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Небесная энциклопедия

Космические корабли и станции, автоматические КА и методы их проектирования, бортовые комплексы управления, системы и средства жизнеобеспечения, особенности технологии производства ракетно-космических систем

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Мониторинг СМИ

Мониторинг СМИ и социальных сетей. Сканирование интернета, новостных сайтов, специализированных контентных площадок на базе мессенджеров. Гибкие настройки фильтров и первоначальных источников.

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Форма поиска

Поддерживает ввод нескольких поисковых фраз (по одной на строку). При поиске обеспечивает поддержку морфологии русского и английского языка
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Применить Всего найдено 2066. Отображено 100.
05-01-2012 дата публикации

Prosthetic knee joint

Номер: US20120004735A1
Автор: Franz W. Kellar, Glenn A. Rupp, Harold L. Crowder, JR.
Принадлежит: BioMedFlex LLC

A prosthetic knee joint includes: (a) a femoral member comprising rigid material with a convex, wear-resistant femoral contact surface including a convex ridge; (b) a tibial assembly including: (i) at least one cup comprising rigid material with a body and a rim substantially thicker than the body defining a wear-resistant cup contact surface; (ii) a rigid base; and (iii) a spring support interconnecting the cup and the base, the spring support elastically deflectable permitting controlled pivoting of the at least one cup; (c) wherein the cup contact surface bears against the femoral contact surface, transferring axial and lateral loads between the cup and femoral member, while allowing pivoting between the cup and femoral member; and (d) wherein the at least one cup allows the rim to deform elastically, permitting the cup contact surface to conform in an irregular shape to the femoral contact surface, when the knee joint is loaded.

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Номер записи: 1
19-01-2012 дата публикации

Intervertebral implant with multi-piece end cap

Номер: US20120016478A1
Автор: Bret M. Wilfong, Michael J. Merves
Принадлежит: WARSAW ORTHOPEDIC INC

Implants sized to be inserted into an intervertebral space between first and second vertebral members, and related methods. The spinal implant may have a body extending along a longitudinal axis with opposing first and second longitudinal ends. An end cap is mounted to the body at one of the ends and disposed longitudinally outboard of the corresponding end. The end cap comprises a first portion, a second portion, and an annular elastic element, such as an O-ring. The first and second portions are disposed circumferentially around the longitudinal axis. The annular elastic member circumferentially surrounds the first portion, the second portion, and the longitudinal axis. The annular elastic member applies a compressive force that urges the first and second portions together in a direction transverse to the longitudinal axis. The end cap may be flat or angled. Other implants and related methods are disclosed.

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Номер записи: 2
23-02-2012 дата публикации

Devices and methods for treating defects in the tissue of a living being

Номер: US20120046758A1
Автор: Douglas G. Evans, Russell T. Kronengold, Scott M. Goldman
Принадлежит: Evans Douglas G, Goldman Scott M, Kronengold Russell T

An implant for deployment in select locations or select tissue for regeneration of tissue is disclosed. The implant includes collagen and or other bio-resorbable materials, where the implant may also be used for therapy delivery.

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Номер записи: 3
10-05-2012 дата публикации

Implant

Номер: US20120116399A1
Автор: André Weber, Andreas Appenzeller, Christian Gerber, Philippe Gedet
Принадлежит: Synthes USA LLC

An implant comprises a deformable gas tight sack. The sack comprises a first chamber in fluid communication with an obturatable opening, the chamber filled or fillable with a filling material filling the first chamber. The implant is configured such that when one or both of a gas and fluid surrounding the filling material is removed from the first chamber through the opening, a wall of the first chamber forms around and holds the filling material. This causes the implant to transition from a relatively flexible insertion state to a relatively rigid fixation state in which the implant is fixable in the target portions of bone.

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Номер записи: 4
10-05-2012 дата публикации

Artificial disc prosthesis for replacing a damaged nucleus

Номер: US20120116516A1
Автор: Kamran Aflatoon
Принадлежит: Individual

A multi-piece disc replacement implant for replacing a disc removed by a discectomy including an upper plate member, a lower plate member, and an intermediate resilient member providing movement between the two plate members replicating the natural movement of the spine. The plate members are rigid and have orthogonal sidewalls forming an enclosure. The resilient member is an elastic solid or a multi-chamber balloon structure of fluid-filled sacks that collectively define a non-uniform shape such as an oblate spheroid, or a helically coiled string of beads. Such an implant is capable of supporting the compressive and cyclic loads required of a natural disc. The upper and lower plate members are cooperatively formed to selectively limit the allowable range of motion in any given direction and a provided with protrusions to be received in one or more channels cooperatively formed in the vertebrae and secured in place by a bone screw.

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Номер записи: 5
10-05-2012 дата публикации

Selectively Expanding Spine Cage, Hydraulically Controllable In Three Dimensions for Vertebral Body Replacement

Номер: US20120116518A1
Автор: Rudy Pretti, Thomas Grotz
Принадлежит: Coalign Innovations Inc

A selectively expanding spine cage has a minimized diameter in its unexpanded state that is smaller than the diameter of the neuroforamen through which it passes in the distracted spine. The cage conformably engages between the endplates of vertebrae to effectively distract the anterior disc space, stabilize the motion segments, eliminate pathologic spine motion, or effect vertebral body replacement. Expanding selectively (anteriorly, along the vertical axis of the spine) rather than uniformly, the cage height increases and holds the vertebrae with fixation forces greater than adjacent bone and soft tissue failure forces in natural lordosis. Stability is thus achieved immediately, enabling patient function by eliminating painful motion. The cage shape intends to rest proximate to the anterior column cortices securing the desired spread and fixation, allowing for bone graft in, around, and through the implant for arthrodesis whereas for arthroplasty it fixes to endpoints but cushions the spine naturally.

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Номер записи: 6
10-05-2012 дата публикации

Joint device and method

Номер: US20120116523A1
Автор: Peter Forsell
Принадлежит: MILUX HOLDING SA

A mould adapted to be introduced into a joint of a human patient for resurfacing at least one carrying contacting surface of said joint is provided. The mould is adapted to receive material for resurfacing at least one carrying contacting surface of said joint. The mould is further adapted to be resorbed by the human body or melt after having served its purpose. Further, a method of treating hip joint osteoarthritis in a human patient by providing an artificial hip joint surface using a mould is provided. The method comprises the steps of: said mould being placed inside of said hip joint, said mould being injected with a fluid adapted to harden, said fluid hardening inside of said hip joint, said mould being resorbed by the human body, and said hardened fluid serving as artificial hip joint surface.

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Номер записи: 7
31-05-2012 дата публикации

Devices and Methods For Treating Bone

Номер: US20120136399A1
Автор: David W. Ankney, II Michael Lee Boyer, Jamie Calverley, Jody L. Seifert, Mark Adams, Nirali Patel, Paul W. Millhouse
Принадлежит: Globus Medical Inc

A device is disclosed for reducing a vertebral compression fracture, comprising a superior end plate and an inferior end plate disposed along a vertical axis. The superior end plate and the inferior end plate are slidably separable in a vertical direction along the vertical axis. An interior chamber is provided in fluid communication with a port extending from an exterior to the interior chamber. The device is deployable within a vertebral body and expandable within the vertebral body by injecting a flowable material into the interior chamber thereby displacing the superior and inferior end plates along the vertical axis.

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Номер записи: 8
31-05-2012 дата публикации

Prostheses for spine discs having fusion capability

Номер: US20120136447A1
Автор: Thomas B. Freeman, Wesley M. JOHNSON
Принадлежит: UNIVERSITY OF SOUTH FLORIDA

The present invention provides both a device and a method. The device is a human made replacement for the soft discs in the spine. A fabric pouch encloses a central hydraulic element made up of small soft beads. Two pouches with beads are implanted into a prepared disc space to function as an intervertebral disc. The method is conversion of the device into a fusion element.

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Номер записи: 9
13-09-2012 дата публикации

Inflatable multi-chambered devices and methods of treatment using the same

Номер: US20120232575A1
Автор: Anthony Wirtel, III, Mark Borden
Принадлежит: Globus Medical Inc

Inflatable multi-chambered devices are provided for repairing or replacing spinal discs and distracting neighboring vertebral elements. Also included are cushioning devices that may be used in a joint replacement device cushioning system. Further included are kits and systems that include such devices, methods for making such devices, and methods of treating patients in need of such devices. Examples further include cosmetic augmentation and restoration devices.

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Номер записи: 10
06-12-2012 дата публикации

Artificial Disc Device

Номер: US20120310287A1
Автор: Brian Patrick Janowski, Gregory Berrevoets, Hansen A. Yuan, Jeffrey L. Trudeau, Matthew N. Songer, Qi-Bin Bao, Thomas S. Kilpela
Принадлежит: Pioneer Surgical Technology Inc

An artificial disc device for replacing a damaged nucleus is disclosed. In one form, the device may be inserted in components such that the device may be assembled within and retained by the natural annulus therein. In another form, the device may be inserted into the natural annulus in a collapsed or compressed state or arrangement and then be expanded within and retained by the annulus therein. In a further form, the device may be provided with a releasable connection so that the device may be connected in an insertion configuration and may be released in an operable configuration. Insertion tools and methods are also disclosed.

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Номер записи: 11
06-12-2012 дата публикации

In-situ intervertebral fusion device and method

Номер: US20120310352A1
Автор: John D. Malone, Thomas M. DiMauro
Принадлежит: DePuy Spine LLC

An orthopedic device for implanting between adjacent vertebrae comprising: an arcuate balloon and a hardenable material within said balloon. In some embodiments, the balloon has a footprint that substantially corresponds to a perimeter of a vertebral endplate. An inflatable device is inserted through a cannula into an intervertebral space and oriented so that, upon expansion, a natural angle between vertebrae will be at least partially restored. At least one component selected from the group consisting of a load-bearing component and an osteobiologic component is directed into the inflatable device through a fluid communication means.

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Номер записи: 12
13-12-2012 дата публикации

Prophylactic bactericidal implant

Номер: US20120316655A1
Автор: Richard A. Wysk, Thomas A. Fuller, Wayne J. Sebastianelli
Принадлежит: ArgentumCidalElectrics Inc

A medical implant system is described for inhibiting infection associated with a joint prosthesis implant. An inventive system includes an implant body made of a biocompatible material which has a metal component disposed on an external surface of the implant body. A current is allowed to flow to the metal component, stimulating release of metal ions toxic to microbes, such as bacteria, protozoa, fungi, and viruses. One detailed system is completely surgically implantable in the patient such that no part of the system is external to the patient while the system is in use. In addition, externally controlled devices are provided which allow for modulation of implanted components.

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Номер записи: 13
20-12-2012 дата публикации

Insertion of artificial/prosthetic facet joints with ballotable/compressible joint space component

Номер: US20120323326A1
Автор: Frank Harrison Boehm, JR.
Принадлежит: Boehm Jr Frank Harrison

A system for replacement of the natural facet joints of the spine is provided. The system is designed to be placed using a minimally-invasive technique, with passage of a unitized prosthesis through a working channel. Alternative embodiments of the prosthesis and method are also provided. The inventor also contemplates a similar system for the cervical and thoracic spine.

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Номер записи: 14
27-12-2012 дата публикации

Tissue prosthesis and method of, and equipment for, forming a tissue prosthesis

Номер: US20120330221A1
Автор: Ashish D. Diwan, Johnathon Choi, Sandra Fisher, Zoran Milijasevic
Принадлежит: Kunovus Pty Ltd

A tissue prosthesis 100 comprises an envelope 38 of a biologically inert, elastically deformable material capable of being expanded to conform to an interior surface of a cavity 36 formed at a site 10 in a patient's body. A filler material 60 is received in a fluent state in the envelope 38. The filler material 60 is of the same class of material as the envelope 38 to form, when cured, together with the envelope 38, a unified structure.

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Номер записи: 15
31-01-2013 дата публикации

Resilient knee implant and methods

Номер: US20130030542A1
Автор: R. Thomas Grotz
Принадлежит: Grotz R Thomas

This disclosure is directed to a resilient interpositional arthroplasty implant for application into a knee joint to pad cartilage defects, cushion a joint, and replace or restore the articular surface, which may preserve joint integrity, reduce pain and improve function. The implant may endure variable joint compressive and shear forces and cyclic loads. The implant may repair, reconstruct, and regenerate joint anatomy, and thereby improve upon joint replacement alternatives. Rather than using periosteal harvesting for cell containment in joint resurfacing, the walls of this invention may capture, distribute and hold living cells until aggregation and hyaline cartilage regrowth occurs. The implant may be deployed into debrided joint spaces, molding and conforming to surrounding structures with sufficient stability to avoid extrusion or dislocation. Appendages of the implant may repair or reconstruct tendons or ligaments, and an interior of the implant that is inflatable may accommodate motions which mimic or approximate normal joint motion.

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Номер записи: 16
28-03-2013 дата публикации

Far lateral spacer

Номер: US20130079882A1
Автор: Dan Mcphillips, James Schwender, Joeseph Gleason, Steve Wolfe
Принадлежит: Individual

A PEEK spacer for use in the spine is disclosed. The PEEK spacer may be configured to fit through Kambin's Triangle and expand upon insertion.

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Номер записи: 17
11-04-2013 дата публикации

Sac for use in spinal surgery

Номер: US20130090734A1
Автор: Francis Pflum
Принадлежит: Individual

A method for fusing spinal bone is provided. The method comprises placing a sac between two or more adjacent sections of the spine to be fused, and filling the sac with bone tissue. The surfaces of the sac abutting the sections of the spine comprise porous material for allowing bone to grow between the spine and the sac. Surfaces of the sac not abutting the sections of the spine are nonporous to bodily fluids and thereby prevent premature deterioration of the bone tissue inside the sac. A sac for fusing spinal bone and a kit comprising the sac are also provided.

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Номер записи: 18
25-07-2013 дата публикации

Selectively Expanding Spine Cage With Enhanced Bone Graft Infusion

Номер: US20130190875A1
Автор: Damien J. Shulock, John E. Ashley, Rudy Pretti, Thomas Grotz
Принадлежит: Coalign Innovations Inc

A selectively expanding spine cage has a minimized cross section in its unexpanded state that is smaller than the diameter of the neuroforamen through which it passes in the distracted spine. The cage conformably engages between the endplates of the adjacent vertebrae to effectively distract the anterior disc space, stabilize the motion segments and eliminate pathologic spine motion. Expanding selectively (anteriorly, along the vertical axis of the spine) rather than uniformly, the cage height increases and holds the vertebrae with fixation forces greater than adjacent bone and soft tissue failure forces in natural lordosis. Stability is thus achieved immediately, enabling patient function by eliminating painful motion. The cage shape intends to rest proximate to the anterior column cortices securing the desired spread and fixation, allowing for bone graft in, around, and through the implant for arthrodesis whereas for arthroplasty it fixes to endpoints but cushions the spine naturally.

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Номер записи: 19
08-08-2013 дата публикации

Bone fusion device, system and method

Номер: US20130204371A1
Автор: Benjamin J. REMINGTON, Daniel E. Gerbec, Daniel R. Baker, Gary R. McLuen, Gregory C. Stalcup, Joseph N. Logan
Принадлежит: Individual

A bone fusion method, system and device for insertion between bones that are to be fused together in order to replace degenerated discs and/or bones, for example, the vertebrae of a spinal column. The bone fusion device comprises a frame and one or more extendable plates that are able to be angled, rotatable, adjustable, and have top profiles designed to correct and/or match the replaced discs/bones. The bone fusion device is able to be inserted between or replace the vertebrae by using a minimally invasive procedure wherein the dimensions and/or other characteristics of the bone fusion device are selectable based on the type of minimally invasive procedure.

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Номер записи: 20
14-11-2013 дата публикации

Nucleus pulposus spinal implant and method of using the same

Номер: US20130304212A1
Автор: Eric R. VonGunten
Принадлежит: Individual

An implant configured to completely replace degenerated or damaged nucleus pulposus in an intervertebral disc. The implant comprises a silicone elastomer shell that is implanted into a void within the annulus fibrosus created by at least partial removal of the nucleus pulposus therefrom. A colloidal suspension of platinum cured silicone-based polymer and carbon nanotubes is injected into the elastomer shell. The colloidal suspension is irradiated with electromagnetic radiation, particularly infrared or near infrared light, to the point that it hardens. The hardened implant becomes a mechanical replacement for the original nucleus pulposus in the intervertebral disc.

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Номер записи: 21
30-01-2014 дата публикации

Mesh spacer hybrid

Номер: US20140031939A1
Автор: Bryan Becker, Clint Boylan, Craig Kuhns, Dan Mcphillips, Michael Wang, Steve Wolfe, Tim Walnofer
Принадлежит: Individual

A modular implant for performing an intervertebral fusion on adjacent vertebral bodies in a patient including a first spacer portion, a second spacer and a container having a first end and a second end, the first end of the container constructed to operably engage a first spacer and the second end of the container constructed to operably engage the second spacer.

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Номер записи: 22
13-02-2014 дата публикации

Three-member prosthetic joint

Номер: US20140046450A1
Автор: Franz W. Kellar, Harold Lloyd Crowder
Принадлежит: BioMedFlex LLC, KINEMAX ENGINEERING PLLC

A prosthetic joint includes: (a) a first member comprising rigid material and having a perimeter flange defined by an undercut groove, the flange defining a wear-resistant first contact surface having a protruding rim; (b) a second member comprising rigid material and having a perimeter flange defined by an undercut groove, the flange defining a wear-resistant, second contact surface having a protruding rim; and (c) a third member comprising rigid material positioned between the first and second members, the third member defining opposed wear-resistant third and fourth contact surfaces; (d) wherein the first and second contact surfaces bear against the third and fourth contact surfaces, to transfer loads through the member, while allowing pivoting motion between the first and second members; (e) wherein the flanges can deform elastically such that the first and second contact surfaces conform to the third and fourth contact surfaces.

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Номер записи: 23
20-03-2014 дата публикации

Prosthetic joint with alignment feature

Номер: US20140081406A1
Автор: Franz W. Kellar, Harold Lloyd Crowder, JR., Scott M. Duquette
Принадлежит: BioMedFlex LLC

A prosthetic joint includes: (a) a first member including a bone-implantable surface, comprising rigid material, and including a body having a cantilevered perimeter flange that defines a wear-resistant, concave first contact surface having a protruding rim and a recessed central portion; (b) a second member including a bone-implantable surface and comprising rigid material with a wear-resistant, convex second contact surface; (c) where the contact surfaces bear directly against each other, transferring axial and lateral loads between the members, while allowing pivoting motion therebetween; (d) wherein the flange is shaped and sized so as to deform elastically, permitting the first contact surface to conform in an irregular shape to the second contact surface when the joint is loaded; and (e) wherein at least one of the bone-implantable surfaces includes at least one mechanical feature configured to maintain the associated member in a specific position and/or orientation relative to bone.

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Номер записи: 24
04-01-2018 дата публикации

PROSTHETIC DEVICES

Номер: US20180000603A1
Автор: Shohat Shaul
Принадлежит:

Expandable prosthetic devices used for treating a variety of conditions, including rotator cuff injuries, broken and/or depressed bone fractures, infection and/or inflammation in the body. In one embodiment, a prosthesis includes an implant having a pressure regulating valve. The implant is capable of being positioned between a first tissue and an opposing second tissue in a void space and of deforming under pressure in response to articulation of a joint. The pressure regulating valve is configured to open based on a predetermined pressure in the implant. 131-. (canceled)32. A prosthesis comprising:an inflatable chamber defining an opening through which fluid can flow into the inflatable chamber to fill the inflatable chamber and defining a single cavity comprising an outer surface having one or more external features configured to facilitate engagement between the outer surface of the single cavity and one or both of a first tissue and a second tissue opposite the first tissue;a rigid ring defining a lumen coupled to the opening of the inflatable chamber; anda plug configured to seat in the lumen of the rigid ring to seal the opening of the inflatable chamber,wherein the rigid ring is slidably disposed about a tube interfacing with the inflatable chamber in a manner to prevent fluid from passing through an interface between the rigid ring and the tube,wherein the prosthesis is configured to be positioned in a void space of a joint between the first tissue and the second tissue, andwherein the inflatable chamber deforms under pressure in response to articulation of the joint.33. The prosthesis of claim 32 , wherein a maximum volume of the inflatable chamber is in a range between 0.5 cc and 60 cc.34. The prosthesis of claim 33 , wherein the inflatable chamber is filled to over 70% of the maximum volume of the inflatable chamber with a filler.35. The prosthesis of claim 33 , wherein the inflatable chamber is filled to less than 50% of the maximum volume of the ...

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Номер записи: 25
12-01-2017 дата публикации

IMPLANTABLE ENCAPSULATED PROSTHETIC JOINT MODULE

Номер: US20170007410A1
Автор: Sojka John H.
Принадлежит:

An implantable prosthesis component for a joint prosthesis includes a flexible wall, a proximal side comprising a rigid portion for connecting to a first bone at a joint; and a distal side comprising a rigid portion for connecting to a second bone at the joint. The flexible wall has an inverted spherical shape and defines an inner cavity of the implantable prosthesis component. The inner cavity is filled with a fluid. The flexible wall is deformable such that relative movement between the first and second bone causes deformation of the implantable prosthesis component. 1. An implantable prosthesis component for a joint prosthesis , comprising:a flexible wall having an inverted shape, the flexible wall defining an inner cavity of the implantable prosthesis component that is filled with a fluid;a proximal side comprising a portion for connecting to a first bone at a joint; anda distal side comprising a portion for connecting to a second bone at the joint;wherein the flexible wall is deformable such that relative movement between the first and second bone causes deformation of the flexible wall.2. The implantable prosthesis component on claim 1 , wherein the portion of the proximal side comprises a metal cap that attaches to an outer surface of the flexible wall at a proximal side of the implantable prosthesis component.3. The implantable prosthesis component on claim 2 , wherein the portion of the proximal side further comprises an inner cap that attaches to an inner surface of the flexible wall at a proximal side of the implantable prosthesis component.4. The implantable prosthesis component on claim 2 , wherein the metal cap and the outer surface of the flexible wall are rigidly connected by an airtight seal that prevents fluid from leaking out of the inner cavity.5. The implantable prosthesis component on claim 1 , wherein the portion of the distal side comprises an inner cap that attaches to an inner surface of the flexible wall at an inverted portion of the ...

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Номер записи: 26
12-01-2017 дата публикации

Expandable interbody spacer

Номер: US20170007422A1
Автор: Bria Howell, Brian GARVEY, Chad Glerum, Christopher Saville, Conor Flaming, Daniel Waite, Edward Dwyer, James Himmelberger, Jason Gray, Jonathan Perloff, Kevin Gahman, Marcin Niemiec, Mark Weiman, Samuel Petersheim, Victoria Alexander, Vipin Kunjachan, William Rhoda
Принадлежит: Globus Medical Inc

Devices and methods for treating one or more damaged, diseased, or traumatized portions of the spine, including intervertebral discs, to reduce or eliminate associated back pain. In one or more embodiments, the present invention relates to an expandable interbody spacer. The expandable interbody spacer may comprise a first jointed arm comprising a plurality of links pivotally coupled end to end. The expandable interbody spacer further may comprise a second jointed arm comprising a plurality of links pivotally coupled end to end. The first jointed arm and the second jointed arm may be interconnected at a proximal end of the expandable interbody spacer. The first jointed arm and the second jointed arm may be interconnected at a distal end of the expandable interbody spacer.

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Номер записи: 27
10-01-2019 дата публикации

Method of Implanting a Curable Implant Material

Номер: US20190008648A1
Автор: Mastrorio Brooke, Stad Shawn
Принадлежит:

A method of replacing a nucleus pulposus material wherein curable nucleus pulposus material is injected into a balloon in an intervertebral space 18.-. (canceled)9. A surgical method , comprising:inserting a balloon into an intervertebral space;conducting a trial fluid through an inlet port of the balloon while blocking an outlet port of the balloon;opening the outlet port of the balloon;conducting a curable implant material through the inlet port of the balloon to displace the trial fluid through the outlet port of the balloon.10. The method of claim 9 , wherein opening the outlet port of the balloon and conducting the curable implant material through the inlet port of the balloon are performed simultaneously.11. The method of claim 9 , further comprising curing the implant material.12. The method of claim 11 , further comprising removing the inlet port and the outlet port of the balloon after the implant material is cured.13. The method of claim 9 , wherein the balloon is inserted into the intervertebral space through a tube.14. The method of claim 9 , further comprising measuring a volume of trial fluid conducted into the balloon prior to conducting the curable implant material into the balloon.15. The method of claim 9 , further comprising imaging the intervertebral space to assess any of size claim 9 , shape claim 9 , and location of the balloon.16. The method of claim 9 , further comprising removing at least a portion of any of the annulus fibrosus and the nucleus pulposus prior to inserting the balloon into the intervertebral space.17. The method of claim 9 , wherein a constant pressure is maintained within the balloon as the curable implant material is conducted into the balloon to displace the trial fluid.18. A surgical method claim 9 , comprising:inserting a first balloon and an adjacent second balloon into an intervertebral space;conducting a trial fluid through an inlet port of the first balloon while blocking an outlet port of the first balloon;opening ...

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Номер записи: 28
15-01-2015 дата публикации

Devices and methods for transpedicular stabilization of the spine

Номер: US20150018886A1
Автор: Raed Ali
Принадлежит: RAED M ALI M D Inc

According to some embodiments, a method of accessing an intervertebral space of a patient's spine in a minimally invasive manner compromises creating a passage from a posterior end of a pedicle of a vertebral member using a probe, advancing the probe through the pedicle and to a main body portion of the vertebral member, advancing the probe through a superior endplate of the vertebral member and into the intervertebral space and enlarging the passage using at least one tap to create an enlarged passage from a posterior of the pedicle to the intervertebral space. In some embodiments, the enlarged passage traverses at least three cortical layers of the vertebral member.

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Номер записи: 29
28-01-2016 дата публикации

Spacer, implant assembly including the same, manufacturing method of spacer, and surgical method for spacer indwelling

Номер: US20160022344A1
Автор: Makoto Narita, Yasuyuki Honma
Принадлежит: Terumo Corp

A spacer and implant assembly are disclosed, the spacer including an outer balloon that is folded so as to be dilatable, and an inner balloon that is folded so as to be dilatable, and that is removably inserted into the outer balloon. The inner balloon dilates in response to introduction of a dilating fluid having a lower viscosity than a viscosity of a filling material inserted into the outer balloon, and the outer balloon dilates in response to the dilation of the inner balloon.

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Номер записи: 30
28-01-2016 дата публикации

In-situ formed intervertebral fusion device and method

Номер: US20160022437A1
Автор: James Edward Kelly, Thomas M. DiMauro
Принадлежит: DePuy Synthes Products Inc

An orthopedic device for implanting between adjacent vertebrae comprising: an arcuate balloon and a hardenable material within said balloon. In some embodiments, the balloon has a footprint that substantially corresponds to a perimeter of a vertebral endplate. An inflatable device is inserted through a cannula into an intervertebral space and oriented so that, upon expansion, a natural angle between vertebrae will be at least partially restored. At least one component selected from the group consisting of a load-bearing component and an osteobiologic component is directed into the inflatable device through a fluid communication means.

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Номер записи: 31
25-01-2018 дата публикации

CANNULATED SCREW WITH BALLOON

Номер: US20180021148A1
Автор: Baynham Matthew G.
Принадлежит:

A cannulated screw having a resilient balloon structure capable of supporting compressive and cyclic loads. The balloon provides an artificial disc prosthesis by use of the balloon that mimics the properties of the natural disc by maintaining the intervertebral disc space through a full range of natural motion, absorbing shocks and permitting a natural range of motion. 1. A cannulated screw comprising: a hollow body with an open first end and an open second end , a balloon body secured to said open first end with a ferrule element , said balloon body extending entirely into said hollow body when in a non-deployed position and extending out of said hollow body when volumetric material is directed through said open second end causing expansion of said balloon body in a deployed position , a threaded cap attached to said open second end , said threaded cap having threads positioned along an inner surface , and a locking plug securable to said threaded cap , said locking plug maintaining volumetric material in said balloon body to maintain said balloon body in the deployed position.2. The cannulated screw of claim 1 , wherein the ferrule is inserted in an open end of the balloon body forming a seal between said open first end of the hollow body arid said balloon body.3. The cannulated screw of claim 1 , wherein said open second end comprises threads for receiving said threaded cap claim 1 , said threaded cap includes threads for temporarily receiving a dispenser for use in inserting volumetric material into said balloon body.4. The cannulated screw of claim 1 , wherein the locking plug further comprises an O-ring seal.5. The cannulated screw of claim 1 , wherein volumetric material comprises a biological agent or other material delivered to said balloon body from said open second end of the hollow body.6. The cannulated screw of claim 1 , wherein the cannulated screw comprises external threading claim 1 , the external threading extending from said open second end and ...

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Номер записи: 32
24-01-2019 дата публикации

Systems and Methods for Treating Conditions and Diseases of the Spine

Номер: US20190021773A1
Автор: DiPoto Gene P., Rabiner Robert A.
Принадлежит:

Systems and methods for treating conditions and diseases of the spine are disclosed herein. A device includes a balloon catheter comprising at least one inner lumen incorporated within an elongated shaft; a distal end having an inner balloon positioned inside and completely surrounded by an outer balloon; and a proximal end having an adapter for passage of at least one of an inflation fluid or a medical instrument; and an optical fiber comprising an outer diameter sized to pass through the inner lumen of the elongated shaft; a nonlinear light-emitting portion of a given length, wherein a portion of a cladding material from the nonlinear light-emitting portion has been removed so that light energy may be emitted along the length of the nonlinear light-emitting portion; and a linear elongated portion for guiding light towards the nonlinear light-emitting portion. 1. A device comprising:a balloon catheter having an elongated shaft with a proximal end, a distal end, and a longitudinal axis therebetween, the balloon catheter comprising:a balloon located at the distal end of the balloon catheter;an optical fiber comprising a nonlinear light-emitting portion configured to emit light energy along the length of the nonlinear light-emitting portion; anda linear elongated portion for guiding light towards the nonlinear light-emitting portion,wherein the optical fiber has a linear conformation in which the nonlinear light-emitting portion of the optical fiber can be advanced through the elongated shaft of the balloon catheter into the balloon and a curved conformation in which the nonlinear light-emitting portion of the optical fiber can curve inside the balloon.2. The device of wherein the balloon catheter has an outside diameter ranging from about 3 mm to about 8 mm.3. The device of wherein the optical fiber has an outside diameter ranging from about 0.75 mm to about 2.0 mm.4. The device of wherein the balloon has a toroidal shape.5. The device of claim 1 , wherein the ...

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Номер записи: 33
01-02-2018 дата публикации

RESILIENT ARTHROPLASTY DEVICE

Номер: US20180028319A1
Автор: Grotz Robert Thomas
Принадлежит: iOrthopedics, Inc.

The disclosure is directed to a resilient implant for implantation into human or animal joints to act as a cushion allowing for renewed joint motion. The implant endures variable joint forces and cyclic loads while reducing pain and improving function after injury or disease to repair, reconstruct, and regenerate joint integrity. The implant is deployed in a prepared debrided joint space, secured to at least one of the joint bones and expanded in the space, molding to surrounding structures with sufficient stability to avoid extrusion or dislocation. The implant has opposing walls that move in varied directions, and an inner space filled with suitable filler to accommodate motions which mimic or approximate normal joint motion. The implant pads the damaged joint surfaces, restores cushioning immediately and may be employed to restore cartilage to normal by delivering regenerative cells. 1. A method of treating a patient's joint comprising:a. providing a resilient orthopedic implant with a first wall, a second wall and a side wall wherein the first wall is configured to engage a first bone, the second wall is configured to conform around a portion of a second bone, the side wall is configured to extend between the first wall and the second wall, and the implant further comprises an interior portion configured to be directly enclosed by the first wall, the side wall, and a portion of the second bone;b. deploying the implant, within the joint to be treated, between the first bone and the second bone; andc. securing at least one of the first or second walls to one of the bone members of the joint;wherein the deployed implant treats a joint in a patient in need thereof.2. The method of claim 1 , wherein the first bone is an articulating end of an acetabulum of a pelvic bone and the second bone is a femoral head.3. The method of claim 1 , wherein the second bone is a humeral head in a shoulder claim 1 , a condyle of a knee claim 1 , or a head of a humerus in the elbow.4. ...

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Номер записи: 34
01-02-2018 дата публикации

IMPLANTABLE MEDICAL DEVICE FOR LUBRICATING AN ARTIFICIAL CONTACTING SURFACE

Номер: US20180028320A1
Автор: Forsell Peter
Принадлежит:

An implantable medical device, for implantation in a mammal knee joint, comprising an artificial contacting surface adapted to replace at least one contacting surface of the knee joint and to be lubricated when implanted in said joint. The medical device further comprises a reservoir comprising a movable wall portion defining the volume of the reservoir, at least one inlet adapted to receive a lubricating fluid from the reservoir, at least one channel at least partly integrated in said artificial contacting surface, wherein the channel is fluidly connected with said at least one inlet for distributing said lubricating fluid to the surface of said artificial contacting surface. The medical device further comprises an operation device adapted to non-invasively transport said lubricating fluid from said reservoir to said artificial contacting surface, and an implantable injection port for refilling said reservoir, wherein the movable wall portion is moved when the reservoir is refilled, such that the volume of the reservoir is increased. 1104.-. (canceled)105. An implantable medical device , for implantation in a mammal knee joint , comprising:an artificial contacting surface adapted to replace at least one contacting surface of the knee joint and to be lubricated when implanted in said joint;a reservoir comprising a movable wall portion defining the volume of the reservoir;at least one inlet adapted to receive a lubricating fluid from the reservoir;at least one channel at least partly integrated in said artificial contacting surface, wherein the channel is fluidly connected with said at least one inlet for distributing said lubricating fluid to the surface of said artificial contacting surface;an operation device adapted to non-invasively transport said lubricating fluid from said reservoir to said artificial contacting surface; andan implantable injection port for refilling said reservoir, wherein the movable wall portion is moved when the reservoir is refilled, such ...

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Номер записи: 35
01-02-2018 дата публикации

Balloon Implant Device

Номер: US20180028326A1
Автор: Vanleeuwen Ryan, Vaughn Shannon, Weisel Thomas
Принадлежит:

A shoulder implant device includes one or more fixation features including an acromial intrusion element and an inflatable humeral balloon portion that receives a fluid through the acromial intrusion element. The intrusion element comprises a valve that can receive multiple needle sticks to add or remove fluid to or from the inflatable humeral balloon. The device is implanted in a subacromial space such that the one or more fixation features at least secure the device to the acromion and the inflatable balloon portion rests against the proximal end of the corresponding humerus. Fluid in the balloon portion maintains separation of the acromion and the humerus to reduce or prevent impingement. 1. A method for positioning an implant in a subacromial space comprising:identifying a plurality of anatomical landmarks corresponding to locations around the perimeter of an acromion defining an anatomical location of the acromion;placing an implant locating device based on the plurality of anatomical landmarks;identifying one or more implant anchor locations with the implant locating device;making an incision based on at least the one or more implant anchor locations;drilling one or more anchor holes, locations of the one or more anchor holes identified by the implant locating device;inserting one or more trial implants, each of the one or more trial implants comprising one or more anchor posts, each of the one or more anchor posts configured to engage one of the one or more anchor holes;inserting an inflatable implant; andinflating the inflatable implant to a desired volume based on the one or more trial implants.2. The method of claim 1 , further comprising:marking each of the plurality of anatomical landmarks with a placement pin; andlocating a implant locating device based on the placement pins;3. The method of claim 1 , further comprising removing bone spurs from an inferior portion of the acromion.4. The method of claim 1 , further comprising inserting an anchor hole ...

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Номер записи: 36
31-01-2019 дата публикации

STABILIZING VERTEBRAE WITH EXPANDABLE SPACERS

Номер: US20190029841A1
Автор: "OHalloran Damien", Glerum Chad, Suh Sean
Принадлежит:

A spinal distractor and stabilizer has resilient, conformable bone contacting sections which are separated by an expandable chamber that extends from one of the sections, and which forms a ratchet with the section, ensuring that once expanded by being filled with a substance, cannot contract absent intervention by a medical practitioner. The stabilizer may be filled with a material which solidifies, after which some or all of the device may biodegrade. The device may also be provided in separable portions to facilitate implantation. The conformable sections distribute the distraction and stabilizing force evenly over the bone surface, reducing the incidence of disruption to the integrity of the bone. 1. A spinal device , comprising:a first bone contacting endplate having a first surface for contacting a surface of a first bone and a second surface into the intervertebral space;a second bone contacting endplate having a third surface contacting a surface of a second bone and a fourth surface into the intervertebral space; andan expandable element having an upper end and a lower end into the intervertebral space, wherein the expandable element is in positioned after introducing the first bone contacting endplate and the second bone contacting endplate such that the expandable element is positionable between said first and second bone contacting endplates,wherein the expandable element is expanded such that the upper end of the expandable element engages with the second surface of the first bone contacting endplate pushing the first bone contacting endplate against the first bone and the lower end of the expandable element engages with the fourth surface of the second bone contacting endplate pushing the second bone contacting endplate against the second bone,wherein the expandable element comprises a housing and a threaded shaft that passes through a nut and into the housing,wherein the expandable element remains in the intervertebral space.2. The spinal device of ...

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Номер записи: 37
08-02-2018 дата публикации

Flexible anchoring and fusion devices and methods of using the same

Номер: US20180036133A1
Автор: Sean Suh
Принадлежит: Globus Medical Inc

A spacer member is provided that is configured to be implanted adjacent an anatomical structure. The spacer member defines a curved bore, a first opening in a side wall of the spacer member and a second opening in one of a top wall and a bottom wall of the spacer member. Each of the first opening and the second opening are in fluid communication with the curved bore. A flexible anchoring member is configured to be inserted through the side opening and through the curved bore of the spacer member such that a distal end portion of the flexible anchoring member extends out of the second opening at an angle relative to the one of the top wall and the bottom wall of the spacer member.

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Номер записи: 38
08-02-2018 дата публикации

METHOD OF REPLACING THE NUCLEUS PULPOSUS OF AN INTERVERTEBRAL DISC

Номер: US20180036135A1
Автор: VonGunten Eric R.
Принадлежит:

An implant configured to completely replace degenerated or damaged nucleus pulposus in an intervertebral disc. The implant comprises a silicone elastomer shell that is implanted into a void within the annulus fibrosus created by at least partial removal of the nucleus pulposus therefrom. A colloidal suspension of platinum cured silicone-based polymer and carbon nanotubes is injected into the elastomer shell. The colloidal suspension is irradiated with electromagnetic radiation, particularly infrared or near infrared light, to the point that it hardens. The hardened implant becomes a mechanical replacement for the original nucleus pulposus in the intervertebral disc. 1. A method of replacing at least part of the nucleus pulposus of an intervertebral disc in a patient's body , said method comprising the steps of:providing an implant substance;inserting an implant receptacle into a void defined within the intervertebral disc;injecting the implant substance that is in a flowable state into a cavity defined by the implant receptacle; andirradiating the implant substance with laser light from outside the patient's body;changing the implant substance from a flowable state to a state that is similar to naturally-occurring nucleus pulposus.2. The method as defined in claim 1 , wherein the step of providing the implant substance includes providing a quantity of a colloidal suspension of a silicone-based polymer and a plurality of carbon nanotubes.3. The method as defined in claim 2 , wherein the step of providing the quantity of the implant substance includes providing sufficient colloidal suspension to substantially occupy the entire void within the intervertebral disc.4. The method as defined in claim 1 , wherein the implant substance is irradiated until the implant substance is viscoelastic.5. The method as defined in claim 1 , wherein the step of irradiating the implant substance occurs within an annulus fibrosus of the patient's vertebra.6. The method as defined in claim ...

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Номер записи: 39
07-02-2019 дата публикации

RESILIENT ARTHROPLASTY DEVICE

Номер: US20190038416A1
Автор: Grotz Robert Thomas
Принадлежит: iOrthopedics, Inc.

The disclosure is directed to a resilient implant for implantation into human or animal joints to act as a cushion allowing for renewed joint motion. The implant endures variable joint forces and cyclic loads while reducing pain and improving function after injury or disease to repair, reconstruct, and regenerate joint integrity. The implant is deployed in a prepared debrided joint space, secured to at least one of the joint bones and expanded in the space, molding to surrounding structures with sufficient stability to avoid extrusion or dislocation. The implant has opposing walls that move in varied directions, and an inner space filled with suitable filler to accommodate motions which mimic or approximate normal joint motion. The implant pads the damaged joint surfaces, restores cushioning immediately and may be employed to restore cartilage to normal by delivering regenerative cells. 1. A resilient implant for the foot or ankle comprising:a first wall,a second wall,a side wall extending between the first wall and the second wall,a plurality of chords or anchors for securing the implant to at least one bone or one ligament.2. The resilient implant of claim 1 , wherein the implant comprises a mesh material.3. The resilient implant of claim 1 , wherein the first wall claim 1 , the second wall and the side wall define an interior portion.4. The resilient implant of claim 3 , wherein the interior portion is inflated with a resilient material.5. The resilient implant of claim 3 , wherein the interior portion is inflated with gas claim 3 , liquid claim 3 , gel claim 3 , slurry claim 3 , curable polymer claim 3 , foam claim 3 , sponge or combinations thereof.6. The resilient implant of claim 4 , wherein the resilient material in the interior portion maintains spacing between the first wall claim 4 , the second wall and the side wall.7. The resilient implant of claim 4 , wherein the resilient material in the interior portion provides support between the first wall claim 4 ...

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Номер записи: 40
07-02-2019 дата публикации

RESILIENT INTERPOSITIONAL ARTHROPLASTY DEVICE

Номер: US20190038423A1
Автор: Grotz Robert Thomas
Принадлежит: iOrthopedics, Inc.

This disclosure is directed to a resilient interpositional arthroplasty implant. Such implants function to pad cartilage defects, cushion, and replace or restore the articular surface, which may preserve joint integrity, reduce pain and improve function. The implant may endure variable joint compressive and shear forces and cyclic loads. The implant may repair, reconstruct, and regenerate joint anatomy, and thereby improve upon joint replacement alternatives. The walls of this invention may capture, distribute and hold living cells until aggregation and hyaline cartilage regrowth occurs. The implant may be deployed into debrided joint spaces, molding and conforming to surrounding structures with sufficient stability so as to enable immediate limb use after outpatient surgery. Appendages of the implant may repair or reconstruct tendons or ligaments, and menisci by interpositional inflatable or compliant polymer arthroplasties that promote anatomic joint motion. 1. An implant system comprising:(a) an implant configured for deployment between a femur and a tibia of a knee joint, the implant comprisinga first portion that is configured to directly engage a medial condyle and a lateral condyle of the femur of the knee joint,a second portion that is configured to directly engage the tibia of the knee joint, a first appendage configured to couple the first portion to a first condyle of the femur of the knee joint, the first appendage having a pre-set curvature configured to simulate curvature of the first condyle and at least one pre-formed hole for securing the first appendage to the first condyle,a second appendage configured to couple the first portion to a second condyle of the femur of the knee joint, the second appendage having a pre-set curvature configured to simulate curvature of the second condyle and at least one pre-formed hole for securing the second appendage to the second condyle,a slot between the first appendage and the second appendage,wherein the first ...

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Номер записи: 41
12-02-2015 дата публикации

DELIVERY NEEDLE WITH ELEVATOR/PADDLE FOR MICRONIZED ALLOGRAFT TISSUE

Номер: US20150045768A1
Автор: BENEDICT Robert, McWilliam James R., Roller Brandon L., Schmieding Reinhold, Stoll Marc
Принадлежит:

Techniques, kits and a delivery instrument for providing a material at a defect repair site. The instrument is a combined delivery needle/elevator/paddle that includes a delivery needle and a paddle/elevator tip attached to the end of the needle and around the most distal opening of the needle. The combined needle/elevator/paddle instrument allows both delivery (insertion or injection) of the material/mixture as well as leveling/flattening of the delivered material. The mixture/material may be micronized allograft tissue such as BioCartilage® and the surgical site may be a defect site such as a microfracture site or cartilage defect. 1. A method of surgery comprising the steps of:providing a combined delivery needle/paddle instrument in the vicinity of a defect site; anddelivering a material at the defect site with the delivery needle/paddle instrument and flattening the delivered material with the delivery needle/paddle instrument.2. The method of claim 1 , further comprising the step of dispensing the material at the defect site by employing an obturator.3. The method of claim 1 , further comprising the step of removing tissue at the defect site with the combined delivery needle/paddle instrument and forming at least one vertical margin at the defect site.4. The method of claim 1 , wherein the delivery needle/paddle instrument comprises a delivery needle and a paddle integral with a most distal end of the delivery needle claim 1 , the paddle having a substantially curved configuration and terminating in a lip at its most distal end.5. The method of claim 1 , wherein the defect site is a microfracture site and the method further comprises the step of conducting microfracture surgery to obtain the microfracture site.6. The method of claim 1 , wherein the material is a micronized allograft mixture comprising micronized allograft tissue particles and an autologous blood product.7. The method of claim 6 , wherein the micronized allograft tissue particles have a size of ...

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Номер записи: 42
23-02-2017 дата публикации

BREACH DETECTION IN SOLID STRUCTURES

Номер: US20170049388A1
Автор: Chen Richard D.Y.
Принадлежит:

An implantable device includes at least one solid structure having an external surface and a volume beneath the surface. One or more of a first conductor or set of conductors is disposed externally and/or internally on or within the structure and an array of elongate electrically conductive elements are disposed radially outwardly within the volume. A breach is detected when a conductive fluid intrudes into the volume through the surface. 1a solid structure covering a volume with a surface, layer, or thickness subject to wear;a first electrical conductor located internally or externally of the said covering structure;an electrically conductive array including one or more elongate conductive elements embedded behind said surface, layer, or thickness of the said covering structure and isolated from said first electrical conductor, wherein said conductive elongate elements project in a direction from an interior toward a region subject to wear; anda wireless signaling circuitry coupled to the first electrical conductor and the electrically conductive array;wherein an electrically conductive fluid electrically bridges the first electrical conductor and the electrically conductive array to enable the circuitry to emit a detectable wireless signal warning when the wear of the surface, layer, or thickness exposes at least one distal portion of one or more of the conductive elongate elements.. An implantable device in the body comprising: This application is a continuation of U.S. patent application Ser. No. 14/599,309 (Attorney Docket No. 41680-704.301), filed Jan. 16, 2015, now U.S. Pat. No. ______, which is a continuation of U.S. patent application Ser. No. 13/349,327 (Attorney Docket No. 41680-704.201), filed Jan. 12, 2012, now U.S. Pat. No. 8,963,708, which claims the benefit of U.S. Provisional Application No. 61/432,461 (Attorney Docket No. 41680-704.101), filed Jan. 13, 2011, the full disclosures of which are incorporated herein by reference.1. Field of the ...

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Номер записи: 43
03-03-2016 дата публикации

RESILIENT MEDICALLY INFLATABLE INTERPOSITIONAL ARTHROPLASTY DEVICE

Номер: US20160058548A1
Автор: Grotz R. Thomas
Принадлежит:

This disclosure is directed to a resilient interpositional arthroplasty implant for application into joints to pad cartilage defects, cushion joints, and replace or restore the articular surface, which may preserve joint integrity, reduce pain and improve function. The implant may endure variable joint compressive and shear forces and cyclic loads. The implant may repair, reconstruct, and regenerate joint anatomy, and thereby improve upon joint replacement alternatives. Rather than using periosteal harvesting for cell containment in joint resurfacing, the walls of this invention may capture, distribute and hold living cells until aggregation and hyaline cartilage regrowth occurs. The implant may be deployed into debrided joint spaces, molding and conforming to surrounding structures with sufficient stability to avoid extrusion or dislocation. Appendages of the implant may repair or reconstruct tendons or ligaments, and an interior of the implant that is inflatable may accommodate motions which mimic or approximate normal joint motion. 1. A resilient orthopedic implant configured for deployment between a first bone and at least one second bone of a joint , the implant comprising a first portion that is configured to engage the first bone of the joint,', 'a second portion that is configured to engage at least one second bone of the joint,', 'a side portion connecting the first portion and the second portion, in which the side portion facilitates relative motion between the first portion and the second portion, and', 'an interior that is optionally inflatable with a first inflation medium; and, 'a balloon comprising'}a first appendage configured to couple the balloon to the first bone of the joint.2. The resilient orthopedic implant of claim 1 , in which at least two of first portion claim 1 , the second portion claim 1 , and the side portion are contiguous.3. The resilient orthopedic implant of claim 1 , in which the first portion comprises a first wall claim 1 , the ...

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Номер записи: 44
21-02-2019 дата публикации

INTERBODY CAGE WITH SPILL-FREE BIOLOGICAL MATERIAL COMPARTMENT

Номер: US20190053910A1
Автор: LUDWIG Steven C., SANSUR Charles
Принадлежит: University of Maryland, Baltimore

Interbody cages for spinal stabilization having a frame that surrounds a central compartment suitable for retaining biological material, such as bone graft material. The central, compartment acts as a spill-free bone and biologic compartment that allows a surgeon to introduce the interbody cage into the body in an effective manner without spilling the biological material. Methods for introducing the interbody cages are disclosed. 1. An interbody cage for spinal stabilization comprisinga) a frame that surrounds a central compartment, the frame comprising a top face and a bottom face, the top face comprising one or more top openings, and the bottom face comprising one or more bottom openings,b) a cover that covers the one or more bottom openings, the cover comprising one or more apertures suitable for retaining biological material, andc) a removable cover configured to be removably secured to the top face of the frame such that the removable cover covers the one or more top openings when secured to the top face of the frame, the removable cover comprising one or more apertures suitable for retaining biological material,wherein the top face of fame is con gored to receive the removable cover.2. The interbody cage for spinal stabilization of claim 1 , wherein at least one of the cover and the removable cover comprises mesh.3. The interbody cage for spinal stabilization of claim 1 , wherein at least one of the cover and the removable cover comprises flexible mesh.4. The interbody cage for spinal stabilization claim 1 , wherein at least one of the cover and the removable cover is convex.5. The interbody cage for spinal stabilization of claim 1 , wherein the frame further comprises at least one vertical face claim 1 , wherein the at least one vertical face comprises one or more apertures suitable for retaining biological material.6. The interbody cage for spinal stabilization of claim 5 , wherein the at least one vertical face comprises mesh.7. The interbody cage for ...

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Номер записи: 45
21-02-2019 дата публикации

ANGLED, RIGID INTERVERTEBRAL SCAFFOLDING

Номер: US20190053913A1
Автор: BIRKMEYER PAUL J., Flynn John J., To John
Принадлежит:

An intervertebral scaffolding system is provided having a central beam having a proximal portion having an end, a grafting portion having a top and a bottom, a distal portion having a end, a central beam axis, a graft distribution channel having an entry port at the end of the proximal portion, a top exit port at the top of the grafting portion, and a bottom exit port at the bottom of the grafting portion. These systems can also include a laterovertically-expanding frame operable for a reversible collapse from an expanded state into a collapsed state. The expanded state, for example, can be configured to have an open graft distribution window that at least substantially closes upon the reversible collapse. 1. An intervertebral scaffolding system for use in a subject , comprising;a central beam; and, a first top beam, a first bottom beam, a second top beam, and a second bottom beam;', 'wherein, the beams are in an at least substantially parallel arrangement with each other in the expanded state;', 'a plurality of connector elements configured to connect the first top beam to the second top beam, the first bottom beam to the second bottom beam, the first top beam to the first bottom beam, and the second top beam to the second bottom beam, the connecting forming a square, cylindrical shape for engaging with the central beam in vivo to support the expanding frame in the expanded state; and,', 'a guide that restricts the movement of the first top beam relative to the first bottom beam, the second top beam relative to the second bottom beam, the first top beam relative to the second beam, and the first bottom beam relative to the second bottom beam during the expanding;', 'wherein, the connector elements and guide maintain structural stiffness in the expanding frame in vivo to adequately support localized loading in the intervertebral space in which bone tissue puts pressure on the expanding frame., 'an expanding frame having a collapsed state and an expanded state, the ...

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Номер записи: 46
04-03-2021 дата публикации

SPINAL DISC IMPLANT AND DEVICE AND METHOD FOR PERCUTANEOUS DELIVERY OF THE SPINAL DISC IMPLANT

Номер: US20210059831A1
Автор: GESSERT Bob, KOSS Scott
Принадлежит:

A spinal disc implant including a body defined by a plurality of interwoven or braided nitinol strands. The body includes a first end and a second end. The nitinol strands come together at the first end and are secured with a first fitting. The nitinol strands also come together at the second end and are secured with a second fitting. The second fitting can include a snare hook. The braided nitinol skeleton is internally assembled within the intervertebral disc. The implant is filled with liquid, gel or silicone when utilized as a motion preserving nucleus pulpous implant. The implant is filled with bone graft material when utilized as an inter-body fusion implant. An instrument and technique that provides a minimally invasive “needle based” solution to address degenerative disc disease with enhanced structural integrity of the spine compared to conventional surgical devices and techniques. 1. A spinal disc implant comprising:a skeleton including a plurality of braided nitinol strands, the braided nitinol strands including a slightly hour-glass like configuration;a first fitting configured to secure first ends of the plurality of braided nitinol strands; anda second fitting opposite the first fitting, the second fitting configured to secure second ends of the plurality of braided nitinol strands, the second fitting including a snare hook.2. The spinal disc implant of claim 1 , wherein the first fitting is configured to removably couple to a delivery instrument allowing repositioning and detachment of the implant.3. The spinal disc implant of claim 2 , wherein the skeleton is coated prior to delivery to provide an impervious barrier to liquids or gel-like injectable substances.4. The spinal disc implant of claim 3 , wherein the coating is silicone.5. The spinal disc implant of claim 1 , further comprising a first end and a second end claim 1 , and wherein a middle portion of the implant includes a first diameter claim 1 , and wherein the first end includes a second ...

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Номер записи: 47
05-03-2015 дата публикации

Distance interbody device for introducing a biomaterial to a vertebral body and a method of its use

Номер: US20150066031A1
Автор: Lechoslaw Franciszek Ciupik
Принадлежит: LFC SPOLKA z oo

A distance interbody device for introducing a biomaterial to a vertebral body includes a shaped body and a dispense mechanism operable to dispense biomaterial. The shaped body includes a top side, a bottom side, and a lateral wall forming a peripheral wall that extends between the top and bottom sides. The shaped body is provided with at least one through channel and at least one anchoring element. The through channel includes an internal reservoir for the biomaterial. The through channel passes through the anchoring element to at least one outlet opening located in the at least one anchoring element.

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Номер записи: 48
22-05-2014 дата публикации

Artificial Disc

Номер: US20140142703A1
Автор: II Michael Lee Boyer, Jeff Bennett, Noah Hansell
Принадлежит: II Michael Lee Boyer, Jeff Bennett, Noah Hansell

An intervertebral artificial disc is provided with a first endplate having a plurality of protrusions for attaching to an adjacent vertebrae and an extension portion extending towards a second adjacent vertebrae. A second endplate is provided with a plurality of protrusions for attaching to a second adjacent vertebrae and an extension portion extending towards the first adjacent vertebrae. A flexible member having an upper portion and a lower portion and a slider plate positioned within the upper portion of the flexible member is also provided. The extension portion of the first endplate is adapted to fit within a first cavity in the upper portion of the flexible member and the extension portion of the second endplate is adapted to fit within a second cavity in the lower portion of the flexible member.

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Номер записи: 49
08-03-2018 дата публикации

Orthopedic augments having recessed pockets

Номер: US20180064541A1
Автор: Daniel R. Goldberg, Jeffrey J. Shea, Nathaniel M. QUINN, Stanley Tsai
Принадлежит: Smith and Nephew Inc

Systems, devices and methods for providing orthopedic augments having recessed pockets that receive a fixation material. The orthopedic augments include an outer surface that interfaces with a patient's tissue or bone, an inner surface that interfaces with an implant and having a recessed pocket configured to receive a fixation material, a rim around at least a portion of the recessed pocket, and a port in the rim, wherein the recessed pocket extends along the inner surface in at least a lateral direction from the port.

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Номер записи: 50
08-03-2018 дата публикации

Selectively expanding spine cage with enhanced bone graft infusion

Номер: US20180064557A1
Автор: Damien J. Shulock, John E. Ashley, Rudy Pretti, Thomas Grotz
Принадлежит: Howmedica Osteonics Corp

A selectively expanding spine cage has a minimized cross section in its unexpanded state that is smaller than the diameter of the neuroforamen through which it passes in the distracted spine. The cage conformably engages between the endplates of the adjacent vertebrae to effectively distract the anterior disc space, stabilize the motion segments and eliminate pathologic spine motion. Expanding selectively (anteriorly, along the vertical axis of the spine) rather than uniformly, the cage height increases and holds the vertebrae with fixation forces greater than adjacent bone and soft tissue failure forces in natural lordosis. Stability is thus achieved immediately, enabling patient function by eliminating painful motion. The cage shape intends to rest proximate to the anterior column cortices securing the desired spread and fixation, allowing for bone graft in, around, and through the implant for arthrodesis whereas for arthroplasty it fixes to endpoints but cushions the spine naturally.

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Номер записи: 51
05-03-2020 дата публикации

BREACH DETECTION IN SOLID STRUCTURES

Номер: US20200069246A1
Автор: Chen Richard D.Y.
Принадлежит: Sensurtec, Inc.

An implantable device includes at least one solid structure having an external surface and a volume beneath the surface. One or more of a first conductor or set of conductors is disposed externally and/or internally on or within the structure and an array of elongate electrically conductive elements are disposed radially outwardly within the volume. A breach is detected when a conductive fluid intrudes into the volume through the surface. 1. A medical device in a body comprising:a structure having a surface, layer, or thickness over a volume, said surface, layer, or thickness being subject to a breach;a material with a diagnostic or therapeutic value within the volume;a first electrically conductive element located internally or externally of the structure;a second electrically conductive element located internally of the structure coupled to the said material;wireless signaling circuitry coupled to the first and second electrical conductors so that an electrically conductive fluid intruding into a partial or total breach through said surface, layer, or thickness into the volume electrically bridges the conductors to enable the circuitry to emit a detectable wireless signal of the breach.2. A medical device as in claim 1 , wherein the surface claim 1 , layer claim 1 , or thickness is a cover or coating.3. A medical device as in claim 2 , wherein the cover or coating is degradation resistant to time claim 2 , wear claim 2 , corrosion claim 2 , or handling.4. A medical device as in claim 2 , wherein the cover or coating hardens the surface or structure.5. A medical device as in claim 2 , wherein the cover or coating helps retain the shape of the surface or structure.6. A medical device as in claim 1 , wherein the material comprises a solid.7. A medical device as in claim 6 , wherein the solid comprises compacted particles.8. A medical device as in claim 1 , wherein the material comprises a liquid.9. A medical device as in claim 1 , wherein the material comprises a gel ...

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Номер записи: 52
14-03-2019 дата публикации

Implants And Methods Of Use Thereof

Номер: US20190076255A1
Автор: Greg Swords, Levi Ruthardt, Stefan Gutzeit, Sven Martin Kuhn
Принадлежит: Stryker European Holdings I LLC, Stryker European Operations Holdings LLC

An implant to fill a hole in tissue, such as bone tissue, comprising a first portion that is insertable through the hole when in a first compressed position, wherein the first portion cannot pass through the hole when in a first deployed position; and a second portion that cannot pass through the hole when in the second deployed position. The first and second portions of the implant can be deployed independently. Therefore, in operation, it is possible to insert the first portion of the implant through the hole when in the first compressed position, deploying the first portion to transition it to the first deployed position while the second portion remains in the second compressed position, and then deploying the second portion to transition it to the second deployed position. The devices and methods may be used, for example, in transsphenoidal or other orthopedic surgeries involving bone tissue.

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Номер записи: 53
22-03-2018 дата публикации

In-situ formed intervertebral fusion device and method

Номер: US20180078379A1
Автор: Hassan Serhan, John Daniel Malone, Thomas M. DiMauro
Принадлежит: DePuy Synthes Products Inc

An orthopedic device for implanting between adjacent vertebrae comprising: an arcuate balloon and a hardenable material within said balloon. In some embodiments, the balloon has a footprint that substantially corresponds to a perimeter of a vertebral endplate. An inflatable device is inserted through a cannula into an intervertebral space and oriented so that, upon expansion, a natural angle between vertebrae will be at least partially restored. At least one component selected from the group consisting of a load-bearing component and an osteobiologic component is directed into the inflatable device through a fluid communication means.

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Номер записи: 54
22-03-2018 дата публикации

Expandable intervertebral fusion implant

Номер: US20180078384A1
Автор: Loubert S. Suddaby
Принадлежит: Individual

An expandable intervertebral fusion implant including an inferior component, a superior component arranged to telescopingly engage the inferior component, and a port arranged in the inferior or superior component. When a first material is introduced through the port, the inferior and superior components are displaced vertically. Each of the inferior and/or superior components can include telescoping components which allow the inferior and/or superior components to be expanded along the length and/or width of the implant before the inferior and superior components are displaced vertically. The expandable intervertebral fusion implant can be expanded with, and locked in place, hydraulic and/or hardenable material. Alternatively, the expandable intervertebral fusion implant can be expanded using a mechanical implement and then hardenable material can be introduced into the implant to maintain the implant in the expanded position.

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Номер записи: 55
12-03-2020 дата публикации

Bellows-Like Expandable Interbody Fusion Cage

Номер: US20200078192A1
Автор: Connie Marchek, William Frasier
Принадлежит: DePuy Synthes Products Inc

An interbody fusion device having an accordion-like structure, wherein the device in inserted into the disc space in its collapsed configuration and then expanded into its expanded configuration by compressing the accordion-like portion of the device. In some embodiments, a pre-formed tube with an accordion-like structure over a portion of its length is inserted in a relaxed (collapsed) configuration, giving the tube a minimum possible diameter. This tube has a cable running through it that is fixed to a distal end portion of the tube and extends past the proximal end portion of the tube to the outside of the patient. Once the tube is positioned on the rim of the endplate, the proximal end of the cable is pulled, thereby tensioning the cable and causing the accordion portion of the tube to become shorter in length but larger in diameter.

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Номер записи: 56
26-03-2015 дата публикации

Systems and Methods for Joint Stabilization

Номер: US20150088268A1
Автор: DiPoto Gene P., Gausepohl Thomas, Rabiner Robert A.
Принадлежит:

Photodynamic devices for stabilizing a joint are provided. In some embodiments, a photodynamic joint spacer is provided that includes an expandable member configured for attachment to a bone having an excised region; a formable bar configured for attachment to the bone along at least a portion of the expandable member; and a light-sensitive liquid passed into the expandable member to expand the expandable member, wherein the expandable member is shaped by the formable bar to a shape resembling the excised region of the bone, and wherein the light-sensitive liquid is curable upon exposure to light energy to set the expandable member in the shape resembling the excised region to form a photodynamic joint spacer. 1. A photodynamic joint spacer comprising:an expandable member configured for attachment to a bone having an excised region;a formable bar configured for attachment to the bone along at least a portion of the expandable member; anda light-sensitive liquid passed into the expandable member to expand the expandable member,wherein the expandable member is shaped by the formable bar to a shape resembling the excised region of the bone, andwherein the light-sensitive liquid is curable upon exposure to light energy to set the expandable member in the shape resembling the excised region of the bone to form a photodynamic joint spacer.2. The photodynamic joint spacer of claim 1 , wherein the formable bar conforms to an outer surface of the bone.3. The photodynamic joint spacer of claim 1 , wherein the formable bar is semi-cylindrical for conformal attachment of the formable bar to an outer surface of the bone.4. The photodynamic joint spacer of claim 1 , wherein the expandable member is insertable into an intramedullary cavity of the bone.5. The photodynamic joint spacer of further comprising an inner lumen in the expandable member to provide kink resistance to the expandable member.6. The photodynamic joint spacer of further comprising an inner lumen in the ...

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Номер записи: 57
29-03-2018 дата публикации

Aspirating Implants and Method of Bony Regeneration

Номер: US20180085220A1
Автор: "ONeil Michael J.", Brown Liesbeth, Cormier Shannon, Keeley Daniel, Parikh Nimish
Принадлежит: DePuy Synthes Products, Inc.

Devices and methods for in situ drawing, filtering and seeding cells from the marrow of surrounding bone into a fusion cage without any of the challenges mentioned above. Various implants and devices with aspiration ports that enable in-situ harvesting and mixing of stem cells. These devices may include spinal fusion cages, long bone spacers, lateral grafts and joint replacement devices. Each device utilizes at least one aspiration port for harvesting of stem cell-containing marrow via aspiration from adjacent bony elements. 138-. (canceled)39. A surgical method , comprising:inserting a fusion cage into an intervertebral disc space of a patient defined between upper and lower vertebrae, the cage having an upper surface comprising a first throughhole therethrough, a lower surface comprising a second throughhole therethrough, and a sidewall connecting the upper and lower surfaces, the sidewall comprising a third throughhole therethrough, the cage having a porous matrix therein;fluidly connecting an aspirator to the third throughhole; andcreating suction in the aspirator to draw marrow from at least one of the upper and lower vertebrae, through at least one of the upper and lower surfaces, and into the cage, at least a portion of the marrow being retained within the cage by the porous matrix.40. The method of claim 39 , further comprising orienting the cage such that the upper surface abuts the upper vertebra and the lower surface abuts the lower vertebra.41. The method of claim 39 , further comprising monitoring a pressure created by the suction and shutting down the suction once a pressure threshold is reached within the cage.42. The method of claim 39 , further comprising collecting marrow within the aspirator and injecting marrow collected within the aspirator back into the cage to retain stem cells of the marrow within the porous matrix.43. The method of claim 39 , wherein the upper and lower surfaces of the cage are beveled.44. The method of claim 39 , further ...

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Номер записи: 58
21-03-2019 дата публикации

IN-SITU FORMED INTERVERTEBRAL FUSION DEVICE AND METHOD

Номер: US20190083276A1
Автор: DiMauro Thomas M.
Принадлежит:

An orthopedic device for implanting between adjacent vertebrae comprising: an arcuate balloon and a hardenable material within said balloon. 1an arcuate balloon; anda hardenable material within said balloon.. An orthopedic device for implanting between adjacent vertebrae comprising: This application claims the benefit of U.S. Provisional Application No. 60/448,221, filed on Feb. 14, 2003. The entire teachings of the above application is incorporated herein by reference.A leading cause of lower back pain arises from lumbar intervertebral disc pathology, including rupture or degeneration of the disc. Radicular pain in the lower extremities may be caused by the compression of spinal nerve roots by a bulging disc.Additionally, lower back pain may be caused by collapse of the disc and the dysarthrosis of an unstable or degenerative vertebral facet joint. One proposed method of managing these problems is to remove the problematic disc and replace it with a porous device that restores disc height and allows for bone growth therethrough for the fusion of the adjacent vertebrae. These devices are commonly called “fusion devices.”Intervertebral body fusion devices typically must carry extremely high loads (on the order of 1-4 kN) for a period of several months, or until fusion occurs. Accordingly, a fusion device or bone graft substitute designed for promoting bony fusion at another location in the body (such as long bone fusion) may not be suitable for use as an intervertebral body fusion device. For example, many bony fusion devices disclose the use of a gel such as a hydrogel as the structural carrier for an osteoinductive or an osteogeneic component. However, such gels typically do not posses the stiffness or mechanical strength found to be required for lumbar intervertebral fusion devices.In general, delivery of conventional intervertebral fusion devices has required significantly invasive implantation procedures. Open surgical implantation of posterior implants requires ...

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Номер записи: 59
02-04-2015 дата публикации

SPINAL IMPLANT AND METHOD OF USE

Номер: US20150094817A1
Автор: JR. James F., McGuckin
Принадлежит: Rex Medical, L.P.

A spinal implant having a series of sections or units hinged together and a balloon connected to at least some of the sections, the balloon having a curved configuration. The implant has a first delivery configuration and a second curved placement configuration, wherein it has a more linear configuration in the first delivery configuration than in the second curved configuration. The implant assumes the first delivery configuration during delivery to the disc space and maintains the curved configuration after placement within the disc space. The curved configuration can result from filling or expanding the balloon. 128-. (canceled)29. A method of minimally invasively inserting a spinal implant in a disc space comprising:minimally invasively inserting through a cannula a disc nucleus removal device;remotely operating the disc nucleus removal device to remove the disc nucleus;removing the disc nucleus removal device from the disc space;providing a delivery instrument having a spinal implant having a plurality of linked sections and a support strip attached to the linked sections;minimally invasively inserting the delivery instrument containing the spinal implant in a first substantially straighter configuration;advancing the delivery instrument to the disc space;exposing the implant from the delivery instrument to position the implant in the disc space, wherein upon exposing the implant, the implant moves to assume a more curved configuration within the disc; andremoving the delivery instrument and leaving the implant in place along a periphery of the disc space.30. The method of claim 29 , wherein the step of deploying the implant enables the support strip to move to a substantially horseshoe shape along the periphery of the disc space.31. The method of claim 30 , wherein the implant includes a balloon claim 30 , and further comprising the step of expanding the balloon when positioned in the disc space.32. The method of claim 31 , wherein expansion of the balloon ...

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Номер записи: 60
05-05-2022 дата публикации

PHOTODYNAMIC ARTICULAR JOINT IMPLANTS AND METHODS OF USE

Номер: US20220133377A1
Автор: Gausepohl Thomas, Rabiner Robert A., Rader Richard Scott
Принадлежит:

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.

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Номер записи: 61
19-06-2014 дата публикации

Intervertebral scaffolding system

Номер: US20140172106A1
Автор: John J. Flynn, John To, Paul J. Birkmeyer
Принадлежит: OuroBoros Medical Inc

An intervertebral scaffolding system is provided having a central beam having a proximal portion having an end, a grafting portion having a top and a bottom, a distal portion having a end, a central beam axis, a graft distribution channel having an entry port at the end of the proximal portion, a top exit port at the top of the grafting portion, and a bottom exit port at the bottom of the grafting portion. These systems can also include a laterovertically-expanding frame operable for a reversible collapse from an expanded state into a collapsed state. The expanded state, for example, can be configured to have an open graft distribution window that at least substantially closes upon the reversible collapse.

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Номер записи: 62
07-04-2016 дата публикации

RESILIENT INTERPOSITIONAL HIP ARTHROPLASTY DEVICE

Номер: US20160095706A1
Автор: Grotz R. Thomas
Принадлежит:

This disclosure is directed to a resilient interpositional arthroplasty implant for application into joints to pad cartilage defects, cushion joints, and replace or restore the articular surface, which may preserve joint integrity, reduce pain and improve function. The implant may endure variable joint compressive and shear forces and cyclic loads. The implant may repair, reconstruct, and regenerate joint anatomy, and thereby improve upon joint replacement alternatives. Rather than using periosteal harvesting for cell containment in joint resurfacing, the walls of this invention may capture, distribute and hold living cells until aggregation and hyaline cartilage regrowth occurs. The implant may be deployed into debrided joint spaces, molding and conforming to surrounding structures with sufficient stability to avoid extrusion or dislocation. Appendages of the implant may repair or reconstruct tendons or ligaments, and an interior of the implant that is inflatable may accommodate motions which mimic or approximate normal joint motion. 1. A hip implant configured for deployment between a femur head and a acetabulum of a hip joint , the implant comprising a first portion that is configured to engage the femur head of the hip joint,', 'a second portion that is configured to engage the acetabulum of the hip joint,', 'a side portion connecting the first portion and the second portion, in which the side portion facilitates relative motion between the first portion and the second portion, and', 'an interior that is optionally inflatable with a first inflation medium; and, 'a balloon comprising'}a first appendage configured to couple the balloon to the femur head of the joint.2. The hip implant of claim 1 , in which at least two of first portion claim 1 , the second portion claim 1 , and the side portion are contiguous.3. The hip implant of claim 1 , in which the first portion comprises a first wall claim 1 , the second portion comprises a second wall claim 1 , and the side ...

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Номер записи: 63
05-04-2018 дата публикации

SYSTEMS AND METHODS FOR TREATING CONDITIONS AND DISEASES OF THE SPINE

Номер: US20180092672A1
Автор: DiPoto Gene P., Rabiner Robert A.
Принадлежит:

Systems and methods for treating conditions and diseases of the spine are disclosed herein. A device includes a balloon catheter comprising at least one inner lumen incorporated within an elongated shaft; a distal end having an inner balloon positioned inside and completely surrounded by an outer balloon; and a proximal end having an adapter for passage of at least one of an inflation fluid or a medical instrument; and an optical fiber comprising an outer diameter sized to pass through the inner lumen of the elongated shaft; a nonlinear light-emitting portion of a given length, wherein a portion of a cladding material from the nonlinear light-emitting portion has been removed so that light energy may be emitted along the length of the nonlinear light-emitting portion; and a linear elongated portion for guiding light towards the nonlinear light-emitting portion. 1. A device comprising:a balloon catheter having an elongated shaft with a proximal end, a distal end, and a longitudinal axis therebetween, the balloon catheter comprising:one or more inner balloons positioned inside an outer balloon, the balloons located at the distal end of the balloon catheter; a nonlinear light-emitting portion configured to emit light energy along the length of the nonlinear light-emitting portion; and', 'a linear elongated portion for guiding light towards the nonlinear light-emitting portion,', 'wherein the optical fiber has a linear conformation in which the nonlinear light-emitting portion of the optical fiber can be advanced through the elongated shaft of the balloon catheter and a curved conformation in which the nonlinear light-emitting portion of the optical fiber can curve around at least a portion of the one or more inner balloons from inside the outer balloon., 'an optical fiber comprising2. The device of wherein the balloon catheter has an outside diameter ranging from about 3 mm to about 8 mm.3. The device of wherein the optical fiber has an outside diameter ranging from ...

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Номер записи: 64
26-03-2020 дата публикации

Expanding, Conforming Interbody Spacer

Номер: US20200093603A1
Автор: Halverson Peter, Manwill Daniel
Принадлежит:

An expanding, conforming interbody implant includes a plurality of superior and a plurality of inferior segments. The segments are adapted to individually expand, contact, and conform to endplates of vertebral bodies to distribute forces equally over the implant and across the vertebral endplates. Once a proper extension of the segments has been achieved, the segments are locked in position. The implant has a stiffness that approximates the stiffness of bone, and the implant minimizes problems with subsidence, endplate fractures, and stress shielding. 1. An expandable , conformable interbody implant , comprising:a frame;a first plurality of endplate-contacting segments adapted to extend in a superior direction from the frame;a second plurality of endplate-contacting segments adapted to extend in an inferior direction from the frame; anda locking mechanism adapted to lock the first plurality of endplate-contacting segments and the second plurality of endplate-contacting segments in a variety of extended positions.2. The implant as recited in claim 1 , wherein the first plurality of endplate-contacting segments is adapted to contact and collectively conform to an inferior endplate of a first vertebral body and wherein the second plurality of endplate-contacting segments is adapted to contact and collectively conform to a superior endplate of a second vertebral body.3. The implant as recited in claim 2 , wherein a load between the inferior endplate and the anterior endplate is substantially equally distributed among the first and second pluralities of endplate-contacting segments.4. The implant as recited in claim 1 , wherein the locking mechanism exerts a lateral compression force among the first and second pluralities of endplate-contacting segments.5. The implant as recited in claim 1 , wherein the locking mechanism exerts a lateral compression force between the first plurality of endplate-contacting segments claim 1 , the second plurality of endplate-contacting ...

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Номер записи: 65
26-06-2014 дата публикации

Ball joint prosthesis and method

Номер: US20140180424A1
Автор: Donald L. Yakimicki, J. Craig Fryman, Jeff Dickerson
Принадлежит: Zimmer Inc

A ball joint prosthesis can include a shell, having an outer articular surface of a first material and an open distal end, configured to receive a sealing receptacle. A volume of a second material, within the shell, can be more compressible than the first material. The ball joint prosthesis can have an effective compressibility that is intermediate between a compressibility of the first material and a compressibility of the second material.

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Номер записи: 66
12-04-2018 дата публикации

BIOCOMPATIBLE CONTAINMENT MEMBER FOR BONE AUGMENTATION SURGERY MADE OF PROCESSED NATURAL MEMBRANE FROM AN ANIMAL DONOR

Номер: US20180099073A1
Автор: Cheung David
Принадлежит: Osseous Technologies of America

A surgically implantable containment member for maintaining a bone augmentation material in a desired location and/or configuration following implantation in a human or other mammalian patient, in which the containment member is made of a natural membrane, such as pericardium, isolated from an animal donor and processed to avoid inflammation or tissue rejection, and a method of bone augmentation using such a containment member. In a particularly preferred embodiment, the containment member has a window which rapidly dissipates upon exposure to bodily fluids after implantation to expose bone augmentation material contained within the containment member to an adjacent bone to be augmented. 1. A surgically implantable containment member for maintaining a bone augmentation material in a desired location and/or configuration following implantation in a mammalian patient , wherein said containment member is comprised of a natural membrane isolated from an animal donor and processed to avoid inflammation or tissue rejection , wherein said containment member comprises an arcuate sheet with parallel leg sections joined at one end by a closed curved section and further comprising a flap which serves as a point of attachment for fixing the containment member in a desired implanted location.2. A containment member according to claim 1 , wherein following the processing said containment member retains the natural membrane structure of the isolated natural membrane.3. A containment member according to claim 1 , wherein said isolated natural membrane is pericardial membrane.4. a containment member according to claim 1 , wherein said containment member has the form of a cylindrical capsule formed of two sections each of which has a closed end and an open end with the open end of one section sized for mating insertion into the open end of the other section to form a closed containment structure.5. A containment member according to claim 4 , wherein at least one section comprises a ...

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Номер записи: 67
29-04-2021 дата публикации

RECESSED POCKET SPINAL IMPLANT

Номер: US20210121298A1
Автор: Aryan Henry E., Walker John Lawrence, Williams Colby
Принадлежит:

A surgical implant and a surgical kit. The surgical implant having a body for contacting and supporting adjacent vertebrae. The body has a) opposing superior and inferior surfaces with or without corrugations, b) recesses formed in the opposing superior and inferior surfaces within a peripheral boundary of the body, and a recess-fill material (which preferably promotes osseointegration) disposed in the recesses. 1. A surgical implant comprising:a cage formed of PEEK for supporting adjacent vertebrae, the cage comprising opposing superior and inferior surfaces for contacting the adjacent vertebrae;the opposing superior and inferior surfaces having corrugations thereon for engaging the vertebrae;a peripheral portion of the cage surrounding at least one opening in the cage and extending between the superior and inferior surfaces to provide a graft window between the opposing superior and inferior surfaces; a) a rim around an outside of the cage, and', 'b) a recess disposed interior to the rim and extending from the rim to the at least one opening; and, 'the peripheral portion including at least some of the corrugations, and comprisinga titanium inlay disposed in the recess and filling the recess such that the titanium inlay and the rim form the opposing superior and inferior surfaces having the corrugations for engaging the vertebrae.2. The implant of claim 1 , wherein the titanium inlay comprises a nano-grain titanium material.3. The implant of claim 1 , wherein the corrugations on the rim are co-extensive with the corrugations on the inlay.4. The implant of claim 1 , wherein the titanium inlay completely fills the recess such that a vertebrae-engaging surface of the titanium is substantially level with a topmost surface or a bottommost surface of the rim.5. The implant of claim 1 , wherein the titanium inlay fills the recess such that the titanium inlay is bound against a) delamination from the cage and b) translation out of the recess when the superior and inferior ...

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Номер записи: 68
28-04-2016 дата публикации

Multilens Intraocular System with Injectable Accommodation Material

Номер: US20160113761A1
Автор: Jerry Kaeni, Kayo Nishi, Okihiro Nishi, Shiao H. Chang
Принадлежит: Calhoun Vision Inc

The invention relates to a multi-lens intraocular lens system having an accommodation material between the lenses. The system comprises an posterior lens attached to the posterior surface of the capsular bag and an anterior lens attached to the anterior surface of the capsular bag. The anterior and posterior lenses have different optical properties providing different degrees and types of correction. An accommodation material is place between the anterior and posterior lenses. The accommodation material may comprise of one or more macromers, which, when polymerized, adjust the properties of the accommodation material.

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Номер записи: 69
03-05-2018 дата публикации

ORTHOPEDIC AUGMENTS HAVING RECESSED POCKETS

Номер: US20180116806A1
Автор: Goldberg Daniel R., Quinn Nathaniel M., Shea Jeffrey J., Tsai Stanley
Принадлежит:

Systems, devices, and methods for providing orthopedic augments having recessed pockets that receive a fixation material. The orthopedic augments include an outer surface that interfaces with a patient's tissue or bone, and an inner surface that interfaces with an implant, the inner surface defining a recessed pocket configured to receive a fixation material, a rim around at least a portion of the recessed pocket, and a port in the rim, wherein the recessed pocket extends along the inner surface in at least a direction laterally from the port. 135.-. (canceled)36. A method of utilizing an orthopedic augment that is rigid and structured for use with an orthopedic component , wherein the orthopedic augment includes an outer surface and an inner surface with the inner surface defining a recessed pocket having a fixed shape , a port extending through the outer surface and the inner surface to the pocket , and a rim structured to flushly engage the orthopedic component , the method comprising:positioning the orthopedic augment against the orthopedic component with the rim flushly engaged with the orthopedic component, thereby partially enclosing the recessed pocket having the fixed shape; and inserting a fluid fixation material into the recessed pocket via the port; or', 'fastening the orthopedic augment to the orthopedic component with a screw positioned in the recessed pocket., 'affixing the orthopedic augment to the orthopedic component with the rim flushly engaged with the orthopedic component, wherein the affixing comprises37. The method of claim 36 , wherein the positioning and the affixing are performed with the orthopedic component implanted in a patient.38. The method of claim 36 , wherein the positioning includes forming a fluid-tight seal between the rim and the orthopedic component.39. The method of claim 36 , wherein the orthopedic augment includes a porous outer surface.40. The method of claim 36 , wherein the orthopedic component comprises an acetabular ...

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Номер записи: 70
03-05-2018 дата публикации

EXPANDABLE COIL SPINAL IMPLANT

Номер: US20180116813A1
Автор: Richter Joern, Teisen Jacques
Принадлежит: DePuy Synthes Products, Inc.

Coiled spinal implants for disc, vertebral body, and spinal motion segment replacement or reconstruction comprise a plurality of loops and spaces between the loops, with the loops formed of a hollow material and having a plurality of apertures or a longitudinal gap that extend(s) through the sidewalls of the loops and into the hollow center. The coiled implants include one or more balloons within the hollow center, the spaces between the coil loops, and/or within the central void that the coil surrounds. Filling the balloon expands the loops and thereby increases the height of the coil. Bone graft material or bone cement may be deployed from the apertures or gap. 1. A spinal implant , comprising: an expandable coil comprising a hollow tube having a first end , a second end , side walls defining a lumen , and a plurality of apertures through the sidewalls , the hollow tube formed into a plurality of loops having a space between the lower and upper sidewalls of vertically adjacent loops , and at least one balloon present in at least some of the spaces between vertically adjacent loops , wherein the implant , when the coil is expanded , has a height that approximates the height of an intervertebral disc , the height of a vertebral body , or the height of a spinal motion segment.2. The spinal implant of claim 1 , wherein the hollow tube comprises nickel claim 1 , titanium claim 1 , steel claim 1 , aluminum claim 1 , or alloy thereof.3. The spinal implant of claim 2 , wherein the alloy comprises nitinol.4. The spinal implant of claim 1 , wherein the at least one balloon comprises a single chamber.5. The spinal implant of claim 1 , wherein the at least one balloon comprises a plurality of chambers.6. The spinal implant of claim 4 , wherein the chamber comprises a fluid selected from the group consisting of water claim 4 , a physiologic saline solution claim 4 , a radiopaque contrast medium claim 4 , a hydrogel claim 4 , and a bone cement.7. The spinal implant of claim 5 , ...

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Номер записи: 71
17-07-2014 дата публикации

Delivery systems containing bioactive materials

Номер: US20140200676A1
Автор: Daniel A. Shimko, Kerem N. Kalpakci
Принадлежит: WARSAW ORTHOPEDIC INC

A delivery system comprising a covering containing at least a first substance for release to a surgical site is provided. The covering includes an elongated containment portion having at least one compartment, wherein the covering includes an elongated containment having a first end and a second end. At one end the elongated containment defines an opening configured to receive at least one substance. The at least one substance can be DBM or a mixture of demineralized fibers and particles in a ratio of 30:70. The delivery system also includes a closing member that can close the elongated containment prior to insertion at a surgical site. The closing member can be drawing strings, stitches, sutures, wing sutures, heat seals, adhesion, pressure fittings, coil ring, twist tie. The substance contained in the delivery system can also be enclosed by twisting and folding over a portion of the covering.

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Номер записи: 72
04-05-2017 дата публикации

Bone fusion device

Номер: US20170119543A1
Автор: Gary R. McLuen, Gregory C. Stalcup, Kreigh R. Williams, Nicklas P. Thystrup, Steven E. Dietzel
Принадлежит: NeuroPro Technologies Inc

A bone fusion device for insertion between bones that are to be fused together, such as, for example, the vertebrae of a spinal column. The bone fusion device comprises at least one extendable tab and one or more tab extension assemblies. Each tab extension assembly is able to be adjusted in order to individually control the extension or contraction of a side of the tab thereby enabling adjustment of the height and/or angle of the tab with respect to the body of the bone fusion device. Each tab extension assembly is able to be individually adjusted such that the side controlled by each assembly is raised or lowered until the desired tab angle is achieved. The tab is advantageously positioned and angled to correspond to the vertebrae to help brace the device until the bone has fused.

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Номер записи: 73
07-05-2015 дата публикации

BREACH DETECTION IN SOLID STRUCTURES

Номер: US20150127090A1
Автор: Chen Richard D.Y.
Принадлежит: Sensurtec, Inc.

An implantable device includes at least one solid structure having an external surface and a volume beneath the surface. One or more of a first conductor or set of conductors is disposed externally and/or internally on or within the structure and an array of elongate electrically conductive elements are disposed radially outwardly within the volume. A breach is detected when a conductive fluid intrudes into the volume through the surface. 1. An implantable device in the body comprising:a solid structure covering a volume with a surface, layer, or thickness subject to wear;a first electrical conductor located internally or externally of the said covering structure;an electrically conductive array including one or more elongate conductive elements embedded behind said surface, layer, or thickness of the said covering structure and isolated from said first electrical conductor, wherein said conductive elongate elements project in a direction from an interior toward a region subject to wear; anda wireless signaling circuitry coupled to the first electrical conductor and the electrically conductive array;wherein an electrically conductive fluid electrically bridges the first electrical conductor and the electrically conductive array to enable the circuitry to emit a detectable wireless signal warning when the wear of the surface, layer, or thickness exposes at least one distal portion of one or more of the conductive elongate elements.2. An implantable device as in claim 1 , wherein the elongate conductive elements are generally linear.3. An implantable device as in claim 1 , wherein the elongate conductive elements comprise a serpentine structure.4. An implantable device as in claim 1 , wherein the detecting portion of the said three dimensional configuration of the second conductor forms a spread out pattern at a predetermined distance from said surface claim 1 , layer claim 1 , or thickness.5. An implantable device as in claim 1 , wherein a major axis of the said ...

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Номер записи: 74
07-05-2015 дата публикации

IN-SITU FORMATION OF A JOINT REPLACEMENT PROSTHESIS

Номер: US20150127104A1
Автор: BARKAI Nir, Levy Ofer, SHAHAR Mark, Sonnino-Levy Yael
Принадлежит:

An expandable mold configured to be arthroscopically introduced into a joint for in-situ formation of a joint replacement prosthesis, and a flowable, curable substance configured for forming the joint replacement prosthesis inside said mold. In addition, a surgical kit for arthroscopic, in-situ formation of a joint replacement prosthesis, the surgical kit comprising: an expandable prosthesis mold configured to be arthroscopically introduced into a joint; at least one arthroscopic instrument configured to form an ellipsoidal cavity between two interfacing bones of the joint, for receiving said mold; and a first flowable, curable substance configured for forming the prosthesis inside said mold. 170-. (canceled)71. A surgical kit for arthroscopic , in-situ formation of a joint replacement prosthesis , the surgical kit comprising:an expandable prosthesis mold configured to be arthroscopically introduced into a joint;at least one arthroscopic instrument configured to form an ellipsoidal cavity between two interfacing bones of the joint, for receiving said mold; anda first flowable, curable substance configured for forming the prosthesis inside said mold.72. The surgical kit according to claim 71 , wherein said mold is characterized by a smooth claim 71 , ellipsoidal inner surface claim 71 , such that an outer surface of said prosthesis claim 71 , when formed claim 71 , is smooth and ellipsoidal.73. The surgical kit according to claim 72 , wherein said ellipsoidal inner surface comprises a spheroidal inner surface.74. The surgical kit according to claim 73 , wherein said spheroidal inner surface comprises a spherical inner surface.75. The surgical kit according to claim 71 , wherein said mold is characterized by a final inflated size.76. The surgical kit according to claim 75 , wherein said mold comprises a balloon made of a rigid material.77. The surgical kit according to claim 75 , wherein said mold is made of a non-elastic material.78. The surgical kit according to ...

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Номер записи: 75
07-05-2015 дата публикации

BIONIC JOINT DEVICE WITH CLOSED LUBRICATION

Номер: US20150127114A1
Автор: ZHAO Dezheng
Принадлежит:

A bionic joint device with closed lubrication comprises a main body bionic bone (), a driven bionic bone (), an elastic easily-stretching cavity housing (), a cavity sealing hoop (), an elastic shock-proof material (), a high-strength wear-resistant self-lubricating material () and a powerful inelastic limit connection (). The elastic easily-stretching cavity housing () is internally filled with lubricating grease (). The device is applicable to the robotics field and the artificial joint field. 1. A bionic joint device with closed lubrication , comprising a master bionic bone , a slave bionic bone , an elastic cavity housing , a cavity sealing clamp , an elastic shock-absorbing material , a high-strength , wear-resistant , self-lubricating material , and a powerful inelastic positioning connection , characterized in that the elastic cavity housing is filled with a lubricating grease that satisfies the lubrication requirements of the high-strength , wear-resistant , self-lubricating material; the lubricating grease maintains the lubrication action between the master bionic bone and the slave bionic bone; the elastic cavity housing and the lubricating grease protect the high-strength , wear-resistant self-lubricating material and ensure a good bending , twisting , and sliding performance of the joint device; the elastic cavity housing maintains lubrication action and prevents leakage of lubricating grease in the process of bending and stretching; the cavity sealing clamp seals the elastic cavity housing by means of the clamping slots of the master bionic bone and the slave bionic bone; and glue is applied on the contact surfaces to prevent leakage of the lubricating grease contained inside the elastic cavity housing.2. The bionic joint device with closed lubrication according to claim 1 , further characterized in that the elastic shock-absorbing material is used to mitigate external impacts and vibrations; the high-strength claim 1 , wear-resistant claim 1 , self- ...

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Номер записи: 76
25-04-2019 дата публикации

SPINAL FUSION DEVICES, SYSTEMS AND METHODS

Номер: US20190117266A1
Автор: Ali Raed
Принадлежит:

According to some embodiments, a method of accessing an intervertebral space of a patient's spine in a minimally invasive manner compromises creating a passage from a posterior end of a pedicle of a vertebral member using a probe, advancing the probe through the pedicle and to a main body portion of the vertebral member, advancing the probe through a superior endplate of the vertebral member and into the intervertebral space and enlarging the passage using at least one tap to create an enlarged passage from a posterior of the pedicle to the intervertebral space. In some embodiments, the enlarged passage traverses at least three cortical layers of the vertebral member. 1creating a passage from a posterior end of a pedicle of the first vertebra through a superior endplate of the first vertebra, such that the passage extends into an intervertebral space located generally between the first and second vertebrae;advancing a first bone screw through the passage, such that a distal end of the first bone screw extends at least partially into the intervertebral space;inserting a second bone screw through the second vertebra; andattaching the first bone screw to the second bone screw.. A method of fusing a first vertebra to a second vertebra, said second vertebra being immediately adjacent and above the first vertebra, the method comprising: This application is a continuation application of U.S. patent application Ser. No. 14/341,587 filed Jul. 25, 2014, which is a continuation application of U.S. patent application Ser. No. 13/422,816 filed Mar. 16, 2012 and issued as U.S. Pat. No. 8,790,375 on Jul. 29, 2014, which claims the priority benefit under 35 U.S.C. § 119(e) of U.S. Provisional Patent Application No. 61/454,459 filed Mar. 18, 2011. The entireties of all of the foregoing are hereby incorporated by reference herein.This application relates generally to devices, systems and methods for the treatment of the spine, and more specifically, to access into an intervertebral ...

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Номер записи: 77
25-04-2019 дата публикации

Implantation of Micronized Allograft Tissue Over a Microfractured Defect

Номер: US20190117403A1
Автор: BENEDICT Robert, Bradley James P., Cole Brian J., COOK James L., Fortier Lisa A., Giza Eric, Karnes Gregory J., Roller Brandon L., Roy Tithi Dutta, Schmieding Reinhold, Shepard David O.
Принадлежит:

Techniques, mixtures, mixing and delivery kits, and improved delivery instruments for implantation of micronized allograft tissue over a microfractured defect. Allograft cartilage tissue is delivered over a cartilage defect that has been debrided and microfractured, without the need for a periosteal covering or separate type of patch sewn over the top. The allograft tissue may be any micronized cartilage particulates obtained by various methods, for example, cartilage delivered in its native form, dehydrated via lyophilization, “freeze-dried,” dehydrated via desiccation, or dehydrated by any other method. 1. A method comprising:(a) placing a micronized cartilage mixture comprising (i) micronized allograft cartilage particles above 0 to about 300 microns, (ii) type II collagen, (iii) proteoglycans, (iv) cartilaginous growth factors into a first syringe, wherein the first syringe comprises a tube and a plunger that fits in the tube, the plunger being formed of a pushrod and a mixing element attached to the pushrod, the pushrod fitting into the mixing element and being designed to unsnap from the mixing element and snap back into the mixing element;(b) providing a second syringe or second container containing platelet rich plasma and injecting the platelet rich plasma into the first syringe;(c) removing the pushrod from the mixing element and moving the mixing element in at least one direction to mix the micronized allograft tissue particles with the platelet rich plasma to create a micronized allograft mixture with a paste consistency;(d) applying a needle or small cannula to the first syringe;(e) debriding an articular cartilage defect site to form a stable border;(f) forming several perforations in a subchondral bone plate at the base of the articular cartilage defect site using microfracture techniques to form a microfracture site; and(g) delivering a graft comprising the micronized allograft mixture with a paste-like consistency directly at the microfracture site, ...

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Номер записи: 78
14-05-2015 дата публикации

Spacer implant for the temporary replacement of a knee prosthesis

Номер: US20150134068A1
Автор: Alain Leonard, Cyril Sender, Gautier Halbin, Nouredine Sahraqui
Принадлежит: Teknimed SAS

The present invention relates to a spacer implant (I) for the temporary replacement of a knee prosthesis, said implant (I) having a femoral condyle ( 1 ) and a tibial plateau ( 2 ), the lower surface ( 7 ) of the femoral condyle ( 1 ) resting on the upper surface ( 8 ) of the tibial plateau ( 2 ), the lower surface ( 7 ) of the femoral condyle ( 1 ) having a convex shape while the upper surface ( 8 ) of the tibial plateau ( 2 ) has a concave shape, a stud ( 9 ) being supported by the tibial plateau ( 2 ) and penetrating into a receiving means ( 17 ) provided on the femoral condyle ( 1 ), the femoral condyle ( 1 ) comprising two flanges ( 12, 13 ) having different sizes and being joined together via a base ( 7 ) traversed by a notch ( 17 ) forming the receiving means, the shorter flange ( 13 ) consisting of two elements ( 15 ) referred to as condyles, which are spaced apart from one another by the extension of the notch ( 17 ), and a stabilizing bar ( 16 ) joining the two condyles ( 15 ) together at the free end of said flange ( 13 ).

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Номер записи: 79
11-05-2017 дата публикации

DEVICE FOR REPAIRING A HUMAN OR ANIMAL JOINT

Номер: US20170128214A1
Автор: Aeschlimann Marcel, Goebel-Mehl Stephanie, Lehmann Mario, Mayer Jorg, Wenger Andreas
Принадлежит:

A human or animal joint is treated by introduction of a device between the suitably prepared articulating surfaces of the joint, and the device is anchored in both these articular surfaces with a material having thermoplastic properties. For allowing at least limited articulation of the joint after implantation, the device includes two articulating portions, wherein one of the articulating portions is anchored in each articulating surfaces of the joint. On implantation a proximal face of the device is contacted with a vibrating tool and the vibration is transmitted through parts of the device to locations in which the material having thermoplastic properties is near the bone tissue of the articulating surfaces of the joint and in which liquefaction is desired. The liquefied material penetrates the bone tissue and, on re-solidification forms a positive fit connection between the device and the bone tissue 1. A device for treating a human or animal joint , the joint comprising two articulating surfaces and the device comprising:two articulating portions capable of at least limited articulation relative to each other and being equipped for being fixed one in each one of the articulating surfaces with the aid of a material having thermoplastic properties and vibration energy, wherein the material having thermoplastic properties is arranged on outer sides of each articulating portion,and a temporal connector portion being removably arranged between or around the two articulating portions and connecting the two articulating portions to form a rigid, non-articulating entity such that the device constitutes one piece at least for the time of the implantation procedure.2. The device according to claim 1 , wherein the articulating portions comprise the material having thermoplastic properties in at least one of: ridges protruding from outer surfaces of carrier plates claim 1 , a coating of said outer surface of the carrier plate claim 1 , in pins arranged in grooves on the ...

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Номер записи: 80
25-05-2017 дата публикации

INTERVERTEBRAL NUCLEUS AND ANNULUS IMPLANTS AND METHODS OF USE THEREOF

Номер: US20170143505A1
Автор: "OHalloran Damien", BENNETT Jeff, Ingalhalikar Aditya, Seifert Jody L, Suh Sean, Tetteh Sophia
Принадлежит:

The invention encompasses devices and methods for treating one or more damaged, diseased, or traumatized intervertebral discs to reduce or eliminate associated back pain. Specifically, the invention encompasses intervertebral nucleus and annulus implants that are resistant to migration in and/or expulsion from an intervertebral disc space. The invention further encompasses kits including the implantable devices of the invention and associated delivery tools to treat annular and nuclear tissue. 1. A nucleus pulposus replacement device comprising:an outer shell comprised of a biocompatible material defining a central fillable cavity having a central cavity and one or more envelope cavities completely surrounding an outer perimeter of the central cavity;an inner surface capable of receiving a load bearing polymeric or elastomeric material;a valve to allow filling of the inner surface; anda sealing crimp.2. The device of claim 1 , wherein device is inserted with an endoscope.3. The device of claim 1 , wherein the outer shell is comprised of a metallic material.4. The device of claim 3 , wherein the metallic material comprises NiTi alloy claim 3 , stainless steel claim 3 , titanium claim 3 , or combinations thereof.5. The device of claim 1 , wherein the outer shell is comprised of a polymeric material.6. The device of claim 1 , further comprising filling the inner surface with the load bear polymeric or elastomeric material claim 1 , wherein the load bearing polymeric or elastomeric material includes a plurality of elastomeric beads or balls suspended in a biocompatible fluid or gel.7. The device of claim 6 , wherein the plurality of elastomeric beads or balls comprises silicone claim 6 , urethane claim 6 , silicone-urethane copolymer claim 6 , polycarbonate-urethane copolymer claim 6 , polyethylene terephthalate claim 6 , or combinations thereof.8. The device of claim 1 , wherein the valve comprises a unidirectional valve.9. The device of claim 1 , wherein the nucleus ...

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Номер записи: 81
25-05-2017 дата публикации

CATHETER DELIVERABLE FOOT IMPLANT AND METHOD OF DELIVERING THE SAME

Номер: US20170143511A1
Автор: Cachia Victor V.
Принадлежит:

Methods and devices are disclosed for manipulating alignment of the foot to treat patients with flat feet, posterior tibial tendon dysfunction and metatarsophalangeal joint dysfunction. An inflatable implant is positioned in or about the sinus tarsi and/or first metatarsal-phalangeal joint of the foot. The implant is insertable by minimally invasive means and inflatable through a catheter or needle. Inflation of the implant alters the range of motion in the subtalar or first metatarsal-phalangeal joint and changes the alignment of the foot. 122-. (canceled)23. A method for treating a patient , comprising:identifying a cyma line in a foot of a patient;smoothing said cyma line; andsecuring said smoothing by inflating an implant in the sinus tarsi of said foot with an inflation material.24. The method of claim 23 , wherein said material is a fluid.25. The method of claim 23 , wherein said material is a solid.26. The method of claim 25 , wherein said solid comprises microspheres.27. The method of claim 23 , wherein the implant is inserted through a cannula inserted into said sinus tarsi of said patient.28. The method of claim 23 , wherein the implant is inserted over a guidewire inserted into said sinus tarsi of said patient.29. The method of claim 28 , further comprising combining multiple agents to form said inflation material.30. The method of claim 28 , wherein said combining step is performed before said inflating step. The present application is a continuation of U.S. patent application Ser. No. 14/258,733 filed on Apr. 22, 2014, which is a continuation of U.S. patent application Ser. No. 13/164,612 filed on Jun. 20, 2011 which is a continuation of U.S. patent application Ser. No. 12/325,894 filed on Dec. 1, 2008, which is a continuation of U.S. patent application Ser. No. 11/068,675 filed on Mar. 1, 2005, which claims priority under 35 U.S.C. §119(e) to U.S. Provisional Application No. 60/549,767 filed on Mar. 3, 2004, the disclosure of which are incorporated by ...

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Номер записи: 82
15-09-2022 дата публикации

Disc prosthesis for controlled fusion

Номер: US20220287847A1
Автор: Kamran Aflatoon
Принадлежит: Individual

A lumbar and/or cervical disc prosthetic formed with three primary layers, including a superior (upper) plate, inferior (lower) plate, and intermediate core, in a sandwiched configuration. The superior plate member is adapted to be secured on one side to an upper vertebra in a spinal column, the inferior lower plate member is adapted to be secured on one side to a lower vertebra in the spinal column, and the core permits a limited degree of articulation of the superior plate relative to the inferior plate. Both the superior plate member and inferior plate member are constructed of two different materials, metal and plastic, such that the outward surfaces expose islands of metal surrounded by plastic to deter bone ongrowth to the plastic while promoting bone ongrowth to the metal islands. The prosthetic disc preserves spinal articulation years after the procedure.

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Номер записи: 83
16-05-2019 дата публикации

Spinal fusion cage system with inserter

Номер: US20190142604A1
Автор: Jeffrey B. Kleiner
Принадлежит: Individual

The present disclosure relates to a spinal fusion impactor tool that includes an attachment means for securing an implant device to the distal end of the tool, a means for adjusting the angle of the distal head relative to the handle to better position the implant for introduction into the implant site, means for remotely releasing the implant device at the distal end and a clamp device on the shaft of the tool to secure tabs, attachments and other devices. The impactor tool is preferably used in conjunction with implantation of an intervertebral fusion cage that is equipped with shims having tabs or other removing means, but may also be used to introduce, for example, an implant, graft, fusion device, wedge or distractor device into any joint space or bony region in preparation for implantation.

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Номер записи: 84
17-06-2021 дата публикации

HIP JOINT DEVICE AND METHOD

Номер: US20210177608A1
Автор: Forsell Peter
Принадлежит:

A medical device for treating hip joint osteoarthritis by providing a joint surface is provided. The medical device comprises at least two artificial hip joint surface parts, wherein said at least two artificial hip joint surface parts are adapted to be connected to each other to form an artificial hip joint surface during an operation. Furthermore a method of treating a hip joint of a human patient by providing said the medical device is provided. The hip joint comprising a caput femur and an acetabulum, the method comprises the steps of: cutting the skin of said human patient, dissecting an area of the pelvic bone on the opposite side from said acetabulum, creating a hole in said dissected area, said hole passing through said pelvic bone and into said hip joint of said human patient, and providing said medical device to said hip joint, through said hole in said pelvic bone of said human patient. 1. An medical device for implantation in a hip joint for providing a joint surface , wherein said medical device comprisesan artificial hip joint surface adapted to function as a bearing surface of the hip joint when in its functional position, anda fixating portion, adapted to at least partially be placed inside of the femoral bone, or abut the pelvic bone, for fixating the artificial hip joint surface to the femoral bone or the pelvic bone,wherein said hip joint surface comprises at least a first part and a second part adapted to be connected to each other in situ to form said hip joint surface constituting and artificial caput femur surface or an artificial acetabulum surface.2. (canceled)3. The medical device according to claim 1 , wherein said medical device further comprises a locking member adapted to lock said first part and said second part together after said first and second part has been connected into a mounted medical device.4. The medical device according to claim 1 , wherein said artificial hip surface comprises a first carrying surface claim 1 , carrying ...

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Номер записи: 85
17-06-2021 дата публикации

JOINT SPACERS

Номер: US20210178019A1
Автор: ABBOUD Joseph A.
Принадлежит:

A joint spacer is provided for treatment of a joint of a human subject, the joint spacer including a pouch having a wall including a dermal graft material. The joint spacer is configured to be inserted into a space of the joint, and is shaped, when the pouch is inserted into the space and filled, to provide mechanical support to the joint. Other embodiments are also described. 1. Apparatus comprising a joint spacer for treatment of a joint of a human subject , the joint spacer comprising:a pouch having a wall comprising a dermal graft material,wherein the joint spacer is configured to be inserted into a space of the joint, and is shaped, when the pouch is inserted into the space and filled, to provide mechanical support to the joint.2. The apparatus according to claim 1 , wherein the joint spacer comprises a filling port for the pouch.3. The apparatus according to claim 2 , wherein the pouch is configured claim 2 , when the filling port is sealed and the pouch is filled to a greatest volume possible without plastic deformation of the wall claim 2 , to remain intact upon application of a force claim 2 , by squeezing the pouch between two rigid planar surfaces larger than the pouch claim 2 , of 400 N.4. The apparatus according to claim 1 , wherein the wall of the pouch does not comprise any metal or polymer.5. The apparatus according to claim 1 , wherein the wall of the pouch comprises only biological material.6. The apparatus according to claim 1 , wherein an average thickness of the wall is between 1 and 4 mm.7. The apparatus according to claim 1 , wherein the pouch claim 1 , when filled to a greatest volume possible without plastic deformation of the wall claim 1 , is shaped so as to define two major surfaces facing away from each other claim 1 , and wherein each of the major surfaces bulges away from a plane between the two major surfaces.8. The apparatus according to claim 7 , wherein when the pouch is filled to the greatest volume possible without plastic ...

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Номер записи: 86
07-06-2018 дата публикации

Method And Apparatus For Post-Operative Tuning Of A Spinal Implant

Номер: US20180153709A1
Автор: Hunter Mark W.
Принадлежит:

A tunable implant, system, and method enables a tunable implant to be adjusted within a patient. The tunable implant includes a securing mechanism to secure the implant in the patient, a actuation portion that enables the implant to move and an adjustment portion that permits adjustment of the implant after the implant has been positioned within the patient. The method of adjusting the tunable implant includes analyzing the operation of the implant, determining if any adjustments are necessary and adjusting the implant to improve implant performance. The implant system includes both the tunable implant and a telemetric system that is operable to telemetrically receive data from the tunable implant where the data is used to determine if adjustment of the tunable implant is necessary. The system also includes an instrument assembly that is used for performing spinal surgery where the instrument assembly includes a mounting platform and a jig. 1. A method for tuning an implant positioned within a patient , said method comprising:implanting an implant during an operative procedure;analyzing an operation of the implant implanted within the patient including conducting a post-operative exam of the implant implanted within the patient;determining if any adjustment of the implant is necessary; andadjusting the implant while the implant is positioned within the patient, wherein upon adjusting the implant, the implant provides improved performance.2. The method as defined in wherein the post-operative exam includes a motion analysis on the operation of the implant positioned within the patient; andwherein determining if any adjustment of the implant is necessary includes analyzing the motion analysis study.3. The method as defined in wherein the motion analysis is an image-based motion analysis and includes capturing images of the implant positioned within the patient during motion of the patient to observe the implant in operation and during a static condition of the patient ...

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Номер записи: 87
08-06-2017 дата публикации

HARVESTING BONE GRAFT MATERIAL FOR USE IN SPINAL AND OTHER BONE FUSION SURGERIES

Номер: US20170156888A1
Автор: Neubardt Seth L.
Принадлежит:

A cage or spacer device for harvesting bone graft material for use in bone fusion surgery, e.g., spinal fusion. The device is inserted between facing surfaces of the bones to be fused, and a chamber is formed in the device for containing a slurry of morselized bone and blood to be effused from the bones. In one embodiment, a bone cutter assembly including a cannula having a bend at a distal end is inserted in the chamber for operation. A wire having a cutting tip is passed inside the cannula so that the tip projects a determined distance from the distal end of the cannula. Accordingly, the cutting tip strikes and cuts grooves in the facing surfaces of the bones when the cannula is rotationally driven about its axis. The mentioned slurry effuses from the grooved surfaces and remains in the chamber to promote a solid and healthy fusion. 1. A cage or spacer device for harvesting bone graft material for use in fusion surgery , comprising:a housing dimensioned and formed for insertion to a desired position within a space between two bones to be fused;the housing has a chamber that opens at top and bottom ends of the device to face the bones, for containing a slurry of morselized bone and blood when effused by the bones;a bone cutter assembly including an elongated cannula having an axial passage and a bend formed at a distal end or tip of the cannula; anda wire having a cutting tip, wherein the wire is inserted through the passage in the cannula so that the cutting tip extends a desired distance beyond the distal end of the cannula for contacting the bones to be fused, and the cutting tip is operative to cut grooves in the bones when the distal end of the cannula is disposed inside the housing chamber and the cannula is driven to rotate about its axis, so that a slurry of morselized bone and blood effuses from the grooved bones and enters the housing chamber to promote fusion of the bones.2. A cage device according to claim 1 , wherein the housing comprises a wall having ...

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Номер записи: 88
04-09-2014 дата публикации

Tissue prosthesis insertion system and method

Номер: US20140249634A1
Автор: Ashish Dhar Diwan, Johnathon Choi, Zoran Milijasevic
Принадлежит: Kunovus Pty Ltd

A tissue prosthesis insertion system ( 80 ) includes a first assembly ( 10 ) comprising a plurality of nested tubes ( 12 ), one of the tubes being a carrier tube ( 14 ) which, in use, receives a component ( 16 ) of a tissue prosthesis at a distal end of the carrier tube ( 14 ). A magnetic mount ( 44 ) is carried at a proximal end of the first assembly ( 10 ). A second assembly ( 82 ) is removably attachable to the first assembly ( 10 ). An attachment device ( 92 ) is carried at a distal end of the second assembly ( 92 ), the attachment device ( 92 ) being responsive to the magnetic mount ( 44 ) of the first assembly ( 10 ), the magnetic mount ( 44 ) and the attachment device ( 92 ) carrying complementary engaging formations to facilitate hermetic sealing between the magnetic mount ( 44 ) and the attachment device ( 92 ).

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Номер записи: 89
25-06-2015 дата публикации

In-situ formed intervertebral fusion device and method

Номер: US20150173914A1
Автор: Michael Andrew Slivka, Thomas M. DiMauro
Принадлежит: DePuy Synthes Products Inc

An orthopedic device for implanting between adjacent vertebrae comprising: an arcuate balloon and a hardenable material within said balloon. In some embodiments, the balloon has a footprint that substantially corresponds to a perimeter of a vertebral endplate. An inflatable device is inserted through a cannula into an intervertebral space and oriented so that, upon expansion, a natural angle between vertebrae will be at least partially restored. At least one component selected from the group consisting of a load-bearing component and an osteobiologic component is directed into the inflatable device through a fluid communication means.

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Номер записи: 90
23-06-2016 дата публикации

Methods and apparatus for treating disc herniation and preventing the extrusion of interbody bone graft

Номер: US20160175104A1
Автор: Bret A. Ferree
Принадлежит: Suture Concepts Inc

Methods for treating an annulus fibrosis having a defect include inserting a flexible device into the defect. The flexible device is advanced distally beyond an outer layer of the annulus fibrosus. The flexible device is then expanded such that a width of the flexible device is larger than the defect, where the flexible device prevents escape of nucleus pulposus through the defect. The flexible device may have at least two appendages made from a shape-memory metal. Alternatively, the flexible device may have a U-shaped structure that includes a central portion and two legs. The flexible device may also be anchored to the annulus fibrosis and/or the vertebrae.

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Номер записи: 91
11-09-2014 дата публикации

SYSTEMS, METHODS AND APPARATUSES FOR FORMATION AND INSERTION OF TISSUE PROSTHESIS

Номер: US20140257417A1
Автор: Choi Johnathon, Diwan Ashish Dhar, Milijasevic Zoran
Принадлежит: SPINECELL PRIVATE LIMITED

A tissue prosthesis insertion system includes a first assembly comprising a plurality of nested tubes, one of the tubes being a carrier tube which, in use, receives a component of a tissue prosthesis at a distal end of the carrier tube. A magnetic mount is carried at a proximal end of the first assembly. A second assembly is removably attachable to the first assembly. An attachment device is carried at a distal end of the second assembly, the attachment device being responsive to the magnetic mount of the first assembly, the magnetic mount and the attachment device carrying complementary engaging formations to facilitate hermetic sealing between the magnetic mount and the attachment device.

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Номер записи: 92
11-09-2014 дата публикации

RESILIENT KNEE IMPLANT AND METHODS

Номер: US20140257500A1
Автор: Grotz R. Thomas
Принадлежит:

This disclosure is directed to a resilient interpositional arthroplasty implant for application into a knee joint to pad cartilage defects, cushion a joint, and replace or restore the articular surface, which may preserve joint integrity, reduce pain and improve function. The implant may endure variable joint compressive and shear forces and cyclic loads. The implant may repair, reconstruct, and regenerate joint anatomy, and thereby improve upon joint replacement alternatives. Rather than using periosteal harvesting for cell containment in joint resurfacing, the walls of this invention may capture, distribute and hold living cells until aggregation and hyaline cartilage regrowth occurs. The implant may be deployed into debrided joint spaces, molding and conforming to surrounding structures with sufficient stability to avoid extrusion or dislocation. Appendages of the implant may repair or reconstruct tendons or ligaments, and an interior of the implant that is inflatable may accommodate motions which mimic or approximate normal joint motion.

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Номер записи: 93
21-06-2018 дата публикации

PROSTHETIC DEVICE WITH ANTIBIOTICS

Номер: US20180168813A1
Автор: FACCIOLI Giovanni, SOFFIATTI Renzo
Принадлежит:

Prosthetic device suitable for being implanted in a bone or joint site of the human body, including a prosthetic body, wherein the prosthetic device includes or can be added with antibiotic or a medical substance. 1. A prosthetic device suitable for being implanted in a bone or joint site of the human body , comprising a prosthetic body , wherein said prosthetic device comprises at least one inner cavity , suitable for being filled with a filler material , and through holes or ports extending from said at least one inner cavity to the outside of said device and intended to put said at least one inner cavity in communication with the outside of the prosthetic device or with the bone tissue surrounding , in use , said prosthetic device , wherein said prosthetic device comprises or can be added with an antibiotic or a medical substance and in that said prosthetic device comprises at least one filler material arranged and hardened at the entire extension of said at least one cavity and , possibly , of said holes or ports so as to constitute a zone for the absorption and subsequent elution of an antibiotic or medical substance or a solution comprising an antibiotic or medical substance , wherein said filler material has small interconnected channels and/or such small channels have an average cross-section diameter lower than 100 microns.2. (canceled)3. The prosthetic device according to claim 1 , wherein said at least one inner cavity has a shape substantially corresponding to the shape of the prosthetic body or a hemispherical shape or delimits a space suitable for accommodating a filler material.4. The prosthetic device according to claim 1 , wherein said prosthetic body is made of a biologically compatible material claim 1 , of the type implantable in the human body.5. The prosthetic device according to claim 1 , comprising at least one opening for access to said at least one inner cavity.6. The prosthetic device according to claim 1 , wherein said through holes or ...

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Номер записи: 94
30-06-2016 дата публикации

ARTIFICIAL HIP JOINT REPLACEMENT SYSTEM

Номер: US20160184102A1
Автор: LIN Chih I
Принадлежит: SPIRIT SPINE HOLDING CORPORATION, INC.

An artificial hip joint replacement system comprises a hollow fixation part having a joining end at a proximal end thereof and an injecting end at a distal end thereof, a cover part being joined with the injecting end of the hollow fixation part, a medical filling being forceable and/or injectable via the injecting end of the hollow fixation part and into the cover part, such that the medical filling is allowed to become lump-like after injecting is completed; a hip joint substitute being adapted to be joined with the joint end of the hollow fixation part and used for covering over a pre-finished femur; and an acetabular implant being adapted to be joined with the hip joint substitute to form the artificial hip joint replacement system. 1. An artificial hip joint replacement system , comprising:a hollow fixation part having a joining end at a proximal end thereof, and an injecting end at a distal end thereof;a cover part being joined with the injecting end of said hollow fixation part;a medical filling being forceable and/or injectable via the injecting end of said hollow fixation part and into said cover part, such that the medical filling is allowed to become lump-like after injecting is completed;a hip joint substitute being adapted to be joined with said joint end of said hollow fixation part and used for covering over a pre-finished femur; andan acetabular implant being adapted to be joined with the hip joint substitute to form the artificial hip joint replacement system.2. The artificial hip joint replacement system of further comprising a supplementary fixation device for securing the hip joint substitute onto the pre-finished femur claim 1 , wherein said supplementary fixation device comprises a securing cable claim 1 , a bone plate claim 1 , a joining rod claim 1 , a bone nail claim 1 , a screw claim 1 , a rod claim 1 , a barb claim 1 , or a combination thereof.3. The artificial hip joint replacement system of further comprising a tightening device being ...

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Номер записи: 95
18-09-2014 дата публикации

Angulated rings and bonded foils for use with balloons for fusion and dynamic stabilization

Номер: US20140277465A1
Автор: Bodo Quint, Jacques Teisen, Joern Richter, Matthias Wesselmann, Stefan Mueller
Принадлежит: Synthes USA LLC

An inflatable and implantable balloon for treatment of degenerative disc disease, bones, lesions, spinal deformities and spinal motion segment instabilities. The balloon is comprised of adjustable and expandable volumes. Further disclosed are methods of forming, inserting, expanding, and implanting the multi-volume balloon for proper placement and stabilization of the spinal lesion or disease. Still further disclosed are kits for aligning and stabilizing elements of the spine.

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Номер записи: 96
12-07-2018 дата публикации

Endoscopically implantable inflatable interbody fusion device

Номер: US20180193158A1
Автор: Loubert S. Suddaby
Принадлежит: Individual

An endoscopically implantable inflatable interbody fusion device, including an inflatable body having a first inner wall and an outer wall, a first cavity defined by the first inner wall, at least one hollow space between the first inner wall and the outer wall, a first delivery tube extending from outside the outer wall into the at least one hollow space, and a second delivery tube extending from outside the outer wall, through the at least one hollow space, and terminating in the first cavity.

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Номер записи: 97
02-10-2014 дата публикации

Method and implant for replacing damaged meniscal tissue

Номер: US20140296980A1
Автор: Beat Lechmann, Nicolas Bouduban, Philippe Gedet
Принадлежит: DePuy Synthes Products Inc, Synthes GmbH

A method and apparatus for replacing damaged meniscal tissue includes a meniscus implant including a porous body having a plurality of interconnected open micro-pores and one or more open cavities for receiving meniscal tissue. The interconnected micro-pores are arranged to allow fluid to flow into the porous body and are in fluid communication with the one or more open cavities.

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Номер записи: 98
06-08-2015 дата публикации

Stent graft delivery system

Номер: US20150216535A1
Автор: Anant Kumar, Gil Laroya, K.T. Venkateswara Rao, Matthew R. Hellewell, Michael A. Evans, Steven L. Herbowy
Принадлежит: Nellix Inc

A system for treating an aneurysm comprises an elongate flexible shaft and an expandable member. An expandable scaffold is disposed over the expandable member and may be expanded from a collapsed configuration to an expanded configuration. A double-walled filling structure is disposed over the scaffold and has an outer wall and an inner wall. The filling structure is adapted to be filled with a hardenable fluid filing medium so that the outer wall conforms to an inside surface of the aneurysm and the inner wall forms a substantially tubular lumen to provide a path for blood flow. In the expanded configuration the scaffold engages the inner wall of the filling structure. A tether is releasably coupled with the filling structure and the flexible shaft thereby constraining axial movement of the structures relative to each other.

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Номер записи: 99
06-08-2015 дата публикации

Selectively expanding spine cage with enhanced bone graft infusion

Номер: US20150216676A1
Автор: Damien J. Shulock, John E. Ashley, Rudy Pretti, Thomas Grotz
Принадлежит: Howmedica Osteonics Corp

A selectively expanding spine cage has a minimized cross section in its unexpanded state that is smaller than the diameter of the neuroforamen through which it passes in the distracted spine. The cage conformably engages between the endplates of the adjacent vertebrae to effectively distract the anterior disc space, stabilize the motion segments and eliminate pathologic spine motion. Expanding selectively (anteriorly, along the vertical axis of the spine) rather than uniformly, the cage height increases and holds the vertebrae with fixation forces greater than adjacent bone and soft tissue failure forces in natural lordosis. Stability is thus achieved immediately, enabling patient function by eliminating painful motion. The cage shape intends to rest proximate to the anterior column cortices securing the desired spread and fixation, allowing for bone graft in, around, and through the implant for arthrodesis whereas for arthroplasty it fixes to endpoints but cushions the spine naturally.

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Номер записи: 100