Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Inventor
Malone, Miles
Maccready, Christopher D.
Hosseini, Ali
Housman, Mark Edwin
Liu, Chun
Hunt, James
Peabody, Jacob
Mcgovern, Paul
Yeoh, Han Teik
Torrie, Paul Alexander
Bettenga, Mason James
Ranawat, Anil S.
Ferraiuolo, Lawrence
Karasic, Geoffrey Ian
Abstract
Methods and devices for tissue graft fixation include fixation devices attached to an adjustable fixation loop of suture without compromising the graft or requiring additional material to complete the repair. Other fixation devices are attachable to an independent adjustable suture system. Adjustable fixation loops minimize slip/creep of the suture within the loop.
The present disclosure relates to novel compounds and pharmaceutical compositions thereof, and methods for promoting healthy aging of skin, the treatment of skin disorders, the treatment of cardiovascular disorders, the treatment of renal disorders, the treatment of angiogenesis disorders, such as cancer, treatment of tissue damage, such as non-cardiac tissue damage, the treatment of evolving myocardial infarction, the treatment of ischemic injury, and the treatment of various other disorders, such as complications arising from diabetes with the compounds and compositions of the invention. Other disorders can include, but are not limited to, atherosclerosis, cardiomyopathy, coronary artery disease, diabetic nephropathy, diabetic neuropathy, diabetic retinopathy, diabetic cardiomyopathy, infections of the skin, peripheral vascular disease, stroke, galactosemia, asthma, PMM2-CDG and the like.
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Smith & Nephew Orthopaedics AG (Switzerland)
Inventor
Nikou, Constantinos
Jaramaz, Branislav
Abstract
Methods, non-transitory computer readable media, and ultrasound imaging apparatuses and systems that facilitate improved ultrasound imaging that emphasizes structures of interest are disclosed. With this technology, position data for a transducer assembly is continuously obtained along with ultrasound scan data captured via the transducer assembly. Image processing techniques are applied to ultrasound images generated from the ultrasound scan data to identify structure(s) of interest included therein and highlight the identified structures on a composite representation generated from the ultrasound images. The intensity of portions of the resulting composite representation is then adjusted to reflect the time in which the associated ultrasound scan data was captured. The composite representation is then output to an augmented reality headset or superimposed over an image of the patient to facilitate improved visibility and relation of the structures of interest.
H04L 41/082 - Configuration setting characterised by the conditions triggering a change of settings the condition being updates or upgrades of network functionality
G06F 3/0482 - Interaction with lists of selectable items, e.g. menus
H04L 12/18 - Arrangements for providing special services to substations for broadcast or conference
SMITH & NEPHEW ASIA PACIFIC PTE. LIMITED (Singapore)
Inventor
Housman, Mark Edwin
Abstract
A suture/anchor and delivery device combination includes a first cannulated suture and a second stepped or staged suture that has a smaller diameter section connected to a larger diameter section. The smaller diameter of the second suture is passed through the first suture and the assemblage of sutures is further passed through a tube which acts as an inserter. To actuate the device, the larger diameter of the second suture is pulled into the lumen of the first suture, thereby expanding the first diameter of the first suture to create an interference fixation within bone.
A61B 17/04 - Surgical instruments, devices or methods for closing wounds or holding wounds closedAccessories for use therewith for suturing woundsHolders or packages for needles or suture materials
Disclosed herein are tracking element fixation elements for affixing computer-assisted surgical system (CASS) tracking elements to a patient. Fixation systems provide kinematic coupling or clamping functionality that allows tracking elements (attached to a tracker arm) to be repeatedly and accurately detached and re-attached to facilitate removal when necessary, such as for point probe data collection, during impaction, bone movement, and/or the like. Fixation systems may include a baseplate and a tracker arm configured to be kinematically coupled to the baseplate via a magnet associated with independent ball bearings or contacts extending from a bottom surface of the magnet. The ball bearings or contacts are configured to be received within corresponding grooves of the baseplate. The baseplate may include one or more protrusions extending from a bottom of the baseplate that are configured to be impacted into the cortical bone of the patient.
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 17/00 - Surgical instruments, devices or methods
6.
MODELING TOOLS FOR TOTAL SHOULDER ARTHROPLASTY PRE-OPERATIVE PLANNING
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Inventor
Navacchia, Alessandro
Wood, Samantha
Netravali, Nathan A.
Abstract
Disclosed herein is a system and method for performing pre-operative planning of total joint arthroplasty. The planning tool builds a model and analyzes and visualizes movement of the joint for various selections of implant models and placement of the components on the implants on the patient's anatomy. The tool also analyzes and visualizes motions of the joint during common activities of daily living and analyzes and functional ranges. The tool provides real time clinically relevant parameters to inform pre-surgery planning. The tool provides screw orientation visualization.
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Smith & Nephew Orthopaedics AG (Switzerland)
Inventor
Wilson, Darren J.
Bell, Brett J.
Abstract
A device for resecting hard biological tissue is provided. The device comprises a laser source configured to emit a laser beam, and a plurality of optical fibers, each having a proximal end optically coupled to the laser source and a distal end configured to emit the laser beam. A support structure maintains the distal ends of the optical fibers in a predetermined spatial arrangement. A window is positioned to permit transmission of the laser beam from the distal ends toward the tissue. At least one spacing element is associated with the support structure to maintain a predetermined distance between the distal ends and the tissue during operation. The device further includes a fluid delivery system associated with the support structure and configured to deliver a fluid to a cutting interface at the tissue. The arrangement enables precise, efficient, and controlled laser ablation or resection of hard tissue, with improved cooling and debris management.
A61B 18/22 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibreHand-pieces therefor
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61B 18/20 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
SMITH & NEPHEW ASIA PACIFIC PTE. LIMITED (Singapore)
Inventor
Housman, Mark Edwin
Hall, Benjamin M.
Shah, Jay A.
Lo, Ian K.Y.
Abstract
Surgical fixation assemblies include a screw-in anchor with a suture construct attached to and extending through an interior of the anchor. The suture construct has two finger trap splices to trap suture that has been passed through them when the construct is placed in tension. Transfer sutures containing loops are preloaded through the finger trap splices and used to pull the ends of the repair sutures through the finger trap splices to form reducing loops around or through captured tissue.
A61B 17/04 - Surgical instruments, devices or methods for closing wounds or holding wounds closedAccessories for use therewith for suturing woundsHolders or packages for needles or suture materials
9.
ELECTRICAL STIMULATION METHODS AND SYSTEMS FOR SURGICAL PLANNING
Disclosed herein are systems and methods for planning a knee arthroplasty procedure. In one example, a surgical method includes intraoperative measurement of patient anatomical information of the knee and/or movement of the knee of a patient resulting from electrical stimulation of nerves or muscles to cause articulation of the knee. An electrical stimulation system may be attached to a patient to cause contraction/relaxing of muscles operative to cause articulation of the knee. Tracking elements may be associated with relevant knee anatomical structures, such as the proximal tibia, the distal femur, and/or the patella to track the movement of the knee components resulting from the electrical stimulation. Implant components may be selected, positioned, and/or orientated using the tracking information resulting from the electrical stimulation, thereby allowing for determination of a surgical plan based on intraoperative muscle-activated knee articulation, configured to emulate natural patient anatomy and kinematics.
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Inventor
Torrie, Paul Alexander
Cormier, Philip A.
Jezierski, Rafal Z.
Zamarripa, Nathan
Ribeiro, Luis Carlos Fial Teixeira
Teixeira, Rui Jorge Melo
Abstract
Tracking objects in medical procedures. At least one example is a method comprising: retaining a bone marker on a distal end of an installation tool, the bone marker comprising a polyhedron having a fiducial pattern on each of at least three outward facing surfaces of the polyhedron, an externally-threaded screw extending distally from the polyhedron, and a flange proximate to an intersection of the polyhedron and the externally-threaded screw; positioning a distal end of the externally-threaded screw against a bone at a marker location; screwing the externally-threaded screw into the bone by way of the installation tool; and trapping tissue against the bone beneath the flange.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
SMITH & NEPHEW ASIA PACIFIC PTE. LIMITED (Singapore)
Inventor
Rogers, Jon-Paul
Housman, Mark, Edwin
Hall, Benjamin, Michael
Mirabile, Belin
Abstract
A knotless all-suture system with a preformed repair loop. The system includes an insertion instrument with a tension actuator, the instrument housing a knotless all-suture construct. The construct includes an all-suture anchor and a first repair suture. The first repair suture is formed in a preformed loop that extends proximally from the all-suture anchor and includes a locking passage that extends through the all-suture anchor. The preformed loop extends along and within a shaft of the insertion instrument and is coupled to the tension actuator, such that actuating the tension actuator sets the all-suture anchor via tension along the preformed loop.
A61B 17/04 - Surgical instruments, devices or methods for closing wounds or holding wounds closedAccessories for use therewith for suturing woundsHolders or packages for needles or suture materials
A delivery system for delivering an anchor member to a bone of a patient may include a bone punch including an elongate shaft, a head at a proximal end of the elongate shaft, and a piercing tip at a distal end of the elongate shaft. The piercing tip may be configured to be driven into the bone. An anchor member may be disposed over at least a portion of the piercing tip with the piercing tip extending distal of the anchor member. The anchor member may be configured to penetrate the bone of the patient in cooperation with the piercing tip.
A61B 17/04 - Surgical instruments, devices or methods for closing wounds or holding wounds closedAccessories for use therewith for suturing woundsHolders or packages for needles or suture materials
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Inventor
Netravali, Nathan Anil
Srivastava, Vaibhav
Torrie, Paul Alexander
Abstract
Systems and methods for fusing arthroscopic video data are described. A system comprises an arthroscopic assembly, an inertial measurement unit (IMU) mounted on the arthroscopic assembly, a processor, and a processor-readable storage medium. An arthroscopic surgical plan, images from the arthroscopic assembly, and measurements from the IMU may be obtained. The images and the measurements may be combined to form a data combination. The data combination may be filtered to form a fused data set. The fused data set may control a device. A map of an arthroscopic surgical site may be created based on the fused data set, and a position of the arthroscopic assembly with respect to the arthroscopic surgical site may be calculated. The arthroscopic surgical plan may be updated based on at least one of the map of the arthroscopic surgical site and the position of the arthroscopic assembly.
A bone screw for affixing an orthopedic implant such as an intramedullary nail to a patient's bone. The bone screw including an implant thread section including a first thread form configured to engage threads or other bone screw engaging features formed in a screw opening in the orthopedic implant and a bone thread section including a second thread form configured to engage bone. The second thread form is different from the first thread form. The second thread form including a major diameter that is substantially similar to the first thread form (e.g., at least a single turn of the second thread form has a major diameter substantially the same as a major diameter of the first thread form). In some examples, the second thread form includes a greater pitch than the first thread form and/or the second thread form includes a smaller minor diameter than the first thread form.
Systems and methods for engaging and controlling the insertion of an orthopedic plate is disclosed. A plate inserter includes a handle portion and a shaft comprising a first end connected to the handle portion and a second end comprising a coupling element. The coupling element can include a collet having an outer diameter that is selectively adjustable to move the collet between a contracted configuration and an expanded configuration, and the collet can include a plurality of protrusions extending from a radial surface thereof. In this configuration, the plurality of protrusions can be configured to matingly engage an opening in an orthopedic plate at any of a plurality of discrete engagement positions. The plate inserter may be used in combination with an orthopedic plate configured to be secured across a bone fracture to provide a system for stabilizing a bone fracture.
A pelvic bone plate for use in for stabilizing a fracture of a pelvic bone of a patient includes a brim segment configured to be affixed to a portion of a pelvis of a patient and a quadrilateral surface (QLS) segment coupled to the brim segment via at least one bridge. The QLS segment can include a bearing surface configured to be arranged directly adjacent to a QLS of the pelvis and an engagement surface substantially opposing the bearing surface that is configured to be engaged by a surgical clamp. The brim segment can include a plurality of openings configured to receive one or more fasteners.
An orthopedic surgical impactor and corresponding methods of operations. The impactor includes an electromagnetic component having a stationary electromagnetic housing and a moving armature component. The stationary electromagnetic housing includes a coil configured to receive an electric current resulting in generation of an electromagnetic field for triggering translation of the armature component within the stationary electromagnetic housing. The electromagnetic field is configured force the armature component to translate in at least one direction. The impactor includes a sensing component having at least one processor. The processor is configured to determine an inductance, associated with the electromagnetic field, based on at least one of: at least one current output signal and at least one voltage output signal generated by the coil, and determine, based on the inductance, a position of the movable armature component within the stationary electromagnetic housing.
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Inventor
Quist, Brian William
Jayakumar, Vishal
Rodriguez, Carlos A.
Abstract
Methods, non-transitory computer readable media, and arthroscopic video analysis apparatuses and systems that facilitate improved analysis of videos of arthroscopic procedures are disclosed. With this technology, analytical data related to the video feed of an arthroscopic surgery can be obtained using machine learning models and associated with the video feed. The generated videos can be output in real-time to provide contextual information related to the surgical procedure, or can be saved for playback for training or informational purposes.
G16H 10/60 - ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
G16H 30/40 - ICT specially adapted for the handling or processing of medical images for processing medical images, e.g. editing
G16H 40/63 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
G16H 40/67 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
G16H 50/20 - ICT specially adapted for medical diagnosis, medical simulation or medical data miningICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
An electrosurgical wand for reducing tissue is disclosed. The wand includes a handle and an elongate shaft, the shaft having a major longitudinal axis, a conduit extending therethrough and a non-insulated distal end portion defining a first electrode. The first electrode has a distal most edge configured to mechanically pierce tissue, and an arcuate surface extending proximally from the distal most edge along the major longitudinal axis, the arcuate surface having a convex surface that faces in a distal direction. First and second arcuate edges define lateral edges of the arcuate surface. A second electrode is disposed at an opening of the conduit and electrically isolated from the first electrode. The second electrode comprises an aperture, configured to aspirate fluid and tissue debris therethrough.
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Inventor
Mccandless, Benjamin
Dumpe, Samuel C.
Jaramaz, Branislav
Mckinnon, Brian W.
Abstract
A joint tensioning device and methods of use thereof are disclosed. The joint tensioning device includes a flexing arm and a loading arm having a tensioning tip and a loading tip, respectively, configured for insertion into a joint. The flexing arm is coupled to the loading arm such that, during use, the loading arm may be adjusted to separate the tensioning tip and the loading tip to apply a distraction force to the joint. A strain gauge measures strain applied to the flexing arm based on the applied distraction force. The measured strain is used to determine the amount of force applied to the joint. The force data is employed in surgical planning to determine the amount of joint laxity when a particular load is applied to the joint.
A61B 17/02 - Surgical instruments, devices or methods for holding wounds open, e.g. retractorsTractors
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A tissue repair assembly for attachment of tissue to bone or tissue to tissue having a soft anchoring implant 100 with a length of suture 120 there through for tensioning the implant and facilitating attachment of other tissue. The implant 100 is a soft, flexible, three-dimensional structure that has a resident volume 200. An inserter tube 310 facilitates the placement of the implant 100 into bone or adjacent soft tissue where it may be deployed. Upon deployment, the soft anchoring implant 100 shortens axially and expands radially, achieving a larger diameter than the hole through which it was placed, thus resisting pull out.
A61B 17/04 - Surgical instruments, devices or methods for closing wounds or holding wounds closedAccessories for use therewith for suturing woundsHolders or packages for needles or suture materials
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
22.
MULTI-CLASS IMAGE SEGMENTATION WITH W-NET ARCHITECTURE
SMITH & NEPHEW ASIA PACIFIC PTE. LIMITED (Singapore)
Inventor
Wilson, Darren J.
Jaramaz, Branislav
Abstract
A system for markerless registration and tracking is disclosed. The system includes an imaging sensor configured to capture both RGB images and depth maps of environment. The system can be configured to receive an RGB image and associated depth information from the imaging sensor, segment the RGB image, using a deep learning network, by classifying each pixel as belonging to one of the group of proximal tibia, distal femur, patella, or non-boney material of the knee, and determine a loss based on a comparison between the predicted segmentation mask and a ground-truth mask. The ground-truth mask may be generated based on the depth map captured by the imaging sensor.
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Inventor
Navacchia, Alessandro
Duxbury, Elizabeth
Netravali, Nathan A.
Abstract
Disclosed herein is a system and method for performing pre-operative planning of total joint arthroplasty. The planning tool builds a model and analyzes and visualizes movement of the joint for various selections of implant models and placement of the components on the implants on the patient's anatomy. The tool also analyzes and visualizes motions of the joint during common activities of daily living and analyzes and visualizes changes in muscles.
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
A61F 2/46 - Special tools for implanting artificial joints
G16H 20/40 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
24.
METHODS AND ARRANGEMENTS FOR DYNAMIZING BONE ALIGNMENT DEVICES
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Inventor
Noblett, Andrew P.
Bell, Paul
Abstract
Logic may interact with a user to determine a pattern of micromotions to associate with an adjustment schedule. Logic may interact with the user via a user interface element to determine a rate of micromotions to associate with the adjustment schedule. Logic may associate the set of instructions with the adjustment schedule. Logic may cause the transmission of the set of instructions to a patient device for execution during treatment in conjunction with the adjustment schedule. And logic may cause transmission of communications to one or more motor controller circuits of the bone alignment device to perform the micromotions based on execution of the instructions to apply micromotions to the portion of the adjustment schedule via an automated bone alignment device.
A61B 17/66 - Compression or distraction mechanisms
A61B 17/62 - Ring frames, i.e. devices extending around the bones to be positioned
A61B 34/00 - Computer-aided surgeryManipulators or robots specially adapted for use in surgery
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
25.
OPTICAL TRACKING DEVICE WITH BUILT-IN STRUCTURED LIGHT MODULE
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Smith & Nephew Orthopaedics AG (Switzerland)
Inventor
Marti, Gaëtan
Hälg, Maurice
Sivagnanaselvam, Ranjith Steve
Abstract
A system is disclosed that includes an optical tracking device and a surgical computing device. The optical tracking device includes a structured light module and an optical module that includes an image sensor and is spaced from the structured light module at a known distance. The surgical computing device includes a display device, a non-transitory computer readable medium including instructions, and processor(s) configured to execute the instructions to generate a depth map from a first image captured by the image sensor during projection of a pattern into a surgical environment by the structured light module. The pattern is projected in a near-infrared (NIR) spectrum. The processor(s) are further configured to execute the stored instructions to reconstruct a 3D surface of anatomical structure(s) based on the generated depth map. Additionally, the processor(s) are configured to execute the stored instructions to output the reconstructed 3D surface to the display device.
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Inventor
Jaramaz, Branislav
Farley, Daniel
Wilson, Darren J.
Rodriguez, Carlos
Nikou, Constantinos
Wang, Xuanye
Abstract
A controller of a surgical system is configured to receive a surgical plan associated with an endoscopic surgical procedure, receive a model of an anatomical structure associated with the endoscopic surgical procedure, segment a depth image of a surface of the anatomical structure to obtain surface geometry data of the anatomical structure, register the surface geometry data of the anatomical structure to the model of the anatomical structure, and update the surgical plan according to the registered surface geometry data.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Inventor
Cyko, Christopher R.
Jordan, Jason S.
Abstract
Disclosed herein is a femoral component (100) of a knee arthroplasty system. The femoral component may be a multi-radius (MR) component having multiple centers of rotation within the functional knee range of motion. The femoral component may include at least two of a mid-flexion radius (141), an extension radius (142), or a deep flexion radius (140). The femoral component may include an articulate surface (112) that is handed to conform to a medial condyle, a lateral condyle, a right knee, a left knee, and/or the like. The femoral component may be configured based on, among other things, a relationship between a mid-flexion region (131) and an AP dwell (“MFR/AP relationship”). Accordingly, the femoral component may be in the form of a MR component with a spherical or substantially spherical mid-flexion region in a handed configuration. The femoral component may be configured as a unicompartmental femoral implant or a total knee arthroplasty (TKA) femoral implant.
Systems and methods for improved surgical planning are disclosed herein. A processor may determine an optimized planning group based on planning group definitions and historical surgeon data through the use of a machine learning classification algorithm. The processor may further receive patient data comprising anatomical landmarks and surfaces, pre-operative deformity measurements, range of motion measurements, and gap data. The processor may generate optimized implant parameters based on the optimized planning group and the patient data using a machine learning model. The optimized implant parameters may include size, position, and orientation parameters for each of a femoral implant and a tibial implant. The processor may further generate a surgical plan based on the optimized implant parameters.
G06F 18/23213 - Non-hierarchical techniques using statistics or function optimisation, e.g. modelling of probability density functions with fixed number of clusters, e.g. K-means clustering
G06F 18/27 - Regression, e.g. linear or logistic regression
G16H 10/60 - ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
G16H 20/40 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
G16H 40/63 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Inventor
Housman, Mark E.
Balboa, Marc J.
Hall, Benjamin M.
Shah, Jay A.
Rogers, Jon-Paul
Patel, Nehal N.
Abstract
A knotless tissue repair construct is disclosed herein. The construct includes a soft anchor body, with a proximal end, a distal end, and a longitudinal axis extending therebetween. The construct also includes a repair suture fixedly coupled to the anchor body. The construct also includes a transfer suture interwoven repeatedly through and along the anchor body defining a transfer path. Tension on at least one of the repair suture and transfer suture may deploy the anchor body. A transfer suture first end may transfer the repair suture through the anchor body to form a repair loop that may knotless lock the tissue repair construct.
A61B 17/04 - Surgical instruments, devices or methods for closing wounds or holding wounds closedAccessories for use therewith for suturing woundsHolders or packages for needles or suture materials
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Inventor
Marinescu Tanasoca, Ruxandra C.
Roakes, Ashley A.
Duxbury, Elizabeth A.
Abstract
Disclosed herein are systems and methods for planning a knee arthroplasty procedure. A method may include registration of patient anatomy, including specific registration of the patella; anatomy modelling based on the registration; automated generation of anatomical landmarks; morphological characterization; risk classification; and a planning optimization process based on the morphological characterization and the risk classification. The risk classification may include a determination of potential patellar complications based on patient characteristics, such as patient demographic information and/or patient anatomical information compared with historical information of patient outcomes. The planning optimization process may determine knee implant components and/or the configuration thereof within the patient based on the patient risk classification.
A low-cost disposable. 3-D printed cutting guide. The cutting guide may be made with modular attachment spikes. The cutting guide may be provided in connection with a femoral trial for use in preparing a patient's bone to receive an implant.
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Inventor
Janna, Sied
Faber, Henry B.
Grusin, Nathaniel Kelley
Bennett, Charles R.
Abstract
Disclosed herein is a self-countersinking bone screw and a system and a method for countersinking a bone screw or fastener used in connection with an orthopedic implant such as, for example, an intramedullary nail. The bone screw includes one or more cutting features configured to self-countersink the head of the screw. The system and method utilize instrumentation including a plurality of markings or indicia configured to indicate a position of the head of the screw relative to an outer surface of the patient's bone. In use, the method enables a surgeon to quickly and easily countersink one or more bone screws used to couple an IM nail to a patient's bone without requiring additional instrumentation to form a countersunk hole in the patient's bone.
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Inventor
Dees, Jr., Roger Ryan
Nikou, Constantinos
Jaramaz, Branislav
Abstract
A computer-implemented method of improving a patello-femoral response is described. A computing system characterizes an anterior geometry of a patella and determines a position of a posterior apex of the patella in relation to one or more features of the anterior geometry of the patella. The computing system further receives location information related to the patella as a knee joint is moved through a range of motion. The computing system provides one or more recommendations to improve a patello-femoral response.
Smith & Nephew Asia Pacific PTE. Limited (Singapore)
Inventor
Rakes, Jordan
Watanabe, Kohsuke
Ricci, William M.
Chan, Daniel S.
Abstract
An orthopedic fixation device (e.g., an intramedullary (“IM”) nail or bone plate) including a lag screw and a compression screw, the compression screw being nested with the lag screw. In accordance with one or more features of the present disclosure, the compression screw may include a partially non-threaded medial segment, an enlarged diameter, and/or a cannulated bore. In addition, and/or alternatively, the lag screw may be provided as an integrated assembly including a lag screw and an outer sleeve to enable the lag screw to telescope or slide relative to the outer sleeve and IM nail.
A cutting guide for resecting a portion of a patient's bone such as, for example, a humeral head of a patient's humerus. The cutting guide including a body component, a cutting slot component including a cutting slot configured to receive a cutting instrument for resecting the portion of the patient's bone, a ball-joint coupling or clamping mechanism for coupling the cutting slot component to the body component, and a quick release mechanism moveable between a first position and a second position. In the first position, the release mechanism applies a clamping or spring force on the ball-joint coupling or clamping mechanism to inhibit movement of the cutting slot component relative to the body component. In the second position, the release mechanism releases the clamping or spring force on the ball-joint coupling or clamping mechanism so that the cutting slot component can be moved (e.g., rotated) relative to the body component.
An impactor and methods of operation of an impactor. The impactor includes an electromagnetic component having a stationary electromagnetic housing and a moving armature component. The housing includes a coil that receives an electric current resulting in generation of an electromagnetic field for triggering translation of the armature within the housing. The impactor includes a striker body coupled to the armature. The striker body includes a distal end. The impactor includes a strike chamber having an interior and a distal strike wall disposed at a distal end of the chamber, and a spacer disposed at a proximal end of the chamber and opposite the distal strike wall. The electromagnetic field forces the armature and the striker body to translate in at least one direction. Translation of the armature causes the distal end of the striker body to strike at least one of the distal strike wall and the spacer.
The disclosed Retrieval Augmented Generation systems and methods include a system with several components. First, a user interface generates a query for a large language model (LLM). The system features prompt generator circuitry that accesses a database containing documents, each with priorities linked to various factors. This circuitry retrieves context and factor priorities from these documents in response to the query. The system also includes an LLM interface that submits a query to the LLM, incorporating the original query, retrieved context, and factor priorities. The system then receives a response from the LLM, which includes data related to the documents and factor priorities. Finally, an output interface presents the user with response data from the LLM, detailing information about the documents and the retrieved factor priorities.
The present disclosure provides methods to improve the properties of a porous structure formed by a rapid manufacturing technique. Embodiments of the present disclosure increase the bonding between the micro-particles 5 on the surface of the porous structure and the porous structure itself without substantially reduce the surface area of the micro-particles. In one aspect, embodiments of the present disclosure improves the bonding while preserving or increasing the friction of the structure against adjacent materials.
B22F 3/105 - Sintering only by using electric current, laser radiation or plasma
B22F 3/24 - After-treatment of workpieces or articles
B22F 10/25 - Direct deposition of metal particles, e.g. direct metal deposition [DMD] or laser engineered net shaping [LENS]
B22F 10/28 - Powder bed fusion, e.g. selective laser melting [SLM] or electron beam melting [EBM]
B22F 10/36 - Process control of energy beam parameters
B22F 10/64 - Treatment of workpieces or articles after build-up by thermal means
B29C 64/153 - Processes of additive manufacturing using only solid materials using layers of powder being selectively joined, e.g. by selective laser sintering or melting
B29C 65/00 - Joining of preformed partsApparatus therefor
B29K 101/00 - Use of unspecified macromolecular compounds as moulding material
B29K 105/04 - Condition, form or state of moulded material cellular or porous
B33Y 40/20 - Post-treatment, e.g. curing, coating or polishing
B33Y 70/00 - Materials specially adapted for additive manufacturing
B33Y 80/00 - Products made by additive manufacturing
C22F 1/18 - High-melting or refractory metals or alloys based thereon
40.
ORTHOPEDIC INTRAMEDULLARY NAIL AND BONE PLATE SYSTEM
An intramedullary ("IM") nail-bone plate system, and corresponding instrumentation and method of use, for fractured fixation of a patient's bone is disclosed. The IM nail-bone plate system may include an IM nail including a plurality of locking screw openings, a bone plate including one or more elongated, non-locking screw openings, and a bone screw insertable into the elongated, non-locking screw opening formed in the bone plate and into the locking screw opening formed in the IM nail. In some examples, the locking screw opening formed in the IM nail may be configured as an elongated slot so that the bone screw is inserted through the elongated, non-locking screw opening formed in the bone plate and into the elongated slot formed in the IM nail. Thus arranged, independent positioning of the IM nail, the bone plate, or a combination thereof, is enabled.
Embodiments of negative pressure wound therapy systems and methods are disclosed. In one embodiment, an apparatus includes a housing, a negative pressure source, a canister, an antenna, and one or more controllers. The negative pressure source can provide negative pressure via a fluid flow path to a wound dressing. The canister can be positioned in the fluid flow path and collect fluid removed from the wound dressing. The antenna can be supported by the housing and wirelessly communicate with an electronic device. The antenna can be oriented in the housing to face downward toward the ground when the negative pressure source is providing negative pressure. The one or more controllers can activate and deactivate the negative pressure source and transmit first data to the electronic device using the antenna or receive second data from the electronic device using the antenna.
A61M 1/00 - Suction or pumping devices for medical purposesDevices for carrying-off, for treatment of, or for carrying-over, body-liquidsDrainage systems
A61F 13/0246 - Adhesive bandages or dressings characterised by the skin-adhering layer
H01Q 1/08 - Means for collapsing antennas or parts thereof
42.
STRUCTURED LIGHT FOR TOUCHLESS 3D REGISTRATION IN VIDEO-BASED SURGICAL NAVIGATION
SMITH & NEPHEW ASIA PACIFIC PTE. LIMITED (Singapore)
Inventor
Sousa Baptista, Tânia
Marques, Miguel
Dos Santos Raposo, Carolina
Teixeira Ribeiro, Luis Carlos Fial
Almeida Antunes, Michel Gonçalves
De Almeida Barreto, João Pedro
Abstract
A system for performing touchless registration of patient anatomy includes memory storing instructions and one or more processing devices configured to execute the instructions. Executing the instructions causes the system to obtain, from a camera, an image of the patient anatomy, the image including a laser projection that is projected onto the patient anatomy using a laser projector, detect the laser projection in the image obtained from the camera, obtain a three-dimensional set of points corresponding to the detected laser projection, and register the patient anatomy by storing data correlating the patient anatomy to the three-dimensional set of points.
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
G06T 7/33 - Determination of transform parameters for the alignment of images, i.e. image registration using feature-based methods
G06T 19/20 - Editing of 3D images, e.g. changing shapes or colours, aligning objects or positioning parts
G06V 10/25 - Determination of region of interest [ROI] or a volume of interest [VOI]
A medical device includes a treatment module configured to apply a treatment to a patient. The medical device includes an interface configured to operatively connect to a removable storage device storing authorization data that identifies a level of treatment authorization. The medical device includes a processing device configured to perform operations in response to receiving user input indicating a treatment should be initiated. The operations include determining whether the removable storage device is valid for use with the medical device. If the removable storage device is determined to be valid, the authorization data is accessed. The processing device determines whether the treatment is authorized based on the accessed authorization data. If the treatment is determined to be authorized, the treatment module is controlled to apply the treatment. If the treatment is determined to not be authorized, the treatment module is controlled such that the treatment is not applied.
A61B 5/1172 - Identification of persons based on the shapes or appearances of their bodies or parts thereof using fingerprinting
A61B 34/00 - Computer-aided surgeryManipulators or robots specially adapted for use in surgery
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 90/90 - Identification means for patients or instruments, e.g. tags
G16H 40/63 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
G16H 40/67 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
44.
BONE PLATE WITH LENGTH ADJUSTING ELONGATE HOLE, AND CORRESPONDING METHODS OF USE
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Inventor
Zysk, Adam
Watanabe, Kohsuke
Ricci, William M.
Mehta, Samir
Ritchey, Nicholas S.
Abstract
A bone plate incorporating a length adjusting elongate hole formed in a shaft portion thereof, along with corresponding methods of use. In one embodiment, the length adjusting elongate hole is configured to receive one or more bone fixation devices (e.g., bone screws). The bone fixation device positioned within the length adjusting elongate hole may be partially loosened, without removal, to enable the patient's bone to be adjusted (e.g., loosening the bone fixation device within the length adjusting elongate hole allows the surgeon to adjust the position of the patient's bone, and hence the bone fixation device coupled thereto, relative to the bone plate). Once properly adjusted, the bone fixation device positioned within the length adjusting elongate hole may be retightened. In various embodiments, the length adjusting elongate hole is arranged and configured so that, in use, each of the plurality of bone fixation openings remains available to a surgeon.
An orthopedic augment (100) can be used where the patient's bone at an implantation site is structurally compromised to aid in securing the orthopedic prothesis at the implantation site. The orthopedic augment has, on an internal surface (2) thereof, cement fixation features (3) that receive an orthopedic cement therein and aid in resisting separation of the orthopedic prosthesis from the orthopedic augment. In addition, the orthopedic augment may include mechanical fixation mechanisms to engage the orthopedic prosthesis. Thus arranged, the orthopedic augment provides greater flexibility, in that it can be used in the form of a cone (e.g., cemented fixation) or a sleeve (e.g., mechanical fixation).
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Smith & Nephew Orthopaedics AG (Switzerland)
Inventor
Mcguan, Shawn P.
Laster, Scott Kennedy
Wilkinson, Zachary C.
Janna, Sied W.
Farley, Daniel
Abstract
Methods, non-transitory computer readable media, and surgical computing devices are illustrated that improve surgical planning using machine learning. With this technology, a machine learning model is trained based on historical case log data sets associated with patients that have undergone a surgical procedure. The machine learning model is applied to current patient data for a current patient to generate a predictor equation. The current patient data comprises anatomy data for an anatomy of the current patient. The predictor equation is optimized to generate a size, position, and orientation of an implant, and resections required to achieve the position and orientation of the implant with respect to the anatomy of the current patient, as part of a surgical plan for the current patient. The machine learning model is updated based on the current patient data and current outcome
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 90/50 - Supports for surgical instruments, e.g. articulated arms
A61B 90/96 - Identification means for patients or instruments, e.g. tags coded with symbols, e.g. text using barcodes
G16H 10/60 - ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
G16H 20/40 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
G16H 30/40 - ICT specially adapted for the handling or processing of medical images for processing medical images, e.g. editing
G16H 40/63 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
G16H 50/50 - ICT specially adapted for medical diagnosis, medical simulation or medical data miningICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for simulation or modelling of medical disorders
G16H 50/70 - ICT specially adapted for medical diagnosis, medical simulation or medical data miningICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for mining of medical data, e.g. analysing previous cases of other patients
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Smith & Nephew Orthopaedics AG (Switzerland)
Inventor
Farley, Daniel
Mcguan, Shawn
Jaramaz, Branislav
Mckinnon, Brian W.
Nikou, Constantinos
Duxbury, Elizabeth
Marinescu Tanasoca, Ruxandra C.
Landon, Ryan
Winebarger, Randy C.
Bowers, Jr., William L.
Abstract
A method of determining patient-specific implant parameters for an implant used in a surgical procedure is described. A surgical system receives one or more initial transfer functions and one or more preoperative input factors for a patient and generates a surgical plan comprising one or more patient-specific implant parameters based on the one or more initial transfer functions and the one or more preoperative input factors for the patient. The surgical system further receives one or more intraoperative input factors for the patient and updates the one or more patient-specific implant parameters based on the one or more intraoperative input factors for the patient. An implant for the patient is selected based on the one or more updated patient-specific implant parameters.
G16H 20/40 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
48.
FORCE-INDICATING RETRACTOR DEVICE AND METHODS OF USE
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Smith & Nephew Orthopaedics AG (Switzerland)
Inventor
Jaramaz, Branislav
Dumpe, Samuel C.
Corpa De La Fuente, Cedric
Carlson, Jr., Gary David
Abstract
Devices, systems, and methods for measuring a force applied to a joint during a surgical procedure are disclosed. The device includes an insertion tool, a handle, and one or more force indicators. The insertion tool includes an insertion end and a base end. The one or more force indicators may be attached to the insertion tool and the handle. The insertion end of the device may be inserted into a joint during a surgical procedure and used to apply a force to the joint and/or measure the force using the one or more force indicators when the force is applied.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 90/96 - Identification means for patients or instruments, e.g. tags coded with symbols, e.g. text using barcodes
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Inventor
Louie, Stephen
Ritchey, Nicholas S.
Grusin, Nathaniel Kelley
Strachan, Sandy Todd
Ricci, William M.
Abstract
A targeting system is disclosed. In use, the targeting system is configured to target (e.g., aim, locate, etc.) a fastener opening in a bone plate, more particularly, a variable angled fastener opening formed in a periphery of a periprosthetic bone plate. In one embodiment, the targeting system includes an alignment guide including a plurality of combo-slots for targeting a plurality of openings formed in the periprosthetic bone plate. In addition, the targeting system includes a plug configured to be positioned within the combo-slots formed in the alignment guide. In use, positioning the plug into the combo-slot formed in the alignment guide transforms the combo-slot into a substantially circular hole or opening with a predefined trajectory aligned with one of the variable angled openings formed in the periphery of the periprosthetic bone plate thereby defining a trajectory from the alignment guide to the variable angled opening.
A61B 17/56 - Surgical instruments or methods for treatment of bones or jointsDevices specially adapted therefor
A61B 17/58 - Surgical instruments or methods for treatment of bones or jointsDevices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
SMITH & NEPHEW ASIA PACIFIC PTE. LIMITED (Singapore)
Inventor
Torrie, Paul Alexander
Abstract
A surgical instrument configured to perform a shaving function and/or a burr function of a surgical procedure includes an outer sheath having a proximal end coupled to a handle and a distal end opposite the proximal end, the outer sheath defining an inner channel having an opening defined at the distal end, an inner cutting assembly disposed within the inner channel of the outer sheath, the inner cutting assembly being configured to rotate within the outer sheath to perform the at least one of the shaving function and the burr function, and the inner cutting assembly including a cutting end exposed within the opening of the inner channel, and a fiducial marker located on a portion of the distal end of the outer sheath that overlaps the cutting end of the inner cutting assembly, the fiducial marker being configured to be detected by an optical tracking system.
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
SMITH & NEPHEW ASIA PACIFIC PTE. LIMITED (Singapore)
Inventor
Barton, Patrick Ehren
Abstract
A bipolar electrosurgical wand for treating tissue along a patient airway. The wand includes a tubular end effector with an electrically insulative spacer, a return electrode, and an active electrode at its distal end. The active electrode defines a planar top surface, which includes a proximal portion and a tip projection extending directly distally therefrom. The tip projection may include bilateral linear side surfaces, symmetrical about a longitudinal axis of the active electrode. The wand may also include a fluid delivery aperture and a fluid delivery cavity ramp, to direct fluid towards the active electrode for a range of wand orientations.
05 - Pharmaceutical, veterinary and sanitary products
Goods & Services
Human allograft bone and tissue for use in bone grafting procedures; biological tissue grafts, namely, human allograft bone tissue for orthopaedic surgery
Surgical and medical apparatus and instruments; orthopaedic articles; suture materials; suture anchors; bone anchors for attaching soft tissue to bone.
A system and a method for controlling a surgical system. The system includes a wireless actuator, which upon actuation, is configured to generate and transmit one or more actuation instructions. The system further includes a control processor communicatively coupled to the wireless actuator, where the control processor is configured to receive one or more actuation instructions from the wireless actuator, generate, using one or more actuation instructions, one or more communication instructions for triggering actuation of at least one operation of one or more surgical components of a surgical system communicatively coupled to the control processor, and transmit, via an antenna communicatively coupled to the control processor, one or more communication instructions to the surgical system.
A61B 17/00 - Surgical instruments, devices or methods
A61B 17/16 - Instruments for performing osteoclasisDrills or chisels for bonesTrepans
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
55.
APPARATUSES AND METHODS FOR DETECTING LEAKS IN A NEGATIVE PRESSURE WOUND THERAPY SYSTEM
Leak location devices and methods of using leak location devices that can be used in conjunction with negative pressure wound therapy systems are disclosed. In some embodiments, a leak location device can include a microphone for detecting sound pressure produced by a leak. Detected sound pressure can be compared to a threshold, which can correspond to background or ambient sound pressure. Background or ambient sound pressure can correspond to sound produced by a negative pressure source. The leak detection device can include a display configured to visually depict the detected sound, and a light source which creates a visual depiction of the coverage angle of the microphone.
G01M 3/24 - Investigating fluid tightness of structures by using fluid or vacuum by detecting the presence of fluid at the leakage point using infrasonic, sonic, or ultrasonic vibrations
A61M 1/00 - Suction or pumping devices for medical purposesDevices for carrying-off, for treatment of, or for carrying-over, body-liquidsDrainage systems
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Inventor
Wilson, Darren J.
Dumpe, Samuel C.
Karasic, Geoffrey I.
Abstract
A system for performing an osteochondral grafting procedure includes one or more processing devices configured to execute instructions to cause the one or more processing devices to obtain first digital data of an anatomical site of a patient, the anatomical site including a recipient site for an osteochondral graft, the recipient site including an osteochondral defect, determine, based on the first digital data, first characteristics of the recipient site, obtain second digital data of a donor site, determine, based on the second digital data, second characteristics of the donor site, and generate, based on the first and second characteristics, a virtual plug corresponding to the osteochondral graft. The virtual plug is configured to conform to the recipient site, and generating the virtual plug includes at least one of storing data defining the virtual plug and providing, on a display, visual guidance based on the virtual plug.
Systems and methods for patellofemoral preparation are disclosed herein. A method may include receiving patient imagery of a patient's anatomy comprising a knee joint; registering the patient imagery to at least one of a pre-existing anatomical atlas or a three-dimensional model generated from the patient imagery; determining a location of a native femoral trochlear groove of a femur based on the registered patient imagery; determining the location of an implanted femoral trochlear groove from a three-dimensional model comprising a planned modification of the registered patient imagery and an affixed implant comprising femoral implant component; comparing native groove and the implant groove to assess congruence between the patient's anatomy and the implant; and generating a recommendation to modify at least one of a placement of a patella of the knee joint, a surface of the patella, and an attribute of the femoral implant component based on the comparison.
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 90/50 - Supports for surgical instruments, e.g. articulated arms
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
An orthopedic surgical instrument has an instrument base, a shaft, and an end effector. The shaft is attached to the instrument base such that a distal end of the shaft extends away from the instrument base. The end effector is removably attached to the distal end of the shaft. An implant device can be removably attached to the distal end of the shaft. The end effector has one or more calibration features on an outer surface thereof, the one or more calibration features being provided for position registration and/or verification of the end effector.
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Inventor
De Almeida Moreira, Sofia Rebelo
De Almeida Barreto, João Pedro
Dos Santos Raposo, Carolina
Almeida Antunes, Michel Gonçalves
Abstract
A movement detection system for a surgical procedure performed in a surgical environment includes memory storing instructions and one or more processing devices configured to execute the instructions. Executing the instructions causes the movement detection system to receive first data corresponding to one or more images of the surgical environment, the one or more images including at least one visual marker located within the surgical environment, using the first data, generate a scene representation corresponding to the one or more images, generate, based on the scene representation and a location of the at least one visual marker in an image feed of the surgical environment, a synthesized image of the surgical environment, calculate an image similarity score indicating a similarity between the synthesized image and the one or more images, and perform one or more actions based on the image similarity score.
An orthopedic intramedullary ("IM") nail, and more specifically, a retrograde femoral IM nail, is disclosed. The IM nail including a universal recon screw opening defining a first screw trajectory and a second screw trajectory. Thus arranged, the IM nail can be anatomically agnostic so that the IM nail can be implanted into either the patient's right bone (e.g., right femur) or the patient's left bone (e.g., left femur). In use, the first screw trajectory receives a fastener when the IM nail is implanted with the patient's left bone, the second screw trajectory receives a fastener when the IM nail is implanted with the patient's right bone. Thus arranged, an anatomically agnostic retrograde femoral IM nail is provided which allows surgeons to target the patient's femoral head and neck while enabling the retrograde femoral IM nail to be implanted within either of a patient's left or right femur.
Embodiments of negative pressure wound therapy systems and methods for operating the systems are disclosed. In some embodiments, a system includes a negative pressure source, a wound dressing configured to be positioned over a wound, and optionally a canister configured to store fluid aspirated from the wound. The negative pressure source, wound dressing, and canister (when present) can be fluidically connected to facilitate delivery of negative pressure to the wound. The system can be configured to automatically detect whether the canister is positioned in the fluid flow path between the negative pressure source and the dressing while negative pressure source provides negative pressure to the wound dressing. Operation of the system can be adjusted based on whether presence of the canister has been detected. For example, a value of an operational parameter can be set to indicate that the canister is present.
A61M 1/00 - Suction or pumping devices for medical purposesDevices for carrying-off, for treatment of, or for carrying-over, body-liquidsDrainage systems
66.
SYSTEMS AND METHODS FOR RECALLING TRACKING INFORMATION VIA APPLIED LANDMARKS
Systems and methods for tracking in a surgical procedure are disclosed herein. A method may include receiving at least one of an image and a statistical shape model of a patient's anatomy. A tracking system may acquire a tracking marker location and register the patient's anatomy relative to the tracking marker. A rigid body may be affixed the patient's anatomy and registered relative to the tracking marker by capturing landmarks on the surface of the rigid body. A transformation matrix may be generated between the location of the rigid body and a location of the patient anatomy. The tracking marker may then be removed, with the location of the anatomy recalled by recapturing the locations of the landmarks and applying the transformation.
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
SMITH & NEPHEW ASIA PACIFIC PTE. LIMITED (Singapore)
Inventor
Housman, Mark E.
Abstract
A tissue repair system including a soft anchoring construct with a repair suture and an insert member. The repair suture includes a lumen, and the insert member is located within this lumen for a length, this length defining an anchoring portion of the repair suture. The soft anchoring construct may be assembled to an insertion instrument that includes a tubular end effector with a lumen that slidingly received the repair suture. The anchoring portion is located distal to the tubular end effector and is prevented from entering the tubular end effector lumen. Tension on repair suture ends may deploy the anchoring portion to set it in bone.
A61B 17/04 - Surgical instruments, devices or methods for closing wounds or holding wounds closedAccessories for use therewith for suturing woundsHolders or packages for needles or suture materials
An orthopedic system and method for treating a femoral fracture in, for example, a skeletally immature patient. The system and method including an intramedullary nail arranged and configured to be implanted within, for example, a femur of a skeletally immature patient. The system and method further including a bone screw (100) including a distal region (110) and a proximal region (130), wherein the distal region (110) is devoid of any threads so that the patient's bone is free to grow overtime.
Techniques for computer assisted patella tracking are disclosed herein. A method includes collecting a set of first data points and second data points from the femur, the set of first data points defining a movement of a patella before and after a knee replacement operation. The method further includes mapping a first pathway and a second pathway of the patella, the first pathway being defined by the set of first data points and the second pathway being defined by the set of second data points. The method further includes determining first patella motion components and second patella motion components. The method further includes comparing the first patella motion components to the second patella motion components to determine a deviation in a motion of the patella. The method further includes determining, based on the deviation, a corrective action and outputting an instruction for performing the corrective action.
Examples relate to a method, system and device for guiding a surgical procedure. An example method of performing a surgical procedure on a bone comprises obtaining a surgical plan including a position and orientation of a cut plane for a resection of the bone, providing first navigation data to guide insertion into the bone of a guide wire perpendicular to the orientation of the cut plane, subsequent to insertion of the guide wire, providing second navigation data to guide a position of a cut block along the guide wire, wherein the cut block comprises at least one reference cut surface configured to position a resection tool during the surgical procedure, based on the second navigation data, affixing the cut block to the bone such that the at least one reference cut surface is aligned with the cut plane, and performing a resection of the bone guided by the at least one reference cut surface.
Examples relate to associating pre-operative data and intra-operative data. The pre-operative data describing a bone in a first reference frame, the pre-operative data including a first description of a portion of a surface of the bone, and one or more first anatomical landmarks. The intra-operative data describing the bone in a second reference frame, the intra-operative data including a second description of the portion of the surface of the bone, and one or more second anatomical landmarks. A transform is obtained, the transform associating the bone in the first reference frame with the bone in the second reference frame. Obtaining the transform includes associating the first description with the second description, subject to constraining a parameter, wherein the parameter is selected from: a translation between the first reference frame and the second reference frame, a rotation between an axis of the first reference frame and an axis of the second reference frame, or a distance between an anatomic landmark in the pre-operative data and a corresponding anatomic landmark in the intra-operative data to be less than a threshold distance.
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
05 - Pharmaceutical, veterinary and sanitary products
Goods & Services
Pharmaceutical preparations for treatment of rare orphan diseases; Pharmaceutical preparations for treatment of diseases that impact sugar and glucose metabolism; Pharmaceutical preparations for inhibiting aldose reductase; Pharmaceutical preparations for treatment of galactosemia, sorbitol dehydrogenase (SORD) deficiency and PMM2-congenital disorder of glycosylation (PMM2-CDG)
73.
INTRAMEDULLARY FEMORAL NAIL WITH A FLEXIBLE DISTAL END REGION
An orthopedic intramedullary ("IM") nail, more preferably, a femoral IM nail, is disclosed. The IM nail including a proximal end region having a first stiffness and a distal end region having a second stiffness, the second stiffness being less than the first stiffness (e.g., the IM nail includes feature(s) to increase the flexibility of the distal end region as compared to the proximal end region). In addition, the IM nail includes a mechanism for securing the IM nail within the patient's bone along a mid-portion thereof. For example, the IM nail may include opening(s) for receiving a locking screw in the mid-portion thereof (e.g., the locking screw may be inserted in-between the more rigid proximal end region and the more flexible distal end region). Thus arranged, the IM nail provides an improved anatomic fit within the intramedullary canal while reducing stress risers and instances of peri-prosthetic fractures.
Systems and methods for optical tracking are disclosed herein. An optical tracking marker may include a rigid body including an external surface. A plurality of fiducials may be spread over the external surface, wherein each of the plurality of fiducials belongs to an n-fiducial group template, where n is greater than or equal to 2. A set of any concurrently visible fiducials may be distinguishable from any other set of concurrently visible fiducials based on metrics calculated for each pairing of n-fiducial group templates.
G01S 5/16 - Position-fixing by co-ordinating two or more direction or position-line determinationsPosition-fixing by co-ordinating two or more distance determinations using electromagnetic waves other than radio waves
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
G06T 7/73 - Determining position or orientation of objects or cameras using feature-based methods
A medical device configured to form one or more holes within a bone of a patient may include a handle assembly including a housing, a lever rotatably coupled to the housing, and a sheath extending distally from the housing, the handle assembly including a spring biasing the lever toward an initial or intermediate position; and a bone punch including an elongate shaft, a head at a proximal end of the elongate shaft, and a piercing tip at a distal end of the elongate shaft configured to be driven into the bone. The elongate shaft may be slidably disposed within the sheath in a first position when the lever is in the initial or intermediate position. Translation of the bone punch distally within the sheath from the first position to a second position may cause a distal end of the lever to rotate away from the housing to an extended position.
Systems and methods for reaming bone can include an elongate body having a proximal end, a distal end, and an inner throughbore extending therebetween. An angled guide can be configured to engage the distal end of the elongate body and define a bearing surface at a predetermined angle relative to a centerline of the elongate body. A drive shaft can be configured to extend through the inner throughbore of the elongate body, the drive shaft having a distal end configured to extend beyond the distal end of the elongate body. A reamer head can be pivotably coupled to the distal end of the drive shaft, the reamer head having a distal-facing cutting surface configured to cut bone and a proximal-facing portion configured to bear against the bearing surface of the angled guide to orient the reamer head at the predetermined angle.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
77.
METHODS FOR MEASUREMENT OF ENDOTOXIN CONTAMINANTS IN ENZYMATIC COMPOSITIONS
Disclosed herein are methods for measuring endotoxin contaminants in a composition comprising an enzymatic debriding agent that may be used for enzymatic wound debridement. In some aspects, the methods comprise heating the composition, contacting the composition with a broad spectrum metalloprotease inhibitor, and measuring a concentration of endotoxin contaminants in the composition. Also provided herein are compositions comprising an enzymatic debriding agent for which a concentration of endotoxin contaminants is determined according to the disclosed methods and methods of manufacturing formulations including such compositions.
A cover layer for a vacuum wound therapy dressing includes a backing layer formed from a flexible polymeric membrane and an adhesive layer for affixing the backing layer over a wound bed to provide a substantially fluid-tight seal around a perimeter of the wound bed. The cover layer is reinforced with a reinforcement layer extending to a peripheral region of the backing layer to distribute forces associated with evacuating a reservoir, as defined by or within the cover, to stimulate healing of the wound bed.
A61F 13/05 - Bandages or dressingsAbsorbent pads specially adapted for use with sub-pressure or over-pressure therapy, wound drainage or wound irrigation, e.g. for use with negative-pressure wound therapy [NPWT]
A61M 1/00 - Suction or pumping devices for medical purposesDevices for carrying-off, for treatment of, or for carrying-over, body-liquidsDrainage systems
SMITH & NEPHEW ASIA PACIFIC PTE. LIMITED (Slovenia)
Inventor
Jovanovic, Aleksa
Bearden, Robert
Rose, John
Miller, Kirsten
Abstract
Disclosed are compositions and kits useful for bone repair and reconstruction of bone defects such as bone voids and fractures. The compositions can include two reactive components that when mixed together form a polythiourethane that cures to a hard solid. Also disclosed are methods of making and using the compositions.
A system for preparing a bone for implantation of a component of an orthopedic implant device. The system includes a forming tool having a sleeve member that is selectively received within a handle member. The sleeve member has a guide slot that is sized to receive axial passage of at least a portion of a guide. The guide slot and/or sleeve member may be positioned and/or configured to facilitate at least linear and/or rotational displacement of the forming tool about, or relative to, the guide, and thereby provide a degree of freedom in the location at which the forming tool may form a shape or opening in the bone relative to one or more reference axes. The handle member may include a connection member that is structured to be operably coupled to a bone preparation device that is structured to facilitate the displacement of bone material.
A61B 17/16 - Instruments for performing osteoclasisDrills or chisels for bonesTrepans
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61F 2/46 - Special tools for implanting artificial joints
A slotted cannula for surgical procedures is disclosed. The slotted cannula has an elongated semi-circular body comprising a cavity extending along a longitudinal axis of the semi-circular body, the cavity having an open distal end and an open proximate end and an integrally formed outward bend extending curvilinear from the cavity on the proximate end and at least one fold line across the width of the cannula, perpendicular to the longitudinal axis. The cannula can be bent or broken along the at least one fold line to adjust the operable length of the cannula during a surgical procedure.
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Smith & Nephew Orthopaedics AG (Switzerland)
Inventor
Mckinnon, Brian W.
Marinescu Tanasoca, Ruxandra Cristiana
Winebarger, Randy C.
Bowers, Jr., William L.
Wiebe, Iii, James Bennett
Lenz, Nathaniel Milton
Wilkinson, Zachary Christopher
Haddock, Sean M.
Landon, Ryan Lloyd
Nikou, Constantinos
Jaramaz, Branislav
Torrie, Paul Alexander
Abstract
A method for optimizing a knee arthroplasty surgical procedure includes receiving pre-operative data comprising (i) anatomical measurements of the patient, (ii) soft tissue measurements of the patient's anatomy, and (iii) implant parameters identifying an implant to be used in the knee arthroplasty surgical procedure. An equation set is selected from a plurality of pre-generated equation sets based on the pre-operative data. During the knee arthroplasty surgical procedure, patient-specific kinetic and kinematic response values are generated and displayed using an optimization process. The optimization process includes collecting intraoperative data from one or more surgical tools of a computer-assisted surgical system, and using the intraoperative data and the pre-operative data to solve the equation set, thereby yielding the patient-specific kinetic and kinematic response values. A visualization is then provided of the patient-specific kinetic and kinematic response values on the displays.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 90/50 - Supports for surgical instruments, e.g. articulated arms
A61B 90/96 - Identification means for patients or instruments, e.g. tags coded with symbols, e.g. text using barcodes
G16H 10/60 - ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
G16H 20/40 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
G16H 30/40 - ICT specially adapted for the handling or processing of medical images for processing medical images, e.g. editing
G16H 40/63 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
G16H 50/50 - ICT specially adapted for medical diagnosis, medical simulation or medical data miningICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for simulation or modelling of medical disorders
G16H 50/70 - ICT specially adapted for medical diagnosis, medical simulation or medical data miningICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for mining of medical data, e.g. analysing previous cases of other patients
83.
INTRAMEDULLARY TIBIAL NAIL WITH VARIABLE ANGLE SCREW OPENINGS
Smith & Nephew Asia Pacific PTE. Limited (Singapore)
Inventor
Rakes, Jordan
Zysk, Adam
Watanabe, Kohsuke
Faber, Henry B.
Abstract
An orthopedic intramedullary (“IM”) nail for internal fixation of a patient's bone is disclosed. In some examples, the IM nail is arranged and configured as a tibial IM nail arranged and configured for implantation into a patient's tibia. In some examples, the tibial IM nail is arranged and configured to be side-specific so that the anatomic specific tibial IM nails can be used to, for example, target specific bony anatomy such as, for example, the patient's posterior malleolus. In addition, the tibial IM nail may include a variable angle screw opening in the distal end portion thereof to target specific bony anatomy such as, for example, the patient's posterior malleolus, while avoiding anatomic structures such as nerves, vessels, tendons, etc. In addition, and/or alternatively, the tibial IM nail may include a variable angle screw opening in the proximal end portion thereof to enhance screw positioning.
Systems and methods relating to pre-operative bone models are disclosed herein. A method for registering a pre-operative bone model, the method comprises receiving, by a processor, the pre-operative bone model; receiving a statistical shape model of the bone surface; and fitting the statistical shape model to the pre-operative bone model, wherein the pre-operative bone model is placed in a statistical approximation of an anatomic frame based upon the statistical shape model, wherein regions are defined on the statistical shape model; presenting the user with a visual representation of the pre-operative bone model, the visual representation including an indication of the regions; receiving, by the processor, locational data on a bone surface; registering, by the processor, the pre-operative bone model based on the locational data to generate a registered model.
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
85.
SYSTEMS AND METHODS FOR SURGICAL PROCEDURE GUIDANCE
Examples relate to apparatuses for guiding a surgical procedure. An example apparatus comprises: a communication interface for communicating with an artificial intelligence assistant the communication interface being adapted i. to receive input data for the artificial intelligence assistant, and ii. to receive an output data from the artificial intelligence assistant; and surgical assistance circuitry: i. to generate the input data for the artificial intelligence assistant from data associated with at least one input modality peripheral, and ii. to process the output data from the artificial intelligence assistant to generate output data associated with at least one output modality peripheral.
G16H 20/40 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
A61B 34/00 - Computer-aided surgeryManipulators or robots specially adapted for use in surgery
G16H 30/40 - ICT specially adapted for the handling or processing of medical images for processing medical images, e.g. editing
G16H 40/63 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
There is provided a tibial component comprising a tibial tray having a superior side and an inferior side, and a support member connected to the inferior side of the tibial tray, the support member having a stem portion, the stem portion including one or more fins and a first arm angled relative to a second arm. In one form, the fins have a curvature that extends away from the stem portion. In another form, the first arm defines an opening sized to receive an anchor wherein the anchor is configured to penetrate a portion of bone and the opening in the first arm. Optionally, the stem portion includes a first portion having a first cross sectional area and a second portion having a second cross sectional area wherein the first cross sectional area is larger than the second cross sectional area. The fins and arms can include rail protrusions.
Systems and methods for impingement analysis are disclosed herein. A method includes receiving a three-dimensional model of a human anatomy comprising a spinopelvic joint; receiving input related to a spinopelvic condition of a patient; determining at least one of a sacral slope or a lumbar lordosis of the patient based on the input; classifying the spinopelvic condition of the patient based on at least one of the sacral slope or the lumbar lordosis in a plurality of positions; modifying the three-dimensional model based on the spinopelvic condition and a placement of an implant; performing at least one simulation of one or more activities with the modified three-dimensional model; and displaying an impingement analysis on a display device based on the at least one simulation.
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
Disclosed herein are retro-reflectors, markers and marker arrays for use with surgical tracking systems. Such a retro-reflector comprising a transparent optical window, a mask defining an electromagnetic radiation transmissible aperture into the transparent optical window, and a retro-reflective assembly comprising: a set of retro-reflective structures to reflect electromagnetic radiation received through the electromagnetic radiation transmissible aperture back through the electromagnetic radiation transmissible aperture; the set of retro-reflective structures having an extent that extends beyond a normal projection of the mask onto the set of retro-reflective structures.
SMITH & NEPHEW ASIA PACIFIC PTE. LIMITED (Singapore)
Inventor
Almeida Antunes, Michel Goncalves
Marques, Miguel
De Almeida Barreto, João Pedro
Dos Santos Raposo, Carolina
Abstract
Some examples are directed to a processor-implemented methods of training a neural network for soft-tissue labeling of computed tomography (CT) images, neural networks trained according to one or more of the processor-implemented methods, processor-implemented methods of soft-tissue-labeling a CT image, and systems for labeling soft-tissue in computed tomography images.
SMITH & NEPHEW ASIA PACIFIC PTE. LIMITED (Singapore)
Inventor
Dumpe, Samuel C.
Nikou, Constantinos
Abstract
An inline coupling device for a tool to engage, disengage, or regulate torque from a driver on a driveshaft based on the position and orientation of an element of the tool. In some examples, the inline coupling device may include a driver coupling shaft to couple with a surgical driver; an output shaft hub to couple with the driveshaft; a coupling device to engage, disengage, or regulate torque from the driver to the driveshaft; a communications interface to communicate with a computer system to receive an instruction to engage, disengage, or regulate the torque from the driver to the driveshaft; a coupling driver coupled with the coupling device to cause engagement, disengagement, or throttling of the torque; a power source to power the communications interface and the driver; and a housing for the inline coupling device, which may be a portion of a handle for the tool.
Augments for implantation of an orthopedic implant device in a bone. A distal end of an outer portion of the augment can have a shape that is configured to generally conform to the shape of a metaphyseal-diaphyseal junction of an intramedullary canal of the bone. Further, a proximal end of the outer portion of the augment has a shape that is configured to generally conform to a shape of the metaphyseal region of the intramedullary canal. Additionally, the shape of the outer portion at the distal end can be separated from the shape of the outer portion at the proximal end by a distance that is approximately equal to the distance between the metaphyseal-diaphyseal junction and the metaphyseal region of the intramedullary canal.
Systems, devices, and methods are provided for orthopedic implants. The implants may include a base member, such as an acetabular shell or an augment, that is configured to couple with an augment, flange cup, mounting member, or any other suitable orthopedic attachment.
Surgical wands in the nature of surgical devices that facilitate the ablation of biologic tissues for use in ear, nose, and throat (ENT) surgery; surgical probes for use in ear, nose, and throat (ENT) surgery
97.
METHODS AND SYSTEMS FOR TUNNEL PLANNING AND NAVIGATION
SMITH & NEPHEW ASIA PACIFIC PTE. LIMITED (Singapore)
Inventor
De Almeida Barreto, João Pedro
Labriola, Nicholas R.
Abstract
Some examples are directed to a method for displaying, by a surgical controller on a display device, surgical guidance information based on at least one calculated value indicative of a compatibility, for together supporting a replacement ligament, of a first tunnel in a first bone of a joint and a candidate second tunnel in a second bone of the joint. Some examples are directed to a surgical controller configured to display the surgical guidance information. Some examples are directed to a method for displaying, by a surgical controller on a display device, surgical guidance information based on at least one calculated value indicative of a risk of convergence of a first tunnel in a first bone and a candidate second tunnel in the first bone. Some examples are directed to a surgical controller configured to display the surgical guidance information.
SMITH & NEPHEW ASIA PACIFIC PTE. LIMITED (Singapore)
Inventor
Khare, Rahul
Francis, Toby
Abstract
Systems and methods of image-based registration are disclosed herein. A method can include importing a pre-operative patient model and a statistical shape model, wherein the pre-operative patient model is associated with a patient's bony anatomy, pre-fitting the statistical shape model to the pre-operative patient model to generate a pre-fit model, and determining a transformation between the pre-fit model and the statistical shape model. Based on the determined transformation, the pre-operative patient model can be converted to a converted pre-operative patient model in an anatomic reference frame of the statistical shape model. A plurality of points on the bony anatomy in a tracker reference frame can be collected by a sensor and, based on the plurality of points, the pre-fit or converted pre-operative patient model can be registered to the tracker reference frame.
SMITH & NEPHEW ASIA PACIFIC PTE. LIMITED (Singapore)
Inventor
Wilson, Darren J.
Janna, Sied W.
Abstract
An adjustable trial device (100) is provided for determining an optimal configuration for a component of a total shoulder arthroplasty implant. The device includes a housing (110) defining an outer bone-facing surface (111), an implant interface surface (142), and a plurality of actuators (130) positioned within the housing. The plurality of actuators is operable to adjust a position and/or orientation of the implant interface surface. In some examples, the principles underlying the design of the adjustable trial device can be implemented in an adjustable glenoid trial (101) and/or an adjustable humeral head trial (200) for an anatomic total shoulder arthroplasty system. Alternatively, the adjustable trial device can be implemented in an adjustable humeral liner trial (300) and/or an adjustable glenosphere trial (400) for a reverse total shoulder arthroplasty system.
SMITH & NEPHEW ASIA PACIFIC PTE. LIMITED (Singapore)
Inventor
Bell, Brett J.
Wilson, Darren J.
Hill, Parker
Dumpe, Samuel C.
Janna, Sied W.
Abstract
An adjustable implant trial (1) includes a trunnion section (100) and a broach (150), the broach being insertable within the bone of a patient during a trialing step. The implant trunnion has a load cell (200) that can measure forces acting on the head (120) of the implant trunnion (e.g., through a trial head attached thereto) during a distraction test. The adjustable implant trial can have a mechanism that alters the neck length of the adjustable implant trial by changing the distance between the implant trunnion and the broach. The adjustable implant trial may also have a mechanism to change the neck offset of the adjustable implant trial.
A61B 17/16 - Instruments for performing osteoclasisDrills or chisels for bonesTrepans
A61F 2/46 - Special tools for implanting artificial joints
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges