A rail assembly for a knee positioning system that includes a base and a pair of rails removably coupled to the base. Each of the rails defines a plurality of positioning slots formed therein, each of the positioning slots being at least partially aligned with a corresponding positioning slot of the other rail. At least one of the rails and the base form at least one cleanout channel therebetween that is configured to receive a cleaning fluid for removing contaminants that collect on the at least one rail and the base.

A surgical leg positioner capable of bending the knee in varus or valgus while simultaneously distracting the tibia from the femur, the leg positioner having a thigh clamp module, a swing arm module connected to the thigh clamp module in a manner that offsets a joint axis laterally to the side of the knee of the patient so as not to damage the opposite compartment of the knee when bent in varus or valgus. The swing arm module also distracts the knee simultaneously when the knee is bent in varus or valgus. The swing arm module also permits flexion and extension of the knee at the knee's natural flexion-extension axis. The surgical leg positioner also utilizes a thigh brace that property aligns the leg on the surgical leg positioner.

A system for testing sutures includes a test bench having a rotatable table, a framework supporting the test bench and the rotatable table above a surface, and a continuous passive motion (CPM) machine mounted on the rotatable table. The CPM machine is configured to rotate between a first position in which the CPM machine is upright and located above the rotatable table and a second position in which the CPM machine is inverted and located below the rotatable table. The system includes a fluid supply subsystem for directing an infusion fluid toward the CPM machine, a pump for circulating the infusion fluid in the fluid supply subsystem, a heat exchanger for heating the infusion fluid, a fluid collection tray located below the CPM machine and the rotatable table, and a pressure monitoring subsystem for monitoring a pressure level of the infusion fluid.

An adapter plane for a surgical table comprising a central body having a proximal portion suitable to at least partially accommodate the lumbar region of the body of a patient and a distal portion suitable to at least partially accommodate the sacral region of the body of a patient, wherein the adapter plane can be coupled to a surgical table by placing the central body at least partially on top of the surgical table, and the central body, in the distal portion, is provided with a quick coupling device for coupling the adapter plane to one or more surgical instruments.

Systems and methods for adjusting bone cut positioning are disclosed that can aid in optimizing implant size selection and positioning relative to bone during, e.g., orthopedic surgical procedures such as knee arthroplasty, hip arthroplasty, etc. In one embodiment, such a surgical method can include performing a first bone cut of a first bone using an at least partially robot-assisted surgical instrument, detecting one or more parameters related to bone hardness, selecting a bone hardness index based on the one or more detected parameters, and adjusting a position of a second bone cut of the first bone based on the selected bone hardness index to optimize implant fit relative to bone. Detecting the one or more parameters related to bone hardness can be performed in a number of manners, including by monitoring energy required to perform the first bone cut.

Various embodiments, aspects and features of the present solution encompass a manually adjustable patient positioning device that is configured to reside on an operating table and outside the sterile field of a surgical environment. A carriage assembly rides along a pair of parallel guide rails and supports a cushioning device. A patient's foot, for example, may be placed on the cushioning device such that repositioning of the carriage assembly along the guide rails causes manipulation of the position and degree of articulation for the patient's knee during an orthopedic surgery.

Systems and methods may be used to perform robot-aided surgery. A system may include a robotic controller to monitor a position and orientation of an end effector coupled to an end of a robotic arm. The robotic controller may apply a force to a bone using the end effector, such as via a soft tissue balancing component. The robotic controller may determine soft tissue balance using information from a tracking system, such as a position of a first tracker affixed to the bone. The soft tissue balance may be output, such as to a display device.

A method for placing an implant on a patient in a robotic surgical procedure using a robotic system. During the robotic surgical procedure, a navigation system tracks the patient. The navigation system also provides information to the robotic system to guide movement of a cutting tool to remove material from the patient such that a cut surface is created to receive the implant. The implant is then robotically placed on the cut surface.

A limb positioning system for positioning and maintaining immobilized a patient's limb in a desired position with respect to a surgical table during orthopedic surgery. The system includes: a pivoting member having a longitudinal portion extending along a corresponding longitudinal axis; a support member configured to support the patient's limb; the support member includes a support hooking part connected to the longitudinal portion and movable along the longitudinal portion; a clutch connected to the pivoting member having an open configuration and a locked configuration, wherein, in the open configuration, the clutch enables pivoting of the pivoting member around a rotation axis that is parallel to the longitudinal axis, distinct from the longitudinal axis, and wherein, in the locked configuration, the clutch allows immobilization of the pivoting member in the desired position; and at least one fixation member configured to maintain the system in position with respect to the surgical table.

A method for performing a surgical procedure on a patient using a robotic system and a navigation system. The robotic system includes a cutting tool. The navigation system has at least one locating device to track a portion of the patient during the surgical procedure. The navigation system provides information as to a position of the portion of the patient. An optical cutting guide is projected onto the portion of the patient to enable cutting of the portion of the patient with the cutting tool of the robotic system while the optical cutting guide is projected onto the portion of the patient.