Arthrology Consulting, LLC

Knimble Designs, Inc.

Arthrology Designs, LLC

Other

Derek Amanatullah

Thomas Jefferson Blumenfeld

Richard David Komistek

Michael LaCour

Ian Börk

Warren Mckenzie White

Matthew L Hasel

Sarah M Hegmann

Warren M White

An expandable augment system is provided for use with an acetabular cup. The expandable augment system can include an expandable augment module that is adjustable in size and that can be adjusted incrementally between a fully collapsed state and an expanded state. A first portion of the expandable augment module is attachable to an outer surface of an acetabular cup and a second portion of the expandable augment module is attachable to bone or to a fixed augment module (e.g., a fixed angle augment module) that is attached to bone and interposed between the adjustable augment module and bone.

Expandable augment system for acetabular cup

Foot splint

A modular system for total knee arthroplasty includes a modular trial implant assembly. The modular implant assembly includes an elongate shaft configured for insertion into an elongate cavity in a bone, a reamer removably coupleable to the elongate shaft via a connection that allows the reamer to rotate while the elongate shaft remains in a substantially fixed angular orientation. The reamer has an outer surface that tapers toward the distal end configured to form a tapered cavity in an end of a bone in which the reamer is inserted and rotated. The modular trial implant assembly further includes a trial implant removably coupleable to a proximal end of the reamer. A modular final implant assembly includes an elongate stem, a tapered body and an implant body, each having a size and shape that can substantially correspond to a size and shape of the elongate shaft, the reamer and the trial implant, respectively.

Modular total knee arthroplasty system and method

A method for generating intraoperative surgical guidance during a knee arthroplasty includes: preceding resection of a first bone and a second bone in a knee of a patient, generating a first ligament tension curve for a first ligament in the knee; generating a second ligament tension curve for a second ligament in the knee; storing a first target tension curve for the first ligament based on the first ligament tension curve; and, succeeding resection of the first bone and succeeding placement of a first test implant on the first bone, generating a third ligament tension curve for the first ligament; characterizing a first phase difference between the third ligament tension curve and the first target tension curve; and in response to the first phase difference exceeding a threshold negative phase difference, outputting a first prompt to a surgeon to further resect the first bone proportional to the first phase difference.

Methods for generating intraoperative surgical guidance during joint arthroplasty based on dynamic ligament tension

Once variation of a system for total knee replacement includes: a first alignment guide defining first set of guides that locate a first set of pins on a first bone of a joint in extension and defining a reference surface relative to the first set pin guides; a second alignment guide constrained relative to the first alignment guide by the reference surface and defining a second set of guides, relative to the first set of guides, that locate a second set of pins on a second bone of the joint; a first cut guide located by the first set of pins and defining a first cut plane for resecting the first bone; and a second cut guide located by the second set of pins and defining a second cut plane, linearly offset from the first cut plane, for resecting the second bone.

System for total knee replacement

Off-center liners can be used with an acetabular cup in hip replacement or revision surgical procedures. The liners (of metal or plastic) can be laterally spaced from the acetabular cup, angled relative to the acetabular cup and/or have an opening that is offset relative to the axis of the acetabular cup. The liners have an orientation indicator that identifies where the liner should be impacted (e.g., impaction location or point) by the impactor to ensure the liner is impacted in a square manner relative to the acetabular cup.

Off-center liner for acetabular cup

Joint balancing methods and apparatus for arthroplasty procedures are disclosed. An example method of preparing a knee to receive a knee implant includes: (a) positioning a knee comprising a distal femur and a proximal tibia at a mid-flexion angle; (b) performing soft tissue balancing of the knee at the mid-flexion angle; (c) determining a location of a posterior chamfer cut of the distal femur configured to engage the posterior chamfer angle of a femoral component of a knee implant based at least in part upon the soft tissue balancing of the knee at the mid-flexion angle; and, (d) resecting the distal femur to create the posterior chamfer cut.

Methods and apparatus for mid-flexion balancing during knee arthroplasty

Joint balancing methods and apparatus for arthroplasty procedures are disclosed. An example knee balancing jig may include a tibial placement guide configured for mounting to a tibial reference in a generally medial-lateral orientation in position generally anterior to a knee and/or at least one balancing assembly. The balancing assembly may include a vertical guide configured to releasably mount to the tibial placement guide in a generally inferior-superior orientation, at least one posteriorly extending paddle selectively vertically movable along the vertical guide, the paddle configured to selectively engage a distal femur and/or a proximal tibia, and/or at least one pin guide selectively vertically movable along the vertical guide, the at least one pin guide comprising at least one opening configured to receive at least one of a drill bit and a bone pin therethrough.

One variation of a method includes: accessing a virtual patient model defining a target resected contour of a hard tissue of interest; after resection of the hard tissue of interest during a surgical operation, accessing an optical scan recorded by an optical sensor facing a surgical field occupied by a patient, detecting a set of features representing the patient in the optical scan, registering the virtual patient model to the hard tissue of interest in the surgical field based on the set of features, and detecting an actual resected contour of the hard tissue of interest in the optical scan; and calculating a spatial difference between the actual resected contour of the hard tissue of interest and the target resected contour of the hard tissue of interest represented in the virtual patient model registered to the hard tissue of interest in the surgical field.

Methods for augmenting a surgical field with virtual guidance and tracking and adapting to deviation from a surgical plan

A physical rehabilitation device for the treatment of a medical condition of the foot known as plantar fasciitis includes a splint which is connected to the toe and ankle of a patient. The splint can be used in a method for treating plantar fasciitis known as 'dynamic splinting'. This device allows the patient to bend the ankle and thus dynamically change the flexion in the foot of the patient. The device itself is unique, but the method of treatment made possible by this device is also unique.

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Palo Alto, CA, United States of America

Derek Amanatullah