding a tool to work on a bone; locating means comprising a plurality of locating members, each member having a respective end surface for positioning against a surface of the bone; and attachment means for non-adjustably attaching the tool guide block to the locating means such that, when attached, the member end surfaces are secured in fixed position with, respect to each other, for engaging different respective portions of the surface of the bone, and the at least one guide aperture is secured in a fixed position with respect to the end surfaces. Corresponding methods of manufacturing a surgical template system, methods of manufacturing locating means for a surgical template system, methods of fitting a prosthesis to a bone, surgical methods, and surgical apparatus are described.

Abstract: An instrument for measuring a depth of a hole in bone can comprise an instrument body having a cannulated sleeve that extends between a first end and a second end. A first reference portion can be disposed at the first end and a second reference portion can be disposed at the second end. A probe can selectively and alternatively translate in first and second opposite directions through the cannulated sleeve between a first measuring position and a second measuring position. The probe extends outwardly a distance spaced from the first reference portion in the first measuring position and extends outwardly a distance spaced from the second reference portion in the second measuring position.

Abstract: A protractor for use with an external fixation frame is provided. The protractor may include a face having angle designations thereon and a set of opposed and extending flanges projecting from said face. The flanges may connect to a portion of an external fixation frame, such as a ring (or other component) of the frame. The face may also include a post member to which a rotatable dial is mounted. An elongate member may be pivotally connected to a portion of the post member and may include a clamp. The clamp may be used to connect to an alternate portion of an external fixation frame, such as a strut of the frame. Thus, the protractor may be connected to two points on an external fixation frame so as to measure the angle between such points. Related methods of using the aforementioned protractor are also disclosed.

Abstract: An orthopaedic surgical device comprises a first sensor component and a second sensor component. Each sensor component includes a paddle set to contact a proximal tibia and a distal femur of a patient. The first sensor component and the second sensor component being movable with respect to one another to extend one paddle set beyond the other paddle set, and each paddle set includes cutouts for the clearance of the patellar tendon to avoid the need to evert the patella during use.