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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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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

01-03-2012 дата публикации

Intervertebral prosthetic disc with shock absorption

Номер: US20120053694A1

Автор: David Hovda, James Shapiro, Malan De Villiers

Принадлежит: Spinalmotion Inc

A prosthetic disc for insertion between adjacent vertebrae includes upper and lower plates and a core having upper and lower curved surfaces disposed between the plates. At least one of the plates and/or the core includes a resilient material for absorbing shock or other forces applied by vertebrae. Optionally, resilient support members may be disposed within the resilient material to connect two portions of a plate or the core. Such support members may be springs, cylinders, wires or other resilient structures. The resilient material is held within the core or plate(s) via a surrounding retaining structure, such as a membrane. The resilient material disposed in one or more components of the prosthetic disc provides for shock absorption.

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Номер записи: 2

08-03-2012 дата публикации

Expandable Fusion Device and Method of Installation Thereof

Номер: US20120059470A1

Автор: Mark Weiman

Принадлежит: Globus Medical Inc

The present invention provides an expandable fusion device capable of being installed inside an intervertebral disc space to maintain normal disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. In one embodiment, the fusion device includes a central ramp, a first endplate, and a second endplate, the central ramp capable of being moved in a first direction to move the first and second endplates outwardly and into an expanded configuration. The fusion device is capable of being deployed down an endoscopic tube.

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Номер записи: 3

15-03-2012 дата публикации

Method of Making Porous Metal Articles

Номер: US20120065739A1

Автор: Joseph A. Grohowski, Jr.

Принадлежит: Praxis Powder Technology Inc

In one embodiment, the present invention may be a method of making a porous biocompatible metal article by combining a metal powder with a homogenizing aid to form metal granules, including blending the metal granules and an extractable particulate to form a composite, forming the composite into a green article, removing the extractable particulate from the green article to form a metal matrix and pore structure, and sintering the metal matrix and pore structure. Furthermore the present invention may include a second homogenizing aid combined with the extractable particulate. The present invention also includes shaping the metal matrix and pore structure with or without the use of a binder.

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Номер записи: 4

22-03-2012 дата публикации

Method for inserting an artificial implant between two adjacent vertebrae along a coronal plane

Номер: US20120071984A1

Автор: Gary Karlin Michelson

Принадлежит: WARSAW ORTHOPEDIC INC

A method for inserting an artificial implant between two adjacent vertebrae along a corona plane,

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Номер записи: 5

29-03-2012 дата публикации

Intervertebral insert system

Номер: US20120078315A1

Автор: Patrick J. Sweeney

Принадлежит: Spinal Generations LLC

A system for delivering fluid to a space between two vertebrae is provided. The system includes a tool and an insert configured to be implanted in the space between two vertebrae. The tool includes a proximal end, a distal end and a structure at the distal end configured to be coupled to the insert. The tool further includes a first opening located near the proximal end of the tool, a second opening located near the distal end of the tool, and a passage extending between the first opening and the second opening. The first opening, the passage and the second opening provide a fluid delivery path from the proximal end to the exterior of the tool near the distal end. The second opening is positioned relative to the structure such that fluid is permitted to be delivered from the tool directly into the space between the two vertebrae.

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Номер записи: 6

05-04-2012 дата публикации

Anterior impacted bone graft and driver instruments

Номер: US20120083890A1

Автор: Dayna Buskirk, Eric C. Lange, Steven D. Deridder, Thomas V. McGahan

Принадлежит: Individual

Instrument and implants are disclosed which provide for insertion of an implant into an intervertebral disc space from multiple approaches to the spine. Specifically, as a preferred aspect of the invention the implant includes a tapered portion and the implant may be inserted from multiple approaches to the spine with the orientation and taper properly oriented in the disc space regardless of the approach.

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Номер записи: 7

26-04-2012 дата публикации

Prosthetic intervertebral disc with movable core

Номер: US20120101579A1

Автор: Malan De Villiers, Neville Jansen

Принадлежит: Spinalmotion Inc

An intervertebral disc for a prosthetic intervertebral disc system for insertion from a posterior of the spine includes first and second end plates sized and shaped to fit within an intervertebral space, each end plate having a vertebral contacting surface and an inner surface, a first bearing surface on an inner surface of the first end plate, and a second bearing surface on an inner surface of the second end plate. A mobile core is configured to be received between the first and second bearing surfaces, the first and second end plates being articulable and rotatable relative to each other via sliding motion of at least one of the first and second bearing surfaces over the core. The core is movable with respect to at least one of the first and second end plates.

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Номер записи: 8

03-05-2012 дата публикации

Spinal implant

Номер: US20120109306A1

Автор: Clinton R. Jacob, Mark C. Dace

Принадлежит: WARSAW ORTHOPEDIC INC

A spinal implant configured for implantation in an intervertebral disc space is disclosed. The implant comprises a section for engaging a vertebral body. The section comprises a bone-engaging surface configured to engage at least a portion of a vertical surface and/or an endplate surface of the vertebral body. The section further comprises a metal component and a polymer component that are bonded together, wherein each of the metal component and the polymer component comprises at least one structural element configured to promote fixation between the polymer component and the metal component.

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Номер записи: 9

17-05-2012 дата публикации

Proximally Self-Locking Long Bone Prosthesis

Номер: US20120123554A1

Автор: Matthew V. Fonte

Принадлежит: MX Orthopedics Corp

A femoral stem hip implant for insertion into a surgically created aperture in a femur includes a monolithic femoral stem made of shape memory material. The stem is configured to be inserted into the aperture, has a proximal portion and a longitudinal axis. The shape memory material within the proximal portion has a cross-section perpendicular to the longitudinal axis. At least a portion of the shape memory material within the proximal portion is in a compressed state by application of a plurality of compressive forces at a temperature below an austenitic finish temperature of the shape memory material so that the cross-section expands through shape memory effect via the formation of austenite in response to a temperature increase after insertion into the aperture thereby causing a locking-force to be exerted against an inner surface of the aperture, the locking force being sufficient to stabilize the implant in the aperture.

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Номер записи: 10

31-05-2012 дата публикации

Method for co-processing components in a metal injection molding process, and components made via the same

Номер: US20120136400A1

Автор: Alexei Mourski, Benoit Julien, Mathieu Boisclair

Принадлежит: Maetta Sciences Inc

A method comprising molding a first component from a first feedstock comprising a first material powder and a first binder, molding a second component from a second feedstock comprising a second material powder and a second binder, placing the first component and the second component in physical communication with each other in order to form an assembled component, removing the first binder and the second binder from the assembled component and performing a sintering operation on the assembled component so as to bond the first component and the second component together.

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Номер записи: 11

14-06-2012 дата публикации

Inter-vertebral-body spacer

Номер: US20120150300A1

Автор: Raj Nihalani

Принадлежит: Spinofix Inc

An inter-vertebral-body (IVB) spacer may include a skeletal body and a pair of interchangeable contact pads. The skeletal body may be made of a rigid material for providing structure support, and the pair of contact pads may be made of a softer material for contacting the endplates of the vertebral bodies. Advantageously, the IVB spacer may be strong enough to withstand the pressure applied between the vertebral bodies yet soft enough to protect the vertebral bodies from being eroded. Moreover, the IVB spacer may have an inter-pad angle, which may be adjusted to adapt to patients with various vertebral bone structures. The inter-pad angle of the IVB spacer may be adjusted by simply selecting and replacing one of the contact pads.

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Номер записи: 12

14-06-2012 дата публикации

Expandable Fusion Device and Method of Installation Thereof

Номер: US20120150304A1

Автор: Chad Glerum, Sean Suh

Принадлежит: Globus Medical Inc

The present invention provides an expandable fusion device capable of being installed inside an intervertebral disc space to maintain normal disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. In one embodiment, the fusion device includes a body portion, a first endplate, and a second endplate, the first and second endplates capable of being moved in a direction away from the body portion into an expanded configuration or capable of being moved towards the body portion into an unexpanded configuration. The fusion device is capable of being deployed and installed in both configurations.

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Номер записи: 13

21-06-2012 дата публикации

Joint arthroplasty devices and surgical tools

Номер: US20120151730A1

Автор: Daniel Steines, Konstantinos Tsougarakis, Philipp Lang, Rene Vargas-Voracek, Wolfgang Fitz

Принадлежит: Conformis Inc

Disclosed herein are methods, compositions and tools for repairing articular surfaces repair materials and for repairing an articular surface. The articular surface repairs are customizable or highly selectable by patient and geared toward providing optimal fit and function. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty.

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Номер записи: 14

21-06-2012 дата публикации

Methods and apparatus for insertion of vertebral body distraction and fusion devices

Номер: US20120158071A1

Автор: Nicholas Ransom Powley, Omar F. Jimenez, Yefim Safris

Принадлежит: SpineX Tec LLC

An introducer can be used to implant a distractible intervertebral body fusion device into a patient's disc space and expand the device. Introducer includes a body 100 including a handle and a sleeve. Handle includes a slot for containing an actuation tool. A drive shaft and a securing shaft can extend through sleeve between a proximal end of the sleeve adjacent slot and a distal end of the device. At proximal end, actuation tool can connect to drive shaft where drive shaft extends through an opening in body. Drive shaft can extend out of an opening at distal end to engage a worm gear, drive shaft, or other actuation member of distractible device. Securing shaft can engage the device to stabilize the device during distraction. Activation of the actuation member rotates the drive shaft, which expands the distractible device.

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Номер записи: 15

21-06-2012 дата публикации

Intervertebral implant having features for controlling angulation thereof

Номер: US20120158145A1

Автор: James D. Ralph, Joseph P. Errico, Stephen Tatar

Принадлежит: Spinecore Inc

An intervertebral implant includes a first plate having an inner surface, an outer surface, a ball shaped protuberance projecting from the inner surface and an annular groove surrounding the ball shaped protuberance. The implant includes a second plate having an inner surface, an outer surface, a curvate socket formed in the inner surface of the second plate and a raised rim surrounding the curvate socket. The first and second plates are assembled together so that the inner surfaces of the plates oppose one another and the ball shaped protuberance is disposed in the curvate socket and the annular groove aligned with the raised rim. The assembled first and second plates angulate and rotate relative to one another.

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Номер записи: 16

28-06-2012 дата публикации

Marking template for installing a custom replacement device for resurfacing a femur and associated installation method

Номер: US20120165821A1

Автор: Clyde R. Pratt, Roger Carignan

Принадлежит: Kinamed Inc

A replacement device for resurfacing a joint surface of a femur and a method of making and installing such a device is provided. The custom replacement device is designed to substantially fit the trochlear groove surface, of an individual femur, thereby creating a “customized” replacement device for that individual femur and maintaining the original kinematics of the joint. The top surface is designed so as to maintain centrally directed tracking of the patella perpendicular to the plane established by the distal end of the femoral condyles and aligned with the center of the femoral head.

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Номер записи: 17

19-07-2012 дата публикации

Interbody containment implant

Номер: US20120185046A1

Автор: William F. Mckay

Принадлежит: WARSAW ORTHOPEDIC INC

An interbody containment implant includes a body configured for delivery along a surgical pathway and disposed adjacent vertebrae. The body defines a cavity. At least one biologically compatible agent is configured for disposal within at least the cavity. A barrier is connected to the body and configured to be deployed to prevent the agent from migrating into the surgical pathway. Methods of use are disclosed.

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Номер записи: 18

26-07-2012 дата публикации

System and devices for the repair of a vertebral disc defect

Номер: US20120191130A1

Автор: Brian Oeffinger, Douglas G. Evans, Gino Bradica, Jeffrey C. Kelly, Michael K. Carouge

Принадлежит: Individual

A system for repairing a vertebral disc defect, such as hernia or bulge, a full or partial tear in the annulus, or a weakened annulus wall as a result of an excision procedure. The system introduces a treatment device arranged to repair the defect, and may prevent the leakage of fluid from the nucleus. The components of the device may be resorbable materials, and may induce the ingrowth of cellular material into the components. The system may feature a locating device to ensure proper placement of the treatment device.

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Номер записи: 19

26-07-2012 дата публикации

Spinal implant with bone engaging projections

Номер: US20120191188A1

Автор: meng-feng Huang

Принадлежит: Individual

A spinal implant in one embodiment includes an implant for insertion between two opposite spaced vertebrae of a spine, comprising a body having a substantially rectangular cross section and comprising a toothed top retaining member, a toothed bottom retaining member, and a peripheral surface; a three-dimensional matrix structure formed in the body and on the peripheral surface as support; and a plurality of holes formed through at least one of three directions of the three-dimensional matrix structure.

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Номер записи: 20

09-08-2012 дата публикации

Articular cartilage implants

Номер: US20120203342A1

Автор: Peter Strzepa, Stephen D. Cook

Принадлежит: MoiRai Orthopaedic LLC

Implant devices having an articular end for repair of articular cartilage defects are provided. The articular end has an oval perimeter, a convex upper face, and a concave lower face. The convex upper face has a first circular pitch radius and a first circular roll radius. At least a portion of the concave lower face has a spherical radius, the convex upper face blending into a rim, wherein at least a first and second portion of the rim extends at least a first distance along a vertical axis and a third and fourth portion of the rim tapers inward along the vertical axis, the rim blending into the concave lower face. The articular cartilage implant devices further include a stem extending from the concave lower face away from the convex upper face along the vertical axis. The stem has a plurality of oval shaped perimeters along the vertical axis.

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Номер записи: 21

16-08-2012 дата публикации

Orthopedic implants having gradient polymer alloys

Номер: US20120209396A1

Автор: David Myung, Jeffrey G. Roberts, Lampros Kourtis, Michael J. Jaasma, Vernon Hartdegen

Принадлежит: Biomimedica Inc

Orthopedic implants having a bone interface member and a water swellable IPN or semi-IPN with a stiffness, hydration, and/or compositional gradient from one side to the other and physically attached to the bone interface member. The invention also includes an orthopedic implant system including an implant that may conform to a bone surface and a joint capsule. The invention also includes orthopedic implants with water swellable IPN or semi-IPNs including a hydrophobic thermoset or thermoplastic polymer first network and an ionic polymer second network, joint capsules, labral components, and bone interface members. The invention also includes a method of inserting an orthopedic implant having a metal portion and a flexible polymer portion into a joint, including inserting the implant in a joint in a first shape and changing the implant from a first shape to a second shape to conform to a shape of a bone.

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Номер записи: 22

13-09-2012 дата публикации

Artificial intervertebral disc placement system

Номер: US20120232662A1

Автор: Malan De Villiers, Neville Jansen

Принадлежит: Spinalmotion Inc

An intervertebral disc placement system includes a multi part intervertebral disc, such as a mobile core disc, and an associated placement instrument. The placement instrument holds the disc securely with the disc endplates angled for ease of placement of the disc into an intervertebral disc space and quickly releases the implant within the disc space. The disc includes upper and lower plates having notches in inner surfaces for engagement of the placement instrument. The placement instrument has a rotatable key configured to fit into the first and second notches to grasp the disc from the interior and eliminate the need for an external grasping mechanism which could interfere with disc placement.

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Номер записи: 23

20-09-2012 дата публикации

Method of using instruments and interbody spinal implants to enhance distraction

Номер: US20120239151A1

Автор: Chad J. Patterson, Peter F. Ulrich, JR.

Принадлежит: Titan Spine Inc

A method of using an interbody spinal implant by implanting the spinal implant into a patient in need of the spinal implant. The method includes accessing the disc space of the patient and locating the center of the disc space. The disc space is incised by making a window in the annulus of the disc space for insertion of the spinal implant. The endplates are cleaned of all cartilage and the disc structure, which is encapsulated by the annulus, is removed while avoiding damage to the endplate structure of the vertebrae. Optionally a size-specific rasp is selected and the disc space is cleared of all soft tissue and cartilage. Optionally the disc space is distracted by sequentially expanding it with distractors of progressively increasing heights. A spinal implant having a pre-determined size sufficient to balance frictional fit and elongation of the annulus is selected and seated in the disc space.

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Номер записи: 24

18-10-2012 дата публикации

Intervertebral disc prosthesis, method for assembling, method for implanting prosthesis, and method for explanting

Номер: US20120265304A1

Автор: Peter L. Mayer

Принадлежит: Individual

Prosthesis for inserting into a damaged intervertebral disc. The prosthesis has an elongated tubular main prosthesis body with a length to fit laterally from one side of a disc to the other at its mid-plane. The main prosthesis body is composed of two parts transversely oriented and has a vertical height deliberately greater than the height of normal disc space. Heads having a vertical height greater than the vertical height of the main prosthesis body are mounted on the ends of the main prosthesis body.

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Номер записи: 25

01-11-2012 дата публикации

Biodegradable Drug Eluting stent Pattern

Номер: US20120277844A1

Автор: Tim Wu

Принадлежит: Individual

In embodiment, pattern for polymeric radially expandable implantable medical devices such as stents for implantation into a bodily lumen are disclosed.

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Номер записи: 26

15-11-2012 дата публикации

Vertebral spacer

Номер: US20120290089A1

Автор: Hooman M. MELAMED

Принадлежит: Individual

A vertebral spacer includes a body having a top side, a bottom side, a front side, and a rear side. The top side is configured to be positioned adjacent to a first vertebra and the bottom side is configured to be positioned against a second vertebra. First, second, third and fourth bores extend through the body. First and second compression fasteners disposable in the first and third bores, and first and second locking fasteners disposable in the second and fourth bores. The first compression fastener and the first locking fastener cooperate to apply and lock a first predetermined compression force between the body and the first vertebra. The second compression fastener and the second locking fastener cooperate to apply and lock a second predetermined compression force between the body and the second vertebra.

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Номер записи: 27

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: 28

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: 29

06-12-2012 дата публикации

Patient-specific manufacturing of porous metal prostheses

Номер: US20120310364A1

Автор: Edward M. Willis, Jeffrey Bassett, JIA Li, Scott V. Cron

Принадлежит: Zimmer Inc

A patient-specific porous metal prosthesis and a method for manufacturing the same are provided. The orthopaedic prosthesis may be metallic to provide adequate strength and stability. Also, the orthopaedic prosthesis may be porous to promote bone ingrowth.

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Номер записи: 30

13-12-2012 дата публикации

Device for expandable spinal laminoplasty

Номер: US20120316647A1

Автор: Azadeh Farin

Принадлежит: Azadeh Farin

The invention relates to devices, implants, systems, techniques and methods for addressing certain conditions of the spine, including devices, implants, systems and methods for performing spinal laminoplasty or other expansion of the spinal canal. The devices of the invention are expandable in situ, providing greater versatility for surgeons performing various procedures where expansion of the spinal canal is desired.

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Номер записи: 31

20-12-2012 дата публикации

Spinal Facet Implants with Mating Articulating Bearing Surface and Methods of Use

Номер: US20120323277A1

Автор: Alan Chervitz, Daniel J. Triplett, Robert W. Hoy, T. Wade Fallin

Принадлежит: GMEDELAWARE 2 LLC

Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra.

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Номер записи: 32

27-12-2012 дата публикации

Systems and methods for delivering an implant between adjacent vertebras using endoscopy

Номер: US20120330425A1

Автор: Richard I. Zipnick

Принадлежит: ARTHRODISC LLC

An optical intervertebral implantation system can be used for a method of implanting an intervertebral implant into an intervertebral space with visualization. The system can include an elongate light guide and an intervertebral implant operably coupled with the elongate light guide. The elongate light guide can be configured as a guide wire and received through an aperture of the implant. The elongate light guide can be configured as a guide wire and the implant is received over and slides along on outside surface of the elongate light guide. The elongate light guide can be configured as a cannula having an internal conduit and the implant is received within the conduit. The elongate light guide can be configured as a cannula with an internal conduit and the implant is slidably coupled with an internal surface of the internal conduit of the cannula.

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Номер записи: 33

03-01-2013 дата публикации

Heart valve repair devices and methods

Номер: US20130006352A1

Автор: Ira Yaron

Принадлежит: MITRALIX Ltd

Devices and methods for the repair of the functioning of heart valves are provided. A device may comprise a first section having a generally spiral shape and a second section connected to the first section. A method involves positioning the device such that chords associated with the heart valve are positioned within the path of the generally spiral shape of the first section and positioning the second section on an opposite side of the heart valve. The first section may be turned in a manner such that the chords move closer to the center of the first section. The first section draws the chords closer together, thereby pulling the valve leaflets closer together in order to facilitate their coaptation and proper closing.

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Номер записи: 34

10-01-2013 дата публикации

Prosthetic implant support structure

Номер: US20130013080A1

Автор: Arlen D. Hanssen, David G. Lewallen

Принадлежит: Zimmer Inc

A prosthetic system that includes a prosthetic implant and a support structure secured to an inner surface of a cavity of a bone is disclosed. The support structure defines a channel that extends through the length of the support structure. The prosthetic implant is received in the channel, and a portion of the prosthetic implant is secured to an inner surface of the support structure by an adhesive. The support structure may comprise a pair of partially hemispherical components arranged in spaced apart relationship thereby defining the channel between the pair of components.

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Номер записи: 35

07-02-2013 дата публикации

Subchondral treatment of joint pain of the spine

Номер: US20130035761A1

Автор: Charles F. Leinberry, David L. Nichols, Hallett Mathews, Marc R. Viscogliosi, Peter F. Sharkey

Принадлежит: Knee Creations LLC

Methods for altering the natural history of degenerative disc disease and osteoarthritis of the spine are proposed. The methods focus on the prevention, or delayed onset or progression of, subchondral defects such as bone marrow edema or bone marrow lesion, and subchondral treatment to prevent the progression of osteoarthritis or degenerative disc disease in the spine and thereby treat pain.

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Номер записи: 36

07-02-2013 дата публикации

Spinal fusion device

Номер: US20130035763A1

Автор: David Krueger

Принадлежит: Individual

A spinal fusion device is disclosed. The spinal fusion device includes a first endplate configured for fitting within a disc space and engaging with a first vertebra and a second endplate configured for fitting within the disc space and engaging with a second vertebra. The two endplates are separated by a single spacer that is positioned between the first endplate and the second endplate and maintains a pre-determined distance between the first endplate and the second endplate. The spacer contains an anterior end, a posterior end, a first lateral side, a second lateral side opposite to the first lateral side, a first surface that engages with the first endplate, a second surface that engages with the second endplate. Also disclosed are methods and instruments for implanting the spinal fusion device.

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Номер записи: 37

28-02-2013 дата публикации

Methods and apparatus for insertion of vertebral body distraction and fusion devices

Номер: US20130053966A1

Автор: Omar F. Jimenez, Yefim I. Safris

Принадлежит: Omar F. Jimenez, Yefim I. Safris

An inserter can be used to implant a distractible intervertebral body fusion device into a disc space and expand the device. The inserter includes a shaft frame and a drive shaft assembly for expanding the device and a support shaft assembly for stabilizing the device extending distally from the shaft frame. A drive housing can be operably connected to the shaft frame and extend outwardly from shaft frame distal of a proximal end of the shaft frame. Drive housing can have an internal passage that provides access into the shaft frame to a proximal end of the drive shaft assembly. An actuation tool can be disposed with the drive housing with a distal end extending through the access into the shaft frame to interface with the proximal end of the drive shaft assembly such that activation of the actuation tool rotates the drive shaft assembly to expand the device.

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Номер записи: 38

07-03-2013 дата публикации

Method and System for Patella Tendon Realignment

Номер: US20130060343A1

Автор: Jeffrey Halbrecht

Принадлежит: Moximed Inc

A method and system provide and use a patellar implant. The patellar implant includes a superior portion, an inferior portion opposite to the superior portion, and an anterior portion. The superior portion being configured to reside below a patellar tendon and to elevate and/or tilt the patellar tendon. The inferior portion is configured to be seated in proximity to a tibia. The anterior portion is between the superior portion and the inferior portion. The anterior portion is placed in proximity to a patella. In one aspect, the method includes inserting the implant beneath the patellar tendon and between the patella and a position at which the patellar tendon is affixed to the tibia. In this aspect, the method also includes affixing the implant.

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Номер записи: 39

14-03-2013 дата публикации

Arthrodesis implant

Номер: US20130066435A1

Автор: Christophe Averous, Christophe Cermolacce, Christophe Roy, Hubert Rocher, Patrice Determe, Patrice Diebold, Stephane Guillo

Принадлежит: SYNCHRO MEDICAL

The invention relates to an implant ( 1 ) for osseous fusion between two bones, including a first portion ( 20 ) having a longitudinal axis A, for being inserted in the first bone and including a first means ( 24 ) for attaching said implant in said first bone, and a second portion ( 30 ) having a longitudinal axis B, for being inserted in the second bone and including a second means ( 34 ) for attaching said implant in said second bone, said first and second portions ( 20, 30 ) being connected by a central core ( 40 ), said central core being a solid body, the cross-section of which, in a plane perpendicular to said longitudinal axis A, has the shape of a star having at least three points ( 41, 42, 43 ), said first portion having three tabs ( 21, 22, 23 ), each tab extending along said longitudinal axis A from the free end ( 41 a, 42 a, 43 a ) of one of the points of said central core.

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Номер записи: 40

21-03-2013 дата публикации

Multi-piece Intervertebral Implants

Номер: US20130073046A1

Автор: Christopher Angelucci, Daniel Laskowitz, II Michael Lee Boyer, Jason Gray, Jillian Zaveloff, Jody L. Seifert, Matthew Hansell, Shairali Rao

Принадлежит: Globus Medical Inc

Intervertebral implants for implanting into an intervertebral space are provided. The implants can comprise one or more layers that are operably attached to one another. An implant can comprise a first layer having a first mating surface that mates with a second mating surface of a second layer. The first mating surface and the second mating surface can have features that allow them to complement each other. The implants can include one or more bore holes for receiving a fixation member. The bore holes can be horizontal, vertical or diagonal. In some cases, the bore holes will be blind bore holes.

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Номер записи: 41

04-04-2013 дата публикации

Joint arthroplasty devices and surgical tools

Номер: US20130081247A1

Автор: Daniel Steines, Philipp Lang, Wolfgang Fitz

Принадлежит: Conformis Inc

Disclosed herein are methods, compositions and tools for repairing articular surfaces repair materials and for repairing an articular surface. The articular surface repairs are customizable or highly selectable by patient and geared toward providing optimal fit and function. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty.

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Номер записи: 42

18-04-2013 дата публикации

Interbody Cage for Spinal Fusion and Method of Implanting Interbody Cages into Spines

Номер: US20130096683A1

Автор: II Richard A. Kube

Принадлежит: II Richard A. Kube

A spinal interbody fusion implant has an impact rod fitting that is configured and adapted to be connected to an impact rod during implantation of the implant. The implant also comprises one or more openings that are encircled by portions of the implant and that extend into the top of the implant and continue through to and out of the bottom of the implant. The top and bottom of the implant each have a load bearing footprint. Each of the load bearing footprints has a centroid that is closer to the leading end of the implant than to the trailing end of the implant. A method of implanting a spinal interbody fusion implant between two vertebrae of a spine comprises inserting the implant into a patient through a posterior incision and guiding the implant into a position between the two vertebrae using a pair of shims.

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Номер записи: 43

25-04-2013 дата публикации

Methods and Compositions for Articular Repair

Номер: US20130103363A1

Автор: Daniel Steines, Konstantinos Tsougarakis, Philipp Lang

Принадлежит: Conformis Inc

Disclosed herein are methods and compositions for producing articular repair materials and for repairing an articular surface. In particular, methods for providing articular repair systems. Also provided are articular surface repair systems designed to replace a selected area cartilage, for example, and surgical tools for repairing articular surfaces.

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Номер записи: 44

02-05-2013 дата публикации

Interbody implant

Номер: US20130110238A1

Автор: Gary Lindemann, Paula A. Nichter

Принадлежит: WARSAW ORTHOPEDIC INC

An interbody implant is provided. The interbody implant includes a body having a cavity configured to retain material deposited in the cavity. The cavity has an opening defining a passageway in communication with the cavity. The implant further includes a membrane disposed about the opening of the cavity having a first configuration covering the opening and a second configuration such that the membrane exposes the passageway in communication with the cavity.

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Номер записи: 45

02-05-2013 дата публикации

Spinal surgery implants and delivery system

Номер: US20130110239A1

Автор: Didier TOUBIA, DVIR Keren, Oded Loebl, Tzony Siegal

Принадлежит: Nonlinear Tech Ltd

A spinal surgery tool system including an elongated conduit and an implant is disclosed. The implant assumes a straight configuration within the elongated conduit and is deployable from the elongated conduit into a closed or nearly-closed loop configuration for deployment interposed between two tissue surfaces to define an enclosed volume. The conduit and the implant are configured such that, when the implant is deployed in the loop configuration, an opening formed in a proximal portion of the implant forms a contiguous channel with a passageway along the conduit so as to provide a continuous access channel along the elongated conduit into the enclosed volume.

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Номер записи: 46

02-05-2013 дата публикации

Implant for cartilage repair

Номер: US20130110252A1

Автор: Leif Ryd, Nina Bake

Принадлежит: EPISURF MEDICAL AB

A medical implant for cartilage repair at an articulating surface of a joint includes a contoured, substantially plate shaped, implant body and at least one extending post. The implant body has an articulate surface configured to face the articulating part of the joint and a bone contact surface configured to face the bone structure of a joint, where the articulate and bone contact surfaces face mutually opposite directions and the bone contact surface is provided with the extending post. A cartilage contact surface connects the articulate and the bone contact surfaces and is configured to contact the cartilage surrounding the implant body in a joint. The cartilage contact surface has a coating that substantially only includes a bioactive material.

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Номер записи: 47

16-05-2013 дата публикации

Spondylolisthesis correction apparatus and method

Номер: US20130123865A1

Автор: Mark R. Moore

Принадлежит: Individual

An apparatus and method are provided that allow for the realignment and stabilization of adjacent vertebrae. An implant of this invention both repositions adjacent vertebrae and remains in situ to maintain the new position. The implant has two halves which are interlocked such that they can slide horizontally with respect to each other. Movement of the implant halves and their respective positions are controlled by set screw within the implant. The implant includes radial anchors which fit into alignment slots made in the misaligned vertebra by the disclosed method. The set screws are used to advance the halves of the implant which in turn move the misaligned vertebrae back into correct positions. The correct position of the vertebrae is locked in place through a nut and a plate.

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Номер записи: 48

16-05-2013 дата публикации

Self-deploying locking screw retention device

Номер: US20130123925A1

Автор: Chad J. Patterson, Peter F. Ullrich, Jr.

Принадлежит: Titan Spine Inc

A screw assembly and a spinal implant. The screw assembly includes a screw with a head and a shaft where a screw retention member is positioned beneath the head of the screw and substantially surrounds the shaft of the screw. The screw retention member is formed from a temperature-sensitive material. The screw retention member has a first contracted position adapted for inserting the screw through at least one hole in the spinal implant and a second expanded position adapted for retaining the screw within the at least one hole in the spinal implant. The screw retention member may be in the form of a coiled spring or a collar having a plurality of tabs.

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Номер записи: 49

23-05-2013 дата публикации

Systems and methods for the fixation or fusion of bone

Номер: US20130131739A1

Автор: Mark A. Reiley

Принадлежит: SI Bone Inc

A stem-like bone fixation device allows for bony in-growth on its surface and across fracture fragments or between bones that are to be fused.

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Номер записи: 50

30-05-2013 дата публикации

Arthroplasty Instruments and Associated Method

Номер: US20130138109A1

Автор: Gerald R. Williams, Jr., Jack F. Long, Joseph P. Iannotti

Принадлежит: DePuy Products Inc

A reamer for use in performing arthroplasty includes a first cutting structure having an inner concave surface that defines a first cavity and terminates in a generally circular leading edge. The inner concave surface includes a first cutting feature that is spaced apart from the leading edge. An elongate member extends from the first cutting structure into the first cavity toward the leading edge that includes a second cutting feature. A second cutting structure is secured to the elongate member and positioned within the first cavity. The second cutting structure extends outwardly from the elongate member toward the inner concave surface and includes a third cutting feature.

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Номер записи: 51

30-05-2013 дата публикации

Support device and method of use

Номер: US20130138214A1

Автор: E. Skott Greenhalgh, John-Paul Romano

Принадлежит: FLEXMEDEX LLC

Devices and methods for orthopedic support are disclosed. The device can have a first rigid section hingedly attached to a second rigid section. The device can be curved or rotated around obstructions along an access path to a target site. The device can be delivered to an intervertebral location in a patient.

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Номер записи: 52

20-06-2013 дата публикации

Expandable interbody implant and methods of use

Номер: US20130158664A1

Автор: Anthony J. Melkent, Keith E. Miller, Stanley T. Palmatier, William D. Armstrong

Принадлежит: WARSAW ORTHOPEDIC INC

An intervertebral implant is provided. The intervertebral implant comprises a first component comprising an outer tissue engaging surface and an inner surface. A second component is connected to the first component, and is relatively moveable thereform. The second component comprises an outer tissue engaging surface and an inner surface. The second component includes an actuator. A third component is disposed for engagement and is movable relative to the first and second components. The third component comprises at least a first ramp and a second ramp axially spaced apart from the first ramp. The actuator is engageable with the third component to effect axial translation of the wedge such that the ramps engage the inner surface of at least one of the first component and the second component to move the components between a first, collapsed configuration and a second, expanded configuration. Methods of use are disclosed.

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Номер записи: 53

27-06-2013 дата публикации

Lateral Cage with Integrated Plate

Номер: US20130166027A1

Автор: Jonathan Bellas

Принадлежит: DePuy Synthes Products Inc

An intervertebral fusion cage having a plate pivotally attached thereto. The plate and cage are pivotally coupled but move independently of each other. The plate is made up of two smaller plate halves: a superior plate half and an inferior plate half Both plate halves form the larger plate. The plates are joined using a cross pin that provides a pivot point about which the plate halves rotate. The same pin also joins the plate halves to the cage, thus allowing the plate halves to pivot about the cage. It is believed that the device of the present invention will reduce the difficulties in placing a lateral plate down a port and manipulating it into position. Mating the plate to the cage will reduce the chances of micromotion and improve fusion rate, resulting in improved patient outcomes.

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Номер записи: 54

27-06-2013 дата публикации

Methods for less invasive glenoid replacement

Номер: US20130166033A1

Автор: Stephen B. Gunther

Принадлежит: Shoulder Innovations Inc

The invention features a glenoid (shoulder socket) implant prosthesis, a humeral implant prosthesis, devices for implanting glenoid and humeral implant prostheses, and less invasive methods of their use for the treatment of an injured or damaged shoulder.

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Номер записи: 55

27-06-2013 дата публикации

Patellar implants

Номер: US20130166035A1

Автор: Ryan Lloyd Landon

Принадлежит: Smith and Nephew Inc

A patellar implant is provided being of a two part construction having a strong base portion 32, 54, 72 and 92 (manufactured from a metal material or other medical grade strong material) with a molder outer material 34, 62, 80 and 100 (manufactured from a polymeric material or other softer, smoother material) at least on one side to provide a smooth friction surface to contact the femoral portion of a patient's knee.

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Номер записи: 56

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: 57

08-08-2013 дата публикации

Systems and methods for providing a modular femoral component

Номер: US20130204377A1

Автор: Connor E. Samuelson, Kent M. Samuelson

Принадлежит: Individual

Systems and methods for providing deeper knee flexion capabilities. In some instances, such systems and methods include a modular component, wherein the modular component is configured to attach to a femoral component, and wherein the femoral component is configured to attach to a distal portion of a femur. In some cases, the modular component includes an articular surface that is configured to increase a surface area of an articulation surface of a proximal portion of a posterior condyle of the femoral component. Other implementations are also discussed.

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Номер записи: 58

22-08-2013 дата публикации

Prosthetic implant for ball and socket joints and method of use

Номер: US20130218282A1

Автор: Jessee Hunt

Принадлежит: 4Web Inc

A hip prosthesis includes an acetabular cup and a femoral component comprising a head and a stem, wherein the stem comprises a truss structure, the truss structure comprising a space truss comprising a plurality of planar truss units having a plurality of struts joined at nodes, wherein the web structure is configured to interface with bone tissue.

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Номер записи: 59

05-09-2013 дата публикации

Porous implant material

Номер: US20130231754A1

Автор: Komei Kato, Shinichi Ohmori, Yuzo Daigo

Принадлежит: Mitsubishi Materials Corp

A plurality of porous metal bodies which are bonded with each other at bonded-boundary surfaces parallel to a first direction, each of the porous metal bodies has a three-dimensional network structure formed from a continuous skeleton in which a plurality of pores are interconnected so as to have a porosity rate different from another porous metal body, the pores formed in at least the porous metal body having the higher porosity rate are formed to have flat shapes which are long along a direction parallel to the bonded-boundary surface and short along a direction orthogonal to the bonded-boundary surface, entire porosity rate of a bonded body of the porous metal bodies is 50% to 92%, a compressive strength compressing in the direction parallel to the bonded-boundary surface is 1.4 times to 5 times of a compressive strength compressing in the direction orthogonal to the bonded-boundary surface.

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Номер записи: 60

19-09-2013 дата публикации

Interbody device insertion systems and methods

Номер: US20130245769A1

Автор: Erik J. Wagner, Jonathan A. Gimbel, Michael S. Schular, Scott Koysh

Принадлежит: Flexuspine Inc

Provided is a system for implanting an interbody device into a disc space located between a first and second vertebra includes a guide frame including a guide member having an opening. The system further includes an implant trial including an elongated body and a base plate coupled to the elongated body. The elongated body of the implant trial is releasably coupled to the guide member of the guide frame during use such that the opening guides longitudinal movement of the implant trial relative to the guide frame. The system still further includes a dilator operatively coupled to the elongated body during use for distracting the disc space. The system still further includes an insertion instrument including an elongated body and an insertion member coupled to the elongated body. The elongated body of the insertion instrument is releasably coupled to the guide member of the guide frame during use such that the opening guides longitudinal movement of the insertion instrument relative to the guide frame. The insertion member is releasably coupled to at least a portion of the interbody device during use.

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Номер записи: 61

26-09-2013 дата публикации

Method of manufacturing a composite interbody device

Номер: US20130247357A1

Автор: Scott K. Stanley, Theodore P. Bertele

Принадлежит: SB Technologies LLC

A method of manufacturing a composite interbody device includes assembling superior and inferior endplates, this including forming or layering micro-porous titanium on opposing sides of a solid titanium sheet. A first of the opposing sides provides a micro-porous bone interface layer and a second of the opposing sides provides a micro-porous core interface side. The solid titanium sheet therebetween forms a central barrier layer. The inferior and superior endplates are placed in a mold, on each side of a core cavity, with the core interface sides facing the core cavity and the bone interface sides facing away from the cavity. Molten plastic is injection-molded into the core cavity to form a plastic core between the endplates, the molten plastic extruding into pores of the microporous core interface sides. The plastic is set to bond the core with the endplates.

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Номер записи: 62

26-09-2013 дата публикации

Apparatus, systems, and methods for achieving lumbar facet fusion

Номер: US20130253654A1

Автор: Mark A. Reiley

Принадлежит: SI Bone Inc

Assemblies of one or more implant structures make possible the achievement of diverse interventions involving the fusion and/or stabilization of lumbar and sacral vertebra in a non-invasive manner, with minimal incision, and without the necessitating the removing the intervertebral disc. The representative lumbar spine interventions, which can be performed on adults or children, include, but are not limited to, lumbar interbody fusion; translaminar lumbar fusion; lumbar facet fusion; trans-iliac lumbar fusion; and the stabilization of a spondylolisthesis.

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Номер записи: 63

26-09-2013 дата публикации

Flanged interbody fusion device with fastener insert and retaining ring

Номер: US20130253655A1

Автор: Jason Blain

Принадлежит: Spinal Elements Inc

Methods and devices are disclosed for treating the vertebral column. An integrated fixation plate and spacer having a retaining structure within the screw holes of the fixation plate to resist backout of screws attaching the fixation plate to the bone is provided. A movable joint may be provided between the fixation plate and spacer. In some embodiments, a screw hole insert is also provided to resist shear forces acting between the screw and fixation plate. In some embodiments, an integrated fixation plate and spacer system is provided, comprising two or more integrated fixation plate and spacer implants, wherein the fixation plates of each implant has a complementary configuration to allow attachment of the implants at adjacent intervertebral spaces. Alternative fixation systems are also contemplated.

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Номер записи: 64

17-10-2013 дата публикации

Modular Lateral Hip Auguments

Номер: US20130274889A1

Автор: Aaron P. Smith, Andrew Freiberg, David R. Brown, Hugh Apthorp, John Barrington, Keith R. Berend, Tyler D. Witt

Принадлежит: Biomet Manufacturing LLC

An implant for a hip can include a lateral augment adapted to be coupled to a lateral side of a femoral body implant. The lateral augment can include a body portion having a first surface, a second surface opposite the first surface, and a protrusion extending from the second surface. The protrusion can have a shape adapted to mate with a complementary shaped recess formed in the lateral side of the femoral body implant. An aperture can be positioned in the body portion and extend through the protrusion. A fastener can be received through the aperture and adapted to be threadably secured to the lateral bore. The fastener can be configured to have a length sufficient to pass through a portion of a greater trochanter for securing the portion of the greater trochanter and the lateral augment to the femoral body implant.

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Номер записи: 65

31-10-2013 дата публикации

Joint replacement implant

Номер: US20130289729A1

Автор: Peter M. Bonutti

Принадлежит: BONUTTI SKELETAL INNOVATIONS LLC

An implant for one of partial and total replacement of an articulating joint between a first bone and a second bone. The implant has a joint component implant including a body and a head, the body including a first region spaced from the head and a second region proximate the head, the head including a convex bearing surface. At least a portion of the first region has a textured surface, the textured surface constructed of a foam metal material that is configured to promote bone in-growth into the textured surface, the body constructed of a metallic material and configured for attaching to the first bone, the first region tapering from a proximal end adjacent the second region toward a distal end.

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Номер записи: 66

21-11-2013 дата публикации

Stand-alone spinal cage

Номер: US20130310935A1

Автор: Karl W. SWANN

Принадлежит: Individual

A spinal cage device for fusion of spinal vertebrae comprising a cage body having a cavity defined by upper, lower, and side walls; a piston selectively insertable into the cavity through a side wall, the piston having at least one angled surface; at least one channel extending through at least one of the upper wall and the lower wall; at least one fastening member moveable within the at least one channel between a first disengaged position and a second engaged position; and wherein in second engaged position the at least one fastening member is held substantially stationary relative to the cage body by contact with the piston. According to one aspect of the invention, the device includes a locking means for supplementing fixation of the piston to the cage body.

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Номер записи: 67

21-11-2013 дата публикации

Spinal Implants for Rotationally Adjusting Vertebrae

Номер: US20130310937A1

Автор: Luiz Pimenta

Принадлежит: Nuvasive Inc

A spinal implant adapted to be positioned within a disc space between adjacent vertebrae includes a first intradiscal element, a second intradiscal element, and a coupling mechanism. The first and second intradiscal elements include respective first and second outer surfaces adapted to be positioned adjacent an endplate of respective first and second adjacent vertebrae. The first and second intradiscal elements further include respective first and second medial surfaces that are opposite the respective first and second outer surfaces, where the second medial surface is adapted to generally face the first medial surface upon assembly of the first intradiscal element with the second intradiscal element. The coupling mechanism is associated with the first and second medial surfaces and is adapted to provide relative rotational movement between the first and second intradiscal elements in a plane generally parallel with the first and second medial surfaces.

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Номер записи: 68

21-11-2013 дата публикации

Spine surgery method and implant

Номер: US20130310939A1

Автор: Henry F. Fabian, Larry A. Cicoretti

Принадлежит: Individual

An implant has a first contact surface to contact a first vertebral body endplate and a second contact surface to contact a second vertebral body endplate adjacent the first vertebral body. The implant is deployable, when positioned within an intradiscal space between the first and second vertebral bodies, from a first non-expanded condition where the first contact surface has a first effective footprint area A 1 to a second expanded condition where the first contact surface has a second effective footprint area A 2. The ratio A 2/ A 1 is at least 1.05.

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Номер записи: 69

26-12-2013 дата публикации

Artificial intervertebral disc

Номер: US20130345816A1

Автор: Alan Lombardo, Brian C. Sunter, Joseph F. Ferraro, Mark Semler, Theodore Karwoski, Thomas M. Swanick

Принадлежит: Blackstone Medical Inc

The present invention is directed to the field of prosthetic devices. More particularly, one embodiment of the present invention is directed to an artificial disc that can be used as a replacement for an intervertebral disc (e.g., a human intervertebral lumbar disc, a human intervertebral cervical disc and/or a human intervertebral thoracic disc).

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Номер записи: 70

06-02-2014 дата публикации

Methods of securing a fastener

Номер: US20140039495A1

Автор: Justin E. Beyers, Matthew J. Cremens, Peter M. Bonutti

Принадлежит: P Tech LLC

Embodiments may include an attachable fastener, which may include a bondable material that may be secured to the end of an end effector. Vibration may be tuned to occur at a distal end of the fastener. Accordingly, the fastener may be used to generate heat at a distal point of contact. If the contact surface contains bondable material, that material may be softened. If the fastener includes bondable material at the point of contact, that material may also be softened by heat produced by vibration at the contact area. A hard implant or another polymeric material may function as the anvil.

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Номер записи: 71

13-02-2014 дата публикации

Expansion member for insertion into a body tissue space

Номер: US20140046333A1

Автор: Larry Wales, Robert Kieval, Tyler Lipschultz, Wes Johnson

Принадлежит: Spine Wave Inc

An apparatus and method is provided for interbody fusion including distracting, in a given direction, and supporting opposing vertebral bodies. A plurality of wafers are consecutively inserted between the vertebral bodies to create a column of wafers. The column of wafers is oriented between the vertebral bodies so as to expand in the given direction as the wafers are consecutively added to the column.

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Номер записи: 72

13-02-2014 дата публикации

Spinal stabilization system and method

Номер: US20140046445A1

Автор: William A. Brennan

Принадлежит: Individual

A method for stabilizing the spine at the level of one or more vertebrae includes the step of inserting a pedicle connector through the pedicle of a vertebra from one of the anterior side and posterior side of the vertebra to the other of the anterior side and the posterior side of the vertebra. The pedicle connector is secured to a stabilization construct positioned adjacent to either the anterior side or posterior side of the vertebra. The process is repeated for the opposite side of the pedicle connector. A system for stabilizing the spine and a pedicle connector are also disclosed.

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Номер записи: 73

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: 74

20-02-2014 дата публикации

Intervertebral Implant Having Extendable Bone Fixation Members

Номер: US20140052262A1

Автор: Darrell C. Brett

Принадлежит: Individual

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

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Номер записи: 75

27-02-2014 дата публикации

Minimally Invasive Spine Restoration Systems, Devices, Methods and Kits

Номер: US20140058448A1

Автор: Anthony V. Finazzo, Christopher Ralph, Cin Abidin, John Arthur Ohrt, Mark K. Kuiper, Michael J. Funk, Phillip Berg, Richard J. Broman, Sean Sung-Ho Suh

Принадлежит: Anthony V. Finazzo, Christopher Ralph, Cin Abidin, John Arthur Ohrt, Mark K. Kuiper, Michael J. Funk, Phillip Berg, Richard J. Broman, Sean Sung-Ho Suh

The invention discloses methods, devices, systems and kits for repairing, replacing and/or augmenting natural facet joint surfaces and/or facet capsules. An implantable facet joint device of one embodiment comprises a cephalad facet joint element and a caudal facet joint element. The cephalad facet joint element includes a member adapted to engage a first vertebra, and an artificial cephalad bearing member. The caudal facet joint element includes a connector adapted for fixation to a second vertebra at a fixation point and an artificial caudal bearing member adapted to engage the cephalad bearing member. The artificial caudal bearing member is adapted for a location lateral to the fixation point. In another embodiment, an implantable facet joint device comprises a cephalad crossbar adapted to extend mediolaterally relative to a spine of a patient, the crossbar having opposite first and second ends, a connector element adapted to connect the crossbar to a first vertebra, a first artificial cephalad bearing member adapted for connection to the first end of the crossbar and adapted to engage a first caudal facet joint element connected to a second vertebra, and a second artificial cephalad bearing member adapted for connection to the second end of the crossbar and adapted to engage a second caudal facet joint element connected to the second vertebra.

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Номер записи: 76

13-03-2014 дата публикации

Method and apparatus for hip replacement

Номер: US20140074250A1

Автор: Anatol Podolsky, Yuri Garbuzov

Принадлежит: iHip Surgical LLC

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

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Номер записи: 77

20-03-2014 дата публикации

Fusion cage with combined biological delivery system

Номер: US20140081279A1

Автор: Edward John Grimberg, JR., Jeffrey B. Kleiner

Принадлежит: Spinal Surgical Strategies LLC

The present invention relates to an apparatus and method for near-simultaneous and integrated delivery of bone graft material during the placement of surgical cages or other medical implants in a patient's spine. The integrated fusion cage and graft delivery device according to various embodiments delivers and disperses biologic material through a fusion cage to a disc space and, without withdrawal from the surgical site, may selectably detach the fusion cage for deposit to the same disc space. The integrated fusion cage and graft delivery device is formed such that a hollow tube and plunger selectively and controllably place bone graft material and a fusion cage in or adjacent to the bone graft receiving area.

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Номер записи: 78

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: 79

27-03-2014 дата публикации

Expandable support device and method of use

Номер: US20140088713A1

Автор: E. Skott Greenhalgh, John-Paul Romano, Michael P. Igoe

Принадлежит: Stout Medical Group LP

An expandable support device for tissue repair is disclosed. The device can be used to repair hard or soft tissue, such as bone or vertebral discs. A method of repairing tissue is also disclosed. The device and method can be used to treat compression fractures. The compression fractures can be in the spine. The device can be deployed by compressing the device longitudinally resulting in radial expansion.

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Номер записи: 80

07-01-2021 дата публикации

Intervertebral implant

Номер: US20210000160A1

Автор: Bob Flower, Brad Culbert, Fausto Olmos

Принадлежит: DePuy Synthes Products Inc

An adjustable spinal fusion intervertebral implant is provided that can comprise upper and lower body portions that can each have proximal and distal wedge surf aces disposed at proximal and distal ends thereof. An actuator shaft disposed intermediate the upper and lower body portions can be actuated to cause proximal and distal protrusions to converge towards each other and contact the respective ones of the proximal and distal wedge surfaces. Such contact can thereby transfer the longitudinal movement of the proximal and distal protrusions against the proximal and distal wedge surfaces to cause the separation of the upper and lower body portions, thereby expanding the intervertebral implant. The upper and lower body portions can have side portions that help facilitate linear translational movement of the upper body portion relative to the lower body portion.

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Номер записи: 81

07-01-2021 дата публикации

Method and Devices for Intracorporeal Bonding of Implants with Thermal Energy

Номер: US20210000515A1

Автор: Justin E. Beyers, Matthew J. Cremens, Peter M. Bonutti

Принадлежит: P Tech LLC

A system for dynamically controlling a weld profile includes a generator, and end effector, a sensor, and a computer. The generator is configured to supply energy based on the weld profile. The end effector operatively connected to the generator and configured to apply vibratory energy and pressure to an object. The sensor configured to provide an output with respect to the object. The computer configured to monitor the output and change the weld profile of the generator based on the output.

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Номер записи: 82

07-01-2021 дата публикации

BIOMIMETIC PLYWOOD MOTIFS FOR BONE TISSUE ENGINEERING

Номер: US20210000602A1

Автор: KUMTA PRASHANT N., ROY ABHIJIT, YU GARY

Принадлежит: University of Pittsburgh - of the Commonwealth System of Higher Education

The invention relates generally to generation of biomimetic scaffolds for bone tissue engineering and, more particularly, to multi-level lamellar structures having rotated or alternated plywood designs to mimic natural bone tissue. The invention also includes methods of preparing and applying the scaffolds to treat bone tissue defects. The biomimetic scaffold includes a lamellar structure having multiple lamellae and each lamella has a plurality of layers stacked parallel to one another. The lamellae and/or the plurality of layers is rotated at varying angles based on the design parameters from specific tissue structural imaging data of natural bone tissue, to achieve an overall trend in orientation to mimic the rotated lamellar plywood structure of the naturally occurring bone tissue. 1. A method of preparing a biomimetic scaffold , comprising:obtaining a scaffold material comprising a material selected from the group consisting of metal, metal alloy, polymer, ceramic, and composites and blends thereof; forming the scaffold material into a plurality of layers;', 'stacking the plurality of layers; and', 'aligning the plurality of layers; and, 'conducting an additive manufacturing process, comprisingrotating or alternating one or more of the plurality of layers to achieve an overall trend that mimics angular displacement of lamella in a rotated plywood lamellar structure of natural bone tissue.2. The method of claim 1 , further comprising:performing a structural imaging analysis of natural bone tissue comprising a rotated or an alternated plywood lamellar structure;employing data from the structural imaging analysis to specify design parameters of the biomimetic scaffold and to determine angular displacement of lamella in the rotated or alternated plywood lamellar structure.3. The method of claim 1 , wherein the scaffold material exhibits one or more properties selected from the group consisting of biodegradable claim 1 , bioresorbable claim 1 , bioabsorbable claim 1 ...

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Номер записи: 83

07-01-2021 дата публикации

IMPLANTABLE MESH

Номер: US20210000603A1

Автор: Schlachter Kelly W.

Принадлежит:

An implantable mesh including demineralized bone fibers mechanically entangled into a biodegradable or permanent implantable mesh is provided. A method of preparing the implantable mesh is also provided. The method of preparing the implantable mesh includes mechanically entangling demineralized bone fibers with non-bone fibers to form the implantable mesh. The mechanical entanglement of the bone fibers into the implantable mesh is achieved by applying needle punching with barbed needles, spun lacing, entanglement with water jets or air jets or ultrasonic entanglement with ultrasonic waves. A method of implanting an implantable mesh at a target bone tissue site is also provided. 111-. (canceled)12. A method of preparing an implantable mesh , the method comprising mechanically entangling demineralized bone fibers with non-bone fibers to form the implantable mesh.13. A method of claim 12 , wherein the mechanical entangling comprises applying needle punching with barbed needles claim 12 , spun lacing claim 12 , entanglement with water jets or air jets or ultrasonic entanglement with ultrasonic waves.14. A method of claim 13 , wherein the mechanical entangling further comprises applying to the implantable mesh moisture claim 13 , heat and/or pressure provided by pressure rollers.15. A method of claim 12 , wherein (i) the mesh is porous having pores from about 100 to about 200 μm; (ii) the mesh does not contain a carrier; or (iii) the mesh is woven claim 12 , non-woven claim 12 , knitted claim 12 , wrapped claim 12 , plied claim 12 , braided or a mixture thereof.16. A method of claim 12 , wherein the demineralized bone fibers have (i) an aspect ratio of from about 50:1 to about 1000:1; (ii) a diameter from about 100 μm to about 2 mm; or (ii) a length from about 0.5 cm to about 10 cm.17. A method of implanting an implantable mesh at a target bone tissue site claim 12 , the method comprising contacting the bone tissue site with the implantable mesh claim 12 , the ...

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Номер записи: 84

04-01-2018 дата публикации

METHOD FOR REPLACING A HEART VALVE

Номер: US20180000585A1

Автор: Solem Jan Otto

Принадлежит:

A method for replacing a native heart valve in need thereof comprises delivering to the native heart valve an apparatus comprising a valve member, a connecting member, and an anchor member suitable for anchoring the apparatus. The valve member reversibly moves between an open position and a closed position to augment or replace the function of the native valve leaflets, thereby reducing valve regurgitation. Some embodiments include a stent that is positioned in the native heart valve with the valve member disposed therein. 1. A method for replacing a function of a native heart valve , the method comprising:compressing a valve-replacement apparatus to a small diameter;delivering the valve-replacement apparatus to a native mitral valve using a catheter;expanding a stent of the valve-replacement apparatus within the native mitral valve, the stent at least partially covered, a valve member disposed within the stent, the valve member including a plurality of pericardial tissue flaps arranged side-by-side with adjacent surfaces having coaptation areas in close contact with each other to prevent leakage between the flaps;extending a portion of a first end of a flexible connecting member through a tissue wall, a second end of the connecting member coupled to an outflow portion of the valve-replacement apparatus; andsecuring a disk-shaped element to the connecting member, the disk-shaped element contacting the tissue wall, to fix a position of the valve member within the native mitral valve.2. The method of claim 1 , wherein extending the portion of the first end of a flexible connecting member through the tissue wall includes extending the portion of the first end of a flexible connecting member through an interventricular muscular septum or a muscular ventricular wall.3. The method of claim 1 , wherein the disk-shaped element is a first disk-shaped element claim 1 , the method further comprising securing a second disk-shaped element to the connecting member claim 1 , the ...

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Номер записи: 85

03-01-2019 дата публикации

EXPANDABLE FUSION DEVICE AND METHOD OF INSTALLATION THEREOF

Номер: US20190000640A1

Автор: Weiman Mark

Принадлежит:

An expandable fusion device capable of being installed inside an intervertebral disc space to maintain normal disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. In one embodiment, the fusion device includes a central ramp, a first endplate, and a second endplate, the central ramp capable of being moved in a first direction to move the first and second endplates outwardly and into an expanded configuration. The fusion device is capable of being deployed down an endoscopic tube. 1. An expandable fusion device comprising:a first endplate and a second endplate,a central ramp, a driving ramp, and an actuator positioned between the first and second endplates, the central ramp including a bore, a first expansion portion, and a second expansion portion separate from the first expansion portion, the driving ramp including a through bore and a third expansion portion, and the actuator including a head portion and an extension that extends from the head portion, and the extension of the actuator extends through the through bore of the driving ramp and into the bore of the central ramp,wherein when the actuator is rotated, the central ramp and the driving ramp move towards one another, thereby causing the first and second endplates to move apart.2. The device of claim 1 , wherein the first expansion portion is proximate a first end and includes overlapping ramped portions.3. The device of claim 2 , wherein the second expansion portion is positioned between the first end and a second end and includes central ramped portions.4. The device of claim 3 , wherein the central ramped portions includes two central ramped portions on opposite side of the central ramp.5. The device of claim 1 , wherein the driving ramp includes an upper side claim 1 , a lower side claim 1 , a first side portion connecting the upper side and the lower side claim 1 , and a second side portion connecting the upper side and the lower side claim 1 , and the first and ...

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Номер записи: 86

03-01-2019 дата публикации

VARIABLE LORDOSIS SPACER AND RELATED METHODS OF USE

Номер: US20190000643A1

Автор: Burkhardt Alex, Glerum Chad, Weiman Mark

Принадлежит:

An expandable fusion device may include a first endplate and a second endplate. The expandable fusion device may also include first and second ramps configured to mate with both the first and second endplates. An inserter instrument includes an outer shaft having a bore extending longitudinally therethrough and an inner shaft extending through the bore in the outer shaft. The outer shaft is configured to engage the first or second opening in the second ramp, and the inner shaft is configured to engage the corresponding first or second opening in the first ramp to control implant height and/or lordotic angle. 1. A medical system comprising: an upper endplate;', 'a lower endplate opposed to the upper endplate;', 'a first ramp positioned between the upper endplate and the lower endplate, wherein the first ramp includes a first upper angled surface that engages the upper endplate and a first lower angled surface that engages the lower endplate;', 'a second ramp positioned between the upper endplate and the lower endplate, wherein the second ramp includes a second upper angled surface that engages the upper endplate and a second lower angled surface that engages the lower endplate; and', 'an actuation mechanism insertable into the first ramp and the second that causes expansion between the upper endplate and the lower endplate,', 'wherein the first ramp includes a first bore for receiving the actuation mechanism and a second bore for receiving graft material,', 'wherein the second ramp includes a second bore for receiving the actuation mechanism and the second bore for receiving graft material,', 'wherein the first bore of the first ramp is substantially aligned with first bore of the second ramp, and the second bore of the second ramp is substantially aligned with the second bore of the second ramp., 'an expandable device comprising2. The system of claim 1 , wherein the first ramp is configured to move toward the second ramp to cause expansion between the upper endplate ...

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Номер записи: 87

04-01-2018 дата публикации

Methods and Apparatus for Performing Spine Surgery

Номер: US20180000604A1

Автор: Morris Andrew, Pimenta Luiz, Serra Michael, Snider Brian

Принадлежит: NUVASIVE, INC.

Systems and methods are described for correcting sagittal imbalance in a spine including instruments for performing the controlled release of the anterior longitudinal ligament through a lateral access corridor and hyper-lordotic lateral implants. 1. A method for correcting saggital imbalance of a lumbar spine , comprising the steps of:inserting an access system along a lateral, trans-psoas path to a target site on the lumbar spine to create an operative corridor to the target site;preparing the intervertebral space between first and second vertebra of the lumbar spine for receipt of an intervertebral implant, the intervertebral space being at least partially defined by an anterior aspect, a posterior aspect, and opposing first and second lateral aspects;advancing a tissue retractor through the operative corridor along the lateral, trans-psoas path to a protective position in which a protective head of the tissue retractor is positioned between the Anterior Longitudinal Ligament (ALL) and the anterior vasculature, the tissue retractor protective head including an inner surface that faces the ALL and an outer surface that that faces the anterior vasculature when the tissue retractor is in the protective position, a distal end of the protective head being curved such that the distal end curves around the anterior aspect of the target site,advancing a cutting blade along the inner surface of the tissue retractor protective head and severing the Anterior Longitudinal Ligament (ALL) with the cutting blade; andadvancing and intervertebral implant through the operative corridor along the lateral, trans-psoas path and depositing the intervertebral implant into the intervertebral disc space.2. The method of claim 1 , wherein the intervertebral implant includes an upper surface that contacts the first vertebra and a lower surface that contacts the second vertebra claim 1 , a distal wall claim 1 , a proximal wall claim 1 , an anterior sidewall that faces anteriorly claim 1 , ...

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Номер записи: 88

05-01-2017 дата публикации

COMPOSITES COMPRISING NANOSTRUCTURED DIAMOND AND METAL BORIDE FILMS AND METHODS FOR PRODUCING SAME

Номер: US20170002457A1

Автор: Catledge Shane A., Johnston Jamin, Vohra Yogesh K.

Принадлежит:

Composites having a substrate, a diamond film, and a metal boride film disposed between the substrate and the diamond film, together with methods for producing the composites. 1. A composite comprising:a) a substrate;b) a diamond film having a surface roughness of from about 5 nm to about 100 nm; andc) an at least partially continuous metal boride layer disposed between a surface of the substrate and the diamond film.2. The composite of claim 1 , having a hardness of at least about 50 GPa.3. (canceled)4. The composite of claim 1 , wherein the substrate comprises cobalt or an alloy thereof.5. (canceled)6. (canceled)7. The composite of claim 1 , wherein the substrate further comprises one or more of chromium claim 1 , molybdenum claim 1 , tungsten claim 1 , titanium claim 1 , aluminum claim 1 , vanadium claim 1 , nickel claim 1 , iron claim 1 , manganese claim 1 , tungsten carbide claim 1 , carbon claim 1 , or a combination thereof.8. The composite of claim 1 , wherein the substrate comprises a metal carbide alloy.9. The composite of claim 8 , wherein the metal carbide alloy comprises one or more of tungsten carbide claim 8 , titanium carbide claim 8 , or a combination thereof.10. The composite of claim 1 , wherein the diamond film is positioned over at least a portion of the at least partially continuous metal boride layer.11. (canceled)12. The composite of claim 1 , wherein the diamond film is substantially free of a graphitic carbon.13. The composite of claim 1 , wherein the diamond film comprises a nanostructured diamond film.14. (canceled)15. The composite of claim 1 , wherein the diamond film is substantially free of an elemental metal.16. (canceled)17. (canceled)18. The composite of claim 1 , wherein the at least partially continuous metal boride layer comprises cobalt boride.19. (canceled)20. (canceled)21. The composite of claim 1 , wherein the at least partially continuous metal boride layer is conformal to the surface of the substrate.22. The composite of ...

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Номер записи: 89

01-01-2015 дата публикации

Vertebral body replacement apparatus

Номер: US20150005880A1

Автор: Roman RANDEGGER, Samantha Popa, Tom Overes

Принадлежит: DePuy Synthes Products Inc

A vertebral body replacement apparatus includes an outer body member having a first end, a second end, and an opening, and an inner body member having a first end, a second end, and an inner surface defining an opening. The first end of the inner body member is received in the opening of the outer body member such that the inner body member and the outer body member are movable relative to one another. A support member has a first end secured within the inner body member and a second end extending a distance beyond the inner body member. The second end of the support member deflects relative to the first end of the outer body member in response to a force applied thereto and returns to a substantially non-deflected condition upon release of the force.

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Номер записи: 90

12-01-2017 дата публикации

SPINAL IMPLANT SYSTEM AND METHOD

Номер: US20170007420A1

Автор: Barror Michael W., BENSON NICHOLAS M., Bontemps Calvert S., Brown Richard L., Foley Kevin T., Henschel Mark E., Metcalf Newton H., Stevenson Tyler S., Tyler Larry

Принадлежит:

A spinal implant includes an implant body including a first endplate and a second endplate. A plurality of electrodes include at least one electrode disposed with the first endplate and at least one electrode disposed with the second endplate such that the electrodes conduct an electric current to stimulate tissue growth adjacent the implant body. Systems, surgical instruments and methods are disclosed. 1. A spinal implant comprising:an implant body including a first endplate and a second endplate; anda plurality of electrodes including at least one electrode disposed with the first endplate and at least one electrode disposed with the second endplate such that the electrodes conduct an electric current to stimulate tissue growth adjacent the implant body.2. A spinal implant as recited in claim 1 , wherein at least one of the electrodes comprises a titanium coating.3. A spinal implant as recited in claim 1 , wherein the first endplate comprises a titanium endcap anode attached with the implant body and the second endplate comprises a titanium endcap cathode attached with the implant body.4. A spinal implant as recited in claim 1 , wherein the at least one electrode of the first endplate comprises a frame mounted with the implant body.5. A spinal implant as recited in claim 4 , wherein the implant body includes an inner surface that defines a cavity claim 4 , the frame including a first portion disposed with the first endplate and a second portion extending into the cavity.6. A spinal implant as recited in claim 1 , wherein the at least one electrode of the first endplate comprises a first frame attached with the implant body and the at least one electrode of the second endplate comprises a second frame attached with the implant body.7. A spinal implant as recited in claim 6 , wherein the first frame is electrically isolated from the second frame.8. A spinal implant as recited in claim 1 , wherein the first endplate comprises a superior surface and the at least one ...

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Номер записи: 91

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: 92

14-01-2021 дата публикации

EXPANDABLE FUSION DEVICE AND METHOD OF INSTALLATION THEREOF

Номер: US20210007860A1

Автор: Glerum Chad, Weiman Mark

Принадлежит:

The present invention provides an expandable fusion device capable of being installed inside an intervertebral disc space to maintain normal disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. In one embodiment, the fusion device includes a body portion, a first endplate, and a second endplate, the first and second endplates capable of being moved in a direction away from the body portion into an expanded configuration or capable of being moved towards the body portion into an unexpanded configuration. The fusion device is capable of being deployed and installed in both configurations. 1. An expandable device , comprising: endplates;', 'an elongate body disposed between the endplates and further extending proximally, the elongate body having an external threading at a proximal portion; and', 'an inner shaft disposed within the elongate body and adapted to translate to expand the endplates, the inner shaft having a mating section at a proximal end; and, 'an expandable spacer including a housing having an internal threading adapted to threadably receive the external threading of the inner shaft; and', 'a slidable lock coupled to the housing and having a mating portion, the slidable lock having a first sliding position that mates the mating portion with the mating section of the inner shaft to lock the inner shaft to the housing and a second sliding position that unlocks the inner shaft from the housing for removal of the expandable spacer from the removable handle., 'a removable handle coupled to the proximal portion of the elongate body and including2. The expandable device of claim 1 , wherein the housing includes an internally threaded insert coupled to the external threading of the inner shaft.3. The expandable device of claim 1 , wherein the housing includes an internally threaded insert coupled to the external threading of the inner shaft and the insert is formed of polymer material.4. The expandable device of claim 3 , ...

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Номер записи: 93

11-01-2018 дата публикации

Devices and Methods for Treating Facet Joints, Uncovertebral Joints, Costovertebral Joints and Other Joints

Номер: US20180008417A1

Автор: Lang Philipp

Принадлежит:

The present invention describes methods, devices and instruments for resurfacing or replacing facet joints, uncovertebral joints and costovertebral joints. The joints can be prepared by smoothing the articular surface on one side, by distracting the joint and by implant insertion. Implants can be stabilized against a first articular surface by creating a high level of conformance with said first articular surface, while smoothing the second articular surface with a surgical instrument with a smooth mating implant surface. 1. An interpositional implant for treating a facet joint , an uncovertebral joint or a costovertebral joint , comprising:a. first and second surfaces and at least one margin configured to facilitate placement of the implant inside the joint, wherein the at least one margin includes a tapered portion; wherein implant is a single component and sized to fit in a space between the articular surfaces of said joint; characterized in that: said first surface is configured to fit to and to abut a corresponding articular structure of the joint and said second surface is an articular surface, such that when said implant is implanted into said joint said first surface a near anatomic fit with the articular structure and the second surface articulates with a corresponding articular surface of the joint; andb. an extender configured to stabilize or secure the implant at an implantation site of the joint.2. A kit comprising an implant for treating a facet joint , an uncovertebral joint or a costovertebral joint , wherein said implant has at least one tapered area and wherein said taper facilitates placement of the implant inside the joint , and an instrument for preparing the joint to accept said implant.3. A method of making a patient-specific surgical instrument configured to facilitate the placement of an interpositional implant for a facet , an uncovertebral joint or a costovertebral joint of a patient , wherein at least a portion of the surgical instrument ...

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Номер записи: 94

11-01-2018 дата публикации

Anterior-to-posterior uncinate joint stabilizer systems

Номер: US20180008427A1

Автор: Jeffrey John Larson, Theodore P. Bertele

Принадлежит: Uncinate Joint LLC

A system for stabilizing a cervical spine segment includes a pair of uncinate joint stabilizers for stabilizing a respective pair of uncinate joints. Each uncinate joint stabilizer is elongated along a lengthwise dimension and is configured for placement in the respective uncinate joint with the lengthwise dimension substantially oriented along an anterior-to-posterior direction of the cervical spine segment. Each uncinate joint stabilizer has height configured to define spacing of the respective uncinate joint. Each uncinate joint stabilizer includes a generally cylindrical portion with cylinder axis in the lengthwise dimension. The generally cylindrical portion has threads for threading the uncinate joint stabilizer into the respective uncinate joint along the anterior-to-posterior direction. The threads are interrupted by one or more fenestrations configured to accommodate bone graft material, bone growth, and/or tissue displaced from the respective uncinate joint by the uncinate joint stabilizer.

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Номер записи: 95

27-01-2022 дата публикации

SURFACE TREATED MEDICAL IMPLANT DEVICES

Номер: US20220023064A1

Автор: Miccio Mark, Zappacosta Jason

Принадлежит:

A surgical implant having a surface treatment which contains primary cavities and secondary cavities. The primary cavities are larger than the secondary cavities and the primary cavities have an average length ranging from 20-500 micrometers. The surface treatment includes recasted material adjacent to a plurality of the primary cavities. 1. A method for stabilizing a spine comprising the steps of:providing a surgical implant comprising:an implant body sized to be implanted in a patient and adapted to be in contact with a bone of the patient, the implant body having a surface treated outer surface, the outer surface containing a plurality of primary cavities and a plurality of secondary cavities smaller than the primary cavities,wherein the outer surface comprises recasted material adjacent to the primary cavities;wherein the recasted material has an average height of 1-100 micrometers, the primary cavities have an average depth of 19-499 micrometers from a surface of the implant, and the secondary cavities have an average depth of 5 nanometers to 10 micrometers.positioning the surgical implant on a portion of the spine.2. The method of claim 1 , wherein the primary cavities have an average length ranging from 20-500 micrometers.3. The method of claim 1 , wherein the recasted material is adjacent to at least 80% of the primary cavities claim 1 , and wherein the recasted material encircles the entire perimeters of at least 50% of the primary cavities.4. The method of claim 1 , wherein claim 1 , the primary and secondary cavities are laser-formed cavities.5. The method of claim 1 , wherein one or more of the primary cavities is formed of two or more conjoined spherical portions.6. The method of claim 1 , wherein the surgical implant is a spinal implant selected from a group consisting of: an expandable spacer claim 1 , a plate and spacer system claim 1 , an implant with a screw system claim 1 , an occipito-cervico-thoraic stabilization system claim 1 , a cervico- ...

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Номер записи: 96

10-01-2019 дата публикации

MINIMALLY INVASIVE SPINE RESTORATION SYSTEMS, DEVICES, METHODS AND KITS

Номер: US20190008561A1

Автор: Abidin Cin, Berg Philip, Broman Richard J., Finazzo Anthony v., Funk Michael J., Kuiper Mark K., Ohrt John Arthur, Ralph Christopher, Suh Sean

Принадлежит:

The disclosure discloses methods, devices, systems and kits for repairing, replacing and/or augmenting natural facet joint surfaces and/or facet capsules. An implantable facet joint device of one embodiment comprises a cephalad facet joint element and a caudal facet joint element. The cephalad facet joint element includes a member adapted to engage a first vertebra, and an artificial cephalad bearing member. The caudal facet joint element includes a connector adapted for fixation to a second vertebra at a fixation point and an artificial caudal bearing member adapted to engage the cephalad bearing member. The artificial caudal bearing member is adapted for a location lateral to the fixation point. In another embodiment, an implantable facet joint device comprises a cephalad crossbar adapted to extend mediolaterally relative to a spine of a patient, the crossbar having opposite first and second ends, a connector element adapted to connect the crossbar to a first vertebra, a first artificial cephalad bearing member adapted for connection to the first end of the crossbar and adapted to engage a first caudal facet joint element connected to a second vertebra, and a second artificial cephalad bearing member adapted for connection to the second end of the crossbar and adapted to engage a second caudal facet joint element connected to the second vertebra. 1. A surgical system comprising:a first upper anchor having a first stem and a second upper anchor having a second stem, wherein the first upper anchor supports a first upper bearing surface and the second upper anchor supports a second upper bearing surface;a first lower anchor and a second lower anchor, wherein the first lower anchor supports a first lower bearing surface and the second lower anchor supports a second lower bearing surface, wherein the first upper bearing surface is positioned adjacent the first lower bearing surface and the second upper bearing surface is positioned adjacent the second lower bearing ...

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Номер записи: 97

10-01-2019 дата публикации

SIX DEGREE SPINE STABILIZATION DEVICES AND METHODS

Номер: US20190008652A1

Автор: BENNETT Jeff, Dwyer Edward

Принадлежит:

An implant stabilizes two adjacent bones of a joint, while enabling a natural kinematic relative movement of the bones. Support components are connected to each bone of the joint, and a flexible core is interposed between them. The core and at least one of the support components are provided with a smooth sliding surface upon which the core and support component may slide relative to each other, enabling a corresponding movement of the bones. The surfaces may have a mating curvature, to mimic a natural movement of the joint. The core is resilient, and may bend or compress, enabling the bones to move towards each other, and or to bend relative to each other. 1. A method of stabilizing two adjacent bones of a joint , the method comprising:inserting an implant between the bones of the joint, the implant having a first engagement plate comprising a first core engagement surface, wherein a first aperture extends through the first core engagement surface; a second engagement plate comprising a second core engagement surface, wherein a second aperture extends through the second core engagement surface; and a core positioned between the first engagement plate and the second engagement plate, wherein the core comprises a first flanking segment for engaging the first core engagement surface and a second flanking segment for engaging the second core engagement surface, wherein the core comprises an aperture in an upper surface that leads into a hollow interior of the core, wherein the first aperture of the first engagement plate, the second aperture of the second engagement plate, and the hollow interior of the core are aligned along an axis, and wherein the first engagement plate includes a projection that extends from the first core engagement surface and is enclosed by the core to limit movement; andwherein at least one of the first and second engagement plates is able to move relative to the core, thereby enabling a natural kinematic relative movement of the bones.2. The ...

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Номер записи: 98

09-01-2020 дата публикации

IN-SITU FORMED INTERVERTEBRAL FUSION DEVICE AND METHOD

Номер: US20200008950A1

Автор: DiMauro Thomas M., Malone John Daniel, Serhan Hassan

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. 1. (canceled)2. An expandable spinal fusion implant , comprising:a) an upper endplate having an upper surface configured to engage bone and a lower surface;b) a lower endplate having a lower surface configured to engage bone and an upper surface;c) a core having a first mating surface that mates with the upper endplate via a slidable guide-track and a second mating surface that mates with the lower endplate via a slidable guide-track; andd) an elongate metallic element extending longitudinally through the core;wherein the core includes an upper ramp component having a first ramped surface and a lower ramp component having a second ramped surface opposing the first ramped surface, andwherein longitudinal translation of the ramped surfaces increases a height between the upper surface of the upper endplate and the lower surface of the lower endplate.3. The implant of claim 2 , wherein the upper and lower endplates and the core are each arcuate in a plane parallel to their length4. The implant of claim 2 , wherein a cross-section taken through the endplates and the core defines an I shape.5. The implant of claim 2 , wherein the elongate metallic element does not contact either of the upper and lower endplates.6. The implant of claim 2 , wherein the first and second ramped surfaces bear against each other.7. An expandable spinal fusion ...

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Номер записи: 99

19-01-2017 дата публикации

PROSTHETIC HEART VALVE INCLUDING SELF-REINFORCED COMPOSITE LEAFLETS

Номер: US20170014227A1

Автор: Boden Mark W., Delaney, Edelman Peter G., JR. Joseph Thomas

Принадлежит:

A prosthetic heart valve leaflet is composed of a self-reinforced composite (SRC) structure that includes a first layer. The first layer can include a first plurality of fused fibers composed of a first polymeric material in which each fiber is fused to at least one adjacent fiber by a reflowed fiber domain region. 1. A prosthetic heart valve leaflet comprising a self-reinforced composite (SRC) structure that includes a first layer comprising a first plurality of fused fibers composed of a first polymeric material and each fiber being fused to at least one adjacent fiber by a reflowed fiber domain region.2. The prosthetic heart valve leaflet of claim 1 , further comprising a second layer that includes a second plurality of fused fibers composed of a second polymeric material and characterized by each fiber being fused to at least one adjacent fiber by a reflowed fiber domain region3. The prosthetic heart valve leaflet of claim 2 , wherein the first plurality of fused fibers and the second plurality of fused fibers are generally aligned in at least two directions such that the first plurality of the fused fibers are oriented at a first predetermined fiber angle relative to the second plurality of fused fibers.4. The prosthetic heart valve leaflet of claim 1 , wherein the first plurality of fused fibers are generally aligned in a direction defining a first longitudinal axis claim 1 , the first longitudinal axis being oriented at an angle relative to a free edge of the prosthetic heart valve leaflet.5. The prosthetic heart valve leaflet of claim 2 , wherein the first layer is disposed adjacent to the second layer.6. The prosthetic heart valve leaflet of claim 2 , wherein the first and second plurality of fused fibers are generally aligned relative to each other to form a biaxial orientation within the SRC structure.7. The prosthetic heart valve leaflet of claim 3 , wherein the predetermined fiber angle is an orthogonal angle.8. The prosthetic heart valve leaflet of ...

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Номер записи: 100