Entries |
Document | Title | Date |
20080208198 | Osteochondral Implant Procedure and Device - A surgical procedure according to which a slotted film is positioned over an area of a bone to be milled; and a portion of a milling assembly is inserted in the defect, with another portion of the assembly extending through one of the slots so that the slot can be used as a guide to mill the bone. | 08-28-2008 |
20080208199 | Method and apparatus for performing an open wedge, high tibial osteotomy - An osteotomy implant for disposition in a wedge-shaped osteotomy opening in a bone, the implant comprising:
| 08-28-2008 |
20080208200 | Drilling guide for use in implanting a femoral neck fixation prosthesis - A femoral neck fixation prosthesis and method of using same which reduces bone loss and the avoids the other shortcomings of the prior art by allowing the fixation of a stable femoral head replacement while reducing the amount of the femur which must be reamed for the insertion of the prosthesis. The preferred embodiment provides that the femoral head is attached to a fixation prosthesis, which extends coaxially through the canal of the femoral neck, into the femur, and is then attached to the opposite lateral wall of the femur. In this manner, the prosthesis serves to imitate the original structure of the femoral neck. No other support members, either crosspins or arms extending into the length of the femur, are required. | 08-28-2008 |
20080215057 | Instrument for Preparing and/or Machining a Femoral Head - The invention relates to an instrument for preparing and/or machining a femoral head ( | 09-04-2008 |
20080228189 | Distal femoral cutting guide - A system locates a femoral cutting guide on a distal end of a femur. The femoral cutting guide establishes at least a first reference plane to perform a distal femoral planar cut. The system generally includes a mounting rod operable to insert into the distal end of the femur. An index member is operable to abut the distal end of the femur. A bridge member extends from the index member. A cutting guide member extends from the bridge member. The cutting guide member includes a first channel that establishes the first reference plane. A mounting mechanism releasably couples the cutting guide member to the bridge member. The mounting mechanism is operable to generate a sliding resistance between the bridge member and the cutting guide member that is generally overcome to position the cutting guide member relative to the femur. | 09-18-2008 |
20080228190 | IN SITU PATELLAR FIXING SYSTEM - Disclosed is a patellar cutting jig for use in a knee joint surgical procedure. The jig grips and holds a patella in situ in spatial reference to the femur to enable the appropriate cut to be made to the patella to accurately accommodate the patello-femoral gap at the replacement knee joint. The patella jig has a referencing component that provides a landmark connection between the patella jig and the femur which enables the patella clamp of the jig to be oriented relative to the reference feature prior to gripping the patella. Thus a patella held in the clamp is fixed in the cutting jig an appropriate orientation relative to the femur prior to its resection. Cutting the patella while it is referenced to the patellar groove on the femur increases the accuracy of the resection. | 09-18-2008 |
20080255566 | Osteochondral Autograft Transplantation Procedure and Apparatus - A surgical procedure according to which a cutting device is connected in a spaced relationship to an anchor, and the anchor is located over a first area of the bone. The distance between the cutting device and the anchor is adjusted so that the cutting device extends over a second area of the bone, and the anchor is driven into the first area of the bone so that the cutting device cuts into the second area. | 10-16-2008 |
20080262500 | Cutting guide with internal distraction - A cutting guide for performing a bone osteotomy procedure is disclosed. The cutting guide includes a first arm having a first cutting guide surface formed therein, a second arm having a second cutting guide surface formed therein pivotably connected to the first arm and a distractor operatively connected to the first arm. The cutting guide is adapted to be affixed to the bone such that the first cutting guide surface is open to the second cutting guide surface. The first arm and second arm are rotatable with respect to each other such that manipulation of the distractor creates a force between the first arm and the second arm causing rotation of the first arm and second arm relative to each other. A method for using the cutting guide in a bone osteotomy procedure is also disclosed. | 10-23-2008 |
20080275452 | Surgical Cutting Guide - The present invention is directed to a surgical cutting guide for guiding a surgical instrument along a cutting path located on a biological tissue. The surgical guide includes a contact surface that conforms to a surface associated with the tissue and at least one guide for restricting movement of a surgical instrument in a first direction and for allowing the movement of the surgical instrument in a second direction along a cutting path across the surface of the tissue. The guide further contains a stop for restricting movement of the surgical instrument in the second direction along the cutting path. The stop is based at least, in part, on patient specific information. | 11-06-2008 |
20080281329 | Patient Selectable Joint Arthroplasty Devices and Surgical Tools - A patellar 3-D guidance tool includes a template. The template includes at least one contact surface for engaging a surface of the patella. The at least one contact surface substantially conforms with the surface associated with the patellar. At least one guide aperture directs movement of a surgical instrument, wherein the shape and/or position of the guide aperture is based, at least in part, on three or more anatomic reference points associated with the patellar. | 11-13-2008 |
20080306484 | APPARATUS FOR KNEE SURGERY AND METHOD OF USE - The present invention comprises a set of instruments and a method for their use in preparing a knee joint to receive knee implants. The inventive instruments and method are generally suitable for knee joint surgery. Furthermore, they include features that make them suitable for performing a minimally invasive knee surgery in which a smaller than normal incision is made and oriented to preserve the quadriceps mechanism and protect the suprapatellar pouch. The instruments permit switching from a minimally invasive technique to a standard open technique at any point in the procedure. An illustrative set of instruments for total knee arthroplasty and an associated minimally invasive technique are described. | 12-11-2008 |
20080306485 | INSTRUMENTS FOR KNEE SURGERY AND METHOD UF USE - The present invention comprises a set of instruments and a method for their use in preparing a knee joint to receive knee implants. The inventive instruments and method are generally suitable for knee joint surgery. Furthermore, they include features that make them suitable for performing minimally invasive knee surgery. | 12-11-2008 |
20090024131 | PATIENT SPECIFIC GUIDES - A device for an orthopedic knee procedure. The device includes a drill guide having a body portion and first and second posts extending from the body portion, the first and second posts defining first and second internal through-bores, the first post having a first cross-sectional shape and the second post having a second cross-sectional shape different than the first cross-sectional shape of the first post. | 01-22-2009 |
20090043309 | SYSTEMS AND METHODS FOR GUIDING CUTS TO A FEMUR AND TIBIA DURING A KNEE ARTHROPLASTY - An assembly for guiding resection of a femur and tibia of a knee joint in preparation for installing a femoral and tibial knee components. For example, the assembly can include tibial and femoral IM rods to which are connected through a tensioning bolt that allows controlled adjustment of the distraction of the tibia and femur during cut positioning in a range of flexion angles. Also, the assembly is usable with relatively small, noninvasive approaches to the knee joint by way of relatively narrow, low profile components that attach to tibial and femoral IM rods. Further, the assembly includes several quick-release components to allow fast assembly and disassembly in a surgical setting. Each of these aspects, along with the ability of the assembly to accurately guide initial reference cuts to the tibia and femur, promotes an improved outcome for the patient. | 02-12-2009 |
20090043310 | ARTHROPLASTY SYSTEMS AND METHODS FOR OPTIMALLY ALIGNING AND TENSIONING A KNEE PROSTHESIS - A combination of a first assembly for guiding resection of a femur and tibia of a knee joint and a second assembly including femoral and tibial knee components. The combination of the first assembly and the second assembly provides optimal placement and positioning of the femoral and tibial knee components to achieve near-normal knee kinematics and tension. The preparation for and placement of the prosthetic knee components provides medial-pivoting kinematics mimicking that of the natural knee thereby promoting improved outcome for the patient. | 02-12-2009 |
20090076514 | Methods and apparatus for improved profile based resection - Alignment guides, cutting guides, cutting tools and soft tissue management techniques for profile based resection (PBR) arthroplasty facilitate intraoperative and postoperative efficacy and ease of use. In one embodiment, a manual alignment guide is provided that permits less invasive incisions by providing soft tissue accommodating contours or reliefs. In another embodiment, a single medial drill guide plate is used for the PBR arthroplasty. | 03-19-2009 |
20090088762 | MODULAR FEMORAL ORTHOPAEDIC SURGICAL INSTRUMENT - A femoral orthopaedic surgical instrument includes a posterior femoral trial having a cutting guide defined therein and an anterior femoral trial removably coupled to the posterior femoral trial. The anterior femoral trial may also include a cutting guide defined therein. The femoral orthopaedic surgical instrument may also include a base block couplable to the posterior femoral trial in place of the anterior femoral trial. A plurality of additional orthopaedic instruments may be coupled to the base block. | 04-02-2009 |
20090088763 | Customized Patient-Specific Bone Cutting Block with External Reference - A number of orthopaedic surgical instruments are also disclosed. A method, apparatus, and system for fabricating such instruments are also disclosed. | 04-02-2009 |
20090105709 | TOOL - An alignment guide for use in femoral head surgery. The guide includes a support arm and a cannulated rod supported by, and adjustable with respect to, the support arm. The guide also includes two jaws. The jaws include a superior jaw and an inferior jaw. Each jaw has a proximal end connected to the support arm and a distal end for clamping to the neck of the femur in use. At least one of the jaws is movable from a first open position to a second clamping position. A toothed block is located on the inferior jaw as a biting element on the inferior jaw to improve, in use, the clamping of the jaw with the neck of the femur. | 04-23-2009 |
20090125029 | Device for Aligning and Guiding Femoral Resection Guide and Femoral Implant Impactor - The present invention discloses a device for aligning and guiding a femoral resection guide and a femoral implant impactor, whereby the femoral resection guide and the femoral implant impactor are aligned perpendicular to the mechanical axes of the coronal plane and sagittal plane of the femur at the bottom end of the femur, and are guided so as to be rotation-aligned and mounted in parallel with a condyle axis connecting the inner condyle and outer condyle. The device comprises a main frame | 05-14-2009 |
20090131942 | Femoral Tibial Customized Patient-Specific Orthopaedic Surgical Instrumentation - A number of orthopaedic surgical instruments are also disclosed. A method, apparatus, and system for fabricating such instruments are also disclosed. | 05-21-2009 |
20090138020 | GENERATING MRI IMAGES USABLE FOR THE CREATION OF 3D BONE MODELS EMPLOYED TO MAKE CUSTOMIZED ARTHROPLASTY JIGS - Disclosed herein is a method of creating a customized arthroplasty jig. The method may include: generating two-dimensional MRI images of a patient's joint area to undergo arthroplasty; electronically orienting the two dimensional MRI image slices to account for the patient's joint area being randomly physically oriented in a scanning area of a MRI machine; generating a three-dimensional bone image of at least a portion of a bone of the patient's joint area from the generated two-dimensional MRI images; using the three-dimensional bone image to generate data pertaining to the customized arthroplasty jig, wherein the data includes bone surface information; providing the data to at least one manufacturing device; and employing the bone surface information to cause the at least one manufacturing device to create a surface on the arthroplasty jig configured to matingly receive a surface of the bone. | 05-28-2009 |
20090138021 | INSTRUMENT ASSEMBLY FOR USE IN KNEE JOINT REPLACEMENT SURGERY - An instrument assembly for use in knee joint replacement surgery is provided including a base instrument having a tibial plate, a femoral plate, a tibial arm having a plate end and a control end, a femoral arm having a plate end and a control end, wherein the femoral plate is rotatably fastened to the plate end of the femoral arm. The assembly also includes a distractor mechanism configured to act between the tibial arm and the femoral arm at a point between their respective plate ends and control ends by which the distance between the plate ends of the arms can be adjusted and an ancillary instrument mountable on the base instrument and configured such that the position of the ancillary instrument relative to the tibial plate is fixed during subsequent steps in the knee replacement procedure, while the knee joint is distracted as a result of forces applied across the joint between the tibial plate and the femoral plate. | 05-28-2009 |
20090143783 | FEMORAL SIZING GUIDE - An instrument for use in determining an anterior-posterior dimension of a femur during a minimally invasive surgical procedure includes a body having a base and a member extending upwardly from the base, said member providing a first part of a sliding mechanism. A stylus includes a stylus support providing a second part of a sliding mechanism which can engage with the member to allow relative sliding movement between the stylus and base, and a stylus member mounted on the stylus support. An implant size indicator interacts with the sliding mechanism to be moved relative to a scale by the member to indicate a size of an implant corresponding to the relative positions of the body and stylus. | 06-04-2009 |
20090157083 | SYSTEM AND METHOD FOR MANUFACTURING ARTHROPLASTY JIGS - Disclosed herein is a method of computer generating a three-dimensional surface model of an arthroplasty target region of a bone forming a joint. The method may include: generating two-dimensional images of at least a portion of the bone; generating an open-loop contour line along the arthroplasty target region in at least some of the two-dimensional images; and generating the three-dimensional model of the arthroplasty target region from the open-loop contour lines. | 06-18-2009 |
20090171360 | APPARATUS FOR LOADING TENDONS INTO THE KNEE - A surgical kit for loading ligament grafts into a joint. A longitudinal socket formed in a bone is intersected by a transverse pin. The kit includes a flexible strand that is drawn with a pin through the bone. The strand is positioned so that a looped portion of the strand protrudes out of the entrance to the longitudinal socket. The ends of the strand remaining accessible on either side of the bone. The ligament graft is captured within the strand loop protruding from the entrance to the socket. The strand is retracted into the socket, drawing the graft into the socket. The kit includes an implant for transversely fixing the graft in the socket. | 07-02-2009 |
20090216236 | DEVICE FOR ORIENTING THE TIBIAL TUNNEL POSITION DURING AN ACL RECONSTRUCTION - A device for positioning a tibial tunnel during ACL reconstruction is provided. The device includes a portion insertable into a pre-formed opening in the femur. Also provided is a method for positioning a tibial tunnel during ACL reconstruction. The method includes the steps of forming an opening in a femur bone, inserting a portion of a device into the opening, and using the device to position an opening in a tibia bone. | 08-27-2009 |
20090222014 | Patient Selectable Joint Arthroplasty Devices and Surgical Tools - Disclosed herein are tools for repairing articular surfaces repair materials and for repairing an articular surface. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty. | 09-03-2009 |
20090264890 | Tibial Resection Guide - A tibial resection guide. The tibial resection guide includes a support member having a longitudinal shaft, and a referencing guide coupled to the longitudinal shaft, the referencing guide defining a referencing slot. The tibial resection guide can also include a cutting guide coupled to the longitudinal shaft, the cutting guide defining a cutting slot, the cutting slot positioned at a fixed distance from the referencing slot, and an adjustment mechanism operable to move the referencing guide and the cutting guide along the longitudinal shaft without changing the fixed distance. | 10-22-2009 |
20090270869 | DISTRACTOR INSTRUMENT - A distractor instrument for use in knee joint surgery is provided that includes a tibial plate, a femoral plate, a tibial arm having a plate end and a control end, wherein the tibial plate is fastened to the plate end of the tibial arm at its anterior edge, and wherein, when the tibial plate is engaged with the tibia, the tibial arm is configured to extend from the tibial plate generally medially or laterally of the knee joint. The distractor instrument also includes a femoral arm having a plate end and a control end, wherein the femoral plate is fastened to the plate end of the femoral arm, and wherein, when the femoral plate is engaged with the femur, the femoral arm extends from the femoral plate generally aligned with the tibial arm. The tibial arm and the femoral arm are pivotably connected to one another at a point between their respective plate and control ends so that pivotal movement of the femoral arm relative to the tibial arm reduces the distance between their control ends and causes the distance between the tibial plate end and the femoral plate end to increase. | 10-29-2009 |
20090287217 | Method and apparatus for performing an open wedge, high tibial osteotomy - Apparatus for performing an open wedge, high tibial osteotomy, the apparatus comprising:
| 11-19-2009 |
20090306670 | Unicondylar Knee Instrument System - The present invention provides for an apparatus for cutting a tibia, a stylus, an apparatus for cutting a femur, an apparatus for aligning a femoral cutting guide, and an ankle clamp in support of a unicondylar knee surgery. The present invention further provides for a method of preparing a femoral condyle of a femur for the implantation of a unicondylar femoral knee implant. The apparatus for cutting a tibia includes a unicondylar tibial resection guide that is adjustably connectable to a unicondylar tibial alignment guide and configured to operate concurrently with the tibial alignment guide. The apparatus for cutting a femur includes a spacer block and a cutting guide configured to operate concurrently with the spacer block. | 12-10-2009 |
20090318924 | AMZ TIBIAL TUBEROSITY TRANSFER SYSTEM - An AMZ tibial tuberosity transfer system and method of treatment of patellofemoral joints. The AMZ system includes 1) a retractor with a better conformation to anatomy and more curve (not just a bend), and also with a larger radius on the front of the retractor to allow for easier insertion; 2) a cutting block that can fully accept a collared pin; 3) a rod preferably formed of stainless steel; 4) a tuberosity pin guide; 5) an exit indicator that engages tightly the cutting block so there is no slope on exit indication; and 6) a horizontal bar provided with markings to measure the medial shift. | 12-24-2009 |
20100049196 | TIBIAL GUIDE FOR ACL REPAIR HAVING INTERCHANGEABLE AND/OR ROTATABLE OUTRIGGER - A device for positioning a tibial tunnel during ACL reconstruction, the device comprising: a distal portion including a body and a distal arm extending from the distal end of the body, and an outrigger configured to be held by a user. The outrigger and the distal portion are selectively rotatable relative to each other such that the distal portion and the outrigger may be selectively moved out of alignment relative to each other when viewed from above. | 02-25-2010 |
20100049197 | TIBIAL GUIDE FOR ACL REPAIR HAVING LEFT/RIGHT DOCKING CONFIGURATION - A device for positioning a tibial tunnel during ACL reconstruction, the device that includes an elongated body having proximal and distal ends; and a distal arm extending from the distal end of the elongated body, a distal portion of the distal arm being configured for insertion into a pre-formed opening in a femur. The distal arm and the body are not aligned relative to each other when viewed from above. A pair of such devices, providing tunnel positioning for right and left knee surgeries, maybe provided in a set. | 02-25-2010 |
20100049198 | TIBIAL GUIDE FOR ACL REPAIR HAVING OFF-AXIS GUIDE WIRE ARRANGEMENT - A device for positioning a tibial tunnel during ACL reconstruction, the device comprising: a distal portion including a body and a distal arm extending from the distal end of the body; and an outrigger configured to be held by a user. The outrigger defines at least one lumen, preferably at least two lumen. Each lumen is configured to receive a guide wire therethrough. Each lumen is configured to position a guide wire inserted through the lumen and the distal portion so as to be misaligned relative to each other when viewed from above. | 02-25-2010 |
20100049199 | TIBIAL GUIDE FOR ACL REPAIR HAVING MOVEABLE DISTAL FEATURES - A device for positioning a tibial tunnel during ACL reconstruction is provided. The device may include an elongated body having proximal and distal ends, an arm extending from the distal end of the elongated body. A distal portion of the arm may be configured for insertion into a preformed opening in a femur. The arm and the body may be moveable relative to each other. Also, the device may include an additional member that is moveable relative to the arm and the body. | 02-25-2010 |
20100057088 | Distal Femoral Cutting Guide - An apparatus for resecting the distal face of either the left or right femur at a predetermined valgus angle relative to the patient's intramedullary canal prior to implanting the femoral component of a total knee prosthesis. The apparatus has a distal elongate sword having a longitudinal axis and being adapted for insertion into the intramedullary canal of the femur. A proximal handle is connected to and has a longitudinal axis coaxial with the sword. A base cartridge is fixed intermediate the sword and handle and has an axial passage extending therethrough. A face plate is fixed at the distal end of the base cartridge and is adapted to abut the face of the natural distal femur. The face plate is oriented at the predetermined valgus angle relative to the longitudinal axis of the sword. A cutting jig connects to the base cartridge. The cutting jig has a guide plate with at least one blade slot adapted to receive and guide a cutting blade, and a bracket that supports the guide plate and detachably engages the axial passage and orients the at least one blade slot at the predetermined valgus angle relative to the longitudinal axis. | 03-04-2010 |
20100063508 | SYSTEMS AND METHODS FOR JOINT REPLACEMENT - Systems and methods for joint replacement are provided. The systems and methods include a surgical orientation device and at least one orthopedic fixture. The surgical orientation device and orthopedic fixtures can be used to locate the orientation of an axis in the body, to adjust an orientation of a cutting plane or planes along a bony surface, to distract a joint, or to otherwise assist in an orthopedic procedure or procedures. | 03-11-2010 |
20100063509 | SYSTEMS AND METHODS FOR JOINT REPLACEMENT - Systems and methods for joint replacement are provided. The systems and methods include a surgical orientation device and at least one orthopedic fixture. The surgical orientation device and orthopedic fixtures can be used to locate the orientation of an axis in the body, to adjust an orientation of a cutting plane or planes along a bony surface, to distract a joint, or to otherwise assist in an orthopedic procedure or procedures. | 03-11-2010 |
20100069911 | SYSTEMS AND METHODS FOR JOINT REPLACEMENT - Systems and methods for joint replacement are provided. The systems and methods include a surgical orientation device and at least one orthopedic fixture. The surgical orientation device and orthopedic fixtures can be used to locate the orientation of an axis in the body, to adjust an orientation of a cutting plane or planes along a bony surface, to distract a joint, or to otherwise assist in an orthopedic procedure or procedures. | 03-18-2010 |
20100082034 | IMPLANT DESIGNS, APPARATUS AND METHODS FOR TOTAL KNEE RESURFACING - A ligament and bone conserving prosthesis for total knee resurfacing includes a distal femoral component which resurfaces the weight bearing portions of both femoral condyles and the trochlear groove. The prosthesis also includes implants to independently resurface the medial and lateral tibial plateaus in an inset manner. Also disclosed are apparatus and methods for performing the total knee resurfacing utilizing a minimally invasive, bone and ligament conserving manner. | 04-01-2010 |
20100087824 | High tibial osteotomy instrumentation - An apparatus to aid in cutting a bone during a bone osteotomy procedure, including a frame having a first bushing, a first fixation pin, and an adjustment screw. The apparatus further includes a side plate attached to the frame and moveable with respect thereto, the side plate having a second bushing and a second fixation pin. In addition, the apparatus includes a drill block assembly releasably attached to the side plate and moveable with respect thereto, the drill block having a third bushing and a hinge pin. | 04-08-2010 |
20100094300 | APPARATUS FOR KNEE SURGERY AND METHOD OF USE - The present invention comprises a set of instruments and a method for their use in preparing a knee joint to receive knee implants. The inventive instruments and method are generally suitable for knee joint surgery. Furthermore, they include features that make them suitable for performing a minimally invasive knee surgery in which a smaller than normal incision is made and oriented to preserve the quadriceps mechanism and protect the suprapatellar pouch. The instruments permit switching from a minimally invasive technique to a standard open technique at any point in the procedure. An illustrative set of instruments for total knee arthroplasty and an associated minimally invasive technique are described. | 04-15-2010 |
20100137869 | SYSTEMS AND METHODS FOR JOINT REPLACEMENT - Systems and methods for joint replacement are provided. The systems and methods include a surgical orientation device and at least one orthopedic fixture. The surgical orientation device and orthopedic fixtures can be used to locate the orientation of an axis in the body, to adjust an orientation of a cutting plane or planes along a bony surface, to distract a joint, or to otherwise assist in an orthopedic procedure or procedures. | 06-03-2010 |
20100145344 | METHOD AND SYSTEM FOR COMPUTER ASSISTED SURGERY FOR BICOMPARTMENTAL KNEE REPLACEMENT - A method of resecting distal and anterior portions of a distal portion of a femur for a bicompartmental prosthesis is provided. The method includes generating a geometric representation of the distal portion of the femur. A virtual anterior resection plane is calculated at a predetermined depth and is oriented at a predetermined angle relative to the femur. The method identifies a distal-most point of a lateral portion of the virtual anterior resection plane and an AP line. A varus/valgus angle and an anterior-posterior distance are calculated. Anterior and distal resection guides are navigated according to the parameters calculated from the method. | 06-10-2010 |
20100145345 | METHOD AND APPARATUS FOR PERFORMING AN OPEN WEDGE, HIGH TIBIAL OSTEOTOMY - The present invention comprises a novel method and apparatus for performing an open wedge, high tibial osteotomy. More particularly, the present invention comprises the provision and use of a novel method and apparatus for forming an appropriate osteotomy cut into the upper portion of the tibia, manipulating the tibia so as to open an appropriate wedge-like opening in the tibia, and then mounting an appropriately-shaped implant at the wedge-like opening in the tibia, so as to stabilize the tibia with the desired orientation, whereby to reorient the lower portion of the tibia relative to the tibial plateau and hence adjust the manner in which load is transferred from the femur to the tibia. | 06-10-2010 |
20100160917 | Joint Arthroplasty Devices and Surgical Tools - Disclosed herein are methods, compositions and tools for repairing articular surfaces repair materials and for repairing an articular surface. The articular surface repairs are customizable or highly selectable by patient and geared toward providing optimal fit and function. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty. | 06-24-2010 |
20100160918 | Method for Performing Bone Cutting - A guide for cutting a bone comprising an anterior portion and a distal portion orientated at about a right angle to the anterior portion. The distal portion includes a guiding side, a distal surface at the guiding side, a box-cut shaped opening defined by the guiding side, a plurality of first cutting surfaces disposed at the guiding side at an acute angle relative to the distal surface of the guiding side operable to guide a cutting device to the bone to form chamfer cuts in the bone, and a second cutting surface disposed at the guiding side at least about a right angle to the distal surface operable to guide a cutting device to the bone to form a posterior cut in the bone. | 06-24-2010 |
20100168753 | ORTHOPAEDIC CUTTING BLOCK HAVING A CHEMICALLY ETCHED METAL INSERT AND METHOD OF MANUFACTURING - An orthopaedic surgical instrument comprising an orthopaedic cutting block includes a metallic bearing insert configured to support a bone cutting tool and a body molded to the bearing insert. The bearing insert includes a plurality of chemically etched holes, and the body is molded to the bearing insert such that each of the plurality of chemically etched holes is at least partially filled by a portion of the body. The body of the orthopaedic cutting block may include a bone-facing surface adapted to contact a portion of a patient's bone, and the bearing insert may be positioned to allow a surgeon to perform a cut on the patient's bone using the bearing insert for support. A method of manufacturing an orthopaedic surgical instrument is also disclosed. | 07-01-2010 |
20100168754 | Joint Arthroplasty Devices and Surgical Tools - Disclosed herein are methods, compositions and tools for repairing articular surfaces repair materials and for repairing an articular surface. The articular surface repairs are customizable or highly selectable by patient and geared toward providing optimal fit and function. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty. | 07-01-2010 |
20100185202 | CUSTOMIZED PATIENT-SPECIFIC PATELLA RESECTIONING GUIDE - A customized patient-specific patella resectioning guide is disclosed. The customized patient-specific patella resectioning guide includes a body and a cutting guide coupled to the body. The body includes a customized patient-specific negative contour configured to receive a portion of the posterior side of a patient's patella. The cutting guide may be a captured or non-captured cutting guide. A method for fabricating and using such orthopaedic guides is also disclosed. | 07-22-2010 |
20100185203 | FEMORAL PROSTHETIC IMPLANT - Methods and apparatus for knee arthroplasty, including implants, positioning and alignment guides, cutting guides, cutting tools and techniques for the femur and/or tibia. | 07-22-2010 |
20100191244 | SURGICAL TEMPLATES - A surgical template system for use in working on a bone comprises: a tool guide block comprising at least one guide aperture for receiving and guiding a tool to work on a bone; locating means comprising a plurality of locating members, each member having a respective end surface for positioning against a surface of the bone; and attachment means for non-adjustably attaching the tool guide block to the locating means such that, when attached, the member end surfaces are secured in fixed position with, respect to each other, for engaging different respective portions of the surface of the bone, and the at least one guide aperture is secured in a fixed position with respect to the end surfaces. Corresponding methods of manufacturing a surgical template system, methods of manufacturing locating means for a surgical template system, methods of fitting a prosthesis to a bone, surgical methods, and surgical apparatus are described. | 07-29-2010 |
20100191245 | Trochlear Resurfacing System and Method - A system for repairing a defect on an articular surface of a patient's trochlear region, the system comprising a guide block comprising a body having an exterior surface configured to engage with the saddle portion and ridge portions of the patient's trochlear region, a protrusion extending generally from the body and configured to be received in a first bore formed in the articular surface along a reference axis, and a first cavity extending through the body configured to establish a first working axis displaced from the reference axis, wherein the exterior surface of the body and the protrusion are configured to secure the location of the guide block about the patient's trochlear region. A method for preparing an implant site in bone, comprising: establishing a reference axis extending from the bone; creating a bore in the bone by reaming about the reference axis; securing a guide block about the articular surface; establishing a first working axis extending from the bone using the guide block, the first working axis is displaced from the reference axis; and creating a first socket in the bone by reaming about the first working axis, wherein the first socket partially overlaps with the bore. | 07-29-2010 |
20100211077 | SURGICAL UNIVERSAL POSITIONING BLOCK AND TOOL GUIDE - A positioning block for use in knee surgery includes a rotational mounting removably engageable to the bone element by a multi-axial fastener such that the mounting element is selectively rotatable relative to the bone element about at least two substantially perpendicular axes of rotation. A guide body portion is engaged with the rotational mounting element such that it is translatable relative thereto along while being rotationally fixed relative to the mounting element. The guide body portion is moveable relative to the bone element in at least three degrees of freedom, the three degrees of freedom including at least two rotational degrees of freedom and at least one translational degree of freedom. A trackable member on the guide body portion is identified and tracked by a computer assisted surgery system. | 08-19-2010 |
20100241126 | DEVICE AND METHOD FOR INSTALLING FEMORAL PROSTHETIC KNEE JOINT - Devices and method for performing replacement prosthetic knee surgery are disclosed in which a spacing means is introduced between the femur ( | 09-23-2010 |
20100249789 | METHOD FOR PERFORMING AN ORTHOPAEDIC SURGICAL PROCEDURE - A method for performing an orthopaedic surgical procedure on a knee joint of a patient includes resecting a proximal end of a patient's tibia to create a resected surface of the patient's tibia and positioning a tibial paddle of a sensor module on the proximal end of the patient's tibia. The tibial paddle includes a sensor array generating sensor signals indicative of the joint force of the patient's knee joint. The method also includes performing a number of orthopaedic surgical steps while monitoring a display of the sensor module that provides a visual indication of the medial-lateral balance of the joint force of the patient's knee joint. | 09-30-2010 |
20100268240 | ADJUSTABLE SURGICAL CUTTING SYSTEMS - Adjustable and modular systems, devices and methods for accurately cutting or resecting bones during surgery, particularly in preparation for installing joint implants during arthroplasties, including, but not limited to, preparation of femur or tibia during knee arthroplasties, such as total knee arthroplasty. The embodiments of the present invention provide solutions for adjusting a position of the cutting guides, or structures for guiding or directing the implements for resecting a patient's bone tissue, such as saws. The systems and devices comprise an adjustor for adjusting the cutting guide's position at the patient's bone in at least one degree of rotational freedom and in at least one degree of translational freedom. | 10-21-2010 |
20100286699 | BONE RESECTION APPARATUS AND METHOD FOR KNEE SURGERY - A bone resection apparatus and its method of use for knee surgery are presented. In one aspect of the invention, the apparatus includes a spacer and a tibial cut guide. The spacer has a first surface engageable with the cut distal femoral bone and a second surface opposite the first surface engageable with the uncut proximal tibial bone in joint articulating relationship. The spacer further includes a cut guide support. The tibial cut guide has a cutter guide defining a cut plane and a support engaging element engageable with the cut guide support. The cut guide support and support engaging element cooperate to position the cut plane in relative to the first surface. | 11-11-2010 |
20100305574 | Patient Selectable Joint Arthroplasty Devices and Surgical Tools - A patellar 3-D guidance tool includes a template. The template includes at least one contact surface for engaging a surface of the patella. The at least one contact surface substantially conforms with the surface associated with the patellar. At least one guide aperture directs movement of a surgical instrument, wherein the shape and/or position of the guide aperture is based, at least in part, on three or more anatomic reference points associated with the patellar. | 12-02-2010 |
20100305575 | Methods and Apparatus for Performing Knee Arthroplasty - Methods and apparatus for performing knee arthroplasty, including, but not limited to, bicruciate retaining knee arthroplasty, are described herein. Methods and apparatus for preparing a distal femur for a femoral implant as well as methods and apparatus for preparing a proximal tibia for a tibial implant are described. These methods and apparatus, in at least some embodiments and uses, facilitate decreasing the complexity of knee arthroplasty procedures such as bicruciate retaining procedures, while maintaining, if not improving on, the safety, accuracy and/or effectiveness of such procedures. | 12-02-2010 |
20100318089 | METHOD AND APPARATUS FOR LESS INVASIVE KNEE RESECTION - Various method and apparatuses may be used to perform a procedure, such as a resection of a portion of the anatomy for preparation of the implants of a prosthetic. Various resecting member, including saw blades having selected geometries and shapes, can be used to assist in the resection of an anatomy to provide for implantation of a prosthetic. In addition, a cutting block assembly may be used to guide the resecting member. The cutting block assembly may be moveably mounted relative to the portion to be resected. | 12-16-2010 |
20100318090 | LINKED TIBIAL RESECTION GUIDE - An improved resection guide and method using same are disclosed. The guide is preferably utilized in resecting the tibia during either a single or double unicondylar type procedure. Preferably, the guide allows for linked resection of the tibia while also being capable of conforming to many different patient sizes. This may also allow for a more precise resection to be accomplished. | 12-16-2010 |
20100331847 | Methods and Apparatus for Performing Knee Arthroplasty - Methods and apparatus for performing knee arthroplasty, including, but not limited to, bicruciate retaining knee arthroplasty, are described herein. Methods and apparatus for preparing a distal femur for a femoral implant as well as methods and apparatus for preparing a proximal tibia for a tibial implant are described. These methods and apparatus, in at least some embodiments and uses, facilitate decreasing the complexity of knee arthroplasty procedures such as bicruciate retaining procedures, while maintaining, if not improving on, the safety, accuracy and/or effectiveness of such procedures. | 12-30-2010 |
20100331848 | Methods and Apparatus for Performing Knee Arthroplasty - Methods and apparatus for performing knee arthroplasty, including, but not limited to, bicruciate retaining knee arthroplasty, are described herein. Methods and apparatus for preparing a distal femur for a femoral implant as well as methods and apparatus for preparing a proximal tibia for a tibial implant are described. These methods and apparatus, in at least some embodiments and uses, facilitate decreasing the complexity of knee arthroplasty procedures such as bicruciate retaining procedures, while maintaining, if not improving on, the safety, accuracy and/or effectiveness of such procedures. | 12-30-2010 |
20110034933 | LIGAMENT RECONSTRUCTION GUIDE ASSEMBLY AND METHODS OF USE - One embodiment of a ligament reconstruction guide assembly comprises a bracket, a cannulated guide and a reference element. These assembly elements are combined and shaped in a manner that permit a surgeon to carefully position a bone tunnel in a ligament reconstruction procedure extending from a posterior position to the knee to an anterior position relative to the knee. The bone tunnel is positioned by the reference element posterior to the knee to an anterior position relative to the knee positioned by the cannulated guide. This combination and shape allows proper positioning of a drill and tunnel and reduces the possibility of wounds to the posterior elements of the knee during tunnel creation. | 02-10-2011 |
20110040302 | ADJUSTABLE SURGICAL INSTRUMENT - A surgical instrument is described which comprises an alignment guide having a first part including a distal end and a second part having a proximal end. The first part is attached to the second part by a pivot mechanism so that the first part can be tilted relative to the second part. A brace is attached toward the proximal end of the alignment guide for attaching the instrument to a limb of a patient. A component is attached toward the distal end of the alignment guide. The pivot mechanism is configured so that tilting the first part does not substantially change the separation between the component and the brace. | 02-17-2011 |
20110046629 | ADJUSTABLE FEMORAL RESECTION GUIDE - A chamfer resection guide assembly for a distal total knee implant has an anchor member for anchoring into a resected distal surface of a femur, a block member including one or more cutting guide slots for guiding a cutting tool for making chamfer resections and a camming member. The camming member operably connects the block member and the anchor member and the position of the block member with respect to the anchor member is adjusted by operation of the camming member thus allowing adjustment of the position of the cutting guide slots with respect to the anchoring member. | 02-24-2011 |
20110060340 | IMPLANTS WITH TRANSITION SURFACES AND RELATED PROCESSES - Implants, and processes for installing them, which replace the medial condyle and portions of the patellofemoral channel but preferably not portions of the lateral condyle that articulate relative to the tibia. Processes are provided which allow proper location and orientation of an anterior resection and a distal resection on the femur, which make use of a transition point which can be designated on the bone, for navigating proper positioning of such implants. Proper positioning of the implant relative to the femur for insuring a smooth transition between lateral portions of the implant and the lateral condyle is thus reduced to determining proper medial/lateral location of the implant on the anterior and distal resections. Such implants and processes can allow, among other things, for controlled location and orientation of an implant on the bone which saves lateral compartment bone, which eliminates the need to sacrifice the anterior and posterior cruciate ligaments, and which is adapted for minimally invasive surgery with its attendant benefits. | 03-10-2011 |
20110071528 | Systems Using Imaging Data to Facilitate Surgical Procedures - Systems and processes for tracking anatomy, instrumentation, trial implants, implants, and references, and rendering images and data related to them in connection with surgical operations, for example total knee arthroplasties (“TKA”). These systems and processes are accomplished by using a computer to intraoperatively obtain images of body parts and to register, navigate, and track surgical instruments. | 03-24-2011 |
20110071529 | SYSTEMS USING IMAGING DATA TO FACILITATE SURGICAL PROCEDURES - Systems and processes for tracking anatomy, instrumentation, trial implants, implants, and references, and rendering images and data related to them in connection with surgical operations, for example total knee arthroplasties (“TKA”). These systems and processes are accomplished by using a computer to intraoperatively obtain images of body parts and to register, navigate, and track surgical instruments. | 03-24-2011 |
20110071530 | Total knee arthroplasty systems and processes - Systems and processes for tracking anatomy, instrumentation, trial implants, implants, and references, and rendering images and data related to them in connection with surgical operations, for example total knee arthroplasties (“TKA”). These systems and processes are accomplished by using a computer to intraoperatively obtain images of body parts and to register, navigate, and track surgical instruments. | 03-24-2011 |
20110071531 | SYSTEMS USING IMAGING DATA TO FACILITATE SURGICAL PROCEDURES - Systems and processes for tracking anatomy, instrumentation, trial implants, implants, and references, and rendering images and data related to them in connection with surgical operations, for example total knee arthroplasties (“TKA”). These systems and processes are accomplished by using a computer to intraoperatively obtain images of body parts and to register, navigate, and track surgical instruments. | 03-24-2011 |
20110071532 | Systems Using Imaging Data to Facilitate Surgical Procedures - Systems and processes for tracking anatomy, instrumentation, trial implants, implants, and references, and rendering images and data related to them in connection with surgical operations, for example total knee arthroplasties (“TKA”). These systems and processes are accomplished by using a computer to intraoperatively obtain images of body parts and to register, navigate, and track surgical instruments. | 03-24-2011 |
20110071533 | Patient-Specific Orthopedic Instruments - An orthopedic device includes a patient-specific alignment guide operable for preparing a bone of a patient for resection during joint arthroplasty. The alignment guide includes a patient-specific bone engagement surface complementary to a surface of the bone of the patient and imaged from a bone scan of the patient. The alignment guide includes a plurality of guiding bores, and a plurality of alignment pins received through corresponding guiding bores for attaching the alignment guide to the bone. The alignment pins are resorbable and can be cut off during a resection of the bone. | 03-24-2011 |
20110092977 | LOW PROFILE PATIENT SPECIFIC CUTTING BLOCKS FOR A KNEE JOINT - A low profile patient specific cutting block for a knee comprises a plurality of bone interfacing portions and a cutting slot. The plurality of bone interfacing portions are configured to overlie portions of an end of a bone. The bone interfacing portions each have a surface generally a negative of the portion of the bone the bone interfacing portion overlies. The bone interfacing portions are angularly offset from each other such that a first of the bone interfacing portions overlies an anterior portion of the bone and a second of the bone interfacing portions overlies a portion of bone generally perpendicular to the anterior portion of hone. The cutting slot is oriented in a fixed position relative to the bone interfacing portions such that the cutting slot directs a cutting tool at a fixed angle and at a fixed depth from the bone interfacing portions. | 04-21-2011 |
20110092978 | SYSTEMS AND METHODS FOR FACILITATING SURGICAL PROCEDURES INVOLVING CUSTOM MEDICAL IMPLANTS - Systems and methods for planning surgical procedures involving custom medical implants that can involve the selection, design and/or creation of custom medical implants and/or the selection, modification, and/or design of custom surgical procedures related to those implants. Certain embodiments allow implants to be selected, designed, created, or otherwise customized and then placed in patients using non-standard surgical techniques. The invention provides greater flexibility in implant use by allowing a surgeon to revise, create, or otherwise select surgical techniques for custom implants and, ultimately, provide better treatment in a greater variety of medical circumstances. Certain embodiments of the invention involve computer assisted surgery to provide for implant-related surgery involving non-standard surgical steps and/or implants. | 04-21-2011 |
20110106091 | KNEE ARTHROPLASTY APPARATUS AND METHOD - A method for positioning a bone cutting guide on a tibia may involve coupling a cutting guide positioning apparatus with a tibia, adjusting the positioning apparatus in a varus/valgus orientation, adjusting the positioning apparatus in an anterior/posterior orientation, adjusting the positioning apparatus up or down to select a tibial bone resection level, and contacting a cutting guide with the tibia, using the adjusted positioning apparatus. | 05-05-2011 |
20110106092 | BONE POSITIONING DEVICE AND METHOD - A method for positioning a bone cut on a bone may involve: coupling a bone cut positioning apparatus with a body bone; adjusting the positioning apparatus in a varus/valgus orientation relative to the body bone; adjusting the positioning apparatus in an anterior/posterior orientation relative to the body bone; and adjusting the positioning apparatus up or down to select a bone resection level. | 05-05-2011 |
20110106093 | PATIENT-SPECIFIC MILL GUIDE - A patient-specific surgical system, such as a patient-specific milling guide, is provided for preparing a bone to receive an orthopedic prosthesis. | 05-05-2011 |
20110112542 | ADJUSTABLE REVISION GUIDE - An axial height adjustable, revision cutting in the shape of a final distal femur implant component. The revision guide includes a rod adapted for intimate contact within an intramedullary canal of a femur, and includes a threaded passageway. The revision cutting guide is adapted for removable attachment to a distal portion of the femur. A vernier-bolt is rotatably positioned through the shaped body of the revision cutting guide so as to be adjustably received within the threaded passageway thereby providing for movement of the shaped body of the revision cutting guide relative to the distal portion of the femur. | 05-12-2011 |
20110130762 | Method for Less Invasive Knee Resection - Various method and apparatuses may be used to perform a procedure, such as a resection of a portion of the anatomy for preparation of the implants of a prosthetic. Various resecting member, including saw blades having selected geometries and shapes, can be used to assist in the resection of an anatomy to provide for implantation of a prosthetic. In addition, a cutting block assembly may be used to guide the resecting member. The cutting block assembly may be moveably mounted relative to the portion to be resected. | 06-02-2011 |
20110137316 | Total Knee Arthroplasty Method - A total knee arthroplasty (TKA) set that includes a universal cutting jig for shaping the distal femur is disclosed, along with corresponding TKA methods. The universal cutting jig may be used to create a shaped femur that can receive multiple and different TKA implant designs. A universal high flexion knee system adapted for left-right use is also disclosed. | 06-09-2011 |
20110166578 | ALIGNMENT GUIDES WITH PATIENT-SPECIFIC ANCHORING ELEMENTS - An orthopedic device for joint arthroplasty includes an alignment guide and a number of patient-specific anchoring elements. The alignment guide can be mounted on a bone of a patient during joint arthroplasty. The patient-specific anchoring elements extend from an inner surface of the alignment guide and have a patient-specific length relative to an outer bone surface of the bone of the patient. | 07-07-2011 |
20110213376 | Patient-Specific Osteotomy Devices and Methods - An osteotomy method includes attaching a patient-specific osteotomy guide to a corresponding surface of a tibia of a patient and making an osteotomy at a patient-specific orientation through a resection slot of the osteotomy guide. The osteotomy guide is removed and first and second faces of the osteotomy are opened to form an implant insertion angle. The first and second faces of the osteotomy are secured at the implant insertion angle and an osteotomy implant having a patient-specific wedge angle that is smaller than the implant insertion angle is implanted. The first and second faces of the osteotomy are brought to the patient-specific wedge angle and in contact with the osteotomy implant. | 09-01-2011 |
20110218541 | FEMORAL CUT GUIDE - The present disclosure provides a femoral cut guide for preparing a distal femur to receive a prosthetic femoral component of a knee implant. The prosthetic femoral component includes a central box. The femoral cut guide replicates the size and shape of the prosthetic femoral component, such that the femoral cut guide may serve as a trial or provisional component used to reduce and test the prepared knee joint before implanting the final prosthetic femoral component. The femoral cut guide includes a detachable box cut guide for preparing the distal femur to receive the central box of the prosthetic femoral component. | 09-08-2011 |
20110218542 | Systems and instrumentalities for use in total ankle replacement surgery - Custom radiographically designed tibial and talar cutting guide system and instrumentalities including a tibial cutting guide position verification device is disclosed. A computer-based system and method for making the custom radiographically designed tibial and talar cutting guides is also disclosed. Further disclosed is an adjustable tibial reaming guide positioning system for allowing a position for reaming of a distal tibia to be adjusted during total ankle replacement surgery and, particularly, during total ankle arthroplasty for prostheses with an intramedullary stem. | 09-08-2011 |
20110218543 | SYSTEMS AND METHODS FOR JOINT REPLACEMENT - Systems and methods for joint replacement are provided. The systems and methods include a surgical orientation device, a reference sensor device, and at least one orthopedic fixture. The surgical orientation device, reference sensor device, and orthopedic fixtures can be used to locate the orientation of an axis in the body, to adjust an orientation of a cutting plane or planes along a bony surface, or otherwise to assist in an orthopedic procedure(s). | 09-08-2011 |
20110251617 | METHOD AND APPARATUS FOR PERFORMING AN OPEN WEDGE, HIGH TIBIAL OSTEOTOMY - Apparatus for performing an open wedge, high tibial osteotomy, the apparatus comprising a wedge-shaped implant for disposition in a wedge-shaped opening created in the tibia, wherein the wedge-shaped implant comprises at least one key for disposition in at least one corresponding keyhole formed in the tibia adjacent to the wedge-shaped opening created in the tibia, wherein each of the at least one keys comprises an interior bore for receiving a fixation screw, at least one fixation screw for disposition in the interior bore of the at least one key, and further wherein the apparatus is configured so that when the at least one fixation screw is received in the interior bore, the at least one fixation screw terminates within the bore. | 10-13-2011 |
20110257654 | METHOD AND APPARATUS FOR FEMORAL RESECTION ALIGNMENT - The apparatus of the present invention includes a number of components including a guide body component, an extension block component, a rotating arm component, an extension rod component, and a tibial referencing component. The guide body component contacts the distal-most surface of the femur. Its location is based off of the posterior femoral condyles and the surface of the distal-most femoral resection or the unresected distal-most femoral surface. The rotating arm component is interconnected with the guide body and may rotate with respect thereto, thus allowing for the direct or indirect adjustment of the rotating alignment of cutting guides for resecting the distal femur. The rotating arm component carries arms with drill screw apertures which direct placement of drill holes in the femur which are used to attach a cutting guide to the femur. The rotating arm component is attached to the extension rod component which extends to the tibial referencing component which references the location and orientation of the proximal resected surface of the tibia. Thus the rotating alignment of the distal femoral prosthesis is established with respect to the orientation of the resected proximal tibial surface. | 10-20-2011 |
20110264097 | ACL ACCOMMODATING TIBIAL DESIGN - Surgical methods and tibial implants ( | 10-27-2011 |
20120010623 | CANNULATED SYSTEMS - Access to the interior of the knee portion of the leg may be obtained through a cannula. The cannula may be inserted into a incision. The cannula may stretch the viscoelastic material of tissues forming the knee portion of the leg. Insertion of the cannula into the incision may expand the incision. The cannula may be expanded to facilitate movement of implants through the cannula. The implant may be formed of two or more portions, which may facilitate movement of the implant through the cannula. After the plurality of portions of the implant have been moved through the incision, portions of the implant may be interconnected to form a unitary implant. | 01-12-2012 |
20120065640 | PATIENT-SPECIFIC KNEE ALIGNMENT GUIDE AND ASSOCIATED METHOD - An orthopedic device for preparing a knee joint for a prosthesis in a patient includes a femoral alignment guide. The femoral alignment guide has a patient-specific three-dimensional curved inner surface preoperatively configured from medical image scans of the knee joint of the patient to nestingly conform and mate and match only in one position to a corresponding three-dimensional femoral surface of a joint surface of the patient. The femoral alignment guide has a first guiding aperture corresponding to a distal portion of the femoral surface and a second guiding aperture corresponding to an anterior portion of the femoral surface. | 03-15-2012 |
20120071882 | PATIENT SELECTABLE JOINT ARTHROPLASTY DEVICES AND SURGICAL TOOLS - Disclosed herein are methods, compositions and tools for repairing articular surfaces repair materials and for repairing an articular surface. The articular surface repairs are customizable or highly selectable by patient and geared toward providing optimal fit and function. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty. | 03-22-2012 |
20120071883 | PATIENT SELECTABLE JOINT ARTHROPLASTY DEVICES AND SURGICAL TOOLS - Disclosed herein are methods, compositions and tools for repairing articular surfaces repair materials and for repairing an articular surface. The articular surface repairs are customizable or highly selectable by patient and geared toward providing optimal fit and function. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty. | 03-22-2012 |
20120078260 | Methods And Apparatus For Preparing An Intercondylar Area Of A Distal Femur - Methods and apparatus provide for modifying an intercondylar notch of a patient's femur, including cutting bone from the intercondylar notch using a hole saw having a hollow cylinder and a circular cutting edge, where the hollow cylinder of the hole saw defines a central longitudinal axis which is oriented with reference to the patient's femur such that the circular cutting edge of the hole saw removes a portion of material from the intercondylar notch of the patient's femur. | 03-29-2012 |
20120078261 | PATELLA RESECTIONING GUIDE AND ASSEMBLY - A patella resection assembly comprises a patella resection guide and a stylus. The patella resection guide has bone-gripping members on two movable arms and a saw guide surface. The stylus is pivotably mounted to the arms of the resection guide and has a free end received in the slot in the resection guide. The arms of the patella resection guide are movable to a variety of positions with different distances between the bone-gripping members while the stylus is in place. | 03-29-2012 |
20120078262 | METHOD OF ARTHROPLASTY ON A KNEE JOINT AND APPARATUS FOR USE IN SAME - A method of, and apparatus for, arthroplasty of a knee joint comprising obtaining a desired spacing of the femur from the tibia by inserting a spacer into the knee joint between the femur and the tibia. The spacer is used as a reference for securing a guide jig in position about the knee joint for guiding resection of one or both of the femur and tibia for fitting of tibial and/or femoral prostheses. A method of resecting the femur while moving the tibia through an arc of motion to remove bone to the desired depth, a method of determining the position of the guide jig, the guide jog, an alignment device and the spacer are also described. | 03-29-2012 |
20120089147 | Methods And Apparatus For Preparing a Patient's Femur For Patellofemoral Knee Arthroplasty - Methods and apparatus provide for modifying a patient's femur to receive a patellofemoral prosthesis, including: a distal punch, an anterior punch and a trochlear punch which are used in well defined orientations to remove material from the femur to accommodate complex geometries of a patellofemoral prosthesis; and optionally a guide operating to engage a distal end of the femur, the guide including a distal slot, an anterior slot and a transverse slot, which ensure that the punches achieve the desired orientations. | 04-12-2012 |
20120095473 | AUTOMATICALLY ADJUSTING PATELLA CUTTING GUIDE - A patella clamping device has a handle having a first arm and a second arm, the first and second arms each having a first gripping end and a second clamping end. The clamping end of each arm is movable towards the opposite arm by action on the gripping end of each arm. The clamping end of the first arm comprises a clamping surface opposed to a clamping surface on the clamping end of the second arm. The clamping end of each arm has a body portion having spaced first and second surface defining the opposed surface of each arm. A plurality of pins extend from the first surface to the second surface on each arm clamping end. A rotatable toothed jaw member is pivotally mounted on each of the pins. The jaw member has at least one tooth extending outwardly of the opposed surface of each arm for engaging the patella. Each body has a third surface spaced from the second surface to create a slot for receiving a saw blade. | 04-19-2012 |
20120101504 | FLEXIBLE ATTACHMENT FOR AN EXTRAMEDULLARY SURGICAL INSTRUMENT - An extramedullary cut guide alignment assembly allows various adjustments to the cut guide without introducing bending stresses in the rest of the assembly. More particularly, the angular orientation of the cut guide with respect to the tibia may be freely changed during use, while maintaining the angular orientation of the proximal fixation arm of the alignment assembly with respect to the proximal tibial surface to which the arm is affixed. To achieve this decoupling of the angular orientations of the fixation arm and cut guide, the proximal fixation arm is pivotably mounted to the cut guide alignment assembly. Thus, the alignment assembly may be adjusted as necessary to achieve a desired angular orientation of the cut guide mounted thereto, while the pivotable junction between the alignment assembly and the proximal fixation arm automatically adjusts to accommodate the changing angular arrangement. | 04-26-2012 |
20120101505 | PATELLAR RESECTION INSTRUMENT WITH VARIABLE DEPTH GUIDE - A patellar resection instrument has an integral depth adjustment assembly that is easily, intuitively, and intra-operatively adjustable between a plurality of discrete positions. Each position corresponds to a particular, known depth of resection, and this depth may optionally be inscribed on the depth adjustment knob for easy visual selection and/or confirmation of the resection depth. The depth adjustment assembly provides positive tactile feedback as the stylus is moved between positions. The unique configuration of the depth adjustment assembly maintains the resection depth stylus in a chosen position throughout the patellar resection procedure, even if the procedure causes vibration or other forces to be transmitted to the patellar resection instrument. | 04-26-2012 |
20120116406 | IP PRECISION BLADE GUIDE - A bone resection system for a prosthetic implant having an anterior and posterior outer surface attached to bone has a cutting guide having slotted guide surfaces thereon mountable on the prosthetic implant. The guide surfaces are alignable with the implant outer anterior and posterior surfaces. A saw comprising a housing having spaced apart first and second sides joined by first and second edge surfaces and having a proximal end and a distal end can be inserted into the slotted guide surfaces. A cutting head drive system on the housing drives a cutting head having teeth extending outwardly of the distal end of the housing. A cam element is mounted on the saw housing intermediate the proximal and the distal ends. The cam element has a distal end with a guide arm extending therefrom engagable, during insertion, with the guide surface on the cutting guide. The cam element having a stop surface for engaging a stop surface on the cutting guide to limit blade travel. | 05-10-2012 |
20120116407 | APPARATUS FOR KNEE SURGERY AND METHOD OF USE - The present invention comprises a set of instruments and a method for their use in preparing a knee joint to receive knee implants. The inventive instruments and method are generally suitable for knee joint surgery. Furthermore, they include features that make them suitable for performing a minimally invasive knee surgery in which a smaller than normal incision is made and oriented to preserve the quadriceps mechanism and protect the suprapatellar pouch. The instruments permit switching from a minimally invasive technique to a standard open technique at any point in the procedure. An illustrative set of instruments for total knee arthroplasty and an associated minimally invasive technique are described. | 05-10-2012 |
20120123421 | CERAMIC CUTTIING TEMPLATE - A cutting template or a cutting block, preferably to a cutting template or a cutting block for use in medical technology. | 05-17-2012 |
20120158001 | Surgical Tools Facilitating Increased Accuracy, Speed and Simplicity in Performing Joint Arthroplasty - Disclosed herein are tools for repairing articular surfaces repair materials and for repairing an articular surface. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty. | 06-21-2012 |
20120172881 | Ligament Balancer and Drill Guide - A ligament balancer for a knee is disclosed that includes a first guide portion having a first guide hole extending there through, and a second guide portion having a second guide hole extending there through, the first and second guide portions being moveable with respect to each other along a movement axis, the balancer being adapted such that, in use, the movement axis is substantially parallel to the anterior/posterior axis of a distal femoral surface. Also disclosed is a kit of parts that includes the ligament balancer and a drill guide for a knee, the drill guide includes first and second connected arms, each arm comprising at least two guide openings extending there through, the guide openings being spaced longitudinally along each arm, longitudinal axes of the first and second arms intersecting at a predetermined angle. Also disclosed is a method of attaching a cutting block to a distal femoral surface as part of a knee replacement procedure. | 07-05-2012 |
20120172882 | APPARATUS FOR PREOPERATIVE PLANNING OF ARTIFICIAL KNEE JOINT REPLACEMENT OPERATION AND JIG FOR SUPPORTING OPERATION | 07-05-2012 |
20120184961 | KNEE ARTHROPLASTY APPARATUS AND METHOD - A method for aligning a bone cutting guide on a tibia may involve coupling a cutting guide alignment device and an attached cutting guide with a tibia, adjusting the alignment device in a varus/valgus orientation, adjusting the alignment device in an anterior/posterior orientation, attaching the cutting guide to the tibia, and removing the alignment device from the cutting guide, leaving the cutting guide attached to the tibia. The adjustments to the alignment device may be made according to vertically and horizontally oriented laser lights emitted from the alignment device. As the alignment device is adjusted, the bone cutting guide attached to the alignment device changes position relative to the tibia. | 07-19-2012 |
20120184962 | METHOD AND APPARATUS FOR PERFORMING MULTIDIRECTIONAL TIBIAL TUBERCLE TRANSFERS - Apparatus for performing a multidirectional tibial tubercle transfer, comprising a jig for positioning against the anterior portion of the tibia, the jig comprising first and second guide surfaces which simultaneously converge towards one another as they extend distally down, and posteriorly towards, the tibia; a medial extender for attaching to the jig, wherein the medial extender comprises a third guide surface which is directed towards a point distal to the point of convergence of the first and second guide surfaces as the third guide surface extends distally down, and posteriorly towards, the tibia; and a lateral extender for attaching to the jig, wherein the lateral extender comprises a fourth guide surface which is directed towards a point distal to the point of convergence of the first and second guide surfaces as the fourth guide surface extends distally down, and posteriorly towards, the tibia. | 07-19-2012 |
20120197259 | SURGICAL AIMING DEVICE - A hinged pivoting guide for positioning a femoral tunnel in anterior cruciate ligament (ACL) reconstruction locates a drilling hole for placement that optimally penetrates a minimal depth of soft tissue (skin, muscle, etc.) yet directs drilling into a sufficiently rigid and structurally sound area of the femur. The hinged guide allows placement of an aimer point at a desired drilling exit location on the femur. The hinge is adapted to secure the aimer at a degree of rotation about an axis defined by the hinge rotation, such that the axis passes through the aimer point throughout rotation of the hinge while maintaining the aimer point in line with an insertion guide slideably movable through the aperture in the handle, the aperture defined by an insertion axis extending toward the aimer point such that the aimer point remains disposed at the intersection of the hinge axis and the insertion axis. | 08-02-2012 |
20120197260 | JOINT ARTHROPLASTY DEVICES AND SURGICAL TOOLS - Disclosed herein are methods, compositions and tools for repairing articular surfaces repair materials and for repairing an articular surface. The articular surface repairs are customizable or highly selectable by patient and geared toward providing optimal fit and function. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty. | 08-02-2012 |
20120209275 | METHOD AND APPARATUS FOR PERFORMING KNEE ARTHROPLASTY - A set of instruments for preparing a femur and tibia for receipt of a partial knee prosthesis can include a femoral drill guide that is selectively connected to an intramedullary (IM) rod. At least one sizing spoon can communicate with the femoral drill guide. The femoral drill guide can have terminal cutting surfaces. A tibial cut guide can be selectively connected to the femoral drill guide. A dial member can be disposed on one of the femoral or tibial cut guides that when rotated moves at least one of the spoons in a superior/inferior direction. | 08-16-2012 |
20120209276 | DEVICE FOR THE RESECTION OF BONES, METHOD FOR PRODUCING SUCH A DEVICE, ENDOPROSTHESIS SUITED FOR THIS PURPOSE AND METHOD FOR PRODUCING SUCH AN ENDOPROSTHESIS - The present invention refers to a device for the resection of bones ( | 08-16-2012 |
20120239045 | PATIENT-SPECIFIC INSTRUMENTS FOR TOTAL ANKLE ARTHROPLASTY - Patient-specific instruments for preparing bones for receipt of orthopedic prostheses, such as the distal tibia and the talus in a total ankle arthroplasty (TAA) procedure. A tibial guide and a talar guide are manufactured based on patient-specific anatomical data obtained using imaging technology, and each guide includes a surface conforming to selected anatomical surfaces or regions of the tibia or talus, respectively. Each guide includes at least one cut referencing surface, such as a cut slot, to guide a resection, and may also include a guide aperture sized to guide a reaming tool for reaming the distal tibia or talus. The guides may also include pin holes positioned within a periphery defined by the cut referencing surfaces such that, when the resections are made and the resected tibial bone portion or talus bone portion is removed, the guide and its associated pins are removed along with the resected bone portion. The guides may be designed to ensure that a proximal resected surface of the distal tibia is parallel to a resected surface of the talus, with the parallel resected surfaces perpendicular to the anatomical axis of the distal tibia. | 09-20-2012 |
20120259342 | SYSTEM FOR POSITIONING A CUTTING GUIDE IN KNEE SURGERY - A system is provided for positioning a cutting guide on a femur of a knee to make a cut along a distal end of the femur during knee surgery. The system may generally include an adjustable femoral attachment member configured to attach to a cut distal end of the femur, a cutting guide removably attachable to the femoral attachment member and configured to guide a surgical saw to make an additional cut on the distal end of the femur, and a force sensor for positioning between the femoral attachment member and a proximal end of a tibia of the knee. The force sensor may include a medial portion for sensing a medial force in the knee and a lateral portion for sensing a lateral force in the knee. | 10-11-2012 |
20120277751 | PATIENT-SPECIFIC CONVERTIBLE GUIDES - A convertible patient-specific guide for use in arthroplasty has a body having a patient-specific three-dimensional undersurface closely mateable engageable in only one position with a corresponding joint surface of a specific patient. The convertible guide includes patient-specific guiding formations extending from the body and configured for guiding both a total arthroplasty of the joint and a partial arthroplasty of the joint, such that the arthroplasty to be performed is intraoperatively changeable. | 11-01-2012 |
20120289966 | JOINT ARTHROPLASTY DEVICES AND SURGICAL TOOLS - Disclosed herein are methods, compositions and tools for repairing articular surfaces repair materials and for repairing an articular surface. The articular surface repairs are customizable or highly selectable by patient and geared toward providing optimal fit and function. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty. | 11-15-2012 |
20120316567 | SYSTEMS AND METHODS FOR JOINT REPLACEMENT - Systems and methods for joint replacement are provided. The systems and methods include a surgical orientation device, a reference sensor device, and at least one orthopedic fixture. The surgical orientation device, reference sensor device, and orthopedic fixtures can be used to locate the orientation of an axis in the body, to adjust an orientation of a cutting plane or planes along a bony surface, or otherwise to assist in an orthopedic procedure(s). | 12-13-2012 |
20120323245 | CUTTING GUIDE AND METHOD FOR PERFORMING LATERAL RETINACULAR RELEASE - Apparatus and methods are used for severing at least a portion of a lateral retinaculum as part of a lateral release procedure. An elongated guide body has a first, smooth side and second, opposing side having a lengthwise track with a groove. A pushrod having a cutting device is insertable into the track such that the cutting device protrudes from the lengthwise groove, thereby enabling a user to move the pushrod and sever a lateral retinaculum using the cutting device. The cutting device may be a sharp blade or an electrocautery. A method of performing a lateral retinacular release may comprise the steps of inserting the elongated guide body under the skin and subcutaneous fat with the second, opposing side facing a lateral retinaculum; inserting the pushrod into the track of the body; and pushing or pulling the pushrod such that the cutting device severs a lateral retinaculum. | 12-20-2012 |
20120323246 | Patient-Specific Partial Knee Guides And Other Instruments - A patient-specific unicompartmental tibial guide has a patient-specific body with an inner surface. The inner surface is preoperatively configured to nestingly conform and mate in only one position with an anterior portion and a proximal portion of a tibial bone of a specific patient. The tibial guide includes a vertical resection channel having a variable width preoperatively configured for guiding a vertical resection through the proximal portion of the tibial bone. | 12-20-2012 |
20120330317 | Method for Repairing Bone Defects - A method for repairing a soft tissue or bone defect can include selecting one of a plurality of sizing guides having a base perimeter size corresponding to a size of the defect, where each base has a different perimeter size and a plurality of apertures spaced apart a predetermined distance from each other, with the predetermined distance being the same for each of the sizing guides. The selected sizing guide base can be positioned against a distal end of the femur relative to the defect. A plurality of guide wires can be positioned through the plurality of apertures in the sizing guide base and the guide wires can be fixed to the femur such that the guide wires are parallel to each other. A first guide can be positioned over the guide wires and against the distal end of the femur to guide a first cutting member relative to the femur. | 12-27-2012 |
20130006251 | CUSTOMIZED PATIENT-SPECIFIC ORTHOPAEDIC PIN GUIDES - Customized patient-specific orthopaedic surgical instruments are disclosed. Methods for fabricating and using such instruments are also disclosed. | 01-03-2013 |
20130006252 | METHOD OF SURGICALLY PREPARING A TIBIA FOR IMPLANTATION OF A PROSTHETIC COMPONENT - A method of surgically preparing a tibia for implantation of a tibial prosthetic component is disclosed. | 01-03-2013 |
20130006253 | SURGICAL INSTRUMENT ASSEMBLIES FOR USE IN SURGICALLY PREPARING A TIBIA FOR IMPLANTATION OF A PROSTHETIC COMPONENT - An orthopaedic surgical instrument assembly that includes a handle and a keel punch configured to be inserted into a proximal end of a surgically-prepared tibia of a patient. The handle includes a lever configured to secure the keel punch to the handle. | 01-03-2013 |
20130006254 | Apparatus for Targeting and Forming Drill Channels in the Tibia - An apparatus for targeting and forming drill channels in the tibia in the area of a knee joint during reconstruction of an anterior cruciate ligament, having a handle, which includes a drill sleeve for configuring a first target point on the tibia and an arm extending beyond the distal end of the drill sleeve for determining a second target point on the tibial plateau. To provide an apparatus for targeting and forming drill channels in the tibia that is adaptable to the patient's individual anatomical idiosyncrasies, it is proposed that at least one portion of the arm should be configured as elastically reshapable. | 01-03-2013 |
20130018380 | JOINT ARTHROPLASTY DEVICES AND SURGICAL TOOLS - Disclosed herein are methods, compositions and tools for repairing articular surfaces repair materials and for repairing an articular surface. The articular surface repairs are customizable or highly selectable by patient and geared toward providing optimal fit and function. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty. | 01-17-2013 |
20130023883 | PATELLA ORTHOPAEDIC SURGICAL INSTRUMENT ASSEMBLY - An orthopaedic surgical instrument assembly including a handle and a plurality of surgical tools configured to be selectively coupled with the handle. The handle includes a housing and a lever moveably coupled to the housing. Each surgical tool of the plurality of surgical tools includes a first clamping element and a second clamping element configured to move relative to the first clamping element. The second clamping element is configured to be coupled to the lever such that moving the lever relative to the housing advances the second clamping element toward the first clamping element to clamp a bone of a patient. | 01-24-2013 |
20130023884 | JOINT ARTHROPLASTY DEVICES AND SURGICAL TOOLS - Disclosed herein are methods, compositions and tools for repairing articular surfaces repair materials and for repairing an articular surface. The articular surface repairs are customizable or highly selectable by patient and geared toward providing optimal fit and function. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty. | 01-24-2013 |
20130035693 | PATELLA RESECTION GUIDE WITH LOCATING FEATURES AND METHOD OF USING THE SAME - An orthopaedic surgical instrument that includes a patella resection guide is disclosed. The patella resection guide includes a body having a substantially planar upper surface that defines a patella cutting guide surface and a first jaw having a first tooth, and a second jaw positioned opposite the first jaw. The second jaw is movable relative to the first jaw and includes a second tooth extending toward the first tooth that defines an axis along which the second jaw is moveable relative to the first jaw. The patella cutting guide surface defines a resection plane that extends through a patient's patella when the patella is positioned between the first jaw and the second jaw. | 02-07-2013 |
20130046309 | ADJUSTABLE FEMORAL RESECTION GUIDE - A chamfer resection guide assembly for effecting chamfer cuts into a resected distal surface of a femur in connection with a distal total knee implant has an anchor member configured for anterior referencing of the chamfer cuts, a block member including one or more cutting guide slots for guiding a cutting tool for making chamfer resections and a camming member. The camming member operably connects the block member and the anchor member and the position of the block member with respect to the anchor member is adjusted by operation of the camming member thus allowing adjustment of the position of the cutting guide slots with respect to the anchoring member. | 02-21-2013 |
20130060253 | UNIVERSAL POSITIONING DEVICE FOR ORTHOPEDIC SURGERY AND METHOD OF USE THEREOF - A positioning device assembly for positioning a tool guide block for use in an orthopedic surgery includes a positioning device having a block body with a reference surface adapted to abut a bone element, and first and second adjustment mechanisms that are independently operable. The first adjustment mechanism permits rotation of the tool guide block about a medial-lateral extending axis to provide flexion-extension angle adjustment and the second adjustment mechanism permits rotation of the tool guide block about an anterior-posterior extending axis to provide varus-valgus angle adjustment. The second adjustment mechanism includes integral coarse and fine adjustment mechanisms. A tool guide block assembly mounted to the positioning device includes a platform portion which is engaged to the block body of the positioning device and the tool guide block which is releasably engaged with the platform. | 03-07-2013 |
20130066321 | ORTHOPAEDIC INSTRUMENT - A patient specific instrument for use in a ball and socket joint arthroplasty procedure, method of manufacture and method of use are described. The instrument comprises an attachment mechanism for attaching the instrument to the socket of the patient, which has at least first and second parts which can engage the rim of the socket of the patient. Each part is shaped, or can transform to a shape, to match the shape of a respective portion of the rim of the socket. A body bears at least one guide formation for guiding a component to be used in the arthroplasty procedure. The instrument includes a locking mechanism by which the body and attachment mechanism can be assembled in a unique configuration into the patient specific instrument. The patient specific instrument is attachable to the socket of the patient only at a single pre-planned position. | 03-14-2013 |
20130079784 | PATELLA RESECTION ASSEMBLY - A patella resection assembly comprises a modular handle and claw member. The claw member is reversibly mountable on the handle so that the same modules may be used to resect the patellae of both the right and the left knees. The handle has an adjustable member that carries a bone-gripping member. Linear movement of the adjustable member allows the same patella resection assembly to be used to securely grip patellae of various sizes. | 03-28-2013 |
20130096562 | JOINT ARTHROPLASTY DEVICES AND SURGICAL TOOLS - Disclosed herein are methods, compositions and tools for repairing articular surfaces repair materials and for repairing an articular surface. The articular surface repairs are customizable or highly selectable by patient and geared toward providing optimal fit and function. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty. | 04-18-2013 |
20130096563 | TOTAL JOINT INSTRUMENTATION AND METHOD FOR USE - A total joint instrument set according to an exemplary aspect of the present disclosure includes, among other things, a guide assembly that orients a cut in a first bone and a linkage guide that orients a cut in a second bone. A positioning of the linkage guide is mechanically linked to at least a portion of the guide assembly. | 04-18-2013 |
20130116698 | DEVICES AND METHODS FOR PERFORMING KNEE ARTHROPLASTY - Methods and devices for performing knee arthroplasty including but not limited to bicruciate retaining knee arthroplasty are provided. Methods and devices for preparing a proximal tibia for a tibial implant are also provided. These methods and devices, in at least some embodiments and uses, facilitate decreasing the complexity of knee arthroplasty procedures such as bicruciate retaining procedures while maintaining, if not improving on, the safety, accuracy and/or effectiveness of such procedures. | 05-09-2013 |
20130123787 | DEVICES AND METHODS FOR PERFORMING KNEE ARTHROPLASTY - Methods and devices for performing knee arthroplasty including but not limited to bicruciate retaining knee arthroplasty are provided. Methods and devices for preparing a proximal tibia for a tibial implant are also provided. These methods and devices, in at least some embodiments and uses, facilitate decreasing the complexity of knee arthroplasty procedures such as bicruciate retaining procedures while maintaining, if not improving on, the safety, accuracy and/or effectiveness of such procedures. | 05-16-2013 |
20130123788 | SYSTEMS AND METHODS FOR GUIDING CUTS TO A FEMUR AND TIBIA DURING A KNEE ARTHROPLASTY - An assembly for guiding resection of a femur and tibia of a knee joint in preparation for installing a femoral and tibial knee components. For example, the assembly can include tibial and femoral IM rods to which are connected through a tensioning bolt that allows controlled adjustment of the distraction of the tibia and femur during cut positioning in a range of flexion angles. Also, the assembly is usable with relatively small, noninvasive approaches to the knee joint by way of relatively narrow, low profile components that attach to tibial and femoral IM rods. Further, the assembly includes several quick-release components to allow fast assembly and disassembly in a surgical setting. Each of these aspects, along with the ability of the assembly to accurately guide initial reference cuts to the tibia and femur, promotes an improved outcome for the patient. | 05-16-2013 |
20130123789 | SYSTEM AND METHOD FOR MANUFACTURING ARTHROPLASTY JIGS HAVING IMPROVED MATING ACCURACY - Disclosed herein is a method of defining a mating surface in a first side of an arthroplasty jig. The mating surface is configured to matingly receive and contact a corresponding patient surface including at least one of a bone surface and a cartilage surface. The first side is oriented towards the patient surface when the mating surface matingly receives and contacts the patient surface. The method may include: a) identifying a contour line associated with the patient surface as represented in a medical image; b) evaluating via an algorithm the adequacy of the contour line for defining a portion of the mating surface associated with the contour line; c) modifying the contour line if the contour line is deemed inadequate; and d) employing the modified contour line to define the portion of the mating surface associated with the contour line. | 05-16-2013 |
20130131682 | SURGICAL INSTRUMENT AND SURGICAL INSTRUMENT SYSTEM - A surgical instrument for attachment to a cutting block having a cutting slot defining a cutting plane is described. The surgical instrument comprises a dual purpose indicator ( | 05-23-2013 |
20130138111 | CUSTOMIZED PATIENT-SPECIFIC TIBIAL CUTTING BLOCKS - A number of orthopaedic surgical instruments are disclosed. A method, apparatus, and system for fabricating such instruments are also disclosed. | 05-30-2013 |
20130144297 | DEVICES AND METHODS FOR PERFORMING KNEE ARTHROPLASTY - Methods and devices for performing knee arthroplasty including but not limited to bicruciate retaining knee arthroplasty are provided. Methods and devices for preparing a proximal tibia for a tibial implant are also provided. These methods and devices, in at least some embodiments and uses, facilitate decreasing the complexity of knee arthroplasty procedures such as bicruciate retaining procedures while maintaining, if not improving on, the safety, accuracy and/or effectiveness of such procedures. | 06-06-2013 |
20130150862 | CUSTOMIZED PATIENT-SPECIFIC BONE CUTTING BLOCKS HAVING LOCATING FEATURES AND METHOD OF MAKING THE SAME - A number of orthopaedic surgical instruments are also disclosed. A method, apparatus, and system for fabricating such instruments are also disclosed. | 06-13-2013 |
20130165939 | Patient Specific Implants and Instrumentation For Patellar Prostheses - Patient specific implants and instrumentation for replacing a portion of a patella. Methods for producing patient specific implants and instrumentation include conducting imaging studies of the patient's native patella, deriving measurements of the patella and surrounding soft tissues from the imaging studies, manufacturing customized implants and instrumentation specific to the derived measurements, and implanting a customized implant using the customized instrumentation. Patient specific instrumentation includes: a patellar clamp ring, an anterior clamp, a restraining arm, a posterior clamping surface, a dual bore reaming collet, a reamer, a reaming depth gauge, and a resection cutting guide. Patient specific portions of a patellar implant include: topography of the posterior articular surface, facet angle, shape and dimensions of the anterior attachment surface, implant length, implant width, implant thickness and the outer perimeter shape of the implant. | 06-27-2013 |
20130165940 | METHOD AND APPARATUS FOR USE IN BALANCING LIGAMENTS OF A KNEE - An orthopaedic surgical instrument includes an orthopaedic distraction device sized to be positioned between a distal end of a patient's femur and a proximal end of the patient's tibia and configured to apply force between the patient's femur and the patient's tibia. The orthopaedic surgical instrument also includes a user-operated control device operable to actuate the orthopaedic distraction device to apply force between the patient's femur and the patient's tibia. In actuating the orthopaedic distraction device, a rotary input of the user-operated control device that is coupled to the orthopaedic distraction device may be used. The orthopaedic surgical instrument also includes a display positioned on an outer surface of the orthopaedic distraction device and a circuit configured to control the display. The display is configured to provide visual feedback indicative of force applied by the distraction device. | 06-27-2013 |
20130184712 | PATELLA RESECTION ASSEMBLY - A patella resection assembly comprises a handle, slide member and two claw members. The slide member is movably mounted on the handle and includes two diverging arms. Inner edges of the diverging arms contact outer edges of the claw members so that distal movement of the slide member causes the claw members to move toward each other and close around a patella. The claw members and slide member have teeth for grasping the patella as the claw members move together. The claw members also have flat co-planar surfaces for guiding the path of a saw blade during resection of the patella. | 07-18-2013 |
20130184713 | Anatomical Alignment Systems and Methods - Systems, methods and devices are disclosed for aligning surgical jigs, tools and implants in a patient. | 07-18-2013 |
20130184714 | Bone Resection Jig Used in Artificial Knee Joint Replacement Surgery - A bone resection jig that can make ligament tension equal at extension and flexion positions without any actual measurements when resecting femur and tibia during artificial knee joint replacement surgery. The bone resection jig used in artificial knee joint replacement surgery includes a spacer block ( | 07-18-2013 |
20130190768 | CUSTOMIZED PATIENT-SPECIFIC TIBIAL CUTTING BLOCKS - A number of orthopaedic surgical instruments are disclosed. A method, apparatus, and system for fabricating such instruments are also disclosed. | 07-25-2013 |
20130197527 | SYSTEMS, METHODS AND DEVICES FOR TIBIAL RESECTION - Systems, methods and device for tibial resection comprise a first cutting guide and a second cutting guide. The first cutting guide ( | 08-01-2013 |
20130197528 | SURGICAL INSTRUMENTATION SPECIFIC TO A PATIENT FOR PREPARING A BONE OF THE PATIENT - Embodiments of the present invention relate to surgical instrumentation specific to a patient for preparing a bone including a patient-specific block delimiting a supporting surface shaped to fit the bone, and including a main portion partly delimiting the fixed supporting surface and at least two primary orifices for receiving a primary pin, crossing the block between the supporting surface and an opposite surface. The instrumentation also includes a secondary portion which belongs to the block, partly delimits the supporting surface and includes at least two secondary orifices for receiving a bone preparation tool crossing the block between the supporting surface and opposite surface of the block, and a mechanism for mechanically disengaging the secondary portion with respect to the main portion, suitable for, when the main portion is attached onto the bone with primary pins passed into the primary orifices, making the secondary portion removable with respect to the | 08-01-2013 |
20130204258 | UNICONDYLAR KNEE REPLACEMENT - A kit of parts for use in unicondylar knee replacement of a patient having a femur and a tibia comprises a drill guide and an intramedullary rod, the intramedullary rod being sized to fit within the intramedullary canal of the femur of the patient. The drill guide is arranged so as to engage a distal end of the intramedullary rod to that which engages the patient's intramedullary canal, and is formed with a foot portion sized to fit between the patient's femur and tibia before any bone is removed from the femur or tibia. The drill guide provides a guide for drilling of at least one hole in the femur. A further kit of parts for use in unicondylar knee replacement of a patient having a femur and a tibia comprises a femoral component for implantation in the femur, the femoral component having a bearing surface having a radius of curvature, and a guide spoon. The guide spoon has a bowl-shaped portion with an internal radius of curvature the same as that of the bearing surface, and a handle portion extending from the bowl-shaped portion. Methods of performing unicondylar knee replacement are also described. | 08-08-2013 |
20130204259 | SURGICAL INSTRUMENTATION SET AND SURGICAL TECHNIQUE - A method for preparing bone to receive a prosthetic implant, according to an exemplary aspect of the present disclosure includes, among other things, positioning a bone preparation guide assembly on a bone, reaming the bone through a first cut opening of the bone preparation guide assembly, dividing the first cut opening into at least two distinct slots and making cuts in the bone through the at least two distinct slots. | 08-08-2013 |
20130204260 | CONE LOCK QUICK CONNECT MECHANISM - An apparatus includes a cut guide including a locking area, an alignment guide, and a connect mechanism to connect the cut guide to the alignment guide, wherein the connect mechanism includes a cone lock connect mechanism configured to engage with the cut guide locking area. | 08-08-2013 |
20130204261 | CERAMIC CUTTING TEMPLATE - The invention relates to a cutting template, to a cutting block, preferably a cutting template, and to a cutting block for use in medical technology. | 08-08-2013 |
20130211409 | Surgical Tools Facilitating Increased Accuracy, Speed and Simplicity in Performing Joint Arthroplasty - Disclosed herein are tools for repairing articular surfaces repair materials and for repairing an articular surface. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty. | 08-15-2013 |
20130211410 | Patella Resection Instrument Guide Having Optional Patient-Specific Features - Disclosed are improved and/or patient-adapted (e.g., patient-specific and/or patient-engineered) patellar clamp systems, surgical methods and related surgical tools. The various clamp assemblies can facilitate one-handed operation by a user and can include modular features that provide for ease of interchangeability to accommodate components having patient specific features that conform or substantially conform to the patient's patellar anatomy. | 08-15-2013 |
20130211411 | Tool For Use In Knee Surgery - A jig for use in knee surgery has a component shaped to represent the overall profile of a femoral prosthetic component of a specific side and size. Extending from the jig is an anterior reference arm having at least one of a cutting guide located thereon and means for attaching a cutting guide thereto. Also disclosed is a tibial replacement thickness spacer having a set of leaves. A tibial jig for use in knee surgery has a component having a tibial plate and tibial posts extending downwardly from the tibial plate, and an anterior reference arm. The arm has a cutting guide located thereon. Kits comprising these components are also described. | 08-15-2013 |
20130253522 | Patient Selectable Joint Arthroplasty Devices and Surgical Tools - Disclosed herein are tools for repairing articular surfaces repair materials and for repairing an articular surface. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty. | 09-26-2013 |
20130289569 | DEVICES AND METHODS FOR PERFORMING KNEE ARTHROPLASTY - Methods and devices for performing knee arthroplasty including but not limited to bicruciate retaining knee arthroplasty are provided. Methods and devices for preparing a proximal tibia for a tibial implant are also provided. These methods and devices, in at least some embodiments and uses, facilitate decreasing the complexity of knee arthroplasty procedures such as bicruciate retaining procedures while maintaining, if not improving on, the safety, accuracy and/or effectiveness of such procedures. | 10-31-2013 |
20130289570 | Tibial Template and Punch System, Tools and Methods for Preparing the Tibia - Devices, methods and techniques are disclosed that improve a surgeon's ability to assess and optimize the preparation of anatomical support structures in the implantation of knee joint implant components. Described herein are tibial trial apparatuses that provide for preparing a keel cavity in the tibial bone and conduct balancing, rotation, alignment, and/or laxity assessment for implantation of a knee prosthesis. In some embodiments, the tibial trial apparatuses provide for a modular system and can be used in a procedure for cutting, drilling, and keel punching the tibial bone to receive a tibial tray implant. | 10-31-2013 |
20130296874 | TIBIAL GUIDES, TOOLS, AND TECHNIQUES FOR RESECTING THE TIBIAL PLATEAU - Various patient-specific tibial guide housings, patient-specific tibial guide boxes, and methods of resecting the tibial plateau are disclosed herein. | 11-07-2013 |
20130304071 | ADJUSTABLE FEMORAL RESECTION GUIDE - A chamfer resection guide assembly for effecting chamfer cuts into a resected distal surface of a femur in connection with a distal total knee implant has an anchor member configured for anterior referencing of the chamfer cuts, a block member including one or more cutting guide slots for guiding a cutting tool for making chamfer resections and a camming member. The camming member operably connects the block member and the anchor member and the position of the block member with respect to the anchor member is adjusted by operation of the camming member thus allowing adjustment of the position of the cutting guide slots with respect to the anchoring member. | 11-14-2013 |
20130310838 | Combined Measured Resection Methods and Instruments for Knee Arthroplasty - Described are methods, processes, tools, techniques and/or devices suitable for use in total or partial knee arthroplasty procedures, which can be used to balance the knee and/or allow confirmation of the various gaps in flexion and/or extension prior to resecting the distal and posterior cuts of the femur and/or the resection of the tibia. The various techniques and embodiments described herein may be particularly useful in optimizing and/or reducing the number of resection cuts and/or improper resection cuts made during knee surgery which could result from resecting the knee before balancing. | 11-21-2013 |
20130317510 | PATIENT-SPECIFIC INSTRUMENTATION AND METHOD FOR ARTICULAR JOINT REPAIR - Patient-specific instrumentation for use when performing articular joint repair is provided. A patient-specific jig is adapted to be positioned over a bone at an articular surface thereof for assisting in preparing the bone surface for reception of a prosthesis. The jig comprises a bone contacting portion adapted to matingly contact a portion of the articular surface of the bone and a cutting slot adapted to receive therein a saw blade for resecting the articular surface of the bone. The cutting slot may be press-fitted into the opening of a cut guide. A patient-specific plate and a patient-specific rotational guide are also provided for guiding a positioning of the prosthesis over the resected surface of the bone. A method for manufacturing the patient-specific jig is further provided. | 11-28-2013 |
20130325018 | TIBIAL ORTHOPAEDIC SURGICAL INSTRUMENTS AND METHOD OF USING SAME - An orthopaedic surgical instrument assembly includes an attachment device, an intramedullary orthopaedic surgical instrument, and a cutting block. The attachment device includes a housing, a rail extending outwardly from the housing, and a mounting frame positioned on the rail that is configured to slide relative to the housing along the rail. The intramedullary orthopaedic surgical instrument is removably coupled to the housing, and the cutting block is removably coupled to the mounting frame. | 12-05-2013 |
20130325019 | METHOD OF SURGICALLY PREPARING A PATIENT'S TIBIA - A method of surgically preparing a proximal end of a tibia includes inserting an intramedullary orthopaedic surgical instrument into a medullary canal of the tibia, securing an attachment device to the intramedullary orthopaedic surgical instrument, attaching a cutting block to the attachment device, resecting the proximal end of the tibia using the cutting block to form a surgically-prepared surface, positioning a tibial base trial on the surgically-prepared surface, and inserting a keel punch through a slot defined in the tibial base trial and into the surgically-prepared surface of the tibia. | 12-05-2013 |
20130325020 | SURGICAL INSTRUMENT FOR IMPACTING AND EXTRACTING A CUTTING INSTRUMENT - Orthopedic procedures can involve tools or other instruments that assist a surgeon. The surgical instrument including a cutting instrument configured to shape bone, including an impaction/extraction device, is disclosed. Methods of shaping a bone including the surgical instrument with the cutting instrument including an impaction/extract device are disclosed. | 12-05-2013 |
20130331843 | ARTHROPLASTY SYSTEMS AND METHODS FOR OPTIMALLY ALIGNING AND TENSIONING A KNEE PROSTHESIS - A combination of a first assembly for guiding resection of a femur and tibia of a knee joint and a second assembly including femoral and tibial knee components. The combination of the first assembly and the second assembly provides optimal placement and positioning of the femoral and tibial knee components to achieve near-normal knee kinematics and tension. The preparation for and placement of the prosthetic knee components provides medial-pivoting kinematics mimicking that of the natural knee thereby promoting improved outcome for the patient. | 12-12-2013 |
20130331844 | SURGICAL CUTTING GUIDE, SURGICAL ALIGNMENT GUIDE AND SURGICAL INSTRUMENT SYSTEM - A surgical cutting guide ( | 12-12-2013 |
20130331845 | Jig and Saw Guides for Use in Osteotomies - An apparatus for locating a curvilinear cut in a bone comprises a jig body and a first arm, a top end of which is rotatably coupleable to a first portion of the jig body in combination with a second arm, a top end of which is rotatably coupleable to a second portion of the jig body separated from the first portion and a saw guide rotatably coupleable to the first arm, the saw guide including a bottom surface extending along a curve corresponding to a desired path through which a bone is to be cut, the saw guide including a locking feature receiving a bone fixation element which, in an operative configuration, is mounted in the bone to align the saw guide relative to the arm so that an operator may precisely align a desired axis of the saw guide with a longitudinal axis of the first arm. | 12-12-2013 |
20130338671 | ANGULAR ADJUSTMENT MECHANISM, SURGICAL ALIGNMENT GUIDE AND SURGICAL INSTRUMENT ASSEMBLY - An angular adjustment mechanism for a surgical instrument is described. The mechanism comprises an adjustment member ( | 12-19-2013 |
20130338672 | PATELLAR CLAMPING INSTRUMENT - A patellar clamp and associated system and method for using the clamp are provided. A patellar clamp includes a pair of handles movably coupled together, a patella support portion connected to the pair of handles and configured to engage a first side of a patella, and a reamer guide configured to engage a second side of the patella. The patella support portion and the reamer guide each include a first pair of flanges configured to engage a first and second tendon associated with the patella. The reamer guide is configured to allow reaming and resurfacing the entire desired posterior articular surface of the patella in a single operation without readjusting the position of the reamer guide. | 12-19-2013 |
20140012266 | METHODS AND DEVICES FOR INSTALLING STANDARD AND REVERSE SHOULDER IMPLANTS - Surgical procedures, tools and implants are disclosed for both conventional and reverse shoulder implant surgeries. The improved procedures, tools and implants relate to humeral head resurfacing, humeral head resection for standard implants, humeral head resection for reverse shoulder implants, glenoid resurfacing for standard shoulder implants and glenoid resurfacing for reverse shoulder implants. 3D scans and x-rays are used to develop virtual models of the patient anatomy, identify patient specific landmarks for anchoring guide wire installation blocks, templates and drill guides. 3D scans are also used to design patient specific tools and implants for the shoulder implant procedures and to pre-operatively determine the appropriate inclination and retroversion angles. | 01-09-2014 |
20140012267 | SYSTEM AND METHOD FOR JOINT RESURFACING AND REPAIR - An implant resection system for preparing an implant site to replace a defect in an articular surface of a first bone includes a first guide configured to be coupled generally to the first bone. The first guide includes a body portion defining a channel configured to receive a pin, wherein the pin is configured to penetrate and form a longitudinally disposed bore within the first bone. The implant resection system further includes a second guide configured to be coupled generally perpendicular to the first bone proximate to the defect by way of the bore. The second guide includes a drill bit configured to form an excision site through a portion of the articular surface in preparation of receipt of an implant. | 01-09-2014 |
20140018813 | PATIENT MATCH INSTRUMENT - A patient matched instrument for a patient's femur is disclosed. The instrument includes a body having a cutting slot and a patient matched surface that mates with the patient's trochlear groove, a first leg portion extending from the body, a second leg portion extending from the body; and each leg portion has a contacting pad for tangential contact with the patient's femoral medial and lateral condyles. | 01-16-2014 |
20140052136 | PATIENT-SPECIFIC TRIAL REPOSITIONING BLOCK - A patient specific trial repositioning block is disclosed which extends the know operating technique using patient-specific cutting blocks by virtue of the fact that the soft-tissue situation or ligament tension conditions can be checked and corrected intraoperatively. The trial repositioning block can be dimensioned according to the tibia structure and femur structure. During use of the trial positioning block in an operation, the block can bring the femur to lie in a planned corrected end position on the tibia. Trial repositioning can be performed after the sectioning of the tibia, and the operator, after sectioning of the tibia, can already have an accurate picture of the end result of the operation. | 02-20-2014 |
20140058397 | Joint Arthroplasty Devices and Surgical Tools - Disclosed herein are methods, compositions and tools for repairing articular surfaces repair materials and for repairing an articular surface. The articular surface repairs are customizable or highly selectable by patient and geared toward providing optimal fit and function. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty. | 02-27-2014 |
20140058398 | Surgical Instrument Used in Artificial Knee Joint Replacement Surgery - A surgical instrument including a pre-cut trial mounted on a pre-cut line which is cut shallower than a genuine-cut line. The pre-cut trial is modeled after the genuine implant which is mounted on resected surfaces formed by performing genuine-cutting and comprised of an end resected surface, posterior and anterior resected surfaces, and posterior and anterior chamfer-resected surfaces on the distal end of a femur, and the pre-cut trial is mounted on the pre-cut line, thus observing the extended and flexed positions of the femur and the state of flexion thereof so as to make judgment if the genuine implant is appropriate. | 02-27-2014 |
20140066937 | PATIENT SPECIFIC IMPLANT POSITIONING - Instrument that is made to match the perimeter shape of a Patient Specific Knee Implant (PSKI) with features for locating holes in the distal femur such that the posts or lugs in the femoral implant locate the femoral implant centered medial-laterally within an acceptable degree of precision to prevent overhang of either the medial or lateral side of the femoral implant over the perimeter of the distal femur bone resections. Patient specific implant technology, in which a three-dimensional model of at least a portion of a bone is accessed and a three-dimensional solution volume is defined based on resection cuts used in fitting an implant on the portion of the bone. An outline representation of at least a portion of an outer surface of a periphery of the resultant bone volume is determined and the outline representation is used in one or more operations related to instrument matching. | 03-06-2014 |
20140066938 | PATIENT-SPECIFIC PARTIAL KNEE GUIDES AND OTHER INSTRUMENTS - A surgical kit for unicompartmental knee arthroplasty includes a unitary patient-specific unicompartmental tibial guide and a tibial drill template and other instruments. The tibial guide has a patient-specific body with an inner surface preoperatively configured to nestingly conform and mate in only one position with an anterior portion and a proximal portion of one compartment of a tibial bone of a specific patient. The tibial guide includes a drill guide portion preoperatively configured for drilling first and second anterior holes into the tibial bone for guiding a horizontal tibial resection. The tibial guide includes a vertical resection guide portion preoperatively configured for guiding a vertical resection through the tibial bone before the horizontal resection. | 03-06-2014 |
20140074100 | GUIDE TOOL FOR RESECTION OF PATELLOFEMORAL JOINT - A guide tool ( | 03-13-2014 |
20140074101 | HIGH TIBIAL OSTEOTOMY GUIDE - A cutting block for use in a bone osteotomy procedure is disclosed, and includes a first cutting guide surface, a second cutting guide surface, and a third cutting guide surface. The first, second, and third cutting guide surfaces are adapted to be temporarily affixed to a bone having a first side and a second side such that the first cutting guide surface is disposed on the first side of the bone, and such that the second cutting guide surface and third cutting guide surface are disposed on the second side of the bone forming an angle therebetween. | 03-13-2014 |
20140081275 | Patient-Specific Orthopedic Instruments - A method of preparing a distal femur for a knee joint implant includes mounting a patient-specific bone engagement surface of a femoral alignment guide on a complementary surface of a distal femur of a patient. A plurality of alignment pins is inserted through a corresponding plurality of guiding bores of the femoral alignment guide into the distal femur. A cutting guide is mounted on first and second alignment pins of the plurality of alignment pins, and a first resection of the distal femur is made using the cutting guide while cutting through the femoral alignment guide. | 03-20-2014 |
20140081276 | CROSS PINNING GUIDE DEVICES AND METHODS - Methods and devices are provided for implanting a cross-pin through a bone tunnel, such as in an arthroscopic surgical procedure. In general, the methods and devices allow a cross-pin hole to be formed in a medial side of a knee bone such that it intersects a bone tunnel formed in the knee bone. In one embodiment, a cross-pinning guide device is provided that can be configured to angularly position the cross-pin hole relative to the bone tunnel to allow the cross-pin hole to intersect the bone tunnel without passing through another side, e.g., a lateral side, of the knee bone. The knee bone can be a femur or a tibia such that the cross-pin hole and the bone tunnel can each be entirely formed in the femur or in the tibia. | 03-20-2014 |
20140088602 | METHOD AND APPARATUS FOR PERFORMING AN OPEN WEDGE OSTEOTOMY - A method and apparatus for performing an open wedge osteotomy utilizing a keyed, wedge-shaped implant for disposition in a keyed, wedge-shaped opening created in a bone. The keys may be disposed in vertical or horizontal arrangements. In addition, a shear rib key hole may be formed adjacent the wedge-shaped opening in the bone. | 03-27-2014 |
20140094812 | Surgical Instrument and Method of Use - A surgical instrument for use in an orthopaedic arthroplasty procedure includes a shaft having a first end, a second end, and a longitudinal axis extending through a center of the shaft between the first and second ends. The surgical instrument further includes a spine extending outwardly from the first end of the shaft in a direction perpendicular to the longitudinal axis, wherein the spine has a longitudinal extent that is parallel to the longitudinal axis. When the surgical instrument is in contact with a tibial implant component, the spine is adapted to be positioned within an intercondylar notch of a femoral component. | 04-03-2014 |
20140094813 | METHOD FOR SURGICALLY IMPLANTING A PROSTHETIC PATELLA COMPONENT - An orthopaedic surgical instrument includes a patella trial and drill guide that may be used to both perform a surgical trial of the patellofemoral joint and guide the surgeon in drilling a number of anchor holes in the patella of the patient. | 04-03-2014 |
20140094814 | PATIENT-MATCHED INSTRUMENTS - Patient-matched surgical instruments, and methods for making patient-matched surgical instruments, may include patient-matched surgical instruments having an anatomy facing side with several discrete, physically separate anatomy contacting portions configured to match the anatomy of a particular patient. The anatomy contacting portions may be one or more of non-uniform in distribution, non-uniform in shape or non-uniform in surface area. | 04-03-2014 |
20140094815 | ADJUSTABLE SURGICAL INSTRUMENT - A surgical instrument is described which comprises an alignment guide having a first part including a distal end and a second part having a proximal end. The first part is attached to the second part by a pivot mechanism so that the first part can be tilted relative to the second part. A brace is attached toward the proximal end of the alignment guide for attaching the instrument to a limb of a patient. A component is attached toward the distal end of the alignment guide. The pivot mechanism is configured so that tilting the first part does not substantially change the separation between the component and the brace. | 04-03-2014 |
20140100578 | Patient-Specific Guides - A device for an orthopedic knee procedure. The device includes a tibial drill guide having a body portion and first and second posts extending from the body portion, the first post shorter in length than the second post. The device includes a patient-specific tibial alignment guide including a body with an inner anatomy-engaging surface shaped to closely conform and mate with a corresponding tibial joint surface. The first and second guiding receptacles define first and second inner channels sized and shaped to receive the first and second posts of the tibial drill guide. The first receptacle being shorter in length than the second receptacle, such that when the alignment guide is mounted on the tibial joint surface and the drill guide is mounted on the alignment guide, the first receptacle and the first post define a clearance gap between the tibia and the device for a patellar tendon. | 04-10-2014 |
20140107655 | CUSTOMIZED ARTHROPLASTY CUTTING GUIDES AND SURGICAL METHODS USING THE SAME - Implementations described and claimed herein provide an arthroplasty system for making resections in a patient knee. In one implementation, the system includes a femoral cutting guide having a patient specific mating region, and a distal planar surface distally spaced from a distal resection surface based on thicknesses of femoral and tibial implants. The distal planar surface may be used to check ligament balance. The system further includes a tibial cutting guide having a patient specific mating region and a an anchor pin hole intersecting with a proximal resection slot near a medial or lateral edge of the proximal resection slot. The anchor pin hole being configured to receive an anchor pin that may serve as a sawing stop during a proximal resection. | 04-17-2014 |
20140114319 | ALIGNMENT DEVICES AND METHODS - Embodiments of the invention include devices and methods for implanting arthroplasty devices. Some embodiments include designs that allow for use of x-ray images as the only images used to fully and accurately preoperatively and intraoperatively size and align arthroplasty device components and prepare all necessary tissue. | 04-24-2014 |
20140114320 | PATIENT SPECIFIC SOFT TISSUE PROTECTORS AND RETRACTORS - Disclosed are devices, methods and/or systems for tissue protectors and/or retractors having patient specific and/or patient adapted features that facilitate the accuracy and predictability of bone resection and tissue preparation during joint surgery, as well as improve the distraction of soft tissues, desirably preventing accidental injury to surrounding soft tissue structures and improving visualization. | 04-24-2014 |
20140128875 | UNICOMPARTMENTAL CUSTOMIZED ARTHROPLASTY CUTTING JIGS - Disclosed herein are unicompartmental femoral and tibial arthroplasty jigs for respectively assisting in the performance of unicompartmental femoral and tibial arthroplasty procedures on femoral and tibial arthroplasty target regions. The jigs each include a mating surface. The mating surface of the femoral jig is configured to matingly receive and contact a generally planar area of an anterior side of a femoral shaft generally proximal of the patellar facet border and generally distal an articularis genu. The mating surface of the tibial jig is configured to matingly receive and contact a generally planar area of an anterior side of a tibial shaft distal of the tibial plateau edge and generally proximal of the tibial tuberosity. | 05-08-2014 |
20140128876 | CUSTOMIZED PATIENT-SPECIFIC ORTHOPAEDIC PIN GUIDES - Customized patient-specific orthopaedic surgical instruments are disclosed. Methods for fabricating and using such instruments are also disclosed. | 05-08-2014 |
20140135775 | Patient-Specific Osteotomy Devices And Methods - An osteotomy method includes attaching a patient-specific osteotomy guide to a corresponding surface of a tibia of a patient and making an osteotomy at a patient-specific orientation through a resection slot of the osteotomy guide. The osteotomy guide is removed and first and second faces of the osteotomy are opened to form an implant insertion angle. The first and second faces of the osteotomy are secured at the implant insertion angle and an osteotomy implant having a patient-specific wedge angle that is smaller than the implant insertion angle is implanted. The first and second faces of the osteotomy are brought to the patient-specific wedge angle and in contact with the osteotomy implant. | 05-15-2014 |
20140142579 | SURGICAL TEMPLATES - A surgical template system for use in working on a bone comprises: a tool guide block comprising at least one guide aperture for receiving and guiding a tool to work on a bone; locating means comprising a plurality of locating members, each member having a respective end surface for positioning against a surface of the bone; and attachment means for non-adjustably attaching the tool guide block to the locating means such that, when attached, the member end surfaces are secured in fixed position with, respect to each other, for engaging different respective portions of the surface of the bone, and the at least one guide aperture is secured in a fixed position with respect to the end surfaces. Corresponding methods of manufacturing a surgical template system, methods of manufacturing locating means for a surgical template system, methods of fitting a prosthesis to a bone, surgical methods, and surgical apparatus are described. | 05-22-2014 |
20140148811 | FEMORAL SIZING GUIDE - A femoral sizing guide for locating an alignment axis on a resected femoral surface at a distal end of a femur, the femoral sizing guide including a body, a superstructure and a stylus. | 05-29-2014 |
20140155902 | Tibial Resurfacing System and Method - An implant resection system for preparing an implant site to replace a defect in an articular surface of a first bone includes a guide configured to be coupled generally perpendicular to the first bone proximate to the defect. The guide includes a body portion defining a plurality of excision passageways. The excision passageways each define a generally cylindrical core pathway configured to extend generally perpendicular to the first bone which partially overlaps with an adjacent generally cylindrical core pathway. A projection associated with each of the plurality of the generally cylindrical core pathways defines a truncated cylindrical excision site extending through a portion of the articular surface. Each truncated cylindrical excision site partially overlaps with at least one adjacent truncated cylindrical excision site. | 06-05-2014 |
20140155903 | AUTOMATICALLY ADJUSTING PATELLA CUTTING GUIDE - A patella clamping device has a handle having a first arm and a second arm, the arms each having a first gripping end and a second clamping end. The clamping ends are movable towards the opposite arm by action on the gripping end of each arm. The clamping ends of the first and second arms comprise opposed clamping surfaces. The clamping end of each arm has a body portion having spaced first and second surface defining the opposed surface of each arm. A plurality of pins extend from the first to the second surface. A rotatable toothed jaw member is pivotally mounted on each of the pins. The jaw member has at least one tooth extending outwardly of the opposed surface of each arm for engaging the patella. Each body has a third surface spaced from the second surface to create a slot for receiving a saw blade. | 06-05-2014 |
20140171954 | METHOD AND APPARATUS FOR PERFORMING KNEE ARTHROPLASTY - A method for preparing a femur and a tibia for receipt of a partial knee prosthesis. The method includes the following: positioning a femoral engagement member of a femoral drill guide proximate to the femur; positioning a tibial engagement member of the femoral drill guide proximate to the tibia; moving an adjuster associated with the femoral drill guide to translate at least one of the femoral engagement member or the tibial engagement member against the femur or tibia respectively to widen a joint space defined between the femur and the tibia; drilling holes in the femur using the femoral drill guide as a reference; coupling a tibial cut guide to the femoral drill guide; making a first cut in the tibia by referencing the femoral drill guide; and making a second cut in the tibia by referencing the tibial cut guide. | 06-19-2014 |
20140188118 | Instruments for minimally invasive surgery total knee arthroplasty - An anti-backout stylus comprising a stylus and a locking stylus holder. The locking stylus holder engages the stylus at a series of discrete positions during insertion of the stylus into the holder. The locking stylus holder prevents inadvertent backing out of the stylus by preventing the stylus from being withdrawn to a previous one of the discrete positions. The locking stylus holder can preferably be selectively disengaged from the stylus to allow for selective withdrawal of the stylus. Each engagement of one of the discrete positions by the locking stylus holder preferably indicates a femoral size. The discrete positions are preferably defined by detents formed on the stylus and a stop member on the locking stylus holder. The locking stylus holder can be provided on an anterior rough cut guide, with the anterior rough cut guide preferably mountable on an intramedullary rod. | 07-03-2014 |
20140188119 | Patient-Specific Convertible Guides - A method of intraoperatively selecting between a partial knee arthroplasty and total knee arthroplasty includes mounting a patient-specific three-dimensional surface of a convertible patient-specific guide in a unique position mating to a corresponding surface of a distal femoral bone. The convertible patient-specific guide includes an anterior portion and a distal portion a patellofemoral guide. One of a total knee arthroplasty and a partial knee arthroplasty is selected intraoperatively. If total knee arthroplasty is selected, first and second covers are removed from corresponding first and second distal guiding bore. First and second distal pins through the first and second distal guiding bores are registered on the bone. If partial knee arthroplasty is selected, the anterior portion is severed and removed along a frangible groove and the distal portion is used as a patellofemoral guide. | 07-03-2014 |
20140194883 | DISTAL RESECTION SYSTEMS AND METHODS - The present disclosure relates to systems and methods for preparing a distal end of a femur for receiving a knee prosthesis. A method can include installing a valgus guide onto an intermedullary rod, coupling a drill guide with said valgus guide, resting a boom tip of said drill guide on a high part of the femur, drilling a hole into a distal portion of a medial condyle using a first drill hole of said drill guide and drilling a hole into a distal portion of a lateral condyle using a second drill hole of said drill guide, and, subsequent to drilling the first and second drill holes, resecting the distal portion of the medial condyle of the femur and the distal portion of the lateral condyle of the femur. A system can include a valgus guide, a drill guide, and a resection tower, among other things. | 07-10-2014 |
20140194884 | INSTRUMENTS FOR TOTAL KNEE ARTHROPLASTY - An instrument assembly for resecting a distal femur for receipt of a knee implant, comprising an intramedullary rod and resection instruments. A valgus portion of the intramedullary rod has series of engagement members positioned to provide a plurality of engagement positions for use in fixing the resection instruments on the valgus portion. The resection instruments are configured to selectively engage and selectively lock on the valgus rod at the engagement positions via the engagement members. The engagement members preferably comprise pairs of substantially vertical indents arranged in parallel along opposing sides of said valgus portions. The resection instruments preferably engages and locks to said engagement members via a sliding rod engagement member. The resection instruments preferably include a distal cut guide having a distal resection slot and a femoral resection block. | 07-10-2014 |
20140222006 | METHOD OF ARTHROPLASTY ON A KNEE JOINT AND APPARATUS FOR USE IN SAME - A method of, and apparatus for, arthroplasty of a knee joint comprising obtaining a desired spacing of the femur from the tibia by inserting a spacer into the knee joint between the femur and the tibia. The spacer is used as a reference for securing a guide jig in position about the knee joint for guiding resection of one or both of the femur and tibia for fitting of tibial and/or femoral prostheses. A method of resecting the femur while moving the tibia through an arc of motion to remove bone to the desired depth, a method of determining the position of the guide jig, the guide jog, an alignment device and the spacer are also described. | 08-07-2014 |
20140222007 | METHOD FOR PERFORMING AN ORTHOPAEDIC SURGICAL PROCEDURE - A method for performing an orthopaedic surgical procedure on a knee joint of a patient includes resecting a proximal end of a patient's tibia to create a resected surface of the patient's tibia and positioning a tibial paddle of a sensor module on the proximal end of the patient's tibia. The tibial paddle includes a sensor array generating sensor signals indicative of the joint force of the patient's knee joint. The method also includes performing a number of orthopaedic surgical steps while monitoring a display of the sensor module that provides a visual indication of the medial-lateral balance of the joint force of the patient's knee joint. | 08-07-2014 |
20140236159 | ON-BOARD TOOL TRACKING SYSTEM AND METHODS OF COMPUTER ASSISTED SURGERY - A number of improvements are provided relating to computer aided surgery utilizing an on tool tracking system. The various improvements relate generally to both the methods used during computer aided surgery and the devices used during such procedures. Other improvements relate to the structure of the tools used during a procedure and how the tools can be controlled using the OTT device. Still other improvements relate to methods of providing feedback during a procedure to improve either the efficiency or quality, or both, for a procedure including the rate of and type of data processed depending upon a CAS mode. | 08-21-2014 |
20140243834 | FEMORAL ORTHOPAEDIC SURGICAL INSTRUMENT INCLUDING A MEASUREMENT DEVICE AND METHOD OF USE OF SAME - An orthopaedic surgical instrument assembly is disclosed. The assembly includes an orthopaedic surgical instrument including a first surface, and a measurement gauge removably coupled to the orthopaedic surgical instrument. The gauge includes an arm having a tip positioned proximal to the orthopaedic surgical instrument, and a plurality of markings defined on the arm. Each marking indicates a predetermined distance from the first surface of the orthopaedic surgical instrument. The assembly may be used during an orthopaedic surgical procedure on a femur, which is also described herein. | 08-28-2014 |
20140243835 | LIGAMENT BALANCING FEMORAL TRIAL - An instrument for setting ligament tension between a distal femur and a proximal tibia has a rod mounted on a femur. The rod has an extension extending along a first axis. A first drive element is mounted on the distal femur and is rotatable about a second axis. A body is rotatably mounted on the rod extension for rotation about the first axis. The body has a second drive element engaging the first drive element and a third drive element extending about a third axis offset from the first and second axes. A ligament tensioning element is mounted on the body and has a foot for engaging a posterior condyle of a femur and has a fourth drive element. A fifth drive element engages both the third and fourth drive elements for moving the ligament balancer with respect to the body along the third axis. | 08-28-2014 |
20140243836 | SURGICAL KIT FOR CARTILAGE REPAIR - A guide tool adapted for removal of damage cartilage and bone and adapted for guiding insert tools during repair of diseased cartilage at an articulating surface of a joint is disclosed. The guide tool includes a guide base having a positioning body and a guide body protruding from the guide base. The guide body includes a height adjustment device and a guide channel with a length. The guide channel extends throughout the guide body and through the height adjustment device with one opening on a cartilage contact surface of the positioning body and one opening on the top of the height adjustment device. The guide body includes a height adjustment device being arranged to enable stepwise adjustment of the length. | 08-28-2014 |
20140249534 | BONY BALANCING APPARATUS AND METHOD FOR TOTAL KNEE REPLACEMENT - Total knee replacement surgery is improved through custom cuts on the distal femur without resorting to expensive computer navigation. The method involves measurements on plain radiographs or CT scans prior to surgery, the amount of bone that would be resected on each knee, medially and laterally on the distal femur. In the preferred embodiments, the predetermined distance is in the range of 8-12 mm, more preferably 10 mm, and the resulting distance from the second line to the apex of the lateral condyle is in the range of 6 to 7 mm. A cutting fixture is provided and used to resect the medial condyle at the predetermined distance and the lateral condyle at the measured resulting distance. | 09-04-2014 |
20140257306 | POLYMER 4-IN-1 FEMORAL CUTTING BLOCK INCLUDING METALLIC PROTECTIVE BUSHINGS - An orthopaedic surgical instrument includes a polymer 4-in-1 cutting block having a number of metallic cutting guides secured thereto. A pair of metallic bushings function as saw stops at the medial and lateral ends of the chamfer cutting slot. | 09-11-2014 |
20140257307 | EXTRAMEDULLARY RESECTION GUIDE AND METHODS - A bone cut positioning system and associated method are disclosed. The bone cut positioning system can include a positioning assembly, including a femoral attachment member, including a tongue with at least one fixation aperture configured to be fixed to a distal end of a femur. The positioning assembly can further include a light emitter mounting member configured to receive a light emitter, a channel configured to receive a depth selector slide, and a varus-valgus adjustment member configured to adjust a position of the positioning assembly relative to the femur to achieve a desired varus-valgus angle. A flexion-extension adjustment member can be configured to adjust a flexion-extension position of the positioning assembly relative to a flexion-extension of a knee joint and a guide member can be configured to extend from the depth selector slide | 09-11-2014 |
20140257308 | INTRAMEDULLARY RESECTION GUIDE AND METHODS - A bone cut positioning system and associated method are disclosed. The bone cut positioning system can include a positioning assembly. The positioning assembly can include a femoral attachment member configured to be fixed to a distal end of a femur, a light emitter mounting member configured to receive a light emitter, and a channel configured to receive a depth selector slide. Further, the positioning assembly can include a varus-valgus adjustment member configured to adjust a position of the positioning assembly relative to the femur to achieve a desired varus-valgus angle and a guide member removably coupled to the depth selector slide and configured to extend from the depth selector slide. | 09-11-2014 |
20140257309 | CUSTOMIZED PATIENT-SPECIFIC REVISION SURGICAL INSTRUMENTS AND METHOD - A surgical instrument including a customized patient-specific guide block is disclosed. The customized patient-specific guide block includes a first surface, a bone-facing surface, a second surface positioned opposite the first surface and the bone-facing surface, and a guide pin hole extending between the second surface and the bone-facing surface. The first surface has a customized prosthesis-specific negative contour shaped to match a corresponding contour of a prosthetic component, and the customized prosthesis-specific negative contour includes a concave surface shaped to match a convex surface of the corresponding contour of the prosthetic component. A method of performing an orthopaedic surgical procedure is also disclosed. | 09-11-2014 |
20140257310 | TIBIAL RESECTION SYSTEMS AND METHODS FOR CRUCIATE LIGAMENT RETAINMENT - Tibial resection systems and methods for use in a uni- or bi-cruciate retaining knee replacement procedure are disclosed. A tibial resection system can include a tibial block, an alignment guide, and a tibial implant template. The tibial block can be coupled to an anterior side of a tibia and longitudinally extend from a proximal end portion to a distal end portion. The alignment guide can be coupled to the proximal end portion of the tibial block and can include one or more drill guides and a drill guide adjustment mechanism. The tibial implant template can be engaged with the drill guide adjustment mechanism, such that rotational movement of the tibial implant template can adjust an axial direction of the one or more drill guides. An outer profile of the tibial implant template can be selected to substantially match an outer profile of a tibial prosthesis to be implanted. | 09-11-2014 |
20140276857 | METHOD OF SURGICALLY PREPARING A PATIENT'S TIBIA - Methods of surgically preparing a patient's tibia are disclosed. Some methods include positioning a guide tower on a surgically-prepared proximal surface above an opening of a medullary canal of the patient's tibia, attaching a stem trial to a lower end of an offset tool that is sized to be received in the guide tower, and advancing the stem trial through the guide tower and the surgically-prepared proximal surface into the medullary canal. The method may include moving the guide tower to a desired offset orientation on the surgically-prepared proximal surface and advancing a reamer through the guide tower into the medullary canal. The method may also include positioning a tibial base trial on the surgically-prepared proximal surface based on the desired offset orientation. | 09-18-2014 |
20140276858 | TIBIAL ORTHOPAEDIC SURGICAL INSTRUMENTS FOR SETTING OFFSET - An orthopaedic surgical instrument assembly is disclosed. The orthopaedic surgical assembly includes a guide tower, an offset tool attached to the guide tower, and a stem trial. A guide tower includes a base surface adapted to be positioned on a proximal end of a patient's tibia and defining a first axis extending through the base surface. The offset tool is configured to rotate about the first axis. The offset tool includes a tool body that is positioned in the guide tower and is integrally formed with a shaft extending through an opening defined in the base surface of the guide tower. The stem trial is removably coupled to a lower end of the shaft. | 09-18-2014 |
20140276859 | FEMORAL ORTHOPAEDIC SURGICAL INSTRUMENTS FOR SETTING OFFSET - A number of orthopaedic surgical instruments for use in a surgical procedure to prepare a patient's femur to receive an orthopedic prosthesis. The tools include guide tools, cutting tools, surgical blocks, and other orthopaedic surgical instruments configured to plan and guide the preparation of the patient's femur. A method of using the orthopaedic surgical instruments is also disclosed. | 09-18-2014 |
20140276860 | SYSTEM AND METHOD FOR ASSESSING, MEASURING, AND CORRECTING AN ANTERIOR-POSTERIOR BONE CUT - A system and method is disclosed herein for measuring anterior-posterior slope of a bone to set a cutting jig coupled to the muscular-skeletal system. The system comprises a sensored module that can be placed within a prosthetic component to measure anterior-posterior slope. The system further includes a remote system for receiving, processing, and displaying quantitative measurements from the sensors. A first bone and a second bone are placed in extension. A sensored module is referenced to a bone landmark of the first bone. The sensored module includes a three-axis accelerometer that is configured to measure position, tilt, and rotation. A bone cutting jig is coupled to the first bone. The sensored insert is coupled to the bone cutting jig. The accelerometer in the sensored insert is used to measure the anterior-posterior slope. The bone cutting jig is then adjusted to a predetermined anterior-posterior slope as measured by the sensored insert. | 09-18-2014 |
20140276861 | BONE CUTTING METHOD FOR ALIGNMENT RELATIVE TO A MECHANICAL AXIS - A method is disclosed herein for aligning a bone cutting jig for a bone cut relative to a mechanical axis. The method utilizes a three-axis accelerometer in a device to measure position, rotation, and tilt. The device is coupled to a bone-cutting jig. The bone-cutting jig is coupled to a bone. A joint of the bone is placed in a predetermined flexion. The joint end of the bone is rotated between a first point and a second point. As the joint rotates it pivots off a pivot point related to the mechanical axis. The joint rotation is monitored on a remote system. The device transmits data related to an arc made by the joint as it is rotated. The alignment of the bone relative to the mechanical axis is calculated from the three-axis accelerometer data. The bone-cutting jig is positioned to cut the bone based on the alignment measurement. | 09-18-2014 |
20140276862 | BONE CUTTING SYSTEM FOR ALIGNMENT RELATIVE TO A MECHANICAL AXIS - A bone cutting system is disclosed that supports one or more bone cuts that are aligned relative to a mechanical axis. The system comprises a first bone cutting jig, a second bone cutting jig, a sensored insert, a bone jig adapter shim, and a device having at least two reference surfaces. The sensored insert includes a three-axis accelerometer to measure position, rotation, and tilt and includes a plurality of sensors to measure a parameter of the muscular-skeletal system. The reference surface device can be an operating table having a first reference surface and a second reference surface that is perpendicular to the first reference surface for referencing the three-axis accelerometer. The bone jig adapter shim can include a tab that fits into a slot of the first or second bone cutting jigs. A remote system receives accelerometer data to calculate offset relative to a mechanical axis. | 09-18-2014 |
20140276863 | BONE CUTTING SYSTEM FOR THE LEG AND METHOD THEREFOR - A knee bone cut system and method is disclosed. The knee bone cut system supports cutting an anterior portion of a distal end of a femur. The system comprises a sensored insert, a femoral rotation guide, and a remote system to receive and display sensor data. The sensored insert provide data related to load magnitude, position of load, and leg position. The femoral rotation guide has moveable condyles to adjust condyle position in a rapid manner. A pinch mechanism and lock mechanism respectively move the condyles into contact with the sensored insert. Moreover, the femoral rotation guide can be loaded similar to a final installed insert over a range of motion. For example, the patella can be placed on the femoral rotation guide allowing the patella to load the sensored insert. The femoral insert guide includes guide holes that are used in conjunction with a bone cutting jig. | 09-18-2014 |
20140276864 | SYSTEMS AND METHODS FOR PROVIDING ALIGNMENT IN TOTAL KNEE ARTHROPLASTY - Systems and methods for providing alignment in total knee arthroplasty operations are provided herein. The systems and methods generally include a plurality of sensors coupled to a patient's bones or other surgical tools, the sensors detect their position and orientation in space and communicate this information to a processor. The processor can utilize the information to display data to a surgeon or other user regarding the position, angle, and alignment of a patient's bones, surgical tools, and the reconstructed knee joint. | 09-18-2014 |
20140276865 | ADJUSTABLE REVISION GUIDE - An axial height adjustable, revision cutting in the shape of a final distal femur implant component. The revision guide includes a rod adapted for intimate contact within an intramedullary canal of a femur, and includes a threaded passageway. The revision cutting guide is adapted for removable attachment to a distal portion of the femur. A vernier-bolt is rotatably positioned through the shaped body of the revision cutting guide so as to be adjustably received within the threaded passageway thereby providing for movement of the shaped body of the revision cutting guide relative to the distal portion of the femur. | 09-18-2014 |
20140288562 | System and method for performing measurable and controled osteotomy - Providing a system for performing a CORA based leveling osteotomy. The system enables a uniform precise osteotomy and mechanical rotation of the proximal tibia concentric to the osteotomy and a means for fixing an osteotomy plate or brace while the system reduces the osteotomy through compression. | 09-25-2014 |
20140288563 | KNEE ARTHROPLASTY INSTRUMENT - An instrument ( | 09-25-2014 |
20140288564 | FEMORAL CUT GUIDE - The present disclosure provides a femoral cut guide for preparing a distal femur to receive a prosthetic femoral component of a knee implant. The prosthetic femoral component includes a central box. The femoral cut guide replicates the size and shape of the prosthetic femoral component, such that the femoral cut guide may serve as a trial or provisional component used to reduce and test the prepared knee joint before implanting the final prosthetic femoral component. The femoral cut guide includes a detachable box cut guide for preparing the distal femur to receive the central box of the prosthetic femoral component. | 09-25-2014 |
20140296859 | CUT GUIDE ATTACHMENT FOR USE IN TIBIAL PROSTHESIS SYSTEMS - Tibial prosthesis systems for implantation or use in a knee joint are disclosed. A tibial prosthesis system for implantation on a resected tibia can include a bearing component, a base component, and a shim component. The insertion of the shim component can provide spacing adjustment between the bearing and base components. The shim component can have a generally uniform height or thickness, or a variable height. A cut guide attachment, removably attachable to the prosthesis system, can be used to facilitate further resection of the tibia and create one or more additional resection surfaces on the tibia at an angle relative to the first resection surface. Multiple cut guide attachments can be available to the user to provide various resection angles. The cut guide attachment can include a modular design. The cut guide attachment can be configured to adjust the angle of the subsequent resection in at least one direction. | 10-02-2014 |
20140303630 | SURGICAL GUIDE INSTRUMENT AND SYSTEM FOR ACL RECONSTRUCTION AND METHOD OF USING SAME - A system for performing anterior cruciate ligament reconstructions is provided. The system includes a surgical guide instrument defining an elongate body having a hand-graspable handle and a head section including a distal phalange and a proximal open-faced slot. The distal phalange is contoured to anatomically conform to the femur and includes a notch section engageable with the intercondylar notch. The open-faced slot includes a stop member. The system further includes a guide wire operably receivable by a guide wire sheath to form a guide wire assembly. The guide wire assembly is received by the open-faced slot wherein the stop member is structured to stop the sheath from exiting the slot. The surgical guide instrument can direct the guide wire to an anatomic position on the femur and ensure a safe and usable femoral tunnel. | 10-09-2014 |
20140309645 | DISTAL FEMORAL TRIAL WITH REMOVABLE CUTTING GUIDE - Various embodiments of the present invention provide a distal femoral trial that allows a surgeon to cut the central box geometry of a distal femur using an implant-shaped trial. The trial includes a cutting guide that is removable from the trial and adjustable with respect to the trial. The guide is intended to control the depth and direction of the cutting instruments used to prepare the femur for a posterior stabilized implant. | 10-16-2014 |
20140330278 | ARTHROPLASTY JIG AND METHOD OF PERFORMING ARTHROPLASTY - A method and system for performing a total joint arthroplasty procedure on a patient's damaged bone region. A CT image or other suitable image is formed of the damaged bone surfaces, and location coordinate values (x | 11-06-2014 |
20140330279 | ARTHROPLASTY JIG - A method and system for performing a total joint arthroplasty procedure on a patient's damaged bone region. A CT image or other suitable image is formed of the damaged bone surfaces, and location coordinate values (x | 11-06-2014 |
20140336659 | FEMORAL SIZING JIG, FEMUR RESECTING SYSTEM, AND METHOD - A femoral sizing jig for use in total arthroplasty of left and right knees, comprises a femoral body, an external-rotation-angle arm which is, preferably pivotable, relative to the femoral body for setting an external angular rotation of a left or right femur, at least one of a cutting-jig guide and a cutting jig which is, preferably slidable, relative to the femoral body and in unison with movement of the external rotation-angle arm, and a medial posterior-condylar locator which is movable in unison with the movement of the external-rotation-angle arm, so as to maintain a fixed or substantially fixed relative distance with a medial side of the at least one of a cutting-jig guide and a cutting jig. A posterior-referencing femur resecting system using said femoral sizing jig and a method of resecting a femur at a knee joint relative to the medial posterior condyle are also provided. | 11-13-2014 |
20140343558 | Methods of Designing Molds for Machining Cost Reduction - An orthopaedic knee cutting block prepared by a process comprising the steps of: creating a mold with a first core detail and a second core detail, each of the core details corresponding to a volume; filling the mold with a mixture of a binder and a metal; releasing a green part from the mold, the green part having a first void corresponding to the first core detail and a second void corresponding to the second core detail; removing the binder from the green part; heating the green part to create a sintered part; and machining the part by sawing a cutting slot such that the cutting slot overlaps with the first void and the second void. Alternatively, the orthopaedic knee cutting instrument may be made by a simple metal casting method. | 11-20-2014 |
20140364856 | APPARATUS FOR PREOPERATIVE PLANNING OF ARTIFICIAL KNEE JOINT REPLACEMENT OPERATION AND JIG FOR SUPPORTING OPERATION | 12-11-2014 |
20140378978 | ARTHROPLASTY JIGS WITH MATING ACCURACY - Disclosed herein is a method of defining a mating surface in a first side of an arthroplasty jig. The mating surface is configured to matingly receive and contact a corresponding patient surface including at least one of a bone surface and a cartilage surface. The first side is oriented towards the patient surface when the mating surface matingly receives and contacts the patient surface. The method may include: a) identifying a contour line associated with the patient surface as represented in a medical image; b) evaluating via an algorithm the adequacy of the contour line for defining a portion of the mating surface associated with the contour line; c) modifying the contour line if the contour line is deemed inadequate; and d) employing the modified contour line to define the portion of the mating surface associated with the contour line. | 12-25-2014 |
20140378979 | Alignment Guides With Patient-Specific Anchoring Elements - A method for preparing a bone of a joint during joint arthroplasty. The method includes mounting an alignment guide on the bone of a patient along an alignment direction. The method further includes anchoring the alignment guide into a cartilage of the bone using a plurality of patient-specific anchoring elements extending from an inner surface of alignment guide, each anchoring element having a patient-specific length extending between the inner surface and an end point of the corresponding anchoring element. | 12-25-2014 |
20150025537 | DEVICE AND METHOD FOR INSTALLING FEMORAL PROSTHETIC KNEE JOINT - Devices and method for performing replacement prosthetic knee surgery are disclosed in which a spacing means is introduced between the femur ( | 01-22-2015 |
20150032113 | CUSTOMIZABLE JOINT REPLACEMENT APPARATUS - In various examples, an apparatus includes an instrument body including a protrusion configured to be sized according to an anatomy of a bone of a patient. A guide is configured to guide an aspect of a resection procedure of the bone, wherein the protrusion, when sized, is configured to abut the patient's bone to maintain the instrument body in a first position with respect to the bone during at least part of the resection procedure. | 01-29-2015 |
20150038974 | IMPLANT AND RELATED SURGICAL TECHNIQUE FOR USE IN HIGH TIBIAL OSTEOTOMY - An implant for use in high tibial osteotomy can include a central implant portion, a first side implant portion and a second side implant portion. The first and second side implant portions can be selectively rotatable relative to each other. A method of performing high tibial osteotomy can include providing an implant having a superior surface and an inferior surface. The first superior surface and the second inferior surface can define an implant angle therebetween. A correction angle of the tibia can be determined. A first cut can be made in the tibia. An angle of a second cut relative to the first cut can be determined based on a difference between the implant angle and the correction angle. The second cut can be made in the tibia. The tibia can be opened creating an opening for receipt of the implant. The implant can be inserted into the opening. | 02-05-2015 |
20150038975 | RESECTION SHIFT GUIDE AND METHOD - Resection shift guides and methods providing anterior, posterior, clockwise, or counterclockwise adjustment of a 4-in-1 cut guide along a planar resected surface of a femur are disclosed. A resection shift guide can include a base member and a block member. The base member can include first and second arms. The block member can include a first end, rotatably coupled with the first arm, a second end, rotatably coupled with the second arm, and at least three surfaces extending between the first and second ends. Each of the at least three surfaces can include two or more drill holes arranged differently than drill holes of the other surfaces. A method can include removing a 4-in-1 cut guide from two original femoral lumens, drilling two adjusted femoral lumens using a resection shift guide, removing the resection shift guides, and attaching the 4-in-1 cut guide to the two adjusted femoral lumens. | 02-05-2015 |
20150045800 | Method For Repairing Bone Defects - A method for repairing a soft tissue or bone defect can include selecting one of a plurality of sizing guides having a base perimeter size corresponding to a size of the defect, where each base has a different perimeter size and a plurality of apertures spaced apart a predetermined distance from each other, with the predetermined distance being the same for each of the sizing guides. The selected sizing guide base can be positioned against a distal end of the femur relative to the defect. A plurality of guide wires can be positioned through the plurality of apertures in the sizing guide base and the guide wires can be fixed to the femur such that the guide wires are parallel to each other. A first guide can be positioned over the guide wires and against the distal end of the femur to guide a first cutting member relative to the femur. | 02-12-2015 |
20150045801 | NATURAL ALIGNMENT KNEE INSTRUMENTS - A method for aligning an orthopedic implant in a joint replacement includes determining the bone and cartilage deficiency from an undegenerated state caused by wear of a joint. Then a resection of a bone in the joint is made based on the deficiency of bone and cartilage from the undegenerated state and the size of a joint implant so as to locate the joint surface of the implant in the undegenerated cartilage location. The condylar wear from the undegenerated states may be assessed at a distal and posterior location on each of a medial and a lateral femoral condyle. A distal cut is made on the femur at a location adjusting for the condylar wear from the undegenerated state. The distal cut varus-valgus angle is oriented parallel to a plane across the distal femur after adjusting for wear in the distal location on the medial and lateral condyle. | 02-12-2015 |
20150051602 | X-RAY BASED CUTBLOCK POSITIONING JIG - A cut block positioning jig including a first alignment member, a second alignment member, and both first and second guide members. The first alignment member is movable towards and away from a patient's bone to which the positioning jig is mounted to arrange the jig at a predetermined position relative to the bone based on x-rays of the patient. The second alignment member is movable towards and away from the bone to arrange the jig at the predetermined position relative to the bone. The first and second guide members are configured to direct cut block support members to the bone to couple a cut block to the bone to provide the bone with patient-specific cuts. | 02-19-2015 |
20150057667 | APPARATUS FOR PERFORMING AN OPEN WEDGE, HIGH TIBIAL OSTEOTOMY - An apparatus and method for performing an open wedge osteotomy. The apparatus includes devices for forming an open wedge osteotomy in bone, including a keyed-wedge implant. The method includes the steps of forming a cut in a bone, forming a keyhole in the bone surface at the proximal end of the cut, and positioning a keyed wedge-shaped implant into the cut formed into the bone. | 02-26-2015 |
20150080899 | METHODS AND APPARATUS FOR PERFORMING KNEE ARTHROPLASTY - Methods and apparatus for performing knee arthroplasty, including, but not limited to, bicruciate retaining knee arthroplasty, are described herein. Methods and apparatus for preparing a distal femur for a femoral implant as well as methods and apparatus for preparing a proximal tibia for a tibial implant are described. These methods and apparatus, in at least some embodiments and uses, facilitate decreasing the complexity of knee arthroplasty procedures such as bicruciate retaining procedures, while maintaining, if not improving on, the safety, accuracy and/or effectiveness of such procedures. | 03-19-2015 |
20150088140 | SPACER BLOCK - A knee arthroplasty system for use in a patient's knee joint comprises a spacer block instrument including a base portion, a tibial component extending from the base portion and configured for placement against a tibia, and a femoral component configured for placement against a femur. The femoral component is rotatably coupled to the tibial component. The system further includes one or more spacer block shims structured for removable attachment to the tibial component. | 03-26-2015 |
20150088141 | POSITIONING MULTIPLE IMPLANTS WITH RESPECT TO SINGLE COORDINATE SYSTEM - A method for preparing a femur and a tibia to receive implants. The method includes mapping location of a femoral guide to a coordinate system using a femoral position sensor mounted to at least one of the femoral guide or another femoral surgical device during preparation of the femur to receive a femoral implant. The method further includes mapping location of a tibial guide to the coordinate system using a tibial position sensor mounted to at least one of the tibial guide or another tibial surgical device during preparation of the tibia to receive a tibial implant. | 03-26-2015 |
20150088142 | PATIENT SPECIFIC INSTRUMENT - A femoral cutting guide includes guide slots for guiding the movement of cutting tools relative to a distal portion of a femur, a surface feature adapted to at least partially conform to a resected surface of the distal portion of the femur, and either a posterior-facing surface adapted to conform to an anterior, unaltered surface of the distal portion of the femur or an anterior-facing surface adapted to conform to a posterior, unaltered surface of the distal portion of the femur. | 03-26-2015 |
20150088143 | CUSTOMIZED UNICOMPARTMENTAL TIBIAL CUTTING GUIDE - A customized unicompartmental tibial cutting guide for orthopedic surgery is provided. The tibial cutting guide includes a first mating surface having a customized patient-specific negative contour to match a corresponding contour of an anterior region of a tibia of a patient and a second mating surface extending transverse to the first mating surface to a midpoint of a tibial plateau of a medial or lateral condyle of the tibia. The second mating surface includes a customized patient-specific negative contour to match a corresponding contour of a mid-region of the tibial plateau of the medial or lateral condyle. The second mating surface is limited to a region between an intercondyloid eminence and a lateral or medial edge of the tibial plateau. The tibial cutting guide also includes a first cutting guide surface and a second cutting guide surface positioned transverse to the first cutting guide surface. | 03-26-2015 |
20150100058 | SYSTEMS AND METHODS FOR JOINT REPLACEMENT - Systems and methods for joint replacement are provided. The systems and methods include a surgical orientation device and at least one orthopedic fixture. The surgical orientation device and orthopedic fixtures can be used to locate the orientation of an axis in the body, to adjust an orientation of a cutting plane or planes along a bony surface, to distract a joint, or to otherwise assist in an orthopedic procedure or procedures. | 04-09-2015 |
20150112349 | Ligament Guide Registration - A patient-specific guide tool for guiding an instrument toward a bone for implantation of a prosthetic device is disclosed. The guide tool includes a body portion having a guide element, and a patient-specific portion having at least one patient-specific mating feature that is configured to engage a soft tissue at or near the bone. A method of manufacturing a guide tool for guiding an instrument toward a bone is also disclosed. | 04-23-2015 |
20150112350 | SURGICAL TEMPLATES - A surgical template system for use in working on a bone comprises: a tool guide block comprising at least one guide aperture for receiving and guiding a tool to work on a bone; locating means comprising a plurality of locating members, each member having a respective end surface for positioning against a surface of the bone; and attachment means for non-adjustably attaching the tool guide block to the locating means such that, when attached, the member end surfaces are secured in fixed position with, respect to each other, for engaging different respective portions of the surface of the bone, and the at least one guide aperture is secured in a fixed position with respect to the end surfaces. Corresponding methods of manufacturing a surgical template system, methods of manufacturing locating means for a surgical template system, methods of fitting a prosthesis to a bone, surgical methods, and surgical apparatus are described. | 04-23-2015 |
20150127009 | DEVICES AND METHODS FOR KNEE ARTHROPLASTY - The present invention provides, in certain embodiments, a device for positioning and orienting the femoral cutting block. The present invention also provides a device for setting rotation of sagittal resection for unicompartmental knee arthroplasty. The present invention further provides methods for setting the rotation of the tibial implant by kinematic measurements. | 05-07-2015 |
20150127010 | DEVICE FOR EXTRACTION OF PROSTHETIC IMPLANTS - A surgical cutting guide includes a guide body removably attachable to a proximal end of an implanted prosthesis. The guide body has at least one locator configured to azimuthally orient the guide body with respect to the prosthesis. The guide body has at least one slot extending from a proximal side of the guide body to a distal side of the guide body. A method of removing an implanted prosthesis can attach a surgical cutting guide to an implanted prosthesis with a specified azimuthal orientation, can direct an osteotome through a slot in the surgical cutting guide to a specified location at or near an interface between the prosthesis and the bone, can dislodge the prosthesis from the bone using the osteotome, can retract the osteotome through the slot, and can remove the dislodged prosthesis from the bone. | 05-07-2015 |
20150127011 | TPLO PLATE WITH SUTURE HOLES FOR ROTATIONAL STABILITY - A TPLO plate configured to accommodate flexible strands (flexible loops) attached to tissue to be attached to bone. The TPLO plate has one or more suture eyelets, to allow the user (surgeon) to pass a flexible strand through the eyelets and attach/reattach the tissue to the plate at the anatomical location, and to improve the rotational stability of the joint or bone. The eyelets may have various shapes, forms and configurations and may be provided on or within a surface of the TPLO bone plate in any number, depending on the characteristics of the fractured bone or bone segments, or of the plate design. The eyelets preferably receive one or more flexible strands. | 05-07-2015 |
20150127012 | FLEXIBLE ACL INSTRUMENTATION, KIT AND METHOD - In a first embodiment, the present invention includes an instrumentation system for preparing a bone for soft tissue repair, the instrumentation system including a flexible drill pin capable of bending along a curved path; an aimer capable of engaging the flexible pin to bend the flexible pin; and a flexible reamer having a flexible portion along at least a portion of its length, the flexible portion comprising a plurality of laser cuts. In an alternate embodiment, the present invention may also include a method for preparing a bone tunnel in a femur adjacent a knee joint, the method including introducing a flexible drill pin into the knee joint; guiding the flexible drill pin towards a surface of the femur with an instrument introduced into the knee joint; drilling the flexible drill pin into the femur; removing the instrument from the knee joint; introducing a cannulated flexible reamer into the knee joint by placing the flexible pin within the cannulation of the flexible reamer; and reaming the bone tunnel in the femur along the path of the flexible pin. | 05-07-2015 |
20150289883 | NATURAL ALIGNMENT KNEE INSTRUMENTS - A method for aligning an orthopedic implant in a joint replacement includes determining the bone and cartilage deficiency from an undegenerated state caused by wear of a joint. Then a resection of a bone in the joint is made based on the deficiency of bone and cartilage from the undegenerated state and the size of a joint implant so as to locate the joint surface of the implant in the undegenerated cartilage location. The condylar wear from the undegenerated states may be assessed at a distal and posterior location on each of a medial and a lateral femoral condyle. A distal cut is made on the femur at a location adjusting for the condylar wear from the undegenerated state. The distal cut varus-valgus angle is oriented parallel to a plane across the distal femur after adjusting for wear in the distal location on the medial and lateral condyle. | 10-15-2015 |
20150289884 | BONE POSITIONING DEVICE AND METHOD - A method for positioning a bone cutting guide on a tibia may begin with coupling a bone cut positioning apparatus with a tibia. The method may also include adjusting the positioning apparatus in a varus/valgus orientation to shine a light emitted by a light emitter approximately along a midline of an anterior surface of the tibia, swinging a pivoting arm about a pivot joint to direct the emitted light along a medial surface of the tibia, adjusting the positioning apparatus in an anterior/posterior orientation to shine the light approximately along a midline of the medial surface, contacting a stylus with a proximal end of the tibia to select a cutting depth for a bone cut to be made on the tibia, and attaching the bone cutting guide to the tibia in a position determined by the positioning apparatus. | 10-15-2015 |
20150297242 | Method and Apparatus for Femoral Resection Alignment - The apparatus of the present invention includes a number of components including tibial and femoral alignment guides, tibial and femoral cutting guides and tibial and femoral implants for total knee arthroplasty procedures. | 10-22-2015 |
20150305754 | Instrumentation For Knee Resection - A system for performing a resection of a selected portion of an anatomy with a resection instrument. The system includes a first member, a first movement defining portion defined by the first member, a second member, and a second movement defining portion of the second member. The first member is fixable to the selected portion of the anatomy. The second member is configured to cooperate with the first member. The first movement defining portion and the second movement defining portion are operable to allow the second member to be moveable relative to the first member from a first position to a second position. The resection instrument is positionable relative to the second member in the first position and in the second position to form a selected resection of the selected portion of the anatomy. | 10-29-2015 |
20150335339 | CUSTOMIZED PATIENT-SPECIFIC ORTHOPAEDIC PIN GUIDES - Customized patient-specific orthopaedic surgical instruments are disclosed. Methods for fabricating and using such instruments are also disclosed. | 11-26-2015 |
20150335448 | Knee Sizing And Balancing Instrument - A method of sizing and balancing a knee including: placing an integrated orthopedic instrument in contact with a resected distal femoral surface of a femur of a knee in flexion such that medial and lateral posterior feet of a tensor frame of the instrument are in contact with posterior condyles of the femur and such that medial and lateral posterior feet of a sizer body of the instrument are positioned on a spacer placed on a resected proximal surface of the patient's tibia; securing first and second wings extending from a central portion of the tensor frame on the resected distal femoral surface; rotating the sizer body relative to the tensor frame via a rotation mechanism that connects the sizer body and the tensor frame to balance the ligaments; and sizing the patient's femur by moving a stylus coupled to the sizer body on an anterior surface of the femur. | 11-26-2015 |
20150351781 | X-Ray Based Cutblock Positioning Jig - A cut block positioning jig including a first alignment member, a second alignment member, and both first and second guide members. The first alignment member is movable towards and away from a patient's bone to which the positioning jig is mounted to arrange the jig at a predetermined position relative to the bone based on x-rays of the patient. The second alignment member is movable towards and away from the bone to arrange the jig at the predetermined position relative to the bone. The first and second guide members are configured to direct cut block support members to the bone to couple a cut block to the bone to provide the bone with patient-specific cuts. | 12-10-2015 |
20150359545 | DISTAL FEMORAL CUTTING GUIDE - A method of positioning a femoral cutting guide on a distal end of a femur establishes at least a first reference plane to perform a distal femoral planar cut. The method includes inserting a mounting member into an intramedullary canal of the femur and coupling a bridge member to the mounting member. The method also includes placing a cutting guide member over a medial anterior portion of the distal femur. The cutting guide member has a first channel that establishes the first reference plane. The bridge member has a bridge channel. A wall of the bridge channel is inserted into the first channel of the cutting guide member. A mounting mechanism generates resistance between the bridge member and the cutting guide member. The resistance is overcome by positioning the cutting guide member relative to the femur. | 12-17-2015 |
20150359546 | SURGICAL INSTRUMENTS AND METHOD OF SURGICALLY PREPARING A PATIENT'S TIBIA - A method of surgically preparing a proximal end of a tibia includes inserting an intramedullary orthopaedic surgical instrument into a medullary canal of the tibia, securing an attachment device to the intramedullary orthopaedic surgical instrument, attaching a cutting block to the attachment device, resecting the proximal end of the tibia using the cutting block to form a surgically-prepared surface, positioning a tibial base trial on the surgically-prepared surface, and inserting a keel punch through a slot defined in the tibial base trial and into the surgically-prepared surface of the tibia. | 12-17-2015 |
20150374388 | CUSTOMIZED PATIENT-SPECIFIC REVISION SURGICAL INSTRUMENTS AND METHOD - A surgical instrument including a customized patient-specific guide block is disclosed. The customized patient-specific guide block includes a first surface, a bone-facing surface, a second surface positioned opposite the first surface and the bone-facing surface, and a guide pin hole extending between the second surface and the bone-facing surface. The first surface has a customized prosthesis-specific negative contour shaped to match a corresponding contour of a prosthetic component, and the customized prosthesis-specific negative contour includes a concave surface shaped to match a convex surface of the corresponding contour of the prosthetic component. A method of performing an orthopaedic surgical procedure is also disclosed. | 12-31-2015 |
20160008009 | CUSTOMIZED PATIENT-SPECIFIC ORTHOPAEDIC PIN GUIDES | 01-14-2016 |
20160030053 | INSTRUMENTS AND METHODS IN PERFORMING KINEMATICALLY-ALIGNED TOTAL KNEE ARTHROPLASTY - Methods and instruments for performing a kinematically-aligned total knee arthroplasty (TKA) are disclosed. Goals of the kinematically-aligned TKA can include restoration of (1) the femoral and tibial joint lines to the patient's natural joint line, (2) the patient's Hip-Knee-Ankle alignment to their constitutional alignment prior to developing osteoarthritis and (3) restoration of the patient's natural soft tissue laxity and envelope. A shim block assembly can be used in resecting the distal medial and lateral condyles to account for cartilage wear on the distal condyles from osteoarthritis. The shim block assembly can include a plurality of shims, and each shim can be attachable to or integral with a reference block. At least one of the plurality of shims can have a medial portion with a thickness different from a thickness of a lateral portion of the shim. The shims need not be joined together as a single medial/lateral component but may be independent of one another. A particular shim can be selected for use based on matching the medial and lateral thicknesses with a determined wear of cartilage on the distal medial and lateral condyles. | 02-04-2016 |
20160038159 | SPARSE CONTACT TIBIA JIG MECHANISM - A tibia cutting jig mechanism (TCJM) is provided having a number N1 of spaced apart TCJM contact points that correspond to a number N1 of spaced apart knee contact points on at least one of a tibia plateau surface and a tibia shaft surface. The TCJM contact points are positioned in contact with the tibia contact points, and a cut bar guide is positioned in contact with the TCJM to provide a location and an angular orientation of a cut bar plane that is to be used to resection and remove a selected portion of the patient's tibia. The TCJM is removed from the patient's knee, and a selected portion of the patent's tibia is resectioned and removed. The number N1 is at most about seven in some embodiments. | 02-11-2016 |
20160045204 | POSITIONING AND TEMPLATE SYSTEM FOR PREPARING A FEMUR FOR KNEE REPLACEMENT - A positioning and template system for preparing a femur for knee replacement. The system includes a datum block, a datum block placement assembly, and a cutting template assembly. The datum block placement assembly is reversibly attachable to the datum block. Further, the datum block placement assembly positions the datum block on the femur in a measured position relative to the transepicondylar axis of the femur when the datum block placement assembly is attached to the datum. Finally, the cutting template assembly is reversibly attachable to the datum block in place of the datum block placement assembly to correctly position the cutting template assembly for guiding femoral cuts in a knee replacement surgery. | 02-18-2016 |
20160045205 | BI-CRUCIATE KNEE SYSTEM - An instrument set and related method for preparing a proximal tibia during a bi-cruciate retaining procedure are disclosed. The instrument set can include a tibial resection block, a cut guide, and a locking arm. The tibial resection block can be configured to be fixed to an anterior portion of the proximal tibia. The tibial resection block can define a slot that extends in a medial-lateral direction when the tibial resection block is fixed to the proximal tibia. The cut guide can have a body, a medial arm, and a lateral arm. A medial cut slot can be defined between the body and the medial arm. A lateral cut slot can be defined between the body and the lateral arm. The cut guide can further comprise a tongue extending therefrom. The tongue can be configured to be received by and slidably translate along the slot of the tibial resection block. | 02-18-2016 |
20160045305 | Apparatus and Method for Clamping and Trimming the Bone Tendon Portion of a Graft to a Desired Size - An instrument for clamping and trimming the bone tendon portion of a graft to a desired size, comprising a pair of elongated handles each having jaws at one end; the handles being hinged together at a pivot point allowing the jaws to open and close in a scissor arrangement, the jaws defining a generally U-shaped trapezoidal receptacle when the jaws are closed about the bone tendon portion of the graft to be trimmed and the jaws comprising respective upper guide surfaces along their upper edges whereby, when a bone tendon portion is positioned in the U-shaped trapezoidal receptacle, the upper guide surfaces function as a guide for a blade of a saw to trim any excess portion of the bone tendon portion protruding above the upper guide surfaces. | 02-18-2016 |
20160051265 | SURGICAL CUTTING GUIDE - Tools or other instruments can be used by a surgeon to complete an orthopedic procedure. One tool can include a resection tower and a valgus guide. The resection tower can include a cutting block and a dial coupled with the cutting block. The resection tower can be configured such that rotational movement of the dial, about an axis, effectuates movement of the cutting block along a plane substantially parallel with the axis. The dial, when rotated in a first direction, can move between a first position, which corresponds to a minimum cutting depth of the cutting block, and a second position, which corresponds to a maximum cutting depth of the cutting block. The valgus guide can be coupled with the resection tower and includes a rotatable member. The rotatable member can include an angular surface with one or more variable depth splines providing varus/valgus angle adjustment of the cutting block. | 02-25-2016 |
20160051268 | TIBIAL CUTTING BLOCK - A tibia cutting block for performing precise cuts into a tibia comprises an approximately cuboid body with a tibia attachment side and opposing thereto a front side. The body has a cutting guide slot extending from a top side into the body, a blade holding slot extending from a right side or a left side into the body, a first anchoring pin hole which is close to the intersection of a first plane defined by the blade holding slot and a second plane defined by the a cutting guide slot, a second anchoring pin hole distant from the first anchoring pin hole and a reference pin guide. All are penetrating the body from the front side to the tibia attachment side. | 02-25-2016 |
20160066930 | ADAPTIVE SURFACE SURGICAL GUIDING APPARATUS AND SYSTEMS AND METHODS OF MANUFACTURING ADAPTIVE SURFACE SURGICAL GUIDING APPARATUS - The present application relates to adaptive surface surgical guiding apparatuses. A surgical guiding apparatus may include one or more rigid portions configured to attach to a first region of an underlying anatomical surface. The surgical guiding apparatus may further include a variable deformable portion coupled to the one or more rigid portions, the variable deformable portion configured to conform to a shape of a second region of the underlying anatomical surface to provide a stable attachment of the surgical guiding apparatus to the underlying anatomical surface. The present disclosure further provides methods for manufacturing surgical guiding apparatuses and uses of the apparatuses for placement onto an underlying anatomical surface. | 03-10-2016 |
20160081700 | METHOD FOR FORMING NON-CIRCULAR CARTILAGE GRAFTS - A technique for knee replacement surgery that allow for the removal of an oval oblong-shaped allograft bone and cartilage plug from a donor distal femur. The technique uses instruments including (i) sizing guides to match the recipient's femoral size and curvature to that of a donor femur (the sizing guides also acting as a wide pin placement template for the donor distal femur); (ii) osteotomes that cut the curved and straight portions of the implant shape (these may be disposable or reusable); and (iii) templates that fit over the guide pins and have openings to allow the osteotomes to cut the donor femur plug to the correct size, shape and depth. The instruments allow for a non-circular shape to be extracted from a donor femur for use in a bone-saving osteoarthritis distal femur resurfacing procedure. | 03-24-2016 |
20160089153 | PATIENT SPECIFIC INSTRUMENTATION (PSI) FOR ORTHOPEDIC SURGERY AND SYSTEMS AND METHODS FOR USING X-RAYS TO PRODUCE SAME - A method of creating a patient specific instrument (PSI) for use in knee replacement surgery is described which includes performing at least two X-ray scans of a bone, each of the X-ray scans being taken from different angular positions, generating a digital bone model of the bone based solely on the X-ray scans, planning the PSI based on the digital bone model, including determining locations for one or more anchor points on the PSI which are adapted to abut a surface of the bone, the determined locations of the anchor points being disposed on the PSI at locations corresponding to areas of expected high accuracy on the digital bone model generated by the X-ray scans. The areas of expected high accuracy include at least a peripheral bone contour in at least one of the angular position of the X-ray scans. A suite of such PSI instruments is also described. | 03-31-2016 |
20160089166 | Tibial Tubercule Osteotomy - Patient-specific guides for a tibial tubercle osteotomy are provided. The guides include a guide body defining a portion with a bone-engaging surface that conforms as a negative surface to a corresponding surface of a specific patient's tibia, and a guide portion that guides a surgical instrument to a specific location on the specific patient's tibia, wherein the bone-engaging surface and guide portion are configured during a pre-operative planning stage. Methods for performing a tibial tubercle osteotomy with the patient-specific guides are also provided. | 03-31-2016 |
20160089167 | FEMORAL RESECTION GUIDE AND METHOD THEREOF - Disclosed is a femoral resection guide for measuring and guiding resection of anterior portion and posterior portion of a femur and method thereof. The femoral resection guide comprises a front block, a rear block, a reference gauge means and a locking means. A main scale marked portion is provided corresponding to the front scale member and the rear scale member in order to obtain a size of a patient's femur. The front block and the rear block are respectively provided with a resection guide surface for guiding a cutting tool to cut the femur. Moreover, the positions of the front resection guide surface and the rear resection guide surface in relation to the distal section of the femur can be adjusted, so that the problem of over or insufficient resection can be avoided, and the purchase cost and the storage space of the femoral resection instruments can be significantly reduced. | 03-31-2016 |
20160089168 | METHOD AND APPARATUS FOR TOTAL KNEE ARTHROPLASTY - The apparatus of the present invention includes a number of components including tibial and femoral alignment guides, tibial and femoral cutting guides and tibial and femoral implants for total knee arthroplasty procedures | 03-31-2016 |
20160095609 | TIBIAL ARTHROPLASTY JIG - A method and system for performing a total joint arthroplasty procedure on a patient's damaged bone region. A CT image or other suitable image is formed of the damaged bone surfaces, and location coordinate values (x | 04-07-2016 |
20160113661 | DEVICES AND METHODS FOR KNEE REPLACEMENT - A device for use in joint replacement surgery is disclosed, the device may comprise a patient-specific jig having a body formed using three dimensional data corresponding to a first resection surface of a bone of a patient according to a preoperative plan. The body may also include a first bone facing surface configured to match the first resection surface of the bone of the patient according to the three dimensional data and an alignment perimeter sized and shaped to match a perimeter of the resection surface of the bone of the patient according to the three dimensional data. | 04-28-2016 |
20160135816 | SYSTEM FOR POSITIONING A SURGICAL DEVICE - The invention relates to a system for positioning a surgical device, said surgical device comprising:
| 05-19-2016 |
20160135825 | GAP REFERENCING FEMORAL SIZER - A knee arthroplasty assembly for use in a patient's knee joint including a tibia and a femur is disclosed. The assembly can include a tool, a first accessory, and a second accessory. The tool can include a tibial component configured for placement against the tibia and a femoral component configured for placement against the femur. The femoral component can be moveably coupled to the tibial component to place the patient's knee joint in tension by separating the tibia and the femur. The first accessory can be removeably coupled to the tibial component of the tool. The second accessory can be referenced to the first accessory and can have a reference indicator that references the femur for determining a size of the femur. | 05-19-2016 |
20160174994 | DEVICE AND METHOD FOR FITTING AN ARTIFICIAL KNEE JOINT USING UNIVERSAL ELECTRONIC TEMPLATES WHICH CAN BE ADAPTED TO ALL ARTIFICIAL JOINTS | 06-23-2016 |
20160183952 | ADJUSTABLE REVISION GUIDE - An axial height adjustable, revision cutting in the shape of a final distal femur implant component. The revision guide includes a rod adapted for intimate contact within an intramedullary canal of a femur, and includes a threaded passageway. The revision cutting guide is adapted for removable attachment to a distal portion of the femur. A vernier-bolt is rotatably positioned through the shaped body of the revision cutting guide so as to be adjustably received within the threaded passageway thereby providing for movement of the shaped body of the revision cutting guide relative to the distal portion of the femur. | 06-30-2016 |
20160199077 | DEVICES AND METHODS FOR ESTABLISHING FEMORAL AND TIBIAL RESECTION POSITIONS IN A TOTAL KNEE REPLACEMENT PROCEDURE | 07-14-2016 |
20160374691 | Surgical Devices for Interventional Orthopedic Surgical Applications And Prosthetic Trial Devices and Methods of Making the Same - A posterior stabilized cruciate notch femoral cut guide shaped to fit over the distal end of a femur and including various cut guides to prepare the femur for a knee implant and methods for its use. Also described is a method for manufacturing the posterior stabilized cruciate notch femoral cut guide and various other cut guides and trialing instruments. | 12-29-2016 |
20160374693 | METHOD OF ENHANCING INTERDIGITATION OF BONE CEMENT TO BONE FOR ATTACHMENT OF PROSTHESIS TO BONE DURING ARTHROPLASTY - A method of attaching prosthetic implants to bone, applicable to tibia, patella, acetabulum, glenoid, or femur, includes trimming an articular surface of the bone, leaving a trimmed surface. Holes are punched or drilled into the surface in a predetermined array before polymethyl methacrylate bone cement is used to attach the surface to the implant. In an embodiment, the holes are punched by placing a punch-plate with sharpened punch spikes on the surface, and striking the punch plate to drive punches into the trimmed surface. In another embodiment, holes are drilled using a drilling template with predrilled guidance holes placed on the surface of the bone. In another embodiment, holes are drilled by positioning a robotic drill over the trimmed surface; adjusting a drilling pattern of the robotic drill according to the trimmed surface; and using the robotic drill to drill holes of predetermined depth according to the drilling pattern. | 12-29-2016 |
20160374698 | PATIENT SPECIFIC SOFT TISSUE PROTECTORS AND RETRACTORS - Disclosed are devices, methods and/or systems for tissue protectors and/or retractors having patient specific and/or patient adapted features that facilitate the accuracy and predictability of bone resection and tissue preparation during joint surgery, as well as improve the distraction of soft tissues, desirably preventing accidental injury to surrounding soft tissue structures and improving visualization. | 12-29-2016 |
20160374699 | METHOD AND APPARATUS FOR PERFORMING KNEE ARTHROPLASTY - A set of instruments for preparing a femur and tibia for receipt of a partial knee prosthesis can include a femoral drill guide that is selectively connected to an intramedullary (IM) rod. At least one sizing spoon can communicate with the femoral drill guide. The femoral drill guide can have terminal cutting surfaces. A tibial cut guide can be selectively connected to the femoral drill guide. A dial member can be disposed on one of the femoral or tibial cut guides that when rotated moves at least one of the spoons in a superior/inferior direction. | 12-29-2016 |
20180021151 | A SURGICAL AID FOR JOINTS | 01-25-2018 |
20190142440 | System for Performing an Arthroplasty Procedure on a Patient Bone | 05-16-2019 |