Embodiments of negative pressure wound therapy systems and methods for operating the systems are disclosed. In one embodiment, a negative pressure source can provide negative pressure via a fluid flow path to a wound dressing comprising a stabilizing structure. The stabilizing structure can be inserted into a wound and collapse upon application of negative pressure to the wound when the stabilizing structure is positioned in the wound. A controller can in turn determine a measure of collapse of the stabilizing structure from a pressure in the fluid flow path while the negative pressure source maintains a magnitude of the pressure in the fluid flow path within a negative pressure range. The controller can output an indication responsive to the measure of collapse.
A61F 13/05 - specially adapted for use with sub-pressure or over-pressure therapy, wound drainage or wound irrigation, e.g. for use with negative-pressure wound therapy [NPWT]
A61M 1/00 - Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Smith & Nephew Orthopaedics AG (Switzerland)
Inventor
Bell, Brett J.
Abstract
A surgical resection device may include a handle, a first blade tip, and a second blade tip stacked on the first blade tip and configured to resect bone in conjunction with the first blade tip. A surgical resection device may include a blade body, stationary with respect to the handle, moveably interfaced to the first blade tip and second blade tip, and dimensionally configured to enter a resection formed by the first and second blade tip. A surgical resection device may include one or more actuators located within the handle and configured to oscillate the first blade tip and the second blade tip, wherein when the first blade tip is at a first apex position, the second blade tip is at a second apex position, and wherein when the first blade tip is at the second apex position, the second blade tip is at the first apex position.
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Inventor
Quist, Brian William
Netravali, Nathan Anil
Abstract
Disclosed are systems and methods for a computerized framework that provides novel mechanisms for arthroscopic applications using real-time blood flow information. The disclosed framework operates by determining a real-time (or near real-time or substantially simultaneous) visualization of blood vessels or perfusion within anatomical structures during intraoperative procedures, and leveraging this determined information for the performance of an arthroscopic procedure. The disclosed framework can enable an arthroscopic camera to see blood flow and perfusion in tissues in real-time, which allows for differentiation of various parts of the anatomy that may otherwise be undetectable.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 5/00 - Measuring for diagnostic purposes ; Identification of persons
G16H 20/40 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
G16H 30/40 - ICT specially adapted for the handling or processing of medical images for processing medical images, e.g. editing
A deformable or flexible suture anchor having apertures secures a suture to a skeletal structure via holes drilled through the skeletal structure, and passing the suture therethrough. A deformable structure permits the anchor to resiliently deform or bend for passing through an aperture, and resume a size larger than the passed aperture for securement on an opposed side of the aperture.
A61B 17/04 - Surgical instruments, devices or methods, e.g. tourniquets for closing wounds, or holding wounds closed, e.g. surgical staples; Accessories for use therewith for suturing wounds; Holders or packages for needles or suture materials
A61B 17/00 - Surgical instruments, devices or methods, e.g. tourniquets
A61B 17/06 - Needles; Holders or packages for needles or suture materials
Disclosed herein is a method of both repairing a ligament and augmenting the repair. A single anchor may provide a single anchoring location for both a repair member and an augmenting member at a first end of the ligament.
A61B 17/06 - Needles; Holders or packages for needles or suture materials
A61B 17/11 - Surgical instruments, devices or methods, e.g. tourniquets for closing wounds, or holding wounds closed, e.g. surgical staples; Accessories for use therewith for performing anastomosis; Buttons for anastomosis
Certain embodiments of the invention provide plates for treating periarticular fractures or other non-full body weight bearing applications that combine polyaxial fixation with a low profile and enhanced contouring that more closely conforms to bone. Such plates can be designed to achieve buttressing effect and/or to be used in a reinforcement mode. Other features can be combined with these. Such plates can be created for use on bone sites such as on a tibia, fibula, metatarsal, calcaneous, other foot bone, humerus, radius, ulna, spinal, maxillofacial, as well as sites on other bones.
A system and device (110) for determining bone laxity. For example, the system includes a tracked probe (300) comprising at least one probe marker (310) and a computer assisted surgical (CAS) system (100). The CAS system includes a navigation system (130) and a processing device (110) operably connected to the navigation system and a computer readable medium configured to store one or more instructions that, when executed, cause the processing device to receive location information from the navigation system, generate (820) a surgical plan comprising a post-operative laxity assumption (720), collect (850) first motion information related to movement of the joint through a first range of motion, collect (860) second motion information related to movement of the joint through a second range of motion, determine (870) a post-operative laxity (710), and compare the post-operative laxity and the post-operative laxity assumption to determine laxity results.
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Inventor
Hosseini, Ali
Maccready, Christopher David
O'Malley, Kendra
Karasic, Geoffrey Ian
Qi, Zenan
Hall, Benjamin Michael
Liu, Chun
Mcgovern, Paul
Yeoh, Han Teik
Abstract
Methods and devices for tissue fixation. A cortical button with a rib between two slotted openings. The rib increases the cortical button structural rigidity without increasing palpability. An adjustable loop construct with two discrete locking passages that provides manageable loop reduction and improved tissue coupling. The adjustable loop construct may be coupled to tissue via a passing construct. An assembly with a reduction bar, a button and an adjustable loop construct, the assembly provided assembled in a first configuration that disassembles to guide steps of tissue fixation. The reduction bar may be assembled to the reduction bar for reducing the adjustable loop construct.
A61B 17/04 - Surgical instruments, devices or methods, e.g. tourniquets for closing wounds, or holding wounds closed, e.g. surgical staples; Accessories for use therewith for suturing wounds; Holders or packages for needles or suture materials
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Inventor
Coulange, Vincent
Genna, Sophie
Brunnarius, Yann
Lizee, Emmanuel
Perineau, Christophe
Bonnin, Michel
Coetzee, Christiaan
Colombier, Jean-Alain
Judet, Thierry
Myerson, Mark
Abstract
An ankle prosthesis including a tibia implant including a superiorly extending bone anchoring sagittal stem arranged and configured to secure the tibial implant to a patient's tibial, a talus implant including an upper articulating surface, and a prosthetic shoe mechanically coupled to the plate of the tibia implant, the prosthetic shoe including an articulating surface arranged and configured to articulate relative to the upper articulating surface of the talus implant.
There is disclosed an orthopaedic impactor, comprising: a strike assembly arranged to impart a force to an object; and a winding arranged to receive a current and thereby generate a magnetic field. The winding is arranged to interact with the strike assembly so that, in use, a magnetic field generated by the winding causes the strike assembly to move so as to impart the force to the object.
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Smith & Nephew Orthopaedics AG (Switzerland)
Inventor
Jaramaz, Branislav
Dumpe, Samuel C.
Abstract
Described herein are robotic arm assemblies that are configured to assist in making planar cuts in an orthopedic surgical procedure. The robotic arm assemblies have less than three motorized joints, but possess the functionality of conventional robotic arm assemblies that have greater numbers of motorized joints. The robotic arm assemblies further include one to four non-motorized joints. The non-motorized joints can include braking or locking mechanisms that are configured to selectively slow or lock the movement of the joints and the associated arm sections of the robotic arm assembly.
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Smith & Nephew Orthopaedics AG (Switzerland)
Inventor
Beck, Steffen
Schubert, Mario
Brack, Christian
Poitzsch, Luise
Abstract
The invention relates to a method of determining the sagittal rotation of a patient's pelvis based on a standard anterior posterior X-ray-image with known image parameters and a calibration of the image, for example by using at least one King-Mark calibration object. The angle of the pelvic rotation is determined between a pelvic plane which is orthogonal to the midsagittal plane of the pelvis, and the image plane of the X-ray-image. Assuming the patient's position shown on the X-ray-image represents a standard neutral position, the X-ray-image plane can be used as a functional reference plane for further calculations, for example during hip-replacement surgery. The present invention further relates to a corresponding computer program and system.
Porous biocompatible structures suitable for use as medical implants and methods for fabricating such structures are disclosed. The disclosed structures may be fabricated using rapid manufacturing techniques. The disclosed porous structures each have a plurality of struts and nodes where no more than two struts intersect one another to form a node. Further, the nodes can be straight, curved, and can include portions that are curved and/or straight. The struts and nodes can form cells that can be fused or sintered to at least one other cell to form a continuous reticulated structure for improved strength while providing the porosity needed for tissue and cell in-growth.
A portable negative pressure wound therapy system includes a dressing assembly for positioning over a wound to apply a negative pressure to the wound and a canister assembly. The canister assembly includes a control unit having a vacuum source and a controller and a collection canister in communication with the dressing assembly operable to receive fluid from the wound. The collection canister has a filter assembly having a filter and a passageway between the filter and a wall of the collection canister. The collection canister also includes a canister interface having a suction port, an inlet port, and a channel. The vacuum source draws air through the suction port from the channel which draws air from the passageway connected to the channel, the air in the passageway is drawn from the collection canister through the filter, and the air in the collection canister is drawn through the inlet port.
A61M 1/00 - Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
15.
NEGATIVE PRESSURE DRESSING AND METHOD OF USING SAME
Disclosed herein are apparatuses and methods for treating, a wound by applying reduced or negative pressure to the wound. The apparatus can include a wound cover, a fluid collection container, a vacuum pump, an inflation pump, and one or more conduits. The wound cover can be configured to move between at least a relatively rigid, generally raised position and a relatively flexible, generally collapsed position according to a predetermined program or in response to input from a user or one or more sensors. In some embodiments, the wound cover can be configured to move between at least the relatively rigid, generally raised position and the relatively flexible, generally collapsed position by adjusting the air pressure in one or more channels in the wound cover or by adjusting the length of piezoelectric or other length changing material supported by the wound cover.
A61F 13/00 - Bandages or dressings; Absorbent pads
A61M 1/00 - Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Inventor
Farley, Daniel
Wilson, Darren J.
Jaramaz, Branislav
Bell, Brett
Abstract
The present disclosure provides a surgical navigation system that utilizes multimodal tracking along with low profile/small diameter bone pins to fix FBG sensors to a patient. With some embodiments, a multi-core fiber optic cable having both an infrared (IR) tracking sensor disposed at a known location in the multi-core fiber optic cable and FBGs. The FBGs can be used to locate the tip of the cable relative to the IR marker, where the tip of the cable is embedded in a bone, the location of the done can be determined.
Embodiments of negative pressure wound therapy systems and methods are disclosed. In some embodiments, a wound therapy system includes a negative pressure source configured to provide negative pressure via a fluid flow path to a wound dressing, a first circuit board assembly including a first controller configured to control a wound therapy with the wound dressing by activation and deactivation of the negative pressure source, and a second circuit board assembly in communication with the first circuit board assembly, the second circuit board assembly separate from the first circuit board assembly. The second circuit board assembly can include a second controller configured to wirelessly communicate therapy data via a communication network, receive an executable command from an electronic device, and execute the executable command without providing the executable command to the first controller.
A61M 1/00 - Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
G16H 20/40 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
G16H 40/67 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
Methods of joint repair employing sutures and attached fixation devices are discussed. For example, a bone block graft procedure (e.g., Latarjet) is discussed which employs fixation devices to secure contact between graft surfaces of two bones. A suture construct, including a continuous suture loop routed through a first fastener, is secured to a first bone. Looped ends of the suture loop are passed through passageways formed in the two bones. The looped suture ends are further routed through a second fastener. The second fastener is mounted to the second bone and a sliding knot, formed in the looped suture ends, is advanced into contact with the second fastener. The suture is further tensioned using a tensioner device to secure the two bones together.
A61B 17/04 - Surgical instruments, devices or methods, e.g. tourniquets for closing wounds, or holding wounds closed, e.g. surgical staples; Accessories for use therewith for suturing wounds; Holders or packages for needles or suture materials
The technology includes an anchor assembly for tissue repair having an open helical coil sleeve and a tip structure. The tip structure includes an aperture for passing a suture and a suture capture member for capturing a suture. The technology also includes an anchor driver for installing an anchor into bone. The anchor driver includes an outer shaft and a sleeve advancement member for advancing the sleeve as well as an inner shaft and a suture capture advancement member for advancing the suture capture member. The technology also includes a system for tissue repair having an anchor assembly and an anchor driver for installing the anchor assembly into bone.
A61B 17/04 - Surgical instruments, devices or methods, e.g. tourniquets for closing wounds, or holding wounds closed, e.g. surgical staples; Accessories for use therewith for suturing wounds; Holders or packages for needles or suture materials
20.
HEALTH CARE PRESCRIPTION SYNCHRONIZATION BETWEEN PATIENT AND HEALTH CARE PROVIDER
Methods and devices for implementation of a health care prescription. Some devices may dynamically monitor information from a patient device. Some embodiments may dynamically provide instructions to patient devices to treat and for treating patients through the use of medical devices based on the information from a patient device. Some embodiments treat musculoskeletal conditions by providing for alignment of bones by use of bone alignment devices in accordance with instructions provided through a prescription. Other embodiments may facilitate or provide revised prescriptions in response to treatment conditions. Embodiments may also provide effective ways of communicating prescription and compliance information between patients and health care providers.
G16H 20/10 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
G16H 40/67 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
G16H 30/20 - ICT specially adapted for the handling or processing of medical images for handling medical images, e.g. DICOM, HL7 or PACS
G16H 20/30 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
G06F 3/04842 - Selection of displayed objects or displayed text elements
G06F 3/0488 - Interaction techniques based on graphical user interfaces [GUI] using specific features provided by the input device, e.g. functions controlled by the rotation of a mouse with dual sensing arrangements, or of the nature of the input device, e.g. tap gestures based on pressure sensed by a digitiser using a touch-screen or digitiser, e.g. input of commands through traced gestures
21.
AUTOMATIC PATELLAR TRACKING IN TOTAL KNEE ARTHROPLASTY
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Smith & Nephew Orthopaedics AG (Switzerland)
Inventor
Marinescu Tanasoca, Ruxandra Cristiana
Mckinnon, Brian W.
Duxbury, Elizabeth A.
Brooke, Russell J.
Morrison, Mark L.
Abstract
A method of planning a patellar replacement for a patient is provided. Input related to patient anatomy is received (e.g., demographic information) and imaging data is obtained from 2D or 3D medical imaging Biomechanical measurements of the patellofemoral joint are determined including a mechanical axis and pre-operative leg deformity. A 3D model of the patient anatomy is generated based on the input, and the 3D model is characterized in terms of the morphology of the patella. An implant is sized and fitted to the 3D model and implant position and orientation are optimized based on the biomechanics. Results are outputted as a patient report or a surgical plan to a computing device and/or a storage medium. A tracker unit for tracking a patella bone is also provided. The tracker unit comprises a support configured to penetrate the patella and a fiducial marker for detection by a tracking system.
A system for preparing a bone for implantation of a component of an orthopedic implant device. The system includes a forming tool having a sleeve member that is selectively received within a handle member. The sleeve member has a guide slot that is sized to receive axial passage of at least a portion of a guide. The guide slot and/or sleeve member may be positioned and/or configured to facilitate at least linear and/or rotational displacement of the forming tool about, or relative to, the guide, and thereby provide a degree of freedom in the location at which the forming tool may form a shape or opening in the bone relative to one or more reference axes. The handle member may include a connection member that is structured to be operably coupled to a bone preparation device that is structured to facilitate the displacement of bone material.
Embodiments of the present application provide technologies related to adaptive surgeon-specific instrumentation, unique preparatory tools and procedures for bone resection and implant devices, and systems for selection of implantation preparatory tools for implantation procedures. The embodiments described herein may, for example, be utilized in connection with knee arthroplasty procedures.
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Smith & Nephew Orthopaedics AG (Switzerland)
Inventor
Jaramaz, Branislav
Farley, Daniel
Wilson, Darren J.
Rodriguez, Carlos
Nikou, Constantinos
Wang, Xuanye
Abstract
A surgical system and method for markerless intraoperative navigation is provided. The system can includes a structured light system that can be utilized to intraoperatively sense three-dimensional surface geometry. The computer system is configured to segment a depth image to obtain surface geometry data of an anatomical structure embodied within the depth image, register the surface geometry data of the anatomical structure to a model, and update the surgical plan according to the registered surface geometry data. The surgical system is an endoscopic surgical system.
A cannulated retrograde reamer that is adjustable to create tunnels of multiple different diameters. The cannulated retrograde reamer substantially reduces the risk of tunnel malposition and/or misalignment, and can be adjusted to create a range of tunnel diameters, thereby allowing inventory levels to be reduced for a surgical case.
Systems, devices, and methods are described for providing patient anatomy models with indications of model accuracy included with the model. Accuracy is determined, for example, by analyzing gradients at tissue boundaries or by analyzing tissue surface curvature in a three-dimensional anatomy model. The determined accuracy is graphically provided to an operator along with the patient model. The overlaid accuracy indications facilitate the operator's understanding of the model, for example by showing areas of the model that may deviate from the modeled patient's actual anatomy.
Methods, non-transitory computer readable media, and surgical computing devices that more effectively protect anatomical structures from resection during surgical procedures are disclosed. With this technology, a virtual protection area is defined in a reference frame by extending a line defined by an obtained set of coordinates in the reference frame in at least one direction. The reference frame is of a bone to be resected during a surgical procedure. Resection equipment is tracked during the surgical procedure to obtain a location of the resection equipment in the reference frame. A determination is made when the obtained location of the resection equipment is within the defined virtual protection area. The resection equipment is disabled when the determination indicates the obtained location is within the defined virtual protection area. Accordingly, this technology advantageously allows a surgeon to intraoperatively establish a protection area to facilitate automated protection of particular anatomical structures from resection.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 34/00 - Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
28.
SYNERGISTIC ANTIBACTERIAL ACTIVITY OF MEDIUM POLARITY OILS IN COMBINATION WITH ANTIBACTERIAL AGENTS ON BACTERIAL BIOFILMS
The compositions of the present invention comprise at least one medium polarity oil and at least one antibacterial agent, the combination of which produces a synergistic antibacterial effect against bacterial biofilms. Methods are disclosed for the reduction of bacteria in and/or elimination of bacterial biofilms on biological and non-biological surfaces, as well as methods for the treatment of wounds, skin lesions, mucous membrane lesions, and other biological surfaces infected or contaminated with bacterial biofilms.
A61L 26/00 - Chemical aspects of, or use of materials for, liquid bandages
A01N 25/30 - Biocides, pest repellants or attractants, or plant growth regulators, characterised by their forms, or by their non-active ingredients or by their methods of application; Substances for reducing the noxious effect of the active ingredients to organisms other than pests characterised by the surfactants
A61L 31/14 - Materials characterised by their function or physical properties
A61L 29/14 - Materials characterised by their function or physical properties
A61K 31/23 - Esters, e.g. nitroglycerine, selenocyanates of carboxylic acids of acyclic acids, e.g. pravastatin of acids having a carboxyl group bound to a chain of seven or more carbon atoms
A61K 47/26 - Carbohydrates, e.g. sugar alcohols, amino sugars, nucleic acids, mono-, di- or oligo-saccharides; Derivatives thereof, e.g. polysorbates, sorbitan fatty acid esters or glycyrrhizin
A61K 31/25 - Esters, e.g. nitroglycerine, selenocyanates of carboxylic acids with polyoxyalkylated alcohols, e.g. esters of polyethylene glycol
A61K 31/7036 - Compounds having saccharide radicals attached to non-saccharide compounds by glycosidic linkages attached to a carbocyclic compound, e.g. phloridzin having at least one amino group directly attached to the carbocyclic ring, e.g. streptomycin, gentamycin, amikacin, validamycin, fortimicins
Methods are disclosed for the reduction or elimination of bacterial biofilms on biological and non-biological surfaces, as well as methods for the treatment of wounds, skin lesions, mucous membrane lesions, and other biological surfaces infected or contaminated with bacterial biofilms using compositions comprising thermolysin.
Systems and method for delivery and positioning of a sheet-like surgical implant to a target site including a means of deploying and orienting the sheet-like implant within the body.
A61F 2/00 - Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
A61B 17/56 - Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
A computing system having at least one sensor, at least one processor, and at least one memory including a plurality of instructions stored thereon that, in response to execution by the at least one processor, causes the computing system to receive one or more surgical parameters associated with a ligament balancing of a patient's joint, receive real-time sensor data generated by the at least one sensor and indicative of at least one characteristic of the patient's joint, and apply machine learning to determine a next ligament balancing step of the ligament balancing of the patient's joint based on the one or more surgical parameters and the real-time sensor data, wherein the next ligament balancing step is a step of one or more steps intended to result in a target state of the patient's joint identified by the machine learning.
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Smith & Nephew Orthopaedics AG (Switzerland)
Inventor
Mcguan, Shawn P.
Duxbury, Elizabeth A.
Navacchia, Alessandro
Fahlgren, Eric
Abstract
A method of assessing hip joint kinematics based on a spinopelvic condition of a patient is provided. The method comprises receiving a three-dimensional model of a human anatomy and receiving input related to a spinopelvic condition of a patient. The method further comprises determining a sitting sacral slope and a standing sacral slope of the patient based on the input and classifying the spinopelvic condition of the patient based on at least one of the sitting sacral slope and a standing sacral slope. The method further comprises modifying the three-dimensional model according to the spinopelvic condition and performing at least one simulation of one or more activities with the modified three-dimensional model. The method further comprises and displaying hip joint kinematic information from the simulations on a display device.
Embodiments of a reduced pressure system and methods for operating the system are disclosed. In some embodiments, the system can include one or more processors responsible for various functions associated with various levels of responsiveness, such as interfacing with a user, controlling a vacuum pump, providing network connectivity, etc. The system can present GUI screens for controlling and monitoring its operation. The system can determine and monitor flow of fluid in the system by utilizing one or more of the following: monitoring the speed of a pump motor, monitoring flow of fluid in a portion of a fluid flow path by using a calibrated fluid flow restrictor, and monitoring one or more characteristics of the pressure pulses. The system can provide external connectivity for accomplishing various activities, such as location tracking of the system, compliance monitoring, tracking of operational data, remote selection and adjustment of therapy settings, etc.
A61M 1/00 - Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
An assembly includes a flexible fixation member, a suture, and a delivery device. The fixation member includes a body with two terminal ends. A suture passes through the flexible fixation member at various points along a length of the body such that portions of the fixation member are slidable relative to the suture and configurable to form a cluster within a surgical site. The delivery device includes a tubular member, an elongated inserter, and a trigger. The elongated inserter is slidably disposed within the tubular member. The inserter has a forked distal end configured to receive a portion of the flexible fixation member and the suture. The trigger is finger-engagable and fixedly coupled to the proximal end of the inserter. It is configured to advance and retract the inserter relative to the tubular member. The trigger includes a retention member for retaining a proximal end portion of the suture.
A61B 17/04 - Surgical instruments, devices or methods, e.g. tourniquets for closing wounds, or holding wounds closed, e.g. surgical staples; Accessories for use therewith for suturing wounds; Holders or packages for needles or suture materials
A61B 17/16 - Osteoclasts; Drills or chisels for bones; Trepans
A medical implant is disclosed. The medical implant includes: a first biocompatible metal forming a substrate (210, 310, 410), a second biocompatible metal diffused into the first biocompatible metal to form an biocompatible alloy surface (220, 314, 414), the alloy surface further including a diffusion hardening species, wherein the diffusion hardening species may be carbon, nitrogen, oxygen, boron, or any combination thereof. A method of forming a medical implant is also disclosed. The method includes the steps of: providing a first biocompatible metal or alloy that forms a substrate (210, 310, 410), providing a second biocompatible metal or alloy, diffusing the second biocompatible metal into the first biocompatible metal to form an alloy layer (220, 314, 414), removing excess second metal material from the substrate to expose the alloy layer, and diffusion hardening the alloy layer.
The present invention relates to a negative pressure wound closure system and methods for using such a system. Preferred embodiments of the invention facilitate closure of the wound by preferentially contracting to provide for movement of the tissue. Preferred embodiments can utilize tissue securing portions that aid in securing the invention within a wound.
A61F 13/00 - Bandages or dressings; Absorbent pads
A61M 1/00 - Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
37.
METHOD AND APPARATUS FOR JUDGING IMPLANT ORIENTATION DATA
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Smith & Nephew Orthopaedics AG (Switzerland)
Inventor
Dohmen, Lars
Schubert, Mario
Wiedenmann, Anna
Abstract
A data processing method performed by a computer for judging implant orientation data representing an orientation of a first implant part relative to a first bone, the first implant part being part of an implant pair which further comprises a second implant part for a second bone, the implant pair being envisaged to be implanted in a patient, range of comprising the steps of: —acquiring the implant orientation motion volume data, —acquiring second implant orientation data representing the orientation of the second implant part relative to the second bone, —acquiring implant shape data representing the shapes of the first and second implant parts, —acquiring activity data representing at least one desired activity of the patient to be possible after implanting the implant, wherein Flexion extension each desired activity has an associated range of motion between the first bone and the second bone, —calculating a range of motion volume, which represents possible orientations between the first bone and the second bone over three rotational axes, from the implant orientation data, the second implant orientation data and the implant shape data, and—judging the implant orientation data to be feasible if the ranges of motion of all desired activities lie within the range of motion volume.
An apparatus includes a flexible fixation member having a body with a longitudinal extent and a width, the body defining a plurality of openings through the body, each of the plurality of openings formed substantially cross wise through the width of the body, and a suture having two terminal ends, the suture being interwoven through each of the plurality of openings in the body of the fixation member such that multiple portions of the fixation member are slidably coupled to the suture and configurable to form a cluster within a surgical site.
A61B 17/04 - Surgical instruments, devices or methods, e.g. tourniquets for closing wounds, or holding wounds closed, e.g. surgical staples; Accessories for use therewith for suturing wounds; Holders or packages for needles or suture materials
A61B 17/00 - Surgical instruments, devices or methods, e.g. tourniquets
A61B 17/06 - Needles; Holders or packages for needles or suture materials
39.
ADJUSTABLE POSITION TRIAL COMPONENT WITH DRILL GUIDE
An exemplary trial component is configured to be attached to a resected bone having a resection surface, and includes a body portion and a sliding fastening mechanism movably coupled to the body portion. The body portion has an articular surface, a bone-facing surface, and at least one drill guide extending through the articular surface and the bone-facing surface. The sliding fastening mechanism includes at least one post extending beyond the bone-facing surface, and the post is operable to engage the resection surface to retain the position of the sliding fastening mechanism relative to the bone. When attached to the bone, the trial component is structured to selectively retain the position of the body portion relative to the bone, and to selectively permit adjustment of the position of the body portion relative to the bone.
Certain aspects provide a method, including: receiving a depth image from a depth sensor; receiving a segmentation mask corresponding to the depth image and segmenting the depth image into a set of foreground pixels and a set of background pixels; determining a set of seed pixels in the depth image; for each respective seed pixel of the set of seed pixels: determining a sampling line in the depth image that starts at the respective seed pixel and passes through a portion of the depth image; for each respective sampling line pixel in the sampling line having a value in the segmentation mask indicating a foreground object in the depth image: determining one or more data attribute values based on a depth value for the respective sampling line pixel in the depth image; and adding the one or more data attribute values to a feature vector.
Apparatuses, methods, and systems disclosed within herein relate to a wound dressing, suitable for use in negative pressure wound therapy, which may include a body of porous material, the body of porous material including a plurality of cuts which provide regions of flexibility within the body. Methods of manufacturing and methods of use of such wound dressings may also be disclosed herein. In addition, the wound dressing can include a retaining mechanism removably coupled to the material and configured to retain the material m the expanded conformation.
There is disclosed an orthopaedic impactor, comprising: a strike assembly arranged to impart a force to an object; and a winding arranged to receive a current and thereby generate a magnetic field. The winding is arranged to interact with the strike assembly so that, in use, a magnetic field generated by the winding causes the strike assembly to move so as to impart the force to the object.
Methods and systems of augmenting an implant intraoperatively and preparing a cone for revision surgical procedure are disclosed. A system includes a cutting device, a tracking and navigation system and a cutting system in operable communication with the cutting device and the tracking and navigation system. The cutting device includes a communication system, a cutting element, and a plurality of optical trackers. The tracking and navigation system is configured to detect a location of optical trackers. The control system is configured to cause the tracking and navigation system to detect the location of the cutting device, determine a revised shape for an implant cavity, cause the cutting device to cut the implant cavity to the revised shape, select a shape for a cone to be placed in the revised implant cavity, and machine the cone to the selected shape.
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Inventor
Marti, Gaëtan
Hälg, Maurice
Girard, Olivier
Lambert, Matthias
Mato Sabat, Marc
Abstract
An optical tracking system is provided. The optical tracking system comprises an autoclavable fiducial marker assembly including an opaque housing, a light source, a window panel configured to refract light rays from the light source therethrough, and a metallized coating forming a hermetic seal at an interface of the window panel and the opaque housing. The fiducial marker assembly is configured to shield a peripheral edge of the window panel from the light rays. The system further comprises a tracking device comprising at least two optical sensors configured to detect a position of a light ray emitted by the light source. The system further comprises a processor configured to receive the position of the light rays from the optical sensors, shift the position of each light ray based on a calculated refraction deviation, and triangulate the location of the light source based on the shifted position of each light ray.
A61B 34/20 - Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
Smith & Nephew Asia Pacific Pte Limited (Singapore)
Inventor
Mcgovern, Paul
Hosseini, Ali
Liu, Chun
Fu, Rick
Maccready, Christopher D.
Karasic, Geoffrey I.
Burgess, Carrie D.
Mirabile, Belin
Abstract
A system for harvesting a tendon graft is disclosed, including a retractor, a guide and a harvesting tool. The retractor is collapsible and upon release, becomes self-supporting to hold open an anatomic space developed in a patient above the tendon. A guide assembles with the retractor to orient a guide shaft along the retractor and thereby the anatomic space. The harvesting tool includes a working end with a blade edge for cutting into the tendon. The harvesting tool defines a contoured surface for engaging and translating along the guide shaft while assembled to the retractor. The guide shaft and contoured surface limit the trajectory and translation extent of the harvesting tool along and into the tendon.
Methods are disclosed for the reduction or elimination of bacterial biofilms on biological and non-biological surfaces, as well as methods for the treatment of wounds, skin lesions, mucous membrane lesions, and other biological surfaces infected or contaminated with bacterial biofilms using compositions comprising a synergistic combination of thermolysin and at least one aminoglycoside antibacterial agent.
A61K 31/7036 - Compounds having saccharide radicals attached to non-saccharide compounds by glycosidic linkages attached to a carbocyclic compound, e.g. phloridzin having at least one amino group directly attached to the carbocyclic ring, e.g. streptomycin, gentamycin, amikacin, validamycin, fortimicins
A61K 38/48 - Hydrolases (3) acting on peptide bonds (3.4)
Embodiments of negative pressure wound therapy systems and methods for operating the systems are disclosed. In some embodiments, a system includes a pump assembly and a wound dressing configured to be positioned over a wound. The pump assembly and the wound dressing can be fluidically connected to facilitate delivery of negative pressure to a wound via a fluid flow path. The system can be configured to efficiently deliver negative pressure and to detect and indicate presence of conditions, such as a blockage in a fluid flow path. Monitoring of the conditions can be performed by detecting a level of activity of a pump of the pump assembly.
A61M 1/00 - Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
48.
AUTOMATIC WOUND COUPLING DETECTION IN NEGATIVE PRESSURE WOUND THERAPY SYSTEMS
Embodiments of negative pressure wound therapy systems and methods for operating the systems are disclosed. In some embodiments, a system includes a negative pressure source, a sensor, and a controller. The negative pressure source can provide negative pressure via a fluid flow path to the wound dressing. The sensor can monitor pressure in the fluid flow path. The controller can determine whether the wound dressing is coupled to a wound from a change in magnitude of pressure in the fluid flow path over time being more indicative of a steady state condition than a chaotic condition while the negative pressure source maintains negative pressure in the fluid flow path within a pressure range. In addition, the controller can output a first indication denoting that the wound dressing is coupled to the wound and a second indication denoting that the wound dressing is not coupled to the wound.
A61M 1/00 - Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
49.
SHEAR RESISTANT WOUND DRESSING FOR USE IN VACUUM WOUND THERAPY
A cover layer for a vacuum wound therapy dressing includes a backing layer formed from a flexible polymeric membrane and an adhesive layer for affixing the backing layer over a wound bed to provide a substantially fluid-tight seal around a perimeter of the wound bed. The cover layer is reinforced with a reinforcement layer extending to a peripheral region of the backing layer to distribute forces associated with evacuating a reservoir, as defined by or within the cover, to stimulate healing of the wound bed.
A61F 13/00 - Bandages or dressings; Absorbent pads
A61M 1/00 - Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
A suture transport system is disclosure for placing a flexible member along a tunnel, the system including a means of transporting a flexible member along a tunnel from a first opening in the tunnel through to a second opening at an opposite end of the tunnel, such that the flexible member extends from both the first and second opening. The system also includes a means of capturing a portion of the flexible member at the second opening, to inhibit the flexible member from retracting into the tunnel second opening. The means of capturing includes an aperture for capturing the portion of the flexible member.
A61B 17/04 - Surgical instruments, devices or methods, e.g. tourniquets for closing wounds, or holding wounds closed, e.g. surgical staples; Accessories for use therewith for suturing wounds; Holders or packages for needles or suture materials
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Smith & Nephew Orthopaedics AG (Switzerland)
Inventor
Mcguan, Shawn P.
Duxbury, Elizabeth
Abstract
A computer-implemented method for creating an activity-optimized cutting guides for surgical procedures includes receiving one or more pre-operative images depicting one or more anatomical joints of a patient, and creating a three-dimensional anatomical model of the one or more anatomical joints based on the one or more pre-operative images. One or more patient-specific anatomical measurements are determined based on the three-dimensional anatomical model. A statistical model of joint performance is applied to the patient-specific anatomical measurements to identify one or more cut angles for performing a surgical procedure. A patient-specific cutting guide is created that comprises one or more apertures positioned based on the one or more cut angles.
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
A61B 34/00 - Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61F 2/46 - Special tools for implanting artificial joints
G16H 10/60 - ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
G16H 20/40 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
G16H 30/40 - ICT specially adapted for the handling or processing of medical images for processing medical images, e.g. editing
G16H 40/63 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
G16H 50/50 - ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for simulation or modelling of medical disorders
G16H 50/70 - ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for mining of medical data, e.g. analysing previous cases of other patients
Disclosed herein are several embodiments of a negative pressure appliance and methods of using the same in the treatment of wounds. Some embodiments are directed to improved fluidic connectors or suction adapters for connecting to a wound site, for example using softer, kink-free conformable suction adapters.
A61F 13/00 - Bandages or dressings; Absorbent pads
A61M 1/00 - Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
A medical device includes a treatment module configured to apply a treatment to a patient. The medical device includes an interface configured to operatively connect to a removable storage device storing authorization data that identifies a level of treatment authorization. The medical device includes a processing device configured to perform operations in response to receiving user input indicating a treatment should be initiated. The operations include determining whether the removable storage device is valid for use with the medical device. If the removable storage device is determined to be valid, the authorization data is accessed. The processing device determines whether the treatment is authorized based on the accessed authorization data. If the treatment is determined to be authorized, the treatment module is controlled to apply the treatment. If the treatment is determined to not be authorized, the treatment module is controlled such that the treatment is not applied.
G16H 40/63 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
A61B 34/00 - Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
G16H 40/67 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
A61B 5/1172 - Identification of persons based on the shapes or appearances of their bodies or parts thereof using fingerprinting
54.
SYSTEMS AND METHODS FOR PATIENT-BASED COMPUTER ASSISTED SURGICAL PROCEDURES
Surgical systems and methods are disclosed for creating a 3D model of a patient's affected area using an imaging device, using the model to determine an implant orientation and position, creating patient-matched instrumentation, placing the patient-matched instrumentation on the patient's anatomy, registering a computer-assisted surgical tool, and acquiring registration information. The methods and systems also include associating the surgical tool with a computer to perform a computer assisted surgery. Also disclosed are embodiments of patient-matched instrumentation to acquire registration information.
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Inventor
Marti, Gaëtan
Hälg, Maurice
Sivagnanaselvam, Ranjith Steve
Abstract
A system is disclosed that includes an optical tracking device and a surgical computing device. The optical tracking device includes a structured light module and an optical module that includes an image sensor and is spaced from the structured light module at a known distance. The surgical computing device includes a display device, a non-transitory computer readable medium including instructions, and processor(s) configured to execute the instructions to generate a depth map from a first image captured by the image sensor during projection of a pattern into a surgical environment by the structured light module. The pattern is projected in a near-infrared (NIR) spectrum. The processor(s) are further configured to execute the stored instructions to reconstruct a 3D surface of anatomical structure(s) based on the generated depth map. Additionally, the processor(s) are configured to execute the stored instructions to output the reconstructed 3D surface to the display device.
A61B 34/20 - Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
G06T 7/521 - Depth or shape recovery from the projection of structured light
G06T 7/80 - Analysis of captured images to determine intrinsic or extrinsic camera parameters, i.e. camera calibration
G06T 7/70 - Determining position or orientation of objects or cameras
H04N 23/56 - Cameras or camera modules comprising electronic image sensors; Control thereof provided with illuminating means
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Inventor
Housman, Mark E.
Hall, Benjamin M.
Patel, Nehal N.
Balboa, Marc J.
Abstract
An offset guide that places a surgical tool through a bone of a surgical joint. The offset guide may hold the surgical joint in a reduced configuration at a first location along the bone; the first location preferred for engaging the bone. The offset guide may engage the bone with a hook that engages two opposing sides of the bone to center the surgical tool through the bone. The offset guide may guide placement of a surgical tool through the bone center at a second location along the bone, the second location offset from the first location. The second location may be a preferable location for receiving the surgical tool therethrough. The surgical tool may include both a drill and an implant insertion tool. The implant insertion tool may place an implant at the second location, while the offset guide holds the surgical joint.
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Smith & Nephew Orthopaedics AG (Switzerland)
Inventor
Boese, Christoph K.
Abstract
A method of calibrating a frontal 2D image of a pelvis of a patient is disclosed. Frontal and lateral 2D images are received, where a fiducial marker is positioned on the patient’s suprapubic region during image capture. A first distance of the fiducial marker from the imaging detector is determined based on the fiducial marker’s measured diameter in the frontal image. A second distance of the fiducial marker from a coronal plane of the pelvis is determined based on the fiducial marker’s measured diameter in the lateral image. The second distance is corrected based on a rotational offset of the patient in the lateral image. A third distance of the coronal plane from the imaging detector in the frontal image is determined from the first distance and corrected second distance. A calibration factor for the frontal image is calculated from the third distance and used to scale the frontal image.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
G06T 7/80 - Analysis of captured images to determine intrinsic or extrinsic camera parameters, i.e. camera calibration
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
Embodiments disclosed within herein relate to a wound dressing, suitable for use in negative pressure wound therapy, comprising a body of porous material, the body of porous material comprising a plurality of cuts which provide regions of flexibility within the body. Further embodiments relate to methods of manufacturing and method of use of such wound dressings. In addition, the wound dressing can comprise a retaining mechanism removably coupled to the material and configured to retain the material in the expanded conformation.
Methods of tissue repair with a knotless tissue repair construct system is disclosed. System may include multiple anchor constructs that are soft anchor constructs. The multiple anchor constructs may include at least one knotless construct and may be inserted separately and coupled to each other as part of the method. The method may form a knotless all-suture staple construct. The method may form a knotless all-suture construct in a chain configuration. The method may include coupling a graft or bio-inductive material to the repair site. The method may include augmenting a ligament repair.
A61B 17/04 - Surgical instruments, devices or methods, e.g. tourniquets for closing wounds, or holding wounds closed, e.g. surgical staples; Accessories for use therewith for suturing wounds; Holders or packages for needles or suture materials
60.
SYSTEMS AND METHODS FOR USING NEGATIVE PRESSURE WOUND THERAPY TO MANAGE OPEN ABDOMINAL WOUNDS
Embodiments disclosed herein are directed to the treatment of wounds using negative pressure. Some embodiments disclosed herein provide for a foam pad, which may be suitable for use in abdominal wound sites, and which may be sized in a dimensionally-independent manner. Additional embodiments provide for a wound contact layer, as well as a system for the treatment of abdominal wounds.
A61F 13/00 - Bandages or dressings; Absorbent pads
A61M 1/00 - Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
61.
TECHNOLOGIES FOR PREOPERATIVE IMPLANT SIZE ESTIMATION
A computing system including a processor and memory comprising a plurality of instructions stored thereon that, in response to execution by the processor, causes the computing system to determine a plurality of implant size predictions with associated confidence levels based on one or more patient or surgical parameters, wherein each of the implant size predictions identifies a confidence level that a prospective implant of a corresponding size will fit a patient, determine whether a combined confidence level determined based on a subset of the plurality of associated confidence levels is at least a threshold value, and recommend, in response to a determination that the combined confidence level is not at least the threshold value, incorporation of at least one of an additional implant size prediction of the plurality of implant size predictions in the subset or digital templating data to improve an accuracy of an implant size estimation.
Leak location devices and methods of using leak location devices that can be used in conjunction with negative pressure wound therapy systems are disclosed. In some embodiments, a leak location device can include a microphone for detecting sound pressure produced by a leak. Detected sound pressure can be compared to a threshold, which can correspond to background or ambient sound pressure. Background or ambient sound pressure can correspond to sound produced by a negative pressure source. The leak detection device can include a display configured to visually depict the detected sound, and a light source which creates a visual depiction of the coverage angle of the microphone.
G01M 3/24 - Investigating fluid tightness of structures by using fluid or vacuum by detecting the presence of fluid at the leakage point using infrasonic, sonic, or ultrasonic vibrations
A61M 1/00 - Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
63.
SYSTEM FOR PROVIDING WOUND DRESSING PORT AND ASSOCIATED WOUND DRESSING
A wound dressing for use in a vacuum wound therapy treatment includes a backing layer for positioning over a wound to define a reservoir in which a reduced pressure may be maintained over the wound. A portal member affixed to the backing layer provides a connection to a reduced pressure source through an opening in an ambient surface. A primary port extends between the opening and a primary aperture in a reservoir surface to providing fluid communication between the reservoir and the reduced pressure source. At least one supplemental port establishes fluid communication between the primary port and a supplemental aperture in the reservoir surface that is distinct and substantially spaced from the primary aperture.
A61M 1/00 - Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
A61F 13/00 - Bandages or dressings; Absorbent pads
A61M 27/00 - Drainage appliances for wounds, or the like
64.
MEDICAL IMPLANT DELIVERY SYSTEM AND RELATED METHODS
An implant delivery system including a fixation member delivery system including an elongate shaft, first and second rails, a plurality of fixation members with each fixation member slidably disposed on the first and second rails and an actuation assembly. The actuation assembly includes a first elongate member including a first plurality of engagement members disposed along the first elongate member with a distal end region of each engagement member in engagement with one of the fixation members, a second elongate member including a second plurality of engagement members disposed along the second elongate member with a distal end region of each engagement member in engagement with one of the fixation members. Additionally, cyclical actuation of the actuation assembly is configured to incrementally move the fixation members distally along the first and second rails to deploy each of the plurality of fixation members in sequence.
A61F 2/95 - Instruments specially adapted for placement or removal of stents or stent-grafts
A61B 17/128 - Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
Variable angle holes in bone plates structured to facilitate the formation of axial compression or tension of a bone, or which can assist in bone distraction. The variable angle hole can extend about a central axis and includes an inwardly extending wedge wall. The variable angle hole can be sized to receive insertion of a fixation element at a location at which a central longitudinal axis of the fixation element is axially offset from the central axis of the variable angle hole by an offset distance at least when the fixation element is initially driven into bone at least in a transverse direction. The wedge wall can be configured to be engaged by a portion of the fixation element in a manner that axially displaces at least one of the bone plate, the fixation element, and/or bone(s) in a direction that can generally reduce or increase the offset distance.
A system and device (110) for determining bone laxity. For example, the system includes a tracked probe (300) comprising at least one probe marker (310) and a computer assisted surgical (CAS) system (100). The CAS system includes a navigation system (130) and a processing device (110) operably connected to the navigation system and a computer readable medium configured to store one or more instructions that, when executed, cause the processing device to receive location information from the navigation system, generate (820) a surgical plan comprising a post-operative laxity assumption (720), collect (850) first motion information related to movement of the joint through a first range of motion, collect (860) second motion information related to movement of the joint through a second range of motion, determine (870) a post-operative laxity (710), and compare the post-operative laxity and the post-operative laxity assumption to determine laxity results.
Porous biocompatible structures suitable for use as medical implants and methods for fabricating such structures are disclosed. The disclosed structures may be fabricated using rapid manufacturing techniques. The disclosed porous structures each have a plurality of struts and nodes where no more than two struts intersect one another to form a node. Further, the nodes can be straight, curved, and can include portions that are curved and/or straight. The struts and nodes can form cells that can be fused or sintered to at least one other cell to form a continuous reticulated structure for improved strength while providing the porosity needed for tissue and cell in-growth.
B22F 7/04 - Manufacture of composite layers, workpieces, or articles, comprising metallic powder, by sintering the powder, with or without compacting of composite layers with one or more layers not made from powder, e.g. made from solid metal
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Inventor
Farley, Daniel
Lenz, Nathaniel M.
Abstract
Disclosed herein is a system and a method for registering a surgical site to a surgical navigation system when the surgical site contains an implant for revision joint replacement surgery. The method creates a depth map of the surgical site and provides a possible identification of the existing implant using surface matching algorithms. The model of the implant is iteratively oriented with respect to the to the depth map until an optimal fit is achieved. Once the implant has been identified and localized, the registered landmarks are used in robotic-assisted surgery.
Disclosed is a dissolvable, gel-forming film, and methods for its use, comprising a water-soluble cellulose ether, a hydrophilic rheological modifying agent, and an active proteolytic enzyme or other drug substance. The gel-forming film has a water content of less than 15% w/w and is capable of forming a hydrogel when contacted with water or other aqueous medium. The disclosed films achieve delivery of stable proteolytic enzymes to the desired site of action in a manner that provides uniform delivery of the enzymes.
Disclosed herein are several embodiments of a negative pressure appliance and methods of using the same in the treatment of wounds. Some embodiments are directed to improved fluidic connectors or suction adapters for connecting to a wound site, for example using softer, kink-free conformable suction adapters.
A61F 13/00 - Bandages or dressings; Absorbent pads
A61M 1/00 - Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
71.
METHOD AND APPARATUS FOR DETERMINING IMPLANT POSITIONS OF TWO MEDICAL IMPLANT COMPONENTS FORMING A JOINT
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Smith & Nephew Orthopaedics AG (Switzerland)
Inventor
Götte, Hubert
Abstract
A data processing method, performed by a computer, for determining implant positions of two implant components relative to two bones, wherein each of the implant components is to be attached to one of the bones such that the implant components form a joint between the bones, and wherein an implant position is a relative position between the implant component and the corresponding bone, said method comprising the steps of:
a) acquiring a set of target poses, wherein a target pose represents a relative position to be achieved between the two bones;
b) calculating a set of virtual poses for a pair of virtual test implant positions, wherein the set of virtual poses comprises one virtual pose for each of the target poses and wherein a virtual pose represents a relative position between the two bones if the virtual test implant positions were applied as the implant positions;
c) calculating a pose deviation value for each of the target poses, wherein a pose deviation value represents the difference between a target pose and the corresponding virtual pose;
d) calculating an overall pose deviation value from all the individual pose deviation values;
e) repeating steps b) to d) for different pairs of virtual test implant positions until the overall pose deviation value fulfils a minimisation criterion; and
f) using the pair of virtual test implant positions for which the minimisation criterion is fulfilled as the implant positions.
Disclosed is a surgical instrument with a handle and elongate shaft assembly extending distally from the handle. The elongate shaft assembly has a longitudinal axis and is able to articulate between a fully flexed configuration and a lesser flexed configuration. The elongated shaft assembly includes a first tubular member having a first flexible portion with a first preferential bending direction. The elongated shaft assembly also includes a second member including a second flexible portion axially fixed to the first tubular member at a position distal from the first flexible portion. The first flexible portion is defined by a plurality of cutouts, each cutout defining a cutout longitudinal axis transverse the shaft longitudinal axis and wherein the plurality of radial cutouts have an asymmetrical shape about the cutout longitudinal axis.
An electrosurgical wand is provided and includes a handle and an elongate shaft coupled to the handle and extending distally from the handle along an axis. An active electrode is disposed at a distal end of the electrosurgical wand. A return electrode abuts the elongate shaft and extends along and annularly about the axis. The return electrode has a top side adjacent the active electrode and an opposite bottom side and defines a notch. A support member is disposed in the notch between the electrodes and transitions curvilinearly from the notch to define a front surface extending laterally across and axially from the return electrode. The front surface tapers downwardly from the active electrode to define a first portion defining a first convex outer surface and also extends toward the bottom side of the return electrode to define a second portion defining a second convex outer surface.
Disclosed is a hydrogel comprising a hydrophilic gelling agent that includes a nonionic cellulose ether, and active thermolysin, wherein the proteolytic activity of the thermolysin does not decrease by more than 20% when stored at room temperature for 6 months.
A method for preoperatively characterizing an individual patients biomechanic function in preparation of implanting a prosthesis is provided. The method includes subjecting a patient to various activities, recording relative positions of anatomy during said various activities, measuring force environments responsive to said patient's anatomy and affected area during said various activities, characterizing the patient's biomechanic function from said relative positions and corresponding force environments, inputting the measured force environments, relative positions of knee anatomy, and patient's biomechanic function characterization into one or more computer simulation models, inputting a computer model of the prosthesis into said one or more computer simulation models, and manipulating the placement of the prosthesis in the computer simulation using said patient's biomechanic function characterization and said computer model of the prosthesis to approximate a preferred biomechanical fit of the prosthesis.
G16H 50/50 - ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for simulation or modelling of medical disorders
B33Y 80/00 - Products made by additive manufacturing
B33Y 50/00 - Data acquisition or data processing for additive manufacturing
G16B 5/00 - ICT specially adapted for modelling or simulations in systems biology, e.g. gene-regulatory networks, protein interaction networks or metabolic networks
A61B 5/103 - Measuring devices for testing the shape, pattern, size or movement of the body or parts thereof, for diagnostic purposes
A61B 5/00 - Measuring for diagnostic purposes ; Identification of persons
G16H 20/40 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
G16H 20/30 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
G16H 30/20 - ICT specially adapted for the handling or processing of medical images for handling medical images, e.g. DICOM, HL7 or PACS
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
76.
Control of wound closure and fluid removal management in wound therapy
Embodiments of negative pressure wound therapy systems and methods for operating the systems are disclosed. In one embodiment, a negative pressure source can provide negative pressure via a fluid flow path to a wound dressing comprising a stabilizing structure. The stabilizing structure can be inserted into a wound and collapse upon application of negative pressure to the wound when the stabilizing structure is positioned in the wound. A controller can in turn determine a measure of collapse of the stabilizing structure from a pressure in the fluid flow path while the negative pressure source maintains a magnitude of the pressure in the fluid flow path within a negative pressure range. The controller can output an indication responsive to the measure of collapse.
A61F 13/05 - specially adapted for use with sub-pressure or over-pressure therapy, wound drainage or wound irrigation, e.g. for use with negative-pressure wound therapy [NPWT]
A61M 1/00 - Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
SMITH & NEPHEW ASIA PACIFIC PTE. LIMITED (Singapore)
Inventor
Grabinsky, Jessica M.
Yeung, David A.
Torres, Francheska
Falco, Kevin M.
Abstract
Implant delivery systems are disclosed. One implant delivery system includes an outer shaft, an inner shaft movable within the outer shaft, a yoke coupled to the distal end of the inner shaft, and an implant retainer pivotably coupled to the yoke. The implant retainer is configured to retain a sheet-like implant for implantation at a treatment site. Another implant delivery system includes a handle, a delivery sheath extending from the handle, and a delivery shaft extending through the delivery sheath to a frame attachable to a sheet-like implant. A tether extends from the frame within the lumen of the delivery shaft. An actuation member is translatable within a channel of the handle to deploy the frame from the delivery sheath. A tether clamp, positioned within the handle, is manipulatable by the actuation member to selectively unlock the tether within the handle.
A wound therapy device is disclosed. The wound therapy device may include a housing for covering at least a portion of a wound and for sealing to a body surface of a patient. The housing may also include a liquid collector for retaining liquid therein and a vacuum connection for coupling to a vacuum source. The vacuum connection may be in gaseous communication with the liquid collector. The vacuum connection may be separated from the liquid collector by a liquid barrier.
A61M 1/00 - Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
Disclosed herein are systems and methods for providing reduced or negative pressure, and more particularly cyclical reduced pressure, to treat a wound. The system can include a wound dressing, a fluid collection container, a suction source, filters, and conduits. In addition, the system can include a control device and sensors. The sensors may be configured to monitor certain physiological conditions of a patient such as temperature, pressure, blood flow, blood oxygen saturation, pulse, cardiac cycle, and the like. Application of cyclical reduced pressure between two or more values below atmospheric pressure may be synchronized with the physiological conditions monitored by the sensors. Certain embodiments of the system utilize an air reservoir and one or more valves and pressure sensors or gauges to allow for rapid cycling of the level of reduced pressure within the wound dressing between two or more reduced pressure values.
A61M 1/00 - Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
A61M 27/00 - Drainage appliances for wounds, or the like
80.
Technologies for preoperative implant size estimation
A computing system according to an embodiment includes at least one processor and at least one memory comprising a plurality of instructions stored thereon that, in response to execution by the at least one processor, causes the computing system to determine a plurality of implant size predictions with associated confidence levels based on one or more patient or surgical parameters, wherein each of the implant size predictions identifies a confidence level that a prospective implant of a corresponding size will fit a patient, determine whether a combined confidence level determined based on a subset of the plurality of associated confidence levels is at least a threshold value, and recommend, in response to a determination that the combined confidence level is not at least the threshold value, incorporation of at least one of an additional implant size prediction of the plurality of implant size predictions in the subset or digital templating data to improve an accuracy of an implant size estimation.
G06N 7/00 - Computing arrangements based on specific mathematical models
A61F 2/46 - Special tools for implanting artificial joints
G16H 40/63 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
G16H 50/50 - ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for simulation or modelling of medical disorders
G16H 50/30 - ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for individual health risk assessment
81.
METHODS FOR OPTICAL TRACKING AND SURFACE ACQUISITION IN SURGICAL ENVIRONMENTS AND DEVICES THEREOF
SMITH & NEPHEW ASIA PACIFIC PTE. LIMITED (Singapore)
Inventor
Marti, Gaëtan
Hälg, Maurice
Sivagnanaselvam, Ranjith Steve
Abstract
A computer assisted system is disclosed that includes an optical tracking system and one or more computing devices. The optical tracking system includes an RGB sensor and is configured to capture color images of an environment in the visible light spectrum and tracking images of fiducials in the environment in a near-infrared spectrum. The computer assisted system is configured to generate a color image of the environment using the color images, identify fiducial locations using the tracking images, generate depth maps from the color images, reconstruct three-dimensional surfaces of structures based on the depth maps, and output a display comprising the reconstructed three-dimensional surface and one or more surgical objects that are associated with the tracked fiducials. The computer assisted system can further include a monitor or a head-mounted display (HMD) configured to present augmented reality (AR) images during a procedure.
A61B 34/20 - Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
A61B 90/50 - Supports for surgical instruments, e.g. articulated arms
G01B 11/22 - Measuring arrangements characterised by the use of optical techniques for measuring depth
G06T 7/246 - Analysis of motion using feature-based methods, e.g. the tracking of corners or segments
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 90/30 - Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
G01B 11/25 - Measuring arrangements characterised by the use of optical techniques for measuring contours or curvatures by projecting a pattern, e.g. moiré fringes, on the object
G06T 15/00 - 3D [Three Dimensional] image rendering
G06T 7/73 - Determining position or orientation of objects or cameras using feature-based methods
G06T 19/00 - Manipulating 3D models or images for computer graphics
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Inventor
Barnes, George
Claesson, Hans P.L.
Young, Timothy
Cotton, Nicholas J.
Torrie, Paul A.
Van Kampen, Craig L.
Yeung, David A.
Pierce, Cori G.
Barnes, Jeffrey L.
Grabinsky, Jessica M.
Abstract
A tendon/ligament repair implant for treatment of tears or lesions of tendons and ligaments, including capsular reconstruction, and compositions for delivering calcium and/or phosphate ions in combination with a collagen solution that can be placed between soft tissue and bone to facilitate healing of the soft tissue-bone interface are provided. The implant may incorporate features of rapid deployment and fixation by arthroscopic means that complement current procedures; tensile properties that result in desired sharing of anatomical load between the implant and native tendon during rehabilitation, or, in situations where the native tissue cannot be repaired tensile properties that provide for substitution of the native tissue selected porosity and longitudinal pathways for tissue in-growth; and may include an at least partially bioabsorbable construction to provide transfer of additional load to new tendon-like tissue and native tendon over time. The compositions can be pre-dried into a thin sheet of material and delivered as a pre-formed matrix, or as a gel or paste which sets in place to form the matrix between the soft tissue and bone.
Tissue repair systems which use knotless all-suture anchors and have the ability to lock multiple repair sutures within the anchor construct. The anchor construct includes a tension suture wrapped or looped upon itself to create an open eyelet, through which multiple repair sutures originating in soft tissue are passed. The location of the eyelet may be anywhere inside the all-suture anchor or adjacent to the exterior of the anchor body. Tensioning of the tension suture causes the eyelet to restrict movement of the repair sutures and secures them within or against the anchor body.
A61B 17/04 - Surgical instruments, devices or methods, e.g. tourniquets for closing wounds, or holding wounds closed, e.g. surgical staples; Accessories for use therewith for suturing wounds; Holders or packages for needles or suture materials
Embodiments of negative pressure wound therapy systems and methods are disclosed. In one embodiment, an apparatus includes a housing, a negative pressure source, a canister, an antenna, and one or more controllers. The negative pressure source can provide negative pressure via a fluid flow path to a wound dressing. The canister can be positioned in the fluid flow path and collect fluid removed from the wound dressing. The antenna can be supported by the housing and wirelessly communicate with an electronic device. The antenna can be oriented in the housing to face downward toward the ground when the negative pressure source is providing negative pressure. The one or more controllers can activate and deactivate the negative pressure source and transmit first data to the electronic device using the antenna or receive second data from the electronic device using the antenna.
A61M 1/00 - Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
H01H 13/82 - Switches having rectilinearly-movable operating part or parts adapted for pushing or pulling in one direction only, e.g. push-button switch having a plurality of operating members associated with different sets of contacts, e.g. keyboard characterised by contact space venting means
A composite wound dressing apparatus promotes healing of a wound via the use of a micropump system housed within or above a wound dressing member. The micropump system includes a miniature pump that applies a subatmospheric pressure to the wound to effectively draw wound fluid or exudate away from the wound bed without the need for a cumbersome external vacuum source. Hence, the wound dressing and micropump system is portable which allows the patient mobility that is unavailable when an external vacuum source is used. The patient does not need to be constrained for any period of time while exudate is being removed from the wound.
A61M 1/00 - Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
A61F 13/00 - Bandages or dressings; Absorbent pads
SMITH & NEPHEW ASIA PACIFIC PTE. LIMITED (Singapore)
Inventor
Mussomeli, Ningning
Santangelo, Stephen
Hoppe, Hans
Abstract
Compositions and methods are directed to engineered extracellular matrix protein—mussel foot protein fusions for use as a bioadhesive for repairing tissues. The compositions have one or more of: (i) at least one hydrophobic region; (ii) at least one crosslinking region; (iii) at least one tyrosine residue accessible to be enzymatically modified to a DOPA or TOPA side chain; (iv) at least one mussel foot protein; (v) at least one mussel foot protein loop; (vi) at least one human extracellular protein loop; or (vii) at least one of the following sequences: SEQ ID NO: 1, SEQ ID NO: 2, SEQ ID NO: 3, SEQ ID NO: 4, SEQ ID NO: 5, or SEQ ID NO: 6. The elastin-like polypeptide includes at least one non-naturally occurring amino acid or sequence alteration.
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Inventor
Dohmen, Lars
Schubert, Mario
Wiedenmann, Anna
Abstract
determining, based on the second structure correlation data and the coupling data, first structure correlation data describing the spatial position of the at least one correlation feature (3) relative to the first anatomical structure (1).
The present invention further relates to a corresponding computer program and system.
A61B 34/20 - Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
G06T 7/73 - Determining position or orientation of objects or cameras using feature-based methods
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
G06T 7/32 - Determination of transform parameters for the alignment of images, i.e. image registration using correlation-based methods
G06T 7/33 - Determination of transform parameters for the alignment of images, i.e. image registration using feature-based methods
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 5/11 - Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb
88.
Tracked surgical tool with flexible lumen and exposure control
A tool for surgically removing tissue of a patient includes a body, a flexible rotating shaft that drives a distal cutting tool and is drivingly coupled to a motor supported by bearings in a flexible tubular sheath to allow the shaft to rotate and be shifted longitudinally. Steering cables in the sheath control the flexion of the sheath. A processor controls the operation to ensure that the cutting tool operates within a predetermined resection area, controlling a combination of motor speed, sheath flexion, and shaft retraction to assist surgery in the resection area.
A tool for surgically removing tissue of a patient includes a body, a flexible rotating shaft that drives a distal cutting tool and is drivingly coupled to a motor supported by bearings in a flexible tubular sheath to allow the shaft to rotate and be shifted longitudinally. Steering cables in the sheath control the flexion of the sheath. A processor controls the operation to ensure that the cutting tool operates within a predetermined resection area, controlling a combination of motor speed, sheath flexion, and shaft retraction to assist surgery in the resection area.
A tool for surgically removing tissue of a patient includes a body, a flexible rotating shaft that drives a distal cutting tool and is drivingly coupled to a motor supported by bearings in a flexible tubular sheath to allow the shaft to rotate and be shifted longitudinally. Steering cables in the sheath control the flexion of the sheath. A processor controls the operation to ensure that the cutting tool operates within a predetermined resection area, controlling a combination of motor speed, sheath flexion, and shaft retraction to assist surgery in the resection area.
Embodiments of negative pressure wound therapy systems and methods for operating the systems are disclosed. In some embodiments, a system includes a negative pressure source, a wound dressing configured to be positioned over a wound, and optionally a canister configured to store fluid aspirated from the wound. The negative pressure source, wound dressing, and canister (when present) can be fluidically connected to facilitate delivery of negative pressure to the wound. The system can be configured to automatically detect whether the canister is positioned in the fluid flow path between the negative pressure source and the dressing while negative pressure source provides negative pressure to the wound dressing. Operation of the system can be adjusted based on whether presence of the canister has been detected. For example, a value of an operational parameter can be set to indicate that the canister is present.
A61M 1/00 - Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
92.
PRESSURE CONTROL IN NEGATIVE PRESSURE WOUND THERAPY SYSTEMS
Embodiments of negative pressure wound therapy systems and methods for operating the systems are disclosed. In some embodiments, a system includes a pump assembly, canister, and a wound dressing configured to be positioned over a wound. The pump assembly, canister, and the wound dressing can be fluidically connected to facilitate delivery of negative pressure to a wound. The system can additionally include a valve configured to control the introduction of positive pressure to the wound.
A61M 1/00 - Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
93.
Easy to manufacture autoclavable LED for optical tracking
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Inventor
Marti, Gaëtan
Hälg, Maurice
Girard, Olivier
Lambert, Matthias
Mato Sabat, Marc
Abstract
An optical tracking system is provided. The optical tracking system comprises an autoclavable fiducial marker assembly including an opaque housing, a light source, a window panel configured to refract light rays from the light source therethrough, and a metallized coating forming a hermetic seal at an interface of the window panel and the opaque housing. The fiducial marker assembly is configured to shield a peripheral edge of the window panel from the light rays. The system further comprises a tracking device comprising at least two optical sensors configured to detect a position of a light ray emitted by the light source. The system further comprises a processor configured to receive the position of the light rays from the optical sensors, shift the position of each light ray based on a calculated refraction deviation, and triangulate the location of the light source based on the shifted position of each light ray.
A61B 34/20 - Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
An apparatus includes a flexible fixation member having a body with a longitudinal extent and a width, the body defining a plurality of openings through the body, each of the plurality of openings formed substantially cross wise through the width of the body, and a suture having two terminal ends, the suture being interwoven through each of the plurality of openings in the body of the fixation member such that multiple portions of the fixation member are slidably coupled to the suture and configurable to form a cluster within a surgical site.
A61B 17/04 - Surgical instruments, devices or methods, e.g. tourniquets for closing wounds, or holding wounds closed, e.g. surgical staples; Accessories for use therewith for suturing wounds; Holders or packages for needles or suture materials
A61B 17/00 - Surgical instruments, devices or methods, e.g. tourniquets
A61B 17/06 - Needles; Holders or packages for needles or suture materials
95.
Scoring metric for physical activity performance and tracking
Certain aspects of the present disclosure provide a method for assessing the performance of a physical activity, including: recording motion capture data while a training subject demonstrates a physical activity sequence; identifying one or more primary body elements based on the motion capture data; deriving one or more path characteristic metrics based on a state variable set and the one or more primary body elements, wherein the state variable set defines the state of a body at any given time; and defining an ideal activity path of the physical activity sequence based on the one or more path characteristic metrics.
A modular acetabular cup assembly includes an acetabular cup, and a liner seated in the cup. The cup includes an end face, an apex opposite the end face, and a central axis extending between the apex and a center point of the end face. The liner includes an articular surface having a center of rotation which defines a pivot point of the acetabular cup assembly. In certain embodiments, the pivot point is laterally offset from the center point such that the end face is located between the pivot point and the apex.
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Inventor
Terrill, Lance
Roman, Shawn
Daniels, Timothy R.
Hyer, Christopher F.
Parekh, Selene G.
Pedowitz, David I.
Abstract
A total ankle replacement prosthesis may comprise a tibial implant, a talar implant, and an intermediate implant. The intermediate implant may fixedly attach to the tibial implant and may articulate with respect to the talar implant. The intermediate implant may have unequal front and back angular extent, so as to discourage a particular direction of subluxation, and a kit may be provided containing various such intermediate implants. Various features may be provided in regard to dovetails, fins, recesses, the placement of fins and pegs, and the shape of the perimeter of the tibial implant. Recesses may allow a surgical blade to slice a latch off of an already-installed intermediate implant, in order to allow its removal from the tibial implant.
There are provided various embodiments of medical instruments to perform knee surgery. In one embodiment a finned platform for mounting a cutting block is provided. The finned platform can be used on either a femur or tibia to allow for the proper cuts when performing a knee surgery. In another embodiment, a tibial trial is shown having a fin. The fin is useful to reinforce the bone to reduce the risk of fracture during bone preparation. In another embodiment, a reamer is provided having a plurality of cutting flutes. It may be desirable to utilize a guide with the reamer to allow the reamer to cut a non-circular portion of the tibial bone. In yet another embodiment, a plurality of fixation pegs are provided on the tibial implant to allow for easy removal of such implant if a revision surgery becomes necessary.
SMITH & NEPHEW ASIA PACIFIC PTE. LIMITED (Singapore)
Inventor
Marti, Gaëtan
Abstract
Methods, non-transitory computer readable media, tracker devices, central processor devices, and optical tracking systems that facilitate improved optical tracking in surgical environments are disclosed. With this technology, background images are captured within an acquisition sequence. The background images are used to analyze the quality of current images that are captured in the acquisition sequence and to determine an angular position of optical sensor modules of optical tracker devices with respect to light sources coupled to a reference frame that can be integral with an opposing one of the tracker devices. Using multiple tracking devices facilitates a reciprocal angular position determination that is more accurate and can withstand occlusion of an optical sensor module. This technology generates alerts when fiducials are obscured at the tracker device and facilitates improved accuracy with respect to pose data used by surgical applications for automated manipulation of surgical tools and surgical visualization.
Smith & Nephew Asia Pacific Pte. Limited (Singapore)
Inventor
Marti, Gaëtan
Hälg, Maurice
Sivagnanaselvam, Ranjith Steve
Abstract
A system is disclosed that includes an optical tracking device and a surgical computing device. The optical tracking device includes a structured light module and an optical module that includes an image sensor and is spaced from the structured light module at a known distance. The surgical computing device includes a display device, a non-transitory computer readable medium including instructions, and processor(s) configured to execute the instructions to generate a depth map from a first image captured by the image sensor during projection of a pattern into a surgical environment by the structured light module. The pattern is projected in a near-infrared (NIR) spectrum. The processor(s) are further configured to execute the stored instructions to reconstruct a 3D surface of anatomical structure(s) based on the generated depth map. Additionally, the processor(s) are configured to execute the stored instructions to output the reconstructed 3D surface to the display device.
A61B 34/20 - Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
patents
