Smith & Nephew Asia Pacific Pte. Limited (Singapour)
Smith & Nephew Orthopaedics AG (Suisse)
Inventeur(s)
Prudden, John
Miranda Cruz, Luis Alejandro
Falco, Kevin M.
Sibani Mora, Elias Milad
Cashmore, Peter J.
Cunningham, Matthew D.
Jablonski, Brendan
Krasniak, Carolyn M.
Patel, Nehal N.
Colleran, Dennis P.
Shah, Jay Anil
Abrégé
An implant delivery system including a fixation member delivery system having a handle, an elongate shaft, a first elongate member coupled with the elongate shaft, and a second elongate member fixed relative to the handle. Cyclical actuation of the elongate shaft and the first elongate member may incrementally move a plurality of fixation members distally. The first elongate member may include a plurality of first engagement members disposed along the first elongate member with a distal end region of each of the one or more of the first engagement members configured to engage with one fixation member of the plurality of fixation members. The second elongate member may include a plurality of second engagement members disposed along the second elongate member with a distal end region of each of one or more of the second engagement members configured to engage with one fixation member of the plurality of fixation members.
Smith & Nephew Asia Pacific Pte. Limited (Singapour)
Inventeur(s)
Dos Santos Raposo, Carolina
De Almeida Barreto, João Pedro
Silva Neves, João Pedro
Ribas Vaz, Diogo Emanuel
Abrégé
A guidance system for performing alignment of an off-axis surgical instrument includes a surgical system configured to receive first data indicating a location of a planned tunnel through a surgical site, receive second data indicating a position of the surgical instrument relative to the planned tunnel at the surgical site, and, based on the first data and the second data, cause a display to present a visual representation indicative of a current position of a portion of the surgical instrument relative to the planned tunnel, a first rotational orientation of the aimer tool relative to the planned tunnel, and a second rotational orientation of the aimer tool relative to the planned tunnel.
Smith & Nephew Asia Pacific Pte. Limited (Singapour)
Inventeur(s)
Colleran, Dennis P.
Patel, Nehal N.
Abrégé
A tissue anchor system includes an anchor assembly including a first anchor, a second anchor, and a suture extending therebetween, and an inserter instrument including a penetrating member and a retainer positioned proximally of and laterally offset from the penetrating member. The penetrating member includes a lumen configured to removably receive the first anchor. The retainer includes a lumen configured to removably receive the second anchor. A longitudinal axis of the first anchor when disposed within the penetrating member is parallel to a longitudinal axis of the second anchor when disposed within the retainer. A method of deploying the anchor assembly includes advancing the penetrating member into tissue or bone until a distal shoulder of the inserter instrument abuts an outer surface of the tissue or bone, deploying the first anchor from the penetrating member, and deploying the second anchor from the retainer outside of the tissue or bone.
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux pour refermer les plaies ou les maintenir ferméesAccessoires utilisés en liaison avec ces opérations pour la suture des plaiesSupports ou emballages pour aiguilles ou matériaux de suture
4.
REGISTRATION OF INTRAMEDULLARY CANAL DURING REVISION TOTAL KNEE ARTHROPLASTY
Smith & Nephew Asia Pacific Pte. Limited (Singapour)
Smith & Nephew Orthopaedics AG (Suisse)
Inventeur(s)
Dumpe, Samuel C.
Jaramaz, Branislav
Khare, Rahul
Dees, Jr., Roger Ryan
Abrégé
Methods and systems for identifying and determining the size and orientation of a reamed portion of a patient's bone are disclosed. A tracking array and/or point probe may be inserted into an adapter device. The adapter device comprising a plurality of openings, having various connection means therein, such that when the tracking array is inserted into the adapter, a secure and robust connection is created. A reamer, stem, or similar tool may then be inserted into the opposing side of the adapter, during which, a secure and robust connection is created between the adapter and the tool. Thus, through the use of Computer Assisted Surgery Systems, a more accurate representation of the patient's anatomy can be obtained.
A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
Smith & Nephew Asia Pacific Pte. Limited (Singapour)
Inventeur(s)
Di Stefano, Craig A.
Lynn, Christopher J.
Cormier, Philip
Zamarripa, Nathan
Labriola, Nicholas R.
Karasic, Geoffrey I.
Abrégé
A probe for registering an anatomical surface for a registration procedure includes a probe shaft, a probe tip having a base end coupled to a distal end of the probe shaft, a contact ball disposed and configured to rotate within a contact end of the probe tip, and a biasing element disposed within the probe tip. The biasing element is configured to bias the contact ball toward the contact end of the probe tip and the contact ball is configured to, in response to external force against the contact ball, push against the biasing element. The probe is configured to generate a signal in response to the contact ball pushing against the biasing element.
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
SMITH & NEPHEW ASIA PACIFIC PTE. LIMITED (Singapour)
Inventeur(s)
Dos Santos Raposo, Carolina
De Almeida Barreto, João Pedro
Abrégé
A system for determining a location of a portal in an anatomical structure or surface includes memory storing instructions and one or more processing devices configured to execute the instructions. Executing the instructions causes the one or more processing devices to determine a position of at least one of a camera and an instrument within a surgical environment, identify a set of geometric entities associated with the at least one of the camera and the instrument, determine the location of the portal based on the identified set of geometric entities, and at least one of present, on a display, a visualization of the location of the portal and store data indicating the location of the portal.
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 1/317 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments pour l'introduction dans des incisions chirurgicales, p. ex. laparoscopes pour les os ou les articulations, p. ex. ostéoscopes, arthroscopes
G06T 7/73 - Détermination de la position ou de l'orientation des objets ou des caméras utilisant des procédés basés sur les caractéristiques
G06V 10/24 - Alignement, centrage, détection de l’orientation ou correction de l’image
7.
SYSTEMS AND METHODS FOR PROVIDING GUIDANCE FOR PLANNING BONE TUNNELS
SMITH & NEPHEW ASIA PACIFIC PTE. LIMITED (Singapour)
Inventeur(s)
Da Silva Duarte E Sousa, Cristóvão Jorge
De Almeida Barreto, João Pedro
Melo Teixeira, Rui Jorge
Dos Santos Raposo, Carolina
Abrégé
Some examples are directed to processor-implemented methods and systems for providing visual guidance for planning a bone tunnel. Some examples are directed to processor-implemented methods and systems for providing guidance about feasibility of a potential bone tunnel.
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
G06T 7/73 - Détermination de la position ou de l'orientation des objets ou des caméras utilisant des procédés basés sur les caractéristiques
G16H 40/00 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux
8.
ROTATABLE HANDLE FOR ORTHOPEDIC INTRAMEDULLARY NAIL TARGETING GUIDE
A drill guide assembly for use with an intramedullary ("IM") nail can include a barrel configured to be coupled to an end of an IM nail and a handle coupled to the barrel. The handle is movable to each of a plurality of angular positions relative to the barrel. The handle can include a targeter coupling interface substantially opposing the barrel coupling portion and configured to couple the handle to a targeter having one or more openings formed therein for targeting one or more openings formed in the IM nail.
SMITH & NEPHEW ASIA PACIFIC PTE. LIMITED (Singapour)
Inventeur(s)
Tran, Long
Quist, Brian William
Labriola, Nicholas Ryan
Abrégé
Systems and methods of the present disclosure relate to generation and placement of a digital template in a display of patient anatomy. An example system detects a visual marker of a surgical tool in an image feed of the patient anatomy, determines, based on the visual marker, a first location or first orientation of one or more features of the surgical tool relative to the patient anatomy, and generates the digital template based on the first location or the first orientation of the one or more features of the surgical tool. Generating the digital template includes rendering, in the display, the digital template in a second location and a second orientation relative to the surgical tool.
A61B 5/06 - Dispositifs autres que ceux à radiation, pour détecter ou localiser les corps étrangers
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 1/317 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments pour l'introduction dans des incisions chirurgicales, p. ex. laparoscopes pour les os ou les articulations, p. ex. ostéoscopes, arthroscopes
Smith & Nephew Asia Pacific Pte. Limited (Singapour)
Smith & Nephew Orthopaedics AG (Suisse)
Inventeur(s)
Callaway, Justin A.
Young, Timothy
Patel, Nehal N.
Abrégé
A tissue repair implant includes a sheet-like structure having a first component comprising a biological material, and a second component comprising a fibrous felt material. The second component is configured to pass entirely through a thickness of the first component to extend into and engage with a body tissue to affix the repair implant to the tissue.
Smith & Nephew Asia Pacific Pte. Limited (Singapour)
Smith & Nephew Orthopaedics AG (Suisse)
Smith & Nephew, Inc. (USA)
Inventeur(s)
Wang, Xinliang
Shi, Hongli
Sim, Choon Hong
Abrégé
A bipolar prosthesis subassembly (100) is provided. The bipolar prosthesis subassembly (100) comprises: an outer shell (10); an inner liner (20) configured to dispose inside of the outer shell (10) in a manner of non-interference fit, the inner liner (20) is provided with a circumferential groove (24); and a split lock ring (30) configured to elastically snap into the circumferential groove (24) of the inner liner (20).
A cover layer for a vacuum wound therapy dressing includes a backing layer formed from a flexible polymeric membrane and an adhesive layer for affixing the backing layer over a wound bed to provide a substantially fluid-tight seal around a perimeter of the wound bed. The cover layer is reinforced with a reinforcement layer extending to a peripheral region of the backing layer to distribute forces associated with evacuating a reservoir, as defined by or within the cover, to stimulate healing of the wound bed.
A61F 13/05 - Bandages ou pansementsGarnitures absorbantes spécialement adaptés à l’utilisation lors d’une thérapie par sous-pression ou par surpression, du drainage des plaies ou de l’irrigation des plaies, p. ex. à l’utilisation lors d’un traitement des plaies par pression négative [TPN]
A61F 13/00 - Bandages ou pansementsGarnitures absorbantes
A61M 1/00 - Dispositifs de succion ou de pompage à usage médicalDispositifs pour retirer, traiter ou transporter les liquides du corpsSystèmes de drainage
13.
PATIENT-SPECIFIC INSTRUMENTS FOR ANKLE ARTHROPLASTY
Disclosed is a cutting block for arthroplasty with a bone interfacing portion configured to overlie an end portion of a bone, wherein the bone interfacing portion extends in an A-P direction and a M-L direction. The cutting block also includes a cutting guide oriented in a fixed position relative to the bone interfacing portion, a plurality of fixation apertures extending through the cutting block from an anterior side of the block to a posterior side of the block, at least two upper apertures oriented in a medial-lateral direction adjacent to and located proximal to the cutting guide, at least two lower apertures oriented in a medial-lateral direction adjacent to and located distal to the cutting guide and wherein the upper and lower apertures allow passage of a pin to constrain movement of a cutting instrument within the cutting guide.
A cutting guide is provided to assist a surgeon with resecting a portion of a patient's femoral neck or another bone. The cutting guide may include an opening configured to affix the cutting guide to at least one pin inserted into the patient's femoral neck, a proximal cutting surface, and a distal cutting surface. The proximal cutting surface defines a proximal cutting plane on the femoral neck and the distal cutting surface defines a distal cutting plane such that when cuts are made alone the proximal cutting plane and the distal cutting plane, a section of the femoral neck is removable. The pin may be inserted in the section of the femoral neck to be removed by an automated pin insertion tool. The tool may be configured to only operate when the pin is properly positioned and aligned to the femoral neck.
An intramedullary ("IM") targeting system (e.g., an aiming arm and sleeve retention mechanism) for targeting a hole in an IM nail. The IM targeting system has a drop for attachment to the IM nail and having one or more openings formed therein. Guide sleeves are insertable into and/or through the one or more openings of the drop. The drop aligns the openings thereof, as well as a guide sleeve inserted therein, with one of the openings of the IM nail to allow a user to drill a hole through the patient's bone and through the corresponding opening of the IM nail. The drop also has, for each opening thereof, a retainer. Each retainer allows insertion of the guide sleeve through the corresponding opening of the drop and prevents removal of the guide sleeve unless the retainer is moved out of the engaged position and towards or into a disengaged position.
In some embodiments, a negative pressure wound therapy system can detect and classify one or more operational conditions, including detection of a wound bleeding. The system can react to detection of blood by providing an indication, reducing the intensity or stopping therapy, releasing negative pressure, etc. In certain embodiments, the system can detect one or more additional operational conditions, such as change in vacuum pressure, gas leak rate change, exudate flow rate change, water flow rate change, presence of exudate, presence of water, etc. The system can detect and distinguish between different operational conditions and provide indication or take remedial action.
A61M 1/00 - Dispositifs de succion ou de pompage à usage médicalDispositifs pour retirer, traiter ou transporter les liquides du corpsSystèmes de drainage
18.
PATELLA TRACKING METHODS AND SYSTEMS FOR SURGICAL PLANNING
Systems and computer-implemented methods of improving a patello-femoral response. A computing system operably coupled to a markerless navigation system classifies the knee anatomy of the patient into one or more segments, including the patella. The computing system further receives first simulation data of movement of the segmented patella at a first surgical phase, such as a pre-operative phase. The computing system receives second simulation data of the segmented patella at a second surgical phase, such as an intraoperative stage using a first implant type. The computing system generates comparison data based on a comparison of the first and second simulation data. The computing system analyzes the comparison data, along with patient-specific information, via a machine learning model to provide one or more recommendations to improve a patello-femoral response based on reducing, minimizing, or eliminating the differences between the first simulation data and the second simulation data.
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
Examples relate to an image process system for markerless patella-femoral joint identification, the system comprising: a. a machine learning interface to a multiclass classification deep learning model; the machine learning interface being arranged to receive an input vector; the input vector comprising at least one, or both, of: image information and depth information associated with a patella-femoral joint; the multiclass classification deep learning model being trained to generate multiclass classification data; the multiclass classification data comprising at least: i. semantically segmented image data comprising at least one mask corresponding to a respective at least one member (distal end of femur, proximal end of tibia, patella) of the knee joint one of which being the patella, and b. a machine learning output interface of the multiclass classification deep learning model; the machine learning output interface being arranged to output the multiclass classification data.
G06V 10/82 - Dispositions pour la reconnaissance ou la compréhension d’images ou de vidéos utilisant la reconnaissance de formes ou l’apprentissage automatique utilisant les réseaux neuronaux
SMITH & NEPHEW ASIA PACIFIC PTE. LIMITED (Singapour)
SMITH & NEPHEW ORTHOPAEDICS AG (Suisse)
Inventeur(s)
Dumpe, Samuel C.
Jaramaz, Branislav
Nikou, Constantinos
Abrégé
A system for intra-operatively viewing and manipulating computer-aided design (CAD) objects associated with a joint of a patient is disclosed. The system comprises a point probe having a tip and one or more tracking markers, a tracking device having one or more sensors configured to detect a location of the tracking markers, a display screen, and a processor. The processor displays a CAD environment on the display screen including a 3D bone model and one or more 3D objects. The processor receives a selection of one of the CAD objects from the point probe and receives the location of the tracking markers from the tracking device. The processor determines a motion of the tip of the point probe, processes the motion of the tip to generate a vector of motion constrained to a selected movement axis of the reference axes, and repositions the selected CAD object according to the vector.
G06F 30/20 - Optimisation, vérification ou simulation de l’objet conçu
A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
Disclosed is a dissolvable, gel-forming film, and methods for its use, comprising a water-soluble cellulose ether, a hydrophilic rheological modifying agent, and an active proteolytic enzyme or other drug substance. The gel-forming film has a water content of less than 15% w/w and is capable of forming a hydrogel when contacted with water or other aqueous medium. The disclosed films achieve delivery of stable proteolytic enzymes to the desired site of action in a manner that provides uniform delivery of the enzymes.
A61L 15/38 - Bandages, pansements ou garnitures absorbant les fluides physiologiques tels que l'urine, le sang, p. ex. serviettes hygiéniques, tampons contenant des enzymes
Sutures and suture anchors; surgical devices for the delivery of sutures and suture anchors; all the foregoing excluding the fields of dental therapy and spine surgery
Smith & Nephew Asia Pacific Pte. Limited (Singapour)
Inventeur(s)
Roberts, Brian
Janna, Sied W.
Noblett, Andrew P.
Mason, Johnny R.
Smyth, Scott
Bell, Paul
Abrégé
A spatial frame apparatus for positioning on a patient to treat an injury. The apparatus includes a frame having one or more motorized struts. One or more motorized struts include one or more motors configured to cause movement of one or more motorized struts in one or more directions in accordance with one or more treatment plans. The apparatus includes one or more processing 2024/102351 components communicatively coupled to one or more motorized struts and/or one or more motors. One or more processing components determine one or more loading parameters on the one or more motorized struts. The loading parameters define loading on the one or more motorized struts resulting from the frame being positioned and/or adjusted on the patient. The processing components execute at least one adjustment of one or more motorized struts based on the determined loading parameters.
A soft anchor deployment system for tissue repair includes an insertion instrument having a shaft extending up to a distally facing surface. A tip member extends distally from the distal facing surface. A soft anchor is positioned on the tip member such that the tip member is disposed within and along a lumen of the soft anchor. A suture operatively couples to the soft anchor and to a tensioning actuator of the insertion instrument. Tension applied to the suture deploys the soft anchor from a first elongated state to a second expanded state. During deployment of the soft anchor, a distal end of the soft anchor slides along and over the tip member and the soft anchor is compressed against the distally facing surface such that the tip member extends distally from the distal end of the soft anchor.
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux pour refermer les plaies ou les maintenir ferméesAccessoires utilisés en liaison avec ces opérations pour la suture des plaiesSupports ou emballages pour aiguilles ou matériaux de suture
A method and system for generating a dynamic seating map during joint replacement surgery is disclosed. The method comprises tracking a spatial pose of a surgical tool relative to a patient's anatomy, determining a position of an implant based on the spatial pose of the surgical tool, mapping a prepared bone surface of the patient's anatomy, calculating distances between the implant and the prepared bone surface, and generating a real-time visualization of the distances on a user interface, wherein the visualization comprises a color-coded representation of implant-to-bone contact. The system may include a tracking device, a processor configured to perform the distance calculations, and a display device for presenting the real-time visualization to guide intraoperative implant placement.
G06F 30/00 - Conception assistée par ordinateur [CAO]
G16H 50/00 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A61B 90/50 - Supports pour instruments chirurgicaux, p. ex. bras articulés
A61F 2/46 - Outils particuliers pour l'implantation des articulations artificielles
Disclosed herein is a disposable patella clamp. In some examples, the patella clamp is configured as a patient specific patella clamp that is custom designed to fit the anatomy of a particular patient. A patient undergoes diagnostic imaging which provides patient specific data including patella diameter and thickness, patella shape, and limb alignment. The imaging can be used to generate a 3D digital model of the patient's anatomy associated with the patellar region. The patella clamp can be designed and manufactured based on the model as an integrated clamp using an additive manufacturing process with biocompatible materials. The patella clamp may include one or more tracking elements operative to enable the patella clamp to be used with a computer-assisted and/or robotic surgical system.
Smith & Nephew Asia Pacific Pte. Limited (Singapour)
Inventeur(s)
Carr, Christopher B.
Lenz, Nathaniel M.
Abrégé
An insert for use in a knee prosthesis is disclosed. In one embodiment, the insert includes a medial compartment and a lateral compartment. The medial compartment includes a top surface having a concave surface or curve with a more posterior sulcus and increased anterior lip. The lateral compartment includes a top surface having at least a segment or portion with a convex surface or curve. Thus arranged, the insert is arranged and configured to provide improved stability for varying grades of PCL deficiencies compared to existing inserts that have a mid-line sulcus and lateral convexity. In addition, the insert provides improved lateral posterior translation compared to existing designs with a concave or flat lateral articulation that lack a lateral posterior convexity.
Smith & Nephew Asia Pacific Pte. Limited (Singapour)
Smith & Nephew Orthopaedics AG (Suisse)
Inventeur(s)
Jaramaz, Branislav
Giurgi, Marius
Abrégé
Methods, non-transitory computer readable media, and surgical computing devices that more effectively protect anatomical structures from resection during surgical procedures are disclosed. With this technology, a virtual protection area is defined in a reference frame by extending a line defined by an obtained set of coordinates in the reference frame in at least one direction. The reference frame is of a bone to be resected during a surgical procedure. Resection equipment is tracked during the surgical procedure to obtain a location of the resection equipment in the reference frame. A determination is made when the obtained location of the resection equipment is within the defined virtual protection area. The resection equipment is disabled when the determination indicates the obtained location is within the defined virtual protection area. Accordingly, this technology advantageously allows a surgeon to intraoperatively establish a protection area to facilitate automated protection of particular anatomical structures from resection.
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
Tissue repair systems which use knotless all-suture anchors and have the ability to lock multiple repair sutures within the anchor construct. The anchor construct includes a tension suture wrapped or looped upon itself to create an open eyelet, through which multiple repair sutures originating in soft tissue are passed. The location of the eyelet may be anywhere inside the all-suture anchor or adjacent to the exterior of the anchor body. Tensioning of the tension suture causes the eyelet to restrict movement of the repair sutures and secures them within or against the anchor body.
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux pour refermer les plaies ou les maintenir ferméesAccessoires utilisés en liaison avec ces opérations pour la suture des plaiesSupports ou emballages pour aiguilles ou matériaux de suture
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
SMITH & NEPHEW ASIA PACIFIC PTE. LIMITED (Singapour)
Inventeur(s)
Duxbury, Elizabeth A.
Navacchia, Alessandro
Netravali, Nathan A.
Abrégé
Systems and methods for configuring a surgical system for performing a surgical procedure on a patient. The systems can include, for one or more patient categories, display a plurality of biomechanical simulations indicating postoperative performance of an implant based on alignment algorithms and receive a selection of one of the plurality of biomechanical simulations. In connection with the performance of a surgical procedure, the systems can retrieve a selected alignment algorithm corresponding to a patient category of the plurality of patient categories with which the patient is associated and configure the surgical system according to the selected alignment algorithm.
Smith & Nephew Asia Pacific Pte. Limited (Singapour)
Inventeur(s)
Kamrava, Soroush
Abrégé
A suture passing instrument for manipulating and passing suture through a tissue is disclosed. The instrument includes a handle, an elongate shaft extending from the handle, a hook movably disposed within the elongate shaft. The elongate shaft includes a distal portion having an open end. The hook is movable from a retracted configuration in which at least a portion the hook is situated within the elongate shaft, and a deployed configuration in which the hook extends distally from the open end. The hook is operatively coupled to an actuator of the handle via a coupling member and the hook is moved from the retracted configuration to the deployed configuration be applying tension to the coupling member.
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux pour refermer les plaies ou les maintenir ferméesAccessoires utilisés en liaison avec ces opérations pour la suture des plaiesSupports ou emballages pour aiguilles ou matériaux de suture
A61B 17/06 - AiguillesSupports ou empaquetages pour aiguilles ou matériaux de suture
33.
PROBE WITH SPHERICAL TIP FOR INTRA-OPERATIVE REGISTRATION
SMITH & NEPHEW ASIA PACIFIC PTE. LIMITED (Singapour)
Inventeur(s)
De Almeida Barreto, João Pedro
Teixeira Ribeiro, Luis Carlos Fial
Da Silva Duarte E Sousa, Cristóvão Jorge
Dos Santos Raposo, Carolina
Abrégé
A system for registering an anatomical surface for a registration procedure includes memory storing instructions and one or more processing devices configured to execute the instructions. Executing the instructions causes the system to perform, based on a dimension of a spherical probe tip of a probe configured to perform the registration procedure, a dilation process on a first model of patient anatomy including the anatomical surface to obtain a second model of the patient anatomy, receive data indicative of a plurality of locations of the spherical probe tip relative to the patient anatomy, and register points corresponding to the plurality of locations of the spherical probe to the second model.
G06T 5/30 - Érosion ou dilatation, p. ex. amincissement
G06T 7/73 - Détermination de la position ou de l'orientation des objets ou des caméras utilisant des procédés basés sur les caractéristiques
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 5/1495 - Étalonnage ou test des sondes in vivo
Smith & Nephew Asia Pacific Pte. Limited (Singapour)
Inventeur(s)
Malone, Miles
Maccready, Christopher D.
Hosseini, Ali
Housman, Mark Edwin
Liu, Chun
Hunt, James
Peabody, Jacob
Mcgovern, Paul
Yeoh, Han Teik
Torrie, Paul Alexander
Bettenga, Mason James
Ranawat, Anil S.
Ferraiuolo, Lawrence
Karasic, Geoffrey Ian
Abrégé
Methods and devices for tissue graft fixation include fixation devices attached to an adjustable fixation loop of suture without compromising the graft or requiring additional material to complete the repair. Other fixation devices are attachable to an independent adjustable suture system. Adjustable fixation loops minimize slip/creep of the suture within the loop.
The present disclosure relates to novel compounds and pharmaceutical compositions thereof, and methods for promoting healthy aging of skin, the treatment of skin disorders, the treatment of cardiovascular disorders, the treatment of renal disorders, the treatment of angiogenesis disorders, such as cancer, treatment of tissue damage, such as non-cardiac tissue damage, the treatment of evolving myocardial infarction, the treatment of ischemic injury, and the treatment of various other disorders, such as complications arising from diabetes with the compounds and compositions of the invention. Other disorders can include, but are not limited to, atherosclerosis, cardiomyopathy, coronary artery disease, diabetic nephropathy, diabetic neuropathy, diabetic retinopathy, diabetic cardiomyopathy, infections of the skin, peripheral vascular disease, stroke, galactosemia, asthma, PMM2-CDG and the like.
44 - Services médicaux, services vétérinaires, soins d'hygiène et de beauté; services d'agriculture, d'horticulture et de sylviculture.
Produits et services
Artificial shoulder prostheses Orthopaedic surgery services; providing medical information relating to the use of medical and surgical apparatus and instruments in the field of orthopaedic surgery
SMITH & NEPHEW ASIA PACIFIC PTE. LIMITED (Singapour)
Inventeur(s)
Housman, Mark Edwin
Abrégé
A suture/anchor and delivery device combination includes a first cannulated suture and a second stepped or staged suture that has a smaller diameter section connected to a larger diameter section. The smaller diameter of the second suture is passed through the first suture and the assemblage of sutures is further passed through a tube which acts as an inserter. To actuate the device, the larger diameter of the second suture is pulled into the lumen of the first suture, thereby expanding the first diameter of the first suture to create an interference fixation within bone.
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux pour refermer les plaies ou les maintenir ferméesAccessoires utilisés en liaison avec ces opérations pour la suture des plaiesSupports ou emballages pour aiguilles ou matériaux de suture
Smith & Nephew Asia Pacific Pte. Limited (Singapour)
Smith & Nephew Orthopaedics AG (Suisse)
Inventeur(s)
Nikou, Constantinos
Jaramaz, Branislav
Abrégé
Methods, non-transitory computer readable media, and ultrasound imaging apparatuses and systems that facilitate improved ultrasound imaging that emphasizes structures of interest are disclosed. With this technology, position data for a transducer assembly is continuously obtained along with ultrasound scan data captured via the transducer assembly. Image processing techniques are applied to ultrasound images generated from the ultrasound scan data to identify structure(s) of interest included therein and highlight the identified structures on a composite representation generated from the ultrasound images. The intensity of portions of the resulting composite representation is then adjusted to reflect the time in which the associated ultrasound scan data was captured. The composite representation is then output to an augmented reality headset or superimposed over an image of the patient to facilitate improved visibility and relation of the structures of interest.
H04L 41/082 - Réglages de configuration caractérisés par les conditions déclenchant un changement de paramètres la condition étant des mises à jour ou des mises à niveau des fonctionnalités réseau
G06F 3/0482 - Interaction avec des listes d’éléments sélectionnables, p. ex. des menus
H04L 12/18 - Dispositions pour la fourniture de services particuliers aux abonnés pour la diffusion ou les conférences
39.
TRACKING ELEMENT FIXATION SYSTEMS AND METHODS FOR COMPUTER-ASSISTED ARTHROPLASTY
Disclosed herein are tracking element fixation elements for affixing computer-assisted surgical system (CASS) tracking elements to a patient. Fixation systems provide kinematic coupling or clamping functionality that allows tracking elements (attached to a tracker arm) to be repeatedly and accurately detached and re-attached to facilitate removal when necessary, such as for point probe data collection, during impaction, bone movement, and/or the like. Fixation systems may include a baseplate and a tracker arm configured to be kinematically coupled to the baseplate via a magnet associated with independent ball bearings or contacts extending from a bottom surface of the magnet. The ball bearings or contacts are configured to be received within corresponding grooves of the baseplate. The baseplate may include one or more protrusions extending from a bottom of the baseplate that are configured to be impacted into the cortical bone of the patient.
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
Smith & Nephew Asia Pacific Pte. Limited (Singapour)
Smith & Nephew Orthopaedics AG (Suisse)
Inventeur(s)
Wilson, Darren J.
Bell, Brett J.
Abrégé
A device for resecting hard biological tissue is provided. The device comprises a laser source configured to emit a laser beam, and a plurality of optical fibers, each having a proximal end optically coupled to the laser source and a distal end configured to emit the laser beam. A support structure maintains the distal ends of the optical fibers in a predetermined spatial arrangement. A window is positioned to permit transmission of the laser beam from the distal ends toward the tissue. At least one spacing element is associated with the support structure to maintain a predetermined distance between the distal ends and the tissue during operation. The device further includes a fluid delivery system associated with the support structure and configured to deliver a fluid to a cutting interface at the tissue. The arrangement enables precise, efficient, and controlled laser ablation or resection of hard tissue, with improved cooling and debris management.
A61B 18/22 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par application de radiations électromagnétiques, p. ex. de micro-ondes en utilisant des lasers le faisceau étant dirigé le long, ou à l'intérieur d'un conduit flexible, p. ex. d'une fibre optiquePièces à main à cet effet
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 18/20 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par application de radiations électromagnétiques, p. ex. de micro-ondes en utilisant des lasers
Disclosed herein are systems and methods for planning a knee arthroplasty procedure. In one example, a surgical method includes intraoperative measurement of patient anatomical information of the knee and/or movement of the knee of a patient resulting from electrical stimulation of nerves or muscles to cause articulation of the knee. An electrical stimulation system may be attached to a patient to cause contraction/relaxing of muscles operative to cause articulation of the knee. Tracking elements may be associated with relevant knee anatomical structures, such as the proximal tibia, the distal femur, and/or the patella to track the movement of the knee components resulting from the electrical stimulation. Implant components may be selected, positioned, and/or orientated using the tracking information resulting from the electrical stimulation, thereby allowing for determination of a surgical plan based on intraoperative muscle-activated knee articulation, configured to emulate natural patient anatomy and kinematics.
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
A61N 1/36 - Application de courants électriques par électrodes de contact courants alternatifs ou intermittents pour stimuler, p. ex. stimulateurs cardiaques
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
SMITH & NEPHEW ASIA PACIFIC PTE. LIMITED (Singapour)
Inventeur(s)
Rogers, Jon-Paul
Housman, Mark, Edwin
Hall, Benjamin, Michael
Mirabile, Belin
Abrégé
A knotless all-suture system with a preformed repair loop. The system includes an insertion instrument with a tension actuator, the instrument housing a knotless all-suture construct. The construct includes an all-suture anchor and a first repair suture. The first repair suture is formed in a preformed loop that extends proximally from the all-suture anchor and includes a locking passage that extends through the all-suture anchor. The preformed loop extends along and within a shaft of the insertion instrument and is coupled to the tension actuator, such that actuating the tension actuator sets the all-suture anchor via tension along the preformed loop.
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux pour refermer les plaies ou les maintenir ferméesAccessoires utilisés en liaison avec ces opérations pour la suture des plaiesSupports ou emballages pour aiguilles ou matériaux de suture
43.
SYSTEMS AND METHODS FOR FUSING ARTHROSCOPIC VIDEO DATA
Smith & Nephew Asia Pacific Pte. Limited (Singapour)
Inventeur(s)
Netravali, Nathan Anil
Srivastava, Vaibhav
Torrie, Paul Alexander
Abrégé
Systems and methods for fusing arthroscopic video data are described. A system comprises an arthroscopic assembly, an inertial measurement unit (IMU) mounted on the arthroscopic assembly, a processor, and a processor-readable storage medium. An arthroscopic surgical plan, images from the arthroscopic assembly, and measurements from the IMU may be obtained. The images and the measurements may be combined to form a data combination. The data combination may be filtered to form a fused data set. The fused data set may control a device. A map of an arthroscopic surgical site may be created based on the fused data set, and a position of the arthroscopic assembly with respect to the arthroscopic surgical site may be calculated. The arthroscopic surgical plan may be updated based on at least one of the map of the arthroscopic surgical site and the position of the arthroscopic assembly.
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A bone screw for affixing an orthopedic implant such as an intramedullary nail to a patient's bone. The bone screw including an implant thread section including a first thread form configured to engage threads or other bone screw engaging features formed in a screw opening in the orthopedic implant and a bone thread section including a second thread form configured to engage bone. The second thread form is different from the first thread form. The second thread form including a major diameter that is substantially similar to the first thread form (e.g., at least a single turn of the second thread form has a major diameter substantially the same as a major diameter of the first thread form). In some examples, the second thread form includes a greater pitch than the first thread form and/or the second thread form includes a smaller minor diameter than the first thread form.
Systems and methods for engaging and controlling the insertion of an orthopedic plate is disclosed. A plate inserter includes a handle portion and a shaft comprising a first end connected to the handle portion and a second end comprising a coupling element. The coupling element can include a collet having an outer diameter that is selectively adjustable to move the collet between a contracted configuration and an expanded configuration, and the collet can include a plurality of protrusions extending from a radial surface thereof. In this configuration, the plurality of protrusions can be configured to matingly engage an opening in an orthopedic plate at any of a plurality of discrete engagement positions. The plate inserter may be used in combination with an orthopedic plate configured to be secured across a bone fracture to provide a system for stabilizing a bone fracture.
A pelvic bone plate for use in for stabilizing a fracture of a pelvic bone of a patient includes a brim segment configured to be affixed to a portion of a pelvis of a patient and a quadrilateral surface (QLS) segment coupled to the brim segment via at least one bridge. The QLS segment can include a bearing surface configured to be arranged directly adjacent to a QLS of the pelvis and an engagement surface substantially opposing the bearing surface that is configured to be engaged by a surgical clamp. The brim segment can include a plurality of openings configured to receive one or more fasteners.
Smith & Nephew Asia Pacific Pte. Limited (Singapour)
Inventeur(s)
Quist, Brian William
Jayakumar, Vishal
Rodriguez, Carlos A.
Abrégé
Methods, non-transitory computer readable media, and arthroscopic video analysis apparatuses and systems that facilitate improved analysis of videos of arthroscopic procedures are disclosed. With this technology, analytical data related to the video feed of an arthroscopic surgery can be obtained using machine learning models and associated with the video feed. The generated videos can be output in real-time to provide contextual information related to the surgical procedure, or can be saved for playback for training or informational purposes.
G16H 10/60 - TIC spécialement adaptées au maniement ou au traitement des données médicales ou de soins de santé relatives aux patients pour des données spécifiques de patients, p. ex. pour des dossiers électroniques de patients
G16H 30/40 - TIC spécialement adaptées au maniement ou au traitement d’images médicales pour le traitement d’images médicales, p. ex. l’édition
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
G16H 50/20 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour le diagnostic assisté par ordinateur, p. ex. basé sur des systèmes experts médicaux
An electrosurgical wand for reducing tissue is disclosed. The wand includes a handle and an elongate shaft, the shaft having a major longitudinal axis, a conduit extending therethrough and a non-insulated distal end portion defining a first electrode. The first electrode has a distal most edge configured to mechanically pierce tissue, and an arcuate surface extending proximally from the distal most edge along the major longitudinal axis, the arcuate surface having a convex surface that faces in a distal direction. First and second arcuate edges define lateral edges of the arcuate surface. A second electrode is disposed at an opening of the conduit and electrically isolated from the first electrode. The second electrode comprises an aperture, configured to aspirate fluid and tissue debris therethrough.
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A tissue repair assembly for attachment of tissue to bone or tissue to tissue having a soft anchoring implant 100 with a length of suture 120 there through for tensioning the implant and facilitating attachment of other tissue. The implant 100 is a soft, flexible, three-dimensional structure that has a resident volume 200. An inserter tube 310 facilitates the placement of the implant 100 into bone or adjacent soft tissue where it may be deployed. Upon deployment, the soft anchoring implant 100 shortens axially and expands radially, achieving a larger diameter than the hole through which it was placed, thus resisting pull out.
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux pour refermer les plaies ou les maintenir ferméesAccessoires utilisés en liaison avec ces opérations pour la suture des plaiesSupports ou emballages pour aiguilles ou matériaux de suture
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
50.
MULTI-CLASS IMAGE SEGMENTATION WITH W-NET ARCHITECTURE
SMITH & NEPHEW ASIA PACIFIC PTE. LIMITED (Singapour)
Inventeur(s)
Wilson, Darren J.
Jaramaz, Branislav
Abrégé
A system for markerless registration and tracking is disclosed. The system includes an imaging sensor configured to capture both RGB images and depth maps of environment. The system can be configured to receive an RGB image and associated depth information from the imaging sensor, segment the RGB image, using a deep learning network, by classifying each pixel as belonging to one of the group of proximal tibia, distal femur, patella, or non-boney material of the knee, and determine a loss based on a comparison between the predicted segmentation mask and a ground-truth mask. The ground-truth mask may be generated based on the depth map captured by the imaging sensor.
Smith & Nephew Asia Pacific Pte. Limited (Singapour)
Inventeur(s)
Navacchia, Alessandro
Duxbury, Elizabeth
Netravali, Nathan A.
Abrégé
Disclosed herein is a system and method for performing pre-operative planning of total joint arthroplasty. The planning tool builds a model and analyzes and visualizes movement of the joint for various selections of implant models and placement of the components on the implants on the patient's anatomy. The tool also analyzes and visualizes motions of the joint during common activities of daily living and analyzes and visualizes changes in muscles.
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
A61F 2/46 - Outils particuliers pour l'implantation des articulations artificielles
G16H 20/40 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p. ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies mécaniques, la radiothérapie ou des thérapies invasives, p. ex. la chirurgie, la thérapie laser, la dialyse ou l’acuponcture
52.
METHODS AND ARRANGEMENTS FOR DYNAMIZING BONE ALIGNMENT DEVICES
Smith & Nephew Asia Pacific Pte. Limited (Singapour)
Inventeur(s)
Noblett, Andrew P.
Bell, Paul
Abrégé
Logic may interact with a user to determine a pattern of micromotions to associate with an adjustment schedule. Logic may interact with the user via a user interface element to determine a rate of micromotions to associate with the adjustment schedule. Logic may associate the set of instructions with the adjustment schedule. Logic may cause the transmission of the set of instructions to a patient device for execution during treatment in conjunction with the adjustment schedule. And logic may cause transmission of communications to one or more motor controller circuits of the bone alignment device to perform the micromotions based on execution of the instructions to apply micromotions to the portion of the adjustment schedule via an automated bone alignment device.
A61B 17/66 - Mécanismes de compression ou de traction
A61B 17/62 - Structures en anneau, c.-à-d. dispositifs entourant les os à mettre en position
A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
53.
OPTICAL TRACKING DEVICE WITH BUILT-IN STRUCTURED LIGHT MODULE
Smith & Nephew Asia Pacific Pte. Limited (Singapour)
Smith & Nephew Orthopaedics AG (Suisse)
Inventeur(s)
Marti, Gaëtan
Hälg, Maurice
Sivagnanaselvam, Ranjith Steve
Abrégé
A system is disclosed that includes an optical tracking device and a surgical computing device. The optical tracking device includes a structured light module and an optical module that includes an image sensor and is spaced from the structured light module at a known distance. The surgical computing device includes a display device, a non-transitory computer readable medium including instructions, and processor(s) configured to execute the instructions to generate a depth map from a first image captured by the image sensor during projection of a pattern into a surgical environment by the structured light module. The pattern is projected in a near-infrared (NIR) spectrum. The processor(s) are further configured to execute the stored instructions to reconstruct a 3D surface of anatomical structure(s) based on the generated depth map. Additionally, the processor(s) are configured to execute the stored instructions to output the reconstructed 3D surface to the display device.
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
G06T 7/521 - Récupération de la profondeur ou de la forme à partir de la télémétrie laser, p. ex. par interférométrieRécupération de la profondeur ou de la forme à partir de la projection de lumière structurée
G06T 7/70 - Détermination de la position ou de l'orientation des objets ou des caméras
G06T 7/80 - Analyse des images capturées pour déterminer les paramètres de caméra intrinsèques ou extrinsèques, c.-à-d. étalonnage de caméra
G06T 17/20 - Description filaire, p. ex. polygonalisation ou tessellation
H04N 23/56 - Caméras ou modules de caméras comprenant des capteurs d'images électroniquesLeur commande munis de moyens d'éclairage
Smith & Nephew Asia Pacific Pte. Limited (Singapour)
Inventeur(s)
Jaramaz, Branislav
Farley, Daniel
Wilson, Darren J.
Rodriguez, Carlos
Nikou, Constantinos
Wang, Xuanye
Abrégé
A controller of a surgical system is configured to receive a surgical plan associated with an endoscopic surgical procedure, receive a model of an anatomical structure associated with the endoscopic surgical procedure, segment a depth image of a surface of the anatomical structure to obtain surface geometry data of the anatomical structure, register the surface geometry data of the anatomical structure to the model of the anatomical structure, and update the surgical plan according to the registered surface geometry data.
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
Smith & Nephew Asia Pacific Pte. Limited (Singapour)
Inventeur(s)
Cyko, Christopher R.
Jordan, Jason S.
Abrégé
Disclosed herein is a femoral component (100) of a knee arthroplasty system. The femoral component may be a multi-radius (MR) component having multiple centers of rotation within the functional knee range of motion. The femoral component may include at least two of a mid-flexion radius (141), an extension radius (142), or a deep flexion radius (140). The femoral component may include an articulate surface (112) that is handed to conform to a medial condyle, a lateral condyle, a right knee, a left knee, and/or the like. The femoral component may be configured based on, among other things, a relationship between a mid-flexion region (131) and an AP dwell (“MFR/AP relationship”). Accordingly, the femoral component may be in the form of a MR component with a spherical or substantially spherical mid-flexion region in a handed configuration. The femoral component may be configured as a unicompartmental femoral implant or a total knee arthroplasty (TKA) femoral implant.
Systems and methods for improved surgical planning are disclosed herein. A processor may determine an optimized planning group based on planning group definitions and historical surgeon data through the use of a machine learning classification algorithm. The processor may further receive patient data comprising anatomical landmarks and surfaces, pre-operative deformity measurements, range of motion measurements, and gap data. The processor may generate optimized implant parameters based on the optimized planning group and the patient data using a machine learning model. The optimized implant parameters may include size, position, and orientation parameters for each of a femoral implant and a tibial implant. The processor may further generate a surgical plan based on the optimized implant parameters.
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
G06F 18/23213 - Techniques non hiérarchiques en utilisant les statistiques ou l'optimisation des fonctions, p. ex. modélisation des fonctions de densité de probabilité avec un nombre fixe de partitions, p. ex. K-moyennes
G06F 18/27 - Régression, p. ex. régression linéaire ou logistique
G16H 10/60 - TIC spécialement adaptées au maniement ou au traitement des données médicales ou de soins de santé relatives aux patients pour des données spécifiques de patients, p. ex. pour des dossiers électroniques de patients
G16H 20/40 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p. ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies mécaniques, la radiothérapie ou des thérapies invasives, p. ex. la chirurgie, la thérapie laser, la dialyse ou l’acuponcture
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
Smith & Nephew Asia Pacific Pte. Limited (Singapour)
Inventeur(s)
Housman, Mark E.
Balboa, Marc J.
Hall, Benjamin M.
Shah, Jay A.
Rogers, Jon-Paul
Patel, Nehal N.
Abrégé
A knotless tissue repair construct is disclosed herein. The construct includes a soft anchor body, with a proximal end, a distal end, and a longitudinal axis extending therebetween. The construct also includes a repair suture fixedly coupled to the anchor body. The construct also includes a transfer suture interwoven repeatedly through and along the anchor body defining a transfer path. Tension on at least one of the repair suture and transfer suture may deploy the anchor body. A transfer suture first end may transfer the repair suture through the anchor body to form a repair loop that may knotless lock the tissue repair construct.
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux pour refermer les plaies ou les maintenir ferméesAccessoires utilisés en liaison avec ces opérations pour la suture des plaiesSupports ou emballages pour aiguilles ou matériaux de suture
Smith & Nephew Asia Pacific Pte. Limited (Singapour)
Inventeur(s)
Marinescu Tanasoca, Ruxandra C.
Roakes, Ashley A.
Duxbury, Elizabeth A.
Abrégé
Disclosed herein are systems and methods for planning a knee arthroplasty procedure. A method may include registration of patient anatomy, including specific registration of the patella; anatomy modelling based on the registration; automated generation of anatomical landmarks; morphological characterization; risk classification; and a planning optimization process based on the morphological characterization and the risk classification. The risk classification may include a determination of potential patellar complications based on patient characteristics, such as patient demographic information and/or patient anatomical information compared with historical information of patient outcomes. The planning optimization process may determine knee implant components and/or the configuration thereof within the patient based on the patient risk classification.
Smith & Nephew Asia Pacific Pte. Limited (Singapour)
Inventeur(s)
Dees, Jr., Roger Ryan
Nikou, Constantinos
Jaramaz, Branislav
Abrégé
A computer-implemented method of improving a patello-femoral response is described. A computing system characterizes an anterior geometry of a patella and determines a position of a posterior apex of the patella in relation to one or more features of the anterior geometry of the patella. The computing system further receives location information related to the patella as a knee joint is moved through a range of motion. The computing system provides one or more recommendations to improve a patello-femoral response.
Smith & Nephew Asia Pacific PTE. Limited (Singapour)
Inventeur(s)
Rakes, Jordan
Watanabe, Kohsuke
Ricci, William M.
Chan, Daniel S.
Abrégé
An orthopedic fixation device (e.g., an intramedullary (“IM”) nail or bone plate) including a lag screw and a compression screw, the compression screw being nested with the lag screw. In accordance with one or more features of the present disclosure, the compression screw may include a partially non-threaded medial segment, an enlarged diameter, and/or a cannulated bore. In addition, and/or alternatively, the lag screw may be provided as an integrated assembly including a lag screw and an outer sleeve to enable the lag screw to telescope or slide relative to the outer sleeve and IM nail.
The present disclosure provides methods to improve the properties of a porous structure formed by a rapid manufacturing technique. Embodiments of the present disclosure increase the bonding between the micro-particles 5 on the surface of the porous structure and the porous structure itself without substantially reduce the surface area of the micro-particles. In one aspect, embodiments of the present disclosure improves the bonding while preserving or increasing the friction of the structure against adjacent materials.
B22F 3/105 - Frittage seul en utilisant un courant électrique, un rayonnement laser ou un plasma
B22F 3/24 - Traitement ultérieur des pièces ou objets
B22F 10/25 - Dépôt direct de particules métalliques, p. ex. dépôt direct de métal [DMD] ou mise en forme par laser [LENS]
B22F 10/28 - Fusion sur lit de poudre, p. ex. fusion sélective par laser [FSL] ou fusion par faisceau d’électrons [EBM]
B22F 10/36 - Commande ou régulation des opérations des paramètres du faisceau d’énergie
B22F 10/64 - Traitement de pièces ou d'articles après leur formation par des moyens thermiques
B29C 64/153 - Procédés de fabrication additive n’utilisant que des matériaux solides utilisant des couches de poudre avec jonction sélective, p. ex. par frittage ou fusion laser sélectif
B29C 65/00 - Assemblage d'éléments préformésAppareils à cet effet
B29K 101/00 - Utilisation de composés macromoléculaires non spécifiés comme matière de moulage
B29K 105/04 - Présentation, forme ou état de la matière moulée cellulaire ou poreuse
B33Y 40/20 - Posttraitement, p. ex. durcissement, revêtement ou polissage
B33Y 70/00 - Matériaux spécialement adaptés à la fabrication additive
B33Y 80/00 - Produits obtenus par fabrication additive
C22F 1/18 - Métaux réfractaires ou à point de fusion élevé ou leurs alliages
63.
ORTHOPEDIC INTRAMEDULLARY NAIL AND BONE PLATE SYSTEM
An intramedullary ("IM") nail-bone plate system, and corresponding instrumentation and method of use, for fractured fixation of a patient's bone is disclosed. The IM nail-bone plate system may include an IM nail including a plurality of locking screw openings, a bone plate including one or more elongated, non-locking screw openings, and a bone screw insertable into the elongated, non-locking screw opening formed in the bone plate and into the locking screw opening formed in the IM nail. In some examples, the locking screw opening formed in the IM nail may be configured as an elongated slot so that the bone screw is inserted through the elongated, non-locking screw opening formed in the bone plate and into the elongated slot formed in the IM nail. Thus arranged, independent positioning of the IM nail, the bone plate, or a combination thereof, is enabled.
Embodiments of negative pressure wound therapy systems and methods are disclosed. In one embodiment, an apparatus includes a housing, a negative pressure source, a canister, an antenna, and one or more controllers. The negative pressure source can provide negative pressure via a fluid flow path to a wound dressing. The canister can be positioned in the fluid flow path and collect fluid removed from the wound dressing. The antenna can be supported by the housing and wirelessly communicate with an electronic device. The antenna can be oriented in the housing to face downward toward the ground when the negative pressure source is providing negative pressure. The one or more controllers can activate and deactivate the negative pressure source and transmit first data to the electronic device using the antenna or receive second data from the electronic device using the antenna.
A61M 1/00 - Dispositifs de succion ou de pompage à usage médicalDispositifs pour retirer, traiter ou transporter les liquides du corpsSystèmes de drainage
A61F 13/0246 - Bandages ou pansements adhésifs caractérisés par la couche adhérant à la peau
H01Q 1/08 - Moyens pour replier tout ou partie des antennes
65.
STRUCTURED LIGHT FOR TOUCHLESS 3D REGISTRATION IN VIDEO-BASED SURGICAL NAVIGATION
SMITH & NEPHEW ASIA PACIFIC PTE. LIMITED (Singapour)
Inventeur(s)
Sousa Baptista, Tânia
Marques, Miguel
Dos Santos Raposo, Carolina
Teixeira Ribeiro, Luis Carlos Fial
Almeida Antunes, Michel Gonçalves
De Almeida Barreto, João Pedro
Abrégé
A system for performing touchless registration of patient anatomy includes memory storing instructions and one or more processing devices configured to execute the instructions. Executing the instructions causes the system to obtain, from a camera, an image of the patient anatomy, the image including a laser projection that is projected onto the patient anatomy using a laser projector, detect the laser projection in the image obtained from the camera, obtain a three-dimensional set of points corresponding to the detected laser projection, and register the patient anatomy by storing data correlating the patient anatomy to the three-dimensional set of points.
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
G06T 7/33 - Détermination des paramètres de transformation pour l'alignement des images, c.-à-d. recalage des images utilisant des procédés basés sur les caractéristiques
G06T 19/20 - Édition d'images tridimensionnelles [3D], p. ex. modification de formes ou de couleurs, alignement d'objets ou positionnements de parties
G06V 10/25 - Détermination d’une région d’intérêt [ROI] ou d’un volume d’intérêt [VOI]
A medical device includes a treatment module configured to apply a treatment to a patient. The medical device includes an interface configured to operatively connect to a removable storage device storing authorization data that identifies a level of treatment authorization. The medical device includes a processing device configured to perform operations in response to receiving user input indicating a treatment should be initiated. The operations include determining whether the removable storage device is valid for use with the medical device. If the removable storage device is determined to be valid, the authorization data is accessed. The processing device determines whether the treatment is authorized based on the accessed authorization data. If the treatment is determined to be authorized, the treatment module is controlled to apply the treatment. If the treatment is determined to not be authorized, the treatment module is controlled such that the treatment is not applied.
A61B 5/1172 - Identification des personnes basée sur la morphologie ou l’aspect de leur corps ou de parties de celui-ci utilisant des empreintes digitales
A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A61B 90/90 - Moyens d’identification pour les patients ou les instruments, p. ex. étiquettes
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
67.
BONE PLATE WITH LENGTH ADJUSTING ELONGATE HOLE, AND CORRESPONDING METHODS OF USE
Smith & Nephew Asia Pacific Pte. Limited (Singapour)
Inventeur(s)
Zysk, Adam
Watanabe, Kohsuke
Ricci, William M.
Mehta, Samir
Ritchey, Nicholas S.
Abrégé
A bone plate incorporating a length adjusting elongate hole formed in a shaft portion thereof, along with corresponding methods of use. In one embodiment, the length adjusting elongate hole is configured to receive one or more bone fixation devices (e.g., bone screws). The bone fixation device positioned within the length adjusting elongate hole may be partially loosened, without removal, to enable the patient's bone to be adjusted (e.g., loosening the bone fixation device within the length adjusting elongate hole allows the surgeon to adjust the position of the patient's bone, and hence the bone fixation device coupled thereto, relative to the bone plate). Once properly adjusted, the bone fixation device positioned within the length adjusting elongate hole may be retightened. In various embodiments, the length adjusting elongate hole is arranged and configured so that, in use, each of the plurality of bone fixation openings remains available to a surgeon.
An orthopedic augment (100) can be used where the patient's bone at an implantation site is structurally compromised to aid in securing the orthopedic prothesis at the implantation site. The orthopedic augment has, on an internal surface (2) thereof, cement fixation features (3) that receive an orthopedic cement therein and aid in resisting separation of the orthopedic prosthesis from the orthopedic augment. In addition, the orthopedic augment may include mechanical fixation mechanisms to engage the orthopedic prosthesis. Thus arranged, the orthopedic augment provides greater flexibility, in that it can be used in the form of a cone (e.g., cemented fixation) or a sleeve (e.g., mechanical fixation).
Smith & Nephew Asia Pacific Pte. Limited (Singapour)
Smith & Nephew Orthopaedics AG (Suisse)
Inventeur(s)
Farley, Daniel
Mcguan, Shawn
Jaramaz, Branislav
Mckinnon, Brian W.
Nikou, Constantinos
Duxbury, Elizabeth
Marinescu Tanasoca, Ruxandra C.
Landon, Ryan
Winebarger, Randy C.
Bowers, Jr., William L.
Abrégé
A method of determining patient-specific implant parameters for an implant used in a surgical procedure is described. A surgical system receives one or more initial transfer functions and one or more preoperative input factors for a patient and generates a surgical plan comprising one or more patient-specific implant parameters based on the one or more initial transfer functions and the one or more preoperative input factors for the patient. The surgical system further receives one or more intraoperative input factors for the patient and updates the one or more patient-specific implant parameters based on the one or more intraoperative input factors for the patient. An implant for the patient is selected based on the one or more updated patient-specific implant parameters.
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
G16H 20/40 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p. ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies mécaniques, la radiothérapie ou des thérapies invasives, p. ex. la chirurgie, la thérapie laser, la dialyse ou l’acuponcture
SMITH & NEPHEW ASIA PACIFIC PTE. LIMITED (Singapour)
Inventeur(s)
Torrie, Paul Alexander
Abrégé
A surgical instrument configured to perform a shaving function and/or a burr function of a surgical procedure includes an outer sheath having a proximal end coupled to a handle and a distal end opposite the proximal end, the outer sheath defining an inner channel having an opening defined at the distal end, an inner cutting assembly disposed within the inner channel of the outer sheath, the inner cutting assembly being configured to rotate within the outer sheath to perform the at least one of the shaving function and the burr function, and the inner cutting assembly including a cutting end exposed within the opening of the inner channel, and a fiducial marker located on a portion of the distal end of the outer sheath that overlaps the cutting end of the inner cutting assembly, the fiducial marker being configured to be detected by an optical tracking system.
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
SMITH & NEPHEW ASIA PACIFIC PTE. LIMITED (Singapour)
Inventeur(s)
Barton, Patrick Ehren
Abrégé
A bipolar electrosurgical wand for treating tissue along a patient airway. The wand includes a tubular end effector with an electrically insulative spacer, a return electrode, and an active electrode at its distal end. The active electrode defines a planar top surface, which includes a proximal portion and a tip projection extending directly distally therefrom. The tip projection may include bilateral linear side surfaces, symmetrical about a longitudinal axis of the active electrode. The wand may also include a fluid delivery aperture and a fluid delivery cavity ramp, to direct fluid towards the active electrode for a range of wand orientations.
05 - Produits pharmaceutiques, vétérinaires et hygièniques
Produits et services
Human allograft bone and tissue for use in bone grafting procedures; biological tissue grafts, namely, human allograft bone tissue for orthopaedic surgery
Surgical and medical apparatus and instruments; orthopaedic articles; suture materials; suture anchors; bone anchors for attaching soft tissue to bone.
74.
APPARATUSES AND METHODS FOR DETECTING LEAKS IN A NEGATIVE PRESSURE WOUND THERAPY SYSTEM
Leak location devices and methods of using leak location devices that can be used in conjunction with negative pressure wound therapy systems are disclosed. In some embodiments, a leak location device can include a microphone for detecting sound pressure produced by a leak. Detected sound pressure can be compared to a threshold, which can correspond to background or ambient sound pressure. Background or ambient sound pressure can correspond to sound produced by a negative pressure source. The leak detection device can include a display configured to visually depict the detected sound, and a light source which creates a visual depiction of the coverage angle of the microphone.
G01M 3/24 - Examen de l'étanchéité des structures ou ouvrages vis-à-vis d'un fluide par utilisation d'un fluide ou en faisant le vide par détection de la présence du fluide à l'emplacement de la fuite en utilisant des vibrations infrasonores, sonores ou ultrasonores
A61M 1/00 - Dispositifs de succion ou de pompage à usage médicalDispositifs pour retirer, traiter ou transporter les liquides du corpsSystèmes de drainage
Smith & Nephew Asia Pacific Pte. Limited (Singapour)
Inventeur(s)
Wilson, Darren J.
Dumpe, Samuel C.
Karasic, Geoffrey I.
Abrégé
A system for performing an osteochondral grafting procedure includes one or more processing devices configured to execute instructions to cause the one or more processing devices to obtain first digital data of an anatomical site of a patient, the anatomical site including a recipient site for an osteochondral graft, the recipient site including an osteochondral defect, determine, based on the first digital data, first characteristics of the recipient site, obtain second digital data of a donor site, determine, based on the second digital data, second characteristics of the donor site, and generate, based on the first and second characteristics, a virtual plug corresponding to the osteochondral graft. The virtual plug is configured to conform to the recipient site, and generating the virtual plug includes at least one of storing data defining the virtual plug and providing, on a display, visual guidance based on the virtual plug.
A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61F 2/46 - Outils particuliers pour l'implantation des articulations artificielles
76.
PATELLOFEMORAL CHARACTERIZATION IN ROBOTIC-ASSITED KNEE ARTHROPLASTY
Systems and methods for patellofemoral preparation are disclosed herein. A method may include receiving patient imagery of a patient's anatomy comprising a knee joint; registering the patient imagery to at least one of a pre-existing anatomical atlas or a three-dimensional model generated from the patient imagery; determining a location of a native femoral trochlear groove of a femur based on the registered patient imagery; determining the location of an implanted femoral trochlear groove from a three-dimensional model comprising a planned modification of the registered patient imagery and an affixed implant comprising femoral implant component; comparing native groove and the implant groove to assess congruence between the patient's anatomy and the implant; and generating a recommendation to modify at least one of a placement of a patella of the knee joint, a surface of the patella, and an attribute of the femoral implant component based on the comparison.
A61F 2/38 - Articulations pour les coudes ou les genoux
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 90/50 - Supports pour instruments chirurgicaux, p. ex. bras articulés
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
An orthopedic surgical instrument has an instrument base, a shaft, and an end effector. The shaft is attached to the instrument base such that a distal end of the shaft extends away from the instrument base. The end effector is removably attached to the distal end of the shaft. An implant device can be removably attached to the distal end of the shaft. The end effector has one or more calibration features on an outer surface thereof, the one or more calibration features being provided for position registration and/or verification of the end effector.
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 17/92 - Instruments à percussion ou extracteurs, p. ex. pour retirer les dispositifs intramédullaires
A61F 2/46 - Outils particuliers pour l'implantation des articulations artificielles
80.
AUTOMATIC SURGICAL MARKER MOTION DETECTION USING SCENE REPRESENTATIONS FOR VIEW SYNTHESIS
Smith & Nephew Asia Pacific Pte. Limited (Singapour)
Inventeur(s)
De Almeida Moreira, Sofia Rebelo
De Almeida Barreto, João Pedro
Dos Santos Raposo, Carolina
Almeida Antunes, Michel Gonçalves
Abrégé
A movement detection system for a surgical procedure performed in a surgical environment includes memory storing instructions and one or more processing devices configured to execute the instructions. Executing the instructions causes the movement detection system to receive first data corresponding to one or more images of the surgical environment, the one or more images including at least one visual marker located within the surgical environment, using the first data, generate a scene representation corresponding to the one or more images, generate, based on the scene representation and a location of the at least one visual marker in an image feed of the surgical environment, a synthesized image of the surgical environment, calculate an image similarity score indicating a similarity between the synthesized image and the one or more images, and perform one or more actions based on the image similarity score.
An orthopedic intramedullary ("IM") nail, and more specifically, a retrograde femoral IM nail, is disclosed. The IM nail including a universal recon screw opening defining a first screw trajectory and a second screw trajectory. Thus arranged, the IM nail can be anatomically agnostic so that the IM nail can be implanted into either the patient's right bone (e.g., right femur) or the patient's left bone (e.g., left femur). In use, the first screw trajectory receives a fastener when the IM nail is implanted with the patient's left bone, the second screw trajectory receives a fastener when the IM nail is implanted with the patient's right bone. Thus arranged, an anatomically agnostic retrograde femoral IM nail is provided which allows surgeons to target the patient's femoral head and neck while enabling the retrograde femoral IM nail to be implanted within either of a patient's left or right femur.
Embodiments of negative pressure wound therapy systems and methods for operating the systems are disclosed. In some embodiments, a system includes a negative pressure source, a wound dressing configured to be positioned over a wound, and optionally a canister configured to store fluid aspirated from the wound. The negative pressure source, wound dressing, and canister (when present) can be fluidically connected to facilitate delivery of negative pressure to the wound. The system can be configured to automatically detect whether the canister is positioned in the fluid flow path between the negative pressure source and the dressing while negative pressure source provides negative pressure to the wound dressing. Operation of the system can be adjusted based on whether presence of the canister has been detected. For example, a value of an operational parameter can be set to indicate that the canister is present.
A61M 1/00 - Dispositifs de succion ou de pompage à usage médicalDispositifs pour retirer, traiter ou transporter les liquides du corpsSystèmes de drainage
85.
SYSTEMS AND METHODS FOR RECALLING TRACKING INFORMATION VIA APPLIED LANDMARKS
Systems and methods for tracking in a surgical procedure are disclosed herein. A method may include receiving at least one of an image and a statistical shape model of a patient's anatomy. A tracking system may acquire a tracking marker location and register the patient's anatomy relative to the tracking marker. A rigid body may be affixed the patient's anatomy and registered relative to the tracking marker by capturing landmarks on the surface of the rigid body. A transformation matrix may be generated between the location of the rigid body and a location of the patient anatomy. The tracking marker may then be removed, with the location of the anatomy recalled by recapturing the locations of the landmarks and applying the transformation.
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
SMITH & NEPHEW ASIA PACIFIC PTE. LIMITED (Singapour)
Inventeur(s)
Housman, Mark E.
Abrégé
A tissue repair system including a soft anchoring construct with a repair suture and an insert member. The repair suture includes a lumen, and the insert member is located within this lumen for a length, this length defining an anchoring portion of the repair suture. The soft anchoring construct may be assembled to an insertion instrument that includes a tubular end effector with a lumen that slidingly received the repair suture. The anchoring portion is located distal to the tubular end effector and is prevented from entering the tubular end effector lumen. Tension on repair suture ends may deploy the anchoring portion to set it in bone.
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux pour refermer les plaies ou les maintenir ferméesAccessoires utilisés en liaison avec ces opérations pour la suture des plaiesSupports ou emballages pour aiguilles ou matériaux de suture
An orthopedic system and method for treating a femoral fracture in, for example, a skeletally immature patient. The system and method including an intramedullary nail arranged and configured to be implanted within, for example, a femur of a skeletally immature patient. The system and method further including a bone screw (100) including a distal region (110) and a proximal region (130), wherein the distal region (110) is devoid of any threads so that the patient's bone is free to grow overtime.
Techniques for computer assisted patella tracking are disclosed herein. A method includes collecting a set of first data points and second data points from the femur, the set of first data points defining a movement of a patella before and after a knee replacement operation. The method further includes mapping a first pathway and a second pathway of the patella, the first pathway being defined by the set of first data points and the second pathway being defined by the set of second data points. The method further includes determining first patella motion components and second patella motion components. The method further includes comparing the first patella motion components to the second patella motion components to determine a deviation in a motion of the patella. The method further includes determining, based on the deviation, a corrective action and outputting an instruction for performing the corrective action.
Examples relate to a method, system and device for guiding a surgical procedure. An example method of performing a surgical procedure on a bone comprises obtaining a surgical plan including a position and orientation of a cut plane for a resection of the bone, providing first navigation data to guide insertion into the bone of a guide wire perpendicular to the orientation of the cut plane, subsequent to insertion of the guide wire, providing second navigation data to guide a position of a cut block along the guide wire, wherein the cut block comprises at least one reference cut surface configured to position a resection tool during the surgical procedure, based on the second navigation data, affixing the cut block to the bone such that the at least one reference cut surface is aligned with the cut plane, and performing a resection of the bone guided by the at least one reference cut surface.
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
Examples relate to associating pre-operative data and intra-operative data. The pre-operative data describing a bone in a first reference frame, the pre-operative data including a first description of a portion of a surface of the bone, and one or more first anatomical landmarks. The intra-operative data describing the bone in a second reference frame, the intra-operative data including a second description of the portion of the surface of the bone, and one or more second anatomical landmarks. A transform is obtained, the transform associating the bone in the first reference frame with the bone in the second reference frame. Obtaining the transform includes associating the first description with the second description, subject to constraining a parameter, wherein the parameter is selected from: a translation between the first reference frame and the second reference frame, a rotation between an axis of the first reference frame and an axis of the second reference frame, or a distance between an anatomic landmark in the pre-operative data and a corresponding anatomic landmark in the intra-operative data to be less than a threshold distance.
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
91.
INTRAMEDULLARY FEMORAL NAIL WITH A FLEXIBLE DISTAL END REGION
An orthopedic intramedullary ("IM") nail, more preferably, a femoral IM nail, is disclosed. The IM nail including a proximal end region having a first stiffness and a distal end region having a second stiffness, the second stiffness being less than the first stiffness (e.g., the IM nail includes feature(s) to increase the flexibility of the distal end region as compared to the proximal end region). In addition, the IM nail includes a mechanism for securing the IM nail within the patient's bone along a mid-portion thereof. For example, the IM nail may include opening(s) for receiving a locking screw in the mid-portion thereof (e.g., the locking screw may be inserted in-between the more rigid proximal end region and the more flexible distal end region). Thus arranged, the IM nail provides an improved anatomic fit within the intramedullary canal while reducing stress risers and instances of peri-prosthetic fractures.
Systems and methods for optical tracking are disclosed herein. An optical tracking marker may include a rigid body including an external surface. A plurality of fiducials may be spread over the external surface, wherein each of the plurality of fiducials belongs to an n-fiducial group template, where n is greater than or equal to 2. A set of any concurrently visible fiducials may be distinguishable from any other set of concurrently visible fiducials based on metrics calculated for each pairing of n-fiducial group templates.
G01S 5/16 - Localisation par coordination de plusieurs déterminations de direction ou de ligne de positionLocalisation par coordination de plusieurs déterminations de distance utilisant des ondes électromagnétiques autres que les ondes radio
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
G06T 7/73 - Détermination de la position ou de l'orientation des objets ou des caméras utilisant des procédés basés sur les caractéristiques
A medical device configured to form one or more holes within a bone of a patient may include a handle assembly including a housing, a lever rotatably coupled to the housing, and a sheath extending distally from the housing, the handle assembly including a spring biasing the lever toward an initial or intermediate position; and a bone punch including an elongate shaft, a head at a proximal end of the elongate shaft, and a piercing tip at a distal end of the elongate shaft configured to be driven into the bone. The elongate shaft may be slidably disposed within the sheath in a first position when the lever is in the initial or intermediate position. Translation of the bone punch distally within the sheath from the first position to a second position may cause a distal end of the lever to rotate away from the housing to an extended position.
Systems and methods for reaming bone can include an elongate body having a proximal end, a distal end, and an inner throughbore extending therebetween. An angled guide can be configured to engage the distal end of the elongate body and define a bearing surface at a predetermined angle relative to a centerline of the elongate body. A drive shaft can be configured to extend through the inner throughbore of the elongate body, the drive shaft having a distal end configured to extend beyond the distal end of the elongate body. A reamer head can be pivotably coupled to the distal end of the drive shaft, the reamer head having a distal-facing cutting surface configured to cut bone and a proximal-facing portion configured to bear against the bearing surface of the angled guide to orient the reamer head at the predetermined angle.
A61B 17/17 - Dispositifs de guidage pour les forets
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
95.
METHODS FOR MEASUREMENT OF ENDOTOXIN CONTAMINANTS IN ENZYMATIC COMPOSITIONS
Disclosed herein are methods for measuring endotoxin contaminants in a composition comprising an enzymatic debriding agent that may be used for enzymatic wound debridement. In some aspects, the methods comprise heating the composition, contacting the composition with a broad spectrum metalloprotease inhibitor, and measuring a concentration of endotoxin contaminants in the composition. Also provided herein are compositions comprising an enzymatic debriding agent for which a concentration of endotoxin contaminants is determined according to the disclosed methods and methods of manufacturing formulations including such compositions.
G01N 33/579 - Analyse chimique de matériau biologique, p. ex. de sang ou d'urineTest par des méthodes faisant intervenir la formation de liaisons biospécifiques par ligandsTest immunologique faisant intervenir un lysat de limulus
A cover layer for a vacuum wound therapy dressing includes a backing layer formed from a flexible polymeric membrane and an adhesive layer for affixing the backing layer over a wound bed to provide a substantially fluid-tight seal around a perimeter of the wound bed. The cover layer is reinforced with a reinforcement layer extending to a peripheral region of the backing layer to distribute forces associated with evacuating a reservoir, as defined by or within the cover, to stimulate healing of the wound bed.
A61F 13/05 - Bandages ou pansementsGarnitures absorbantes spécialement adaptés à l’utilisation lors d’une thérapie par sous-pression ou par surpression, du drainage des plaies ou de l’irrigation des plaies, p. ex. à l’utilisation lors d’un traitement des plaies par pression négative [TPN]
A61M 1/00 - Dispositifs de succion ou de pompage à usage médicalDispositifs pour retirer, traiter ou transporter les liquides du corpsSystèmes de drainage
A61F 13/00 - Bandages ou pansementsGarnitures absorbantes
97.
BONE REPAIR COMPOSITIONS COMPRISING POLYTHIOURETHANE AND USES THEREOF
SMITH & NEPHEW ASIA PACIFIC PTE. LIMITED (Slovénie)
Inventeur(s)
Jovanovic, Aleksa
Bearden, Robert
Rose, John
Miller, Kirsten
Abrégé
Disclosed are compositions and kits useful for bone repair and reconstruction of bone defects such as bone voids and fractures. The compositions can include two reactive components that when mixed together form a polythiourethane that cures to a hard solid. Also disclosed are methods of making and using the compositions.
A61L 27/18 - Matériaux macromoléculaires obtenus par des réactions autres que celles faisant intervenir uniquement des liaisons non saturées carbone-carbone
A system for preparing a bone for implantation of a component of an orthopedic implant device. The system includes a forming tool having a sleeve member that is selectively received within a handle member. The sleeve member has a guide slot that is sized to receive axial passage of at least a portion of a guide. The guide slot and/or sleeve member may be positioned and/or configured to facilitate at least linear and/or rotational displacement of the forming tool about, or relative to, the guide, and thereby provide a degree of freedom in the location at which the forming tool may form a shape or opening in the bone relative to one or more reference axes. The handle member may include a connection member that is structured to be operably coupled to a bone preparation device that is structured to facilitate the displacement of bone material.
A61B 17/17 - Dispositifs de guidage pour les forets
A61B 17/16 - Instruments pour réaliser une ostéoclasieForets ou ciseaux pour osTrépans
A61F 2/46 - Outils particuliers pour l'implantation des articulations artificielles
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A slotted cannula for surgical procedures is disclosed. The slotted cannula has an elongated semi-circular body comprising a cavity extending along a longitudinal axis of the semi-circular body, the cavity having an open distal end and an open proximate end and an integrally formed outward bend extending curvilinear from the cavity on the proximate end and at least one fold line across the width of the cannula, perpendicular to the longitudinal axis. The cannula can be bent or broken along the at least one fold line to adjust the operable length of the cannula during a surgical procedure.
Smith & Nephew Asia Pacific Pte. Limited (Singapour)
Smith & Nephew Orthopaedics AG (Suisse)
Inventeur(s)
Mckinnon, Brian W.
Marinescu Tanasoca, Ruxandra Cristiana
Winebarger, Randy C.
Bowers, Jr., William L.
Wiebe, Iii, James Bennett
Lenz, Nathaniel Milton
Wilkinson, Zachary Christopher
Haddock, Sean M.
Landon, Ryan Lloyd
Nikou, Constantinos
Jaramaz, Branislav
Torrie, Paul Alexander
Abrégé
A method for optimizing a knee arthroplasty surgical procedure includes receiving pre-operative data comprising (i) anatomical measurements of the patient, (ii) soft tissue measurements of the patient's anatomy, and (iii) implant parameters identifying an implant to be used in the knee arthroplasty surgical procedure. An equation set is selected from a plurality of pre-generated equation sets based on the pre-operative data. During the knee arthroplasty surgical procedure, patient-specific kinetic and kinematic response values are generated and displayed using an optimization process. The optimization process includes collecting intraoperative data from one or more surgical tools of a computer-assisted surgical system, and using the intraoperative data and the pre-operative data to solve the equation set, thereby yielding the patient-specific kinetic and kinematic response values. A visualization is then provided of the patient-specific kinetic and kinematic response values on the displays.
A61B 17/17 - Dispositifs de guidage pour les forets
A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A61B 90/50 - Supports pour instruments chirurgicaux, p. ex. bras articulés
A61B 90/96 - Moyens d’identification pour les patients ou les instruments, p. ex. étiquettes utilisant des symboles, p. ex. du texte utilisant des codes-barres
G16H 10/60 - TIC spécialement adaptées au maniement ou au traitement des données médicales ou de soins de santé relatives aux patients pour des données spécifiques de patients, p. ex. pour des dossiers électroniques de patients
G16H 20/40 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p. ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies mécaniques, la radiothérapie ou des thérapies invasives, p. ex. la chirurgie, la thérapie laser, la dialyse ou l’acuponcture
G16H 30/40 - TIC spécialement adaptées au maniement ou au traitement d’images médicales pour le traitement d’images médicales, p. ex. l’édition
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
G16H 50/50 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour la simulation ou la modélisation des troubles médicaux
G16H 50/70 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour extraire des données médicales, p. ex. pour analyser les cas antérieurs d’autres patients