A61B2017/1602

Techniques For Patient-Specific Milling Path Generation

Surgical systems, computer-implemented methods, and software programs for generating a milling path for a bone. The implementations involve obtaining a virtual model of the bone, a resection volume defined relative to the virtual model of the bone, and a reference guide defined with respect to the resection volume. Section planes are successively arranged along the reference guide, and each section plane intersects the reference guide and intersects the resection volume. A section path is generated within each section plane and is defined relative to the resection volume. Transition segments are generated to connect section paths of section planes. The milling path is then generated by combining the section paths and the transition segments.

Tool assembly, systems, and methods for manipulating tissue

Tool assemblies, system, and methods for manipulating tissue and methods for performing a surgical procedure on a vertebral body adjacent soft tissue. A manipulator moves an end effector, and a screw is coupled to the end effector. A sleeve is disposed coaxially around the screw, and the screw and the sleeve are releasably engaged to one another. A navigation system is configured to track the vertebral body, and one or more controllers control the end effector to advance the screw relative to the sleeve along an insertion trajectory defined with respect to a surgical plan. The screw disengages the sleeve during advancement, and the screw is secured to the vertebral body. A distal working portion of the screw may be freely slidable through a distal end of the sleeve when disengaged. The screw may be a tap marker removably couplable with a tracking device of the navigation system.

CONTROL METHOD OF BONE GRINDING, TERMINAL DEVICE AND STORAGE MEDIUM
20220319687 · 2022-10-06 · ·

A control method of bone grinding includes: receiving a current position of a grinding drill bit from a positioning apparatus in real time; determining whether the current position reaches a region boundary of a region to be ground in a grinding state; and controlling the grinding drill bit to stop operating when the current position reaches the region boundary.

BURR TRAJECTORY GUIDE
20220313284 · 2022-10-06 · ·

Provided is a guide assembly for guiding a bone cutting tool through a small incision in the skin near the bone that allows movement of the cutting tool in the bone in a wide angle while the cutting tool is rotated about a pivot point that is located at the small incision. The guide assembly includes a 2-piece construction that includes a guide component that holds the cutting tool and a track component having a semicircular arc shape on which the guide component is slidably engaged whereby sliding the guide component along the track component guides the movement of the cutting tool to rotate about a pivot point that is the center of curvature of the semicircular arc shape of the track component.

GUIDED MILLING DEVICE FOR PROSTHETIC SURGERY
20230132876 · 2023-05-04 ·

Milling device for prosthetic surgery comprising a milling tool rotating about a milling axis, and a handling body. The handling body is provided with a drive rotating rod which develops along a longitudinal axis of linear rotation and is connected to the milling tool in order to make the milling tool rotate about the milling axis.

HARVESTING CANCELLOUS BONE AND MARROW FROM DISTAL FEMUR, PROXIMAL TIBIA, DISTAL TIBIA, OR CALCANEUS USING BONE PRESS APPARATUS
20230139232 · 2023-05-04 ·

Methods of harvesting cancellous bone and bone marrow include extracting loosened cancellous bone and bone marrow—including a liquid component thereof—to a collection container that has a first cup and a suction port to which a suction source is connected. After extraction, the suction source is disconnected and a lid of the collection container is removed and replaced with a lid having a plunger with a press head that is configured to filter the extracted liquid by depressing the plunger toward a bottom of the first cup. The filtered liquid is poured through a suction port into a second cup while depressing the plunger, thereby separating the liquid from a semi-solid mass of cancellous bone that remains. The bone is extracted through a cortical opening in the femur, tibia, or calcaneus, or from an intermedullary canal that is preferably formed by reaming of the tibia using an orthopedic reamer.

MULTI-SHIELD SPINAL ACCESS SYSTEM

An access device for accessing an intervertebral disc having an outer shield comprising an access shield with a larger diameter (˜16-30 mm) that reaches from the skin down to the facet line, with an inner shield having a second smaller diameter (˜5-12 mm) extending past the access shield and reaches down to the disc level. This combines the benefits of the direct visual microsurgical/mini open approaches and the percutaneous, “ultra-MIS” techniques.

Articulating Rotary Cutting Tool

A rotary cutting tool including an elongated housing having a proximal end and a distal end, the elongated housing extends circumferentially around a first axis. A drive shaft disposed within the elongated housing and extending between the proximal end and the distal end and rotatable about the first axis. A cutting bit housing coupled to the distal end of the elongated housing and rotatable relative to the drive shaft about an articulation axis between a non-articulated position and one or more articulated positions. A rotary cutting bit coupled to the cutting bit housing and the drive shaft and rotatable about the articulation axis with the cutting bit housing, the rotary cutting bit and drive shaft forming a constant velocity joint.

Patient-specific mill guide
09839434 · 2017-12-12 · ·

An orthopedic guide for preparing a particular patient's bone to receive a prosthesis using a milling tool with a rotating burr comprises a platform having a top surface and a bottom surface adapted to face the patient's bone. The platform defines an elongate milling track that extends through the platform from the top surface to the bottom surface of the platform, the milling track being sized and shaped so as to be adapted to guide the milling tool across the patient's bone with the burr of the milling tool rotating beneath the bottom surface of the platform to be adapted to remove a first bone portion from the patient's bone. A plurality of legs are coupled to the platform and each comprise a referencing end that is contour-matching fabricated as a function of the patient's bone data to be adapted to abut the patient's bone, the referencing ends of the plurality of legs adapted to cooperate to locate the orthopedic guide at a single predetermined location of the patient's bone.

Intramedullary fixation system for management of pelvic and acetabular fractures

Devices for treating a bone and methods of inserting such devices into a bone are disclosed. A device for treating a bone may include a flexible tube, a stiffening mechanism and an actuator. The flexible tube has a distal end and a proximal end. The stiffening mechanism within the flexible tube is configured to cause the flexible tube to become rigid. The actuator is configured to cause the stiffening mechanism to cause the flexible tube to become rigid in response to the actuator being actuated.