Synergy Disc Replacement, Inc.

Other

Imds Corporation

Imirge Medical Inc

Medicinelodge Inc.

Musculoskeletal Innovations, LLC

Neil Duggal

Joshua Butters

Jeffery D Arnett

Louise C Raymond

Dylan M Hushka

Daniel Reed Baker

David Thomas Stinson

Carly Anderson Thaler

Robert Conta

Nicholas Slater

T Wade Fallin

Hao Wang

Joshua A Butters

Joshua Buttars

Wang Hao

Robert John De Hoog

Donald H Lee

Dylan Hushka

A method for visualizing and targeting anatomical structures inside a patient utilizing a handheld screen device may include grasping the handheld screen device and manipulating a position of the handheld screen device relative to the patient. The handheld screen device may include a camera and a display. The method may also include orienting the camera on the handheld screen device relative to an anatomical feature of the patient by manipulating the position of the handheld screen device relative to the patient, capturing first image data of light reflecting from a surface of the anatomical feature with the camera on the handheld screen device, and comparing the first image data with a pre-operative 3-D image of the patient to determine a location of an anatomical structure located inside the patient and positioned relative to the anatomical feature of the patient.

Anatomical scanning, targeting, and visualization

The present invention provides artificial disc prostheses, methods and instrumentation for implantation and revision thereof. Each prosthesis may comprise superior and inferior end plates and a nucleus positioned between articular surfaces of the end plates. The end plates may have planar bone engagement surfaces with a plurality of self-cutting teeth. The articular surfaces of the end plates may be planar or include a flattened portion. The nucleus includes superior and inferior articular surfaces which may comprise flattened portions such that when the articular surfaces of the nucleus and the end plates are placed in cooperation in a preferred orientation, the flattened and/or planar portions are aligned. Each prosthesis may provide flexion/extension, anterior/posterior translation, lateral bending, and/or axial rotation degrees of freedom. One embodiment comprises a prosthesis with a first joint providing flexion/extension and anterior/posterior translation, and a second joint providing lateral bending and axial rotation.

Systems and methods for vertebral disc replacement

Enhanced targeting systems and methods may be used to visualize trajectories for surgical instruments. Such a targeting system may have a first light source and a second light source. The first light source may project first light along a first plane, and the second light source may project second light along a second plane nonparallel to the first plane. At an intersection of the first and second planes, the first light and the second light may cooperate to produce a targeting line that indicates the desired trajectory. An image capture system may also be used to capture image data of anatomical features of a patient at one or more locations in space, and a controller may receive the image data and indicate the trajectory relative to the anatomical features of the patient.

Optical targeting and visualization of trajectories

An implantable fixation system for fusing a joint between a first bone and a second bone. The system may include an anchor, standoff, bolt, and cortical washer. The system may be implanted across the joint along a single trajectory, the length of the system adjustable to provide compressive force between the anchor and the cortical washer. The system may be implanted across a tibiotalar joint with the anchor positioned in the sinus tarsi. A spacing member may be inserted between the two bones and the fixation system implanted to extend through an opening in the spacing member. The spacing member may be anatomically shaped and/or provide deformity correction. An ankle arthroplasty system may include a tibial plate, a talar plate, and a bearing insert. The plates may be anchored to the tibia and talus along a single trajectory. The ankle arthroplasty system may be revisable to a fusion system.

Joint arthrodesis and arthroplasty

Enhanced targeting systems and methods may be used to visualize trajectories for surgical instruments. Such a targeting system may have a fixture that can be secured at a predetermined location relative to a patient, a first light source attached to the fixture, and a second light source attached to the fixture. The first light source may project first light along a first plane, and the second light source may project second light along a second plane nonparallel to the first plane. At an intersection of the first and second planes, the first light and the second light may cooperate to produce a targeting line that indicates the desired trajectory. A controller may be connected to first and second sets of motors to orient the first and second light sources, respectively. The targeting line may be projected on a visualization aid that guides the surgical instrument along the trajectory.

Eccentrically shaped bone fixation implants interact with bone fragments or joints to compress the bone fragments or joint bones together. The eccentrically shaped bone fixation implants can have longer and shorter portions along an axis and a plurality of teeth with opposing beveled surfaces in different configurations to vary both the direction and amplitude of the compressive forces applied to the bone fragments or joint bones. Instrumentation for implanting and orienting the eccentrically shaped bone fixation implants are also disclosed herein.

Joint and bone fixation

An implantable fixation system for fusing a joint between a first bone and a second bone. The system may include an intramedullary nail and an anchor. The intramedullary nail may include a standoff and a compression bolt. The system may be implanted across the joint along an intramedullary trajectory. The length of the system may be adjustable to provide compressive force between the anchor and the compression bolt. The system may be implanted across a tibiotalar joint with the anchor positioned in the sinus tarsi. A spacing member may be inserted between the two bones and the fixation system implanted to extend through an opening in the spacing member. The spacing member may be anatomically shaped and/or provide deformity correction. An ankle arthroplasty system may include a tibial plate, a talar plate, and a bearing insert. The plates may be anchored to the tibia and talus along a single trajectory. The ankle arthroplasty system may be revisable to a fusion system.

The present invention provides an implantable joint prosthesis configured to replace a natural joint, and methods for implantation. The prosthesis may include a first component implantable in a first bone, having a first bearing surface, and a second component implantable in a second bone, having a second bearing surface which corresponds to the first bearing surface. Each bearing surface may include a flattened section such that when the bearing surfaces are placed in cooperation with one another in a preferred orientation, the flattened sections are aligned. Alternatively, the bearing surfaces may have and asymmetric configuration, with non-congruent surfaces that may enable correction of deformity. Several types of implantable joint prostheses are disclosed, including: carpometacarpal, metacarpophalangeal, metatarsophalangeal, distal interphalangeal, proximal interphalangeal, ankle, knee, shoulder, and hip.

Joint prostheses

An artificial disc prosthesis is provided. The prosthesis of the present invention enables spinal segment alignment by having a variable height across its surface. The variable height is achieved by an asymmetric artificial nucleus or by at least one variable height end plate.

Artificial spinal disc

Facet fixation implants include a cap member with a circular base portion and an eccentric raised portion. The raised portion includes first and second lobes and is smoothly contoured to provide an unobtrusive profile when implanted. Beveled teeth project from the implant to provide fixation and compression across the facet joint. The cap member includes an offset aperture which receives a fastener. Tools, guiding instruments and methods for implantation of the implants are disclosed.

Facet fixation systems

A system and method for treating a defect. The system may comprise a first expandable barrier insertable into a defect interior space in a compact state and then expanded once positioned inside the defect. The first expandable barrier is expanded to be positioned against the inner surface of the defect. The system may also comprise a second barrier which may be expandable, positioned against the outer surface of the defect. Each of the first and second barriers may expand laterally to a greater extent than axially. The first and second barriers may be in communication through a connection member which couples the two barriers together. The barriers each obliterate the defect and can prevent subsequent CSF or other fluid leaks. Fibrin glue may be introduced into the defect to seal and secure the barriers to the defect. Each barrier may comprise a mesh, a basket, an umbrella or a balloon.

Systems and methods for cerebrospinal fluid repair

Methods and instrumentation for implantation of an intervertebral disc prosthesis are provided. A guide tool with sagittal and coronal reference features guides placement of guide pins relative to a sagittal plane and a coronal plane of the vertebrae. A retainer lockable to the guide pins has a ratcheting mechanism providing distraction or compression. A rasp, planer or other tools may be aligned to the retainer and inserted into the intervertebral space to prepare the vertebral endplates. An interoperatively adjustable trial is alignable to the retainer and measures an angularity of the intervertebral space. A prosthesis with keying features may be mounted to a prosthesis inserter with complementary features, held by pivotable arms and compressed between prongs. The inserter may be aligned to the retainer and advanced to implant the prosthesis in the intervertebral space. A prosthesis remover may grip one prosthetic end plate and extract the entire prosthesis.

Growing community of inventors

London, Canada

Neil Duggal