A pump cassette includes a cassette housing defining an input aperture configured to receive a surgical solution and an output aperture configured to expel the surgical solution. A flow path is defined between the input aperture and the output aperture and includes a sensor segment having a sensor segment input opening, a sensor segment output opening, and a pressure module configured to react to changes in pressure. A sensor segment wall defines a portion of the flow path between the sensor segment input opening and the sensor segment output opening. The sensor segment wall includes a first sensor segment wall portion located between the sensor segment input opening and the sensor segment output opening and a second sensor wall portion extending transversely from the first sensor segment wall portion to a sensor segment wall terminal end.
Surgical constructs, assemblies, kits and methods of tissue fixation are disclosed. A suture tensioning anchor inserter is provided with a tensioning attachment that allows tensioning of suture directly on the inserter. The tensioning attachment may include a pair of paddles that can twist in one direction to add tension to the sutures in a repair. The paddles eliminate suture tensioning by hand, providing a mechanical advantage to add additional suture tension.
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
3.
ORTHOPAEDIC IMPLANT SYSTEMS INCLUDING RETENTION FEATURES AND METHODS OF REPAIR
This disclosure relates to orthopaedic implant systems and methods for restoring functionality to a bone and/or joint. The implant systems disclosed herein may include one or more retention features adapted to contact a bone, such as one or flanges. The flange may be deflectable and may be compressed against the bone. A method of installing an orthopaedic implant system is also disclosed.
A pump cassette includes a cassette housing defining an input aperture configured to receive a surgical solution and an output aperture configured to expel the surgical solution. A flow path is defined between the input aperture and the output aperture and includes a sensor segment having a sensor segment input opening, a sensor segment output opening, and a pressure module configured to react to changes in pressure. A sensor segment wall defines a portion of the flow path between the sensor segment input opening and the sensor segment output opening. The sensor segment wall includes a first sensor segment wall portion located between the sensor segment input opening and the sensor segment output opening and a second sensor wall portion extending transversely from the first sensor segment wall portion to a sensor segment wall terminal end.
A61M 1/00 - Suction or pumping devices for medical purposesDevices for carrying-off, for treatment of, or for carrying-over, body-liquidsDrainage systems
This disclosure relates to orthopaedic implant systems and methods for restoring functionality to a bone and/or joint. The implant systems disclosed herein may include one or more retention features adapted to contact a bone, such as one or flanges. The flange may be deflectable and may be compressed against the bone. A method of installing an orthopaedic implant system is also disclosed.
A surgical tensioner and methods for surgical repairs. A tensioning adapter can be removably attached to, and detached from, a handle and/or elongated shaft of a surgical instrument to allow a flexible strand (suture or wire) attached to tissue (for example, soft tissue, graft or bone segments) to be secured to it and tensioned. A tensioning adapter can include a securing mechanism that can capture a flexible strand and lock it into place. A tensioning adapter can include an adjustment device to adjust tension on the flexible strand.
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 17/00 - Surgical instruments, devices or methods
7.
ACTUATION DEVICE AND FEATURES FOR SURGICAL APPARATUSES
An actuator for a surgical apparatus includes an elongated body extending along a longitudinal axis and an actuation structure. The actuation structure is operably coupled to the body and extends from a proximal end to a distal end. The actuation structure is configured to sequentially translate proximally and distally along the longitudinal axis.
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
A61B 17/29 - Forceps for use in minimally invasive 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
8.
FRAGMENT REGISTRATION AND ASSOCIATED METHODS FOR REPAIRING FRACTURED BONES
Bone fractures may be associated with one or more fragments separated from a bone. The fractured bone may be captured with an imaging device. The disclosed systems may be configured to predict or otherwise determine a position of the fragments prior to occurrence of the bone fracture. The determined position may be utilized to position and secure the fragments during a surgical procedure. Methods for determining the pre-fracture position of bone fragments are also disclosed.
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
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 30/20 - ICT specially adapted for the handling or processing of medical images for handling medical images, e.g. DICOM, HL7 or PACS
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
9.
OMITTED BONE ESTIMATION TECHNIQUES FOR SURGICAL PLANNING
Imagery of patient anatomy may be captured with an imaging device. The imaging device may be configured to capture only a portion of the patient anatomy, including one or more bones of the patient. A surgical planning system may be configured to predict or otherwise determine a geometry of the omitted portions of the anatomy based on a comparison of the captured anatomy to the anatomy of another patient. The determined geometry of the omitted portions may be utilized to plan a surgical procedure for restoring functionality to the bone and/or an associated joint. Surgical planning methods for determining omitted portions of patient anatomy are also disclosed.
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
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 30/20 - ICT specially adapted for the handling or processing of medical images for handling medical images, e.g. DICOM, HL7 or PACS
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
An anatomic simulacra includes at least one reinforced hole defined through the anatomic simulacra. The at least one reinforced hole includes a bore and a reinforcement area proximate the bore. A kit for performing a surgical training procedure includes the anatomic simulacra.
Methods for tissue repairs with mattress stitch are disclosed. A mattress stitch is created with a suture passer and a suturing construct using only one portal and without shuttling steps. The suture passer is provided with two sharp teeth or tines that pierce tissue (or tissue and associated graft) at two different locations. The suturing construct can be a loop terminating in a tail. The tail is passed from one tooth to another and then secured into a securing mechanism of one of the two sharp teeth. The tail is passed through the loop to form a cinch loop around and through the tissue (or the tissue and the graft).
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
12.
BUTTON IMPLANT ASSEMBLIES WITH BUTTON-TO-IMPLANT EXTENDER MATING FEATURES
Graft fixation systems include button implant assemblies for providing suspensory cortical bone fixation of a graft. The button implant assemblies may include a button and an implant extender that increases a footprint of the button. The implant extender may include one or more mating features for retaining the button to the implant extender.
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 components, systems, and methods to guide a drill bit while drilling holes in one or more bones. The drill guide includes a sleeve with a projection that is sized to fit within a sinus tarsi and provide a desired offset from the sinus tarsi to a location of a talus. When the projection is inserted into the sinus tarsi a lumen of the drill guide is aligned with the location of the talus. The lumen guides the drill bit to the location to properly position the first bone hole. The sleeve and projection may then be removed from a cannula of the drill guide. The cannula may then be positioned such that the lumen of the drill guide is aligned with a fibula. The lumen guides the drill bit into the fibula to properly position the second bone hole.
Anatomic simulacra is provided that includes a communication system, which is coupled to the anatomic simulacra. The communication system is to communicate data regarding the anatomic simulacra to an external device, such as a personal electronic device.
Disclosed herein are components, systems, and methods to position and secure segments of bone. A bone fixation construct includes first and second beam elements each carrying one or more movable clamp assemblies. The movable clamp assemblies are securable to bone segments via one or more bone fixators. The bone fixation construct includes a lockable ball joint that connects the first and second beam elements such that at least one of the beam elements is movable relative to the other of the beam elements. The lockable ball joint includes a locking cap (117) which receives a spherical head (130) with a shank extending therefrom. The locking cap (117) is rotatable to transition the lockable ball joint from a locked configuration to an unlocked configuration. Methods of assembly of the bone fixation construct and methods of bone fixation are also disclosed herein.
A 3D printed anatomic simulacra includes an inner structure, an exterior shell surrounding the inner structure and the core, at least one fragmented exterior shell piece adjacent to the exterior shell, a removable matrix extending between the inner structure and the core, and support structures embedded within the removable matrix, the plurality of support structures extending throughout the inner structure. The removable matrix is configured to be removed from the 3D printed anatomic simulacra before a simulated medical procedure. Another 3D printed anatomic simulacra includes a flexible connective tissue connecting at least two components, the flexible connective tissue defining voids, wherein the plurality of voids are configured to sequentially tear under an applied load, thereby simulating a predefined tear classification. Another anatomic simulacra includes pretensioned fibral elements embedded within a matrix.
An anatomic simulacra includes at least one reinforced hole defined through the anatomic simulacra. The at least one reinforced hole includes a bore and a reinforcement area proximate the bore. A kit for performing a surgical training procedure includes the anatomic simulacra.
An actuator for a surgical apparatus includes an elongated body extending along a longitudinal axis and an actuation structure. The actuation structure is operably coupled to the body and extends from a proximal end to a distal end. The actuation structure is configured to sequentially translate proximally and distally along the longitudinal axis.
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 17/29 - Forceps for use in minimally invasive surgery
19.
ANATOMIC SIMULACRA HAVING PREDEFINED FRACTURE/TEAR PATTERNS, AND CAST ANATOMIC SIMULACRA WITH PRETENSIONED FIBRAL ELEMENTS
A 3D printed anatomic simulacra includes an inner structure, an exterior shell surrounding the inner structure and the core, at least one fragmented exterior shell piece adjacent to the exterior shell, a removable matrix extending between the inner structure and the core, and support structures embedded within the removable matrix, the plurality of support structures extending throughout the inner structure. The removable matrix is configured to be removed from the 3D printed anatomic simulacra before a simulated medical procedure. Another 3D printed anatomic simulacra includes a flexible connective tissue connecting at least two components, the flexible connective tissue defining voids, wherein the plurality of voids are configured to sequentially tear under an applied load, thereby simulating a predefined tear classification. Another anatomic simulacra includes pretensioned fibral elements embedded within a matrix.
Methods, systems and computer program products of constructing a transform that registers a two-dimensional (2D) image and a three-dimensional (3D) device depicted in the image. The methods include determining a best pitch, spin and x-y-z positions of a 3D mathematical device model as compared to the device depicted in a first obtained 2D image, determining a best x-y-z position of a focal point as compared to the device depicted in the first image, and, based thereon, constructing a transform that registers the first image and the device.
A bone pin designed for medical applications features an unitary structure having a distal portion, a driver portion, and a proximal portion. The bone pin includes an enclosed channel that extends continuously from the distal portion through the driver portion to an open end at the proximal portion to collect bone marrow aspirate from the patient. The distal portion may have fenestrations for aspiring bone marrow once the distal portion is anchored to the patient. During distraction a stylet may be inserted into the enclosed channel.
A kit, system and method for a surgical training procedure that uses at least one polymer-based anatomic simulacra. In one example, the kit for a surgical training procedure includes at least one polymer-based anatomic simulacra that corresponds to a portion of an anatomy. The kit also includes at least one instrument configured to perform at least a portion of a surgical training procedure on the at least one polymer-based anatomic simulacra.
A kit, system and method for a surgical training procedure that uses at least one polymer-based anatomic simulacra. In one example, the kit for a surgical training procedure includes at least one polymer-based anatomic simulacra that corresponds to a portion of an anatomy. The kit also includes at least one instrument configured to perform at least a portion of a surgical training procedure on the at least one polymer-based anatomic simulacra.
Anatomic simulacra is provided that includes a communication system, which is coupled to the anatomic simulacra. The communication system is to communicate data regarding the anatomic simulacra to an external device, such as a personal electronic device.
Internal beam plates and associated instrumentation may be utilized for performing arthrodesis procedures, bone fracture procedures, osteotomy procedures, etc. Exemplary surgical methods that may be performed using the internal beam plates and associated instrumentation include, but are not limited to, lapidus bunionectomy procedures, metatarsophalangeal (MTP) procedures, chevron procedures, fracture repair procedures, etc. The exemplary internal beam plates incorporate an integral beam that is configured to increase strength and stiffness across a fusion site. The exemplary cutting/prep guides are configured to allow surgeons to reduce, prepare, and cut bones for receiving the beam of the internal beam plate using one or more guides.
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 herein are bone graft delivery systems comprising a flexible plunger, a delivery gun, and a detachable offset cannula. Methods of delivering bone graft material using the bone graft delivery systems are also provided.
This disclosure relates to planning systems, methods and instrumentation. The planning systems, methods and instrumentation disclosed herein may be utilized for planning orthopaedic procedures to restore functionality to a joint, may include determining bone loss along or otherwise adjacent to an articular surface of a bone. Instrumentation may be formed to prepare the bone. The articular surface may be repaired, which may include utilizing the instrumentation and planning systems to position and secure a bone graft along a portion of the bone associated with the bone loss.
Surgical anchor constructs, fixation devices, and methods for tissue repairs are disclosed. A soft suture anchor has a cannulated sheath (that is fixed in bone), at least one repair suture attached to the sheath, and at least one hybrid shuttling link attached to the sheath. The hybrid shuttling link is configured to act as both a shuttle/pull device and a repair suture. A free end of the repair suture is passed through the lumen and the body of the sheath to form at least one splice and a an adjustable, flexible, tensionable, knotless loop around soft tissue to be attached to bone. The hybrid shuttling link may form a knotted loop around soft tissue to be attached to bone.
A device comprising: a reference wing having a first end and a second end opposite the first end, wherein each of the first end and the second end of the reference wing includes a plurality of through holes; a resection profile configured to be removably coupled to the reference wing between the first end and the second end; and a lateral rod configured to be removably coupled to the reference wing via the plurality of through holes.
Surgical anchor constructs, fixation devices, and methods for tissue repairs are disclosed. A soft suture anchor has a cannulated sheath (that is fixed in bone), at least one repair suture attached to the sheath, and at least one hybrid shuttling link attached to the sheath. The hybrid shuttling link is configured to act as both a shuttle/pull device and a repair suture. A free end of the repair suture is passed through the lumen and the body of the sheath to form at least one splice and a an adjustable, flexible, tensionable, knotless loop around soft tissue to be attached to bone. The hybrid shuttling link may form a knotted loop around soft tissue to be attached to 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
31.
Knotless Locking Constructs and Methods of Tissue Repair
Surgical anchor constructs, fixation devices, and methods for tissue repairs are disclosed. A soft suture anchor has a cannulated sheath (that is fixed in bone) and a plurality of repair sutures attached to the sheath and forming a plurality of knotless loops. Soft tissue is secured to bone with two or more knotless loops that secure the soft tissue similar to a cam buckle strap.
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
32.
Knotless Locking Loop Constructs and Methods of Tissue Repair
Tensionable, knotless, self-locking surgical constructs and methods for surgical repairs are disclosed. A surgical construct may be in the form of a repair suture with an attached shuttle/pull device to aid in formation of splices and tensionable, knotless loops.
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
33.
SURGICAL DEVICE CONFIGURED TO STRIP AND CUT TENDON
This disclosure relates to a surgical device configured to both strip and cut a tendon. The harvested tendon can be used in various orthopedic procedures, such as ACL, PCL, and UCL reconstructions.
Speed nut assemblies are provided for external fixation systems. For example, the speed nut assemblies can be utilized for securing a threaded rod relative to a platform of the external fixation system when performing orthopedic surgeries for stabilizing complex fractures and/or correcting limb deformities. The speed nut assembly may provide full cylindrical thread engagement about the threaded rod for increasing stability and loading bearing capabilities.
Surgical anchor constructs, fixation devices, and methods for tissue repairs are disclosed. A soft suture anchor has a cannulated sheath (that is fixed in bone), at least one repair suture attached to the sheath, and a plurality of flexible couplers attached to the sheath. At least one of the flexible couplers may be an anchor passing suture. At least one of the flexible couplers may be an anchor deployment suture.
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
Arthroplasty implant systems (10) and methods are provided for restoring the functionality of a joint. The arthroplasty implant systems may include a liner locking system (36, 136) for assembling a liner to a joint adapter. The liner locking system may include a twist on design or a collet design.
Tensionable, knotless, self-locking surgical constructs and methods for surgical repairs are disclosed. A surgical repair system includes two or more soft anchors. The soft anchors may be all-suture anchors that are interconnected by a flexible coupler extending from one suture anchor to another suture anchor.
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
38.
PROPHYLACTIC METHOD OF REDUCING ACROMIAL STRESS FRACTURE INCIDENCE AND KIT FOR PERFORMING THE SAME
A method of prophylactically reducing acromial fracture incidence may include locating a lateral border of an acromion of an intact scapula. A posterior entry location may be located on the acromion at a first predefined distance from a posterolateral corner of the acromion. A first incision may be made at the posterior entry location. A first pin may be inserted into the acromion at the posterior entry location and guided toward a scapular spine of the intact scapula. An anterior entry location may be located on the acromion, which is a second predefined distance from the posterior entry location. A second incision may be made at the anterior entry location. A second pin may be inserted into the acromion at the anterior entry location and guided toward the scapular spine of the intact scapula. The first and second pins are trimmed at the edge of the acromion.
Tensionable, knotless, self-locking surgical constructs and methods for surgical repairs are disclosed. A surgical repair system includes two or more soft anchors. The soft anchors may be all-suture anchors that are interconnected by a flexible coupler extending from one suture anchor to another suture anchor.
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
41.
SUTURE ASSEMBLY WITH TUBULAR SHEATH PLEDGET AND METHOD OF USING THE SAME
A suture assembly may include a suture having first and second suture ends. A first needle may be coupled to the first suture end. A second needle may be coupled to the second suture end. A tube pledget may be disposed along the suture between the first and second needles. The tube pledget may include a tubular structure defining a lumen. The suture may extend from a first end region of the tubular structure to the first needle and from a second end region of the tubular structure to the second needle.
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
The present disclosure provides a surgical insertion tool including a first arm, a second arm, and a flexible crossbar configured to couple the first arm to the second arm. The first arm includes a proximal end and a distal end. The proximal end of the first arm has a handle and the distal end has an implant interface configured to hold a portion of an implant. The second arm includes a proximal end and a distal end. The proximal end of the second arm has a handle and the distal end has an implant interface configured to hold a portion of an implant. The flexible crossbar includes a first end coupled at an intermediate point between the proximal end and the distal end of the first arm and a second end coupled at an intermediate point between the proximal end and the distal end of the second arm.
A suture assembly may include a suture having first and second suture ends. A first needle may be coupled to the first suture end. A second needle may be coupled to the second suture end. A tube pledget may be disposed along the suture between the first and second needles. The tube pledget may include a tubular structure defining a lumen. The suture may extend from a first end region of the tubular structure to the first needle and from a second end region of the tubular structure to the second needle.
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 17/00 - Surgical instruments, devices or methods
44.
PROPHYLACTIC METHOD OF REDUCING ACROMIAL STRESS FRACTURE INCIDENCE AND KIT FOR PERFORMING THE SAME
A method of prophylactically reducing acromial fracture incidence may include locating a lateral border of an acromion of an intact scapula. A posterior entry location may be located on the acromion at a first predefined distance from a posterolateral corner of the acromion. A first incision may be made at the posterior entry location. A first pin may be inserted into the acromion at the posterior entry location and guided toward a scapular spine of the intact scapula. An anterior entry location may be located on the acromion, which is a second predefined distance from the posterior entry location. A second incision may be made at the anterior entry location. A second pin may be inserted into the acromion at the anterior entry location and guided toward the scapular spine of the intact scapula. The first and second pins are trimmed at the edge of the acromion.
Arthroplasty implant systems and methods are provided for restoring the functionality of a joint. The arthroplasty implant systems may include a liner locking system for assembling a liner to a joint adapter. The liner locking system may include a twist on design or a collet design.
The present disclosure provides a prosthetic ankle including a talar component having atop surface and a bottom surface. The bottom surface is configured to be positioned adjacent to a talus bone and includes at least one talar peg extending away from the bottom surface. The at least one talar peg is configured to align the talar component with the talus bone when inserted into a corresponding hole formed in the talus bone.
Surgical anchor constructs, fixation devices, and methods for tissue repairs are disclosed. A soft suture anchor has a cannulated sheath (that is fixed in bone) and a plurality of repair sutures attached to the sheath and forming a plurality of knotless loops. Soft tissue is secured to bone with two or more knotless loops that secure the soft tissue similar to a cam buckle strap.
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
48.
SUTURE-BUTTON CONSTRUCT AND DELIVERY DEVICE FOR SAME
Disclosed herein are components, systems, and methods to deploy a bone fixation construct comprising buttons connected by a suture on opposite sides of a bone tunnel. A suture-button construct delivery device deploy buttons on either side of the bone tunnel connected by the suture passing through the bone tunnel. The suture-button construct delivery device includes an actuator that unlocks a cap from a first housing. The cap is coupled to one of the buttons such that removal of the cap advances the button toward the bone tunnel. The first housing is removable from a second housing and both are connected to the suture such that the first housing and the second housing can be pulled to tension the suture between the buttons.
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 for an orthopedic procedure, includes a staple and a surgical tool. The tool includes a cylindrical shaft defining a lumen, and a head at an end of the shaft including a fork portion and first and second hooks extending from the fork portion. Each of the first and second hooks include a shelf having a notch configured to receive a bridge of a staple. A plunger is receivable within the lumen, and the head includes an opening to allow the plunger to extend therethrough to engage the bridge.
Embodiments relate to a surgical device. The device can include a member having a proximal end and a distal end. The device can include an aperture extending through the member from the proximal end to the distal end. The member can have an hour-glass shape. The aperture can have a flared conical shape in which the aperture has a first diameter at the distal end, a second diameter at an intermediate point between the distal end and the proximal end, and third a diameter at the proximal end. The first diameter can be less than the third diameter. The aperture can be sized and configured to receive a surgical burr.
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
51.
SYSTEMS AND METHODS FOR PREPARING A MENISCAL TISSUE FOR IMPLANT
Systems and methods here include a meniscal allograft with a bone block and a technique for making a desired shape in the bone block to be used to implant in a patient. A clamp and/or jig arrangement are disclosed that are able to secure the tissue and allow three corresponding cuts to the tissue using the clamp as a guide to a saw to obtain the desired shape.
Surgical devices and instruments; surgical apparatus; orthopedic and total joint replacement instrumentation for the implantation of medical devices; robotic surgery systems comprised of surgical robotic cutting guides and robotic ligament tensioners; robotic systems for total knee replacement procedures comprised of surgical robotic instrumentation and related recorded and downloadable software therefor sold as a unit
Surgical devices and instruments; surgical apparatus; orthopedic and total joint replacement instrumentation for the implantation of medical devices; robotic surgery systems comprised of surgical robotic cutting guides and robotic ligament tensioners; robotic systems for total knee replacement procedures comprised of surgical robotic instrumentation and related recorded and downloadable software therefor sold as a unit
55.
UNIVERSAL CLAMP FOR TISSUE GRAFT PREPARATION SYSTEM
A support system is disclosed to prepare harvested soft tissue for grafting. The graft support system, comprising: at least one tissue receiver configured to retain a tissue; a suture receiver configured to support the at least one tissue receiver remote relative to the at least one surface such that material can be passed between the at least one surface and the tissue supported by the graft support system; wherein the suture receiver is configured to enable a stitch to be formed in the tissue and the suture to be looped around the tissue while maintaining the suture under constant tension, whereby the portion of the suture under tension remains under tension by force applied to the suture when the portion of the suture under tension is manipulated from a first side of the suture receiver to a second side of the suture receiver. Methods of graft preparation are also disclosed.
Surgical constructs, assemblies and methods of elbow repair and reconstruction. A center of rotation guide has specific dimensions configured to be secured on either the lateral or medial side of the elbow. At one end, the guide is provided with a plurality of full concentric through-holes (circles of different diameters) with bisecting lines every 90 degrees to identify the center of rotation on the lateral and medial epicondyle. At another end, the guide is provided with a linear pattern of through-holes or apertures located about the centerline of the guide. The linear pattern of through-holes identifies the attachment point on the ulnar tuberosity. The concentric and linear pattern through-holes of the guide are sized to receive instrumentation such as K-wire guides and/or drill guides. One or more spikes or tines are provided on the bottom of the guide for stabilization during use.
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
57.
HANDHELD RESECTION MEDICAL DEVICE WITH INTEGRATED PARTICULATION SYSTEM
A handheld rotary medical device configured to harvest material from a patient and create particulates of the material within an inner drive shaft is disclosed. As such, material collected at a distal end of an outer shaft is processed via an inner drive shaft working member before the material is evacuated out of the outer shaft.
Medical instruments and methods that can be used in conjunction with surgical procedures that involve inserting one or more anchors into a joint. In an example, the disclosed instrument can be used in conjunction with surgical procedures in which the one or more anchors are to be inserted at an offset from a reference location in the joint. The disclosed instrument allows for inserting the anchor at a precise location from the reference location in the joint.
A61B 17/00 - Surgical instruments, devices or methods
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
59.
Bone Resection Method by Plunge Milling and Rasping During Total Ankle Arthroplasty
This disclosure relates to surgical systems, devices and methods for planning and implementing surgical procedures. The systems and methods disclosed herein may be utilized to secure components of an assembly together. The assembly may have one or more components. The components may be rotated, translated and/or otherwise moved relative to each other to establish an assembled configuration. A component of the assembly may be captured between adjacent components of the assembly. A locking mechanism may secure the components to each other in the assembled configuration.
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
A61L 27/36 - Materials for prostheses or for coating prostheses containing ingredients of undetermined constitution or reaction products thereof
This disclosure relates to planning systems and methods associated with erosion along an articular surface of a joint. The planning systems and methods disclosed herein may be utilized for planning orthopaedic procedures to restore functionality to a joint, may include determining an amount of erosion along or otherwise adjacent to an articular surface of a bone. One or more spherical objects may be utilized to determine the erosion.
G06T 19/20 - Editing of 3D images, e.g. changing shapes or colours, aligning objects or positioning parts
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
A61B 34/00 - Computer-aided surgeryManipulators or robots specially adapted for use in surgery
A61B 5/107 - Measuring physical dimensions, e.g. size of the entire body or parts thereof
63.
ORTHOPAEDIC PLANNING SYSTEMS AND METHODS OF REPAIR ASSOCIATED WITH EROSION
This disclosure relates to planning systems and methods associated with erosion along an articular surface of a joint. The planning systems and methods disclosed herein may be utilized for planning orthopaedic procedures to restore functionality to a joint, may include determining an amount of erosion along or otherwise adjacent to an articular surface of a bone. One or more spherical objects may be utilized to determine the erosion.
A61F 2/46 - Special tools for implanting artificial joints
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
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
Surgical constructs, assemblies and methods for surgical repairs are disclosed. A soft suture anchor with a fixed suture limb or limbs is secured within tissue. The suture limb may be passed through soft tissue and within the tissue at various locations and in a sequential manner to form a stitching pattern over the soft tissue. The suture limb may be fixated laterally within the tissue with an independent fixation device.
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
Surgical constructs, assemblies, kits and methods of tissue fixation are disclosed. A suture passing instrument includes a curved tip integral with a distal end of a shaft, a hand assembly mounted on a proximal end of the shaft, and a flexible strand attached to one or two needles and loaded through a cannulation of the shaft. The curve-shaped tip is adapted to engage dural tissue during repairs of the dura mater. The suture passing instrument can grasp and manipulate dura mater and can allow multiple suture passes through the dura mater without removal of the instrument from the durotomy site. The suture passing instrument is provided with a safety mechanism that prohibits the needle(s) to be fired into nerves, providing a safe, reliable, inexpensive, and speedy repair of a durotomy.
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
Surgical constructs and methods for surgical repairs are disclosed. A surgical construct is in the form of a soft suture anchor with a single flexible limb. The single suture limb may be passed through soft tissue and remains outside the bone for tensioning and/or alternative usage.
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
Surgical constructs methods of tissue fixation are disclosed. A textured structure on a bone surface provides increased friction and increased surface area for soft tissue coming down on it.
A61B 17/56 - Surgical instruments or methods for treatment of bones or jointsDevices specially adapted therefor
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 17/16 - Instruments for performing osteoclasisDrills or chisels for bonesTrepans
68.
TENSIONABLE KNOTLESS ANCHORS AND METHODS OF TISSUE REPAIR
Tensionable, knotless, self-locking surgical constructs and methods for surgical repairs are disclosed. A surgical construct may be in the form of a soft suture anchor with a braid that may have tapered areas on one or both sides of the braid. The surgical construct may include one or more shuttle/pull devices to aid in formation of splices and tensionable, knotless loops.
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 components, systems, and methods delivery bone graft material to a treatment site. Specifically, embodiments of a bone graft delivery system are disclosed that include a cannula defining a lumen, and a sled defining a channel. A first portion of the sled forms a lateral opening extending into the channel perpendicular to a length of the sled, and a second portion of the sled includes an injector coupler. The sled is operably couplable to the cannula such that the first sled portion is positioned within the lumen and the second sled portion is positioned outside the lumen. Embodiments of the bone graft delivery system include a plunger sized to be insertable into the lumen through the channel, and a push step that slidably receives the plunger. Also disclosed are methods of use of the bone graft delivery system.
Tensionable, knotless, self-locking surgical constructs and methods for surgical repairs are disclosed. A surgical construct may be in the form of a soft suture anchor with a braid that may have tapered areas on one or both sides of the braid. The surgical construct may include one or more shuttle/pull devices to aid in formation of splices and tensionable, knotless loops.
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
An anchor assembly secures a tissue to a bone with a repair strand. The anchor assembly includes an anchor sleeve having a lumen and an inner thread, an anchor tip having an opening, and an anchor insert inserted into the lumen of the anchor sleeve. The anchor sleeve is inserted into a bone socket in the bone. The opening receives the repair strand. The anchor insert has an outer thread configured to engage the inner thread of the anchor sleeve, where the anchor insert rotates relative to the anchor tip while being inserted into the anchor sleeve. The anchor assembly is used in a method of securing tissue to 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
Surgical constructs and methods for surgical repairs are disclosed. A surgical construct is in the form of a soft suture anchor with a single flexible limb. The single suture limb may be passed through soft tissue and remains outside the bone for tensioning and/or alternative usage.
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 17/00 - Surgical instruments, devices or methods
Surgical constructs, assemblies and methods for surgical repairs are disclosed. A soft suture anchor with a fixed suture limb or limbs is secured within tissue. The suture limb may be passed through soft tissue and within the tissue at various locations and in a sequential manner to form a stitching pattern over the soft tissue. The suture limb may be fixated laterally within the tissue with an independent fixation device.
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 anchor assembly secures a tissue to a bone with a repair strand. The anchor assembly includes an anchor sleeve having a lumen and an inner thread, an anchor tip having an opening, and an anchor insert inserted into the lumen of the anchor sleeve. The anchor sleeve is inserted into a bone socket in the bone. The opening receives the repair strand. The anchor insert has an outer thread configured to engage the inner thread of the anchor sleeve, where the anchor insert rotates relative to the anchor tip while being inserted into the anchor sleeve. The anchor assembly is used in a method of securing tissue to 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
75.
ADJUSTABLE LIMB CRADLE FOR POSITIONING OF SURGICAL PATIENTS
A limb cradle for use in a surgical procedure includes a first section including a mounting bracket configured to engage a support structure and a second section configured to extend and retract relative to the first section and the mounting bracket. The first section and the second section form a support surface. The support surface is extended and retracted relative to the mounting bracket in response to the extension and retraction of the second section.
A limb cradle for use in a surgical procedure includes a first section including a mounting bracket configured to engage a support structure and a second section configured to extend and retract relative to the first section and the mounting bracket. The first section and the second section form a support surface. The support surface is extended and retracted relative to the mounting bracket in response to the extension and retraction of the second section.
Surgical constructs and methods for surgical repairs are disclosed. A surgical construct is in the form of a soft suture anchor with flexible coupler terminating in two opposing ends. One of the two ends forms at least one splice and anchoring loops formed with the other end.
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
The surgical instrument includes a proximal end and a distal end. The distal end is opposite the proximate end and is defined by a tube. The tube defines at least a first member and a second member. The first member and the second member are movable between a first state and a second state, and in the second state, the first member is spaced apart from the second member.
This disclosure relates to surgical fixation systems and methods. The surgical fixation systems can include a fixation device and an adjustable loop connected to the fixation device.
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
80.
SURGICAL SYSTEMS, ANATOMICAL MODELS AND ASSOCIATED METHODS
This disclosure relates to surgical systems, devices and methods for planning and implementing surgical procedures. The systems and methods disclosed herein may be utilized to establish physical models of anatomy.
Surgical constructs, assemblies and methods for surgical repairs are disclosed. A swivel anchor is employed with a driver provided with a driver-eyelet attachment mechanism that allows a suture eyelet to engage a mating driver shaft. The attachment mechanism includes one or more flexible prongs on the driver tip that are configured to mate with one or more apertures on the eyelet. The prongs are configured to flex in and out of the eyelet apertures. The swivel anchor may be locked and secured within tissue by inserting a cannulated fixation device to abut and contact the eyelet.
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
The surgical instrument includes a proximal end and a distal end. The distal end is opposite the proximate end and is defined by a tube. The tube defines at least a first member and a second member. The first member and the second member are movable between a first state and a second state, and in the second state, the first member is spaced apart from the second member.
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 cutting instrument comprises a main body, an attachable blade set, and an adjustable cutting depth. A kit for the cutting instrument can include a plurality of blade sets for various cutting widths. A blade set selected for a desired cutting width is engageable with the main body.
Surgical constructs and methods for surgical repairs are disclosed. A surgical construct is in the form of a soft suture anchor with flexible coupler terminating in two opposing ends. One of the two ends forms at least one splice and anchoring loops formed with the other end.
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
Surgical constructs, assemblies and methods for surgical repairs are disclosed. A swivel anchor is employed with a driver provided with a driver-eyelet attachment mechanism that allows a suture eyelet to engage a mating driver shaft. The attachment mechanism includes one or more flexible prongs on the driver tip that are configured to mate with one or more apertures on the eyelet. The prongs are configured to flex in and out of the eyelet apertures. The swivel anchor may be locked and secured within tissue by inserting a cannulated fixation device to abut and contact the eyelet.
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 suture is formed from a plurality of continuous strands and includes a continuous length of a carrier braid extending from a first end portion to a second end portion. At least one window includes a plurality of legs bifurcated from the continuous strands defining a window length.
Disclosed herein are components, systems, and methods to secure an intramedullary implant to multiple fragments of a fractured bone and to secure an intramedullary implant to a fragment of a fractured bone using multiple modalities. The intramedullary implant includes a proximal body portion with transverse fixation holes positioned to receive bone fixators that secure a first bone fragment of the fractured bone to the intramedullary implant, a distal body portion with a deployable bone fixator that abuts an inner surface of a second bone fragment of the fractured bone, and a tapered intermediate body portion with a transverse fixation hole positioned to receive a bone fixator that secures the second bone fragment of the fractured bone to the intramedullary implant.
Surgical devices for performing orthopedic surgeries are provided and are capable of generating and applying compression within or across a joint. The surgical devices may include a slider assembly that includes at least one slider configured to move within an outer body. A ring may be disposed about the slider for reducing contact between the slider and the outer body, thereby improving the wear characteristics of the surgical device.
Disclosed herein are components, systems, and methods to guide and support temporary bone fixators on either side of an implant. The temporary bone fixators are securable within a fragment of a fractured bone enabling a force to be applied to the fragment, via the temporary bone fixators, to move the fragment relative to another fragment of the fractured bone. A multi-lumen cannula includes a lumen for one or more of the temporary bone fixators and a lumen for one or more permanent bone fixators that secure the implant relative to the fractured bone. The multi-lumen cannula may have a body with equal portions divided by a plane of symmetry, enabling the multi-lumen cannula to be reversibly inserted into a recess of a targeting guide that aligns the lumens of the multi-lumen cannula relative to the implant.
Disclosed herein is a fractured bone repair kit, components and methods of use of same. The kit includes a coupler that secures an intramedullary implant to a targeting guide that guides fasteners into bone fixation holes of the intramedullary implant to secure the intramedullary implant to the fractured bone. The coupler includes a sleeve and a fastener. The sleeve is releasably securable to the targeting guide such that the targeting guide is removable from the coupler and the intramedullary implant when attached to the coupler. An actuator of the targeting guide may be toggled to transition the kit from an assembled configuration in which the targeting guide is secured to the coupler to a released configuration in which the targeting guide is removable from the coupler.
Disclosed herein are components, systems, and methods to secure an intramedullary implant to multiple fragments of a fractured bone and to secure an intramedullary implant to a fragment of a fractured bone using multiple modalities. The intramedullary implant includes a proximal body portion with transverse fixation holes positioned to receive bone fixators that secure a first bone fragment of the fractured bone to the intramedullary implant, a distal body portion with a deployable bone fixator that abuts an inner surface of a second bone fragment of the fractured bone, and a tapered intermediate body portion with a transverse fixation hole positioned to receive a bone fixator that secures the second bone fragment of the fractured bone to the intramedullary implant.
This disclosure relates to surgical systems, devices and methods for planning and implementing surgical procedures. The systems and methods disclosed herein may be utilized to determine a placement of a surgical instrument relative to an anatomy of a patient, which may be specified in a surgical plan established for the patient.
Disclosed herein are components, systems, and methods to guide and support temporary bone fixators on either side of an implant. The temporary bone fixators are securable within a fragment of a fractured bone enabling a force to be applied to the fragment, via the temporary bone fixators, to move the fragment relative to another fragment of the fractured bone. A multi-lumen cannula includes a lumen for one or more of the temporary bone fixators and a lumen for one or more permanent bone fixators that secure the implant relative to the fractured bone. The multi-lumen cannula may have a body with equal portions divided by a plane of symmetry, enabling the multi-lumen cannula to be reversibly inserted into a recess of a targeting guide that aligns the lumens of the multi-lumen cannula relative to the implant.
Disclosed herein is a fractured bone repair kit, components and methods of use of same. The kit includes a coupler that secures an intramedullary implant to a targeting guide that guides fasteners into bone fixation holes of the intramedullary implant to secure the intramedullary implant to the fractured bone. The coupler includes a sleeve and a fastener. The sleeve is releasably securable to the targeting guide such that the targeting guide is removable from the coupler and the intramedullary implant when attached to the coupler. An actuator of the targeting guide may be toggled to transition the kit from an assembled configuration in which the targeting guide is secured to the coupler to a released configuration in which the targeting guide is removable from the coupler.
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 suturing apparatus may include a shaft member having a lumen, and a first jaw member and a second jaw member that move between an open configuration and a closed configuration. A distal portion of the first jaw member may be pivotably connected to a distal portion of the second jaw member, and the distal portion of the second jaw member may have a distal opening. The suturing apparatus may further include a needle translates through the lumen of the shaft member and carries a suture, and a retention member in the distal opening of the second jaw member to remove the suture from the needle. The suture may be wrapped around the distal portion of the second jaw member. The suturing apparatus may be included in a suturing system having a suture. The suturing apparatus may be used in a method of repairing 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
Surgical and medical apparatus and instruments for use in orthopedic surgery; Surgical and medical apparatus and instruments for use in arthroplasty surgery.
Surgical and medical apparatus and instruments for use in orthopedic surgery; Surgical and medical apparatus and instruments for use in arthroplasty surgery.
A suturing apparatus may include a shaft member having a lumen, and a first jaw member and a second jaw member that move between an open configuration and a closed configuration. A distal portion of the first jaw member may be pivotably connected to a distal portion of the second jaw member, and the distal portion of the second jaw member may have a distal opening. The suturing apparatus may further include a needle translates through the lumen of the shaft member and carries a suture, and a retention member in the distal opening of the second jaw member to remove the suture from the needle. The suture may be wrapped around the distal portion of the second jaw member. The suturing apparatus may be included in a suturing system having a suture. The suturing apparatus may be used in a method of repairing 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
A61B 17/06 - NeedlesHolders or packages for needles or suture materials
A heat and moisture exchanger device comprising a housing containing a microcurrent-generating filter capable of generating a low level microcurrent. A microcurrent-generating filter can reduce the number of living or active microbes.
Surgical and medical apparatus and instruments for use in orthopedic surgery; Surgical and medical apparatus and instruments for use in arthroplasty surgery.
