Abstract: An inclination guide for use with an implant insertion tool during a surgical procedure includes a unitary body having a clip configured to be coupled to a mounting surface of the implant insertion tool, an elongated riser extending from the clip, and an elongated indicator extending from the elongated riser to a distal end. Such a design allows for an inexpensive and lightweight inclination guide that may be easily and quickly adjusted after assembly.

Abstract: A method of calibrating an instrument for surgical intervention is provided. The instrument to be calibrated has a tip at a distal end thereof and a navigation array that is spaced from the distal end and is detectable in space. The navigation array has a fixed spatial and angular relationship with the tip. The method comprises the steps of: placing a calibrator on the tip of the instrument such that the tip is positioned within the calibrator at a known displacement from the centre of the calibrator, the calibrator having a circular shape and being detectable as a single point in space; detecting the position of the navigation array and the centre of the calibrator; and determining the position of the centre of the calibrator relative to the navigation array, thereby calibrating the position of the tip of the instrument relative to the navigation array. There is also provided a calibrator for use in such a method.

Abstract: A guide for guided surgery on zygomatic bone implants for dental prostheses includes a half-bushing and a complementary half-bushing which are connected by a pair of bars. The half-bushings and the bars define a common longitudinal median axis between them; the half-bushings have a U-shaped or semicircular cross-section with mutually opposite concavities directed toward the median axis; the half-bushings and the bars form a seat in which it is possible to insert a work member, such as a burr and a subsequent implant, which can move only along the median axis and rotates about an axis of rotation that coincides with the median axis.

Abstract: An apparatus for correcting bunion deformity includes an elongated member, a first arm member extending from a first end to a second end, a second arm member, and a rotation guide. The first arm member has an arm axis and is coupled to the first end of the elongated member so that the arm axis extends in an orthogonal direction from the elongated member. The second arm member includes an attachment portion configured to translatably engage the elongated member and an extension extending in the same orthogonal direction as the first arm member. The rotation guide is coupled to the first arm member such that the rotation guide is configured to rotate with respect to the first arm member about a rotation axis, the rotation guide defining a bore having a longitudinal axis.

Abstract: Implant positioning devices and fastener guides for implant positioning devices are disclosed for assisting in positioning orthopaedic fixation devices (such as bone plates, etc.). A fastener guide may include a body with slits in a first end of the body that form a guide arm proximal to the first end of the body. The guide arm is configured to releasable hold a fastener in the fastener guide. The fastener guide may also be coupled to a bone plate to facilitate ease of alignment and insertion of the fastener into a fastener apertures of the bone plate.

Abstract: Methods and devices for consistently and accurately controlling the depth of the graft tunnel. A sheath is inserted into the bone until a stop member on the sheath contacts the bone. A cutting member is then deployed to drill a larger bore in the tunnel until making contact with the distal end of the sheath. The cutting member may be drawn retrograde within the tunnel, or driven antegrade from an opening opposite the opening in which the sheath resides. The drill and the sheath can then be removed, leaving the tunnel that includes a tunnel portion sized to fit a graft so that the graft fits tightly within the tunnel portion and is flush with the opening of the tunnel.

Abstract: Methods for measuring tissue defects include the use of a suture anchor, a drill guide, a needle driver, and a ruler. Using the drill guide, the surgeon extends the suture attached to an implanted anchor between the first and second ends of the defect. The surgeon then attaches a needle driver to the suture extending from the proximal end of the drill guide. Finally, the surgeon retracts the suture back through the drill guide and measures the distance between the needle driver and the proximal end of the drill guide to determine a length of a graft needed to repair the defect.

Abstract: An intramedullary nail includes one or more nail openings extending therethrough. The intramedullary nail is implantable within a medullary canal of the bone. A bone plate is configured to engage an outer surface of the bone. The bone plate includes one or more plate openings extending therethrough. The plate openings are spaced about the bone plate such that the bone plate is positionable to axially align the plate openings with the nail openings when the intramedullary nail is implanted within the medullary canal of the bone. An aiming guide includes one or more targeting openings. The targeting openings are spaced about the aiming guide such that the aiming guide is positionable to axially align the targeting openings with the plate openings and the nail openings for extending one or more stabilizing fasteners therethrough when the intramedullary nail is implanted within the medullary canal of the bone.

Abstract: Methods and devices for consistently and accurately controlling the depth of the graft tunnel. A sheath is inserted into the bone until a stop member on the sheath contacts the bone. A cutting member is then deployed to drill a larger bore in the tunnel until making contact with the distal end of the sheath. The cutting member may be drawn retrograde within the tunnel, or driven antegrade from an opening opposite the opening in which the sheath resides. The drill and the sheath can then be removed, leaving the tunnel that includes a tunnel portion sized to fit a graft so that the graft fits tightly within the tunnel portion and is flush with the opening of the tunnel.

Abstract: Tracking constellations for use with surgical instruments, and associated systems and methods, are disclosed herein. In some embodiments, a tracking constellation includes (i) a support, (ii) a plurality of first standoffs extending from the support to a first height, and (iii) a plurality of second standoffs extending from the support to a second height different than the first height. The tracking constellation can further include a plurality of markers mounted to corresponding ones of the first standoffs or the second standoffs. The markers can lay in a common plane. The support can extend at a generally orthogonal angle to an instrument when the tracking constellation is coupled to the instrument such that the common plane is angled relative to the instrument.

Abstract: A soft tissue and bone repair system and corresponding method are provided which are particularly useful for labral repairs in the human shoulder. The system comprises at least two guide cannulae capable of being introduced into an anatomical structure of a human body at different entry points for repair of a tear in soft tissue. A pulling line can be passed within the anatomical structure between the guide cannulae. A guide device may be attached to the pulling line and inserted into one of the guide cannula. The guide device is capable of delivering a drilling device into the anatomical structure. The pulling line is capable of being pulled to move an end of the guide device from a one location to another within the anatomical structure to position the drilling device on a desired drilling path to access the tear in soft tissue.

Abstract: A device for correcting a placement of a guide wire in a bone includes a body extending from a proximal end to a distal end; a central channel extending through the body from the proximal end to the distal end along a central axis, the central channel sized and shaped to receive a guide wire slidably therein; and a first correction channel extending through the body from the proximal end to the distal end. The first correction channel is sized and shaped to receive a guide wire therein at an angle relative to the central axis of the central axis of the central channel.

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 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: 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: 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: 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: 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 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: 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: 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 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.