Abstract: A surgical system includes an implant having a first attachment mechanism and an insertion instrument having a proximal end, a distal end, and a second attachment mechanism disposed at the distal end for removable connection with the first attachment mechanism. The proximal end of the insertion instrument is pivotable with respect to the implant. The insertion instrument can include an inserter and a guide. A method of using the surgical system is provided.

Abstract: A position guidance system for minimally invasive medical procedures includes a medical device having a first end configured for percutaneous insertion and a second end configured to remain exterior to a patient's skin, a hub connection provided at the second end of the medical device, at least one bubble level including a bubble configured to provide a visual indication of a deviation from a target angle for medical device insertion, and a connector configured to reversibly and repeatedly connect the bubble level to the hub connection of the medical device. When the bubble is positioned at a center of the bubble level, an actual insertion angle of the medical device is the same as the target angle. When the bubble is positioned off-center of the bubble level, the actual insertion angle of the medical device deviates from the target angle.

Abstract: A surgical instrument for fixing bone fragments is provided. The surgical instrument comprises a positioning member with two pad holding portions, two pad members each having a bone contacting surface and each configured to be releasably held at one of the pad holding portions of the positioning member so that the bone contacting surfaces of the two pad members face each other, and two guiding channels configured to receive a flexible elongated member, each guiding channel being formed in a region between the bone contacting surface of one of the pad members and the associated pad holding portion.

Abstract: An orthopedic surgical instrument includes a polymer 4-in-1 cutting block having a number of metallic cutting guides secured thereto. A pair of metallic bushings function as saw stops at the medial and lateral ends of the chamfer cutting slot.

Abstract: A drill guide system and method including a bone plate and a guide block removably engaged with the bone plate, and with drill guide passages in the guide block substantially aligned with bone screw openings in the bone plate and each having a conically-shaped inner guide surface. A fixed angle drill guide includes a distal portion selectively positioned within a selected one of the drill guide passages and has a conically-shaped outer guide surface matingly engaged with the conically-shaped inner guide surface of a selected drill guide passage to maintain orientation of the fixed angle drill guide at a predetermined fixed angular orientation. A variable angle drill guide includes a distal portion selectively positioned within a selected one of the drill guide passages and has an outer guide surface sized smaller than the conically-shaped inner guide surface of a selected drill guide passage to permit orientation of the variable angle drill guide at a variable angular orientation.

Abstract: A system for replacing a portion of an articular surface including providing an implant site and installing an implant into the implant site. The implant site includes a first and a second excision site which at least partially intersect with one another. Each of the first and second excision sites are formed by providing a respective axis and excising a portion of the articular surface relative to the respective axes.

Abstract: A device for use in total hip arthroplasty surgery is provided. The device includes a first guide member which includes a body having a top surface and a bottom surface, a plurality of first guide legs protruding from the body, and a plurality of protrusions extending from the body. The plurality of first guide legs include a contact area disposed on the open end of the first guide leg. The device also includes a third guide member which includes a tube, a plate configured to engage with the first guide member, and a plurality of holes disposed on the plate configured to receive the plurality of protrusions of the first guide member to couple the first guide member with the third guide member.

Abstract: Devices, systems, and methods are provided for ligament repair procedures, and can be used to establish a location and trajectory for forming a bone tunnel in bone. One exemplary embodiment of a surgical guide for using in a ligament repair procedure includes a guide arm and a carriage that can be selectively locked along the guide arm to define an angle of the bone tunnel. The guide arm also defines a location of a distal end of the bone tunnel. In some embodiments the carriage is configured to have a bullet side-loaded into it, and the bullet can be used to define a location of a proximal end of the bone tunnel. The present disclosure also provides for a gage that limits the distance a drill pin that drills the bone tunnel can travel. A variety of other, devices, systems, and methods are also provided.

Abstract: Apparatus for locating an attachment position for a reconstructed anterior cruciate ligament on an attachment surface of a bone comprises locating means 51, 61 arranged to locate at least one reference surface 4 of the bone and guide means 53, 54 arranged to define the attachment position in two dimensions on the attachment surface relative to the reference surface.

Abstract: The present disclosure presents novel methods, procedures associated steps, and apparatuses to accomplish SI joint fusion in a minimally invasive manner. The preferred embodiment of the invention incorporates improved methods, procedures and apparatuses to facilitate a SI joint fusion providing a generally safer, more minimally invasive SI joint stabilization. In the method associated with the preferred embodiment of the invention, in one aspect, a path or a plurality of paths through an ilium to the sacrum is established, wherein a stabilizer device allows the securement of the sacrum to the ilium. In another aspect, a path or a plurality of paths to the SI joint is established, where bone fusion material allows fusion of the articular surface of the ilium and the articular surface of the sacrum of an SI joint.

Abstract: A drill guide has a main body in which a drill insertion hole is formed and plural projection portions to be inserted into plural bone tunnels. The plural projection portions project forward from the main body parallel with the center line of the drill insertion hole, a virtual drill insertion hole which extends from the drill insertion hole of the main body is formed between the plural projection portions parallel with their center lines by cutting out confronting portions of the plural projection portions, and the length of at least one of the drill insertion hole and the virtual drill insertion hole is 5 mm or more. The drill guide can guide a drill so as to be correctly between plural bone tunnels bored through a living body bone without causing axis deviation so that a link bone tunnel for connecting the plural bone tunnels can be formed between them in the same direction as their direction.

Abstract: A transhumeral drill guide and protective sleeve are disclosed which are utilized in a method for shoulder joint surface replacement surgery that spares the rotator cuff. The method utilizes two passages to gain access to the glenohumeral joint, neither of which requires transection of the rotator cuff.

Abstract: A method of fusing a sacroiliac joint including implanting a joint implant into the sacroiliac joint such that the joint implant passes through a posterior-inferior access region, the joint implant having an implanted position in the sacroiliac joint such that a portion of the joint implant is positioned within a caudal portion of an articular plane of the sacroiliac joint.

Abstract: A welled handle device comprising a base with a front and back end having a predetermined grippable silhouette or outer contour, a plurality of open wells formed in the base, and a tool portion connected to the front end of the base. The open wells contain regions which are substantially rough or textured and regions which are substantially smooth. A method of collecting medical waste comprising the steps of having waste on a hand or glove and gripping the grippable outer contour of the welled handle device, wherein at least some of the medical waste is collected within the wells of the handle.

Abstract: A device is for aligning an aiming hole of an aiming device with a locking hole of an intramedullary nail. The device includes a sensing unit sized and shaped for insertion through an aiming hole of an aiming device attachable to an intramedullary nail. The sensing unit detects a magnetic field produced by a magnet and outputs an alignment signal based on a magnetic field parameter at first and second locations relative to the magnet.

Abstract: A technique for accessing extra articular lesions or abnormalities or intra osseous lesions or abnormalities or bone marrow lesions or all has the step of positioning the localizing pinning member onto cartilage or subchondral bone to define a virtual pathway through the cartilage or subchondral bone towards or into or through the lesion or abnormality or a desired target to create the virtual pathway utilizing an intra articular localizing pinning member to determine a location of the lesion or abnormality wherein the utilization of the localizing pinning member includes the step to locate or stabilize or both and thereafter using the virtual pathway to create an entry access.

Abstract: The present disclosure relates to a guide assembly including a guide having a body and a joint including at least one through hole, wherein the joint is configured for sliding along a length of the body, and a first surgical device. The guide is coupled to the first surgical device and a longitudinal axis of the through hole is co-radial with an end of the first surgical device. Other guide assemblies and methods of creating multiple portals during surgery are also disclosed.

Abstract: An implant insertion device including a body having a first portion for coupling to a proximal end of an intramedullary rod and a second portion extending in a spaced position from the intramedullary rod in the vicinity of an aperture in a proximal end of the rod when the rod is coupled to the first portion. The second portion can include a targeting assembly having a passageway for receiving a guide sleeve and for pivoting the guide sleeve relative to the aperture through an angular range for inserting the fastener into the aperture of the rod. An implant insertion device for use with an implantable device is additionally provided.

Abstract: Embodiments of the present invention relate generally to implant placement into bone. More specifically, embodiments of the invention relate to implant placement across the sacro-iliac joint. Placement can be facilitated using various CT imaging views that allow the implants to be placed in bone associated with articular cartilage.

Abstract: A drill guide includes a shaft, a drill guide assembly securable to the shaft, and a first drill guide insert. The drill guide assembly includes a first drill guide body defining a receiving passage, a locking member, and terminating in a first grasping projection that flexes between open and closed positions. The first drill guide insert installs in the receiving passage and includes a bore, a grasping projection displacement surface, a locking groove, and a key member. The grasping projection displacement surface moves the first grasping projection from its closed position to its open position during installation of the first drill guide insert. Upon installation, the locking groove receives the first grasping projection to lock the first drill guide insert in the first drill guide body, and the key member engages the locking member to prevent rotation of the first drill guide insert within the first drill guide body.

Abstract: The present invention relates to a series of orthopedic plates for use in repair of a bone. The plate has a Y-shaped profile or an X-shaped profile which includes an elongate central trunk with a complex contour and either one or two terminal pairs of arms that have a first arm and a second arm that form differing angles and lengths relative to the trunk portion of the plate. The arms include locking screw holes where the screws converge toward each other to provide for multiplanar fixation but which do not impinge.

Abstract: In a first embodiment, the present invention includes an instrument for use in preparing a femur for soft tissue repair or reconstruction, including a cannulated, curved guide tool having a cannulated body extending to a distal tip and a plane defined by a longitudinal axis of the cannulated body and distal tip; and a flange secured to the distal tip and extending from the distal tip in a direction transverse from the distal tip, the flange having a first curve along at least a portion of the flange and a degree of tilt, relative to the plane, along at least a portion of the flange.

Abstract: An orthopaedic aiming device system is provided that includes a targeting device. The targeting device has a curved portion with an end and at least one guide opening formed therethrough. The curved portion also defines an arced axis. Connected to the end of the curved portion is a mounting portion that has at least one mounting opening formed therethrough. The mounting opening defines a mounting axis that is approximately orthogonal to at least one point on the arced axis of the curved portion. The orthopaedic aiming device system can also include mounting pins, a positioning device, and an orthopaedic implant. The mounting pins can include distancing features that interact with distance locking features of the mounting opening(s) to properly distance the targeting device from the orthopaedic implant. Also included is a method to target implant openings that have compound angled screw trajectories using an orthopaedic aiming device system.

Abstract: An ultrasonic instrument comprises an ultrasonic transducer, an acoustic waveguide, and an ultrasonic blade. The acoustic waveguide comprises a bore extending through the waveguide, an anchor pin, and an acoustic isolator. The anchor pin is insertable through the bore and is operable to longitudinally anchor the acoustic waveguide relative to the ultrasonic instrument. The acoustic isolator is radially disposed about the acoustic waveguide and is operable to acoustically isolate the acoustic waveguide from the ultrasonic instrument. The acoustic isolator comprises an opening extending through the isolator. The opening is configured to receive the anchor pin. The ultrasonic blade is in acoustic communication with the acoustic waveguide such that the ultrasonic transducer is operable to drive the ultrasonic blade to vibrate ultrasonically via the acoustic waveguide.

Abstract: A bone plate includes first and second longitudinal sides, a plurality of through holes longitudinally displaced in the bone plate between the first and second longitudinal sides, and a plurality of tubular guide elements coupled relative to the plurality of through holes. Plate bending tools are provided. Each includes a handle having a first end, a second end, and a longitudinal axis, and an end effector coupled to the first end of the handle. The end effector includes a retaining arm that is provided with a bore having a bore axis extending transverse relative to the longitudinal axis and a fulcrum. The bore is sized to received a portion of a tubular guide element coupled to the bone plate such that the retaining arm can stably engage the tubular guide element. The fulcrum is adapted to bear against one of longitudinal sides of the bone plate.

Abstract: Improved instruments (tools) and surgical techniques are provided for use in surgical procedures that treat femoroacetabular impingement of both the Cam and Pincer types.

Abstract: A system can include a sizing and drill guide having a body with a bone engaging side, an opposite side and first and second guide holes. The bone engaging side can include a profile for positioning in the trochlear groove and the guide holes can include axes that can be orientated at an acute angle. Retaining members can be positioned in bores formed in the body and can fix the guide to the femur. A cutting device can be guided by the guide holes and can include a bone engaging end having a body and first and second cutting portions. The first cutting portion can have a smaller diameter than the second cutting portion and can be axially spaced apart therefrom so as to form a stepped pocket in the femur. The body can include an outer diameter sized to be complimentary to an inner diameter of the guide holes.

Abstract: A patient specific implant alignment guide assembly includes an anatomical reference component and a guide component. The anatomical reference component includes at least one matching feature shaped and dimensioned to match and complement a specific feature of an anatomic location. The anatomical reference component further has one or more protrusions and is fabricated based on one or more images of the anatomic location where the implant is to be implanted. The guide component includes one or more attachment protrusions that are shaped and dimensioned to match and interface with the one or more protrusions of the anatomical reference component. The guide component is attached to the anatomical reference component by matching and attaching the one or more attachment protrusions of the guide component to the one or more protrusions of the anatomical reference component.

Abstract: An aiming device for insertion of a Kirschner-wire to treat a target bone, comprises an aiming block permitting placement of a Kirschner-wire against the target bone and a forceps connected to the aiming block, the forceps being configured to clamp to the target bone.

Abstract: An instrument for internal bone fracture fixation includes a shaft having a distal portion and a patient-specific bone holder coupled to the distal portion. The bone holder has a three-dimensional curved and patient-specific bone engagement surface designed during a preoperative plan based on a medical scan of a patient to match and conform to an outer surface of a bone fragment of the patient in only one position.

Abstract: A guide assembly for facilitating placement of a fixation member within a medullary canal of a radius is provided. According to one embodiment, a guide assembly includes a guide fastener configured to attach to a fixation member and a guide member configured to receive the guide fastener such that the guide member is secured to the fixation member. The guide assembly also includes an interchangeable distal guide member configured to engage and be disengaged from the guide member. The distal guide member defines a plurality of fastener guide openings for guiding respective fasteners through a plurality of fastener openings defined in the fixation member.

Abstract: A first prosthetic ankle component (10) comprising: a first bearing surface (12) configured to engage a second bearing surface (22) of a second prosthetic ankle component (20); and a protrusion (16) or slot (26) on the first bearing surface, the protrusion or slot being configured to engage a respective slot (26) or protrusion (16) in the second bearing surface of the second prosthetic ankle component, wherein the protrusion or slot is further configured such that the interaction with the respective slot or protrusion permits the first and second prosthetic ankle components to slide with respect to one another in an interface plane defined by the interface between the first and second bearing surfaces, and wherein the protrusion or slot is further configured to restrict the first and second prosthetic ankle components moving away from one another in a direction with a component perpendicular to the interface plane.

Abstract: A surgical cutting system can be configured to prepare an intervertebral space for insertion of an intervertebral implant. In an embodiment, the surgical cutting system includes a drill guide and a drill bit. The drill guide can be configured to be coupled to a trial implant and can include a guide portion that is configured to support a first stop member. In addition, the drill guide defines a guide hole that extends through the guide portion along a guide hole axis. The drill bit can be configured to be at least partially received in the guide hole. Moreover, the drill bit defines a second stop member that is configured abut the first stop member so as to limit movement of the drill bit through the guide hole along the guide hole axis to a maximum cut depth.

Abstract: Devices, instruments and associated methods for the subchondral treatment of osteoarthritis in small joints are provided. In addition, a method for treating joint pain in small joints is provided. These small joints may be ankle, elbow or wrist joints. The methods may target one of many different access points having trajectories with a common focal point at or near the small joint. The instruments may limit access to areas within or near the small joint by providing predefined entry paths that avoid damage to surrounding tissues.

Abstract: A stabilization device is provided including an axle and a portion that can be affixed to a bone. The device is used to stabilize a joint while allowing motion of the joint along its natural trajectory and it is placed internally in order to prevent pin tract problems. Additionally, methods for using the device are provided that include, in various sequences, inserting the axle into a bone of a joint, adjusting the geometry of the device and attaching the fixable portion to another bone of the joint. The device can be provided as part of a system including an axis trajectory guide useful for locating the axis of rotation of the joint prior to insertion, adjustment and attachment of the device.

Abstract: An orthopedic surgical instrument includes a patella trial and drill guide that may be used to both perform a surgical trial of the patellofemoral joint and guide the surgeon in drilling a number of anchor holes in the patella of the patient.

Abstract: Methods, non-transitory computer readable media, and individualized kinematic total knee replacement (TKR) analysis computing devices that obtain prosthesis data for a prosthesis. Anatomical and pathoanatomical data for a patient is determined. The anatomical data comprises at least a coronal mechanical lateral distal femoral angle and a posterior condylar axis that is specific to the patient. Bone and cartilage resection data is determined based on the prosthesis data, the anatomical data, and the pathoanatomical data. In one example, a recommended three-dimensional total knee replacement surgeon plan for the patient is output via a graphical interface. The recommended three-dimensional total knee replacement surgeon plan comprises the bone and cartilage resection data for facilitating implantation of the prosthesis in the patient.

Abstract: Techniques for joint fusion are described, including a drill guide assembly having a drill guide and a pin sleeve, the drill guide including a drill guide head having an opening, a shaft configured to receive the pin sleeve, a drill guide tip configured to engage a bone, and a cannula configured to receive an implant, a first guide pin configured to guide placement of the drill guide, a striker tube configured to fit over at least a portion of the pin sleeve, a cannulated drill bit configured to drill a pilot hole in a bone tissue, a stop collar configured to be placed over the cannulated drill bit and to be attached to the cannulated drill bit using a ridge, and a parallel spacer instrument configured to guide placement of a second guide pin at a distance from the implant after the implant is implanted into the bone tissue.

Abstract: Apparatus and methods for preparing a fractured bone for repair. Preparing the bone may include fracture reduction. Preparing the bone may include holding a fracture in reduction. Preparing the bone may include identifying locations for obtaining access to an interior region of the bone. The apparatus may include structures outside the bone that interact with fragments of the bone. The structures may participate in the reduction. The structures may participate in holding the reduction. The structures may participate in identifying the locations.

Abstract: A device for an orthopedic knee procedure. The device includes a tibial drill guide having a body portion and first and second posts extending from the body portion, the first post shorter in length than the second post. The device includes a patient-specific tibial alignment guide including a body with an inner anatomy-engaging surface shaped to closely conform and mate with a corresponding tibial joint surface. The first and second guiding receptacles define first and second inner channels sized and shaped to receive the first and second posts of the tibial drill guide. The first receptacle being shorter in length than the second receptacle, such that when the alignment guide is mounted on the tibial joint surface and the drill guide is mounted on the alignment guide, the first receptacle and the first post define a clearance gap between the tibia and the device for a patellar tendon.

Abstract: A surgical guide comprises a member including an inner surface defining at least one cavity configured for disposal of at least one surgical tool and at least one part movable relative to the member and including a lock element engageable with a lock element of a spinal implant. Systems and methods are disclosed.

Abstract: An anatomic femoral guide positions bone tunnels corresponding to the AM and PL bundles in ACL repair and reconstruction procedures. A template guide disposed in a surgical field proximate to a surgical member such as a femur or tibia defines a surgical footprint of the resulting bone tunnel. The template includes apertures corresponding to the size of the bone tunnels for the respective (AM or PL) bundles, and allows positioning at the drilling site to identify the size and location of the bone tunnel, as well as the relative distance between tunnels for double bundle procedures. An offset angle in the template provides differing orientations of the template apertures for visualizing the actual bone tunnel placement. The template has an aperture positionable parallel to a tibial plateau formation on the tibia, and the template orients a second aperture angled by the offset angle for positioning the second tunnel.

Abstract: A surgical guide comprises a member including an inner surface defining a cavity configured for disposal of at least one surgical instrument. The member further includes at least one locking element configured for mating engagement with a spinal implant such that the member is rotatable relative to the spinal implant to selectively orient the at least one surgical instrument. Systems and methods are disclosed.

Abstract: A surgical device having an assembly used to position a patient-specific surgical instrument with a bone of a patient, the assembly having radio-opaque and radiolucent portions that provide an indication of the instrument, and corresponding implant's alignment with respect to the bone, as well as an indication that the angle of the projection (or orientation of the view) of the alignment guide to assess the placement of the alignment guide relative to the underlying bony anatomy. The radio-opaque portion may include a plurality of Kirschner wires, fiducial markers, and may include a void allowing for alignment down a first length of the radio-opaque portion. Embodiments may be used with intra-operative fluoroscopy.

Abstract: A system and method of angularly stable fixation of an implant on a bone includes the steps of making at least one hole in the bone by means of a bone drill. An implant is placed on the bone in a desired position and joining the implant with the bone, such that the implant is prevented from rotation about its attachment point. A system is provided for use in the above described method. The system comprises a bone drill, an implant and a sonotrode for angularly stable fixation of the implant on the bone. The system can further comprise a joining element to join the implant with the bone.

Abstract: The jig includes bearing portions capable of engaging, only on the anatomical bone structure of the patient, with the front and rear edges of the socket, said portions having temporary positioning and attaching arrangements defining contact surfaces engaging with said front and rear edges, and said portions being formed from an area for connecting with a gripping sleeve arranged to act as a bore guide, wherein the positioning and orientation of the sleeve are predetermined relative to a three-dimensional coordinate system specific to the scapula and resulting from a peroperative plan translated via a bore axis defined by a vector and an origin that is the center of the socket, wherein both the vector and the origin give said orientation to the customized placement jig.

Abstract: A surgical impactor (2) for inserting a prosthetic implant (26) into a bone, the surgical impactor (2) comprising: a movable retaining means (8) for releasably connecting the implant (26) to the surgical impactor (2), wherein the movable retaining means (8) has a first position in which the implant (26) is connected to the surgical impactor (2) and a second position in which the implant (26) is not connected to the surgical impactor (2); and a mechanism (14, 16) for moving the movable retaining means (8) between the first and second positions, wherein the movable retaining means (8) and the mechanism (14, 16) are removable from the surgical impactor (2).

Abstract: A method and apparatus for fixing a ligament in a bone tunnel by cross-pinning the ligament in the bone tunnel.

Abstract: An instrument for locating an axis of a blocking screw is disclosed. The instrument is applicable for a retrograde installation of a femoral intramedullary device or an antegrade installation of a tibial intramedullary device. The instrument includes a drill jig with a radiolucent frame portion and a mounting portion. The mounting portion is adapted to connect to an intramedullary device, and the frame portion has at least one aperture for locating the axis of the blocking screw. The drill jig is adjustable to locate the aperture in a longitudinal or rotational direction relative to the intramedullary device.

Abstract: A system for repairing a soft tissue or bone defect can include a C-shaped guide member having a first end and a second end and configured to extend around a condyle area of a femur of a patient. The guide member includes a threaded bore at the first end, and the second end configured to rest on a tibia of the patient. The system includes a cannulated bullet threadably received in the threaded bore and configured to be threadably advanced to secure the guide member relative to the femur. The system also includes a drilling member insertable through the bullet and configured to drill a femoral bore through the femur.