ПРОТЕЗ ТАЗОБЕДРЕННОГО СУСТАВА ДЛЯ ЗАКРЕПЛЕНИЯ В БЕДРЕННОЙ КОСТИ ПАЦИЕНТА

Изобретение относится к медицине. Протез тазобедренного сустава для закрепления в бедренной кости пациента содержит соединительную часть, выполненную с возможностью соединения с контактной частью протеза, по меньшей мере две расширяющиеся части, имеющие контактную поверхность для контакта с костью и стабилизирующий элемент, имеющий охватывающую часть, выполненную с возможностью ее расположения в контакте с наружной поверхностью бедренной кости, и простирающийся вдоль нее. Расширяющиеся части выполнены с возможностью вставки в бедренную кость пациента и возможностью расширения в этой бедренной кости таким образом, что указанная контактная поверхность для контакта с костью расположена в контакте с внутренней частью бедренной кости для прикрепления указанного медицинского устройства к бедренной кортикальной кости. Изобретение обеспечивает достижение прочного закрепления без прохождения или проникновения сквозь кость или без использования костного цемента. 15 з.п. ф-лы, 16 ил.

ПРОТЕЗ МЕЖПОЗВОНОЧНОГО ДИСКА

... 1. Протез межпозвоночного диска для имплантации между позвонками позвоночного столба, содержащий, по меньшей мере, две пластины (1, 2), а именно первую (1) и вторую (2) пластины, способные к шарнирному повороту одна относительно другой при посредстве ядра (3), содержащего плоскую поверхность (33) и криволинейную поверхность (31) шарнирного поворота, при этом первая пластина (1) содержит криволинейную поверхность (11) шарнирного поворота, взаимодействующую с, по меньшей мере, одной частью криволинейной поверхности (31) ядра (3), с которой она сопрягается, с обеспечением поворота и/или наклона одной пластины (1, 2) относительно другой, плоская поверхность (33) ядра (3) выполнена с возможностью взаимодействия с, по меньшей мере, одной частью плоской поверхности (23) второй пластины (2) с обеспечением поступательного перемещения и/или вращения ядра (3) относительно второй пластины (2) в, по меньшей мере, одном направлении, перпендикулярном вертикальной оси позвоночного столба, вторая пластина ...

ПРОТЕЗ МЕЖПОЗВОНОЧНОГО ДИСКА

... 1. Протез межпозвоночного диска, включающий по меньшей мере три части, а именно верхнюю пластину (1), нижнюю пластину (2) и подвижное по меньшей мере по отношению к одной пластине ядро (3), отличающийся тем, что он содержит два анатомических адаптационных элемента (11, 22), увеличивающих диаметр и/или высоту протеза, причем каждый адаптационный элемент (11, 22) содержит, с одной стороны, поверхность (110, 220), состоящую в контакте с поверхностью позвонка и, с другой стороны, поверхность (111), по меньшей мере часть которой имеет поверхность, сотоящую в контакте по меньшей мере с частью той пластины (1 или 2), напротив которой установлен анатомический адаптационный элемент (11 или 22), причем анатомические адаптационные элементы (11, 22) закреплены на пластинах (1, 2) крепежными средствами (113, 223). 2. Протез межпозвоночного диска по п.1, в котором анатомические адаптационные элементы (11, 22) содержат коронки, окружающие пластины (1 и 2) и удлиняющие их соответственно верхнюю (10) и ...

ДЕНТАЛЬНЫЙ ВИНТ

Implant which can be used as replacement for spongy bones - is built up from tolerated fibres which are implanted in bone cut=out

A network which is stable in structure, and space-filling is constructed from threads or fibres which will not be rejected by the body, and can be implanted as a replacement for spongy bones. The threads or fibres may be of metals, metal alloys, ceramics, carbon and/or synthetics. At their crossing points the threads are joined by welds, etc. A shaped object may be produced from the network by pressing or embossing and immediately after cutting or dividing, forms the implant. The network may be shaped into a wedge, square, disc, etc. or a core with an envelope. The process develops implantation techniques so that after a short time the defective bone structure can stand the stresses encountered during normal use.

Aluminium oxide ceramic bone implant - with notches in the external thread to aid tissue regrowth and ossification

The threaded ceramic bone implant with external thread is implanted by screwing into the one. The threaded course (1) has a thread (111) partially interrupted by a notch (2) so that the partially interrupted thread runs in an axial direction periodically through the threaded course. Pref. the notches which are more than 0.5mm deep permit new tissue growth to penetrate and grow into the screw to eventually ossify. The implant is made of aluminium oxide ceramic or a polycrystalline sintered body of aluminium oxide ceramic. At least one unbroken winding is arranged between two interrupted windings. The bone pin for surgical or dental purposes is designed to prevent axial movement and torque whilst encouraging growth of bone tissue.

Knochen- und Knorpel Ersatzstrukturen

The invention relates to novel materials for replacement of bones or cartilages, characterized primarily by their unique structure comprising substances known per se. Since these structures can be produced by selecting the suitable physical and geometric parameters, it is possible to manufacture implants either to replace bone and cartilage or to manufacture cartilage bone composite implants which closely resemble the relevant natural bones or cartilages in terms of elasticity, porosity and solidity and which behave in a similar biological manner to the direct in vivo environment.

Anchoring aid for an artificial acetabulum

For securing a socket implant to be fixed in a socket excavation (1) in a bone (3) a supporting element comprising a support plate section (A) and an embeddable part (B) driven into the wall of the socket excavation (1) is proposed as an anchoring means (9) between the artificial acetabulum and the bone (3). ...

Gelenkpfanne für die Hüfte

Implantat für Hohlraum in Knochen

Implantat zum Einsatz in einen durch Extraktion eines Zahnes oder Bohren eines Hohlraumes in ein Knochens, mit einem zur Umwandlung von Belastungen in den Knochen dienenden Basiskörper, der in den Hohlraum eingesetzt ist und der sich mittels einer oder mehrerer Flächen an der Knochensubstanz abstützt, dadurch gekennzeichnet, dass der in dem Hohlraum des Knochens eingeführte Bereich des Basiskörpers eine Vorrichtung mit Stützelementen aufweist, die im wesentlichen quer zur Belastungsrichtung des Basiskörpers beweglich angebracht sind und bei Belastung des Basiskörpers die entstehende Druckbelastung so umlenkt das eine Zugbelastung auf den Knochen ausgeübt wird.

GERÄT ZUR REPARATUR VON KNORPELMATERIAL

STÜZELEMENT ZUR IMPLANTATION IN KNOCHENGEWEBE

Befestigungssystem für metallische Stützschalen

VERANKERUNGSELEMENT

System for designing a knee-joint endoprosthesis

System for designing a knee-joint endoprosthesis with articulation elements (11, 12) which can be secured at the lower end of the femur and which have a convexly curved articular bearing surface, with bearing elements (14, 15; 34) which can be secured at the upper end of the tibia 13 and which have a plane or optionally concave bearing surface (16, 17), and with a meniscus (18, 19) arranged movably between each of the femoral articulation elements (11, 12) and the tibial bearing elements (14, 15; 34), said menisci having slide surfaces (20, 21 and 22, 23) which are formed respectively on the upper side and the lower side and which are designed with a curvature complementing the associated articular bearing surface of the femoral articulation element (11 and 12) and the associated bearing surface of the tibial bearing element (14 or 15 or 34). The system includes tibial test bearing elements (29) with test meniscus (30), at least one bone-anchoring spike (31) being provided on the underside ...

Magnetanordnung für die Befestigung von Prothesen

Surgical closure for closing trepanned hole in skull capsule

The retention projection is formed as a retention rib (34) running in a peripheral direction or as an outer thread. The closure head (30) forms a stop surface (28) extending over the outside of the closure shaft (26) for limiting the insertion movement of the closure (22) in the trepanation hole (14). The closure shaft may have a radially running through passage aperture and an elastically deformable area in a radial direction. It may be socket-shaped and the closure (22) has a longitudinal slot (35) running in an axial direction starting from one end of it.

System zur Stabilisierung der Wirbelsäule

Implant

PEG

DEVICE FOR A LIMB PROSTHETIC APPLIANCE

A device for prosthetic restoration of human limbs comprises a supporting member for the stump, shaped as a spherical bowl and connected to the prosthesis of the limb missing portion, and a fixing contrivance interconnecting the stump bone and the supporting member. The supporting member is made of a material indifferent to living tissue and its diameter corresponds to the stump outside diameter. The outer surface of the supporting member is made of a porous material which promotes implantation of living tissue therein, while its top base serves as a support for the stump bone and muscles. A method for prosthetic restoration of human limbs consists in joining the supporting member to the stump bone, followed by wrapping up of the supporting member by the stump skin, whereupon a suture is applied along the arc of the spherical base of the supporting member; after a period of time has elapsed, necessary for the supporting member to implant, a fistula is established in the spherical base of ...

A biomaterial and bone implant for bone repair and replacement

Bone tapping kit, fixation member and prosthetic cup

A tapping kit, for cutting an internal thread in bone defining a bore, comprises a tap 100 having a cutting section 104 and an externally threaded 110 section 102 of larger diameter than the cutting section and a guide having a threaded 38 aperture 36 aligned with the bore and cooperating with the externally threaded section of the tap, preferably, in use, the threads on the tap and the guide engaging before the cutting section engages the bone to be tapped. Also disclosed is a fixation member (50 fig 6) comprising a first portion (52 fig 6) having a first diameter and a first thread form and a second portion (56 fig 6) having a second diameter and a second thread form, the second diameter being smaller than the first diameter, the two thread forms having the same pitch and being part of the same helix. The thread forms may have the same cross-sectional profile. An intermediate portion (54 fig 6) may taper between the first and second portions and may be threaded contiguously with the first ...

Prosthetic limb attachment

Joint prosthesis supporting assembly

A joint prosthesis supporting assembly 10 comprisies a sub-frame 12 to be located between a joint replacement component 20 and a resected surface of a femur or tibia, and at least one extra-cortical fixation element 14 for securing the sub-frame 12 to the bone. The extra-cortical fixation elements 14 may have a tab 14a which extends into a slot 12a in the sub-frame, and may be secured to the bone with fasteners extending through apertures (see figure 4). The sub-frame 12 provides a stable, secure platform for attachment of the joint replacement component 20. The extra-cortical fixation element 14 provides for loads to be transferred and helps to stabilise the sub-frame 12 and therefore any joint replacement component 20 attached to it. The arrangement is particularly suited for use in revision procedures, allowing the use of primary joint replacement components therein.

Implant

An implant 1 comprising a surface 32 engageable with a portion of at least one body part, preferably a bone 2, and attachable thereto be means of an adhesive that is preferably cured by means on an external energy source such as EM radiation, ultrasound energy or thermal energy; most preferably UV light. The implant 1 may also be provided with a conduit 4 through which the energy source may be introduced. A flange 30 extending around the periphery of the implant 1 and protruding towards the body is also taught. The flange 30 provides a stand-off between the surface 32 and the body when the implant 1 is in use, thereby controlling the thickness of adhesive in use. Also disclosed is a method of surgery comprising forming an implant 1, applying a layer of adhesive to a surface 32 of the implant 1 and engaging the surface 32 with a body part. It is also disclosed that the implant 1 may be shaped in accordance with data derived from the body part in 3D, preferably obtained using computer tomography ...

IMPLANTABLE PROSTHESIS FOR TUBULAR BONES

... 1454134 Prosthetic joints ROSENTHAL STEMAG TECHNISCHE KERAMIK AG 4 Feb 1974 [3 Feb 1973] 05045/74 Heading A5R [Also in Division B3] An implantable prosthesis, for joining tubular bones, comprises a first ceramic implant screw 3 for screwing into the longitudinal bore 2 of a resectioned bone stump 14, the screw 3 having a self-tapping portion 4, a cylindrical loadbearing portion 5 and a generally cylindrical head portion 6 having an annular groove 8, the head portion 6 being received within a cylindrical bore 10 of the head portion 9 of a second ceramic implant screw inserted into a second resectioned bone stump, a ring 13 being inserted coaxially between the head portions 6, 9 to define their separation, a sleeve 11 having an annular groove 15 then being fitted over the bone stumps and cement filling injected via passages 12 in sleeve 11 and head portion 9 into the space between head portions 6, 9 and the annular groove to lock the implant screws together. A plastics sealing ring 16 held ...

LAP PART ENDOPROSTHESIS

SUBKUTANES, INTRAMUSKULÄRES CAMP FOR A RIGID TRANSKUTANES IMPLANT

LEG PROSTHESIS WITH TILTABLE PROSTHESIS FOOT

SUBKUTANES, INTRAMUSKULÄRES CAMP FOR A RIGID TRANSKUTANES IMPLANT

SENTENCE FOR CUTTING AN INTERNAL THREAD IN BONES

PROSTHESIS ATTACHMENT WITH MECHANICALLY PRESSING TOGETHER BIOCOMPATIBLE GRAINS

ARTHROSKOPI UNIKONDYLÄRES KNEE IMPLANTATION SYSTEM

EQUIPMENT TO THE REPAIR OF CARTILAGE MATERIAL

Modular acetabular cup prosthesis

Eine modulare Hüftpfannenprothese (1, 2, 3, 4, 5) umfasst eine Hüftpfanne (10, 20) und ein mit der Hüftpfanne (10, 20) verbindbares Augment (40, 50, 60, 70). Die Hüftpfanne (10, 20) weist einen Polbereich (13a) und einen gegenüberliegenden Eingangsbereich (15, 25) mit einem Umfangsrand (16, 26) auf. Das Augment (40, 50, 60, 70) weist eine ringförmige Basis (41, 51, 61, 71) auf, von der sich zumindest ein Fortsatz (42, 52, 54, 62, 72) erstreckt. Der Umfangsrand (16, 26) der Hüftpfanne (10, 20) und die ringförmige Basis (41, 51, 61, 71) des Augments (40, 50, 60, 70) sind mit zueinander komplementären Schraubgewinden (18, 28; 43, 53, 63, 73) versehen. Die zueinander komplementären Schraubgewinde (18, 28; 43, 53, 63, 73) der Hüftpfanne (10, 20) und des Augments (40, 50, 60, 70) sind mit einer Verdrehsicherung ausgestattet, die im verbundenen Zustand der Hüftpfanne (10, 20) und des Augments (40, 50, 60, 70) eine relative Verdrehung der Hüftpfanne (10, 20) und des Augments (40, 50, 60, 70) verhindert ...

DEVICE FOR IMPLANTATION INTO HUMAN OR ANIMAL FABRIC

NUT FOR IMPLANT SCREW CONNECTION

LATTICE FOR THE OSTEOSYNTHESIS OR FOR FASTENING ARTIFICIAL PARTS OF THE BODY

HALFSPHERICAL HUEFTGELENKSPFANNE.

IMPLANTIERBARES MEANS OF MOUNTING FOR EXTRA-ORAL APPLICATIONS.

BONE ANCHOR

SURGICAL IMPLANT AND CUTLERY IN ADDITION

ANCHORAGE ELEMENT FOR HOLDING JOINT PROSTHESES FOR A RESTORED JOINT

KUENSTLICHE GELENKPFANNE.

DUEBELARTIGE ANCHORAGE FOR A CEMENT-FREE ADJUSTMENT OF BONE IMPLANTS.

IMPLANTIERBARES ANCHORAGE ORGAN FOR THE ADMISSION OF PROSTHESES, ARTIFICIAL ONE STEERING HURRYING U.DGL.

THIGH NECK ENDOPROSTHESIS FOR AN ARTIFICIAL HIP JOINT

IMPLANTIERBARES ANCHORAGE ORGAN FOR THE ADMISSION OF PROSTHESES U.DGL.

SUBKUTANES, INTRAMUSKULÄRES CAMP FOR A RIGID TRANSKUTANES IMPLANT

IMPLANT SYSTEMS WITH FASTENING PART FOR ATTACHMENT AT AN ARTICULATION SURFACE OF AN ORTHOPEDIC JOINT

TRANSITION ADAPTER

SUBKUTANES, INTRAMUSKULÄRES CAMP FOR A RIGID TRANSKUTANES IMPLANT

PROSTHESIS SET

SUBKUTANES, INTRAMUSKULÄRES CAMP FOR A RIGID TRANSKUTANES IMPLANT

SURGICAL BOUNDARY LAYER.

STÜZELEMENT TO THE IMPLANTATION IN BONE FABRICS

BIOLOGICAL MATERIAL AND IMPLANT TO THE REPAIR AND REPLACEMENT OF BONES

UNIT TO THE CARTILAGE REPAIR

BEFESTIGUMGSVORRICHTUNG AND WITH IT PROVIDED PROSTHESIS

GLENOIDPROTHESE AND COMPONENT SYSTEM WITH GLENOIDPROTHESEN

Adjustable orthopedic connections

The disclosure includes methods and systems for making orthopedic connections where there is unique adjustability to the connection. Illustratively, one embodiment provides a connecting assembly for connecting a plurality of orthopedic components. Such connecting assemblies can include a first orthopedic component that provides a female bore (342). Additionally, the assembly can include a second orthopedic component that can be or include a male-type connecting member (340) that is positionable in the bore of the first orthopedic component. The male-type connecting member is in the form of a quasi-spherical member (340). The quasi-spherical member can include a textured outer surface, e.g., for contacting one or more walls or surfaces in the bore in a fashion that removably locks or helps to removably lock or fix the quasi-spherical member in the bore.

Anchoring element for implantation in tissue, for holding prostheses, artificial joint components or the like

Implantable anchoring element and anchoring assembly for prostheses and the like and method of implanting such elements and assemblies

Hybrid bone fixation apparatus

Intersomatic cage, intervertebral prosthesis, anchoring device and implantation instruments

Implant components and methods

Systems, devices, and methods are provided for orthopedic implants. The implants may include a base member, such as an acetabular shell or an augment, that is configured to couple with an augment, flange cup, mounting member, or any other suitable orthopedic attachment. A cup member that fits within an implantable shell and has mounting members that anchor an implant to a patient's bone or soft tissue may be provided. The cup member may fit within the shell and have an exterior surface configured to mate with a corresponding interior surface of the shell to couple the cup member to the shell. The mounting members may be integral with the cup member, or may be adjustable to provide flexibility to accommodate a specific implant or patient anatomy.

Apparatus having bowstring-like staple delivery to a target tissue

Devices for attaching a sheet-like implant to a target tissue include a sheath and a staple push rod. The sheath has a distal end configured to be pressed against the target tissue. The staple push rod is disposed within at least a portion of the sheath and is slidable relative thereto. The staple push rod includes a pair of stakes. Each stake is dimensioned to abut a surface of a staple to apply pushing forces thereto. The stakes are biased to assume a bow-like shape such that an intermediate portion of a staple extends tautly between the first stake and the second stake when the stakes are extending beyond the distal end of the tubular member. Methods for attaching a sheet-like implant to a target tissue are also disclosed.

Apparatus for delivering staples to a target tissue

A device for attaching a sheet-like implant to a target tissue includes a pilot member and a staple push rod. In some embodiments, the pilot member has a distal end and at least a pair of prongs extending from the distal end. The prongs are configured to form pilot holes when the distal end of the pilot member is pressed against the target tissue. The staple push rod is disposed within at least a portion of the pilot member and slidable relative thereto. The staple push rod includes at least a pair of stakes. Each stake is dimensioned to engage a surface of a staple to apply pushing forces thereto. Each stake is positioned relative to a prong along an inner surface of the pilot member so that the stakes advance into the pilot holes when the stakes are moved in a distal direction. Methods for attaching a sheet-like implant to a target tissue are also disclosed.

Tibial resurfacing system

Implant components and methods

Subject: Systems, devices, and methods are provided for orthopedic implants. The implants may include a base member, such as an acetabular shell or an augment, that is configured to couple with an augment, flange cup, mounting member, or any other suitable orthopedic attachment. Any of the implantable components may be include one or more porous surfaces. The porous surface may be textured by protrusions that connect to and extend from the surface. The sizes and concentration of the protrusions may be varied for specific applications to accommodate different implants and patient anatomies. A porous implant may also include one or more internal or external solid portions that strengthen the implant. 00000000o@5, PC C>g% 63 g~ 0 c0 0 00000 0 0 () 0 00 o o: C 00 (00000C)000 o0 00000 00 ~0 o 0 o-c 00 0 0 00 00Ooo0 0000n0 0 D o 0 0 1502 0Qo ODOoo o 0 0 go00( ~0OOC 0 0o 0 10 P oDoCo o90 o oo 0000 0 0 000 00S0 o 00 f 0o%0&%0 o 0000000 0 oa 5 oID00() 0 0000000o 0 SVI1cczio o 0 000 0 1502 00 Q60 ...

Improved glenoid anchor for a shoulder joint prosthesis

The present invention relates to an improved glenoid anchor for a shoulder joint prosthesis, in particular a convertible prosthesis, of the type intended to be fixed to the glenoid cavity of the shoulder blade and comprising: - a pin (2) with an internally hollow and essentially thimble-like conical sleeve (12), which has a tapered distal end (3) and an open proximal end (4); - an annular recess (15) formed inside the cavity (13) of the pin (2) in the vicinity of said open proximal end (4), for receiving by means of snap- engagement an edge (34) of a lug (30) of a prosthesis component (9); - at least one pair of oppositely arranged anti-rotation notches (16, 17) in the proximity of said annular groove (15) for receiving by means of snap fit oppositely arranged teeth (18, 19) of the same lug (30) intended to be snap-engaged together with said pin (2).

Anchor-in-anchor system for use in bone fixation

An anchor-in-anchor fixation system is provided for securing underlying structure, such as bone. The fixation system includes a first bone anchor having a shaft for fixation to underlying bone, and a head that defines an internal bore. A second bone anchor extends through the bore and into underlying bone. A fixation assembly is also provided that includes one or more fixation systems coupled to an auxiliary attachment member configured for long bone fixation, spinal fixation, or fixation of other bones as desired.

Bone screw

Method for manufacturing a bone pin for connection to a bone, particularly for fixing an implant to a bone, the bone pin having an implant contacting part arranged to contact the implant in connected situation and a bone contacting part arranged to engage the bone in connected situation, wherein the method comprises the steps of: - providing bone information which is indicative for the bone which the bone contacting part is arranged to engage; - providing a bone contacting part which is customized on the basis of the bone information for engaging said bone; - providing an implant contacting part; and - assembling the bone contacting part and the implant contacting part for manufacturing the pin.

Surgical screw and fusion device using same

The present invention relates to a surgical screw capable of self-locking and a fusion device using same, the screw comprising: a screw body which has a main body screw formed on the outer circumferential surface thereof, a body locking screw spaced from the main body screw with an offset therebetween, and a body driving groove formed in the upper part thereof; and a sleeve which has a sleeve screw formed on the inner circumferential surface thereof and screwed into the body locking screw and a sleeve stopping protrusion spaced downwards from the sleeve screw and capable of supporting the body locking screw. The surgical screw also allows the implementation of a fusion device in a different form by being coupled to a plate or a cage.

Implant and filament management device

A variety of configurations of implant management devices are provided. The configurations provide different combinations of features for maintaining a location of an implant with respect to the device and managing filaments of the implant. One exemplary embodiment of a device includes a generally rectangular-shaped body having an implantable body retainer, an opening disposed a distance apart from the retainer and configured to receive a ligament graft therein, and a fold extending across the body and intersecting the opening. Folding one end of the body towards a bottom surface of the body along the fold can form a filament loop engaging region to hold in tension a filament loop extending from the implant. Additional filament(s) associated with the implant can be managed by various filament retention features. Methods for preparing a ligament graft for implantation by relying upon indicia formed on a surface of the device body are also provided.

Arthroscopic shoulder arthroplasty, components, instruments, and method thereof

A novel method and instrumentation for insertion of humeral (HC) and glenoid (GC) total shoulder implant using arthroscopic visualization for bony preparation as well as insertion of components through small incisions. Mini instruments (24) and cannulated guides and reamers (64) are used in order to perform the procedure under direct arthroscopic visualization. For ease of insertion, the components are inserted separately and assembled in situ. Securing the humeral components in place is accomplished with bicortical screw (75) transfixing the central peg (2a) of component. Also disclosed are components, parts thereof and instruments used therewith.

Anchoring element supporting prostheses or a joint mechanism for a reconstructed joint

INTERVERTEBRAL IMPLANT HAVING EXTENDABLE BONE FIXATION MEMBERS

An intervertebral implant (10) is configured to be fixed in an intervertebral space defined by a first vertebral body and a second vertebral body (20). The intervertebral implant includes an implant body sized to be inserted into an intervertebral space, and a fixation assembly (22) configured to be attached to the implant body. The fixation assembly includes a housing (36) that defines a first vertebral body facing surface and a second vertebral body facing surface spaced from the first vertebral body facing surface along a transverse direction. The fixation assembly further includes at least one fixation member (38) supported by the housing and movable from a retracted position to an extended position, whereby in the extended position the fixation member extends out from the housing and into one of the vertebral bodies.

ARCUATE FIXATION MEMBER

Arcuate bone fixation members (12A, 12B, 12C) with a tip configured to cut into bone are particularly suitable when a linear line-of -approach for delivering fixation members is undesirable. The members may be configured to engage a driving instrument, have a proximal tab (44) with an aperture (48) to receive a bone anchor (50), be received in a curved guiding bore (28) of a guiding member (14) configured to be anchored in a vertebral body, be forced by an actuator through an instrument comprising a cannulated guide shaft (68) and within it a shaft (74) which has an engagement feature (80a) complementary to an engagement feature on the fixation member such as a thread, or fix an intervertebral implant (108) fixation plate (116).

APPARATUS HAVING BOWSTRING-LIKE STAPLE DELIVERY TO A TARGET TISSUE

Devices for attaching a sheet-like implant to a target tissue include a sheath and a staple push rod. The sheath has a distal end configured to be pressed against the target tissue. The staple push rod is disposed within at least a portion of the sheath and is slidable relative thereto. The staple push rod includes a pair of stakes. Each stake is dimensioned to abut a surface of a staple to apply pushing forces thereto. The stakes are biased to assume a bow-like shape such that an intermediate portion of a staple extends tautly between the first stake and the second stake when the stakes are extending beyond the distal end of the tubular member. Methods for attaching a sheet-like implant to a target tissue are also disclosed.

CAP-SHAPED ENDOPROSTHESIS FOR A FEMORAL HEAD

PROSTHETIC LIMB ATTACHMENT

The present invention provides an apparatus (1) for attaching a prosthetic limb to the bone of a patient, the apparatus comprising: a proximal component (2) to mount to a bone implant; a distal component (3) to mount to a prosthetic limb; and a coupling body (4, 5) coupling together the proximal and distal components (2, 3) with freedom to articulate when, in use, a bending and/ or torsional force is applied to the prosthetic limb only when the force exceeds a threshold level whereby the force may be accommodated by articulation within the attachment apparatus (1). The attachment apparatus (1) thus functions as a fail-safe articulation mechanism protecting the bone of the patient.

TRANSCUTANEOUS PROSTHESIS

A transcutaneous prosthesis is disclosed comprising a first component (1) shaped for implantation into a bone (2), a second component (4) intended for location between the bone (2) and the skin, and a third component (5) intended for location exterior to the skin surface, having a low surface energy which deters bacterial adhesion. The second component (4) may carry an adhesion- promoting protein.

ARTHROPLASTY IMPLANT SYSTEMS FOR GENERATING AND APPLYING DYNAMIC COMPRESSION

Arthroplasty implant systems and procedures are disclosed herein. In an embodiment, an arthroplasty implant of an arthroplasty system includes a shape memory material connecting member attached to two points of fixation of the arthroplasty implant.

SACROILIAC JOINT FIXATION FUSION SYSTEM

A system for fixating a sacroiliac joint that includes a sacroiliac joint implant for implantation in the sacroiliac joint. The sacroiliac joint implant includes an elongate body including a first end a second end and a length disposed between the first end and the second end. The elongate body is adapted to non-transversely locate within the sacroiliac joint. The system also includes a coupling element configured to connect to the sacroiliac joint implant. The system further includes a spanning member securable to the coupling element and a second coupling element engageable with the spanning member.

IMPLANTS, SYSTEMS AND METHODS OF USING THE SAME

Implants, device, systems and methods for replacing an articulation surface in a joint, for example, a reverse glenoid implant with a baseplate, a central screw, a peripheral screw, a modular taper, and a post. Methods for implanting the glenoid implant are also disclosed.

ADJUSTABLE ORTHOPEDIC CONNECTIONS

The disclosure includes methods and systems for making orthopedic connections where there is unique adjustability to the connection. Illustratively, one embodiment provides a connecting assembly for connecting a plurality of orthopedic components. Such connecting assemblies can include a first orthopedic component that provides a female bore (342). Additionally, the assembly can include a second orthopedic component that can be or include a male-type connecting member (340) that is positionable in the bore of the first orthopedic component. The male-type connecting member is in the form of a quasi-spherical member (340). The quasi-spherical member can include a textured outer surface, e.g., for contacting one or more walls or surfaces in the bore in a fashion that removably locks or helps to removably lock or fix the quasi-spherical member in the bore.

CONSTRAINED SPACER DEVICE FOR THE KNEE

Spacer device (1) for the knee joint comprising a tibial component (2), adapted to be fixed to one end of the tibia) bone in proximity to the knee joint, and a femoral component (3), adapted to be fixed to one end of the femoral bone in proximity to the knee joint, wherein the tibial component (2) is adapted to come into contact and be articulated with the femoral component (3), wherein the tibial component (2) comprises a protrusion (25) adapted to be inserted in an opening present in the femoral component (3); method for the assembly of the spacer device (1).

IMPLANTABLE TISSUE REPAIR DEVICES AND METHODS FOR MANUFACTURING THE SAME

The current invention provides for an implantable tissue repair device comprising: a body comprising a biocompatible hydrogel; and a rigid support at least partly located within the body or device, or connected to the body or device.

SINGLE ENTRY PORTAL IMPLANT

A modular prosthesis that may be implanted in a highly minimally invasive manner. Specifically, the modular prosthesis may include a neck and an anchor. Both the neck and the anchor are configured to be inserted and connected together through a latera l aspect of a long bone adjacent to the proximal end of the long bone. In one exemplary embodiment, the neck includes a body having a head end, configured for attachment to another prosthetic component, such as a corresponding articulating component, and an aperture extending therethrough. The anchor may be sized for receipt within the aperture formed in the neck. Additionally, the anchor may be configured such that the anchor engages the walls forming the apertur e in the neck to secure the components together.

PROSTHETIC ARTICULATION SURFACE MOUNTING

An apparatus (100) for facilitating the mounting of a prosthetic articulation surface (548) to a patient tissue includes an anchoring base (102) including a central fastener aperture (106) extending longitudinally therethrough. A first base end (108) is laterally spaced from the central fastener aperture. A second base end (110) is laterally spaced from the first base end with the central fastener aperture laterally interposed therebetween. Both of the first and second base ends include a plate engagement feature (114). An anchor plate (122) includes a central coupler aperture (124) extending longitudinally therethrough. An outer perimeter (126) is spaced laterally apart from the central coupler aperture. A plate rim (128) extends laterally inward from the outer perimeter to substantially laterally surround the central coupler aperture. At least one plate fastener aperture (130) extends longitudinally through the plate rim. At least one base engagement feature (432) is located on the plate ...

TISSUE POSITIONING DEVICE

A tissue positioning device comprising a biocompatible member having a size and shape suitable for placement within a space adjacent to a tissue to be positioned and which acts to maintain the tissue in a desired position. The member may be a rigid or flexible spacer having a defined shape, or a bladder capable of receiving and being at least partially expanded by a filler material. The device can made from a variety of materials or a composite of materials as needed, and may include one or more attachment means by which it can be secured to nearby tissues such that it is maintained in a desired spatial location. The filler material can be any of a number of substances, including liquids, gases, a curable liquid such as bone cement or urethane foam, or a spring.

FIXATION MECHANISM FOR AN IMPLANT

An ankle prosthesis has a tibial component configured for attachment to a tibia of a person, and a talar component. The talar component has a first surface configured for facing the tibial component and a second surface configured for facing a talus of the person. The second surface has first and second arms attached to it, for pivoting or flexing outwardly in medial and lateral directions, respectively, to engage side surfaces of a previously formed slot in the talus.

METHODS AND APPARATUS FOR ACETABULAR ARTHROPLASTY

A method for performing an acetabular arthroplasty in an acetabulum of an ilium may include locating an iliac canal of the ilium. The iliac canal extends from the surface of the acetabulum generally toward a portion of the iliac ridge. An impacting step impacts a non-rotating bone removal tool aligned along the iliac canal such that the non-rotating bone removal tool removes bone within the iliac canal and forms a bone void. Another step secures a fixation implant within the canal void. An acetabular implant is installed within the acetabulum over the fixation implant.

IMPLANT COMPONENTS AND METHODS

Systems, devices, and methods are provided for orthopedic implants. The implants may include a base member, such as an acetabular shell or an augment, that is configured to couple with an augment, flange cup, mounting member, or any other suitable orthopedic attachment. An implant may include a base member that has at least two projections with a gap between the projections. The gap between the projections allows the implant to be implanted around another implanted component, such as around a bone screw of an acetabular shell. The implant may include a fixation element, such as a screw or a cement trough, on one or more projections to couple the implant to an implanted acetabular shell. The implant may also include timing marks to facilitate alignment with corresponding marks on another implanted component.

Covering Membrane

SURGICAL IMPLANT AND SURGICAL KIT

Surgical kits for the implantation of soft tissue-to-bone anchors and expandable, preferably bioabsorbable, soft tissue anchors. The surgical kits include an embodiment with an outer tube with an expandable anchor releasably attached to its distal end, for guiding the anchor into a predrilled hole; an inner tube with an anchor expanding pin sized for expanding the anchor releasably held in its bore; and a pushrod for pushing the anchor pin into the anchor to expand it and wedge it in a hole. In an alternative embodiment, the anchor pin is attached to the distal end of a pushrod inserted into an outer tube. In one embodiment, the anchor is equipped with downward extending spikes on the underside of an enlarged head for gripping soft tissue and bending barbs to resist withdrawal of the anchor from bone. In another embodiment, the anchor's proximal end has no enlarged head but is equipped with sutures. In a further embodiment, the anchor's enlarged head is tilted at an angle to allow better ...

Modular glenoid prosthesis

A kit for making a glenoid prosthesis. The kit includes an articulating member having an articulation side and an opposing second side opposing the articulating member. The opposing second side includes a locking mechanism. The kit further includes a plurality of bases, and each of the plurality of bases having an articulating-member facing side and a glenoid attachment side. Each of the plurality of glenoid attachment sides include at least one glenoid attachment member extending outwardly and sized and shaped to extend into a patient's glenoid. The glenoid attachment member of one of the plurality of bases differs from the glenoid attachment member of at least one other of the plurality of bases. Each of the plurality of bases includes a locking mechanism sized and shaped to lock each of the plurality of bases to the articulating member.

Releasable attachment system for a prosthetic limb

A releasable attachment system is provided for use with a bone anchored post and related external prosthesis such as a prosthetic limb or the like, wherein the attachment system includes a safety release mechanism designed to release or break away when encountering an excess mechanical load. The bone anchored mounting post is implanted for direct affixation to patient bone, and carries or is connected to a fixator structure protruding through soft skin tissue and the like at the end or stump of an amputated limb for mechanical connection to the external prosthesis. The safety release mechanism accommodates substantially normal patient movement throughout a corresponding range of substantially normal mechanical loads, but releases in the presence of an excess load to prevent undesirable fracture failures.

IMPLANT

The present invention provides an implant, which is used to fix an artificial joint in bone, including a biodegradable magnesium alloy. 1. An implant , which is used to fix an artificial joint in bone , comprising a biodegradable magnesium alloy.2. The implant according to claim 1 , wherein the implant is formed in the shape of any one selected from a screw claim 1 , a bolt claim 1 , a pin claim 1 , a nail and a washer.3. The implant according to claim 1 , wherein the artificial joint is used as an artificial hip joint claim 1 , an artificial knee joint claim 1 , an artificial shoulder joint claim 1 , an artificial elbow joint claim 1 , an artificial wrist joint claim 1 , an artificial ankle joint claim 1 , an artificial finger joint or an artificial toe joint.4. The implant according to claim 1 , wherein the implant comprises a porous structure.5. The implant according to claim 4 , wherein the biodegradable magnesium alloy is located in a pore of the porous structure.6. The implant according to claim 1 , wherein the biodegradable magnesium alloy is represented by the following Formula 1:{'br': None, 'Mg-A \u2003\u2003(1)'}wherein A is at least one selected from the group consisting of manganese (Mn), cobalt (Co), nickel (Ni), chromium (Cr), copper (Cu), cadmium (Cd), zirconium (Zr), silver (Ag), gold (Au), palladium (Pd), platinum (Pt), rhenium (Re), iron (Fe), zinc (Zn), molybdenum (Mo), niobium (Nb), tantalum (Ta), titanium (Ti), strontium (Sr), silicon (Si), phosphorus (P) and selenium (Se).7. The implant according to claim 1 , wherein the biodegradable magnesium alloy is represented by the following Formula 2:{'br': None, 'sub': a', 'b', 'c, 'MgCaX\u2003\u2003(2)'}wherein a, b and c are each independently a molar ratio of each component, a+b+c=1, 0.5≦a<1, 0≦b≦0.4, 0≦c≦0.4, and when at least one of b and c is more than 0 and c is 0, calcium (Ca) is included in an amount of 5˜33 wt % based on a total amount of the biodegradable magnesium alloy; andX is at least ...

Femoral and tibial base components

Various embodiments are directed to base components that are usable with implantable mechanical energy absorbing systems. According to one embodiment, the base component includes a low-profile body having a elongate, straight portion at a first end and a curved body portion at a second end. The second end is elevated as compared to the first end. An inner surface of the low-profile body has a raised portion extending along the elongate, straight portion of the low-profile body. The base component also includes a plurality of openings positioned along the low-profile body for alignment and purposes of affixation to body anatomy.

Intervertebral Implant Having Extendable Bone Fixation Members

An intervertebral implant is configured to be fixed in an intervertebral space defined by a first vertebral body and a second vertebral body. The intervertebral implant includes an implant body sized to be inserted into an intervertebral space, and a fixation assembly configured to be attached to the implant body. The fixation assembly includes a housing that defines a first vertebral body facing surface and a second vertebral body facing surface spaced from the first vertebral body facing surface along a transverse direction. The fixation assembly further includes at least one fixation member supported by the housing and movable from a retracted position to an extended position, whereby in the extended position the fixation member extends out from the housing and into one of the vertebral bodies.

DEVICES AND METHODS FOR STABILIZING TISSUE AND IMPLANTS

An implant for repairing a joint between a first bone and a second bone includes a first section constructed of a substantially rigid material and a graft constructed of soft tissue having a first end and a second end. The first section has a first end surface configured for positioning against the first bone. The graft is configured for stabilizing the first section relative to the first bone. A first fastener is configured for mounting to the graft and the first section to anchor the graft to the first section. A second fastener is configured for mounting to the graft and the first bone to anchor the graft to the first bone. 1. A fastener assembly for securing at least one of tissue of a patient and an implant , the fastener assembly comprising:a plurality of biocompatible fastener members, wherein each of the plurality of biocompatible fastener members includes a top surface and a bottom surface, each of the plurality of biocompatible fastener members defining a longitudinal axis, the bottom surface configured for placement against at least one of the tissue and the implant, first and second channels extending through each of the plurality of biocompatible fastener members substantially perpendicular to the longitudinal axis of the respective one of the plurality of biocompatible fastener members; anda connecting member attaching the plurality of biocompatible fastener members to each other such that the plurality of biocompatible fastener members are movable relative to each other.2. The fastener assembly of claim 1 , wherein at least one of the top surface and the bottom surface of each of the plurality of biocompatible fastener members is substantially flat.3. The fastener assembly of claim 1 , wherein at least one of the top surface and the bottom surface of each of the plurality of biocompatible fastener members is substantially arcuate.4. The fastener assembly of claim 3 , wherein the substantially arcuate surface is one of convex and concave.5. The ...

Devices and methods for stabilizing tissue and implants

An implant for repairing a joint between a first bone and a second bone includes a first section constructed of a substantially rigid material and a graft constructed of soft tissue having a first end and a second end. The first section has a first end surface configured for positioning against the first bone. The graft is configured for stabilizing the first section relative to the first bone. A first fastener is configured for mounting to the graft and the first section to anchor the graft to the first section. A second fastener is configured for mounting to the graft and the first bone to anchor the graft to the first bone.

Method and apparatus for hip replacement

Methods and apparatus for orthopedic replacement of the hip through three incisions with a modular prosthetic system assembled in vivo while substantially preserving muscles and soft tissues around the hip joint resulting in reduced healing time and decreased risk of dislocation. A prosthetic femoral stem is inserted into the femur. A prosthetic femoral neck is inserted from a point along the side of the patient's body and into the side of the femur and through a lateral bore in the prosthetic femoral stem to join the prosthetic femoral head. The methods and apparatus include structures and techniques for fixing or enhancing interconnection of implant components, such as by increasing the interconnection in an interference fit with one or more tapers, threads, and/or cooling of components prior to assembly.

System and method for an interbody spinal fusion assembly

An interbody spinal fusion assembly includes an interbody cage, planar metal pins and bone fasteners. The interbody cage includes a metal cage and a PEEK insert. The PEEK insert is inserted into a slot of the metal cage and is secured to the metal cage with a pin. The assembled interbody cage is inserted in the space between two adjacent vertebras and is secured in placed with the planar metal pins and the bone fasteners.

METHODS AND APPARATUS FOR FIXING SHEET-LIKE MATERIALS TO A TARGET TISSUE

A staple for attaching a sheet-like implant to tissue or bone may include first and second arms, and first and second flukes. In some embodiments, the first arm has a proximal end and a distal end, and the second arm has a proximal end and a distal end. A bridge extends from the proximal end of the first arm to the proximal end of the second arm. The first fluke has a proximal end abutting the distal end of the first arm, and the first fluke extends distally from the first arm. The first fluke has a lateral extent larger than a lateral extent of the first arm and is mounted eccentrically thereto. The first fluke includes a proximal surface projecting at an outward angle in a proximal direction away from the distal end of the first arm to engage the tissue or bone when inserted therein. The second fluke has similar features. This arrangement causes the first and second flukes to rotate in response to a pullout force on the bridge. Methods for attaching a sheet-like implant to a target tissue are also disclosed. 1. A system for attaching a sheet-like implant to tissue or bone comprising: a tubular member having a proximal end, a distal end, and a lumen extending therethrough;', 'an elongate shaft extending through the lumen of the tubular member, the elongate shaft including a first stake and a second stake located at a distal end of the elongate shaft;, 'a stapler including a first arm having a proximal end and a distal end;', 'a second arm having a proximal end and a distal end;', 'a bridge element extending between the proximal end of the first arm and the proximal end of the second arm;', 'a first fluke having a proximal end, a proximally facing surface, a distal end, and a distally facing surface, wherein the first fluke defines a first passageway extending into the first fluke from the proximally facing surface of the first fluke;', 'wherein the first fluke is attached to and extends distally from the distal end of the first arm;', 'a second fluke having a ...

Systems and Methods for Bone Stabilization and Fixation

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. 1. A device for repairing a bone comprising:an expandable member capable of moving from a deflated state to an inflated state by infusing at least one light sensitive liquid into the expandable member, the light sensitive liquid being configured to cure within the expandable member to harden the expandable member; andone or more clamps configured to engage a rib bone and receive the expandable member such that the one or more clamps secure the expandable member to the rib bone, the inflation of the expandable member with the at least one light sensitive liquid configured to be adjustable to conform to a shape of the rib bone.2. The bone fixation device of claim 1 , further comprising a delivery catheter having an elongated shaft with a proximal end claim 1 , a distal end claim 1 , and a longitudinal axis therebetween claim 1 , the expandable member being releasably engaged with the distal end of the delivery catheter.3. The bone fixation device of claim 1 , wherein the one or more clamps include a posterior member and an anterior member.4. The bone fixation device of claim 3 , wherein the posterior member and the anterior member are movably connected to one another between an open position such that the clamp is configured to be positioned on the rib bone and a closed positioned such that the clamp is configured to secure to at least a ...

INTERVERTEBRAL IMPLANT FOR QUADRUPEDS

A low profile intervertebral implant for implantation in an intervertebral disc space between adjacent vertebral bodies of a quadruped. The intervertebral implant includes a plate and a spacer that extends from the plate. The intervertebral implant can define geometries that nest with complementary geometries of the vertebral bodies. Further, the plate can include fixation holes that extend along trajectories such that screws inserted through the fixation holes and driven into the respective vertebral bodies can purchase with dense cortical bone. 1. An intervertebral implant configured to be implanted in an intervertebral disc space of a quadruped , the intervertebral disc space defined by a cranial vertebral body and a caudal vertebral body , the implant comprising:a plate defining a ventral plate end and a dorsal plate end spaced opposite the ventral plate end in a dorsal direction, and a plurality of fixation apertures that extend through the plate from the ventral plate end to the dorsal plate end; anda spacer that extends in the dorsal direction from the plate, wherein the spacer defines a caudal surface and a cranial surface opposite the caudal surface in a cranial direction, the caudal and cranial surfaces configured to grip the caudal and cranial vertebral bodies, respectively,wherein the cranial surface is convex in a first plane that is oriented along the oriented along the dorsal direction and the cranial direction, and the cranial surface is convex in a second plane that is oriented along the cranial direction and a lateral direction that is substantially perpendicular to each of the dorsal direction and the cranial direction, andwherein the caudal surface is substantially straight and liner in the first plane, and the caudal surface is convex in the second plane.2. The intervertebral implant as recited in claim 1 , wherein the cranial surface defines a first radius of curvature in the first plane claim 1 , and a second radius of curvature in the second ...

UNICOMPARTMENTAL KNEE ARTHROPLASTY

Implants include fixation features which slidingly receive fixation elements. The fixation features may be negative or positive features, such as undercut channels or posts. Examples include unicompartmental tibial trays having a ridge protruding from the bone-facing side, an undercut channel formed within the ridge. Instruments are disclosed for preparing a ridge-receiving feature in bone. Implants and fixation elements are configured for implantation without penetrating a cortical wall of a bone. Instruments and surgical methods are disclosed. 1. A system for unicompartmental knee arthroplasty of a knee joint comprising a femur and a tibia , comprising:a femoral implant comprising an articular surface and an opposite bone-facing side comprising a distal surface for contacting a distal resection of a condyle of the femur, and a posterior surface for contacting a posterior resection of the femoral condyle;an articular insert implant comprising an articular surface for articulation with the femoral implant articular surface and an opposite tray-facing side comprising a tray connection feature;a tibial tray implant comprising an insert-facing side and an opposite bone-facing side, wherein the insert-facing side comprises an insert connection feature for connection to the tray connection feature, wherein the bone-facing side is adapted for contacting a proximal resection of a proximal end of the tibia;a posterior cutting block comprising a bone-facing surface for contacting the distal resection, a first cutting slot for making the posterior resection, and a cylindrical first interface surface; anda rotation tensor block, comprising a first bone-facing side for contacting the proximal resection, an opposite second bone-facing side for contacting an unresected posterior surface of the femoral condyle, and a cylindrical second interface surface;wherein when the posterior cutting block is coupled to the rotation tensor block, the first interface surface articulates with ...

HYBRID COMPRESS BONE FIXATOR

A stem for fixating a prosthesis to a bone can include a first stem portion and a second stem portion. The first stem portion can extend substantially along a longitudinal axis. The first stem portion can include a distal portion. The second stem portion can extend substantially distally from the distal portion of the first stem portion along the longitudinal axis. The second stem portion can be securable to the bone independent of the first stem portion, and the second stem portion can include a distal portion couplable to a compress assembly. 1. A method for fixating a prosthesis to a bone , the method comprising:inserting a proximal portion of a stem of the prosthesis into the bone in an interference fit to secure the proximal portion to the bone;inserting a distal portion of the stem into the bone, the distal portion connected to the proximal portion, the distal portion including an outer diameter smaller than an outer diameter of the proximal portion, and the outer diameter of the distal portion configured to be smaller than a diameter of an intramedullary canal of the bone; andsecuring a fastener through the bone and through a bore of the distal portion to secure the distal portion of the stem to the bone.2. The method of claim 1 , wherein the distal portion has a polished outer surface to limit bone on-growth.3. The method of claim 2 , wherein the proximal portion includes an outer surface comprising a porous material configured to promote bone ingrowth.4. The method of claim 3 , wherein inserting the proximal portion of the stem of the prosthesis into the bone includes engaging the bone with a plurality of projections that extend radially along an outer surface of the proximal portion claim 3 , wherein the plurality of projections extend axially along the proximal portion claim 3 , and wherein the plurality of projections are spaced around a circumference of the proximal portion.5. The method of claim 1 , further comprising:engaging a distal resected surface ...

Intervertebral implant device with lordotic expansion

An expandable interbody fusion implant device has a frame, two ramp assemblies, a threaded drive shaft and at least one base plate, preferably two. The frame has a first lateral side and a second lateral side and a distal end and a proximal end. Each ramp assembly has a translating ramp with a threaded opening, a first pivoting hinged ramp and a second pivoting hinged ramp. Each base plate is hinged to a first lateral side of the frame. Each base plate is hinged to the distal ramp assembly and the proximal ramp assembly at an end of one of said pivoting hinged ramps of each ramp assembly. The drive shaft has a distal drive shaft component having threads for translating the distal ramp assembly and a proximal drive shaft component having threads for translating the proximal ramp assembly.

TOTAL WRIST PROSTHESIS AND RELATED METHODS

Disclosed is a wrist prosthesis, and methods for implanting same, the prosthesis comprising radial component having two sides, the first side comprising a stem and the second side comprising a concave dish; a carpal component having two sides, the first side comprising a stem, and the second side comprising a ball end, the ball end being connected to the carpal component through a neck, the neck being narrower than the diameter of the ball end; and a lunate component having two sides, the first side comprising a cavity adapted to receive said carpal component's ball end, and the second side comprising a convex surface adapted to engage said radial component's concave dish. 1. A wrist prosthesis comprising:a radial component having two sides, the first side comprising a stem and the second side comprising a concave dish;a carpal component having two sides, the first side comprising a stem, and the second side comprising a ball end, the ball end being connected to the carpal component through a neck, the neck being narrower than the diameter of the ball end; anda lunate component having two sides, the first side comprising a cavity adapted to receive said carpal component's ball end, and the second side comprising a convex surface adapted to engage said radial component's concave dish.2. A wrist prosthesis according to wherein said lunate component freely rotates about a longitudinal axis extending through the center of said ball end and substantially parallel to said stem of said carpal component.3. A wrist prosthesis according to wherein said stem of said carpal component is adapted for rigid engagement with one or more carpal and/or metatarsal bones4. A wrist prosthesis according to wherein said stem of said radial component is adapted for rigid engagement with a radius bone.5. A wrist prosthesis according to wherein the lunate component further comprises a mouth connected to the cavity of the lunate component claim 1 , the mouth being smaller in diameter than the ...

Baseplate of a modular shoulder joint prosthesis and related methods for implanting the same

Shoulder joint implants are disclosed herein for use in shoulder reconstruction that are configured to facilitate the inclusion a central bone screw for augmented bone fixation. The implant can include a baseplate (or metaglene) configured to secure a glenosphere or other prosthetic component to the glenoid. To facilitate lateral or proximal insertion of a central bone screw through the implant, a throughbore defined along the central axis of the metaglene can be widened to accommodate the maximum diameter of the screw. To enable fixation of the glenosphere to the metaglene, a collet can be configured to engage the smaller diameter of a glenosphere coupling element and inserted into the central throughbore. The collet and the bone screw can be separate parts, thereby making insertion of the bone screw optional. Alternatively, the collet and bone screw can be integrated together to form a unitary construct.

ARTHROPLASTY IMPLANT SYSTEMS FOR GENERATING AND APPLYING DYNAMIC COMPRESSION

Arthroplasty implant systems and procedures are disclosed herein. In an embodiment, an arthroplasty implant of an arthroplasty system includes a shape memory material connecting member attached to two points of fixation of the arthroplasty implant. 1. An arthroplasty implant system , comprising:an arthroplasty implant including a stem;the stem extending along a longitudinal axis between a proximal portion and a distal portion;a proximal slider housed inside the proximal portion of the stem;a distal slider housed inside the distal portion of the stem;a Nitinol rod connected to both the proximal slider and the distal slider;a first opening located within the proximal portion of the stem;a first screw received through the first opening and the proximal slider;a second opening located within the distal portion of the stem;a second screw received through the second opening and the distal slider;at least one of the first opening and the second opening is an elongated slot; anda set screw removably inserted into either the proximal slider or the distal slider,wherein the set screw is removable from the proximal slider or the distal slider to allow the Nitinol rod to superelastically shorten.2. An arthroplasty implant system , comprising:an arthroplasty implant including a stem that extends along a longitudinal axis between a proximal portion and a distal portion;a proximal interlocking fixation body located at least partially inside the proximal portion;a distal interlocking fixation body located at least partially inside the distal portion; anda shape memory material connecting member attached to the proximal interlocking fixation body and the distal interlocking fixation body.3. The device as recited in claim 2 , wherein the stem includes at least one opening configured to receive a fixation device.4. The device as recited in claim 3 , wherein the proximal portion of the stem includes a first opening and the distal portion of the stem includes a second opening claim 3 , ...

ARTHROPLASTY IMPLANT SYSTEMS FOR GENERATING AND APPLYING DYNAMIC COMPRESSION

Arthroplasty implant systems and procedures are disclosed herein. In an embodiment, an arthroplasty implant of an arthroplasty system includes a shape memory material connecting member attached to two points of fixation of the arthroplasty implant. 1. An implant system , comprising:a sleeve extending along a longitudinal axis between a proximal portion and a distal portion;a proximal slider housed inside the proximal portion of the sleeve;a distal slider housed inside the distal portion of the sleeve;a Nitinol rod connected to both the proximal slider and the distal slider;a first opening located within the proximal portion of the sleeve;a first screw received through the first opening and the proximal slider;a second opening located within the distal portion of the sleeve;a second screw received through the second opening and the distal slider;at least one of the first opening and the second opening is an elongated slot; anda set screw removably inserted into either the proximal slider or the distal slider,wherein the set screw is removable from the proximal slider or the distal slider to allow the Nitinol rod to superelastically shorten.2. An implant system , comprising:an elongated sleeve that extends along a longitudinal axis between a proximal portion and a distal portion;a proximal interlocking fixation body located at least partially inside the proximal portion;a distal interlocking fixation body located at least partially inside the distal portion;a shape memory material connecting member attached to the proximal interlocking fixation body and the distal interlocking fixation body; anda holding device removably connected to either the proximal interlocking fixation body or the distal interlocking fixation body.3. The system as recited in claim 2 , wherein the elongated sleeve includes at least one opening configured to receive a fixation device.4. The system as recited in claim 3 , wherein the proximal portion of the elongated sleeve includes a first opening ...

LATERAL BLOCK PLATE

A spine stabilization and fusion system includes a lateral cage configured for placement between an upper vertebra and a lower vertebra. A face of the lateral cage includes an opening. The system also includes a lateral plate that includes one or more holes extending from a lateral face of the lateral plate to a medial face of the lateral plate. The one or more holes are configured to receive one or more fasteners. The lateral plate also includes a protrusion formed on the medial face of the lateral plate, where the protrusion is configured to mate with the opening in the face of the lateral cage. 1. A spine stabilization and fusion system comprising:a lateral cage configured for placement between an upper vertebra and a lower vertebra, wherein a face of the lateral cage includes an opening; and one or more holes extending from a lateral face of the lateral plate to a medial face of the lateral plate, wherein the one or more holes are configured to receive one or more fasteners; and', 'a protrusion formed on the medial face of the lateral plate, wherein the protrusion is configured to mate with the opening in the face of the lateral cage., 'a lateral plate, wherein the lateral plate comprises2. The spine stabilization and fusion system of claim 1 , wherein the protrusion includes a threaded hole that extends therethrough.3. The spine stabilization and fusion system of claim 2 , wherein the threaded hole in the protrusion comprises a first threaded hole that aligns with a second threaded hole in the lateral plate claim 2 , wherein the second threaded hole extends from the lateral face to the medial face of the lateral plate.4. The spine stabilization and fusion system of claim 2 , wherein the protrusion includes a top portion claim 2 , a bottom portion claim 2 , and a gap that separates the top portion from the bottom portion.5. The spine stabilization and fusion system of claim 4 , wherein a first portion of the threaded hole is formed in the top portion of the ...

Implant, implantation device, implantation method

An implant suitable for being anchored with the aid of mechanical vibration in an opening provided in bone tissue. The implant is compressible in the direction of a compression axis under local enlargement of a distance between a peripheral implant surface and the compression axis. The implant includes a coupling-in face which serves for coupling a compressing force and the mechanical vibrations into the implant, which coupling-in face is not parallel to the compression axis. The implant also includes a thermoplastic material which, in areas of the local distance enlargement, forms at least a part of the peripheral surface of the implant.

INTERBODY CAGE DEVICE AND METHODS OF USE

A spinal interbody fusion device for use in a plurality of surgical approaches includes a cage, a top end, a bottom end, and at least a first side representing the width of the cage and at least a second side representing a length of the cage. The cage includes fixation holes and inserter holes, with each fixation hole being configured for accepting a screw or anchor and each inserter hole being accessible for one or more surgical approaches for performing a spinal fusion. Also included are methods for selecting a size of an intervertebral implant and methods of surgically approaching a spine of a patient for spinal surgical procedures. 1. A spinal interbody fusion device , comprising:a cage with a top side, a bottom side, and at least two other sides;wherein the cage comprises at least a first opening, a second opening, a third opening, and a fourth opening; andwherein the first opening and the second opening each being configured for interfacing with fasteners;wherein the first opening is positioned on one side and the second opening is positioned on the other side; and,wherein the at least third opening and the fourth opening being configured for interfacing with an instrument to allow for spinal fusion during one or more surgical approaches.2. The device of wherein the fastener is a screw or anchor.3. The device of wherein the instrument is an inserter.4. The device of wherein the surfaces of the third and fourth openings being configured to couple with the surfaces of the instrument.5. The device of wherein the interbody fusion device is a lumbar cage implant.6. The device of wherein the one or more surgical approaches can be anterior claim 1 , anterior-lateral claim 1 , oblique claim 1 , anterior to psoas claim 1 , or lateral.7. The device of wherein the interbody fusion device is a cervical cage implant used for the plurality of surgical approaches.8. The device of wherein the posterior intervertebral disc space height is between 5 mm and 13 mm.9. A method ...

INTERBODY CAGE DEVICE AND METHODS OF USE

A spinal interbody fusion device for use in a plurality of surgical approaches includes a cage, a top end, a bottom end, and at least a first side representing the width of the cage and at least a second side representing a length of the cage. The cage includes fixation holes and inserter holes, with each fixation hole being configured for accepting a screw or anchor and each inserter hole being accessible for one or more surgical approaches for performing a spinal fusion. Also included are methods for selecting a size of an intervertebral implant and methods of surgically approaching a spine of a patient for spinal surgical procedures. 120.-. (canceled)21. A spinal interbody fusion device , comprising:a cage with a top side, a bottom side, and at least two other sides;wherein the cage comprises at least a first opening, a second opening, a third opening, and a fourth opening; andwherein the first opening and the second opening each being configured for interfacing with fasteners;wherein the first opening is positioned on one side and the second opening is positioned on a different side; and,wherein the at least third opening and the fourth opening being configured for interfacing with an instrument to allow for spinal fusion using one or more surgical approaches.22. The device of wherein the fastener is a screw or anchor.23. The device of wherein the instrument is an inserter.24. The device of wherein the surfaces of the third opening and the fourth opening are configured to couple with the surfaces of the instrument.25. The device of wherein the interbody fusion device is a lumbar cage implant claim 21 , a cervical cage implant claim 21 , or a thoracic cage implant.26. The device of wherein the one or more surgical approaches can be anterior claim 21 , anterior-lateral claim 21 , oblique claim 21 , anterior to psoas claim 21 , or lateral.27. The device of wherein the interbody fusion device is a cervical cage implant used for the plurality of surgical approaches. ...

INTERBODY CAGE DEVICE AND METHODS OF USE

A spinal interbody fusion device for use in a plurality of surgical approaches includes a cage, a top end, a bottom end, and at least a first side representing the width of the cage and at least a second side representing a length of the cage. The cage includes fixation holes and inserter holes, with each fixation hole being configured for accepting a screw or anchor and each inserter hole being accessible for one or more surgical approaches for performing a spinal fusion. Also included are methods for selecting a size of an intervertebral implant and methods of surgically approaching a spine of a patient for spinal surgical procedures. 120.-. (canceled)21. A method for selecting a size of an intevertebral implant , the method comprising:exposing an intervertebral disc space;inserting one or more measurement devices into a posterior region of the intervertebral disc space to determine height;assessing fit of the one or more measurement devices;positioning one or more members against one or more vertebrae adjacent to the intervertebral disc space;assessing an approximate angle formed between the one or more members and the one or more measurement devices by rotating the one or more members about an axis in a transverse plane;removing the one or more measurement devices and the one or more members from the intervertebral disc space; andimplanting an intevertebral implant for a desired surgical outcome.22. The method of wherein the desired surgical outcome is spinal alignment within a sagittal plane.23. The method of wherein a portion of the one or more measurement devices can measure the height in increments.24. The method of wherein a progressive posterior height distraction device (1) is either distinct from the one or more measurement devices or can be connected to the one or more measurement devices claim 21 , (2) can be a part of the progressive posterior height distraction device or the one or more measurement devices claim 21 , or combinations thereof.25. The ...

BONE IMPLANT HAVING A MESH

A kit for deploying a bone implant at a surgical site is provided. The kit comprises a first sleeve having an interior surface that defines a channel, and a second sleeve having an outer surface and an inner surface. The inner surface of the second sleeve defines an inner channel. The outer surface of the second sleeve is configured to slidably engage the interior surface of the channel of the first sleeve. A bone implant is also provided comprising a mesh material. The mesh material is disposed in a portion of the channel of the first sleeve or disposed in a portion of the inner channel of the second sleeve or disposed in both the portion of the channel of the first sleeve and the portion of the inner channel of the second sleeve, such that sliding the outer surface of the second sleeve deploys the bone implant at the surgical site. Bone implants and methods of implantation are also provided. 1. A kit for deploying a bone implant at a surgical site , the kit comprising:a first sleeve having an interior surface that defines a channel;a second sleeve having an outer surface and an inner surface, the inner surface of the second sleeve defining an inner channel, the outer surface of the second sleeve configured to slidably engage the interior surface of the channel of the first sleeve;a bone implant comprising a mesh material disposed in a portion of the channel of the first sleeve or disposed in a portion of the inner channel of the second sleeve or disposed in both the portion of the channel of the first sleeve and the portion of the inner channel of the second sleeve such that sliding the outer surface of the second sleeve deploys the bone implant at the surgical site.2. The kit according to claim 1 , wherein (i) the first sleeve and the second sleeve are dilators; (ii) the first sleeve has a diameter that is greater than a diameter of the second sleeve claim 1 , and the bone implant has a diameter that is greater than the diameter of the second sleeve; or (iii) the ...

Arcuate Fixation Member

Arcuate fixation members with varying configurations and/or features are provided, along with additional components for use therewith in provided fixation systems and intervertebral implant systems. The arcuate fixation members may be of varying lengths, cross sectional geometries, and/or cross sectional areas, and may be configured with various features such as heads configured to accept other fixation system components, tabs to allow arcuate fixation member-in-arcuate fixation member or fixation anchor-in-arcuate fixation member configurations. Applications of fixation systems and intervertebral implants systems utilizing arcuate fixation members are particularly suitable when a linear line-of-approach for delivering fixation members is undesirable. 1an implant body defining a first bone-engaging surface, a second bone-engaging surface spaced from the first bone engaging surface along a transverse direction, a posterior end, an anterior end spaced from the posterior end along a longitudinal direction that is perpendicular to the transverse direction, and opposed lateral sides spaced apart with respect to each other along a lateral direction that is substantially perpendicular to the transverse direction and the longitudinal direction, the opposed lateral sides extending between the first and second bone-engaging surfaces;a fixation plate attached to the implant body, the fixation plate defining a posterior surface and an anterior surface spaced from the posterior surface along the longitudinal direction, and first and second lateral arms that extend away from the anterior surface along the longitudinal direction, the first and second lateral arms each defining a terminal end attached to the implant body, the fixation plate further defining a first and second upper curved apertures, and first and second lower curved apertures spaced from the first and second upper curved apertures along the transverse direction, and each at least one curved aperture having an ...

FIXATION MECHANISM FOR AN IMPLANT

An ankle prosthesis has a tibial component configured for attachment to a tibia of a person, and a talar component. The talar component has a first surface configured for facing the tibial component and a second surface configured for facing a talus of the person. The second surface has first and second arms attached to it, for pivoting or flexing outwardly in medial and lateral directions, respectively, to engage side surfaces of a previously formed slot in the talus. 120-. (canceled)21. A method of fixing an implant component to a bone , comprising:forming a slot in the bone, the slot having side edges;positioning the implant component adjacent the bone, so that first and second arms of the implant component fit within the slot; andpivoting or flexing the first and second arms towards respective side edges of the slot.22. The method of claim 21 , wherein the step of pivoting or flexing comprises advancing a wedge or cone between an end of the first arm and an adjacent end of the second arm.23. The method of claim 22 , wherein the step of advancing the wedge or cone includes rotating a threaded member attached to the wedge or cone.24. The method of claim 21 , wherein the slot is formed with an undercut claim 21 , andeach of the arms has a medial-lateral dimension that increases from a proximal side of each arm adjacent the second surface to a distal side of each arm opposite the proximal side thereof.25. The method of claim 21 , wherein:the slot is formed in cancellous bone,a respective lateral edge of each arm has a plurality of barbs, andthe pivoting or flexing step drives the barbs into the cancellous bone. This application claims priority to U.S. Provisional Patent Application Ser. No. 62/100,695, which was filed on Jan. 7, 2015, the entirety of which is herein incorporated by reference.This disclosure relates to medical devices generally, and more specifically to an implant suitable for attachment to at least one bone.Numerous ankle joint replacement ...

FUSION CAGE IMPLANT WITH LATTICE STRUCTURE AND GROOVES

Various exemplary embodiments relate to a spinal implant for insertion between two vertebrae, the spinal implant including: a cage including: a frame sized to be inserted between the two vertebrae; a lattice structure disposed at least partially within the frame and exposed on a first and second sides of the frame to permit bone growth into the lattice structure, wherein the first and second sides are on opposite sides of the frame; and grooves on the first and second side of the cage configured to interface with the two vertebrae, wherein the cage is formed of layers of Trabeculite™ material fused together. 1. A spinal implant for insertion between two vertebrae , the spinal implant comprising: a frame sized to be inserted between the two vertebrae;', 'a lattice structure disposed at least partially within the frame and exposed on a first and second sides of the frame to permit bone growth into the lattice structure, wherein the first and second sides are on opposite sides of the frame; and', 'grooves on the first and second side of the cage configured to interface with the two vertebrae,', 'wherein the cage is formed of layers of Trabeculite™ material fused together., 'a cage comprising2. The spinal implant of claim 1 , wherein:the cage further includes a through bore; andthe lattice structure is further exposed to the through bore.3. The spinal implant of claim 2 , wherein the cage further comprises an inner rim disposed between a portion of the lattice structure and the through bore.4. The spinal implant of claim 1 , further comprising a bone plate configured for attachment to the cage and to at least one vertebra.5. The spinal implant of claim 1 , wherein the lattice structure contains support material.6. The spinal implant of claim 5 , wherein the support material includes a polymer.7. The spinal implant of claim 6 , wherein the polymer is polyether ether ketone (PEEK).8. The spinal implant of claim 5 , wherein the support material is disposed within a ...

IMPLANT COMPONENTS AND METHODS

Systems, devices, and methods are provided for orthopedic implants. The implants may include a base member, such as an acetabular shell or an augment, that is configured to couple with an augment, flange cup, mounting member, or any other suitable orthopedic attachment. Mounting members include, for example, flanges, blades, hooks, and plates. In some embodiments, the orthopedic attachments may be adjustably positionable about the base member or other attachments, thereby providing modularity for assembling and implanting the device, and various securing and/or locking mechanisms may be used between the components of the implant. 1. An implantable orthopedic device , comprising:an implant having a porous surface defining a plurality of pores sized to accommodate bone-ingrowth into the implant, the implant further including a plurality of protrusions extending from the porous surface and which rise above the porous surface;wherein the plurality of protrusions are configured to frictionally engage a bone surface without interfering with bone ingrowth into the plurality of pores;wherein the implant is a metallic implant; andwherein the implant comprises a surface profile that is formed using a rapid manufacturing process.2. The device of claim 1 , wherein the rapid manufacturing process comprises a 3D printing process.3. The device of claim 1 , wherein the rapid manufacturing process comprises a selective laser sintering process.4. The device of claim 1 , wherein the protrusions are blunt.5. The device of claim 1 , wherein the protrusions rise above the porous surface to a height between about 50 μm and about 2 claim 1 ,000 μm.6. The device of claim 5 , wherein the height is between about 100 μm and about 1 claim 5 ,100 μm.7. The device of claim 1 , wherein the implant comprises a solid non-porous portion.8. The device of claim 7 , wherein the solid non-porous portion of the implant comprises a solid outer surface portion.9. The device of claim 8 , wherein the solid ...

LATERAL ANKLE FUSION PLATE SYSTEM AND JIG, AND METHOD FOR USE THEREWITH

The invention comprises a lateral ankle fusion plate, a jig for use with the fusion plate and a method for ankle fusion of the joints between the tibia, the talus, and the calcaneus. In addition, a separate fusion screw from posterior to anterior through the calcaneal tuberosity into the distal tibia is useful and can be placed using the targeting jig of the invention. The plate includes a C-shaped stirrup portion that wraps the bottom of the calcaneus and is provided with a screw hole for a T-T-C-fusion screw. A C-shaped targeting jig is provided that interfaces with the plate to allow for placement of the calcaneal screw and has an additional attachment for placement of the independent fusion screw so as to avoid impingement with the plate, and plate screws. The invention also relates to a method of surgery that incorporates the use of the plate, the jig and the tibial/talar/calcaneal fusion screw for an arthrodesis of the ankle joint. 1. A fusion implant system comprising a fusion screw and a plate capable of attachment to the lateral section of a tibia and comprising a rail member having a calcaneal segment including a stirrup having a hole that receives the fusion screw and a first longitudinal segment that includes a posterior wing , a second longitudinal segment that includes a central fastener hole and an anterior tab and a posterior tab , and a third longitudinal segment that has at least one fastener hole and at least one posterior tab and at least one anterior tab.2. The fusion implant system as set forth in claim 1 , further including a targeting jig that removably interfaces with the plate in use to permit placement of the fusion screw through the hole in the stirrup of the calcaneal segment.3. The fusion implant system as set forth in wherein the targeting jig further includes an additional jig for placement of a second fusion screw.4. The fusion implant system as set forth in wherein the rail member further includes a compression slot.5. The fusion ...

SYSTEM AND METHOD TO FUSE BONE

An implant is provided that is operable to be disposed between and fuse two sections of a bone. The implant includes an inner layer and an outer layer. The outer layer at least partially surrounds the inner layer and is operable to abut against the two sections of the bone. The outer layer is porous and/or fibrous and is operable to receive at least one cellular growth factor. 1. An implant operable to be disposed between and fuse two sections of a bone , the implant comprising:an inner layer; andan outer layer at least partially surrounding the inner layer and operable to abut against the two sections of the bone, the outer layer being porous and/or fibrous and operable to receive at least one cellular growth factor.2. The implant of claim 1 , wherein the outer layer includes a first portion and a second portion claim 1 , the inner layer is sandwiched between the first and second portions of the outer layer.3. The implant of claim 1 , wherein the outer layer is wrapped around a circumference of the inner layer.4. The implant of claim 1 , wherein the inner layer and/or the outer layer includes at least a portion of at least one of the following: cortical bone fibers claim 1 , cancellous bone fibers claim 1 , collagen sponge claim 1 , cortical bone graft claim 1 , synthetic bone claim 1 , and/or tissue graft.5. The implant of claim 1 , wherein the at least one cellular growth factor includes bone morphogenetic proteins claim 1 , mesenchymal stem cells claim 1 , blood claim 1 , osteoclasts claim 1 , osteoblasts claim 1 , antibiotics claim 1 , analgesics claim 1 , and/or medications.6. The implant of claim 1 , wherein the inner layer is fenestrated to promote bony ingrowth.7. The implant of claim 1 , wherein the implant has a thickness between about 2 millimeters and about 100 millimeters.8. The implant of claim 1 , wherein the implant has a length between about 25 millimeters and about 250 millimeters.9. The implant of claim 1 , wherein the implant has a depth between ...

Acetabular Fixation System and Method

Improved methods, devices, systems and models for facilitating supplemental fixation of implant components to surrounding anatomical features, including supplemental fixation of acetabular components to the acetabulum. 1. An acetabular cup system comprising:an acetabular cup having a wall with an inner surface and an outer surface, the acetabular cup including a fixation opening through the wall, the fixation opening having a threaded inner surface extending from the inner surface to the outer surface,a dome screw including a head and a shaft, the head of the dome screw including a threaded outer portion for engaging with the threaded inner surface of the fixation opening, the dome screw including a screw lumen extending longitudinally through the head and shaft,an elongated button having at least one button opening, the elongated button being sized to at least partially fit within the screw lumen, anda flexible structure extending between the elongated button and the dome screw, the flexible structure including a button alignment indicator, the flexible structure attached to the dome screw by an adjustable fastener, wherein the flexible structure can be connected to the dome screw at a plurality of locations along the flexible structure.2. The acetabular cup system of claim 1 , wherein the head of the dome screw includes an outer diameter that is larger than an outer diameter of the shaft.3. The acetabular cup system of claim 1 , wherein the shaft includes a first longitudinal length claim 1 , and the head includes a second longitudinal length claim 1 , and the first longitudinal length is greater than the second longitudinal length.4. The acetabular cup system of claim 1 , wherein the fixation opening has a bore depth claim 1 , and a longitudinal length of the dome screw is greater than the bore depth.5. The acetabular cup system of claim 1 , wherein the a flexible structure extending between the elongated button and the dome screw comprises a first suture claim 1 ...

INTERSOMATIC CAGE, INTERVERTEBRAL PROSTHESIS, ANCHORING DEVICE AND IMPLANTATION INSTRUMENTS

An intersomatic cage, an intervertebral prosthesis, an anchoring device and an instrument for implantation of the cage or the prosthesis and the anchoring device are provided. An intersomatic cage or an intervertebral prosthesis fit closely to the anchoring device, which includes a body of elongated shape on a longitudinal axis, of curved shape describing, along the longitudinal axis, an arc whose dimensions and radius of curvature are designed in such a manner that the anchoring device may be implanted in the vertebral plate of a vertebra by presenting its longitudinal axis substantially along the plane of the intervertebral space, where the anchoring device is inserted, by means of the instrument, through a slot located in at least one peripheral wall of the cage or on at least one plate of the intervertebral disc prosthesis to penetrate into at least one vertebral plate. 1. A device for anchoring a spinal implant configured for implantation in an intervertebral space between adjacent vertebrae of a spinal column , the device comprising a body having an elongated shape along a longitudinal axis extending between a penetration end and an abutment end , the body having a curved shape along the longitudinal axis that describes an arc , and the body having dimensions and a radius of curvature configured for implantation of the device in one of the vertebrae by presentation of the longitudinal axis along an approach axis that is substantially along a plane of the intervertebral space and by insertion of the device through a receptacle in the implant with the device traversing at least a portion of the implant.2. A device according to claim 1 , in which the dimensions and radius of curvature are configured for implantation of the device by presentation of the longitudinal axis along an approach axis forming an angle of approximately 90° with the vertical axis of the spinal column.3. A device according to in which the body includes at least one curved plate.4. A device ...

PROSTHESIS

The invention relates to a femoral component () of a knee prosthesis. The component comprises a curved outer surface () for bearing against a tibial component. Said curved outer surface includes a posterior end and an anterior end. The curved outer surface includes an area (A) which extends from a first position closer to the posterior end to a second position closer to the anterior end, wherein said area (A) includes no parting line. 1. A femoral component of a knee prosthesis , said component comprising a curved outer surface for bearing against a tibial component , said curved outer surface including a posterior end and an anterior end , said curved outer surface includes an area (A) which extends from a first position closer to the posterior end to a second position closer to the anterior end , wherein said area (A) includes no parting line.2. A femoral component as claimed in claim 1 , wherein area (A) suitably is an area of said curved outer surface of said femoral component which has not been treated to remove or reduce any parting line.3. A femoral component as claimed in any one of the preceding claims claim 1 , wherein the shape of area (A) is preferably wholly defined by a tool surface used in its manufacture claim 1 , for example by a surface of an injection moulding tool.4. A femoral component as claimed in any one of the preceding claims claim 1 , wherein Area (A) is a wholly as-moulded surface.5. A femoral component as claimed in claim any one of the preceding claims claim 1 , wherein said femoral component includes said curved outer surface for bearing against a tibial component and a flexion/extension axis as described in ISO14243-1:2009(E) at 3.6 claim 1 , wherein Area (A) of said curved outer surface suitably subtends an angle (e.g. a maximum angle) of at least 150° with the flexion/extension axis.6. A femoral component as claimed in claim any one of the preceding claims claim 1 , wherein Area (A) suitably comprises an area of the curved outer ...

Device to be implanted in human or animal tissue and method for implanting and assembling the device

An implant or endoprosthesis suitable to be implanted in human or animal tissue includes two (or more than two) parts to be joined in situ. Each one of the parts includes a joining location, the two joining locations facing each other when the device parts are positioned for being joined together, wherein one of the joining locations includes a material which is liquefiable by mechanical vibration and the other one of the joining locations includes a material which is not liquefiable by mechanical vibration and a structure (e.g. undercut cavities or protrusions) suitable for forming a positive fit connection with the liquefiable material. The joining process is effected by pressing the two device parts against each other and by applying ultrasonic vibration to one of the device parts when the two parts are positioned relative to each other such that the two joining locations are in contact with each other.

CERAMIC SURFACE ARTHROPLASTY SYSTEM

The invention relates to a ceramic surface arthroplasty system, which consists of a convex, hemispherical, metallic implant () and a hollow hemispherical metal implant (). The implants are coated with porcelain or zirconium oxide layer on their friction surfaces to avoid the creation of metallic microparticles. The convex implant () has a navel () on the thread () of which a bone-piercing pre-tensioning needle () is screwed and is tightened with a washer () at the area of the major trochanter or bulge. Further, it has protruding ribs () immersed on the surface of the head. 115416793. A ceramic surface arthroplasty system , consisting of a convex , hemispherical metallic implant () with a metal surface , on the inner surface of which there are meridian protruding ribs () and a navel () at the implant pole () , with a female thread () on which a pretensioning needle () is screwed , which intersects the neck of the bone and is tightened in the area of the major trochanter or bulge using a nut-washer () set , and a hollow hemispherical metal implant () with a metal surface , characterized in that both implants are coated with porcelain or zirconium oxide on the adjacent surfaces.2138. A ceramic surface arthroplasty system claim 1 , according to claim 1 , characterized in that the inner side of the convex hemispherical metal implant () and the outer side of the hollow hemispherical metal implant () are covered with a porous metal layer () to achieve osteointegration with the corresponding bones. The invention relates to the field of surgical instruments, devices or methods, and more particularly to artificial substitutes or replacements for parts of the body, and more particularly to implants for hip joint at the point of the femoral head, for replacement only of the epiphyseal sections of femur and acetabulum, without cutting off the entire natural femoral head.The ceramic surface arthroplasty system disclosed in the present invention has not been disclosed in the prior ...

System and method for repairing articular surfaces

A joint replacement system for repairing an articular surface of a first bone of a joint includes an anchor portion and an implant portion. The anchor portion includes an anchor to be secured to the bone, and an anchor fixation head including a bone-facing surface (BFS) extending radially outward from the anchor and an implant facing surface (IFS) extending from a periphery of the BFS. The implant portion is formed from a material (e.g., CoCr) more dense than the material of the anchor portion (e.g., Ti) and includes a fixation cavity to receive at least a portion of the anchor fixation head (AFH), the fixation cavity includes an anchor facing surface (AFS) configured to form a frictional connection with the IFS, and a load bearing surface having a contour for articulating against a cooperating articulating surface of a second bone of the joint.

Fastening System

A system for fixing a prosthetic component to an anchor implanted in the bone of a patient. The prosthetic component includes a fixing channel and an installation channel. The fixing channel opens to an engagement collar configured to engage with a bone anchor. The installation channel opens from an outer surface of the prosthetic and communicates with the fixing channel. The installation channel permits placement of a fastener therethrough into the fixing channel to secure the prosthetic to the bone anchor. The axes of the fixing channel and the installation channel intersect at a point which lies within the radius of a fastener seat which is configured to engage a head of the fastener when the fastener is placed into the fixing channel. 1. A system for fixing a prosthetic component to an anchor implanted in bone of a patient , the system comprising:a fastener configured for location in the prosthetic component for fastening the prosthetic component to the anchor, the fastener having a spherical or part spherical head, and a shaft with a length; anda prosthetic component having a fixing channel and an installation channel, the fixing channel opening at one end at an anchor engagement collar, and an opposite end opening internally of the component to meet the installation channel at a fastener seat, the fixing channel being configured to accommodate there-through the shaft of the fastener while the head of the fastener sits on the fastener seat, the fastener seat being profiled to receive, and have substantially the same radius of curvature, as the fastener head, the installation channel opening to an outer surface of the prosthetic component and having an installation axis that is inclined relative to a fixing axis of the fixing channel, the axis of the fixing channel intersecting the installation axis at a point that lies within the radius of the fastener seat, said collar being profiled to interlock with the anchor.2. The system of claim 1 , wherein the ...

INTERVERTEBRAL IMPLANT DEVICE WITH LORDOTIC EXPANSION

An expandable interbody fusion implant device has a frame, two ramp assemblies, a threaded drive shaft and at least one base plate, preferably two. The frame has a first lateral side and a second lateral side and a distal end and a proximal end. Each ramp assembly has a translating ramp with a threaded opening, a first pivoting hinged ramp and a second pivoting hinged ramp. Each base plate is hinged to a first lateral side of the frame. Each base plate is hinged to the distal ramp assembly and the proximal ramp assembly at an end of one of said pivoting hinged ramps of each ramp assembly. The drive shaft has a distal drive shaft component having threads for translating the distal ramp assembly and a proximal drive shaft component having threads for translating the proximal ramp assembly. 1. An expandable interbody fusion implant device comprises:a frame having a first lateral side and a second lateral side and a distal end and a proximal end;two ramp assemblies, one being a distal ramp assembly and the other a proximal ramp assembly, each ramp assembly has a translating ramp with a threaded opening, and at least one pivoting hinged ramp;an overlying base plate disposed between the distal end and the proximal end of the frame, the base plate being hinged to a first lateral side of the frame, the at least one base plate being hinged to the distal ramp assembly and the proximal ramp assembly at an end of one of said pivoting hinged ramps of each ramp assembly;a threaded drive shaft, the drive shaft having a distal drive shaft component having threads for translating the distal ramp assembly and a proximal drive shaft component having threads for translating the proximal ramp assembly, each drive shaft component being coupled to the other; andwherein rotation of the drive shaft drives the distal ramp assembly and proximal ramp assembly simultaneously in opposite directions to selectively expand or contract a distance between the base plate laterally relative the second ...

CARPAL BONE FUSION DEVICE AND METHOD

The present disclosure provides an orthopedic device and method for carpal fusion that provides bone to bone compression and multiple fixation points to decrease multiple degrees of freedom and motion of carpal bones. The device is biocompatible, resistant to corrosion, and sufficient in mechanical strength. Bone to bone compression and fixation points can be increased by using a first set of fasteners in a peripheral portion of the device to couple through the device into bone structure, and a second set of fasteners in a central portion of the device can be coupled through the device into the bone structure. 1. An orthopedic device for coupling a plurality of bones , comprising:a plate formed with a first set of openings located peripherally around the plate and formed through the plate and a second set of openings located centrally on the plate and formed through the plate at an angle to a longitudinal axis of the plate.2. The device of claim 1 , wherein the first set of openings comprises at least two openings recessed in a lateral channel formed on the plate claim 1 , the at least two openings being formed through the plate at distal portions of the channel.3. The device of claim 1 , wherein the first set of openings is configured to accept a plurality of first fasteners through the plate to couple underlying bones to the plate4. The device of claim 3 , wherein the first fasteners comprise staples.5. The device of claim 1 , further comprising a plurality of second fasteners wherein the second set of openings are configured to allow the second fasteners to be inserted through the plate and couple underlying bones to the plate.6. The device of claim 5 , wherein one or more of the second fasteners comprises a first coupling end configured to couple to the plate claim 5 , and a second coupling end configured to couple to the bones claim 5 , the first end and second end having different pitch threads.7. A method of coupling an orthopedic device to a plurality of ...

INTERVERTEBRAL SPINAL IMPLANT

An intervertebral implant for implantation in an intervertebral space between vertebrae. The implant includes a body extending from an upper surface to a lower surface. The body has a front end, a rear end and a pair of spaced apart first and second side walls extending between the front and rear walls such that an interior chamber is defined within the front and rear ends and the first and second walls. The body defines an outer perimeter and an inner perimeter extending about the internal chamber. At least one of the side walls is defined by a solid support structure and an integral porous structure, the porous structure extending from the outer perimeter to the inner perimeter. The porous structure embeds or encapsulates at least a portion of the solid support structure. 1. An intervertebral implant for implantation in an intervertebral space between vertebrae , the implant comprising: an upper surface and a lower surface, the upper surface defined by a upper outer rim and a spaced apart upper inner rim and the lower surface defined by a lower outer rim and a spaced apart lower inner rim;', 'a front wall extending at the front end between at least the upper outer rim and the lower outer rim;', 'a rear wall extending at the rear end between at least the upper outer rim and the lower outer rim;', 'each of the side walls including at least one cross strut extending between the upper rims and at least one cross strut extending between the lower rims;', 'each of the side walls including at least one support structure extending between the upper surface and the lower surface, the support structure occupying a minimal space within each side wall; and', 'a porous structure integrally formed with the upper rims, the lower rims, each of the cross struts, and each of the structures in each of the side walls., 'a body having a front end, a rear end and opposed side walls extending between the ends, the body having an outer perimeter and an inner perimeter about an internal ...

Stemless Shoulder Implant With Button Lock

A system for shoulder repair includes a prosthetic stemless shoulder implant including a base member extending along a longitudinal axis from a first side to a second side. The second side adapted to engage bone of a patient. The base member defines a hole that extends along the longitudinal axis and through the second side of the base member for receiving a flexible member therethrough. The system includes a fixation construct including a first fixation device and a second fixation device, the first and second fixation devices connected by the flexible member. While the first fixation device is positioned outside of the second side of the base member and the second fixation device is positioned within the base member, the flexible member is adapted to tension the first fixation device with respect to the second fixation device.

Devices, Methods, and Systems to Implant and Secure a Fusion Cage or Intervertebral Prosthesis for Spinal Treatment

Various devices, methods, and systems to implant and secure a fusion cage or intervertebral prosthesis during treatment of spinal injury or disease are provided. In various embodiments, such devices may comprise an instrument assembly having a body comprising a head, a shaft, and a handle; an insertion stop; and an intervertebral device retainer. Various embodiments also may comprise an impactor assembly comprising a housing; a bit comprising a head, a shaft, and a coupler; a transmission comprising a housing, a cam, a cam follower, a collet, and a driveshaft; and the motor. In various embodiments, the impactor assembly may be deployed with adjustments for the frequency, displacement, and force of impulses delivered to an anchor for the intervertebral device.

THREE-DIMENSIONAL IMPLANT USED IN CRANIOPLASTY AND METHOD FOR MANUFACTURING SAME

In a three-dimensional implant and a method for manufacturing the three-dimensional implant, the three-dimensional implant is manufactured based on an image on a defect area of a skull. The image is generated based on a computed tomography on the skull of a patient. The three-dimensional implant includes a body portion, an extended portion and a fixing portion. The body portion has a shape substantially same as the defect area of the skull. The extended portion is disposed at a front of the body portion, is fixed to a zygomaticofrontal suture of the patient, and has a thickness larger than that of the body portion. The fixing portion is protruded along an outline of the body portion and is fixed with the skull.

TIBIAL PROSTHESIS FOR TIBIA WITH VARUS RESECTION

Methods, systems and apparatuses are disclosed including apparatuses that can be used in a total knee replacement procedure. According to one example, a tibial implant is disclosed. The tibial implant can be configured for attachment to a tibia in a knee arthroplasty and can include a baseplate having a lateral portion and a medial portion oriented relative to an anteroposterior axis and a fixation member. Each of the lateral portion and the medial portion can have a distal surface configured to interface with a resected proximal surface of a tibia. The fixation member can be coupled to and extend both distally and medially from the baseplate such that the fixation member is oriented at an acute angle relative to the distal surface of the medial portion. 1. A tibial implant configured for attachment to a tibia in a knee arthroplasty , the tibial implant comprising:a baseplate having a lateral portion and a medial portion oriented relative to an anteroposterior axis, each of the lateral portion and the medial portion having a distal surface configured to interface with a resected proximal surface of a tibia; anda fixation member coupled to and extending both distally and medially from the baseplate such that the fixation member is oriented at an acute angle relative to the distal surface of the medial portion.2. The tibial implant of claim 1 , wherein the fixation member comprises one or both of a keel and a stem that are configured for insertion into a metaphysis and/or diaphysis of the tibia.3. The tibial implant of claim 2 , wherein one or both of the keel and stem are configured to be removably attached to the baseplate.4. The tibial implant of claim 3 , wherein one or both of the keel and stem are configured to be adjustable 180° relative to the baseplate such that the tibial implant is configured for use with both a left tibia and a right tibia.5. The tibial implant of claim 2 , wherein the stem and keel are configured to couple together claim 2 , and wherein ...

DEVICE AND METHOD FOR CORRECTING SPINAL DEFORMITIES IN PATIENTS

Devices and related methods for the dynamic correction of spinal deformities are disclosed. The devices and methods are particularly useful for correcting an abnormal curvature of the spine. In one exemplary embodiment, a method for correcting deformity via a spinal implant that can include a polymer between or attached to a top and bottom plate, which can exist in a wedge-shaped configuration in order to apply asymmetric forces to the spinal column, is provided. The implant may be inserted between adjacent vertebrae comprising part of the abnormal curvature, thereby restoring the normal curvature of a spine. 1. A spinal intervertebral disc implant device for alignment and/or realignment of a spinal column in more than one plane or axis comprising an elastic polymer component , wherein the elastic polymer component is capable of:(a) absorbing shock;(b) applying asymmetric force(s) to a vertebrae or vertebral element and adjacent vertebrae or vertebral element from within an intervertebral disc space by extension and/or contraction of one or more portions of the elastic polymer component;(c) aligning and/or realigning a spinal column; and(d) responding to loading and/or movement of the spinal column.2. The spinal intervertebral disc implant device of claim 1 , wherein the elastic polymer component comprises one or more polymer springs capable of applying force(s) to the adjacent vertebrae or vertebral element by extension or contraction of the one or more polymer springs to align and/or realign the spinal column and respond to loading and/or movement of the spinal column.3. The spinal intervertebral disc implant device of claim 1 , wherein the spinal intervertebral disc implant device further comprises a top face and a bottom face claim 1 , wherein the elastic polymer component is continuous from the top face to the bottom face.4. The spinal intervertebral disc implant device of claim 1 , wherein the spinal intervertebral disc implant device is capable of being ...

INTERVERTEBRAL IMPLANT AND METHOD OF USE

An implant and method for fusing adjacent spinal vertebrae is disclosed. In an embodiment for a spinal implant of the present invention, the implant includes a spacer body assembly and two retention members. The two retention members each include split fork tangs wherein the tangs of each retention member are simultaneously extendable from the spacer body assembly into the adjacent vertebra. A method of fusing adjacent vertebrae includes the step of inserting an implant between adjacent vertebrae with retention members. The method also includes the step of configuring the retention members wherein a portion of each tang of a retention member simultaneously extends from the implant into one of the adjacent vertebra. 147-. (canceled)48. An intervertebral implant for positioning between a first vertebra and a second vertebra successive to the first vertebra , the intervertebral implant comprising: a superior surface configured to contact an inferior endplate of the first vertebra,', 'an inferior surface configured to contact a superior endplate of the second vertebra,', 'an anterior wall,', 'a posterior wall,', 'a first lateral wall extending between the posterior wall and the anterior wall,', 'a second lateral wall extending between the posterior wall and the anterior wall, and', 'an interior graft window defined by the anterior wall, the posterior wall, the first lateral wall and the second lateral wall, the interior graft window comprising;', 'a graft aperture open to either the superior surface, the inferior surface or both the superior surface and the inferior surface;, 'a singular spacer body comprising;'} a first ramped channel extending from the anterior surface to the superior surface within the first lateral wall; and', 'a second ramped channel extending from the anterior surface to the inferior surface within the same first lateral wall., 'a first split-guide in the anterior wall, the first split-guide comprising49. The intervertebral implant of claim 48 , ...

BONE CAPTURING KEEL DESIGN FOR ORTHOPEDIC IMPLANTS

A keel for an orthopedic implant with a tray portion. The keel has a wall having a posterior end, an anterior end, and sides that extend from a surface of the tray portion. The wall is at least partially upraised away from the surface of the tray portion at its posterior end to define a posterior keel opening. The anterior end may either merge with the surface of the tray portion or can be spaced away to form an anterior keel opening. The keel can slant downwardly from the posterior end to the anterior end by about 10 to 20 degrees. The wall can have two spaced apart flat side walls and a flat top wall, or can be a continuous curved wall. A bone ingrowth space is defined between the wall and the tray portion. Openings can optionally be formed in the wall for additional bone ingrowth. 1. A keel for an orthopedic implant comprising:a wall having a posterior end and an anterior end, the wall extending from a surface of a tray portion, the wall being at least partially upraised away from the surface of the tray portion at its posterior end defining a posterior keel opening, a bone ingrowth space being defined between the wall and the tray portion.2. The keel of claim 1 , wherein the anterior end of the wall is upraised from the surface of the tray portion and defines an anterior keel opening claim 1 , and wherein a passageway is located in the keel from the posterior end to the anterior end.3. The keel of claim 2 , wherein the wall comprises two spaced apart side walls that extend from the surface of the tray portion and a top wall spanning a top of the two spaced apart side walls.4. The keel of claim 3 , wherein the top wall is slanted downwardly from its posterior end to its anterior end at an angle of about 10 to 20 degrees towards the surface of the tray portion.5. The keel of claim 3 , wherein the top wall is slanted downwardly from its posterior end to its anterior end at an angle of about 15 degrees towards the surface of the tray portion.6. The keel of claim 3 , ...

SPINAL SURGERY DEVICES, SYSTEMS, AND METHODS

An intervertebral spacer assembly may include a first intervertebral spacer with a superior surface configured to engage a superior vertebral body, an inferior surface configured to engage an inferior vertebral body, and a proximal surface with a first fastener channel. The assembly may further include a first fastener and a locking member with a first anti-backout member. The first intervertebral spacer or the locking member may have a locking member channel. The other may have a compressible collet insertable into the locking member channel to couple the locking member to the first intervertebral spacer such that the locking member is rotatable relative to the first intervertebral spacer between an unlocked position in which the first anti-backout member does not obstruct the first fastener channel, and a locked position in which the first anti-backout member obstructs the first fastener channel to retain the first fastener in the first fastener channel. 1. An intervertebral spacer assembly configured to secure a superior vertebra to an inferior vertebra , the intervertebral spacer assembly comprising:{'claim-text': ['a superior surface configured to engage a superior vertebral body;', 'an inferior surface configured to engage an inferior vertebral body; and', 'a proximal surface comprising a first fastener channel;'], '#text': 'a first intervertebral spacer comprising:'}a first fastener insertable into the first fastener channel to anchor the first fastener in one of the superior vertebra and the inferior vertebra; anda locking member comprising a first anti-backout member;{'claim-text': ['one of the first intervertebral spacer and the locking member comprises a locking member channel;', 'the other of the first intervertebral spacer and the locking member comprises compressible collet insertable into the locking member channel to couple the locking member to the first intervertebral spacer such that the locking member is rotatable relative to the first ...

DEVICE TO BE IMPLANTED IN HUMAN OR ANIMAL TISSUE AND METHOD FOR IMPLANTING AND ASSEMBLING THE DEVICE

An implant or endoprosthesis suitable to be implanted in human or animal tissue includes two (or more than two) parts to be joined in situ. Each one of the parts includes a joining location, the two joining locations facing each other when the device parts are positioned for being joined together, wherein one of the joining locations includes a material which is liquefiable by mechanical vibration and the other one of the joining locations includes a material which is not liquefiable by mechanical vibration and a structure (e.g. undercut cavities or protrusions) suitable for forming a positive fit connection with the liquefiable material. The joining process is effected by pressing the two device parts against each other and by applying ultrasonic vibration to one of the device parts when the two parts are positioned relative to each other such that the two joining locations are in contact with each other. 1. A method for implanting an intervertebral element , the method , comprising the steps of:providing the intervertebral element,positioning the intervertebral element between two vertebral bodies of the spinal column;providing a plurality of fasteners,for each fastener, advancing the fastener relative to the intervertebral element and the vertebral bodies by pushing the fastener forward without substantial rotation, until the fastener forms a positive-fit connection with the intervertebral element and forms a positive-fit connection with one of the vertebral bodies.2. The method according to claim 1 , wherein the intervertebral element comprises claim 1 , for each one of the fasteners claim 1 , a channel claim 1 , each channel for accommodating one of the fasteners claim 1 , and wherein the step of advancing comprises pushing the fastener into the respective channel.3. The method according to claim 2 , wherein the channels comprise an undercut structure claim 2 , and wherein the positive-fit connection with the intervertebral element is a connection between the ...

Devices and methods for stabilizing tissue and implants

An implant for repairing a joint between a first bone and a second bone includes a first section constructed of a substantially rigid material and a graft constructed of soft tissue having a first end and a second end. The first section has a first end surface configured for positioning against the first bone. The graft is configured for stabilizing the first section relative to the first bone. A first fastener is configured for mounting to the graft and the first section to anchor the graft to the first section. A second fastener is configured for mounting to the graft and the first bone to anchor the graft to the first bone.

Interbody Spinal Fusion Implant Having Locking Elements with Lateral Displacement

An interbody spinal fusion implant includes a tapered body and a faceplate secured to the tapered body. The faceplate has a recess formed on a front face of the faceplate that is at least partially bounded by an interior surface. A first screw hole and a spaced apart first locking slot pass through the faceplate, the first locking slot having an elongated width. A first locking screw has a head and a threaded shaft, the threaded shaft passing through the first locking slot and being sized so that the threaded shaft can slide laterally along a length of the elongated width of the first locking slot. A first nut is disposed between the tapered body and the faceplate, the shaft of the first locking screw being threadedly engaged with the first nut. 1. An interbody spinal fusion implant comprising:a fusion spacer having a top surface and an opposing bottom surface that extend between a front face and an opposing back face, a recess being formed on the front face and being at least partially bounded by an interior surface, a first screw hole passing through the interior surface of the recess;a first bone screw being received within the first screw hole; anda first locking screw at least partially disposed within the recess of the fusion spacer, the first locking screw being movable between an advanced position and a retracted position, when the first locking screw is in the retracted position, the first locking screw is secured to the fusion spacer but can freely slide laterally within the recess to enable the first bone screw to be freely removed from the first screw hole, when the first locking screw is moved to the advanced position, the first locking screw is held fixed relative to the fusion spacer and obstructs removal of the first locking screw from the first screw hole.2. The interbody spinal fusion implant as recited in claim 1 , wherein the first locking screw partially covers the first screw hole.3. The interbody spinal fusion implant as recited in claim 1 , ...

FACET SCREW AND DELIVERY DEVICE

Disclosed is a system for delivering a facet screw assembly to a facet joint. The system includes a facet screw assembly and a delivery device. The distal end of the delivery device includes a facet screw engagement feature, which is keyed to a corresponding delivery device engagement feature. In other embodiments, the system may include a facet screw assembly, a facet access guide, a washer sizer tool removably engaged with the facet access guide, a lateral mass decorticator guide slidably and removably engaged with the washer size tool, a washer implant delivery tool removably engaged with the facet access guide and detachably coupled to the facet screw assembly, and optionally an impact handle detachably coupled to the facet access guide, washer sizer tool, and washer implant delivery tool. 150-. (canceled)51. A facet screw assembly delivery system comprising:a facet screw assembly;a facet access guide;a washer sizer tool configured to removably engage with the facet access guide;a lateral mass decorticator guide configured to slidably and removably engage with the washer size tool;a washer implant delivery tool configured to removably engage with the facet access guide and detachably couple to the facet screw assembly; andan impact handle configured to detachably couple to the facet access guide, the washer sizer tool, and the washer implant delivery tool.52. The facet screw assembly of claim 51 , wherein the facet screw assembly comprises:a facet screw having an elongated shaft with a proximal end and a distal end;a washer implant comprising:a lateral mass engagement portion;an intrafacet engagement portion;a facet screw opening extending through the lateral mass engagement portion and the intrafacet engagement portion, the facet screw opening configured to accept the distal end of the facet screw;a keyway configured to align with a keyed feature on the washer implant delivery tool to maintain a position of the washer implant during delivery; anda coupling ...

MEDICAL IMPLANT HAVING AN ANCHORING SYSTEM AND METHOD OF USE THEREOF

A medical implant having an anchoring system for anchoring and retaining the medical implant (such as a cage) in place and method of use thereof. The implantable intervertebral device can be used with any interchangeable combination of (a) anchors and (b) screws (i.e., the surgeon/practitioner can use the same medical implant and elect which combination of anchors and screws to use for anchoring purposes). The medical implant can be placed between the vertebrae and a tool be utilized to secure and anchor the medical implant in place. 1. A medical implant system comprising:(a) a plurality of fasteners comprising screws and/or anchors; '(i) each of the openings in the plurality of openings is capable of interchangeably receiving a screw or an anchor from the plurality of fasteners;', '(b) a receiving member body having a plurality of openings, wherein'}(c) anchor system instrumentation that is operable for rigidly attaching to the receiving member body resulting in the anchor system instrumentation being perpendicular to a midline of the receiving member body; and (i) each opening in the plurality of openings has at least one locking mechanism located nearby,', '(ii) each of locking mechanism in the plurality of locking mechanisms is capable of being moved with an instrument between an open position and a closed position relative to the opening nearby the locking mechanism,', '(iii) when the locking mechanism is in the open position, the locking mechanism does not cover any portion of the opening nearby the locking mechanism such that the fastener can be passed through the opening to secure the fastener into bone;', '(v) when the locking mechanism is in the closed position, a portion of the locking mechanism covers a portion of the opening such that the fastener cannot pass through the opening, such that the fastener is prevented from becoming unsecured from the bone., '(d) a plurality of locking mechanisms connected to the receiving member body, wherein'}2. The ...

INTERBODY STANDALONE DEVICE WITH INTEGRATED FIXATIONS

In the present invention, stand-alone interbody spine implant for fusion of adjacent vertebrae is disclosed. In the preferred configuration, this implant includes one spacer which is placed between adjacent vertebrae and at least one pin/bar/fastener which attaches the spacer to the bones. The spacer includes channel(s) with various configurations which guide the pins/bars/fasteners through the spacer in order to penetrate into bone. The combination of pins/bars/fasteners and spacer together, provides fixation of the implant to bone and fuses the adjacent vertebrae. 11. A spacer placed between two adjacent vertebrae with configured channels to receive and guide the pins/bars/fasteners into the bone.2. A pin/bar/fastener or a set of pins/bars/fasteners configured to pass through the spacer passages, follow the trajectory of the channels and penetrate into the bone.. An intervertebral implant for treatment of a spine compromising: The present application claims priority to U.S. Provisional Patent Application entitled “Interbody Standalone Device With Integrated Fixations”, Ser. No. 62/715,279 filed on Aug. 7, 2018, which is incorporated by reference herein in its entirety.The present invention generally relates to methods and devices for the treatment of the spinal disorder.The human spine is a complex bony structure in the back of the body, which is intended to support the weight of the upper body, provide posture while allowing for movement and flexibility, and protect the spinal cord. The spine is composed of many individual bones, called vertebrae which are stacked on top of each other and formed the vertebral columns. The vertebral column has four major regions sorted from neck to pelvis. The highest region is the cervical spine. The next region, located in the upper and mid-back, is called the thoracic spine. Below the thoracic spine is the lumbar spine, in the lower back. Lastly, the sacral spine is located below the lumbar spine and connected to the pelvis. ...

Apparatuses for Distal Fibula Replacement and Related Methods

Apparatuses for distal fibula replacement and related methods are described herein. The apparatus generally includes an implantable stem component including a proximal portion that is contoured to have an anterior overlap with a portion of a fibula bone of a patient, and a distal portion that defines one or more channels configured to receive one or more tendons of the patient. Related methods include placing the apparatus on the portion of the fibula bone of the patient. 1. An apparatus for distal fibula replacement in a patient , the apparatus comprising:an implantable stem component comprising a proximal portion and a distal portion;wherein the proximal portion is contoured to form an anterior overlap for engaging with a portion of a fibula bone;wherein the distal portion defines one or more channels positioned and contoured to operatively receive one or more tendons of the patient; andwherein the proximal portion defines one or more holes, each of the one or more holes configured to direct a respective connector when extending therethrough so as to affix the proximal portion to the portion of the fibula bone when installed on the patient, and wherein the apparatus further defines one or more apertures, each aperture configured to direct a respective connector when extending therethrough so as to affix the apparatus to a syndesmosis when the apparatus is installed on the patient.2. The apparatus of claim 1 , wherein the proximal portion is an elongated body.3. The apparatus of claim 1 , wherein each of the one or more channels comprises a posterior inlet and an anterior outlet.4. The apparatus of claim 1 , wherein each of the one or more apertures is configured to direct its respective connector at an angle in the range of about 15° to about 35° anterior to a coronal plane of the patient.5. The apparatus of claim 1 , wherein each of the one or more channels is textured and contoured so as to accommodate the peronaeus brevis tendon when the apparatus is configured ...

Unicompartmental knee arthroplasty

Implants include fixation features which slidingly receive fixation elements. The fixation features may be negative or positive features, such as undercut channels or posts. Examples include unicompartmental tibial trays having a ridge protruding from the bone-facing side, an undercut channel formed within the ridge. Instruments are disclosed for preparing a ridge-receiving feature in bone.

Implantable prostheses

Prosthesis, tools and surgical methods treat joint instability by avoiding loosening over time. A shoulder prosthesis includes a humeral member with a humeral joint surface and a humeral fixation member and a glenoid member comprising a glenoid body with a glenoid joint surface, and a glenoid fixation member attaching the glenoid body to a scapula. The glenoid fixation member may be attached orthogonally to the scapula. A dampener may be included to absorb loads that may loosen one or more components of the prosthesis.

SYSTEM AND METHOD TO FUSE BONE

An implant is provided that is operable to be disposed between and fuse two sections of a bone. The implant includes a material that is operable to abut against the two sections of the bone. The material is porous and/or fibrous and is operable to receive at least one cellular growth factor. 1. An implant operable to be disposed between and fuse two sections of a bone , the implant comprising:a material operable to abut against the two sections of the bone, the material being porous and/or fibrous and operable to receive at least one cellular growth factor.2. The implant of claim 1 , further comprising an inner layer and an outer layer claim 1 , wherein the inner layer and the outer layer are both made of the material claim 1 , wherein the outer layer includes a first portion and a second portion claim 1 , the inner layer is sandwiched between the first and second portions of the outer layer.3. The implant of claim 2 , wherein the outer layer is wrapped around a circumference of the inner layer.4. The implant of claim 1 , wherein the material includes at least a portion of at least one of the following: cortical bone fibers claim 1 , cancellous bone fibers claim 1 , collagen sponge claim 1 , cortical bone graft claim 1 , synthetic bone claim 1 , and/or tissue graft.5. The implant of claim 1 , wherein the at least one cellular growth factor includes bone morphogenetic proteins claim 1 , mesenchymal stern cells claim 1 , blood claim 1 , osteoclasts claim 1 , osteoblasts claim 1 , antibiotics claim 1 , analgesics claim 1 , and/or medications.6. The implant of claim 1 , wherein the material is fenestrated to promote bony ingrowth.7. The implant of claim 1 , wherein the implant has a thickness between about 2 millimeters and about 100 millimeters.8. The implant of claim 1 , wherein the implant has a length between about 25 millimeters and about 250 millimeters.9. The implant of claim 1 , wherein the implant has a depth between about 1 millimeter and about 30 millimeters. ...

Spinal fusion implant

An implant may include a housing and a blade having a retracted position in the housing and an extended position where the blade extends outwardly from the housing. The implant also includes a blade actuating component, the blade actuating component comprising a driven shaft portion. The blade actuating component is configured to move the blade between the retracted position and the extended position. The housing may include a chamber portion receiving a portion of the driven shaft portion of the blade actuating component. The driven shaft portion may include an opening and a blocking pin received within the opening. In a first position, the blocking pin limits insertion of the blade actuating component. In a second position, the blade actuating component is unrestricted by the blocking pin.

FLEXIBLE TISSUE MATRIX AND METHODS FOR JOINT REPAIR

A synthetic, flexible tissue matrix and methods for repairing hyaline cartilage defects in a joint using the flexible tissue matrix are described. The flexible tissue matrix includes a high molecular weight polycaprolactone polymer entangled with a polysaccharide such as hyaluronic acid. In the methods, autologous bone mesenchymal stem cells are introduced to a joint by a microfracturing technique, and a membrane made of the flexible matrix is applied to the joint. Cartilage which forms in the joint is hyaline cartilage rather than fibrocartilage. 1. A tissue matrix for supporting repair of biological tissues comprising a high molecular weight caprolactone polymer entangled with a polysaccharide.2. A tissue matrix according to claim 1 , wherein the high molecular weight caprolactone polymer is selected from polycaprolactone; a co-polymer of polylactic acid and polycaprolactone; a co-polymer of polyglycolic acid and polycaprolactone; a copolymer of polylactic acid claim 1 , polyglycolic acid claim 1 , and polycaprolactone; a co-polymer of polyethylene glycol claim 1 , polylactic acid and polycaprolactone; a co-polymer of polyethylene glycol claim 1 , polyglycolic acid and polycaprolactone; and a copolymer of polyethylene glycol claim 1 , polylactic acid claim 1 , polyglycolic acid claim 1 , and polycaprolactone.3. A tissue matrix according to comprising a co-polymer selected from a copolymer of polylactic acid and polycaprolactone; a co-polymer of polyglycolic acid and polycaprolactone; a copolymer of polylactic acid claim 2 , polyglycolic acid and polycaprolactone; a co-polymer of polyethylene glycol claim 2 , polylactic acid and polycaprolactone; a co-polymer of polyethylene glycol claim 2 , polyglycolic acid and polycaprolactone; and a copolymer of polyethylene glycol claim 2 , polylactic acid claim 2 , polyglycolic acid claim 2 , and polycaprolactone.4. A tissue matrix according to further comprising at least one flexibility agent.5. A tissue matrix according to ...

Osseointegrative adjustable ossicular prosthesis

An otologic prosthesis is disclosed. In accordance with some embodiments, the device includes a set of crimping prongs comprising a lattice structure provided on a surface of each crimping prong in the set of crimping prongs to support and promote osseointegration. In accordance with some embodiments, the stem and the TM plate are separate pieces configured to be attached by a snap-fit mechanism. In accordance with some embodiments, the device is an adjustable length prosthesis with an internalized sizing mechanism. In accordance with some embodiments, the device is adjustable by a rotatable joint that facilitates rotation of a first stem section with respect to a second stem section for adjustment and readjustment on a patient-specific basis.

IMPROVED GLENOID ANCHOR FOR A SHOULDER JOINT PROSTHESIS

The present invention relates to an improved glenoid anchor for a shoulder joint prosthesis, in particular a convertible prosthesis, of the type intended to be fixed to the glenoid cavity of the shoulder blade and comprising:—a pin () with an internally hollow and essentially thimble-like conical sleeve (), which has a tapered distal end () and an open proximal end ();—an annular recess () formed inside the cavity () of the pin () in the vicinity of said open proximal end (), for receiving by means of snap-engagement an edge () of a lug () of a prosthesis component ();—at least one pair of oppositely arranged anti-rotation notches () in the proximity of said annular groove () for receiving by means of snap fit oppositely arranged teeth () of the same lug () intended to be snap-engaged together with said pin (). 1. Improved glenoid anchor for a shoulder joint prosthesis , in particular a convertible prosthesis , of the type intended to be fixed to a glenoid cavity of a shoulder blade and comprising a structurally independent pin , with an internally hollow and essentially thimble-like conical sleeve , which has a tapered distal end configured for being directly fixed to the glenoid cavity and an open proximal end for receiving a prosthesis component , an outer surface of the sleeve of said pin having an irregular or trabecular structure for favouring osteogenesis and bone integration; wherein said pin further comprises:an annular recess formed inside an internal cavity of the pin, for receiving by means of snap-engagement an edge of a lug of the prosthesis component;at least one pair of oppositely arranged anti-rotation notches in the proximity of said annular recess for receiving oppositely arranged teeth of the same lug intended to be engaged together with said pin.2. Anchor according to claim 1 , wherein a surface of said internal cavity of the pin and an outer surface of said lug of the prosthesis component are engaged with each other by means of mechanical ...

INTERVERTEBRAL IMPLANT HAVING EXTENDABLE BONE FIXATION MEMBERS

An intervertebral implant is configured to be fixed in an intervertebral space defined by a first vertebral body and a second vertebral body. The intervertebral implant includes an implant body sized to be inserted into an intervertebral space, and a fixation assembly configured to be attached to the implant body. The fixation assembly includes a housing that defines a first vertebral body facing surface and a second vertebral body facing surface spaced from the first vertebral body facing surface along a transverse direction. The fixation assembly further includes at least one fixation member supported by the housing and movable from a retracted position to an extended position, whereby in the extended position the fixation member extends out from the housing and into one of the vertebral bodies. 152-. (canceled)53. An implant configured to be fixed by an anchor in an intervertebral space defined by a first vertebral body and a second vertebral body , the implant having a top and a bottom disposed along a transversely opposite side of the implant from the top , the implant comprising: a forward wall portion,', 'a rearward wall portion disposed along a longitudinally opposite side of the implant from the forward wall portion,', 'a first side wall portion,', 'a second side wall portion disposed along a laterally opposite side of the implant from the first side wall portion,', 'a top surface extending along the forward wall portion, the rearward wall portion, the first side wall portion, and the second side wall portion at the top of the implant, and', 'a bottom surface extending along the forward wall portion, the rearward wall portion, the first side wall portion, and the second side wall portion at the bottom of the implant;, 'a peripheral wall comprising'}a central cavity at least partially bounded by the peripheral wall, the cavity extending completely through the implant from an opening at the top of the implant to an opening at the bottom of the implant; and a ...

GLENOSPHERE WITH FLANGE FOR AUGMENTED FIXATION AND RELATED METHODS

A glenosphere includes a body and a flange. The body includes a first body surface and a spherical second body surface, and includes an engagement feature to engage with an attachment structure attachable to a bone. The flange extends radially outward from the body and includes a first flange surface contiguous with a first body surface and a second flange surface contiguous with the second body surface. The flange has a flange length extending from a first end and a second end such that an angle defined by a first line from a center of the body to the first end and a second line from the center of the body to the second end is less than 180 degrees. 140-. (canceled)41. A glenosphere for use in a shoulder prosthesis , comprising:a body defining a center and an engagement axis passing through the body, the engagement axis spaced by an offset from the center;a first surface including a first rim and a second rim, the first rim positioned radially outward from the second rim, the first surface including a base surface portion and a hood surface portion extending from the base surface portion and oriented at an obtuse angle relative to the base surface portion, the body further defining a hood portion extending from the hood surface portion to a plane including the base surface portion; anda cavity defined within the body, the cavity having a perimeter defined by the second rim, the cavity including a first cavity portion configured to receive an attachment structure attachable to a bone and a second cavity portion configured to engage an engagement member of the attachment structure, the second cavity portion oriented along the engagement axis.42. The glenosphere of claim 41 , wherein the cavity has a cylindrical shape.43. The glenosphere of claim 41 , further comprising:a second surface extending from the first rim of the first surface; anda plurality of channels extending from the hood surface portion through the body to the second surface, each channel of the ...

Expandable spinal implant system and method of using same

An expandable spinal implant is provided having first and second endplates hinged along one end or otherwise connected by pins, protrusions and channels, or similar mechanisms and an expansion mechanism(s) disposed therebetween configured to expand the first and second endplates from each other. Also provided are expandable spinal implants that may be expanded in a parallel manner to increase the height of the device while maintaining a lordotic angle. Other spinal implants may provide dual expansion whereby both height and lordotic angle are adjusted. Various implants, systems and methods are disclosed.

Triangular fibrocartilage complex reconstruction techniques

This disclosure is directed to methods for reconstructing an unstable triangular fibrocartilage complex (TFCC). Exemplary methods include preparing, delivering, and fixating a graft within a distal radioulnar joint in a manner that restores the functionality to the TFCC, thereby improving the joint kinematics of the radioulnar joint.

COMPOSITE POROUS INTERBODIES AND METHODS OF MANUFACTURE

A method of forming a composite titanium body for use in forming spinal implant interbodies includes selecting a metal alloy body, carving out a top portion and a bottom portion from the metal alloy body, and bonding a porous material to the carved-out top and bottom portions. Multiple pieces may be cut from the composite titanium body, each having a front face formed of the metal alloy, top and bottom portions formed of the porous material, and with a medial portion of the metal alloy extending from the front face to the back. Methods and devices for spinal interbodies having locking mechanisms to prevent bone screw back-out are also described. 1. A method of manufacturing a composite interbody , the method comprising:selecting a solid titanium body having a top side and a bottom side;carving out a portion of the top side of the solid titanium body to form a top portion void;carving out a portion of the bottom side of the solid titanium body to form a bottom portion void;diffusion bonding porous titanium to the top portion void;diffusion bonding porous titanium to the bottom portion void, the steps of diffusion bonding porous titanium to the top portion void and bottom portion void forming a composite titanium block; andcutting out a composite interbody from the composite titanium block.2. A composite interbody system comprising:a body having an anterior face and an opposing posterior face, a top portion and a bottom portion, with a medial portion extending through the body from the anterior face to the opposing posterior face; andthe anterior face formed of titanium alloy, the top portion and bottom portion formed of porous titanium, and the medial portion formed of titanium alloy.3. The composite interbody system of claim 2 , wherein the anterior face and medial portion are formed of a single piece of titanium alloy.4. The composite interbody system of claim 3 , wherein the porous titanium comprises sheets of porous titanium diffusion bonded together to form the ...

SYSTEM AND METHOD FOR JOINING BONEY STRUCTURES

Disclosed are system and methods that use at least one non-threaded anchor and an implant with at least one aperture to join boney structures, where the interaction of the head of the anchor with the implant aperture causes the anchor to move transversely with respect to an initial trajectory. This movement causes compression or distraction of the boney structures which are coupled to the anchors. 1. An implant system for joining boney structures comprising: a first non-threaded elongated body having a center axis,', 'a first non-threaded head coupled to a distal end of the elongated body, the first head including a first portion of the first head that is substantially concentric to the center axis and a second portion of the first head that is offset from the center axis;, 'a first non-threaded anchor including,'} a second non-threaded elongated body having a center axis,', 'a second non-threaded head coupled to a distal end of the elongated body, the second head including a second portion of the second head that is substantially concentric to the center axis and a second portion of the second head that is offset from the center axis;, 'a second non-threaded anchor including,'} a first bone engaging surface and a second bone engaging surface;', the first distal portion sized and to allow passage of the first elongated body along a first trajectory,', 'the first proximal portion sized and shaped to accept the first head only upon an occurrence of transverse movement of the first head with respect to the first trajectory;, 'a first aperture defined within the implant, the first aperture having a first proximal portion and a first distal portion exiting through the first bone engaging surface,'}, the second distal portion sized and to allow passage of the second elongated body along a second trajectory, and', 'the second proximal portion sized and shaped to accept the second head only upon an occurrence of transverse movement of the second head with respect to the ...

SYSTEM AND METHOD FOR JOINING BONEY STRUCTURES

Disclosed are system and methods that use at least one non-threaded anchor and an implant with at least one aperture to join boney structures, where the interaction of the head of the anchor with the implant aperture causes the anchor to move transversely with respect to an initial trajectory. This movement causes compression or distraction of the boney structures which are coupled to the anchors. 1. A supra implant system for joining boney structures comprising:{'claim-text': ['a first non-threaded elongated body;', {'claim-text': ['a concentric portion of the first head that is substantially concentric to the center axis, and', 'an offset portion of the first head that is offset from the center axis;'], '#text': 'a first non-threaded head coupled to a proximal end of the elongated body, the first head including,'}], '#text': 'a first non-threaded anchor having a first center axis including,'}{'claim-text': ['a second non-threaded elongated body;', {'claim-text': ['a concentric portion of the second head that is substantially concentric to the center axis, and', 'an offset portion of the second head that is offset from the center axis;'], '#text': 'a second non-threaded head coupled to a proximal end of the elongated body, the second head including,'}], '#text': 'a second non-threaded anchor having a second center axis including,'}{'claim-text': ['a first end portion including a first aperture defined therein, the first aperture having a first sloped engagement surface, the first aperture sized and shaped to fully accept the first head only when the first sloped engagement surface engages the offset portion of the first head to force a first transverse movement of the first head;', 'a second end portion including a second aperture defined therein, the second aperture having a second sloped engagement surface, the second aperture sized and shaped to fully accept the second head only when the second sloped engagement surface engages the offset portion of the second ...

PARTIAL GLENOID ARTHROPLASTY

Disclosed are devices, methods and/or systems for a partial glenoid implant for use during glenoid arthroplasty, including related surgical methods and instruments. 1. A glenoid implant for a shoulder prosthesis for implantation in the glenoid of a scapula , the glenoid implant comprising:a central body formed from an artificial material having a plurality of downwardly extending legs, each of the downwardly extending legs including a canulated, internally threaded region, anda tissue graft, the tissue graft having a plurality of openings formed therein, the plurality of openings sized and configured to fit over the plurality of downwardly extending legs when the tissue graft is assembled to the central body, the tissue graft further including an articulation surface on an external surface of the tissue graft;a plurality of fixation bolts, each of the plurality of fixation bolts including an enlarged proximal head and a distally threaded portion, the distally threaded portion sized and configured to rotatably engage with the internally threaded region of at least one of the plurality of downwardly extending legs,wherein, when the central body, tissue graft and plurality of fixation bolts are attached to the glenoid of the scapula, the central body compresses the tissue graft into intimate contact with the glenoid such that the articulation surface of the tissue graft is positioned proximate to a natural articulating surface of the glenoid.2. The glenoid implant of claim 1 , wherein the fixation bolts are positioned within a plurality of tunnels formed completely through the glenoid.3. The glenoid implant of claim 1 , wherein the downwardly extending legs are contained fully within the tissue graft when the tissue graft is assembled to the central body.4. The glenoid implant of claim 1 , wherein the downwardly extending legs extend fully through and outside of the tissue graft when the tissue graft is assembled to the central body.5. The glenoid implant of claim 1 , ...

Ankle prosthesis

Improved ankle prosthesis. The invention concerns an ankle prosthesis ( 100 ), comprising a talar component ( 200 ) which includes a talar upper face ( 201 ) defining a first articular surface ( 202 ) and which extends between a talar anterior edge ( 203 ) and an opposite talar posterior edge ( 204 ) according to a first average direction, said first articular surface ( 202 ) being curved according to said first average direction, said first articular surface ( 202 ) comprising a first curved portion ( 202 A) and a second curved portion ( 202 B), each extending according to said first average direction, said first curved portion ( 202 A) having a first curvature and said second curved portion ( 202 B) having a second curvature, said prosthesis ( 100 ) being characterized in that said first curved portion ( 202 A) and said second curved portion ( 202 B) define respectively an anterior portion and a posterior portion of said first articular surface ( 202 ), said first curvature being greater than said second curvature. Ankle prostheses.

IMPLANT ANCHORING DEVICE

An anchor for securing an implant within bone. In one embodiment, the anchor is used to aid in securing an acetabular cup within an acetabulum. The anchor may be implanted within an ischial defect of the pelvis, and is attached to an outer surface of the acetabular cup shell. The anchor is made at least in part of, and may be made entirely of, a porous metal material to facilitate the ingrowth of surrounding bone into the anchor for osseointegrating the anchor into the surrounding bone. The anchor may be secured to the acetabular shell by a screw fastener or by cement, for example. The anchor may be secured to the acetabular shell before the anchor and the acetabular shell are together implanted into the acetabulum, or the anchor may be implanted into the ischial defect, followed by seating the acetabular shell in the acetabulum and then securing the acetabular shell to the anchor. 1a primary implant component formed from a biocompatible material; andan elongate anchor formed from a highly porous biomaterial, said anchor configured for securement to said primary implant component, said anchor having a bore extending at least partially therethrough, said bore dimensioned to receive a fastener therein, whereby receipt of the fastener results in outward expansion of at least a portion of said anchor and facilitates securement of said anchor to said primary implant component.. An implant assembly, comprising: This application claims the benefit under Title 35, U.S.C. §119(e) of U.S. Provisional Patent Application Ser. No. 60/743,570, entitled Implant Anchoring Device, filed on Mar. 20, 2006, the disclosure of which is expressly incorporated herein by reference.1. Field of the InventionThe present invention relates to an anchoring device for securing an implant within bone, such as for securing an acetabular cup with an acetabulum during a total hip arthroplasty, for example.2. Description of the Related AtOrthopedic implants are commonly used to replace some or all of a ...

Method of Installing a Percutaneous Device

An intracorporeal portion of a percutaneous device for a joint disarticulation prosthesis or joint replacement prosthesis, the intracorporeal portion having an extracorporeal portion or having means for rigidly coupling directly to an extracorporeal portion, the extracorporeal portion being for location exterior to the skin, the intracorporeal portion having an articulating component for articulating with an articulating surface, wherein the articulating component is intracorporeal when installed in a human or animal subject.

Non-Invasively Adjustable Bone Prosthesis

The invention herein described is an endoprosthesis intended to replace a resected portion of bone and joint. The invention can be non-invasively, manually operated to lengthen a patient's limb both intraoperatively and postoperatively. It includes bone anchoring means for anchoring to a first and second bone, a joint to replace the function of an orthopaedic joint, and a purely mechanical lengthening mechanism which can be located and operated manually by an operator by pressing on the patient's skin without requiring a surgical incision. An alternative embodiment of the invention describes a similar extendable endoprosthesis which is unlocked by an operator by pressing on the patient's skin and the limb is subsequently pulled or pushed by the operator to change its length. The invention does not need or include any magnets, electric motors, or a fluid displacement (hydraulic) system. 1. A non-invasively extendable endoprosthesis incorporating: a first feature configured for attachment to a first bone , a second feature configured for attachment to a second bone , a joint having at least one rotational degree of freedom which is intended to replace the function of an orthopaedic joint , and a lengthening mechanism which is at least partially comprised of a purely mechanical , manually operated means which may be located and activated by an operator by pressing on the patient's skin.2. A device according to wherein said joint is designed to replace a knee claim 1 , hip or ankle joint.3. A device according to wherein said joint is designed to replace an elbow or shoulder joint.4. A device according to wherein said lengthening mechanism is partially comprised of a one-way clutch.5. A device according to wherein said lengthening mechanism is partially comprised of a one-way bearing.6. A device according to wherein said lengthening mechanism is partially comprised of a leadscrew.7. A device according to wherein said lengthening mechanism is partially comprised of a ...

IMPLANTS, SYSTEMS AND METHODS OF USING THE SAME

Implants, device, systems and methods for replacing an articulation surface in a joint, for example, shoulder prostheses with stemless humeral components or stemmed humeral components. Methods for using the shoulder prostheses with stemless humeral components or stemmed humeral components are also disclosed. 1. An anchor member , comprising:a base positioned at a first end of the anchor member and including a top surface;a circumferential groove extending into the base from the first end of the anchor member;a central member positioned within the base and the circumferential groove, wherein a top surface of the central member is positioned flush with or below the top surface of the base; andat least one support member coupled to at least a portion of the central member at a first end and at least a portion of an interior surface of the base on a second end.2. The anchor member of claim 1 , wherein the circumferential groove forms an interior lip of the base positioned between the circumferential groove and the central member claim 1 , and wherein the at least one support member couples to the interior lip.3. The anchor member of claim 1 , wherein the central member comprises:a through hole extending through the central member from the first end to the second end of the anchor member.4. The anchor member of claim 3 , wherein the through hole comprises:a first wall portion of the through hole extending from the first end toward the second end;a second wall portion of the through hole extending from the second end toward the first end; anda threaded portion positioned between the first wall portion and the second wall portion.5. The anchor member of claim 4 , wherein the at least one support member is four support members equally spaced around the central member.6. The anchor member of claim 5 , wherein the anchor member further comprises:windows positioned between each of the support members, the central member, and an interior surface of the base.7. The anchor member ...

Medical Devices, Medical Device Precursors, and Methods of Making Medical Devices

Medical devices, medical device precursors, and methods of making medical devices are described. Examples of a medical devices relate to medical devices, such as those suitable for implantation in spaces between vertebrae in a vertebral column of an animal. An example medical device includes a main body that has a lengthwise axis, a proximal end, a distal end, a length that extends from the proximal end to the distal end, an upper wall, a lower wall, a first lateral wall, a second lateral wall, and defines a plurality of pockets, a plurality of pocket supports, an interior chamber, a plurality of windows, and a recess. A pocket support of the plurality of pocket supports is disposed within each pocket of the plurality of pockets. 1. A method of making a medical device , comprising: a medical device main body having a proximal end, a distal end, an upper wall, a lower wall, a first lateral wall, a second lateral wall, and defining a pocket extending into the medical device main body, a support element disposed within the pocket, and an interior chamber; and', 'a first mask integrally formed with the medical device main body, the first mask having a first mask main body disposed adjacent the support element;, 'creating a medical device precursor, the medical device precursor includingperforming a finishing process on the medical device precursor; andseparating the first mask from the medical device main body subsequent to performing a finishing process on the medical device precursor to produce said medical device.2. The method of claim 1 , wherein the medical device main body defines a second pocket extending into the medical device main body and a second support element disposed within the second pocket; andwherein the medical device precursor includes a second mask integrally formed with the medical device main body, the second mask having a second mask main body disposed adjacent the second support element;further comprising separating the second mask from the ...

SHOULDER PROSTHESIS GLENOID COMPONENT

This shoulder prosthesis glenoid component () has on one of its faces an articulation surface (S) adapted to cooperate with a humeral head and having, on an opposite face (S) adapted to be immobilized on the glenoid cavity (G) of a shoulder, a keel () for anchoring it in the glenoid cavity (G). This keel () comprises a body () that extends from the opposite face (S). The keel () comprises at least one fin () projecting from the body () which runs over at least a part of the perimeter of the body (). 1. Shoulder prosthesis glenoid component having on one of its faces an articulation surface adapted to cooperate with a humeral head and having , on an opposite face adapted to be immobilized on the glenoid cavity of a shoulder , a keel for anchoring it in the glenoid cavity , this keel comprising a body that extends from said opposite face , characterized in that the keel comprises at least one fin projecting from the body which runs over at least a part of the perimeter of the body.2. Glenoid component according to claim 1 , characterized in that the body of the keel has in cross section a non-circular peripheral contour.3. Glenoid component according to claim 1 , characterized in that the fin or at least one of the fins has a helicoidal shape and winds around the body.4. Glenoid component according to claim 1 , characterized in that the body comprises at least one internal passage opening onto the external surface of the body and connected to an orifice for injecting a fluid such as a bone substitute or a solution containing growth factors.5. Glenoid component according to claim 1 , characterized in that the fin or at least one of the fins extends in a plane substantially perpendicular to a longitudinal main axis of the body.6. Glenoid component according to claim 1 , characterized in that the body comprises at least two separate cylindrical parts the respective axes of which are substantially parallel to each other and between which the fin or fins extend(s).7. ...

BONE IMPLANTS

A bone implant system to correct bone abnormalities and/or change bone morphology includes a bone implant and one or more bone anchors. The bone implant may be generally wedge shaped, and may be formed of one or more conjoined crescent shapes. The bone anchor slidingly engages the bone implant and the bone to provide fixation. 1. A bone implant , comprising:a first bone-contacting surface;a second bone-contacting surface opposite the first bone-contacting surface;a proximal side;a distal side, wherein the first bone-contacting surface and the second bone-contacting surface diverge away from each other toward the proximal side of the bone implant and converge together toward the distal side of the bone implant;a first protrusion;a second protrusion;an intermediate portion intermediate the first protrusion and the second protrusion, wherein the first protrusion and the second protrusion protrude away from the intermediate portion toward the distal side of the bone implant; anda first recess intermediate the first protrusion and the second protrusion, wherein the first recess is substantially wider than the first protrusion and the second protrusion.2. The bone implant of claim 1 , wherein the first protrusion claim 1 , the intermediate portion claim 1 , and the second protrusion generally form an at least partially crescent shape.3. The bone implant of claim 2 , further comprising:a first channel formed in the first bone-contacting surface of the first protrusion, the first channel configured to receive a first bone anchor;a second channel formed in the first bone-contacting surface of the second protrusion, the second channel configured to receive a second bone anchor;a third channel formed in the second bone-contacting surface of the first protrusion, the third channel configured to receive a third bone anchor; anda fourth channel formed in the second bone-contacting surface of the second protrusion, the fourth channel configured to receive a fourth bone anchor.4. ...

REVERSE SHOULDER SYSTEMS AND METHODS

Reversed glenoid implants, and related kits and methods, are described that include an anchor member having a proximal head and a baseplate having a distal end with a first aperture sized to accept the proximal head of the anchor member. The proximal head is inserted along an un-threaded length thereof from the distal end into the first aperture, and the anchor member is restrained against axial translation with respect to the baseplate but is permitted to rotate with respect to the baseplate. 18-. (canceled)9. A method of using a glenoid implant for a shoulder prosthesis comprising:securing an anchor member at least partially to bone, the anchor member comprising a longitudinal portion configured to be secured to a bone and a proximal head, wherein the proximal head has a first engaging surface;inserting the proximal head of the anchor member into a baseplate, the baseplate comprising a proximal end and a distal end, wherein the distal end comprises a first aperture sized to accept the proximal head of the anchor member and a second engaging surface;with the proximal head of the anchor member inserted into the first aperture such that the first engaging surface is coupled to the second engaging surface, rotating the baseplate relative to the anchor member to adjust the position of the baseplate without adjusting the rotational position of the anchor member; andsecuring the baseplate to the bone.10. The method of claim 9 , further comprising claim 9 , prior to securing the anchor member at least partially to bone claim 9 , inserting the proximal head into the first aperture to cause the first engaging surface to couple with the second engaging surface.11. The method of claim 10 , wherein inserting the proximal head into the first aperture to cause the first engaging surface to couple with the second engaging surface further comprises restraining the anchor member against axial translation with respect to the baseplate but permitting rotation of the anchor member ...

INTERVERTEBRAL SPINAL IMPLANT AND METHOD

A spinal implant is provided. The spinal implant comprises a body configured for implantation between two adjacent vertebrae, and comprises a retaining member movable between a first position where the retaining member is in an unexpanded configuration and a second position where the retaining member is in an expanded configuration. The retaining member comprises a tissue contacting surface configured to engage a lamina of at least one of the adjacent vertebrae. 1. A spinal implant comprising a body configured for implantation between two adjacent vertebrae , the body comprising a retaining member movable between a first position where the retaining member is in an unexpanded configuration and a second position where the retaining member is in an expanded configuration , the retaining member comprising a tissue contacting surface configured to engage a lamina of at least one of the adjacent vertebrae.2. A spinal implant according to claim 1 , wherein the retaining member comprises a foot extendable from the body.3. A spinal implant according to claim 1 , wherein the retaining member comprises spikes configured to be embedded in the lamina of at least one adjacent vertebra.4. A spinal implant according to claim 1 , wherein the retaining member comprises a concave surface configured to engage a lamina of at least one adjacent vertebra.5. A spinal implant according to claim 1 , wherein the body comprises a cylindrical claim 1 , ellipsoid claim 1 , or spherical shape.6. A spinal implant according to claim 1 , wherein the retaining member comprises an elastomeric material.7. A spinal implant according to claim 1 , wherein the retaining member is spring-loaded with the body.8. A spinal implant according to claim 1 , further comprising a jacking member pivotable to move the body between the first position and the second position.9. A spinal implant according to claim 1 , wherein the retaining member is pullable to move between the first position and second position.10. A ...

ARTIFICIAL SPINAL DISK PROSTHESIS

Intervertebral endoprosthesis discs suitable for surgical implantation between two vertebrae having and methods thereof. The prosthetic disc may have an endoprosthesis body including an anterior region and a posterior region designed to be positioned between a first vertebra and a second vertebra with a first and second movable insert positioned rotatably in anterior cavities and is rotatable to adjust the fasteners. 1. A surgical method comprising:providing an intervertebral disc implant, wherein the intervertebral disc implant comprises a superior surface, an inferior surface, a side surface that extends between the superior surface and the inferior surface, a recess that extends between the superior surface and the inferior surface, a first aperture for receiving a first fastener and a second aperture for receiving a second fastener;inserting the intervertebral disc implant into a disc space of a patient;moving the first aperture so as to accommodate the first fastener in a particular position or orientation relative to the disc space; andmoving the second aperture independently from the first aperture so as to accommodate the second fastener in a particular position or orientation relative to the disc space.2. The surgical method of claim 1 , wherein the first aperture is rotatable.3. The surgical method of claim 2 , wherein the first aperture is formed in a first insert.4. The surgical method of claim 3 , wherein the second aperture is rotatable.5. The surgical method of claim 4 , wherein the second aperture is formed in a second insert.6. The surgical method of claim 5 , wherein the first insert is received in a first cavity formed in the intervertebral disc implant and the second insert is received in a second cavity formed in the intervertebral disc implant.7. The surgical method of claim 1 , wherein the first aperture is formed in a first insert that is translatable.8. The surgical method of claim 7 , wherein the first insert is translatable along a ...

HYBRID INLAY/ONLAY ARTICULAR SURFACE IMPLANTS AND METHODS

A hybrid inlay/onlay (HIO) implant system includes an implant and an anchor. The implant comprises an inlay component and an onlay component. The inlay component is configured to be at least partially received in an excision site and includes a bone facing surface configured to abut against the bone within the excision site. The onlay component comprises an uppermost surface and a stepped surface. The uppermost surface includes an articulating surface configured to articulate against an articulating surface associated with a second bone of the joint. The stepped surface is configured to abut against at least some of a remaining portion of the patient's native articular surface proximate the excision site and/or a peripheral step excision site formed proximate the excision site. The anchor is configured to extend away from the bone facing surface of the inlay segment and to secure the HIO implant system to the first bone. 1. A hybrid inlay/onlay (HIO) implant system for replacing at least a portion of a patient's native articular surface on a first bone in a joint , said HIO implant system comprising:{'claim-text': ["an inlay component configured to be at least partially received in an excision site formed in said first bone beneath a removed portion of a patient's native articular surface, said inlay component comprising a bone facing surface configured to abut against said bone within said excision site; and", "an onlay component comprising an uppermost surface and a stepped surface, said uppermost surface including an articulating surface configured to articulate against an articulating surface associated with a second bone of said joint and said stepped surface configured to abut against at least some of a remaining portion of said patient's native articular surface proximate to said excision site or a peripheral step excision site formed proximate to said excision site; and"], '#text': 'an implant comprising:'}an anchor configured to extend away from said bone ...

STANDALONE INTERBODY SPACER

A fastener retention system for a standalone interbody spacer that includes flexible members to configure to rotate from an “unlocked to a “locked” state to cover the screw holes in the interbody space to prevent bone engagement fasteners from backing out. 1. An interbody spacer for placement between adjacent vertebrae comprising:a spacer having one or more fastener holes and one or more flexible locking pins;a fastener retention system configured to couple with the spacer body proximate the fastener holes, the fastener retention system having one or more locking pin pockets configured to engage the one or more flexible locking pins, wherein rotation of the fastener retention system is configured to deflect the one or more flexible locking pins from an unlocked locking pin pocket in an unlocked position to a locked locking pin pocket in a locked position;wherein when the or more flexible locking pins are in the unlocked pin pocket the fastener retention system does not block the one or more fastener holes, and when the one or more flexible locking pins are in the locked locking pin pockets the fastener retention system blocks the one or more fastener holes.2. The interbody spacer of claim 1 , wherein the spacer includes clearance geometry that allows the engagement end of the flexible locking pins to deflect into clearance geometry while the fastener retention system is being actuated between locking pin pockets from an unlocked position to a locked position3. The interbody spacer of claim 1 , wherein the proximal end of the fastener retention system includes a tool engagement feature.4. An interbody spacer for placement between adjacent vertebrae comprising:a spacer body having one or more fastener holes and one or more flexible locking pins;a fastener retention system proximate the one or more fastener holes having one or more locking pin pockets, the fastener retention system being configured to deflect the one or more flexible locking pins from an unlocked ...

COMPONENTS FOR ARTIFICIAL JOINTS

A component of an artificial joint according to an exemplary aspect of the present disclosure includes, inter alia, a hollow tube including bone ingrowth material. Further, the hollow tube is selectively expandable. The bone ingrowth material allows the component to become biologically fixed to adjacent bone. Further, expansion of the hollow tube increases friction between the hollow tube and the adjacent bone, which increases stability. 1. An artificial femoral component , comprising:a hollow tube including bone ingrowth material.2. The artificial femoral component as recited in claim 1 , wherein the hollow tube is selectively expandable.3. The artificial femoral component as recited in claim 1 , wherein the hollow tube projects from a posterior surface of the artificial femoral component in a posterior direction.4. The artificial femoral component as recited in claim 3 , wherein the posterior surface is substantially covered with a layer of bone ingrowth material.5. The artificial femoral component as recited in claim 3 , wherein:the posterior surface includes a proximal planar surface, a distal planar surface, and a planar chamfer surface between the proximal planar surface and the distal planar surface, andthe hollow tube projects from one of the proximal planar surface and the planar chamfer surface.6. The artificial femoral component as recited in claim 5 , wherein:the hollow tube is a first hollow tube and the artificial femoral component further comprises a second hollow tube,the first hollow tube projects from the proximal planar surface, andthe second hollow tube projects from the planar chamfer surface.7. The artificial femoral component as recited in claim 6 , wherein:the first hollow tube is arranged about a first axis, andthe second hollow tube is arranged about a second axis spaced-apart from the first axis.8. The artificial femoral component as recited in claim 7 , wherein the first and second axes are substantially parallel to one another.9. The ...

IMPLANTS, SYSTEMS AND METHODS OF USING THE SAME

Implants, device, systems and methods for replacing an articulation surface in a joint, for example, a reverse glenoid implant with a baseplate, a central screw, a peripheral screw, a modular taper, and a post. Methods for implanting the glenoid implant are also disclosed. 1. A method of using an implant , the method comprising:obtaining the implant;surgically exposing and resecting a desired bone;inserting a baseplate into the bone;inserting a central screw through the baseplate into the bone;screwing a coupling member into a central bore of the baseplate;placing a glenosphere onto the coupling member; andinserting a post through the glenosphere and the coupling member; andthreading the post into a recess of the central screw.2. The method of claim 1 , further comprising:inserting a peripheral screw through one of a plurality of peripheral bores into the bone.3. The method of claim 1 , wherein the baseplate claim 1 , the central screw and the coupling member are pre-assembled as a single unit and inserted into an implant as a single unit.4. The method of claim 1 , wherein screwing the coupling member into a central bore of the baseplate claim 1 , comprises:threadingly connecting the coupling member to the central bore of the baseplate.5. The method of claim 1 , wherein placing the glenosphere onto the coupling member comprises:disposing the glenosphere atop the coupling member, wherein an exterior of the coupling member and a distal tapered portion of the glenosphere bore form a mechanical taper connection.6. The method of claim 2 , wherein the implant comprises: 'a plurality of protrusions extending away from a bottom surface of the baseplate;', 'the baseplate, comprisingthe central screw extending through the central bore of the baseplate;a coupling member engaging a portion of the central bore in the baseplate;the glenosphere coupled to the coupling member;the post extending through the glenosphere, the coupling member and into the central screw; andat least one ...

Percutaneous Device

An intracorporeal portion of a percutaneous device for a joint disarticulation prosthesis or joint replacement prosthesis, the intracorporeal portion having an extracorporeal portion or having means for rigidly coupling directly to an extracorporeal portion, the extracorporeal portion being for location exterior to the skin, the intracorporeal portion having an articulating component for articulating with an articulating surface, wherein the articulating component is intracorporeal when installed in a human or animal subject. 1. An intracorporeal portion of a percutaneous device for a joint disarticulation prosthesis or joint replacement prosthesis , the intracorporeal portion having an extracorporeal portion or having means for rigidly coupling directly to an extracorporeal portion , the extracorporeal portion being for location exterior to the skin , characterized in thata) the intracorporeal portion has an articulating component for articulating with an articulating surface of a human or animal subject, wherein the articulating component is intracorporeal when installed in said human or animal subject; orb) the intracorporeal portion has an articulating component for articulating with an intracorporeal articulating surface, wherein the articulating component is intracorporeal when installed in a human or animal subject.240.-. (canceled)41. An intracorporeal portion of a percutaneous device according to claim 1 , wherein the articulating component is integral with or rigidly coupled to the intracorporeal portion of the percutaneous device in use.42. An intracorporeal portion of a percutaneous device according to claim 1 , wherein the articulating component comprises a ball component or a socket component and the device articulates with an articulating surface of a ball and socket joint claim 1 , when implanted.43. An intracorporeal portion or percutaneous device according to claim 1 , wherein the articulating component articulates with an articulating surface of a ...

SPINAL IMPLANTS

Disclosed herein is a spinal implant with a solid frame and a porous inner layer. The implant may have a cavity defined by the porous inner layer. The solid frame may have one or more ribs extending from a medial wall to a lateral wall. The thickness of the porous layer may vary relative the thickness of the solid frame at various locations. An inserter to place a spinal implant and a method to perform same are also disclosed. 1. A spinal implant comprising:a solid frame having a medial or first side wall defining a medial or first side wall thickness, a lateral or second side wall defining a lateral or second side wall thickness, a posterior wall defining a posterior wall thickness and an anterior wall defining an anterior wall thickness;a porous inner layer disposed within the solid frame, the porous inner layer having an exposed superior and an exposed inferior surface,an inner first cavity extending in a superior-inferior direction and being defined by the porous inner layer and the solid frame;wherein the solid frame has one or more ribs extending from the medial wall to the lateral wall above the superior and inferior surface, and a porous posterior wall thickness and a porous anterior wall thickness being less than the posterior wall thickness and the anterior wall thickness respectively, and a porous medial wall thickness and porous lateral wall thickness being greater than the medial wall thickness and the lateral wall thickness respectively.2. The spinal implant of claim 1 , wherein the spinal implant has two or more inner cavities claim 1 , each cavity extending in a superior-inferior direction and being defined by the porous inner layer and the solid frame.3. The spinal implant of claim 1 , wherein the spinal implant has an inner second cavity extending in a superior-inferior direction and being defined by the porous inner layer and the solid frame claim 1 , a crossbar running medial-laterally and separating the two cavities claim 1 , the crossbar being ...

SYSTEMS FOR AND METHODS OF PREPARING AND FUSING A SACROILIAC JOINT

A system for performing a fusion procedure on a sacroiliac joint defined between a sacrum and an ilium. The system may include a working cannula including a proximal end, a distal end, a tubular body extending between the proximal and distal ends, a cannula passageway defined within the tubular body and having a cannula axis extending there through, a pair of prongs coupled to the tubular body and extending distally there from, an anchor arm engagement structure coupled to the tubular body, and a pin guide coupled to the tubular body and defining a pin passageway having a guidance axis there through that is generally parallel with the cannula axis. 1. A system for performing a fusion procedure on a sacroiliac joint defined between a sacrum and an ilium , the system comprising:a working cannula comprising a proximal end, a distal end, a tubular body extending between the proximal and distal ends, a cannula passageway defined within the tubular body and having a cannula axis extending there through, a pair of prongs coupled to the tubular body and extending distally there from, an anchor arm engagement structure coupled to the tubular body, and a pin guide coupled to the tubular body and defining a pin passageway having a guidance axis there through that is generally parallel with the cannula axis.2. The system of claim 1 , wherein the pair of prongs lie in a plane that intersects the cannula axis.3. The system of claim 1 , wherein the pair of prongs lie in a plane that intersects the guidance axis.4. The system of claim 1 , wherein the pair of prongs lie in a plane that intersects the cannula axis and the guidance axis.5. The system of claim 1 , wherein the tubular body comprises an inner surface that defines the cannula passageway claim 1 , the inner surface including a pair of protrusions extending inward from opposite sides of the inner surface.6. The system of claim 1 , further comprising an anchor arm including a cannula engagement structure configured to couple ...

TIBIAL PROSTHESIS FOR TIBIA WITH VARUS RESECTION

Methods, systems and apparatuses are disclosed including apparatuses that can be used in a total knee replacement procedure. According to one example, a tibial implant is disclosed. The tibial implant can be configured for attachment to a tibia in a knee arthroplasty and can include a baseplate having a lateral portion and a medial portion oriented relative to an anteroposterior axis and a fixation member. Each of the lateral portion and the medial portion can have a distal surface configured to interface with a resected proximal surface of a tibia. The fixation member can be coupled to and extend both distally and medially from the baseplate such that the fixation member is oriented at an acute angle relative to the distal surface of the medial portion. 1. A tibial implant configured for attachment to a tibia in a knee arthroplasty , the tibial implant comprising:a baseplate having a lateral portion and a medial portion oriented relative to an anteroposterior axis, each of the lateral portion and the medial portion having a distal surface configured to interface with a resected proximal surface of a tibia; anda fixation member coupled to and extending both distally and medially from the baseplate such that the fixation member is oriented at an acute angle relative to the distal surface of the medial portion.2. The tibial implant of claim 1 , wherein the fixation member comprises one or both of a keel and a stem that are configured for insertion into a metaphysis and/or diaphysis of the tibia.3. The tibial implant of claim 2 , wherein one or both of the keel and stem are configured to be removably attached to the baseplate.4. The tibial implant of claim 3 , wherein one or both of the keel and stem are configured to be adjustable 180° relative to the baseplate such that the tibial implant is configured for use with both a left tibia and a right tibia.5. The tibial implant of claim 2 , wherein the stem and keel are configured to couple together claim 2 , and wherein ...

GLENOID VAULT FIXATION

A joint prosthesis system, specifically a shoulder prosthesis, for shoulder replacement, revision and repair. The implants provide fixation into the best bone available to a surgeon. The implants are used in a superior-inferior and anterior-posterior construct forming a type of cross or X-shape. The implants allow for interchangeability of the articulating component as well as rotational orientation. The systems will allow for augments to accommodate bone loss. The implants may allow for additional security using screws or anchors inserted into the scapula. 136-. (canceled)37. A method for inserting a prosthesis into a shoulder for shoulder repair , comprising:preparing a bone for receiving an anchor;positioning a superior-inferior component into the bone, the superior-inferior component comprises a body comprising a first bore, wherein the first bore comprises a seat, wherein the seat is shaped to receive the head of a screw, wherein the superior-inferior component comprises at least one superior-inferior component arm, wherein the first vertical component arm is integral to the body and extends from the body;positioning an anterior-posterior component at least partially within the first bore of the superior-inferior component, the anterior-posterior component comprising a wall, wherein the wall defines an aperture, wherein the anterior-posterior component comprises a protruded portion distal to the wall, wherein the aperture extends into the protruded portion;rotating the anterior-posterior component about the first bore to facilitate engagement with favorable bone; andengaging a glenoid component within the aperture, wherein the glenoid component comprises a body, wherein the body comprises an articulating surface and a second surface opposite the articulating surf ace, wherein the second surf ace comprises a post that extends from the second surf ace, wherein when the glenoid component engages within the aperture, at least a portion of the post is contained ...

PHOTODYNAMIC ARTICULAR JOINT IMPLANTS AND METHODS OF USE

Photodynamic devices for replacement of an articular head of a bone are provided. In an embodiment, a photodynamic device includes a photodynamic support member and an articular member attachable, either fixedly or removably, to the photodynamic support member and having a bearing surface. In an embodiment, the articular member includes a recess designed to receive the photodynamic support member. In an embodiment, the photodynamic support member includes an opening into which a shaft of the articular member can be inserted to attach the articular member to the photodynamic support member.

System and method to fuse bone

Systems and methods include a method to fuse two sections of bone. The method includes various operations such as accessing the chest cavity (e.g., by severing the sternum) and preparing the sternal edges of the two sections of bone. Sternal wires are implanted around the two sections of bone to create a cradle in a space between the two sections of bone. Cancellous bone tissue may be harvested from the patient and used to hydrate an implant before trimming the implant and/or placing the implant in the cradle. The sternal wires are tightened to compress the implant between the two sections of bone; and the ends of the sternal wires are tied together to create a sternal structure comprised of the implant tightly compressed between the two sections of bone. The sternal construct can act as a bone gasket to improve healing and fusing for the two sections of bone.

Expandable inter-body device, system and method

Expandable spinal implants, systems and methods are disclosed. An expandable spinal implant may include a first endplate, a second endplate, and a moving mechanism that is operably coupled to the first and second endplates. The moving mechanism may include a wedge, a first sliding frame and a second sliding frame disposed on opposite sides of the wedge, a screw guide housing a rotatable first set screw and a rotatable second set screw opposite the first set screw. The first set screw may be operably coupled to the second sliding frame and the second set screw may be operably coupled to the wedge. The moving mechanism may operably adjust a spacing between the first and second endplates upon simultaneous rotation of the first and second set screws and operably adjust an angle of inclination between the first and second endplates upon translating the first set screw or second set screw.

EXPANDABLE INTER-BODY DEVICE, SYSTEM, AND METHOD

The present disclosure provides for spinal implants deployable between a contracted position and an expanded position. The spinal implant may include an anterior endplate, a superior endplate, and an inferior endplate operably coupled to a moving mechanism. The first endplate and a second endplate each include at least one bone screw relief. The moving mechanism may include first and second trolleys configured to act against corresponding ramps. The moving mechanism may further include a first set screw and a second set screw opposite the first set screw configured to operably adjust a spacing between the first and second endplates upon simultaneous rotation of the first and second set screws along a rotation axis, and may also operably adjust an angle of inclination between the first and second endplates upon rotating either one of the first set screw and second set screw along the rotation axis.

Intervertebral cage for fusion

An intervertebral fusion mechanism includes a disc cage having a scaffolding structure to support bone growth and a porous cancellous bone feeder anchor, connected to the disc cage, for providing a biological material transference interface between cancellous bone and the disc cage.

INTERVERTEBRAL SPACER THAT DYNAMICALLY PROMOTES BONE GROWTH

A dynamic intervertebral spacer includes a ring which is split on an anterior portion. A posterior portion of the ring acts as a torsion spring. After implantation, the ring is able to act as a spring between superior and inferior vertebral bodies, thus allowing dynamic bone growth in fusion procedures.

INTERVERTEBRAL SPACER THAT DYNAMICALLY PROMOTES BONE GROWTH

A dynamic intervertebral spacer includes a ring which is split on an anterior portion. A posterior portion of the ring acts as a torsion spring. After implantation, the ring is able to act as a spring between superior and inferior vertebral bodies, thus allowing dynamic bone growth in fusion procedures. 1. A dynamic intervertebral spacer comprising:a monolithic spacer having an anterior portion, a posterior portion, a superior surface, an inferior surface, and an open center portion;wherein the spacer is split to provide motion in the anterior/posterior direction between a bone attachment portion of the superior surface and a bone attachment surface of the inferior surface of between 1 and 5 degrees;wherein a portion of the spacer is configured to act as a torsion spring to allow the anterior/posterior motion;wherein the open center portion is configured to receive bone graft; andwherein inferior and superior surfaces are angled with respect to one another in order to restore lordosis.2. A spacer as in claim 1 , further comprising an attachment feature for attaching the bone attachment portion of at least one of the superior and inferior surfaces to the bone.3. A spacer as in claim 2 , wherein the attachment feature is a bone screw.4. A spacer as in claim 2 , wherein the attachment feature is a surface feature or coating which promote bone ingrowth.5. A spacer as in claim 2 , wherein first and second sides of the spacer each have at least one bone screw claim 2 , wherein the bone screw(s) on one side are configured to attach to a posterior vertebral body and the bone screw(s) on the another side are configured to attach to an inferior vertebral body.6. A spacer as in claim 1 , wherein spacer is in the shape of a split ring and the ring has first and second opposed faces at the split which move with respect to one another under load on the ring from adjacent vertebral bodies.7. A spacer as in claim 1 , wherein the spacer is configured to fit entirely within a space ...

Shoulder Prosthesis With Variable Inclination Humeral Head Component

Methods and devices are disclosed for joint (e.g., shoulder) arthroplasty, including for reverse joint arthroplasty. In one aspect, there is provided a trial device for determining inclination, offset, and/or version of a prosthetic tray with respect to a prosthetic stem or stemless implant. In another aspect, there is provided a joint (e.g., shoulder) prosthesis, which allows for variable offset, inclination or version or any combination thereof. In another aspect, there is provided a method for setting an offset or inclination angle or a version angle or any combination thereof of a prosthetic tray with respect to a stem or stemless device implanted or to be implanted in a bone of a joint (e.g., shoulder) by matching the corresponding offset or version or inclination or any combination thereof to a trial device. 1. A joint prosthesis comprising:an implant dimensioned to be implanted in a first bone of a joint of a subject;a prosthetic tray having an outer surface dimensioned for articulation with an articular surface of an artificial joint surface of a second bone of the joint;an adapter dimensioned to be impacted into a depression in an end surface of the prosthetic tray opposite the outer surface of the prosthetic tray thereby forming an interference fit between the adapter and the depression; anda mounting stud having a first end and a second end, the first end being dimensioned for impaction into a socket in the adapter thereby forming an interference fit between the first end and the socket, the second end being dimensioned for insertion into an opening in the implant.2. The joint prosthesis of wherein:the second end of the mounting stud is dimensioned for impaction into the opening in the implant thereby forming an interference fit between the second end and the implant.3. The joint prosthesis of wherein:the first end of the mounting stud includes a semi-spherical surface.4. The joint prosthesis of wherein:the semi-spherical surface of the first end of the ...

Intervertebral implant having extendable bone fixation members

An intervertebral implant is configured to be fixed in an intervertebral space defined by a first vertebral body and a second vertebral body. The intervertebral implant includes an implant body sized to be inserted into an intervertebral space, and a fixation assembly configured to be attached to the implant body. The fixation assembly includes a housing that defines a first vertebral body facing surface and a second vertebral body facing surface spaced from the first vertebral body facing surface along a transverse direction. The fixation assembly further includes at least one fixation member supported by the housing and movable from a retracted position to an extended position, whereby in the extended position the fixation member extends out from the housing and into one of the vertebral bodies.