Abstract: Orthopedic implants having improved strength and imaging characteristics are provided. The implants can comprise an inner core member that is encased at least in part by an outer encasing member. The inner core member can be formed of a first material that imparts improved strength to the implant, while the outer encasing member is formed of a second material that imparts improved imaging characteristics to the implant. Alternatively, the implants can include a single-piece member formed of a first material that is coated by a coating layer of a second material.

Abstract: A textile-based plate implant (and related methods) that supports tissue ingrowth within the implanted implant structure and is suitable for use in a variety of surgical applications, including but not limited to anterior, posterior and lateral surgical approaches directed towards the lumbar, thoracic and cervical regions of the spine.

Abstract: The present invention relates to a clamp, and, more particularly, to a clamp for securing the position of a bone anchor with respect to a longitudinal rod, preferably for use in the spine. The clamp may include a housing, a rod clamping assembly, and a bone anchor clamping assembly. The clamp preferably enables the longitudinal axis of the rod to be offset or laterally displaced from the longitudinal axis of the bone anchor. The rod clamping assembly and the bone anchor clamping assembly are preferably moveably coupled to the housing in order to provide increased flexibility to better accommodate the location and geometry of the longitudinal rod and to better accommodate bone positioning.

Abstract: A method of treating scoliosis in a subject includes securing a scoliosis treatment device to first and second locations on the subject's skeletal system, the scoliosis treatment device including a first portion, a second portion moveably mounted relative to the first portion, and an adjustment device disposed on the device and configured to change a distraction force between the first location and the second location, the adjustment device including a rotationally mounted magnetic element configured to move the second portion relative to the first portion in response to rotation of the magnetic element. An external adjustment device is provided external to the subject and is able to adjust the distraction force between the first location and second location.

Abstract: A graft ligament anchor comprises a graft ligament engagement member disposed in an opening in a bone, the graft ligament engagement member being arranged to receive a graft ligament alongside the engagement member, and a locking member for disposition in the opening, and at least in part engageable with the graft ligament engagement member. Movement of the locking member in the opening causes the locking member to urge the engagement member, and the graft ligament therewith, toward a wall of the opening, to secure the graft ligament to the wall of the opening. A method for attaching a graft ligament to a bone is also provided.

Abstract: A monitoring system includes: (1) an implant having at least one sensor and configured for at least partial insertion into a patient, a first one of sensors being in contact with a perimeter of a hole in a body portion of the implant for accepting a fastener; (2) a microchip associated with the implant and the sensor, the microchip configured to receive at least a first signal from the sensor; (3) a transmitter associated with the microchip for transmitting a second signal, representative of the first signal; (4) a receiver located outside of the patient, the receiver configured receive the transmitted second signal; and (5) a display device associated with the receiver, the display device configured to provide an audible or visual representation of the second signal to a user.

Abstract: A system for correcting pectus excavatum includes a pectus bar having an elongated main body portion with posterior and anterior sides and opposing ends, and a lateral cross section. A pectus bar extraction tool has a handle, the handle having a head at an end of the handle. The head has an elongated slot for receiving the pectus bar. The slot is dimensioned to receive the lateral cross section of pectus bar such that the pectus bar can be positioned in the slot and the handle manipulated to impart a force on the pectus bar. A pectus bar extraction tool and a method for removing a pectus bar are also disclosed.

Abstract: An internal asymmetrically designed 8-shaped steel plate (1) for temporary hemiepiphysiodesis includes two single orifice plates (11, 12). Each unilateral orifice plate (11, 12) is provided with a hinged opening (111,121). The two single orifice plates (11, 12) are connected by passing a pivot through the hinged openings (111, 121). The two single orifice plates (11, 12) can be assembled into the asymmetrically 8-shaped steel plate (1). The asymmetrically 8-shaped steel plate (1) is supplied with various specifications and can be provided with various combinations according to the irregular deformity condition on the two sides of patient's physeal line (5).

Abstract: An implantable orthopedic device. The device includes: a proximal anchor, configured to be implanted inside a first metatarsal; the anchor having a collar larger than the opening in a metatarsal in which the proximal anchor is implanted; the collar preventing cable to bone contact; a distal anchor, configured to be implanted inside a second metatarsal, adjacent to the first metatarsal; the distal anchor having a male thread, a nut threadable onto the male thread of the distal anchor, and a cord mechanically interconnecting the proximal and distal anchors. A shock absorber includes an elongate housing threadedly positioned within the anchor; the shock absorber accommodates a cord holder mechanically connected to the housing via a damping member, the cord holder is freely rotatable within the housing to prevent the cord from twist kinking when the housing is rotated to adjust a tension force.

Abstract: Systems and methods are disclosed for manipulating an anatomical feature within the body of the patient. An implant such as an internal jackscrew is implanted at the anatomical and has first and second attachment points that secure to spaced-apart locations on the anatomical feature, an internal rotor coupled to the jackscrew, and is configured to drive motion of the jackscrew to manipulate the anatomical feature. The system further includes an external rotor that is magnetically coupled to the internal rotor such that rotation of the external rotor at an exterior location to the patient's body affects a corresponding internal rotation of the internal rotor to manipulate the anatomical feature.

Abstract: A method of treating scoliosis in a subject includes securing a scoliosis treatment device to first and second locations on the subject's skeletal system, the scoliosis treatment device including a first portion, a second portion moveably mounted relative to the first portion, and an adjustment device disposed on the device and configured to change a distraction force between the first location and the second location, the adjustment device including a rotationally mounted magnetic element configured to move the second portion relative to the first portion in response to rotation of the magnetic element. An external adjustment device is provided external to the subject and is able to adjust the distraction force between the first location and second location.

Abstract: A surgical fastening system for implantable devices such as injection port systems. The implantable device may contain a plurality of fasteners in pre-deployment position, may have a housing fitted over or around it which contains a plurality of fasteners in pre-deployment position, or may be a part of a two-part system into which it fits. Accordingly, the present invention also encompasses a deployment system or tool that optionally positions the implantable device, and which causes the fasteners to move into post-deployment position. The fasteners may be staples, metal loops, coils, springs or hooks formed of biocompatible materials, including shape memory alloys such as NiTi.

Abstract: The present invention provides tools to distract, compress, and measure a vertebral body segment. In one aspect of the invention, a tool includes a handle assembly and a locking mechanism operable between a first condition in which handle portions can translate and pivot relative to one another and a second condition in which the handle portions are fixed translatably. In another aspect of the invention, a tool for distracting and compressing a vertebral body segment includes a measuring device to simultaneously indicate the length of a connecting element for coupling the fasteners. In another aspect of the invention, a measurement device includes indicia defined by a locus of points corresponding to a particular connecting element length. In another aspect of the invention, a method of coupling a first fastener engaged with a first vertebrae to a second fastener engaged with a second vertebrae is provided.

Abstract: The instant invention is a novel method for construct for temporary or definitive pelvic stabilization. The method uses the already established principles of anterior external fixation combined with internal hardware placed in a minimally invasive fashion. Fixation means are affixed to the ilia in the supra-acetabular position and a rigid, subcutaneous anteriorly bowed elongated plate is connected between the fixation means.

Abstract: A technique and associated instrumentation for correcting large intermetatarsal angles that result from hallux valgus. The system includes a button and a suture loop attached to the button. A suture strand is threaded through holes in the button to attach the button to the suture. The suture ends are then brought together (by being swaged, spliced or cinched together, for example) to form the suture loop comprising a continuous, uninterrupted suture loop with a single strand of swaged-together ends. The swaged-together ends may be attached to a suture passing instrument such as a K-wire (Kirschner wire) that may be further used to drill a hole through the first and second metatarsals. The swaged-together ends of the suture are then passed through the drill holes in the first and second metatarsals; and the ends of the suture are pulled until the button abuts the second metatarsal.

Abstract: A number of orthopedic surgical instruments are also disclosed. A method, apparatus, and system for fabricating such instruments are also disclosed.

Abstract: A device is formed by a discontinuous process into a bone screw, plate, or fastener, wherein the device has a degree of polymer alignment and strength, and upon reheating above glass transition temperature of the polymer, the device remains dimensionally stable, as it maintains its dimensions, strength, and degree of polymer orientation. In practice of the present invention, the polymer slug is pressed into the die cavity by the actuation of ram press, causing the slug to conform to the die cavity.

Abstract: A medical device for determining the position of intracorporeal implants such as fixation systems, plates or the like, comprises at least one impedance-measuring device and an ultrasound device which are both connected to at least one intracorporeal probe, the impedance-measuring device being additionally equipped with at least one connector for connection to the implant. The device is suitable for determining the position of pedicle screws and the like in a spinal column fixation system with metal rods as stabilizers.

Abstract: A spinal device for stabilizing adjacent vertebral bodies of the human spine. The device includes a combination of a screw and a member having a screw hole and a length sufficient to span a disc space between the adjacent vertebral bodies. The member has a portion that is bendable or deformable to prevent the outward excursion of the screw from the screw hole of the member.

Abstract: A spinal implantable device may include composite material comprising matrix including PEEK. The PEEK matrix may be reinforced with carbon fibers that amount to at least 60% of the composite material. The carbon fibers are arranged in a substantially parallel arrangement and compressed in a direction perpendicular to a longitudinal direction of the carbon fibers.

Abstract: A sensor system uses positive closed-loop feedback to provide energy waves into a medium. It comprises a transducer (604), a propagating structure (602), and a transducer (606). A parameter is applied to the propagating structure that affects the medium. A sensor is coupled to a propagation tuned oscillator (416) that forms a positive closed-loop feedback path. The propagation tuned oscillator (416) includes a zero-crossing receiver (200) that generates a pulse upon sensing a transition of an energy wave from the propagating structure (602). The zero-crossing receiver (200) is in the feedback path that maintains the emission of energy waves into the propagating structure (602). The zero-crossing receiver (200) comprises a preamplifier (206), a filter (208), an offset adjustment circuit (210), a comparator (212) and a pulse circuit (218). The transit time, phase, or frequency is measured of the propagating energy waves and correlated to the parameter being measured.

Abstract: One embodiment of a method and apparatus for the correction of pectus excavatum, having two arch shaped braces (22), made of a rigid durable material, and connected by a flexible belt (42 and 34), each half having the ability of applying positive pressure (26) to the flared ribs caused by the condition. Positive pressure is to be applied to the ribs while a suction cup or other device simultaneously pulls or pushes the sternum to a natural position. Other embodiments are described and shown.

Abstract: A radially expandable sheath is provided having a substantially closed distal end with at least two sidewalls extending proximally therefrom and defining a central lumen. Each sidewall can have a substantially concave outer surface adapted to seat a graft member, and each side wall is at least partially separated by a longitudinally oriented slot that extends from a proximal end along a substantial length of each sidewall. The slot preferably terminates at a position just proximal to the distal end. The device can also include a sheath expander that is adapted to be disposed in the central lumen of the radially expandable sheath and that is configured to flex the sidewalls to radially expand the sheath so as to fix a graft member within a bone tunnel.

Abstract: A flexible stabilization device for dynamic stabilization of bones or vertebrae is provided comprising a rod construct including a rod made of an elastomeric material the rod having a first connection section, a second connection section and a third section therebetween, the first and second connection sections being connectable with a bone anchoring device, respectively, and a sleeve provided on at least a portion of the third section of the rod such that at least the first and second connection sections are exposed.

Abstract: Advances in our understanding of the cellular mechanisms underlying skeletal regeneration have not been effectively translated in vivo treatment because non-invasive monitoring of bone fracture healing is limited to imaging technology (i.e., for example, x-rays) that cannot be quantified and are subjectively interpreted. The method disclosed herein assesses rates of hip fracture healing using a strain gauge device implanted into a standard orthopedic implant. It has been demonstrated that such a device can measure differences between intact and partially osteotomized fracture models (p<0.05) and that the device can distinguish between stable and unstable fracture patterns in completely osteotomized models across a physiologic range of loads. Such devices are compatible with in vivo bone fracture healing methods, wherein the device is placed onto an orthopedic implant and the strain data is transmitted on a real time basis, thereby providing a non-invasive quantification of bone fracture repair rates.

Abstract: A method for joining two or more segments of a bone implant comprises the steps of placing a plurality of thin layers of an intermetallic material between first and second segments of the bone implant and applying a mechanical load to the plurality of layers. In a subsequent step, the plurality of layers are ignited by applying an external activation energy thereto, the ignition heating the plurality of layers to a reaction temperature and causing the segments to become affixed to one another after cooling.

Abstract: The instant invention is a novel method for definitive pelvic stabilization. The method uses the already established principles of anterior external fixation combined with internal hardware placed in a minimally invasive fashion. Pedicle screws are affixed to the ilia and a rigid, bowed fixation rod is connected between the pedicle screws. Preferably the pedicle screws are attached to the supra-acetabular area of each of the ilium of the pelvis and the fixation rod is bowed anteriorly away from the pelvis.

Abstract: A method for inserting an artificial implant between two adjacent vertebrae along a coronal plane.

Abstract: Various methods and devices are provided for navigating through bone. In one embodiment, a bone navigation device is provided and includes a bone penetrating member configured to be implanted in bone and having at least one optical waveguide extending therethrough. The optical waveguide is adapted to illuminate tissue surrounding the device and to receive reflected/transmitted light from the tissue to determine the optical characteristics of the tissue, thus facilitating navigation through the tissue. At least one window can be formed in the bone penetrating member for allowing light from the at least one optical waveguide to illuminate the tissue, and for receiving the reflected light.

Abstract: An implantable fixation assembly (30) for removably securing a (medical) device in a human body is disclosed. The assembly includes: an anchor portion (1) securable to bone; a pair of spaced apart legs (15), at least one leg (15) being resiliently flexible, the ends (15a) of the legs (15) attached to the anchor portion (1); a clamp portion (2) attached towards or at the ends (15a) of the legs (15); a screw and nut combination having an axis of rotation longitudinal to the legs, the combination operably engaging at least one of the legs (15) so as to pull them together or push them apart thereby actuating the clamp portion (2) to secure the device, wherein the actuating is reversible for selectively gripping and releasing the device.

Abstract: The present invention is directed to a variety of interbody spinal fusion implants having at least a partially frusto-conical configuration. An external thread is employed to increase implant stability and implant surface area, and for the purpose of advancing the spinal fusion implant into the fusion site. The spinal fusion implants of the present invention may be relatively solid or hollow and may have surface roughenings to promote bone ingrowth and stability. The spinal fusion implants of the present invention may have wells extending into the material of the implant from the surface for the purpose of holding fusion promoting materials and to provide for areas of bone ingrowth fixation.

Abstract: An electrical bone growth promotion apparatus for the delivery of electrical current to an implant surgically implanted between adjacent bone masses to promote bone growth to areas adjacent to the implant is disclosed. The apparatus of the present invention comprises a self contained implant having a surgically implantable, renewable power supply and related control circuitry for delivering electrical current directly to the implant and thus directly to the area in which the promotion of bone growth is desired. The desired areas of bone growth promotion may be controlled by conducting negative charge only to the desired location of bone growth promotion.

Abstract: A method of treating scoliosis in a subject includes securing a scoliosis treatment device to first and second locations on the subject's skeletal system, the scoliosis treatment device including a first portion, a second portion moveably mounted relative to the first portion, and an adjustment device disposed on the device and configured to change a distraction force between the first location and the second location, the adjustment device including a rotationally mounted magnetic element configured to move the second portion relative to the first portion in response to rotation of the magnetic element. An external adjustment device is provided external to the subject and is able to adjust the distraction force between the first location and second location.

Abstract: Bioabsorbable coatings for bioabsorbable implantable medical devices having dragging or engagement surfaces. The coatings on a surface of the devices reduce device drag.

Abstract: The present invention relates to a implant for implantation into a body of an animal, wherein the implant comprises material of inner core of drupes and/or palm tree fruits.

Abstract: A system for monitoring strain as an indicator of biological conditions, such as spinal fusion, glucose levels, spinal loading, and heart rate. The system includes an inter-digitated capacitor sensor, and RF transmitter, and an associated antenna, all of which are microminiature or microscopic in size and can be implanted in a biological host such as a human or animal. An inductively coupled power supply is also employed to avoid the need for implantation of chemical batteries. Power is provided to the sensor and transmitter, and data is transmitted from the sensor, when an external receiving device, such as a handheld RF ID type receiver, is placed proximate the location of the implanted sensor, transmitter and inductively coupled power supply. The implanted sensor, transmitter and inductively coupled power supply can be left in place permanently or removed when desired.

Abstract: The instant invention is a novel method for definitive pelvic stabilization. The method uses the already established principles of anterior external fixation combined with internal hardware placed in a minimally invasive fashion. Pedicle screws are affixed to the ilia and a rigid, bowed fixation rod is connected between the pedicle screws. Preferably the pedicle screws are attached to the supra-acetabular area of each of the ilium of the pelvis and the fixation rod is bowed anteriorly away from the pelvis.

Abstract: The connecting element (1) has the shape of a rod with longitudinal axis (2), a rear end (6), and a front end (7), and serves to span a number of bone anchoring elements (12) implanted in the bone. The connecting element (1) comprises at least one longitudinal slot (5). This provides it with a greater elasticity during implantation so that it can be reversibly deformed. The connecting element can then be stiffened once it has been fixed in the bone anchoring elements (e.g. pedicle screws).

Abstract: Methods and apparatus provide for: coupling an elongate guide substantially at a first end to at least one vertebral body of a spinal column of a patient; and extending a second end of the guide to a structure of the patient spaced in an anterior direction away from the at least one vertebral body towards an entry incision.

Abstract: A system for percutaneously fixing a connecting rod to vertebrae comprises first and second bone screws, each with a corresponding hollow bone screw extension mounted thereto, and a connecting rod of length sized for subcutaneous receipt in the yokes of the bone screws. A rod introducer is provided for inserting the connecting rod into slots of the screw extensions and into the yokes of the bone screws. A rod persuader may also be provided that is attachable to at least one of the screw extensions, the rod persuader being operable to engage the connecting rod and urge the rod into the slot of the yoke of the corresponding bone screws. A rod detector may also be provided for insertion one of the screw extensions, the rod detector having an indicator sensing the presence of a rod in the slot of the yoke of at least one of the bone screws.

Abstract: A multi-layer, fiber-reinforced composite orthopaedic fixation device having a design selected based on a desired characteristic of the orthopaedic fixation device. The design may be selected according to a model of the device, the model defining design constraints, and the design may comprise a pattern of the fiber angle for each layer. The selection of a design may be analyzed using finite element analysis to determine whether the design will comprise the desired characteristic.

Abstract: An implantable segmented intramedullary structure adapted to be received in the intramedullary canal of a bone configurable between a relatively flexible, bent configuration for implantation or extraction and a relatively rigid, straightened configuration for bone treatment. The segmented intramedullary structure comprises a plurality of interconnected segments with a first interface and a complementarily-shaped second interface such that the first interface of a segment cooperatively engages the second interface of an adjacent segment. The segments define a channel for a tensioning member to lock the structure in a compressed configuration.

Abstract: Bone fracture fixation devices, systems and methods of use and manufacture are provided. One such bone fixation device includes an elongate element having a responsive zone. The element is adapted to be coupled to the bone so that the responsive zone is positioned adjacent a fracture or fusion site in the bone. The responsive zone is adapted to apply a desired pressure to the bone when coupled thereto. In some embodiments, the responsive zone comprises a shape memory material, which may be nickel titanium or Nitinol, to apply compressive pressure across the fracture or fusion site for longer periods of time than standard bone screws.

Abstract: An intra-oral stabilisation device has an upper tray (101), a lower tray a lower tray (201), and at least two spacers (217) to provide a spacing between the anterior portions of the upper and lower trays. Spacers (217) provide a spacing between anterior portions of the trays, and are positioned between corresponding posterior portions of the trays. Engagement features (301) are provided for engaging undersides of the posterior portions of the upper tray with upper sides of the posterior potions of the lower tray, and minimise lateral movement of the trays relative to one another once the trays are engaged with one another. In an alternative embodiment, the device may have only the lower tray, and may have a locator (219) for stabilising an endotracheal tube 401 relative to the lower tray. The upper or lower tray can be used to stabilise fracture segments of a fractured jaw.

Abstract: A nail assembly for use in trauma surgery is provided. The nail assembly includes an intramedullary shaft including a first transverse passage and a second transverse passage in the shaft. The first transverse passage and the second transverse passage do not contact each other on the shaft. The nail assembly also includes a first shaft extending through the first transverse passage in the intramedullary shaft and a second shaft extending through the second transverse passage in the intramedullary shaft. The second shaft includes an engagement feature configured to bring the second shaft into contact with the first shaft. The engagement feature may be in the form of a lateral mechanical feature that provides simultaneous unilateral coupled motion of the first shaft with the second shaft through the transverse passages in the intramedullary shaft.

Abstract: A protective system for facilitating revision surgery includes a protective pad with a base portion and an overlying portion spaced apart from the base. A fluid pocket is formed between the base portion; and the overlying portion. The protective system prevents formation of adhesions or scar tissue in the area occupied by the protective pad. Thus a clean plane is obtained during revision surgery on the patient through an incision in the fluid pocket.

Abstract: A device for introducing an anchor element into a bone, having a loop of thread extending laterally from said anchor element. The device has an elongate body having a distal end which can be inserted into the anchor element in a rotationally locked manner. A distal end portion of said elongate body has at least one cutting for inserting the loop protruding laterally from the anchor element. The cutting is designed in such a way that the loop when inserted into the cutting is prevented from falling laterally away. The elongate body further has a longitudainlly extending recess in an area of the cutting. The recess is designed as an opening extending right through the elongate body, such that the loop inserted into the cutting can be gripped from the outside.

Abstract: A self-contained orthopedic implant component assembly provides for concerted or concerted and independent installation of orthopedic components onto an orthopedic implant. The assembly includes a first orthopedic component formation for installation of a first orthopedic component thereof onto the orthopedic implant and a second orthopedic component formation for installation of a second orthopedic component thereof onto the orthopedic implant. The second orthopedic implant formation is carried by the first orthopedic implant formation such that installation of the first orthopedic implant formation into the orthopedic implant at least partially installs the second orthopedic implant formation into the orthopedic implant. One or both of the first and second orthopedic component formations includes a component driver for receipt of installation torque whereby application of rotational torque installs the orthopedic component(s) onto the orthopedic implant.

Abstract: Embodiments of the present invention relate to methods and devices for the treatment of airway obstruction, such as obstructive sleep apnea, and devices and methods that facilitate insertion and retrieval of the same. In one embodiment, disclosed is a tissue tensioner that includes an elongate flexible tether having a first end and a second end, a bone anchor configured to be connected to a patient's mandible, a tissue ingrowth implant configured to be implanted in a patient's tongue and connected to the second end of the tether, and an adjustment mechanism configured to be held by the bone anchor adjacent the patient's mandible and configured to receive the first end of the tether and configured to adjust tension in the flexible tether between the patient's mandible and tongue. Various anchors, tethers, securement mechanisms, and adjustment mechanisms that can be used with glossal and palatal remodeling systems are also disclosed.

Abstract: A trackable medical instrument for use in a computer assisted image guided medical and surgical navigation systems that generate images during medical and surgical procedures, includes a guide member having an emitter array for being tracked by the system and a drive shaft contained within the guide member having a proximal and a distal end, the drive shaft being rotatable within the guide member while being fixable axially inside the guide member, the proximal end of the drive shaft having a first connector for interchangeably receiving at least one drive source, and the distal end having a second connector for interchangeably receiving at least one instrument tip.