Abstract: A cutter for cutting an implant is provided. The cutter includes a handle; a handle coupler coupled to the handle; a drill guide coupled to the handle coupler and including at least one window; a mill extending through the handle coupler and the drill guide and disposed to rotate freely therein; and a catch cup circumscribing the drill guide to maintain chips of the implant removed by the mill.

Abstract: A tissue protection sleeve for use in trauma surgery is disclosed. In various embodiments, the tissue protection sleeve includes an inner sleeve with a first end portion, a second end portion, a longitudinal axis, and a bore extending there through, and an outer sleeve at least partially surrounding and coupled to the inner sleeve, wherein the tissue protection sleeve is capable of flexing or bending without collapsing the bore. In some embodiments, the inner sleeve may include a number of distinct geometries to provide sufficient structural rigidity, whilst still allowing the inner sleeve to bend. Additionally, a tissue protection sleeve handle may be coupled to the tissue protection sleeve to allow for manipulation of the tissue protection sleeve. In certain embodiments, pin guide holes or channels may be used to secure the tissue protection sleeve to a patient's bone.

Abstract: An aiming guide system configured for connection to a bone plate including an aiming arm and a connection assembly. The aiming arm has a rigid body extending from a proximal end to a distal end with a plurality of aiming holes defined through the rigid body between the proximal end and the distal end thereof. The distal end defines an attachment slot through the body. The connection assembly is configured to engage an attachment screw hole of the bone plate and the attachment slot such that the aiming arm is fixed in position relative to the bone plate with each of the aiming holes aligned with a respective hole along the bone plate.

Abstract: Disclosed herein are surgical guides, surgical supports, surgical systems, and methods of use thereof. The surgical guides, supports, and systems discloses herein can include an instrument and a patient-specific support. The instrument can be connectable to a surgical support arm and include a guide surface. The patient-specific support can comprise an instrument engagement portion and an anatomy contacting surface. The instrument engagement portion can be configured to receive a portion of the instrument and the anatomy contacting surface contoured to match a contour of an anatomical surface of a patient. When coupled to the patient-specific support, the surgical support arm and the patient-specific support can position the instrument and the guide surface in a predetermined location and orientation relative to the anatomical surface of the patient with increased stability.

Abstract: A bone drill guiding device including a drill entry part comprising a cannula having a distal end portion and sized to receive a bone drill, a drill exit part comprising a fixation tip portion and a coupling that rigidly couples the drill entry part and the drill exit part so that longitudinal axes of the cannula distal portion and the fixation tip portion are arranged on a single mutual axis. In some embodiments, the coupling is a linear sliding coupling that parallels the single mutual axis.

Abstract: Treatment devices for sacroiliac (SI) joint hypomobility are described herein. In one example, a method of treating SI joint hypomobility involves positioning a person relative to a SI joint device that includes a resilient crest. Positioning the person relative to the SI joint device can involve aligning the resilient crest along the SI joint underneath the person. The method can also include using the SI joint device to pry open the SI joint. In another example, an SI joint device includes a body extending between a medial end and a lateral end, and the body includes a rigid protrusion. The SI joint device can also include a resilient cover extending over the rigid protrusion. The rigid protrusion and the resilient cover can define a crest for prying open the SI joint. The crest can include a concavity oriented towards the lateral end of the body, and the crest can deform towards the lateral end of the body when subjected to a load on a top of the crest.

Abstract: A system for a trajectory and aiming guide for use with fluoroscopy is comprised of a ring holder is with a plurality of connecting arms, a radiolucent ring disk with an outer perimeter wall and a central axle on the bottom surface of the ring disk; a first rotatable disk located below the ring holder and comprised of a handle, a radiolucent disk ring with a central cutout to receive the central axle, the material of the disk comprising an embedded array of a plurality of radiopaque wires and an outer perimeter wall; a second rotatable disk located below the first rotatable disk and comprised of a handle, a radiolucent disk ring with a central cutout to receive the central axle, the material of the disk comprising an embedded array of a plurality of radiopaque wires and an outer perimeter wall; and a locking cap for the axle.

Abstract: Various implementations relate to a guide device for spinal surgery, comprising: two guide sleeves extending between a proximal end and a distal end for guiding a surgical intervention on a vertebra of a patient; a plurality of support elements, wherein each support element defines a contact area specifically configured for abutting against a portion of a virtual surface reproducing the vertebra of the patient, in a coupling configuration; and at least one junction element joining the two guide sleeves together. Each guide sleeve comprises a respective auxiliary sleeve extending between a proximal end and a distal end, and the proximal end of the auxiliary sleeve is located in proximity to the proximal end of the respective guide sleeve.

Abstract: An insert component includes an insert body and a cavity defined within the insert body. The insert body includes a first surface, a second surface spaced from the first surface, and a third surface. The second surface cooperates with the first surface to define at least one first channel configured to receive an engagement member. The third surface has a first and second surface end each extending from a perimeter of the first surface. A curved portion of the third surface between the first surface end and the second surface end extends into the insert body. The cavity includes a first cavity opening defined by the first surface. The cavity defines a first cavity region and a second cavity region each coextensive with a third cavity region. The first cavity region and second cavity region each have a cavity diameter greater than a diameter of a plate engagement member.

Abstract: A rail assembly for a knee positioning system that includes a base and a pair of rails removably coupled to the base. Each of the rails defines a plurality of positioning slots formed therein, each of the positioning slots being at least partially aligned with a corresponding positioning slot of the other rail. At least one of the rails and the base form at least one cleanout channel therebetween that is configured to receive a cleaning fluid for removing contaminants that collect on the at least one rail and the base.

Abstract: A drill guide, including: frustoconical body with a first opening at a narrower distal end and second opening at a wider the proximal end; a first support with a first end connected to the frustoconical body and a second end; a zero angle guide with an opening aligned with the first opening and wherein the zero angle guide is connected to the second end of the first support.

Abstract: The present disclosure provides methods for forming or enlarging holes in bone tissue and methods for fixing matched medical plates to bodies. The present disclosure also provides for products produced by the methods of the present disclosure and for apparatuses used to perform the methods of the present disclosure.

Abstract: The tensioning device for tendons comprises: a main body of elongated conformation having at one ending part a positioning portion comprising a pointer element adapted to be positioned onto a bone portion; hooking means to an injured tendon portion; measuring means operatively connected to the hooking means and adapted to detect a tension value at the bone portion.

Abstract: A method of preparing a knee joint for a prosthesis in a patient includes mating a patient-specific three-dimensional curved inner surface of a femoral alignment guide onto a corresponding three-dimensional femoral joint surface of the patient. The patient-specific three-dimensional curved inner surface is preoperatively configured from medical scans of the knee joint of the patient. First and second holes are drilled into an anterior portion of the femoral joint surface through corresponding first and second guiding apertures of the femoral alignment guide.

Abstract: A bone foundation guide system having a bone foundation guide with a foundation guide body forming an open surgical space connecting a top of the bone foundation guide body with a bottom of the bone foundation guide body, the bottom contoured to removably affix the bone foundation guide body to the bone of a dental implant surgical site, the body further contoured to guide the cutting of bone from a dental implant surgical site and supporting a dental implant surgical guide; the dental implant surgical guide contoured to removably mate to the bone foundation guide body; wherein a combination of the bone foundation guide and the dental implant surgical guide forms a double open-ended placement channel that passes through a plurality of guiding cylinders held in tandem alignment to aid in the placement of a dental implant that is anchored in a site remote from the mouth.

Abstract: A device for implanting an intramedullary nail includes a base member and an adjustable member coupled together and translatable relative to each other along a direction. The device includes an insertion handle configured to carry the nail and mount to the adjustable member. A drill guide is attachable to the base member and configured to carry one or more guide sleeves for alignment with locking holes of the intramedullary nail. A first reference member extends from the base or adjustable member and has a first contact portion configured to contact an exterior location of a patient's limb. A second reference member extends from the other of the base and adjustable members and has a second contact portion configured to contact another exterior location of the limb. At least one of the first and second reference members is positionally adjustable relative to the base or adjustable member from which it extends.

Abstract: Implants and instruments for providing an ideal trajectory for the insertion of instruments and screws during implantation of an interbody implant in a spinal surgery are disclosed.

Abstract: A targeting guide is disclosed includes a handle extending substantially along a longitudinal axis. The longitudinal handle defines one or more burr holes extending from a first side of the handle to a second side of the handle. A head is coupled to a distal end of the longitudinal handle. The head defines a plurality of guide holes sized and configured to receive a k-wire therethrough.

Abstract: An orthopedic surgical instrument comprising: a customized patient-specific acetabular reaming guide comprising an at least partially circular body, having an inner surface defining a slot sized to receive an acetabular reamer head, and further having a top surface defining a contact element; at least one support element configured for supporting the at least partially circular body on a patient-specific anatomy of a coxal bone; and further comprising at least one acetabular reamer head comprising a bone milling portion configured for insertion in the slot of the acetabular reaming guide; a connecting element configured for removable attachment to a reamer's shank for operation of the at least one acetabular reamer head; wherein the orthopedic surgical instrument further comprises an abutment element attached to a top portion at least one acetabular reamer head and configured to limit a milling depth of the bone milling portion, by resting on the contact element of the acetabular reaming guide.

Abstract: An instrument assembly for a shoulder arthroplasty that can comprise: a cut guide having a slot for aiding a resection of a head of a humerus; and a positioning assembly configured to position the cut guide relative to the head of the humerus, wherein the positioning assembly is configured to couple to a reamer. The positioning assembly can comprise: a boom configured to position the cut guide relative to the reamer and the head of the humerus along a first axis; and an arm coupled to the cut guide and configured to be moveable to position the cut guide relative to the head of the humerus about the reamer in a second axis.

Abstract: Systems and methods are described for treating distal radius fractures using a plating system. In an aspect, a distal radius plating system includes a volar plate body for interfacing with a volar side of a distal portion of a radius bone. The volar plate body has a volar head portion extending from the volar plate body and terminating at a distal edge, the volar head portion including a first set of apertures to receive fixation fasteners therethrough to fix to the radius bone. The distal radius plating system also includes a radial longitudinal portion extending from a radial edge of the volar plate body to interface with the radial styloid of the radius bone while the volar plate body is positioned on the volar side of the distal portion of the radius bone.

Abstract: A targeting guide includes a body defining a first guide hole sized and configured to receive a guide sleeve therethrough. The first guide hole extends through the body on a first axis. An alignment arm extends between a first end and a second end. The first end is coupled to the body. A tip extends from the second end of the alignment arm. A free end of the tip is aligned with the first axis of the first guide hole.

Abstract: A system comprises a first implant including first and second screw receiving holes having respective first and second longitudinal axes. A second implant includes third and fourth screw receiving holes having respective third and fourth longitudinal axes. First and second drill guides have respective fifth and sixth longitudinal axes. A targeting guide is provided for aligning the first and second drill guides with each of the first and second implants simultaneously, so that the first, third and fifth longitudinal axes lie along a same line as each other, and the second, fourth and sixth longitudinal axes lie along a same line as each other.

Abstract: The present disclosure is directed to systems and methods that facilitate delivery of a therapeutic agent into the skin of a subject. A first mechanism can create a first angled channel through a first location on a surface of a subject's skin at a first angle relative to the surface of the subject's skin. A second mechanism, associated with the first mechanism, can create a second angled channel through a second location on the surface of the subject's skin at a second angle relative to the surface of the subject's skin. The first angled channel and the second angled channel intersect to form a connected channel under the surface of the subject's skin.

Abstract: A cutting guide for periacetabular osteotomy comprises at least one first main body having a longitudinal opening for the insertion of a cutting instrument, extending from a first end to a second end of the first main body and at least two positioning and fixing arms extending away from the first main body from opposite sides with respect to the longitudinal opening, in order to correctly position the first main body on a bone and fix it thereto through respective fastening members.

Abstract: A multi-barrel drill guide with an elongated body extending along a longitudinal axis having a proximal end and a distal end, an elongated distal guide tube attached to and extending from the distal end of the elongated body, and a handle extending from the elongated body between the proximal end and the distal end. The elongated body has a first channel extending from the proximal end to the distal end and a second channel extending from the proximal end to the distal end at an angle relative to the first channel. The first channel and the second channel intersect at a convergence area at the distal end. A drill bit is movable in a slidable manner within the second channel, and a driver loaded with a suture anchor is movable in a slidable manner within the first channel.

Abstract: A drill guide system provides a means of improved tunnel placement accuracy by allowing the drill guide to articulate to seat against the bone being drilled. The drill guide includes an articulating drill guide adapter constructed in four parts: a top cap, a thumbscrew, a lock tab, and a spring mechanism. The drill guide adapter is part of an aimer arm which mates with a handle on the proximal end and an aimer guide on the distal end. The drill guide adaptor allows the aimer guide to articulate relative to an irregular mating surface, allowing for increased area contact between the aimer guide template and bone. Examples of the drill guide adaptor also include a means for locking the aimer guide into place relative to the aimer arm.

Abstract: A coracoid drill guide assembly includes a body having a cylindrical channel on each side of the body for receiving a drill guide sleeve. The sleeves of the assembly have a 1.4 mm inner diameter to guide a 1.3 mm (or smaller) K-wire through the sleeve. An aimer arm extends from the body at a non-intersecting angle with the drill sleeve. The assembly also has a self-locking ratchet mechanism to lock the sleeve in place once the assembly has been secured to bone.

Abstract: Devices, systems, and methods for bone stabilization, especially ulna head stabilization. The stabilization system may include a bone plate having an elongated portion extending along a longitudinal axis between a proximal end and a distal end. The bone plate defines a plurality of through holes extending through the elongated portion. A plurality of fasteners are configured to extend through one or more of the plurality of through holes in the bone plate and configured to secure the bone plate to the bone. The proximal end of the elongate portion has an arcuate configuration.

Abstract: A method for planning an orthopedic procedure including positioning a virtual implant component relative to a 3D volume of scan data of a patient is disclosed. A 3D volume of scan data of a patient, which includes scan data of a bony anatomy of the patient, is provided. A first 2D view of scan data is generated from the 3D volume of the scan data, wherein the 2D view of scan data comprises a first a portion of the bony anatomy. First positional information for the virtual implant component is defining relative to the first 2D view. A second 2D view of scan data is generated from the 3D volume of scan data, wherein the second 2D view of scan data is provided from the 3D volume of scan data at an angle relative to the first 2D view of scan data and comprises a second portion of the bony anatomy. Second positional information for the virtual implant component is defined relative to the second 2D view of scan data.

Abstract: A drill guide assembly for accurate and stable drilling of a bone tunnel. The drill guide assembly includes a guide body having first and second ends, and a slot extending from the first end toward the second end. The drill guide assembly also includes a curved guide arm having a first arm connected at an angle to a second arm. The first arm terminates in a distal tip. The second arm has first and second sides, and is slidable within the slot of the guide body. The second arm also includes detents along its second side. A locking mechanism is attached at the first end of the guide body and in a first position, and the locking mechanism is engaged with one of the detents. The drill guide assembly also includes a clamp mechanism attached at the second end of the guide body and a guide sleeve removably extending therethrough.

Abstract: The surgical apparatus comprising a support frame having an anterior portion configured to bear on an upper surface of a talus of the patient, and a rear portion configured to be secured to the tibia of the patient; and a cutting guide insert mounted on the support frame and configured to guide a cutting blade for cutting of a lower end part of the tibia.

Abstract: The invention relates to a medical registration apparatus (1), comprising •two flanks (2a, 2b); •a pivot portion (3) around which at least one of the flanks (2a, 2b) is rotatable with respect to a rotation centre (3c, 3d) (FIG. 1, FIG. 3); •a contacting portion (4a, 4b) on each of the flanks (2a, 2b), each contacting portion (4a, 4b) being spaced apart from the rotation centre (3c, 3d); and •a sensor (5, 6) being arranged with an offset (r, FIG. 4 A) to a line (a) connecting the contacting portions (4a, 4b). The invention also relates to a data processing method for use with the medical registration apparatus.

Abstract: A surgical tool having a compact design is disclosed. The tool has a first set of prongs disposed along a first axis, a second set of prongs disposed along a second axis different from the first, and an asymmetric gear set. The gear set includes a rotatable first drive gear disposed on one of the first set of prongs and a rotatable first actuator gear disposed on one of the second set of prongs. The first drive gear is configured to drive the first actuator gear, forming a first gear pair. The gear set also includes a rotatable second drive gear disposed on one of the first set of prongs and a rotatable second actuator gear disposed on one of the second set of prongs. The second drive gear is configured to drive the second actuator gear, forming a second gear pair. The first gear pair and the second gear pair have different diameters.

Abstract: A dynamic reference deviation detecting method is used for detecting a deviation of a dynamic reference coordinate system. A coordinate detecting step is for detecting and recording a first initial coordinate and a second initial coordinate. A first coordinate variation calculating step is for calculating a difference between a first instantaneous coordinate and the first initial coordinate to obtain a first difference value. A second coordinate variation calculating step is for calculating a difference between a second instantaneous coordinate and the second initial coordinate to obtain a second difference value. A relative coordinate variation calculating step is for obtaining a relative difference value. A dynamic reference deviation determining step is for determining whether or not the dynamic reference coordinate system is deviated according to the first difference value, the second difference value and the relative difference value.

Abstract: A blood vessel access closure device includes an inner blood vessel wall support member and an outer blood vessel wall support member. The closure device also includes a deployment member and an electrode. The deployment member is configured to draw the inner and outer blood vessel wall support members towards each other when the inner and outer blood vessel wall members are deployed on opposite sides of a blood vessel wall during closure of a hole in the blood vessel wall. The electrode is configured to be attached to the deployment member and configured to be used to measure impedance.

Abstract: The present invention relates to systems and methods for spinal fusion procedures that can allow all components of the spinal fusion procedure to be inserted into the wound of a patient at once, and can thus minimize the number of components that must be separately inserted into a wound. This can be accomplished by providing a intervertebral fixation system that allows an intervertebral cage and a vertebral fixation plate to be assembled into a single unit prior to insertion into a patient.

Abstract: A patient-specific guide tool for guiding an instrument toward a bone for implantation of a prosthetic device is disclosed. The guide tool includes a body portion having a guide element, and a patient-specific portion having at least one patient-specific mating feature that is configured to engage a soft tissue at or near the bone. A method of manufacturing a guide tool for guiding an instrument toward a bone is also disclosed.

Abstract: A system that includes a cervical plate and an intervertebral cage, the cervical plate having a mounting section that renders the cervical plate mountable to a reference feature located on the front wall of the intervertebral cage, the reference feature being positioned to set a distance between an eyelet of the cervical plate and an edge of the front wall to position the eyelet over a mounting location on a vertebra when the mounting section is mounted to the reference feature.

Abstract: A method of surgically preparing a sacroiliac joint comprising: a) approaching a sacroiliac joint space with a joint preparation tool comprising a cutting element including an exterior having an asymmetric cutting band such that the first side includes a first surface having a first texture and the second side includes a second surface having a second texture, the first and second textures being different such that the first texture is substantially smoother than the second texture; and b) delivering at least a portion of the cutting element non-transversely into the sacroiliac joint space for decortication, the cutting element being oriented in the sacroiliac joint space such that the first surface opposes the generally softer sacrum and the second surface opposes the generally harder ilium in order to more aggressively prepare the surface of the ilium while not over-preparing the sacrum to provide a robust biologic environment for intra-articular fusion.

Abstract: A bone void forming assembly includes a support member having a head portion and an elongate portion extending therefrom. A guide member is connected to the support member and has a guide body including a channel extending therethrough. The channel defines an axis offset and obliquely angled relative to an axis of the elongate portion. The assembly also includes reamer having a cutting head and a stop member. A bushing is slidably connected to the reamer between the stop member and cutting head and is slidably connectable to the guide body via the channel.

Abstract: Patient specific instruments, systems and methods for maintaining, correcting and/or resurfacing joint surfaces. A tibia alignment guide including a body with a first surface and a second surface, a base portion coupled to and extending away from the first surface of the body, and a tower portion coupled to and extending away from a top surface of the body.

Abstract: Devices, systems, and methods for locking a drill guide into a polyaxial hole while maintaining the form and function of the polyaxial hole are provided herein. In some embodiments, the drill guide includes a hollow outer body extending from a proximal end to a distal end and having a slot disposed proximate the proximate end, wherein the distal end is configured as a reverse collet having a plurality of prongs; an inner body having a central channel extending therethrough; and a lever coupled to the inner body through the slot, wherein the slot is shaped such that rotation of the lever results in motion along a central axis of the drill guide, and wherein a distal end of the inner body is configured to prevent radially inward deflection of the plurality of prongs when the inner body is in a lowermost position.

Abstract: Provided is a femoral tunnel guide device including: a handle; a guide tube coupled to the handle and extending in one direction: and an offset unit extending from the guide tube and spaced apart by a predetermined distance from a virtual extension line of the guide tube in the one direction.

Abstract: An aiming guide system configured for connection to a bone plate including an aiming arm and a connection assembly. The aiming arm has a rigid body extending from a proximal end to a distal end with a plurality of aiming holes defined through the rigid body between the proximal end and the distal end thereof. The distal end defines an attachment slot through the body. The connection assembly is configured to engage an attachment screw hole of the bone plate and the attachment slot such that the aiming arm is fixed in position relative to the bone plate with each of the aiming holes aligned with a respective hole along the bone plate.

Abstract: A targeting system (1) for the guided insertion of a guide wire (50) or a bone screw comprising: a stabilization body (2) fixed to the bone by means of stabilization screws (3); a guide sleeve (4) adapted to receive a guide cannula (5) for the insertion of the guide wire (50) or bone screw; articulated connection means (6) adapted to connect the stabilization body (2) to the guide sleeve (4) and allow the relative spatial position of the guide sleeve (4) to be varied with respect to the stabilization body (2).

Abstract: A positioning device is provided, having a guiding bow, wherein the guiding bow at least in section thereof is designed as or comprises a push-in section to be inserted into a sleeve of a push-in sleeves arrangement; wherein the guiding bow comprises or is connected to an adjusting device, wherein the adjusting device comprises at least one targeting device, and wherein the targeting device is designed to receive, at least in section, an interlocking device or an instrument for acting on the interlocking device.

Abstract: An instrument for collecting tissue from a body cavity includes a hollow tubular body having a tubular wall. The hollow tubular body can collect material from a body cavity in a coring mode or an aspiration mode. The tubular wall defines a passage that extends from a proximal end portion of the tubular body to a distal end portion of the tubular body. A middle section of the tubular body includes an articulating section that allows the middle section to articulate relative to the proximal end portion. The distal end portion includes at least one suction port extending from an outer wall surface to an inner wall surface of the tubular wall. The suction port provides a path of fluid communication between the outer wall surface and the passage for drawing in tissue from a body cavity when the tubular body is connected to a source of negative pressure.

Abstract: Described herein is a bone implant including at least one bone-engaging surface designed to mate with an implant-engaging surface of a bone. In the preferred embodiment, the bone-engaging surface of the implant includes a wave pattern comprising at least one peak extending in a proximal direction or at least one valley extending in a distal direction. The implant-engaging surface of the bone also includes a matching wave pattern having at least one peak and valley. Upon mating the engaging surfaces, a bone-implant interface may be created wherein the peaks and valleys of the wave patterns are aligned. As a result, there is good surface contact area at the bone-implant interface which helps prevent loosening or rotating of the implant.

Abstract: A surgical drill alignment guide is disclosed that can provide an accurate trajectory for placement of a bone screw along a longitudinal axis of a bone.