Abstract: A hip implant assembly including body exhibiting a substantially spherical shaped ball and an elongated stem. An annular defining rim separates the ball from the stem and abuts, in a maximum inserting condition, an exterior surface of a reconditioned femur upon inserting the stem within an interior passageway associated with the femur. A three dimensional and interior volume defining support secures around the ball in a universally articulating permitting fashion, the support being fixed to a reconditioned acetabulum socket associated with an ilium bone by interconnecting posts and anchors established between the fixed support and the reconditioned surface of the acetabulum. A corresponding installation kit assists the preparation of the femur and ilium bones defining the hip joint, as well as the installation of the implant body into the upper conditioned femur end and the outer socket support to a reconditioned acetabulum defined in the ilium bone.

Abstract: A system for calculating a position and orientation of an acetabular cup in computer-assisted surgery comprises a first trackable reference secured to a pelvis, with a frame of reference being associated with the first trackable reference. A device is positionable between a femoral neck and the acetabulum of the pelvis in a known relation, the device having a second trackable reference. Sensors track the trackable references for position and orientation. A position/orientation calculator calculates a position and orientation of the frame of reference and of the device and for determining an orientation of the neck axis with respect to the frame of reference from the known relation at a desired position of the femur. An implant position/orientation calculator provides cup implanting information with respect to the orientation of said neck axis as a function of the tracking for position and orientation of at least the first trackable reference.

Abstract: An acetabular reaming system is disclosed of the type having a driver and a tool held together by a quick-release coupling mechanism. The tool (10) has a hollow body (12) defining a domed shape with a rotational axis (14), an apex (16) aligned with the axis (14) and a hemispherical wall (18) extending from the apex (16) to an equatorial rim (20) spaced 90 degrees from the axis (14). The rim (20) has an edge (22) visible to the user that indicates the position of the tool (10) relative to the bone. A first plurality of cutting sites (24) is arrayed along the body (12) and a second plurality of cutting sites (28) is arrayed circumferentially along the edge (22). Preferably, the first plurality of cutting sites (24) present raised first teeth (30, 130, 230, 330) having a profile selected from continuous squared (30), continuous rounded (130), discontinuous squared (230) and tongued (330) profiles.

Abstract: A reamer for use in minimally invasive hip replacement surgical approaches is provided. The reamer spindle includes an elongate housing portion that extends along a first axis and a neck or distal portion that extends along a second axis, wherein the second axis extends at an angle of between about 35 degrees and about 65 degrees relative to the first axis. A reamer head is removably connectable to the distal neck portion and has a surface configured to cut bone.

Abstract: Devices, systems and methods for performing arthroscopic evaluations and procedures in and near the hip joint are provided. An arthroscopic assisted arthroplasty system is useful in the treatment of arthritic hip conditions, conserving healthy tissue, and limiting iatrogenic injury associated with traditional surgical exposures. A guide wire system employing retrograde and antegrade reamers along the femoral neck is useful in anatomic placement of instrumentation without formal hip dislocation. Fluoroscopy and computer assisted navigation enhance the system, methods, and apparatus. Acetabular and femoral collapsible prosthetic forms are useful in arthroscopic assisted placement. The devices, systems, and methods are effective to assist an operating surgeon in the addressing mild to moderate arthritic conditions of the femoral head and acetabulum where tissue conservation and surgical exposure morbidities should be limited.

Abstract: An acetabular drill pin comprising an elongated shaft having a proximal end and a distal end opposite thereof along a longitudinal axis of the shaft; at least two depth markings along the shaft, each of the at least two depth markings being positioned a pre-defined distance from the distal end of the shaft; and a fluted portion proximate the distal end of the shaft, the fluted portion being disposed between a shoulder and a flat-bottom milling tip, the tip being configured to penetrate a peri-acetabular area of a pelvis as the fluted portion is imparted with rotary motion.

Abstract: A peripheral peg drill component comprising a housing having a first side and a second side opposite the first side, at least two drill bits extending from the second side of the housing, a defined opening on the second side of the housing, the defined opening being configured to receive an alignment pin extending from a bony surface, and a driving mechanism within the housing, the driving mechanism being configured to rotate the at least two drill bits and cause them to simultaneously penetrate the bony surface.

Abstract: A remote controlled actuator includes a spindle for holding a tool, a spindle guide section of an elongated configuration, a distal end member rotatably supporting the spindle, and a drive unit housing connected to a base end of the spindle guide section. The distal end member is fitted to the spindle guide section for alteration in attitude. The spindle guide section includes an outer shell pipe, a rotary shaft, and guide pipe. Within the guide pipe, an attitude altering member is inserted to alter the attitude of the distal end member. A connection device detachably connects the spindle guide section with the drive unit housing.

Abstract: A peripheral peg drill component comprising a housing having a first side and a second side opposite the first side, at least two drill bits extending from the second side of the housing, and a driving mechanism located within the housing, the driving mechanism including a series of pulleys and a belt that together are configured to rotate the at least two drill bits and cause them to simultaneously penetrate a bony surface.

Abstract: An acetabular reaming system is disclosed of the type having a driver and a tool held together by a quick-release coupling mechanism. The tool (10) has a hollow body (12) defining a domed shape with a rotational axis (14), an apex (16) aligned with the axis (14) and a hemispherical wall (18) extending from the apex (16) to an equatorial rim (20) spaced 90 degrees from the axis (14). The rim (20) has an edge (22) visible to the user that indicates the position of the tool (10) relative to the bone. A first plurality of cutting sites (24) is arrayed along the body (12) and a second plurality of cutting sites (28) is arrayed circumferentially along the edge (22). Preferably, the first plurality of cutting sites (24) present raised first teeth (30, 130, 230, 330) having a profile selected from continuous squared (30), continuous rounded (130), discontinuous squared (230) and tongued (330) profiles.

Abstract: A device for shaping an object with a profile of at least partial sphere defined by a radius, Rsph and a maximum breadth, Dmax of the sphere comprises at least one featured frame. A cutting element has been substantially positioned on a position located within a circular orbit by the featured frame and shaped with at least a portion of circular cutting edge with a uniform radius, rCE, which is able to free spinning-able on its spinning axis while, simultaneously the featured frame revolts on a circular orbit around the polar axis of the spherical object. The circular orbit of each cutting element is defined as a motion track of a circular center of the cutting edge around the polar axis and characterized by a radius, rorb, and a tilted angle ?, thereof.

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. The capacitor is shielded from parasitic coupling and parasitic capacitance.

Abstract: A tool includes a housing including a receiving portion configured to receive at least a portion of an operating member so as to permit rotation of the operating member relative to the housing while constraining movement of the operating member in a radial direction of the operating member. The tool also includes a coupling device disposed on the housing and configured to couple the operating member to the housing so as to permit rotation of the operating member relative to the housing. The coupling device includes a retaining member configured to engage the operating member to constrain movement of the operating member relative to the housing in a longitudinal direction of the operating member. The retaining member is configured to rotate relative to the housing.

Abstract: A short main incision and portal incisions at portal positions strategically displaced from the main incision are provided in a patient's hip. One portal incision (acetabular portal) provides for a disposition of reamers in the patient's acetabulum to shape the acetabulum. A cannula is inserted through the portal incision to the acetabulum and the successive reamers of progressive size are inserted into the acetabulum through the main incision to progressively size and shape the acetabulum. An approximately hemispherical acetabular component is then disposed in the prepared acetabulum to provide for hip rotation relative to the femoral component. The other portal incision (femoral portal) provides for insertion into the patient's hip of a member for driving the femoral stem into a cavity in the patient's femur. The provision of the short main incision and the portal incision minimizes the patient's loss of blood, tissue trauma, length of operating time and patient recovery time.

Abstract: The invention concerns an accessory for removing material, in particular a file (3) or a cutting block, for prosthesis implantation surgery, in particular for hip or knee prostheses. The invention is characterised in that it comprises at least partly one plastic part and at least one insert (4, 10, 5) made of a material harder than the bone material, in particular of metal, which is fixed to the plastic material such that if the device is brought to a temperature Ti, the insert is separated from the plastic material.

Abstract: A hip replacement method in which includes making an anterior incision and a lateral incision proximate the hip joint. The method next includes preparing a femoral passage directed along an axis of the femoral neck of the femur. An acetabulum reamer coupled to a femoral elongate element installed in the femoral passage is used to ream the acetabulum. The femoral head is prepared using a tool coupled to a femoral elongate element installed in the femoral passage. An acetabular prosthesis is then installed using a femoral elongate element installed in the femoral passage. A femoral prosthesis is installed using a femoral elongate element installed in the femoral passage. All of the foregoing steps are performed without dislocating the hip joint.

Abstract: A disposable reamer is provided, made up of a base and a thin-walled, perforated cutting body of flat metal stock affixed thereto. The base and body may be molded together or assembled together in a mechanical manner. The body is optionally formed so as to comprise a plurality of appendages connected at a center so as to improve die forming of the body into a final desired shape while at the same time minimizing stress-induced deformation in the body.

Abstract: A method of performing hip surgery with a robotic guided system on a patient with femoral acetabular impingement can include identifying the femoral acetabular impingement on the patient. Data related to a proximal femur and an acetabulum of the patient is acquired. A three-dimensional model of at least one of the patient's proximal femur and acetabulum is created based on the data acquired. A location and amount of bone to be removed is determined. Dynamic movement limits of a cutting tool associated with the robotic guided system is set based on the determination. The determined bone of at least one of the proximal femur and acetabulum is removed with the tool while being inhibited from moving the tool outside of the dynamic limit by the robotic guided system.

Abstract: Reciprocating rasps for the surgical preparation of the bone prior to the implantation of a glenoid or acetabular component with complex geometry are disclosed. Surgical methods for the use of such reciprocating rasps are also disclosed. Some of the methods include inserting a guide pin into the glenoid of the patient, advancing a reciprocating surgical rasp over the guide pin, reciprocating the surgical rasp so as to abrade bone tissue to form a cavity shaped to receive the glenoid component, and implanting the glenoid component in the cavity.

Abstract: A low cost disposable reamer shaft is made from a rod or tube stock of stainless steel, Nitinol or fiber reinforced polymer having a precise outer diameter in the range of 4 to 14 millimeter and is cut to a shaft length of 250 to 400 millimeters. An attachment piece with male or female thread matching a spherical hollow or tapered hollow reamer is machined and glued with epoxy on one end of the rod of tube stock using a precision centerline aligning jig. An attachment piece for connecting to a drive power unit is machined and glued with epoxy to the other end of the rod or tube stock thus forming a low cost disposable reamer shaft that aligns the centerline of the shaft with that of the reamer. The shaft contacts the reamer at two attachment locations that are displaced from each other, providing precise centerline alignment.

Abstract: A drill guide system comprising: a hemispherical cup having an opening therein; a body having a distal end, a proximal end and a lumen extending between the distal end and the proximal end; and a connector for connecting the body to the hemispherical cup so that the lumen at the distal end of the body is aligned with the opening in the hemispherical cup.

Abstract: The application relates to a method of orienting a bone-milling cutter and an impact instrument for a hip-prosthesis cup in an acetabulum. The method includes initially positioning a manipulation cup by a manipulation joint head and representing this position by at least one guide rod or fixation rod that is fixed in a bone. The method also includes removing the manipulation cup and adjusting a position of both the bone-milling cutter and the impact instrument with respect to either the guide rod itself or a guide rod that is attached to a holding device disposed on at least one fixation rod.

Abstract: An easy-to-assemble, disposable spherical hollow reamer for medical applications includes a shaft portion, a disposable spherical hollow reamer and a central conical plate. The shaft portion has a proximal end for attachment to a drill, a central conical element and a distal precision threaded screw end. The spherical hollow reamer has plurality of cutters and apertures that extend through its thickness. The spherical hollow reamer has a precision threaded aperture that engages with the threaded end of the reusable shaft precisely aligning the centerline of the shaft with that of the spherical hollow reamer, providing wobble free reaming action. The central conical plate in combination with the interior surface of the spherical hollow reamer forms an enclosed space for capturing bone fragment and bone cement debris.

Abstract: An orthopaedic reamer is provided for preparing a bone socket, such as the glenoid of the scapula, to receive a prosthetic glenoid component. The orthopaedic reamer includes an elongate shaft and an oblong cutting head, such as a cutting head having an oval or elliptical shape.

Abstract: A limited use acetabular reamer can be used to perform selected procedures. The limited use reamer can be formed of low cost materials and be assembled in a limited number of steps. For example, a cutting portion can be formed or a metal and a body portion can be formed of a polymer.

Abstract: Disclosed is a surgical tool holder adapted to connect to a disposable cutting tool, and the surgical instrument combination. The tool holder has a shank with a quick tool coupling at one end and a drive adaptor at a second end. The coupling assembly has a coupling interface for holding the tool, and has a debris reservoir. A locking mechanism is engageable with the shank by a lock interface that holds the coupling assembly in functional assembly, and when unlocked allows component parts of the coupling assembly to be separated for cleaning and sterilization. The surgical tool has a flat base and complementary fittings adapted to be received by the holder's coupling interface. The combination of the flat base with the reservoir defines a relatively enclosed collection space to receive cutting debris from the tool while the holder and tool are coupled together.

Abstract: A reamer for use in minimally invasive hip replacement surgical approaches is provided. The reamer spindle includes an elongate housing portion that extends along a first axis and a neck or distal portion that extends along a second axis, wherein the second axis extends at an angle of between about 35 degrees and about 65 degrees relative to the first axis. A reamer head is removably connectable to the distal neck portion and has a surface configured to cut bone.

Abstract: A bone reamer includes a first member having a first hub and a second member having a second hub. The first hub can extend along a first axis and have a pair of elongated cutting arms that are fixed to the first hub. The elongated cutting arms can extend along a second axis that is generally perpendicular relative to the first axis. The first hub can define a track thereon. The second hub can extend along a third axis. The second member can have a second pair of elongated cutting arms that are fixed to the second hub and extend along a fourth axis that is generally perpendicular to the third axis. The second member can have a track follower extending thereon and that is configured to slideably advance along the track causing the first and second members to move between a collapsed position and an expanded position.

Abstract: A cutting tool includes a cutting surface on a first side and an attachment member on a second side. The attachment member is configured to be coupled to a powered driving member. The cutting tool includes a limiting device configured to restrict the use of the cutting tool to a predetermined number of uses. The limiting device can be configured to restrict the number of uses of the cutting tool by restricting the number of times that the attachment member can be coupled to the powered driving member.

Abstract: An acetabular reamer comprising: a body defining a rotation axis about which the acetabular reamer is rotatable; a reaming element movable between a reaming element inner position and a reaming element outer position relative to the body; an actuator for moving the reaming element between the reaming element inner and outer positions; and a reaming element lock configurable between a locked configuration and an unlocked configuration. In the unlocked configuration, the reaming element is freely movable by the actuator between the reaming element inner and outer positions. In the locked configuration, the reaming element lock prevents the reaming element from moving relative to the body. In use, when the reaming element lock is in the locked configuration and reaction forces are exerted onto the reaming element, a larger portion of the reaction forces is transmitted to the body than to the actuator.

Abstract: An adapter for a surgical reamer driver having one of a crossbar and a crossbridge reamer driver. The adapter includes a base having an interface for connecting with one of the crossbar and crossbridge reamer drivers. The adapter further includes at least one recess on the opposite end of the base opening in an axial direction. The recess is configured to receive a reamer of a style unlike the given style interface. A pair of hooks or tabs resiliently hold the reamer in place in the recesses.

Abstract: Method and apparatus for preparing bone and cartilage transplants for the reconstruction of the acetabulum, femoral head, or both with tissue engineered osteochondral constructs or and osteochondral allograft transplant.

Abstract: A disposable acetabular reamer designed to improve tissue removal efficiency is described. The reamer device comprises a reamer cutting shell and a reamer driver interface. The reamer cutting shell has a hemispherical structure with a plurality of spaced apart rib portions that extend from a central region located about an apex of the shell. A tissue cutting surface further extends along a longitudinal leading edge, trailing edge or both leading and trailing rib portions. The tissue cutting surface further comprises a series of alternating cutting teeth and notches which are bent at a rake angle.

Abstract: An instrument for removing tissue from a bone to create a cavity which is approximately circular in outline in which tissue within a predetermined region within the circular outline is left relatively undisturbed. The instrument includes a rotational drive unit which oscillates through an angle ?. A cutting head can be connected to the drive unit to cause the head to rotate.

Abstract: A method of manufacturing an orthopaedic surgical instrument comprising the steps of forming a generally planar shim having a predetermined shape; creating a plurality of holes or slots in the plane of the shim; temporarily shielding said holes or slots. from a plastic molding process; overmolding said shim with a plastic substrate using said plastic molding process; and creating a cutting surface at each of said holes or slots.

Abstract: The disclosure illustrates a dual driver for surgical reamers in which either of a crossbridge and crossbar style reamers are axially inserted in the distal end of a central shaft for the reamer driver. A pair of L shaped grips are adapted to connect and disconnect the different style of reamers by the movement of an external sleeve biased towards the connection position. Movement of the sleeve away from the distal end allows an internal plunger to cam the grips to an open position and urge the appropriate reamer from the tool driver directly in an axial direction.

Abstract: The invention reduces friction and wear in partial hip prosthesis by combining optimized geometry of the articulation and surface treatment of the prosthetic component. The acetabulum is reamed to the bone. One of the articulating surfaces—either that of the reamed acetabulum, or that of the femoral head prosthesis is a-spherical so that a fluid-filled gap is formed at the area of major load transfer. The fluid-filled gap is sealed by an annular area of contact, over which the concave and the convex components are congruent. The preferred surface treatment is by diamond-like coating, which results in very low coefficient of friction and high abrasion resistance against the bone. The prosthetic head is fixed to the femur by either a conventional stem, a perforated shell, or a femoral neck prosthesis screwed onto the femur so that it is partially covered by bone and partially exposed on the medial-inferior aspect, where it abuts the reamed cortex of the calcar region.

Abstract: An adapter for a crossbar surgical reamer having a base with an interface for connecting with another style of reamer such as a crossbar reamer. Intersecting axially facing recesses are provided on the end of the base for connection with a crossbar type of reamer. A pair of grips are pivotally mounted on the base and urged to a closed position by a cross spring to releasably hold the crossbar reamer within the recesses for installation and removal substantially in an axial direction.

Abstract: A surgical device for holding and rotating an acetabular reaming head is provided, comprising a shaft having a length which runs from a first end adapted for holding an acetabular reaming head to a second end. At least part of the shaft is divergent from the axis defined by the first and second ends of the shaft, for example the shaft may include a C-shaped divergent portion. A head held by the device can therefore access the acetabular in its true anatomical position while avoiding encroachment of the shaft on surrounding body parts.

Abstract: An orthopedic prosthetic inserter used for the implantation of an acetabular prosthetic cup implant. The inserter consists of a drive train, a C-shaped housing, and a collet mechanism used to attach a prosthetic cup implant. When activated by the drive train, the collet mechanism expands to draw the prosthesis towards the collet mechanism and create a substantially friction tight engagement therebetween.

Abstract: A patient-specific acetabular guide can be used for preparing an acetabulum of a patient to receive an acetabular implant. The acetabular guide includes a patient-specific engagement surface designed to be complementary and mateable with a corresponding surface of the patient's pelvic anatomy. The acetabular guide is designed during a pre-operative plan for the patient by a three-dimensional reconstruction of the anatomy of the patient using two-dimensional medical images. The patient-specific engagement surface has a first portion mateable with a portion of the acetabulum of the patient. The acetabular guide includes a guiding element that extends from the acetabular guide opposite to the first portion of engagement surface. The guiding element defines a bore designed to be oriented along an alignment axis for an acetabular implant when the acetabular guide is engaged to the acetabulum.

Abstract: A method of reaming an acetabulum includes the steps of: providing an acetabular reamer including a partially hemispherical shell having a shell radius, and a base including a first circumferential base segment and a second circumferential base segment, the shell including a first part on one side of the first circumferential base segment and the second circumferential base segment, and a second part on another side of the first circumferential base segment and the second circumferential base segment, the acetabular reamer further including a first non-planar surface connected to the first part, the first non-planar surface having a first curvature not equal to the shell radius, and a second non-planar surface connected to the second part, the second non-planar surface having a second curvature not equal to the shell radius; connecting the acetabular reamer to a driver; and reaming the acetabulum.

Abstract: A disposable reamer designed to improve bone and tissue removal efficiency is described. The reamer device comprises a reamer body shell, a series of reamer blades and a reamer shaft interface. The reamer body shell has a hemispherical structure having a concave interior surface and a convex outer surface. The series of reamer blades have a cutting portion comprised of a series of discrete cutting edges that is bent at an angle from the planar portion of the blade. The reamer blades are positioned along the curved concave interior surface of the hemispherical shell or along the curved convex outer surface of the shell. The reamer blades are positioned along the hemispherical shell such that their leading edges lie parallel to and tangent a bisecting plane.

Abstract: A disposable reamer designed to improve bone and tissue removal efficiency is described. The reamer device comprises a reamer body shell, a series of reamer blades and a reamer shaft interface. The reamer body shell has a hemispherical structure having a concave interior surface and a convex outer surface. The series of reamer blades have a cutting portion comprised of a series of discrete cutting edges that is bent at an angle from the planar portion of the blade. The reamer blades are positioned along the curved concave interior surface of the hemispherical shell or along the curved convex outer surface of the shell. The reamer blades are positioned along the hemispherical shell such that their leading edges lie parallel to and tangent a bisecting plane.

Abstract: The present invention relates to a drill guide for use in drilling an acetabular tunnel. The drill guide comprises a cannulated shaft having a handle towards a proximal end, and an offset arm towards a distal end. The arm is flexible or pivotable and has a distal tip for engaging the articular surface of the acetabulum, and is offset from a projected path of the shaft cannulation.

Abstract: An instrument for preparing a cavity for a stem of a prosthetic implant for use in performing joint arthroplasty on a head of a long bone is provided. The instrument includes a body and a punch extending from the body. The punch includes a portion of the punch having a shape similar to the stem of the implant.

Abstract: A milling tool for prosthetic surgery operations comprising a cap body, hollow inside, at least a cutting profile, associated with said cap body, and an attachment support positioned and constrained with respect to the cap body and by means of which said cap body can be selectively associated with a relative manual or automatic manipulator.

Abstract: An orthopaedic reamer, which includes a reamer with a partially hemispherical shell which has a base including three circumferential base segments. The shell has three cutouts each extending to the base. Each of the three circumferential base segments are separated from another of the three circumferential base segments by one of the three cutouts. A driver attachment is directly connected to the three circumferential base segments.

Abstract: Disclosed is a guided orthopedic bone reamer (10a) for cutting a profile relief shape (21a) into a joint bone (20). The reamer (10a) has a cutting head (30a) and an axial guide assembly (70). The cutting head (30a) has a profile cutting form (24a) with a rim (34) and an apex (38a). The apex (38a) connects to the cutting form (24a) by a set of struts (94). An axial guide assembly (70) has one end (44a) fixed to the apex (38a) and at the other end has a bayonet mechanism (76) connectable to a drive handle. Rim cutting teeth (36a) are set into the rim (34) to cut a cylindrical profile (21a), and bevel cutting teeth (96) integral to the struts (94) cut a bevel (25) onto the cylindrical form (21a) cut into the bone (20). A guide pin bore (12a) passes through the apex (38a) and the guide assembly (70) concentric with the axis of rotation (18) to receive a guide pin (14) to guide the reamer (10a) in cutting alignment relative to the joint bone (20) to be cut.

Abstract: An acetabular reamer (10, 10?, 10?) is intended in particular for the shaping of the cotyloid cavity in the event of a replacement of a hip joint by total prosthesis. The reamer (10, 10?, 10?) is typically of a truncated hemispherical form and is adapted for attachment to a reamer spindle in order to be driven in rotation about a cutter axis (11). The ability to cut a full, continuous hemisphere to the apex (12) of the hemispherical body (14) is suppressed, so as to attain the principal advantage of the invention, namely, to adequately prepare the acetabulum for receipt of a prosthesis while minimizing the possibility of breakthrough of the fovea/acetabular fossa. The reamer (10, 10?, 10?) has an interface 16 typically made tip of cross bars (20) which a holder engages for rotationally activating the reamer for cutting.