Orthosoft ULC

A trolley can be configured to maneuver an implement around a floor. The trolley can include a frame that can be configured to attach to the implement and a first wheel assembly that can be attached to the frame opposite the implement. A second wheel assembly can be attached to the frame opposite the implement. The first and second wheel assemblies can have a hollow center shaft. A first stabilizer cartridge can be inserted into the hollow center shaft of the first wheel assembly. A second stabilizer cartridge can be inserted into the hollow center shaft of the second wheel assembly. An actuator module can be attached to the frame and the first and second stabilizer cartridges. The actuator module can move the first and second stabilizer cartridges within the hollow center shaft of the first and second wheel assemblies, respectively.

Instrument systems for performing total ankle arthroplasties comprise an instrument adapter, a talus reaming guide and a talar trial system. The instrument adapter comprises a coupler for attaching to a robotic surgical arm, an extension arm extending from the coupler, a talus resection block attached to the extension arm, including a talus cutting guide surface, and an interface for receiving another instrument. The talus reaming guide comprises a second attachment member for coupling to the interface, and a reaming hoop for confining movement of a reamer. The talar trial system comprises a talar adapter for connecting to the interface, and a talar trial couplable to the talar adapter, the talar trial including a talar bearing surface. The talus resection block can serve as a universal instrument adapter for mounting the talus reaming guide, the talar trial system and a tibia resection block for performing a total ankle arthroplasty.

Patient-specific guide systems and methods for performing bone resections for ankle arthroplasties comprises a bone guide body and a bone resection block. The bone guide body comprises a patient-specific surface for engaging a surface of a talus or a tibia, and a first pin hole and a first socket in the bone guide body. The bone resection block is removably insertable into the first socket, receives a first pin that can be inserted in the first pin hole, and includes a resection guide surface. The system further comprises a floating bone trial that attaches to the bone resection block via a floating bone guide. The floating bone trail receives a chamfer spacer and guide for further resecting the bone. The system further comprises a stylus for engagement with the resection guide surface to confirm resection depth. The bone guide body includes alignment pin and resection block snap lock features.

A surgical assistance system includes a processing unit; and a non-transitory computer-readable memory communicatively coupled to the processing unit and comprising computer-readable program instructions executable by the processing unit for: obtaining a video feed of a surgical procedure and monitoring the surgical procedure from the video feed; detecting, from an image processing of the video feed, a condition requiring a deviation from the surgical procedure, the deviation being defined as being outside of a standard surgical flow; and outputting a recommendation of deviation by intra-operatively providing the recommendation to an operator of the surgical procedure.

A humerus cutting assembly includes a guide frame having an attachment member adapted to be secured to a humerus adjacent to a humeral head. A cutting guide is releasably connected to the guide frame, the cutting guide configured to guide a tool in altering the humeral head. One or more inertial sensor units is on the cutting guide, the inertial sensor unit tracking an orientation of the cutting guide relative to the humerus based on the releasable connection between the cutting guide and the guide frame.

A reamer attachment system for attaching a reamer to a robotic arm comprises a reaming guide comprising a guide shaft and a collar attached to the guide shaft, a reamer shaft extending through the collar to articulate against the collar, and a reamer lock couplable to the reamer shaft to engage the collar and prevent axial displacement of the reamer shaft relative to the collar while permitting the reamer shaft to articulate against the collar. A method for collaborative reaming of a bone between a surgical robot and a surgeon comprises positioning a reamer guide at a location in a coordinate system for the surgical robot system using a robotic arm of the surgical robot, coupling a reamer to the reamer guide such that a reamer axis passes through the location, constraining movement of the reamer along the reamer axis, and pivoting the reamer at the location to remove bone.

A gap balancing assembly includes an alignment plateau adapted to abut against an articular surface of a first bone, and at least one gap spacer portion adapted to space the articular surface from a second bone, the at least one gap spacer portion having a thickness profile. A spacer member has a first contact surface for being abutted against said tibial alignment plateau, and a second contact surface oriented and spaced relative to the first contact surface to correspond to the thickness profile of the at least one gap spacer portion, the second contact surface adapted to contact a cut guide to align same with the articular surface of the first bone.

A reference jig comprises a base adapted to be secured to a distal end of a bone. An adjustment mechanism has a bracket, one or more rotational joints operatively mounting the bracket to the base, whereby the bracket is rotatable in two or more rotational degrees of freedom relative to the base, and one or more translational joints. A landmark alignment unit is operatively connectable to the bracket by the at least one translational joint, the landmark alignment unit having a bone alignment component configured to be aligned with at least one bone landmark.

A system for computer-assisted guidance in glenohumeral joint surgery may have a processor unit, and a non-transitory computer-readable memory communicatively coupled to the processor and comprising computer-readable program instructions executable by the processor unit for: obtaining a natural range of motion profile for the glenohumeral joint by tracking movement of a humerus relative to a scapula of the glenohumeral joint in a non-invasive natural state, registering intra-operatively the humerus and the scapula to a referential system, fitting the natural range of motion profile to the humerus and the scapula in the referential system, creating an intraoperative range of motion profile for the glenohumeral joint by tracking movement of the humerus relative to the scapula of the glenohumeral joint intraoperatively, and outputting the intraoperative range of motion for the glenohumeral joint as a function of the natural range of motion.

Disclosed herein are surgical guides, surgical supports, surgical systems, and methods of use thereof. The surgical guides, supports, and systems discloses herein can include an instrument and a patient-specific support. The instrument can be connectable to a surgical support arm and include a guide surface. The patient-specific support can comprise an instrument engagement portion and an anatomy contacting surface. The instrument engagement portion can be configured to receive a portion of the instrument and the anatomy contacting surface contoured to match a contour of an anatomical surface of a patient. When coupled to the patient-specific support, the surgical support arm and the patient-specific support can position the instrument and the guide surface in a predetermined location and orientation relative to the anatomical surface of the patient with increased stability.