Abstract: A tourniquet cuff (10) includes a first layer (20), a second layer (40), and a third layer (60). The first layer (20) has an inner side (22) impermeable to air and the second layer (40) has a first side (44) impermeable to air. The inner side (22) of the first layer (20) and the first side (44) of the second layer (40) cooperate to define a first cavity (96) formed to receive a gel-like material (15) therein. Further, the third layer (60) has an inner side (64) which cooperates with a second side (42) of the second layer (40) to define a second cavity (94) formed to receive pressurized air. The tourniquet cuff (10) adjustably secures about a patient's limb such that the gel-like material (15) is positioned between the patient's limb and the second cavity (94) to uniformly and comfortably distribute pressure around the patient's limb.

Abstract: A centralizer for an intramedullary stem of an orthopaedic component that is adapted to be implanted into a medullary canal of a bone includes an annular body having an interior surface and an exterior surface. The centralizer also includes a first exterior fin secured to the exterior surface of the annular body so as to extend outwardly therefrom. The first exterior fin possesses a first length. The centralizer also includes a second exterior fin secured to the exterior surface of the annular body so as to extend outwardly therefrom. The second exterior fin possesses a second length which is greater than the first length. A method of implanting an orthopaedic component into a patient is also disclosed.

Abstract: A bone support structure is formed with opposing dynamization windows, and spacers of a bioresorbable material are positioned within the dynamization windows. The dynamization windows are longer than they are wide. The spacers may be integrally formed as a single insert. The bone support assembly is used with a bone fastener such as a bone screw which is advanced transversely through both the insert and the bone. The bone fastener is smaller across than the dynamization windows, so each spacer spaces the bone fastener relative to its dynamization window. As the spacers resorb, stress (at least in one direction) is increasingly transmitted through the fracture site rather than through the bone support structure. The positioning of the bone fastener, the shape and size of the dynamization windows and spacers, and the material of the spacers all allow design control over the type and amount of dynamization seen at the fracture site.

Abstract: A bio-absorbable cartilage repair system is provided for regenerating damaged or destroyed articular cartilage on a joint surface of a bone by establishing a chondrogenic growth-supporting matrix between an area of damaged or destroyed articular cartilage that has been removed and an adjacent healthy area of articular cartilage and subchondral cancellous bone. The system is an assembly of a delivery unit and a porous insert. The delivery unit is formed of bio-absorbable material and configured and dimensioned to be mounted in both an area of damaged or destroyed articular cartilage that has been removed and an adjacent healthy area of articular cartilage and cancellous bone. The delivery unit has a central body and a plurality of radially extending, flexible support arms projecting outwardly from the central body and configured and dimensioned to support the insert at least partially thereover.

Abstract: A knee prosthesis and method for use are provided, in which the knee prosthesis provides anterior and posterior stability and controlled femoral roll-back, while also providing rotational kinematics. The femoral component has a pair of convexly shaped condyles which are spaced apart to form an intercondylar notch. Anterior and posterior cams are provided within the notch. The tibial component comprises a platform upon which a tibial bearing is mounted to provide for rotational movement about the tibial axis. The tibial bearing is provided with surfaces to engage the condyles and has an upwardly extending spine which is positioned to engage the anterior and posterior femoral cams. The posterior surface of the upwardly extending spine is arranged coincident with the tibial axis. At full extension, the spine engages the anterior femoral cam to provide a 3° hyperextension stop.

Abstract: A monomer delivery device for a bone cement delivery system having a sealed body that has and a chamber sized to receive an ampule of monomer, a collar attached to the body having a blade configured to sever the ampule and a spout attached to the collar to expel the monomer.

Abstract: A bone cement mixing apparatus for mixing a powder bone cement component with a liquid bone cement component includes a bowl and a lid removably secured to the bowl. The lid has a sealable liquid delivery port defined therein which is adapted to sealingly receive an outlet coupling of a liquid delivery device. The bone cement mixing apparatus also includes a crank rotatably attached to the lid and a blade positioned in the bowl. The blade is secured to the crank such that rotation of the crank causes rotation of the blade. A method for mixing bone cement is also disclosed.

Abstract: An implantable prosthetic component, such as a femoral stem, includes a plurality of bone-engaging ribs which are configured so as to engage dense cancellous bone upon implantation. The ribs have a geometry and spacing for achieving optimal fixation in the medullary canal of the femur by engaging predetermined dense cancellous bone.

Abstract: A transverse connector for a spinal column corrective device for interconnecting two components connectable with vertebrae of a spinal column includes a first member having a body portion and a connector portion extending from the body portion, the connector portion including an opening for receiving the first component, a second member having a body portion and a connector portion extending from the body portion, the connector portion including an opening for receiving the second component, and a clamp extending between the first and second member body portions, the clamp being movable into a tightened position to lock the first and second members into position relative to one another, and a loosened position to permit adjustment of the position of the first and second members relative to one another. The first and second member body portions having mating retaining surfaces to prevent relative movement between the first and second members when the clamp is in the tightened position.

Abstract: A device and a method for measuring distances between two points is described. In particular, the device and method may be used in a surgical setting. In one embodiment, the device comprises an extension for extending into the body through an incision, the extension having a distal tip for insertion into the body and a proximal handle for remaining outside the body; a first measuring end and a second measuring end at the distal tip, the first and second measuring ends at a predetermined angle from each other and defining a distance between the first and second measuring ends, the first measuring end being movable relative to the distal tip, the first and second measuring ends being rounded; and an actuator at the proximal handle for moving the first measuring end relative to the distal tip.

Abstract: A head gear apparatus (10) is provided that moves air to cool a caregiver's head. The head gear apparatus (10) includes a helmet (12) that has a shell (114) configured to rest upon a head of a user and a fan housing (120) movably coupled to shell (114), a fan (122) is positioned to lie within fan housing (120) and moves with fan housing (120) relative to shell (114), and a garment (14) selectively coupled to helmet (12). Garment (14) includes a face shield (20).

Abstract: An alignable orthopedic prosthesis system includes a prosthesis and an alignment guide. The prosthesis includes a stem having at least one keyed component extending along its outer surface. The alignment guide has an alignment body with a guide surface disposed on an inner portion thereof. The guide surface has a key element formed therein for engageably receiving the keyed component of the prosthesis.

Abstract: A head gear apparatus (10) is provided that moves air to cool a caregiver's head. The head gear apparatus (10) includes a helmet (12) that has a shell (114) configured to rest upon a head of a user and a fan housing (120) movably coupled to shell (114), a fan (122) is positioned to lie within fan housing (120) and moves with fan housing (120) relative to shell (114), and a garment (14) selectively coupled to helmet (12). Garment (14) includes a face shield (20).

Abstract: A kit for assembly of a modular joint prosthesis (10) includes at least two shank/body elements (22/20) sized for insertion into the shank of the bone and at least two head members (48) sized to replace one bearing surface of the joint. Each shank/body element (22/20) has a collar (58) that has a shallow width and a circular plan view and that is formed to overhang a resected level of the bone. The collar (58) has a male taper on its side wall (64). Each head member (48) has a first geometric axis (52) therethrough and defines a part spherical cavity (49) with a skirt (66) extending about the cavity (49). The skirt (66) provides a female taper for receiving and providing a mechanical connection with the male taper on the side wall (64) of each collar (58). A second axis extends (55) through the skirt (66). The first axis (52) and second axis (55) may be coincident or offset from one another.

Abstract: A method of inhibiting relative movement between a first bone fragment and a second bone fragment is disclosed. The method includes the step of advancing a fastener into the second bone fragment, the advancing step causing the fastener to contact a fixation member which in turn causes a first penetration structure of the fixation member to penetrate through an outer surface of the first bone fragment. The method further includes the step of preventing further advancement of the penetration structure into the first bone fragment with a stop member of the fixation member so that a space is maintained between a lower surface of a body of the fixation member and the outer surface of the first bone fragment.

Abstract: A surgical assembly for preparing a tibia for implantation of a prosthetic implant includes a tray trial adapted to be secured to a proximal end of the tibia. The tray trial includes a plate having a plate opening defined therein. The plate opening has a center point. The surgical assembly also includes a first guide adapted to be secured to the tray trial. The first guide has a guide opening defined therein. The guide opening has a first bushing-receiving portion and a second bushing-receiving portion which is distinct from the first bushing-receiving portion. The surgical assembly also includes a drill bushing positionable in either the first bushing-receiving portion of the guide opening or the second bushing-receiving portion of the guide opening. The drill bushing has a bushing bore extending therethrough. The bushing bore has a center point.

Abstract: A bone prosthesis is provided which includes an implantable elongate stem member having a bore extending therethrough. The stem member has a proximal end and a distal end with at least one slot formed in the distal end. The slot extends along at least a portion of the stem member, in a longitudinal direction, from the distal end towards the proximal end to form at least two tines at the distal end of the stem. A bolt member is disposed within the bore of the stem member and has a proximal end and a distal end, wherein at least a portion of the bolt member proximate the distal end is threaded. An expander nut is disposed between the tines and is threadably matable with the distal end of the bolt member such that rotation of the bolt member in a first direction is effective to draw the expander nut towards the proximal end of the stem member to separate the tines at the distal end of the stem member.

Abstract: An intramedullary nail structure is formed with opposing dynamization windows, and spacers of a bioresorbable material are positioned within the dynamization windows. The dynamization windows are longer than they are wide. The spacers may be integrally formed as a single insert. The nail is used with a bone fastener such as a bone screw which is advanced transversely through the bone and into the spacer, preferably in a bicortical attachment with the bone. The bone fastener is smaller across than the dynamization windows, so each spacer spaces the bone fastener relative to its dynamization window. As the spacers resorb, stress (at least in one direction) is increasingly transmitted through the fracture site rather than through the intramedullary nail. The positioning of the bone fastener, the shape and size of the dynamization windows and spacers, and the material of the spacers all allow design control over the type and amount of dynamization seen at the fracture site.

Abstract: The present invention is directed to a biocompatible tissue reactive composition comprising a functionalized polymer having tissue reactive substituents that are capable of forming covalent bonds with tissue associated functional groups.

Abstract: A cement restrictor is provided for creating a fixed obstruction within a bone. An exemplary cement restrictor includes a member or body that is expandable or transitionable from a first diameter to a second diameter.