A multi-portal method for treating a subject's spine includes distracting adjacent vertebrae using a distraction instrument positioned at a first entrance along the subject to enlarge an intervertebral space between the adjacent vertebrae. An interbody fusion implant can be delivered into the enlarged intervertebral space. The interbody fusion implant can be positioned directly between vertebral bodies of the adjacent vertebrae while endoscopically viewing the interbody fusion implant using an endoscopic instrument. The patient's spine can be visualized using endoscopic techniques to view, for example, the spine, tissue, instruments, and implants before, during, and after implantation, or the like. The visualization can help a physician throughout the surgical procedure to improve patient outcome.

A drill guide includes a working portion and a shaft, with a joint formed between the working portion and the shaft so that the shaft is movable relative to the working portion about the joint. The working portion includes at least one drill guide hole which receives a drill for making a hole in a bone. The joint isolates the working portion from unintentional movements of the shaft so that the working portion remains stable against a bone surface. The joint also enables the shaft to be used as a retractor or pry bar against surrounding anatomical structures if desired. The drill guide may be included in a system with an implant component and/or other surgical instruments.

Disclosed herein are rasp adapters, rasp systems, and method of use thereof. The rasp adapter can include a body and a retention element. The body can define a body cavity, a handle opening, and a trunnion bore. The retention element can be located within the body cavity and can include a knuckle and a heal. The knuckle can be located proximate to and movable into and out of the trunnion bore. The heal can be located proximate the handle opening. Movement of the retention element due to a force applied to the heal can cause movement of the retention element and movement of the knuckle into the trunnion bore.

Reamer instruments and related methods are disclosed for use in preparing bone, such as a glenoid bone surface, to receive an implant requiring one of two or more possible surface geometries. Described reamer instruments can have a modular or multi-component design. A minimal number of components can be particular to a particular required geometry, which can allow assembly and use of reamer instruments of the present disclosure to be flexible, intuitive, and efficient. In some embodiments, a disposable reamer head assembly can be driven by a disposable drive tip through a pin-on-pin connection. The remaining components of the reamer instrument can be sterilized and re-used. To prepare bone for a half-wedge implant, a half-wedge housing can be coupled to a reamer instrument handle and a depth stop can be coupled to the housing to achieve the required geometry. Alternatively, a full-wedge housing can be coupled to the instrument handle.

In general, devices, systems, and methods for surgical device activation detection using current sensing are provided. In an exemplary embodiment, a surgical system includes a surgical pump, a detector, and a surgical device. The detector is configured to sense changes in electrical power in an AC power line from an AC power source to the surgical device to detect activation of the surgical device. In response to the detection activation, the pump can properly provide suction pressure to the surgical device to allow the surgical device to provide aspiration at a surgical site during performance of a surgical procedure.

A sacroiliac joint implant system includes a primary implant configured to be received in a sacroiliac joint of a patient and a secondary implant configured to couple with the primary implant. The primary implant includes a body extending from a proximal end to a distal end and a plurality of threads extending from the body. The secondary implant includes a first anchor configured to anchor within a sacrum of the patient and a second anchor configured to anchor within an ilium of the patient.

Provided herein are novel methods and composition utilizing adipose tissue-derived stromal stem cells for treating fistulae.

An end effector for a computer-assisted surgical system includes a mount configured to be coupled to an arm and a housing coupled to the mount and configured to interchangeably support a first operating member and a second operating member. When the housing supports the first operating member, the housing is configured to prevent translation of the first operating member relative to the mount. When the housing supports the second operating member, the housing is configured to allow translation of the second operating member relative to the mount along a first axis.

The present invention relates generally to implants and tools for the fixation or fusion of joints or bone segments. These tools include tissue dilators and protectors. Other tools include broaches used to shape bores in bone. The tools can also include a system for removing an implant from bone. Implants can include assemblies of one or more implant structures that make possible the achievement of diverse interventions involving the fusion and/or stabilization of lumbar and sacral vertebra in a non-invasive manner, with minimal incision, and without the necessitating the removing the intervertebral disc. Implants for fusing both sacroiliac joints of a patient include a long implant that extends across both sacroiliac joints.

An orthopaedic system and method to assemble an orthopaedic prosthesis is disclosed. The system may also include prosthetic trial components, which may be used to size and select the components of the orthopaedic prosthesis. The system may include components of the orthopaedic prosthesis such as, for example, a prosthetic femoral component, a prosthetic tibial component, a prosthetic stem component, and a prosthetic sleeve component.