A system for tissue repair may include a suture anchor, a tissue repair device and an apparatus. The tissue repair device optionally including a handle, a shaft, and an end effector configured to selectively couple with the suture anchor. The apparatus configured to selectively carry the suture anchor and one or more sutures coupled to the suture anchor. The apparatus configured to pass the suture anchor from the apparatus and onto the end effector.
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets pour refermer les plaies ou les maintenir fermées, p.ex. agrafes chirurgicales; Accessoires utilisés en liaison avec ces opérations pour la suture des plaies; Supports ou emballages pour aiguilles ou matériaux de suture
A device can include a housing, an actuator, a power source, a converter, and a soft tissue anchor receiver. The actuator can extend from outside the housing to inside the housing, can be engageable by a user to implant the soft tissue anchor, and can be operable between an open position and a closed position. The power source can be removably inserted at least partially within the housing, can be configured to store energy, and can be controlled by the actuator. The converter can be located within the housing, selectively connected to the power source via the actuator such that in the open position, the actuator can connect the converter to the power source to energize the converter, and operable to extend a rod outside of the housing. The soft tissue anchor receiver can be attached to the rod and configured to hold the soft tissue anchor.
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets pour refermer les plaies ou les maintenir fermées, p.ex. agrafes chirurgicales; Accessoires utilisés en liaison avec ces opérations pour la suture des plaies; Supports ou emballages pour aiguilles ou matériaux de suture
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets
5.
CONNECTIVE TISSUE AUGMENTATION AND FIXATION DEVICE
System and techniques for connective tissue augmentation and fixation device are described herein. The connective tissue augmentation and fixation device can include a central body, a first side tail, and a second side tail. The central body can be configured to at least partially surround a graft. The central body can extend longitudinally between a first end and a second end. The first side tail can extend from the first end of the central body. The first side tail can be configured to attach to a first bone of a patient. The second side tail can extend from the second end of the central body. The second side tail can be configured to attach to a second bone of the patient.
An electrosurgical bipolar surgical instrument comprises an elongate shaft extending along a central axis between a proximal end portion and a distal end portion, an outer electrode extending from the distal end portion, an inner electrode extending from within the elongate shaft into the outer electrode, and an intermediate insulation member disposed between outer electrode and the inner electrode.
A system configured to be implanted into a patient can include a first implantable component (104) configured to be inserted into a reamed-out or broached portion of a bone (102) of a patient. The first implantable component can extend between a first end (110) and a second end (112). The first implantable component can also include a central body (114) extending from the first end of the first implantable component toward the second end of the first implantable component and one or more fins (116) attached to a periphery of the central body. The fins can extend radially outward the central body and extend from the first end of the first implantable component to the second end of the first implantable component. The central body and the one or more fins can be configured to be inserted into the reamed-out or broached portion of the bone of a patient from a superior approach.
An implant assembly can include a primary structure securable to a bone of a patient. The primary structure can include an adapted portion manufactured to match an anatomy of the bone of the patient. The adapted portion can also be engageable with the bone of the patient. The implant assembly can also include an attachment securable to the primary structure. The attachment can include an articular portion can define an implant articular surface. The implant articular surface can be engageable with a second bone of the patient. The attachment can also include a tailored portion extending from the articular portion. The tailored portion can be manufactured to match the anatomy of the bone of the patient and be engageable with the bone of the patient.
A61F 2/00 - Filtres implantables dans les vaisseaux sanguins; Prothèses, c.-à-d. éléments de substitution ou de remplacement pour des parties du corps; Appareils pour les assujettir au corps; Dispositifs maintenant le passage ou évitant l'affaissement de structures corporelles tubulaires, p.ex. stents
A61L 27/48 - Matériaux composites, c. à d. en couches ou contenant un matériau dispersé dans une matrice constituée d'un matériau analogue ou différent comportant une matrice macromoléculaire avec des charges macromoléculaires
Disclosed herein is a suture for a surgical procedure that can include a body. The body can comprise an elongate strand. The body can have an aperture therethrough at a first portion of the elongate strand. A second portion of the elongate strand adjacent the first portion can be passed through the first aperture to create a feature along an exterior surface of the body.
A61B 17/06 - Aiguilles; Supports ou empaquetages pour aiguilles ou matériaux de suture
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets pour refermer les plaies ou les maintenir fermées, p.ex. agrafes chirurgicales; Accessoires utilisés en liaison avec ces opérations pour la suture des plaies; Supports ou emballages pour aiguilles ou matériaux de suture
Various systems, methods and apparatuses are shown and described including a system for tissue repair. The system optionally includes: a needle, a kite and securement mechanism. The kite can be configured to couple with the needle and forms a loop. The loop is configured to receive one or more sutures. The securement mechanism can be configured to be moveable relative to the loop of the kite to selectively engage the one or more sutures such that the one or more sutures are captured between the loop and the securement mechanism.
A61B 17/06 - Aiguilles; Supports ou empaquetages pour aiguilles ou matériaux de suture
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets pour refermer les plaies ou les maintenir fermées, p.ex. agrafes chirurgicales; Accessoires utilisés en liaison avec ces opérations pour la suture des plaies; Supports ou emballages pour aiguilles ou matériaux de suture
Disclosure herein are knotless suture anchor constructs and methods of use thereof. The suture anchor constructs can include a bone anchor and a suture. The bone anchor can include a suture anchoring member and can define a cavity and a longitudinal passage extending from a trailing end of the bone anchor at least partially therethrough to the cavity. The suture anchoring member can be located in the cavity. The suture can be coupled to the suture anchoring member and can include a tensioning portion, a repair portion, and an intermediate portion. The intermediate portion can form a suture loop extending along the longitudinal passage.
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets pour refermer les plaies ou les maintenir fermées, p.ex. agrafes chirurgicales; Accessoires utilisés en liaison avec ces opérations pour la suture des plaies; Supports ou emballages pour aiguilles ou matériaux de suture
A61B 17/16 - Ostéoclastes; Forets ou ciseaux pour os; Trépans
Systems and methods for tissue repair are illustrated and described. One such system optionally includes any one or combination of: one or more sutures, a suture anchor configured to couple with the one or more sutures and a prosthesis. The prosthesis can optionally be configured to be inserted in a bone of a patient. The prosthesis can have a first surface and at least one passage therein. The at least one passage can have a first opening at the first surface and a second opening. The suture anchor can be configured to couple with the prosthesis at one or more of the first surface or the at least one passage. The one or more sutures can be configured to pass through the prosthesis via the at least one passage.
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets pour refermer les plaies ou les maintenir fermées, p.ex. agrafes chirurgicales; Accessoires utilisés en liaison avec ces opérations pour la suture des plaies; Supports ou emballages pour aiguilles ou matériaux de suture
Systems and methods for tissue repair are illustrated and described. One such system optionally includes any one or combination of: one or more sutures, a suture anchor configured to couple with the one or more sutures and a prosthesis. The prosthesis can optionally be configured to be inserted in a bone of a patient. The prosthesis can have a first surface and at least one passage therein. The at least one passage can have a first opening at the first surface and a second opening. The suture anchor can be configured to couple with the prosthesis at one or more of the first surface or the at least one passage. The one or more sutures can be configured to pass through the prosthesis via the at least one passage.
A humeral arthroplasty system includes a sensor device, a humeral head including a first portion of circuitry of the sensor device and an adapter socket, a taper adapter configured to seat within the adapter socket, a stemless humeral anchor couplable to the taper adapter, and a second portion of circuitry of the sensor device extending into the adapter socket. The taper adapter and the stemless humeral anchor can comprise a central bore extending therethrough, and the second portion of the circuitry of the sensor device can be connected to the first portion by an electrical circuit extending through the taper adapter. The humeral head can comprise a ceramic material. The second portion of circuitry can comprise a force sensor extending into the adapter socket, wherein the taper adapter is configured to engage the force sensor when seated in the adapter socket.
A humeral arthroplasty system includes a sensor device, a humeral head (402) including a first portion (462) of circuitry of the sensor device and an adapter socket (412), a taper adapter (406) configured to seat within the adapter socket, a stemless humeral anchor (404) couplable to the taper adapter, and a second portion of circuity (460/464/490A/490B/540B) of the sensor device extending into the adapter socket. The taper adapter and the stemless humeral anchor can comprise a central bore (424/436) extending therethrough, and the second portion of the circuitry of the sensor device can be connected to the first portion by an electrical circuit (464/490A/490B) extending through the taper adapter. The humeral head can comprise a ceramic material. The second portion of circuitry can comprise a force sensor (540B/558A/558B/608) extending into the adapter socket, wherein the taper adapter is configured to engage the force sensor when seatedin the adapter socket.
A tissue repair device is disclosed. The tissue repair device can include any one or combination of features including an end effector and an actuator. A deformable first anchor and a deformable second anchor can be captured by the end effector. The actuator can selectively engage the first anchor and the second anchor in a series. The actuator can deploy the first anchor from the end effector into tissue and then can be selectively moveable to engage and deploy the second anchor from the end effector into the tissue.
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets pour refermer les plaies ou les maintenir fermées, p.ex. agrafes chirurgicales; Accessoires utilisés en liaison avec ces opérations pour la suture des plaies; Supports ou emballages pour aiguilles ou matériaux de suture
A tissue repair device is disclosed. The tissue repair device can include any one or combination of features including an end effector and an actuator. A deformable first anchor and a deformable second anchor can be captured by the end effector. The actuator can selectively engage the first anchor and the second anchor in a series. The actuator can deploy the first anchor from the end effector into tissue and then can be selectively moveable to engage and deploy the second anchor from the end effector into the tissue.
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets pour refermer les plaies ou les maintenir fermées, p.ex. agrafes chirurgicales; Accessoires utilisés en liaison avec ces opérations pour la suture des plaies; Supports ou emballages pour aiguilles ou matériaux de suture
A method of soft tissue repair comprises attaching at least one suture to a soft tissue to be affixed to a bone structure, positioning a tissue anchor on a driver, positioning a cinching suture alongside the driver, engaging a catch of the cinching suture with a stop of the driver, capturing the at least one suture attached to the soft tissue in a loop of the cinching suture positioned proximate a distal tip of the driver, drawing the at least one suture toward the distal tip of the driver by pulling at least a first portion of the cinching suture; preventing the cinching suture from passing by the driver by engaging the catch with the stop, and installing the tissue anchor into the bone structure to secure the at least one suture in the bone structure by interference-friction fixation between the tissue anchor and the bone structure.
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets pour refermer les plaies ou les maintenir fermées, p.ex. agrafes chirurgicales; Accessoires utilisés en liaison avec ces opérations pour la suture des plaies; Supports ou emballages pour aiguilles ou matériaux de suture
Disclose herein are suture anchor constructs. The suture anchor constructs can include an anchor, a first suture, and a second suture. The anchor can include a post and a body. The body can define a central hole extending from a trailing end of the body along a central axis towards a leading end of the body. The first suture can have a first tail, a second tail, and a first intermediate potion located proximate the post. The second suture can have a third tail, a fourth tail, and a second intermediate portion secured to the post. The first, second, third, and fourth, tails can pass through the central hole.
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets pour refermer les plaies ou les maintenir fermées, p.ex. agrafes chirurgicales; Accessoires utilisés en liaison avec ces opérations pour la suture des plaies; Supports ou emballages pour aiguilles ou matériaux de suture
A method for preparing a femur for receiving a prosthesis. The method includes the following: fixing a femoral trial component to the femur; coupling a reamer bushing relative to the femoral trial component; reaming a cavity into the femur using the reamer bushing as a guide; coupling at least one of a modular femoral box trial and a stem adapter relative to the femoral trial component; trialing the femoral trial component with the articulating surface of the femoral trial component; and performing the coupling of the reamer bushing, the reaming of the cavity, the coupling of the at least one of the modular femoral box trial and stem adapter, and the trialing of the femoral trial component all while the femoral trial component remains fixed to the distal femur.
Disclosed herein are systems for implanting anchors and method of use thereof. The systems and methods can include an anchor punch, an anchor inserter, and a controller. The anchor punch can include an anchor punch sensor. The anchor inserter can include an anchor inserter sensor. The controller can be in electrical communication with the anchor punch sensor and the anchor inserter sensor. The controller can be operative to perform operations that include receiving an anchor punch sensor signal from the anchor punch sensor, recommending a number of anchors to be implanted in the bone based on a first estimate of the bone quality, receiving an anchor inserter signal from the anchor inserter sensor, and recommending a number of additional anchors to be implanted in the bone based on a second estimate of the bone quality.
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets pour refermer les plaies ou les maintenir fermées, p.ex. agrafes chirurgicales; Accessoires utilisés en liaison avec ces opérations pour la suture des plaies; Supports ou emballages pour aiguilles ou matériaux de suture
A61B 17/06 - Aiguilles; Supports ou empaquetages pour aiguilles ou matériaux de suture
A61B 17/16 - Ostéoclastes; Forets ou ciseaux pour os; Trépans
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
Disclosed herein are suture systems and method of use thereof. The suture systems can include a passer, a needle, a first suture, and a second suture. The needle can be sized to pass through a cavity defined by the passer and define an attachment member. The first suture can include a first end, a second end, and a portion sized to be received by the attachment member and pass through the passer. The second suture can include a suture passage extending from a suture inlet to a suture exit. The first suture can be operable to pull a portion of the second suture at least partially around an anatomical structure. The second suture can be operable to reduce an anatomical structure when a first end of the second suture is passed through the suture passage.
A61B 17/06 - Aiguilles; Supports ou empaquetages pour aiguilles ou matériaux de suture
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets pour refermer les plaies ou les maintenir fermées, p.ex. agrafes chirurgicales; Accessoires utilisés en liaison avec ces opérations pour la suture des plaies; Supports ou emballages pour aiguilles ou matériaux de suture
Disclosed herein is an implant. The implant can include a body and a plurality of fixation members. The body can define an articular surface and a bone engaging surface opposite the articular surface. The bone engaging surface can define a groove that separates a first section of the bone engaging surface from a second section of the bone engaging surface. The plurality of fixation members can extend from the bone engaging surface.
Methods are provided for modifying a porous surface of an implantable medical device by subjecting the porous surface to a modified micro-arc oxidation process to improve the ability of the medical device to resist microbial growth, to improve the ability of the medical device to adsorb a bioactive agent or a therapeutic agent, and to improve tissue in-growth and tissue on-growth of the implantable medical device.
Disclosed herein is a suture for a surgical procedure that can include a body. The body can comprise an elongate strand. The body can have an aperture therethrough at a first portion of the elongate strand. A second portion of the elongate strand adjacent the first portion can be passed through the first aperture to create a feature along an exterior surface of the body.
A61B 17/06 - Aiguilles; Supports ou empaquetages pour aiguilles ou matériaux de suture
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets pour refermer les plaies ou les maintenir fermées, p.ex. agrafes chirurgicales; Accessoires utilisés en liaison avec ces opérations pour la suture des plaies; Supports ou emballages pour aiguilles ou matériaux de suture
Disclosed herein is a suture for a surgical procedure that can include a body. The body can comprise an elongate strand. The body can have an aperture therethrough at a first portion of the elongate strand. A second portion of the elongate strand adjacent the first portion can be passed through the first aperture to create a feature along an exterior surface of the body.
A61B 17/06 - Aiguilles; Supports ou empaquetages pour aiguilles ou matériaux de suture
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets pour refermer les plaies ou les maintenir fermées, p.ex. agrafes chirurgicales; Accessoires utilisés en liaison avec ces opérations pour la suture des plaies; Supports ou emballages pour aiguilles ou matériaux de suture
Various embodiments disclosed relate to an implant including a crosslinked iodine-infused polyethylene. In various embodiments, the implant can be made by exposing the polyethylene to a source of iodine such that the polyethylene is infused with iodine. In various embodiments, a method of preventing microbe formation on or around an implant includes implanting a crosslinked iodine-infused implant comprising polyethylene, wherein iodine is released gradually from the implant after the implantation.
A method and apparatus for reattaching soft tissue to a boney structure using an expanding suture anchor. The method can include providing a suture anchor and forming a cavity in the boney structure for receipt of the suture anchor. The method can also include coupling the soft tissue to a suture and coupling the suture to the suture anchor. The method can further include deploying the suture anchor to fix the suture to the suture anchor and the suture anchor to the cavity.
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets pour refermer les plaies ou les maintenir fermées, p.ex. agrafes chirurgicales; Accessoires utilisés en liaison avec ces opérations pour la suture des plaies; Supports ou emballages pour aiguilles ou matériaux de suture
40.
Methods for patient-specific shoulder arthroplasty
A method of determining an optimal position of a glenoid implant. The method includes identifying a center point of a patient's glenoid fossa based on an image of the patient's glenoid fossa; determining the optimal position of the glenoid implant based on the location of the center point relative to a medial point of the patient's scapula; and selecting orientation of an alignment pin based on the determined optimal glenoid implant position such that the glenoid fossa will be prepared to receive the glenoid implant at the optimal position when the glenoid fossa is prepared with a cutting device or guide coupled to the alignment pin.
Disclosed is a system (100) for inserting an adapter. The system can include a docking station (104) and an adapter inserter (102). The docking station can include a handle block (108), a push assembly, and a linkage (320) connecting knob push handle (120) to an engagement tube pull block (324). The engagement tube pull block (324) can extend from the linkage through a portion of the handle bock. The adapter inserter (102) can include a handle body (112), an engagement assembly (116), and a clamp (412). The handle body can be sized to fit in a first recess (110) defined by the handle block body. The engagement assembly (116) can extend from a second end of the handle body (112) and can be configured to engage the adapter (132) at a tip of the engagement assembly. The clamp (412) can be located within and proximate a second end of the handle body so as to engage a portion of the engagement assembly.
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets pour refermer les plaies ou les maintenir fermées, p.ex. agrafes chirurgicales; Accessoires utilisés en liaison avec ces opérations pour la suture des plaies; Supports ou emballages pour aiguilles ou matériaux de suture
Systems and methods for femoral medial condyle spherical center identification and tracking are described herein. Once the spherical center of the medial condyle is identified, the spherical center is tracked using a pin or internal reference. The spherical center may be used to provide a key kinematic motion reference, such as when the medial condyle is adjusted during a surgical procedure. The tracking may be used to provide optical tracking, inertial tracking, or other tracking. In contrast with surface-mounted optical trackers, the spherical center tracking is not lost during resection (e.g., removal) of a bone surface. Tracking the medial condyle spherical center may reduce or eliminate the need for a surface-mounted optical tracker or preoperative 3-D modeling or of the joint.
A61B 34/20 - Systèmes de navigation chirurgicale; Dispositifs 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
A61B 17/17 - Dispositifs de guidage pour les forets
A device configured for use during a surgical procedure. The device can optionally include any one or combination of a first foot and a spine. The first foot can form at least a first edge at a first longitudinal end of the device. The first foot can be configured to seat the device on a tissue of a patient. The spine can be connected to the first foot and can have a longitudinal length extending from first foot toward a second longitudinal end of the device. The spine can include an eyelet adjacent to but offset from the first foot.
An orthopedic device for a shoulder joint includes a patient-specific alignment guide. The alignment guide includes a cap having a three-dimensional engagement surface customized in a pre-operative plan by computer imaging to be complementary and closely mate and conform to a humeral head of a proximal humerus of a patient. The alignment guide includes a tubular element extending from the cap and defining a longitudinal guiding bore for guiding an alignment pin at a patient-specific position and orientation determined in the pre-operative plan, and an orientation feature on the cap. The orientation feature is designed to orient the cap relative to the humeral head when the orientation feature is aligned with a landmark of the proximal humerus.
A method of implanting a hip joint prosthesis into a patient can include obtaining image data of hip joint anatomy of the patient. Physical activities that the patient desires to participate in subsequent to implanting the hip prosthesis can be determined. A size and an initial placement of the hip joint prosthesis based on the image data can be determined. A desired range of motion of the hip joint prosthesis based on the determined physical activities can be determined. A plan can be created comprising a desired implanted location of the hip joint prosthesis and based on the desired range of motion. The plan can be incorporated onto a guide. The plan can be executed with the guide thereby implanting the hip joint prosthesis into the patient at the desired implanted position.
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 17/17 - Dispositifs de guidage pour les forets
Blood collection kit consisting primarily of syringes,
needles, anticoagulant, and concentration devices used to
separate cells, platelets, plasma, or proteins from blood
through centrifugation.
Blood collection kit consisting primarily of syringes,
needles, anticoagulant, and concentration devices used to
separate cells, platelets, plasma, or proteins from blood
through centrifugation.
A system and method for performing a procedure is disclosed. The procedure may include preparing one or more bones for a prosthetic implant. The method may include provide instructions to a user for using identified instruments to perform a procedure. Instructions and may be provided for settings of adjustable instruments.
A61B 34/20 - Systèmes de navigation chirurgicale; Dispositifs 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
G06F 30/00 - Conception assistée par ordinateur [CAO]
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets
G16H 50/50 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicales; TIC 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
(1) Blood collection kit consisting primarily of syringes, needles, anticoagulant, and concentration devices used to separate cells, platelets, plasma, or proteins from blood through centrifugation; all for use in the field of orthopedics only.
(1) Blood collection kit consisting primarily of syringes, needles, anticoagulant, and concentration devices used to separate cells, platelets, plasma, or proteins from blood through centrifugation.
An anchoring system includes an anchor including an anchor body and a distal member located at a distal end of the anchor body, the distal member having a suture receiving aperture; and an implant delivery device, comprising: a cannulated outer shaft, the cannulated outer shaft configured to engage a proximal end of the anchor body for driving the anchor into a bore; and an inner shaft slidably received in the cannulated outer shaft, wherein a distal end of the inner shaft is extendable distally beyond a distal end section of the cannulated outer shaft such that, when the cannulated outer shaft is engaging the proximal end of the anchor body, the distal end of the inner shaft is extendable through the anchor body to a distance beyond the distal end of the anchor body to engage a suture located within the suture receiving aperture, wherein the anchoring system is configured such that the suture can be tensioned at a location within the bore distal from the anchor body before the anchor body is implanted within the bore.
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets pour refermer les plaies ou les maintenir fermées, p.ex. agrafes chirurgicales; Accessoires utilisés en liaison avec ces opérations pour la suture des plaies; Supports ou emballages pour aiguilles ou matériaux de suture
Systems and methods may use an augmented reality device during a surgical procedure. The systems and methods may use an augmented reality display of an augmented reality device to present or project a virtual feature during a surgical procedure while permitting physical aspects of a surgical field to be viewed through the augmented reality display. The virtual feature may include aspects of a preoperative plan, a surgical device, an anatomical aspect of a patient, etc.
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
A61B 34/00 - Chirurgie assistée par ordinateur; Manipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
G06T 19/00 - Transformation de modèles ou d'images tridimensionnels [3D] pour infographie
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
A61F 2/46 - Outils particuliers pour l'implantation des articulations artificielles
A61B 34/20 - Systèmes de navigation chirurgicale; Dispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p.ex. pour la stéréotaxie sans cadre
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
57.
Methods and apparatuses for trialing a humeral head
A system for aligning components of a prosthetic includes a mounting plate, a fastener and an adapter coupling plate. The mounting plate comprises: a first major surface; a second major surface opposing the first major surface; an adapter accommodation hole extending through the mounting plate; and sizing indicia located on the second major surface. The fastener extends from the mounting plate. The adapter coupling plate comprises: a third major surface; a fourth major surface opposing the third major surface; an adapter coupling hole extending through the adapter coupling plate and surrounded by the adapter accommodation hole; and an indicator located on the fourth major surface to point to the sizing indicia on the mounting plate. The adapter coupling plate can be slidable along a slot surrounding the fastener or a tongue and groove system connecting the adapter coupling plate and the mounting plate and locked via the fastener.
A method of pre-operatively developing a reverse shoulder arthroplasty plan can include receiving an image of a patient shoulder comprising a humerus and a glenoid. The image can be segmented to develop a 3D shoulder model. Virtual surgery can be performed on the 3D shoulder model to generate a modified shoulder model. The virtual surgery can include resecting and reaming a virtual humerus of the 3D shoulder model, and reaming a virtual glenoid of the 3D shoulder model. Selection of a humeral implant and selection of a glenoid implant can be received. A virtual representation of the humeral implant can be implanted on the virtual humerus and a virtual representation of the glenoid implant on the virtual glenoid to virtually update the modified shoulder model. A range of motion of the patient shoulder can be determined and a reverse shoulder arthroplasty can be finalized based on the range of motion.
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
G16H 50/50 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicales; TIC 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
A61B 34/00 - Chirurgie assistée par ordinateur; Manipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
A surgical navigation system comprises a computer system, a tracking system and a projector. The computer system includes instructions for performing a surgical plan. The tracking system is electronically connected to the computer system and has a viewing area in which markers can be located within a three-dimensional space relative to the viewing area. The projector is electronically connected to the computer system and has a beam projectable into the viewing area to display a step of the surgical plan based on a location of a marker. A method for guiding a surgical instrument comprises tracking a surgical instrument within a three-dimensional space using a computer-operated tracking system, matching the surgical instrument to a step in a surgical plan for conducting the surgical procedure using the surgical instrument, and projecting a visual instruction into the three-dimensional space for the step in the surgical plan related to the instrument.
A61B 34/20 - Systèmes de navigation chirurgicale; Dispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p.ex. pour la stéréotaxie sans cadre
A61B 5/06 - Dispositifs autres que ceux à radiation, pour détecter ou localiser les corps étrangers
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
A fitting ring can be provided that is attachable to an edge of a liner for an acetabular shell. The fitting ring can include an alignment portion shaped or configured to engage a lip portion of the acetabular shell as the liner is inserted into the acetabular shell to center the liner and correct any pivoting of the liner relative to the acetabular shell. A driving force can be applied to the liner to drive the liner into the acetabular shell while the fitting ring guides the liner as the liner is inserted into the acetabular shell. Driving the liner into the acetabular shell can also cause the fitting ring to disengage from the liner.
Disclosed is a central augment. The central augment can include a body and a protrusion. The body can include a first curved surface shaped to interface with a central portion of a bone and a second surface opposite the first curved surface and defining a recess sized to receive a portion of a prosthetic component. The protrusion can extend from the second surface within the recess.
Blood collection kit consisting primarily of syringes, needles, anticoagulant, and concentration devices used to separate cells, platelets, plasma, or proteins from blood through centrifugation.
A glenoid implant is provided and may include a body portion and a stem portion. The stem portion may extend from the body portion along a longitudinal axis. The body portion may include an articular side and a bone-engaging side opposite the articular side. At least a portion of the bone-engaging side may be disposed at a non-parallel angle relative to at least a peripheral edge of the articulation side.
Blood collection kit consisting primarily of syringes, needles, anticoagulant, and concentration devices used to separate cells, platelets, plasma, or proteins from blood through centrifugation
Blood collection kit consisting primarily of syringes, needles, anticoagulant, and concentration devices used to separate cells, platelets, plasma, or proteins from blood through centrifugation
An orthopedic instrument for knee arthroplasty includes an anterior-posterior sizer assembly, a tensor assembly and a rotation mechanism. The sizer assembly includes a stylus, a sizer body including medial and lateral posterior feet extending substantially perpendicularly from the sizer body, and a sizer slider that can slide relative to the sizer body along a medial-lateral direction relative to a patient's knee. The tensor assembly includes a tensor frame having a central portion, medial and lateral wings extending at an angle from the central portion, and medial and lateral posterior feet extending substantially perpendicularly to the central portion. The rotation mechanism includes a portion coupled to the tensor frame of the tensor assembly and a portion coupled to the sizer body. The rotation mechanism is configured to rotate the medial and lateral posterior feet of the sizer body relative to the tensor frame toward a lateral side of the patient's knee.
A humeral cut guide member for resectioning or resurfacing a humeral head, including a bone-engagement member including a first patient-specific bone-engagement surface that is complementary and made to substantially mate and nest in only one position on a specific patient's humeral head; a registration member connected to the bone-engagement member including a second patient-specific bone engagement surface that is sized and made to substantially mate and nest in only one position with the specific patient's bicipital groove; and a cut guide plate connected to the bone-engagement member and defining an elongated slot.
Disclose herein are suture anchor constructs. The suture anchor constructs can include an anchor, a first suture, and a second suture. The anchor can include a post and a body. The body can define a central hole extending from a trailing end of the body along a central axis towards a leading end of the body. The first suture can have a first tail, a second tail, and a first intermediate portion located proximate the post. The second suture can have a third tail, a fourth tail, and a second intermediate portion secured to the post. The first, second, third, and fourth, tails can pass through the central hole.
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets pour refermer les plaies ou les maintenir fermées, p.ex. agrafes chirurgicales; Accessoires utilisés en liaison avec ces opérations pour la suture des plaies; Supports ou emballages pour aiguilles ou matériaux de suture
71.
Methods of modifying the porous surface of implants
Methods are provided for modifying a porous surface of an implantable medical device by subjecting the porous surface to a modified micro-arc oxidation process to improve the ability of the medical device to resist microbial growth, to improve the ability of the medical device to adsorb a bioactive agent or a therapeutic agent, and to improve tissue in-growth and tissue on-growth of the implantable medical device.
Described herein are examples of orthopedic drill bits and methods of preparing a bone of a living being for fixation. An example method includes coupling a drive attachment of a drill bit to a mounting attachment of a driver, and placing a guide at a desired location on the bone. The guide has an opening corresponding to an area of bone to be removed. The guide provides proper positioning and alignment for drilling a hole. With the guide in place, the method further includes aligning the drill bit with the opening on the guide and drilling a hole in the bone. Once the hole is drilled, the method includes de-coupling the drill bit from the driver, and bending the drill bit at the drive attachment while the drill bit is still in the bone. In some examples, additional method steps follow preparation of the hole.
Disclosed herein are bone plates, bone plate systems, and methods of use thereof that can include a bone plate that includes a plate frame and first and second anvils. The plate frame can have a first surface and define a first opening and a second opening. Each of the first and second anvils can include first and second plates, and a body located in between the first and second plates. The first plate can have a first surface arranged to rest against the first surface of the plate frame when the bone plate is implanted. The second plate can be sized to pass into each of the first and second openings. The body can define a through hole sized to receive a fastener. When the bone plate is implanted, the plate frame can be moveable relative to the first and second anvils.
Disclosure herein are knotless suture anchor constructs and methods of use thereof. The suture anchor constructs can include a bone anchor and a suture. The bone anchor can include a suture anchoring member and can define a cavity and a longitudinal passage extending from a trailing end of the bone anchor at least partially therethrough to the cavity. The suture anchoring member can be located in the cavity. The suture can be coupled to the suture anchoring member and can include a tensioning portion, a repair portion, and an intermediate portion. The intermediate portion can form a suture loop extending along the longitudinal passage.
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets pour refermer les plaies ou les maintenir fermées, p.ex. agrafes chirurgicales; Accessoires utilisés en liaison avec ces opérations pour la suture des plaies; Supports ou emballages pour aiguilles ou matériaux de suture
A61B 17/16 - Ostéoclastes; Forets ou ciseaux pour os; Trépans
A method of preparing a knee joint for a prosthesis in a patient includes mating a patient-specific three-dimensional curved inner surface of a femoral alignment guide onto a corresponding three-dimensional femoral joint surface of the patient. The patient-specific three-dimensional curved inner surface is preoperatively configured from medical scans of the knee joint of the patient. First and second holes are drilled into an anterior portion of the femoral joint surface through corresponding first and second guiding apertures of the femoral alignment guide.
Described is a femur fracture fixation device for treating a fractured, proximal end portion of a femur. The femur fracture fixation device comprises: an intramedullary nail; an extramedullary plate, including a main body portion for attachment to a lateral surface of the femur, and a posterior support portion extending from the main body portion for attachment to a posterior surface of the greater trochanter region of the femur; and a bone fastener, configured for insertion through an opening of the main body portion of the extramedullary plate, through an opening of the intramedullary nail, and into the head portion of the femur.
Various embodiments disclosed relate to an implant including a crosslinked iodine-infused polyethylene. In various embodiments, the implant can be made by exposing the polyethylene to a source of iodine such that the polyethylene is infused with iodine. In various embodiments, a method of preventing microbe formation on or around an implant includes implanting a crosslinked iodine-infused implant comprising polyethylene, wherein iodine is released gradually from the implant after the implantation.
Various embodiments disclosed relate to an implant including a crosslinked iodine-infused polyethylene. In various embodiments, the implant can be made by exposing the polyethylene to a source of iodine such that the polyethylene is infused with iodine. In various embodiments, a method of preventing microbe formation on or around an implant includes implanting a crosslinked iodine-infused implant comprising polyethylene, wherein iodine is released gradually from the implant after the implantation.
A patient-specific guide tool for guiding an object toward a glenoid face of a scapula of a patient for implantation of a shoulder prosthetic device is disclosed. The guide tool includes a guide portion that includes a guide surface. The guide surface is configured to guide movement of the object toward the glenoid face. Furthermore, the guide tool includes a patient-specific portion that is operably coupled to the glenoid portion. The patient-specific portion includes at least one patient-specific surface that is three-dimensionally contoured and that is configured to nest and closely conform to a corresponding surface of the scapula to thereby position the guide surface at a predetermined position relative to the glenoid face.
A glenoid implant comprises a body comprising: an articular surface and a scapula-engaging surface, the scapula-engaging surface including first and second portions angled relative to each other; and a fixation feature extending from the scapula-engaging surface. A method comprises: forming a planar bone surface at a glenoid using a guide pin; forming a first bore into the glenoid located near the guide pin; forming a second bore into the glenoid offset from the first bore; inserting an augment ream guide into the first and second bores; and forming an angled bone surface at the glenoid relative to the planar bone surface using the augment ream guide. A ream guide comprises: a base having first and second surfaces; a bone peg extending from the first surface; an alignment peg spaced from the bone peg; and a guide peg extending from the second surface at an oblique angle to the bone peg.
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 method of planning and preparing for a total knee arthroplasty procedure, the method comprising: generating three-dimensional models of a tibia and a femur of a patient; sizing the tibia and the femur to within a range based on the three-dimensional models; selecting a resection tool for each of the tibia and femur based on the three-dimensional models; and packaging the resection tools. A method of planning and preparing for a surgical procedure can comprise: generating a three-dimensional bone model for one or more bones; sizing the one or more bones based on the three-dimensional model; recording a surgical plan based on the three-dimensional bone model; selecting a first surgical tool for the one or more bone based on the surgical plan; and evaluating selection of a second surgical tool based on a performance parameter of the first surgical tool.
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
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
A self-adjusting suture construct can include a suture extending from a passive end to an active end. The passive end can include a first loop that the active end can be passed through to form a second loop. The active end can then be pulled to tighten the second loop around a portion of a patient's anatomy. The active end can be passed through an anchor and the anchor can be implanted to lock the tightened second loop.
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets pour refermer les plaies ou les maintenir fermées, p.ex. agrafes chirurgicales; Accessoires utilisés en liaison avec ces opérations pour la suture des plaies; Supports ou emballages pour aiguilles ou matériaux de suture
A failsafe for a transdermal apparatus for a prosthetic appendage can include a first plate, a second plate, and a breakaway connector. The first plate can have a central axis, a proximal portion, and a distal end. The distal end can be opposite the proximal portion, and the distal end can be securable with a prosthetic external to skin and can be configured to simulate an appendage of a patient. The second plate can be aligned with the central axis and can include a proximal end and a distal portion. The proximal end can be securable to a transdermal implant, and can extend proximally from the second plate. The distal portion can be opposite the proximal end, and the distal portion can be configured to interface with the proximal portion of the first plate. The breakaway connector can be couplable within the second plate and the first plate.
A plate assembly for attaching a bone flap to a skull is provided and may include a first plate member attached to the bone flap and a second plate member supported by the first plate member and movable between a retracted position and an extended position relative to the first plate member. The second plate member may be removed from a cut line between the bone flap and the skull in the retracted position and may extend over the cut line in the extended position.
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
87.
Method and apparatus for implanting a knee prosthesis
A method for preparing a femur for receiving a prosthesis. The method includes the following: fixing a femoral trial component to the femur; coupling a reamer bushing relative to the femoral trial component; reaming a cavity into the femur using the reamer bushing as a guide; coupling at least one of a modular femoral box trial and a stem adapter relative to the femoral trial component; trialing the femoral trial component with the articulating surface of the femoral trial component; and performing the coupling of the reamer bushing, the reaming of the cavity, the coupling of the at least one of the modular femoral box trial and stem adapter, and the trialing of the femoral trial component all while the femoral trial component remains fixed to the distal femur.
Disclosed is a system (100) for inserting an adapter. The system can include a docking station (104) and an adapter inserter (102). The docking station can include a handle block (108), a push assembly, and a linkage (320) connecting knob push handle (120) to an engagement tube pull block (324). The engagement tube pull block (324) can extend from the linkage through a portion of the handle bock. The adapter inserter (102) can include a handle body (112), an engagement assembly (116), and a clamp (412). The handle body can be sized to fit in a first recess (110) defined by the handle block body. The engagement assembly (116) can extend from a second end of the handle body (112) and can be configured to engage the adapter (132) at a tip of the engagement assembly. The clamp (412) can be located within and proximate a second end of the handle body so as to engage a portion of the engagement assembly.
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets pour refermer les plaies ou les maintenir fermées, p.ex. agrafes chirurgicales; Accessoires utilisés en liaison avec ces opérations pour la suture des plaies; Supports ou emballages pour aiguilles ou matériaux de suture
A61B 17/56 - Instruments ou procédés chirurgicaux pour le traitement des os ou des articulations; Dispositifs spécialement adaptés à cet effet
A61F 2/46 - Outils particuliers pour l'implantation des articulations artificielles
A61B 17/88 - Moyens ou procédés pour implanter ou pour extraire des dispositifs de fixation interne
A61B 50/30 - Récipients spécialement adaptés à l'emballage, la protection, la distribution, la collecte ou l'élimination des appareils ou des instruments chirurgicaux ou de diagnostic
A61B 50/20 - Récipients, étuis, mobilier ou supports spécialement adaptés aux appareils ou aux instruments chirurgicaux ou de diagnostic, p.ex. étuis stériles Équipements de support spécialement adaptés aux appareils ou aux instruments chirurgicaux ou de diagnostic
89.
Patient specific reconstructive glenoid systems and methods
A system for repairing a glenoid defect of a specific patient can include a patient-specific punch and a patient-specific shaping block. The patient-specific punch can form a patient-specific glenoid implant from a bone puck. The patient-specific shaping block can shape the patient-specific glenoid implant to match and fill a glenoid defect of a specific patient.
A bone plate including a main bone plate body having two opposing curved sections adapted for a clavicle; a bendable waist portion narrower than the main body of the bone plate; and a node at each end of the main body connected to the main body by a bridge portion which is narrower than the main body, wherein the bridge includes a cut-out relief portion on a bottom side of the bone plate.
A61B 17/88 - Moyens ou procédés pour implanter ou pour extraire des dispositifs de fixation interne
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
Systems including a provisional tibial prosthesis system are disclosed. The provisional system can include a tibial component, a base component, and a shim component. The tibial component can have a proximal surface and a distal surface, the distal surface can be configured to seat on a resected proximal surface of a tibia. The base component can have a proximal surface and can be configured to couple with the tibial component when disposed on the proximal surface thereof. The shim component can have a proximal surface and a distal surface. The proximal surface can be configured as an articulating surface sized and shaped to articulate with a femoral prosthesis and the distal surface can be configured to couple with the base component at the proximal surface thereof.
A bone reamer is provided and may include a shaft and a cutting element. The shaft may include a proximal end, a distal end, and a flexible portion. The flexible portion may be disposed between the proximal and distal ends. The cutting element may be carried by the shaft and may include a cutting surface facing the distal end of the shaft. The distal end of the shaft may be offset from the cutting surface.
Example implants, systems and methods using sensors for orthopedic surgical assessment and/or planning are described herein. An example system can include a wearable sensor device for pre-operative use by a patient before an orthopedic surgery to generate pre-operative sensor data. The system can also include an implantable sensor device (e.g., a bone implant) to generate and aggregate post-operative sensor data associated with the patient after the surgery. The system can retrieve the pre-operative sensor data and the post-operative sensor data and predict, analyze or assess an outcome of the surgery.
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC 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
G16Z 99/00 - Matière non prévue dans les autres groupes principaux de la présente sous-classe
A method of pre-operatively developing a reverse shoulder arthroplasty plan can include receiving an image of a patient shoulder comprising a humerus and a glenoid. The image can be segmented to develop a 3D shoulder model. Virtual surgery can be performed on the 3D shoulder model to generate a modified shoulder model. The virtual surgery can include resecting and reaming a virtual humerus of the 3D shoulder model, and reaming a virtual glenoid of the 3D shoulder model. Selection of a humeral implant and selection of a glenoid implant can be received. A virtual representation of the humeral implant can be implanted on the virtual humerus and a virtual representation of the glenoid implant on the virtual glenoid to virtually update the modified shoulder model. A range of motion of the patient shoulder can be determined and a reverse shoulder arthroplasty can be finalized based on the range of motion.
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
G16H 50/50 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicales; TIC 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
A61B 34/00 - Chirurgie assistée par ordinateur; Manipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
Porous regions are formed using selected additive manufacturing techniques. The porous regions can assist in fibro-inductive regions and/or osteo-inductive regions. A prosthetic member can be formed completely with the additive manufacturing technique and/or the additive manufacturing techniques can be used to form an augment portion that is added to the prosthetic member formed separately.
B33Y 30/00 - Appareils pour la fabrication additive; Leurs parties constitutives ou accessoires à cet effet
B33Y 80/00 - Produits obtenus par fabrication additive
B29C 64/165 - Procédés de fabrication additive utilisant une combinaison de matériaux solides et liquides, p.ex. une poudre avec liaison sélective par liant liquide, catalyseur, inhibiteur ou absorbeur d’énergie
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 64/135 - Procédés de fabrication additive n’utilisant que des matériaux liquides ou visqueux, p.ex. dépôt d’un cordon continu de matériau visqueux utilisant des couches de liquide à solidification sélective caractérisés par la source d'énergie à cet effet, p.ex. par irradiation globale combinée avec un masque la source d’énergie étant concentrée, p.ex. lasers à balayage ou sources lumineuses focalisées
B22F 10/28 - Fusion sur lit de poudre, p.ex. fusion sélective par laser [FSL] ou fusion par faisceau d’électrons [EBM]
97.
Backup kit for a patient-specific arthroplasty kit assembly
A method for preparing a backup kit for a plurality of patient-specific arthroplasty procedures scheduled at the same medical facility includes providing a database with data from completed arthroplasty procedures using patient-specific arthroplasty kits. The database includes comparisons between preoperatively planned implant size and intraoperatively implanted implant size. The method includes determining a statistically expected implant size deviation from a planned implant size for each implant included in a plurality of patient-specific arthroplasty kits prepared for a shipment to the medical facility using the database. A backup kit of backup implants is assembled for the shipment. The number and size of the backup implants is determined from the statistically expected implant size deviations.
A61B 17/17 - Dispositifs de guidage pour les forets
A61F 2/00 - Filtres implantables dans les vaisseaux sanguins; Prothèses, c.-à-d. éléments de substitution ou de remplacement pour des parties du corps; Appareils pour les assujettir au corps; Dispositifs maintenant le passage ou évitant l'affaissement de structures corporelles tubulaires, p.ex. stents
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
A61B 17/56 - Instruments ou procédés chirurgicaux pour le traitement des os ou des articulations; Dispositifs spécialement adaptés à cet effet
98.
Treatment of collagen defects using protein solutions
Methods of stimulating collagen production, including stimulation of chondrocyte production, at the site of a defect. Methods include administering to the site of a defect at least two proteins from the group IL-1ra, sTNF-RI, sTNF-RII, IGF-I, EGF, HGF, PDGF-AB, PDGF-BB, VEGF, TGF-β1, and sIL-1RII.
A method for pre-operative orthopedic planning includes obtaining only a high-resolution knee-joint scan of a patient, determining hip rotation center and ankle rotation center from anthropometric data based on personal data of the patient, and determining a mechanical axis of the knee joint based on the anthropometric data. The method also includes preparing at least a two-dimensional image model of the knee joint using the knee-joint scan and the determined mechanical axis, and preparing a pre-operative surgical plan based on the image of the knee joint.
A glenoid guide has an upper surface and a lower surface, wherein the lower surface is a patient-specific surface configured as a negative surface of a glenoid face based on a three-dimensional image of a shoulder joint of a patient reconstructed preoperatively from image scans of the shoulder joint of the patient. The glenoid guide includes an anatomic tubular drill guide extending from the upper surface along an anatomic alignment axis configured preoperatively with a patient-specific orientation and insertion location for guiding a glenoid implant into the glenoid face for anatomic shoulder arthroplasty. The glenoid guide includes a reverse tubular drill guide extending from the upper surface along a reverse alignment axis configured preoperatively with a patient-specific orientation and insertion location for guiding a glenoid baseplate into the glenoid face for reverse shoulder arthroplasty.
