The disclosure provides apparatus and methods of use pertaining to a multiple suture threader. Embodiments of the multiple suture threader include a handle that is coupled with a first collapsible loop and a second collapsible loop that is axially offset from the first collapsible loop. In use, one or more sutures are doubled over each of the first and the second collapsible loops such that when the axially spaced loops are passed through a narrow axial passage of a surgical implant, a surgical instrument, or a bodily passage such as a bone tunnel, a twenty-five to fifty percent reduction in suture traffic, or in the maximum number of suture thicknesses that simultaneously pass through the narrow passage, is achieved. Other embodiments are disclosed.

The disclosure provides apparatus and methods of use pertaining to a surgical broach for creating a noncircular bore in bone. Embodiments include a surgical punch having a handle coupled with a broach shaft. The broach shaft features a cylindrical portion with a boss projecting radially from the cylindrical portion. When the broach shaft is pressed into bone, it creates a circular bone tunnel having a relief groove projecting radially from and in communication with the circular bone tunnel. Thus, when an implant such as a return anchor for a suture is pressed into the resulting noncircular bore, a return path of the suture passes through the relief groove projecting from the bone tunnel, thereby reducing suture traffic through an internal passage of the anchor and relieving the need for an outer sidewall of the anchor to accommodate the return suture path. Other embodiments are disclosed.

Systems for the minimally invasive repair, stabilization and/or fixation of a fractured bone, such as a rib, are disclosed. The systems include one or more rods/support members that are designed to extend along a dimension of a bone being repaired and secure the fractured bone. The support members can be photodynamic and are formed using an expandable member that is filled with a light-sensitive liquid that is cured to form the rigid support member. Two or more clamps are used to secure the support member(s) to the rib or other bone. Minimally invasive surgical methods for securing the systems to a fractured bone are also disclosed.

Systems and methods for treating conditions and diseases of the spine are disclosed herein. A device includes a balloon catheter comprising at least one inner lumen incorporated within an elongated shaft; a distal end having an inner balloon positioned inside and completely surrounded by an outer balloon; and a proximal end having an adapter for passage of at least one of an inflation fluid or a medical instrument; and an optical fiber comprising an outer diameter sized to pass through the inner lumen of the elongated shaft; a nonlinear light-emitting portion of a given length, wherein a portion of a cladding material from the nonlinear light-emitting portion has been removed so that light energy may be emitted along the length of the nonlinear light-emitting portion; and a linear elongated portion for guiding light towards the nonlinear light-emitting portion.

Techniques, kits and a delivery instrument for providing a material at a defect repair site. The instrument is a combined delivery needle/elevator/paddle that includes a delivery needle and a paddle/elevator tip attached to the end of the needle and around the most distal opening of the needle. The combined needle/elevator/paddle instrument allows both delivery (insertion or injection) of the material/mixture as well as leveling/flattening of the delivered material. The mixture/material may be micronized allograft tissue such as BioCartilage and the surgical site may be a defect site such as a microfracture site or cartilage defect.

The present invention relates to a series of orthopedic plates for use in repair of a bone. The plate has a Y-shaped profile or an X-shaped profile which includes an elongate central trunk with a complex contour and either one or two terminal pairs of arms that have a first arm and a second arm that form differing angles and lengths relative to the trunk portion of the plate. The arms include locking screw holes where the screws converge toward each other to provide for multiplanar fixation but which do not impinge.

A robotic system for use in performing an arthroplasty procedure of a patient is provided. The robotic system includes a robotic mechanism, a cutting tool coupled to the robotic mechanism for resecting a portion of a bone of the patient through an incision in the skin of the patient, and a computer coupled to the robotic mechanism and configured to control the robotic mechanism. The robotic system also includes at least one navigation member positionable into engagement with tissue in the patient, an optical system coupled to the computer, a position sensor configured to provide movement information of the robotic mechanism relative to the bone, and an interface coupled to the computer, the interface configured to operate the computer.

A medical balloon device includes an outer member extending along an axis. An inflatable member has a proximal end extending from a first end of the outer member and a distal end. An inner member is positioned within the outer member and the inflatable member such that a first end of the inner member is coupled to the distal end of the inflatable member. A support member is movably disposed within the inner member and includes a first end configured to removably engage the first end of the inner member. Translation of the support member along the axis causes the inflatable member to move between a first position in which the inflatable member has a first length and a first profile and a second position in which the inflatable member has a second reduced length and a second reduced profile. Methods of use are disclosed.

A surgical method and tool for expanding an initial osteotomy (42) to receive a bone implant (44). An osteotome (22) having a tapered working end (28) is inserted into the initial osteotomy (42). The initial osteotomy (42) is enlarged by simultaneously rotating and pushing the working end (28) of the tapered osteotome (22) into the osteotomy (42). When rotated in one direction the burnishing edges (40) concentrate the pushing and rotational force in outward normal and tangential component forces against the interior surface of the osteotomy (42) to incrementally expand the osteotomy (42) with little to no removal of bone material (46). When rotated in the opposite direction the burnishing edges cut the interior surface of the osteotomy. Progressively larger tapered osteotomes (22) are used until an osteotomy (42) of predetermined size is achieved.

A robotic surgical system is provided. The robotic surgical system includes a robotic mechanism having a force transmitting member and a computer connected with the robotic mechanism. The robotic surgical system also includes an optical sensing system connected with the computer, at least one navigation member configured to couple to one or more tissues of a patient, and a tool suitable for use in resecting at least a portion of a first bone of a joint in a patient and at least a portion of a second bone of the joint in the patient.