Various systems and methods are disclosed for joining multiple components of a prosthesis. For example, a system includes a first component having a body extending from a first end to a second end. Each of the first and second ends including a coupling element. At least one end including a male coupling element including a detent disposed within a hole defined by a protrusion, the detent being biased by a biasing member. A method includes coupling a first component to a second component. Coupling the first component to the second component includes aligning a female engagement element provided by the first component with a male coupling component provided by the second component and inserting the male coupling element into the female coupling element.
F16B 2/02 - Clamps, i.e. with gripping action effected by positive means other than the inherent resistance to deformation of the material of the fastening
2.
IMPLANT WITH INTRAMEDULLARY PORTION AND OFFSET EXTRAMEDULLARY PORTION
An implant comprises a unitary body including an intramedullary portion connected to an extramedullary portion. The unitary body is configured to attach a first bone section to a second bone section. The intramedullary portion has a first longitudinal axis, and is configured for insertion into the first bone section. The intramedullary portion includes at least one first fastener aperture having an aperture axis oriented obliquely relative to the first longitudinal axis. The extramedullary portion is configured to abut a surface of the second bone section and includes at least one second fastener aperture disposed to transversely receive a bone fastener inserted in the second bone section. The extramedullary portion has a second longitudinal axis offset from, the first longitudinal axis.
An assembly includes a first portion including an anchor pivotally attached to a first end of the first portion, the anchor to be inserted into an intramedullary canal of a first bone fragment; a second portion pivotally attached to a second end of the first portion and including a first skin-interfacing portion; a second skin-interfacing portion to interface with and secure the assembly to skin adjacent to the first bone fragment; and an actuation mechanism attached between the first portion and the second portion that actuates pivoting of the second portion to the first portion; wherein a lateral force is generated between the first skin-interfacing portion against a second bone fragment, adjacent to the first bone fragment, and a holding force is provided by the anchor when the actuation mechanism is actuated, so the first portion pivots with respect to second portion, while the anchor is in the intramedullary canal.
A system and method fare provided for preparing the distal tibia in an ankle replacement via an extra-medullary jig. An extra-medullary jig or C-bracket is positioned on the tibia with a registration reference and positioned with respect to a resection in the distal tibia via an anterior mounting block which is independent of the surface of the tibia. The mounting block allows the adjustment of the stem cartridge with respect to the registration reference such that the stem cartridge is properly aligned within the resection. The C-bracket is further attached to the tibia via an adjustable proximal alignment arm which attaches to a pin embedded in the proximal tibia. The C-bracket aligns the tibia, foot and ankle and the trajectory of the reamer, and is universal with respect to the left and right ankle.
A tensionable loop of a suture strand, includes the suture strand including a first end and a second end, wherein the first end includes an eyelet of the suture strand, and the second end is passed through the eyelet, encircled 180° back to a butt of the eyelet, and pierced through two points on the suture strand adjacent to the butt of the eyelet such that exerting a force on the second end tightens the tensionable loop and exerting a force on a portion of the suture strand before a first point in which the suture is pierced through itself loosens the tensionable 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
An assembly includes a first portion including an anchor pivotally attached to a first end of the first portion, the anchor to be inserted into an intramedullary canal of a first bone fragment; a second portion pivotally attached to a second end of the first portion and including a first skin-interfacing portion; a second skin-interfacing portion to interface with and secure the assembly to skin adjacent to the first bone fragment; and an actuation mechanism attached between the first portion and the second portion that actuates pivoting of the second portion to the first portion; wherein a lateral force is generated between the first skin-interfacing portion against a second bone fragment, adjacent to the first bone fragment, and a holding force is provided by the anchor when the actuation mechanism is actuated, so the first portion pivots with respect to second portion, while the anchor is in the intramedullary canal.
A bone alignment system to correct a hallux valgus deformity includes a main body including an intramedullary (IM) hook, the IM hook including an end portion sized and configured to be inserted into an intramedullary canal of at least one of a first fragment or a second fragment of a bisected metatarsal; and a screw assembly including a screw threaded through the main body and a skin-interfacing portion attached to a first end of the screw, wherein the main body defines an aperture that extends through the main body and is sized and configured to guide a guide pin for anchoring the main body to the metatarsal.
A position adjustment device having a tool holder is locked to at least two pins projecting from respective anterior facing locations near a distal end of a tibia of a patient. The position adjustment device is adjusted. The position adjustment device is locked with the tool holder at first coordinates in the proximal-distal and medial-lateral directions. The distal end of the tibia is resectioned with a tool positioned on the tool holder, while the tool holder is in the first coordinates in the proximal-distal and medial-lateral directions. The tool is removed from the tool holder. A tibia trial is placed on the resectioned tibia using the tool holder, while the tool holder is in the first coordinates in the proximal-distal and medial-lateral directions. The tibia trial has a size and shape of a tibial tray of an ankle replacement system.
A system or kit includes a rotating tool and a guide. The rotating tool includes an elongated shaft with at least one cutting edge. The rotating tool is configured to remove bone from a patient. The guide includes a body comprising a contact surface and a guide channel. The contact surface is configured to position the guide relative to a patient or an implant. The guide channel is configured to receive the elongated shaft and to allow the cutting edge to be swept along a path. The path corresponds to a portion of the bone to be removed. A method of removing an implant includes forming an incision in a patient. The method further includes inserting a rotating tool into the incision such that a cutting edge of the rotating tool is adjacent to a surface of the implant. The method further includes sweeping the cutting edge along a first path adjacent to the surface of the implant to remove bone adjacent to the implant.
A system can include a first component having a first body and a second component having a second body. The first body can have a first side and an opposed second side. The first side can have at least one patient-specific surface configured to engage at least one bone in a predetermined manner. The first body can also have a coupling element. The second body can be sized and configured to engage the coupling element to couple the second component to the first component. The second body can include at least one guide surface, and a position of the at least one guide surface can be configured to be adjusted relative to the first component intraoperatively. Methods of using such systems also are disclosed.
Various embodiments of an emitter-aligned surgical guide and methods of use are disclosed. The emitter-aligned surgical guide includes a body extending between a first surface and a second surface. The body defines at least one hole extending from the first surface to the second surface. At least one alignment jig is coupled to the second surface. The at least one alignment jig includes a jig arm extending from a first end coupled to the second surface of the body to a second end and an emitter support configured to couple an emitter device to the at least one alignment jig in a predetermined position relative to the body.
A61B 17/56 - Surgical instruments or methods for treatment of bones or jointsDevices specially adapted therefor
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 90/13 - 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 for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints guided by light, e.g. laser pointers
12.
DEVICES, SYSTEMS, AND METHODS FOR DYNAMIC SURGICAL GUIDES
In some embodiments, a surgical guide may include a body having a first portion with a first ridge and a second ridge, and a second portion with a first ridge and a second ridge. The surgical guide may also include an insert disposed between the first ridge and the second ridge of the first portion and the first ridge and second ridge of the second portion. The insert may be configured to rotate relative to the body. The surgical guide may also include a guide aperture disposed within the insert that is sized to receive a surgical instrument. Other surgical guides and methods of using surgical guides are also disclosed.
A61B 17/00 - Surgical instruments, devices or methods
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 method to remove a memory metal orthopedic staple from that is implanted in a bone repair site is disclosed. The orthopedic staple is in its relaxed state and the method includes (a) attaching an inserter tool/cartridge assembly to the orthopedic staple's bridge portion; (b) actuating the inserter tool to change the orthopedic staple from its relaxed state to its insertion state in which the two legs of the orthopedic staple are substantially parallel to each other; and (c) removing the orthopedic staple from the bone repair site.
A61B 17/076 - Surgical instruments, devices or methods for closing wounds or holding wounds closedAccessories for use therewith for removing surgical staples
A61B 17/072 - Surgical staplers for applying a row of staples in a single action, e.g. the staples being applied simultaneously
A61B 17/10 - Surgical instruments, devices or methods for closing wounds or holding wounds closedAccessories for use therewith for applying or removing wound clampsWound clamp magazines
A method includes forming a bone tunnel through a first bone and a second bone and inserting a flexible construct through the bone tunnel. The flexible construct includes a first anchoring element and a second anchoring element coupled by at least one flexible strand defining an adjustable loop. The at least one flexible strand includes a first end extending from the first anchoring element in an opposite direction from the adjustable loop. A length of the adjustable loop is adjusted to position the first bone and the second bone in a selected spacing. The first end of the at least one flexible strand is coupled to a tissue section using a third anchoring element.
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 system includes a first spacer sized and configured to be received within a resected bone space of a first bone and a second spacer sized and configured to be coupled to a second bone. The first spacer and the second spacer each include a body extending between a bone contacting surface and a coupling surface. At least one shim is positioned between the first and second spacers. The shim includes a body extending between a first coupling surface and a second coupling surface. The first spacer, the second spacer, and the at least one shim position the first and second bones in a predetermined alignment. An adjustable guide including a guide adapter and a guide body is configured to couple to the first spacer and is adjustable on a first axis.
An implant comprises a unitary body including an intramedullary portion connected to an extramedullary portion. The unitary body is configured to attach a first bone section to a second bone section. The intramedullary portion has a first longitudinal axis, and is configured for insertion into the first bone section. The intramedullary portion includes at least one first fastener aperture having an aperture axis oriented obliquely relative to the first longitudinal axis. The extramedullary portion is configured to abut a surface of the second bone section and includes at least one second fastener aperture disposed to transversely receive a bone fastener inserted in the second bone section. The extramedullary portion has a second longitudinal axis offset from, the first longitudinal axis.
An example method includes obtaining, by one or more processors, values of a plurality of parameters of a particular patient on which an arthroplasty procedure is to be performed, the arthroplasty procedure including a standard set of steps; selecting, by the one or more processors and based on the values of the plurality of parameters, one or more ancillary steps of a plurality of ancillary steps for inclusion in the arthroplasty procedure, the plurality of ancillary steps not included in the standard set of steps; and outputting, by the one or more processors and for the particular patient, a surgical plan including the standard set of steps and the selected one or more ancillary steps, wherein the surgical plan does not include non-selected ancillary steps of the plurality of ancillary steps.
G06F 7/48 - Methods or arrangements for performing computations using exclusively denominational number representation, e.g. using binary, ternary, decimal representation using non-contact-making devices, e.g. tube, solid state deviceMethods or arrangements for performing computations using exclusively denominational number representation, e.g. using binary, ternary, decimal representation using unspecified devices
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
G06F 3/01 - Input arrangements or combined input and output arrangements for interaction between user and computer
A device includes a plurality of rings. Each ring has a first face, a second face, and at least one slot defined by first and second interior edges of the ring on opposing sides of the slot. The at least one slot penetrates from the first face to the second face. The first face of each ring has a first recess adjacent the slot on the first edge and a second recess adjacent the slot on the second edge. A plurality of posts join each one of the plurality of rings to an adjacent one of the plurality of rings.
Provided is a total talar replacement prosthesis that has a metallic body shell and a metallic or biologic core, where the metallic body shell includes one or both of a removable calcaneus attachment and a removable navicular attachment. The attachments, when removed, exposes a respective calcaneus-facing surface or a navicular-facing surface that can enhance fusion to the respective bones, calcaneus and/or navicular.
A targeting guide includes a body defining a first guide hole sized and configured to receive a guide sleeve therethrough. The first guide hole extends through the body on a first axis. An alignment arm extends between a first end and a second end. The first end is coupled to the body. A tip extends from the second end of the alignment arm. A free end of the tip is aligned with the first axis of the first guide hole.
A cut guide includes a first face and an opposed second face. The cut guide further includes a first aperture and a second aperture extending through the cut guide from the first face to the second face. The first and second apertures are configured to guide a surgical tool in cutting a bone. The cut guide further includes a first hole extending through the cut guide from the first face to the second face. The cut guide further includes a second hole extending through the cut guide. A central axis of the second hole is oriented at an acute angle to the second face. The first and second holes are configured to receive a wire to position the guide against the bone.
Provided are tibia stem components of ankle replacement prosthesis that are designed to engage dense tibia bone to reduce implant migration over long term.
A harvesting device includes an adaptor defining an internal cavity, a storage container coupled to the adaptor and in fluid communication with the internal cavity for receiving bone and/or cellular material extracted from a patient, and a reamer assembly. 2024/081400 The reamer assembly includes a shaft with a distal end arranged to receive a reamer head, an outer tube at least partially surrounding the shaft, and a deformable section. The deformable section has an elongated condition during a reaming procedure and a radially expanded condition for extracting the bone and/or cellular material from the patient. Thus, the reamer assembly is configured to mechanically extract bone and/or cellular material from the intramedullary canal of a patient.
A guide for use in cutting a bone is disclosed. The guide includes a bone contacting surface contoured to conformably mate with a first bone surface when placed against the first bone surface, and a guide surface that is spaced apart from the bone contacting surface. At least one prescribed patient-specific depth of cut information is provided on the guide surface that corresponds to the desired depth of cut being made using the guide.
A medical device has a guide locator and a guide element. The guide locator has a mount body having a conformal surface that is shaped to be complementary to a natural anatomical surface of a patient bone and defining a mount receptacle. The mount body defines a guide receptacle. The guide element includes a guide body having a shape configured to fit with to attach the guide receptacle of the guide locator and a guide slot formed in the guide body. The guide slot includes at least one opening for receiving a tool therethrough. A retention mechanism is configured to hold the guide element within the guide receptacle of the guide locator.
A surgical device includes a first body component including at least one insert embedded therein and a second body component including a patient-specific surface. The first body component includes a first material and the at least one insert includes a second material. The first body component defines at least one first hole and the second body component defines at least one second hole. The second body component is configured to be coupled to the first body component such that the at least one first hole and the at least one second hole are aligned when the first body component is coupled to the second body component to define at least one continuous fixation hole sized and configured to receive an elongate fixation device at a predetermined location.
A61B 17/00 - Surgical instruments, devices or methods
A61B 17/56 - Surgical instruments or methods for treatment of bones or jointsDevices specially adapted therefor
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
Provided is a prosthesis for ankle arthroplasty including a talar dome component configured to be attached to a talus bone. Also provided is a guide instrument for guiding a reamer to prepare a talus to receive the talar dome component.
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
A knotless button includes a body defining a proximal portion and a distal portion. The body further defines an internal cavity and a first loop opening extending from the internal cavity to an outer surface of the body. A locking insert is slideably positioned within the internal cavity. The locking insert defines a second loop opening extending from a first side of the locking insert to a second side of the locking insert. The locking insert is slideably moveable from a first position to a second position within the internal cavity. A flexible strand defines a first adjustable loop extending through the first loop opening and the second loop opening. The locking insert is slideably moveable from a first position configured to allow adjustment of the first adjustable loop to a second position configured to lock the first adjustable 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
31.
JIGS, SYSTEMS, AND METHODS FOR CORRECTING JOINT DEFORMITIES
A system includes a first tool. The first tool includes a first component, a second component, and at least one fastener for coupling the first component to the second component. The first component is coupled to the second component such that a distance between the first component and the second component in a first direction is adjustable. The first tool is configured to provide a controlled adjustment of a first bone relative to a second bone in a second direction that is different from the first direction.
An ankle arthroplasty implant system and method for installing into a resected ankle is provided including a multi-component tibia stem, a tray implant that includes side pockets extending into the tray implant. The tray implant further includes a proximal surface configured to engage the multi-component stem, and a distal side, including a recess. A talar dome implant is also provided that includes a convex proximal articular surface, an anterior side, a posterior. The ankle arthroplasty implant system further includes a polymer insert configured to be inserted in the tray implant recess.
Cutting elements may include points, tips, cutting portions and/or shafts of various geometries depending on requirements of the intended use. Tip geometries described may be used for cutting burrs, k-wires and/or drill bits in many types of applications. In particular, the tip geometries described may be used in medical applications. For example, tip geometries as described herein may be used for drilling bones, cartilage, and similar structures during surgery. Tip geometry may influence cutting ability. Use of the tip geometries described may allow the cutting element to be positioned at varying angles relative to the surface to be cut. In some instances, a tip geometry for a cutting element may be selected such that it reduces and/or inhibits movement of the cutting element during use and/or allows for a predetermined angle of entry into a surface to be cut. Using the designs described herein may reduce and/or inhibit damage, heat, and/or trauma to materials that are to be cut, for example, tissues such as bone and/or cartilage.
Disclosed is a method of preparing a tibial intramedullary canal for receiving a tibial implant such as a stem component of a total ankle replacement prosthesis where an extended cavity is prepared in the tibial intramedullary canal by pulling a tibial reamer bit in the proximal direction from the distal end of a tibia into the tibial intramedullary canal by using a flexible neck tooling introduced through the tibial intramedullary canal from a position proximal to the distal end of the tibia.
The disclosed subject matter relates to a visual guide for aiding the surgeon in the insertion of a k-wire. The guide including a ring for receiving a guide wire, the guide wire extending from the ring parallel to the center axis of the ring; and, a ring attachment mechanism configured to attach the visual guide to a wire driver. The guide wires representing the trajectory of the k-wire in two orthogonal planes thus allowing the surgeon to free hand the insertion by visually referencing the guide wires and the actual trajectory of the k-wire within the bone.
Disclosed is a method for preferentially removing cartilage from a bone in a joint that is effective at removing the cartilage while minimizing any removal of the cortical bone.
A surgical guide includes a body having four sides. The body comprises a first base at the first side, a second base at the second side and an elongated extension between the first and second base. The first base defines at least one first hole and the second base defines at least a second hole. The body is sized and configured to be installed above a joint line of a calcaneus and a talus bone and approximately mid-way along a longitudinal axis of a tibia. The first base is configured to receive at least one dowel of a second surgical guide in the at least one first hole and the second base is configured to receive at least one pin sleeve and pin in the second hole. Systems and methods are also disclosed.
Disclosed are bone screw drill targeting guides and methods for using such targeting guides that are useful in surgical procedures for correcting hallux valgus deformity.
The disclosed subject matter relates to a system and method for preparing a surface of a bone proximate a joint, in which the preparation includes boring a plurality of arced channels/troughs in the bone surface using an arch drill assembly guided by plural guide bores along a predetermined longitudinal arc. The bored troughs create a scalloped surface on the bone to which an inverse contoured joint insert/implant having cooperating convex ridges engages. The plural guide bores are also defined by the predetermined longitudinal arc which may be circular or helical. The disclosed subject matter minimizes bone removal and allows greater access options for preparing the bone surface.
An implant comprises a unitary body including an intramedullary portion connected to an extramedullary portion. The unitary body is configured to attach a first bone section to a second bone section. The intramedullary portion has a first longitudinal axis, and is configured for insertion into the first bone section. The intramedullary portion includes at least one first fastener aperture having an aperture axis oriented obliquely relative to the first longitudinal axis. The extramedullary portion is configured to abut a surface of the second bone section and includes at least one second fastener aperture disposed to transversely receive a bone fastener inserted in the second bone section. The extramedullary portion has a second longitudinal axis offset from, the first longitudinal axis.
A system, includes a first screw mechanism including: a first block; a first screw threaded through the first block and including a first skin-interfacing portion; and an intramedullary (IM) member extending from and attached to the first block and including an end portion configured to be inserted into an intramedullary canal of a first bone fragment, wherein a first lateral force is generated between the first skin-interfacing portion against a second bone fragment, adjacent to the first bone fragment, and a holding force provided by the end portion when the first screw is rotated and the end portion is located in the intramedullary canal.
A surgical staple includes a middle section extending between a first end and a second end; a first side section extending from the first end and being configured to be inserted into a bone; and a second side section extending from the second end and being configured to be inserted into a bone; wherein the first side section and the second side section cantilever away from the middle section, and the surgical staple is selectively movable between a relaxed configuration where the first side section and the second side section cantilever away from the middle section, and an opened configuration where the first side section and the second side section are substantially parallel to each other.
A surgical tool includes a handle and a trial section coupled to the handle by an engagement section. The trial section includes an upper surface and a lower surface. The upper surface has a shape that corresponds to an upper surface of an implant. The trial section defines a first slot extending from the upper surface to the lower surface and inwardly from a first side. A second slot extends from the upper surface to the lower surface and inwardly from a second side.
A surgical tool includes a body defining an opening sized and configured to receive a first bone portion therein, a displacement tip coupled to a first end of the body, the displacement tip sized and configured for insertion into a medullary canal of a second bone portion, and a deployable retention block configured to be transitioned from a first position to a second position. The deployable retention block is configured to maintain the first bone portion in a predetermined position when the deployable retention block is in the second position.
A bone alignment system to correct a hallux valgus deformity includes a main body including an intramedullary (IM) hook, the IM hook including an end portion sized and configured to be inserted into an intramedullary canal of at least one of a first fragment or a second fragment of a bisected metatarsal; and a screw assembly including a screw threaded through the main body and a skin-interfacing portion attached to a first end of the screw, wherein the main body defines an aperture that extends through the main body and is sized and configured to guide a guide pin for anchoring the main body to the metatarsal.
A device includes a first arm and a second arm. The first arm includes a first arm body that extends from a first end to a second end and a guide. The guide is rotatably coupled to the second end of the first arm body and is configured to be coupled to a first bone. The second arm includes a second arm body extending from a first end to a second end and is coupled to the first arm body such that it is rotatable with respect to the first arm body. The second arm is configured to engage a second bone. In use, rotation of the second arm body with respect to the first arm body changes the distance between the first bone and the second bone and rotation of the guide with respect to the first arm body rotates the first bone.
In various embodiments, a surgical instrument, systems including the surgical instrument, and methods of use of the surgical instrument are disclosed. The surgical instrument includes a handle body extending from a proximal end to a distal end substantially along a longitudinal axis. The handle body defines a first channel sized and configured to receive a guide element therein. A plurality of indicators are formed on the handle body. Each of the plurality of indicators correspond to a size of one of a plurality of fixation elements sized and configured for insertion into a bone. A countersink element is coupled to a distal end of the body. The countersink element defines a second channel sized and configured to receive the guide element therethrough that is circumferentially located with and coupled to the first channel. The countersink element includes a head sized and configured to form a countersink in the bone.
A61B 17/00 - Surgical instruments, devices or methods
A61B 17/56 - Surgical instruments or methods for treatment of bones or jointsDevices specially adapted therefor
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
50.
Implant with intramedullary portion and extramedullary portion
An implant comprises a unitary body including an intramedullary portion connected to an extramedullary portion. The unitary body is configured to attach a first bone section to a second bone section. The intramedullary portion has a first longitudinal axis, and is configured for insertion into the first bone section. The intramedullary portion includes at least one first fastener aperture having an aperture axis oriented obliquely relative to the first longitudinal axis. The extramedullary portion is configured to abut a surface of the second bone section and includes at least one second fastener aperture disposed to transversely receive a bone fastener inserted in the second bone section. The extramedullary portion has a second longitudinal axis offset from, the first longitudinal axis.
An apparatus includes a body extending from a first end to a second end. The first end is a leading end, and the second end includes a first coupling element configured to couple the body to a first other component. The body includes an external fixation element extending along a length of the first component. The external fixation element is configured to engage bone. Systems and methods are also disclosed.
A device including a delivery port and a method of delivering a material via a delivery port is disclosed. The device includes a body extending between a proximal surface and a distal surface. The body is sized and configured to be coupled to an anatomical structure at an implantation site. A first inlet port is formed in a distal surface of the body and is sized and configured to receive a first material. A first outlet port is formed in the proximal surface of the body. The first outlet port is coupled to the first inlet port by a first fluid path defined by the body and the first outlet port is sized and configured to provide the first material to a first predetermined location when the body is coupled to the anatomical structure.
A system includes a base and a targeting guide coupled to the base. The base includes a first member and a second member. The first member defines a first hole for receiving a first fixation element for coupling the first member to a bone. The second member is pivotably coupled to the first member. The second member defines a second hole and a third hole. The second hole is for receiving a second fixation element for coupling the second member to a bone, and the third hole is for receiving an adjustment member for adjusting an angle between the first member and the second member. The targeting guide extends from a first end to a second end and defines a fourth hole adjacent to the second end of the targeting guide. The fourth hole is sized and configured to receive a fixation device therein.
An auto-suture device includes a spiral drive mechanism having a first spiral drive tube including a cylindrical body having an internal surface defining a first travel path, a second spiral drive tube moveably coupled to the first spiral drive tube, and a first spiral drive element including a drive interface and a needle drive. The needle drive is sized and configured to be received within the first travel path defined by the first spiral drive tube.
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 17/06 - NeedlesHolders or packages for needles or suture materials
55.
CALCANEAL PROSTHESIS AND METHOD OF FORMING THE SAME
A calcaneal prosthesis system includes a body having a dorsal surface, a plantar surface, an anterior surface, and a posterior end. The posterior end has a tuberosity. The anterior surface has at least a concavity or convexity shaped for receiving a cuboid bone or mid-foot bone. The dorsal surface includes a convex or concave surface for engaging a talus bone or distal tibia. An integrally formed intramedullary (IM) nail extends from the dorsal surface.
A system and method for performing a percutaneous bunionectomy. The system including a jig, which subsequent to attachment and performance of an osteotomy on the bone, uses a rack and pinion mechanism to translate the separated portion of the bone to a surgeon determined displacement λ. A locking mechanism maintains the desired displacement of the bone portions and allows the surgeon, with use of an attached visual guide, to insert a k-wire through the bone portions to serve as a guide wire for the internal fixation that maintains the displacement during the healing. The system removes the requirement that the surgeon manually maintain the desired displacement while inserting the guide wire.
A system includes a first tool having a base, a nut, and a tool guide. The base extends from a first end to a second end and includes at least one thread disposed along a length thereof. The first end includes a foot having a widthwise dimension that is greater than a diameter of the at least one thread. The nut is configured to be disposed along the length of the base and to engage at least one thread. The tool guide is configured to be slideably disposed along the length of the base and has a body including a flange portion. The flange portion defines an opening for receiving at least one of a pin and a cutting tool. Rotation of the first nut causes the nut to translate along the length of the base thereby causing the tool guide to move along the length of the base.
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
Novel orthopedic staples and related instruments are disclosed. An instrument is an orthopedic drill guide assembly that includes a first arm and a second arm that are retractably connected to the distal end of the instrument's outer housing, where the proximal ends of the arms are retractably connected to the distal end of the outer housing and configured to move in a retractable motion that changes the spacing between the first drill guide sleeve and the second drill guide sleeve, where the proximal end of the outer housing is configured for controlling the retractable motion of the first and second arms.
A guidance tool includes a body having a length extending from a first end to a second end. The body includes a shape memory section along the length of the body. The shape memory section has a curved shape.
Disclosed are bone screw drill targeting guides and methods for using such targeting guides that are useful in surgical procedures for correcting hallux valgus deformity.
A surgical guide includes a body defining a first access port and a second access port. The first access port extends on a first longitudinal access parallel with a first edge of the body and the second access port extends on a second longitudinal access positioned non-parallel with respect to each edge of the body. At least one coupling arm extends from the body. The at least one coupling arm defines at least one fixation aperture sized and configured to receive a fixation element through.
A cut guide includes a body having a first face and an opposed second face. The first face of the body defines first and second apertures, a first fixation hole, and an attachment hole. The first and second apertures are configured to guide a surgical tool, and the first fixation hole extends through the cut guide from the first face to the second face and is configured to receive a wire to position the cut guide against a bone. The attachment hole is configured to attach the cut guide to another component. A system including the cut guide and methods of using the system also are disclosed.
Various embodiments of a surgical instrument are disclosed. The surgical instrument includes a handle, a working element extending from the handle configured to be positioned internal of a target site while the handle is external to the target site, and a laser guide configured to generate at least one emitted marker. The emitted marker corresponds to movement of the working element internal of the target site. Various embodiments of methods using the surgical instrument are also disclosed.
A61B 90/13 - 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 for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints guided by light, e.g. laser pointers
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
64.
IMPLANT WITH INTRAMEDULLARY PORTION AND VARIABLE ANGLE EXTRAMEDULLARY PORTION
In one aspect, an implant configured to attach a first bone section to a second bone section comprises an intramedullary portion and an extramedullary portion. The intramedullary portion is configured for insertion into the first bone section. The extramedullary portion is configured to abut a surface of the second bone section and includes a first fastener aperture configured to receive a bone fastener inserted in the second bone section. The intramedullary portion and the extramedullary portion are coupled such that the extramedullary portion is rotatable with respect to the intramedullary portion.
An alignment device includes a first member, a second member, and a guide. The first member has an elongated body and is configured to be at least partially inserted into a canal in a first bone portion. The second member includes a body attachable to the first member and an arm extending from the body. The arm defines a track. The guide is configured to translate along the track defined by the arm. The guide includes an aperture configured to receive an alignment member therethrough. The guide is configured to be positioned at a desired position along the track to allow insertion of the at least one alignment member through the aperture and into the first bone portion at a desired trajectory.
A surgical guide and methods of using the surgical guide are disclosed. The surgical guide includes a body having a first side and a second side. An adhesive material is disposed over at least a portion of the first side. A radiopaque guide element coupled to a second side of the body and an incision guard defines an opening extending from the first side to the second side of the body. The incision guard is sized and configured to receive a surgical instrument therethrough such that the incision guard prevents contact between the surgical instrument and a portion of a surgical site adjacent to the opening.
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 packaging system includes a packaging container and a packaging element. The packaging container include a first half having a base surface and an outer wall defining an inset receiving area, a second half sized and configured to couple to the first half in a locking relationship, and a coupling element extending from the base surface of the first half. The packaging element includes a central coupling body defining an opening sized and configured to receive the coupling element of the packaging container therethrough and a plurality of secondary coupling elements each coupled to an outer perimeter of the central coupling body. A plurality of surgical elements are each coupled to one of the plurality of secondary coupling elements.
A61F 2/00 - Filters implantable into blood vesselsProstheses, i.e. artificial substitutes or replacements for parts of the bodyAppliances for connecting them with the bodyDevices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
An orthopedic device is disclosed that includes a threaded elongated shaft having a length, a regular polygon cross-section, and a longitudinal axis defined therethrough, wherein the elongated shaft having side surfaces extending over the length of the elongated shaft wherein each side surface corresponds to each of the sides of the regular polygon cross-section; and a pair of clamps releasably clamped on to the threaded elongated shaft, wherein each of the clamps is configured for holding up to two bone fixation pins in an orientation that is non-parallel with the longitudinal axis of the elongated shaft.
A61B 17/64 - Devices extending alongside the bones to be positioned
A61B 17/60 - Surgical instruments or methods for treatment of bones or jointsDevices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements for external osteosynthesis, e.g. distractors or contractors
A61B 17/66 - Compression or distraction mechanisms
A method of ankle replacement includes forming an anterior cut in a bone and forming a stem hole in a distal end of the bone. The stem hole is formed using a plurality of broaches positioned against the distal end of the bone through the anterior cut. A first portion and a second portion of a stem implant are inserted into the stem hole through the anterior cut in the bone. The first portion is coupled to the second portion using a coupling device inserted through the anterior cut in the bone. The stem implant is impacted into the stem hole using an offset impactor.
A cutting guide includes a body extending between an upper surface and a lower surface and defined by a perimeter. The cutting guide further includes a guide foot having a contact surface. A guide element is pivotably coupled to the body. A handle extends from a first end to a second end. The first end is configured to be coupled to the body.
In various embodiments, a targeting guide is disclosed. The targeting guide includes a handle defining a targeting hole and a targeting tower configured to be coupled to the handle. The targeting tower defines at least a first guide hole and a second guide hole. Each of the first and second guide holes are sized and configured to receive a respective first guide pin and second guide pin therethrough. The first and second guide pins are configured to indicate alignment of a k-wire inserted through the targeting hole defined by the handle. Methods of using a targeting guide are also disclosed.
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 assembly includes a first portion including an anchor pivotally attached to a first end of the first portion, the anchor to be inserted into an intramedullary canal of a first bone fragment; a second portion pivotally attached to a second end of the first portion and including a first skin-interfacing portion; a second skin-interfacing portion to interface with and secure the assembly to skin adjacent to the first bone fragment; and an actuation mechanism attached between the first portion and the second portion that actuates pivoting of the second portion to the first portion; wherein a lateral force is generated between the first skin-interfacing portion against a second bone fragment, adjacent to the first bone fragment, and a holding force is provided by the anchor when the actuation mechanism is actuated, so the first portion pivots with respect to second portion, while the anchor is in the intramedullary canal.
A surgical drill alignment guide is disclosed that can provide an accurate trajectory for placement of a bone screw along a longitudinal axis of a bone.
A method for syndesmotic repair includes forming a bone tunnel through a first bone and a second bone. A partial anchoring construct is inserted through the bone tunnel. The partial anchoring construct includes a first flexible strand defining a first adjustable loop and a first anchor coupled to a first end of the first adjustable loop. A second end of the first adjustable loop is coupled to a first pull-through strand. A second anchor is coupled to the second end of the first adjustable loop after the first adjustable loop is inserted through the bone tunnel by the first pull-through strand. The length of the first adjustable loop is adjusted to position the first bone and the second bone in a predetermined spacing.
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 17/56 - Surgical instruments or methods for treatment of bones or jointsDevices specially adapted therefor
An implant comprises a unitary body including an intramedullary portion connected to an extramedullary portion. The unitary body is configured to attach a first bone section to a second bone section. The intramedullary portion has a first longitudinal axis, and is configured for insertion into the first bone section. The intramedullary portion includes at least one first fastener aperture having an aperture axis oriented obliquely relative to the first longitudinal axis. The extramedullary portion is configured to abut a surface of the second bone section and includes at least one second fastener aperture disposed to transversely receive a bone fastener inserted in the second bone section. The extramedullary portion has a second longitudinal axis offset from, the first longitudinal axis.
An implant comprises a unitary body including an intramedullary portion connected to an extramedullary portion. The unitary body is configured to attach a first bone section to a second bone section. The intramedullary portion has a first longitudinal axis, and is configured for insertion into the first bone section. The intramedullary portion includes at least one first fastener aperture having an aperture axis oriented obliquely relative to the first longitudinal axis. The extramedullary portion is configured to abut a surface of the second bone section and includes at least one second fastener aperture disposed to transversely receive a bone fastener inserted in the second bone section. The extramedullary portion has a second longitudinal axis offset from, the first longitudinal axis.
A system, includes a first screw mechanism including: a first block; a first screw threaded through the first block and including a first skin-interfacing portion; and an intramedullary (IM) member extending from and attached to the first block and including an end portion configured to be inserted into an intramedullary canal of a first bone fragment, wherein a first lateral force is generated between the first skin-interfacing portion against a second bone fragment, adjacent to the first bone fragment, and a holding force provided by the end portion when the first screw is rotated and the end portion is located in the intramedullary canal.
A system, includes a first screw mechanism including: a first block; a first screw threaded through the first block and including a first skin-interfacing portion; and an intramedullary (IM) member extending from and attached to the first block and including an end portion configured to be inserted into an intramedullary canal of a first bone fragment, wherein a first lateral force is generated between the first skin-interfacing portion against a second bone fragment, adjacent to the first bone fragment, and a holding force provided by the end portion when the first screw is rotated and the end portion is located in the intramedullary canal.
A cut guide includes a first face and an opposed second face. The cut guide further includes a first aperture and a second aperture extending through the cut guide from the first face to the second face. The first and second apertures are configured to guide a surgical tool in cutting a bone. The cut guide further includes a first hole extending through the cut guide from the first face to the second face. The cut guide further includes a second hole extending through the cut guide. A central axis of the second hole is oriented at an acute angle to the second face. The first and second holes are configured to receive a wire to position the guide against the bone.
Provided is a nested screw assembly and a related method for fusing a joint between two bones using the nested screw assembly, where the nested screw assembly includes a cannulated outer screw and an inner screw.
A system for bone fusion incudes an implant configured to be attached to two bone portions; an insertion handle attached to the implant by a threaded drill guide and including a stability screw trajectory guide portion and an implant screw guide portion; and a stability screw configured to pass through the stability screw trajectory guide portion and into the two bones.
An instrument for use in cartilage removal comprises an elongate body having a first end and a longitudinal axis having a longitudinal direction. A cartilage removal portion is coupled to the elongate body at the first end. The cartilage removal portion includes a plurality of serrated blades substantially perpendicular to the longitudinal axis and adapted for removing material while moving in the longitudinal direction. Each serrated blade has a centroid located along the longitudinal axis.
A targeting guide is disclosed includes a handle extending substantially along a longitudinal axis. The longitudinal handle defines one or more burr holes extending from a first side of the handle to a second side of the handle. A head is coupled to a distal end of the longitudinal handle. The head defines a plurality of guide holes sized and configured to receive a k-wire therethrough.
A bone anchor includes a flexible strand defining a first adjustable loop and a friction knot coupled to a proximal end of the first adjustable loop. The friction knot is configured to allow adjustment of the first adjustable loop in a first configuration and is configured to prevent adjustment of the first adjustable loop in a second configuration. A knot capsule includes a body defining an internal knot cavity. The friction knot and a portion of the first adjustable loop are positioned within the internal knot cavity. The internal knot cavity defines one or more impingement surfaces configured to maintain the friction knot in a fixed position within the internal knot cavity when the friction knot is in the second configuration.
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 apparatus for correcting bunion deformity includes an elongated member, a first arm member extending from a first end to a second end, a second arm member, and a rotation guide. The first arm member has an arm axis and is coupled to the first end of the elongated member so that the arm axis extends in an orthogonal direction from the elongated member. The second arm member includes an attachment portion configured to translatably engage the elongated member and an extension extending in the same orthogonal direction as the first arm member. The rotation guide is coupled to the first arm member such that the rotation guide is configured to rotate with respect to the first arm member about a rotation axis, the rotation guide defining a bore having a longitudinal axis.
Disclosed are bone screw drill targeting guides and methods for using such targeting guides that are useful in surgical procedures for correcting hallux valgus deformity.
An assembly includes a first portion including an anchor pivotally attached to a first end of the first portion, the anchor to be inserted into an intramedullary canal of a first bone fragment; a second portion pivotally attached to a second end of the first portion and including a first skin-interfacing portion; a second skin-interfacing portion to interface with and secure the assembly to skin adjacent to the first bone fragment; and an actuation mechanism attached between the first portion and the second portion that actuates pivoting of the second portion to the first portion; wherein a lateral force is generated between the first skin-interfacing portion against a second bone fragment, adjacent to the first bone fragment, and a holding force is provided by the anchor when the actuation mechanism is actuated, so the first portion pivots with respect to second portion, while the anchor is in the intramedullary canal.
Alignment systems and methods are disclosed. A system includes a first component and a second component. The first component has a first body supporting a first alignment member. The second component has a second body supporting a second alignment member. The first and second alignment members are separated from another and are configured to provide an indication that a fluoroscopic device is properly aligned with an anatomical plane when viewed under fluoroscopy. A method includes placing a first component supporting a first alignment member and a second component supporting a second alignment member relative to a patent, and aligning a fluoroscopic device with an anatomical plane using the first and second alignment members.
G01S 17/46 - Indirect determination of position data
A61B 6/12 - Arrangements for detecting or locating foreign bodies
A61B 17/00 - Surgical instruments, devices or methods
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
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
A surgical staple includes a middle section extending between a first end and a second end; a first side section extending from the first end and being configured to be inserted into a bone; and a second side section extending from the second end and being configured to be inserted into a bone; wherein the first side section and the second side section cantilever away from the middle section, and the surgical staple is selectively movable between a relaxed configuration where the first side section and the second side section cantilever away from the middle section, and an opened configuration where the first side section and the second side section are substantially parallel to each other.
A talar bone plate for use with a multi-component ankle prosthesis is disclosed that has a body having a medial side, a lateral side, an upper surface, a lower surface, a medial-anterior end, a lateral-anterior end, a medial-anterior portion that extends out in anterior direction beyond the lateral-anterior side, and a posterior side, where a length between the medial-anterior end and the posterior side is greater than the length between the lateral-anterior end and the posterior side near the lateral side of the body, where the body having at least one elongated screw hole provided in the medial-anterior portion and a plurality of screw holes provided in the area between the at least one elongated screw hole and the posterior side.
A system to provide weight bearing simulation includes a plate; a strap to hold the plate to a foot; and a device configured to mount to the plate and adjust a position of the foot to the plate.
A61B 17/88 - Methods or means for implanting or extracting internal fixation devices
A61B 17/00 - Surgical instruments, devices or methods
A61B 17/56 - Surgical instruments or methods for treatment of bones or jointsDevices specially adapted therefor
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
93.
Systems and methods for metatarsal phalangeal joint fusion
A system for metatarsal phalangeal joint fusion includes a hinged guide; a trajectory guide attachable to the hinged guide; and an anchoring wire to attach the hinged guide to a bone.
A61B 17/88 - Methods or means for implanting or extracting internal fixation devices
A61F 2/46 - Special tools for implanting artificial joints
A61B 17/56 - Surgical instruments or methods for treatment of bones or jointsDevices specially adapted therefor
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 implant is specifically configured for use in osteotomies, in which part of the implant extends into an intramedullary portion of a first bone segment and a plate portion is external to the cortical surface of an adjacent bone segment to fix the segments to allow them to fuse. The body of the implant has a first end and a second end where the end which is inserted into the bone has a chamfer and a through hole having a hole axis optionally at an oblique angle to the longitudinal axis of the implant, and which can receive a screw, peg or pin. The second end of the implant includes a plate portion with at least two offset screws.
A guidance system comprises a first guide configured to be detachably mounted to a first portion of a bone. The first guide has a first axis for alignment with a longitudinal axis of the first portion of the bone. A second guide is mountable on the first guide. The second guide is slidably translatable in a transverse direction relative to the first axis. A third guide is mountable on the second guide. The third guide is selectively positionable along a curved path extending at least part way around the longitudinal axis.
A system includes a first prosthesis. The first prosthesis may include a body extending along a length from a first side to a second and including a third side disposed between the first side and the second side. The body may include a pair of spaced apart rails between which a channel is defined. A stem and a first fixation element may extend upwardly from the third side. A method may include coupling the first prosthesis to bone.
Disclosed is are various methods of preparing a tibial intramedullary canal for receiving a tibial implant, methods of preparing a talus for receiving a talar implant, and some examples of a power driver adapter that can be used to carry out the preparation of the tibial intramedullary canal.
A targeting guide is disclosed includes a handle extending substantially along a longitudinal axis. The longitudinal handle defines one or more burr holes extending from a first side of the handle to a second side of the handle. A head is coupled to a distal end of the longitudinal handle. The head defines a plurality of guide holes sized and configured to receive a k-wire therethrough.
A surgical device includes a body having a first side with a first surface that is complementary to a surface of a foreign object disposed within a patient based on preoperative imaging of the patient. The body defines at least one hole positioned relative to the body to facilitate insertion of an elongate device at a predetermined location relative to the foreign object.
A61B 17/56 - Surgical instruments or methods for treatment of bones or jointsDevices specially adapted therefor
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 system includes an intraosseous sliding osteotomy (ISO) plate including a body extending between a first end, a second end, a first surface, a second surface, and a perimeter wall. The body defines at least one fastener aperture extending from the first surface to the second surface. A plate handle is configured to be coupled to the ISO plate. The plate handle includes a body including a handle portion and a head portion. The head portion defines at least one aperture. A locking element includes a locking portion sized and configured to extend through the at least one aperture defined in the head portion of the plate handle to couple the plate handle to the ISO plate.
