Abstract: A percutaneous device for closing blood vessels has a main body in which a distal clip and a proximal clip connected to each other by a tie rod are accommodated, an abutment element, and a handle for maneuvering the distal and proximal clips, the abutment element and the tie rod. The distal clip has a proximal housing, and the proximal clip has a distal housing and a proximal housing. The tie rod is positioned inside the housings when the distal and proximal clips are inserted inside the main body, so as to not interfere with correct sliding thereof.

Abstract: A system for fixating a bone includes a buckle having a plurality of lock bars and a hook. A cord may connect the hook with an opposite end of the buckle and around a bone. The buckle may include lock bars on the opposite end of the buckle to receive the cord and allow a frictional resistance to a loosening of the cord around the bone to facilitate a reduction of a fracture of the bone.

Abstract: An adjustable spinous process implant configured with one or more flexible members that extend from the implant and are further attachable to anchors implanted in adjacent vertebrae. The adjustable spinous process implant comprises a spacer that is shaped to fit between two adjacent spinal processes. The flexible members extend from one or more points on the adjustable spinous process implant and attach the anchors to provide tension and stability to the overall implant construct. The anchors are configured with a tensioning mechanism that enables the flexible members to be tensioned within the anchor.

Abstract: Disclosed herein is an implant for bone fixation comprising an elongated member configured to be wound around bone parts that are to be fixed, an engagement member coupled to the elongated member and configured to engage a portion of the elongated member so as to secure the implant in a loop around the bone parts, and a fastening member arranged between and coupled to the elongated member and the engagement member. The fastening member comprises at least two separate pieces each comprising one opening for receiving a bone fastener, wherein the separate pieces are coupled to each other by a material having a lower material strength than a material from which the separate pieces are made.

Abstract: A fixation assembly for securing parts of a sternum is provided. The assembly comprises a flexible elongated member and an attachment member. The flexible elongated member includes a locking structure configured to secure the flexible elongated member in a loop around the sternum parts. The attachment member has at least one opening for receiving a bone fastener and is coupled to the flexible elongated member.

Abstract: A flexible fastening band connector can comprises a recess to receive a distal end portion of a flexible fastening band and lumen to receive the proximal end portion of the flexible fastening band. The lumen guides the proximal end portion of the flexible fastening band toward a fastening mechanism. The flexible fastening band connector can comprise an opening to receive a spinal rod. In operation, the spinal rod is coupled to additional devices to secure the spinal rod to portions of one or more vertebra. In some embodiments, a method of performing an operation, e.g. a spinal operation, on a patient using the disclosed connector is provided.

Abstract: Retension compression devices are disclosed that are formed of an elastic material that is compressed prior to use. The retension compression devices are designed for utilization with orthopedic cable to maintain tension in the orthopedic cable upon placement periprosthetically. Assemblies, systems, and kits containing same, as well as methods of production and use thereof, are also disclosed.

Abstract: The disclosure provides apparatus and methods of use pertaining to syndesmosis reinforcement. Embodiments include a clamp having two jaws that extend toward each other to clamp two bone portions therebetween. The clamp may include an angle gauge and an adjustment mechanism having a force gauge that combine to enable the compression of the two bone portions in an optimal direction or angle and at an optimal, measurable compression force. Embodiments also include a tension instrument configured to knotlessly lock a flexible strand construct between two anchors at the same optimal direction and tension applied by the clamp. Further embodiments include an exemplary syndesmosis reinforcement procedure that employs the clamp and the tension instrument to construct a ligament reinforcement construct that achieves optimal anatomic positioning in both directional alignment and the reduction force applied by the construct. Other embodiments are disclosed.

Abstract: A flexible fastening band connector can comprises a recess to receive a distal end portion of a flexible fastening band and lumen to receive the proximal end portion of the flexible fastening band. The lumen guides the proximal end portion of the flexible fastening band toward a fastening mechanism. The flexible fastening band connector can comprise an opening to receive a spinal rod. In operation, the spinal rod is coupled to additional devices to secure the spinal rod to portions of one or more vertebra. In some embodiments, a method of performing an operation, e.g. a spinal operation, on a patient using the disclosed connector is provided.

Abstract: An implant for a human rib can include an elongate body, a plurality of bores, and a placement tool interface. The elongate body can include a first portion including a flat outer face where the elongate body can be curved along a plane perpendicular to the flat outer face. The second portion can extend from the first portion to form a curved outer face. The plurality of bores can extend through the flat outer face of the first portion and into the second portion. The bores can extend partially into the curved outer face of the second portion. The placement tool interface can extend into the body.

Abstract: Surgical repair systems and techniques for plantar plate repairs. The surgical repair systems and methods reconstruct the plantar plate through a dorsal incision. The surgical repair system embodies a variety of instruments that provide visualization and access to the plantar plate using suture to complete the repair. The repair system may include some or all of the following instruments: a metatarsal head pusher employed in open surgical space, to move the “capital fragment” in a controlled manner; a suture retriever instrument and a suture retriever funnel (sleeve); a suture passer such as a Mini Scorpion DX and accompanying needle, or a variety of shaped Micro Suture Lassos; a measuring guide; and a small joint distractor.

Abstract: A minimally invasive method of correcting a bunion includes performing an osteotomy to divide the metatarsal into first and second portions, implanting a nail in the first portion, securing a suture to the joint capsule, tensioning the suture to align the great toe with the metatarsal, attaching the suture to the nail, and fastening the nail to the second portion. A first guide block includes a plurality of coplanar passages to guide an instrument to create one or more holes in the metatarsal in advance of the osteotomy, and a second guide block includes a guide slot for another instrument to complete the osteotomy. The method can be performed through an incision of 0.5 inches or less. The nail includes an anchor portion for anchoring in the first portion, a head for attachment to a second portion, and can include a passage for attachment of the suture.

Abstract: A joint stabilization (reduction) system and associated methods and tools for placement of the system in an open or minimally invasive technique. The joint stabilization system includes a flexible prosthetic band for stabilizing the bones in proper position and a connector mechanism for joining the two ends of the prosthetic band around the bones. One end of the prosthetic band can be permanently attached to the connector.

Abstract: A fixation assembly for securing parts of a sternum is provided. The assembly comprises a flexible elongated member and an attachment member. The flexible elongated member includes a locking structure configured to secure the flexible elongated member in a loop around the sternum parts. The attachment member has at least one opening for receiving a bone fastener and is coupled to the flexible elongated member.

Abstract: A joint stabilization (reduction) system and associated methods and tools for placement of the system in an open or minimally invasive technique. The joint stabilization system includes a flexible prosthetic band for stabilizing the bones in proper position and a connector mechanism for joining the two ends of the prosthetic band around the bones. One end of the prosthetic band can be permanently attached to the connector.

Abstract: A surgical instrument includes a body, a securement arm, a clamp lock, and a tensioning assembly. The body defines a longitudinal axis and has proximal and distal portions. The distal portion defines a recess. The securement arm is coupled to the body and translatable along the body in a direction parallel to the longitudinal axis between first and second position. The clamp lock is pivotally coupled to the distal portion of the body. The clamp lock is pivotable between secured and unsecured configurations. The tensioning assembly translatable in a direction parallel to the longitudinal axis between proximal and distal position. The tensioning assembly configured to draw a flexible band to tension the flexible band about a bony element.

Abstract: A method for repairing soft tissue. The method includes: forming a first bone hole; forming a second bone hole; connecting a first portion of the first bone hole to a second portion of the second bone hole to form a single bone bore; positioning at least a first anchor of a first suture construct at a distal end of the first bone hole, and positioning a second anchor of a second suture construct at a distal end of the second bone hole; connecting the first and the second suture constructs to the soft tissue; and drawing the soft tissue into the single bone bore with the first and the second suture constructs.

Abstract: The present invention generally relates to methods and device for treatment of spinal deformity, wherein at least one tether is utilized to maintain the distance between the spine and the an ilium to (1) prevent increase in abnormal spinal curvature, (2) slow progression of abnormal curvature, and/or (3) impose at least one corrective displacement and/or rotation.

Abstract: An orthopedic prosthesis (20, 100) including an implant body (22, 24, 26, 122) defining a number of suture anchor attachment locations (30, 120), and a plurality of suture anchors (40) each including one or more suture (S) extending from an anchor portion (42) that is engaged with a select one of the suture anchor attachment locations (30, 120) to selectively attach a corresponding one of the suture anchors (40) to the implant body (22, 24, 26, 122). A method of using the orthopedic prosthesis (20, 100) is also provided.

Abstract: A crimp configured to fix a cable about a bone includes a body extending from a proximal end to a distal end and a first channel extending through the body from the proximal end to the distal end, the first channel being sized and shaped to permit a cable to be slid therethrough along with a second channel extending through the body from the proximal end to the distal end, the second channel being sized and shaped to permit a cable to be slid therethrough and a deformable extension attached to the proximal end of the body, the extension including a lumen aligned with the second channel and sized and shaped to permit the cable to be slid therethrough.

Abstract: A bone fixation member can be configured to secure first and second bone segments of a target bone together in a compressed approximated position. The bone fixation member can include a strap made of a first material, a locking head extending from a proximal end of the strap, and a leader portion extending from a distal end of the strap. The locking head can have a housing and a strap receiving slot that extends through the housing, slot is configured to receive a distal end of the strap. The housing can be tapered such that a distal end of the housing has a thickness that is greater than the thickness of a proximal end of the housing. The leader portion can be configured to be more flexible than the strap. The leader portion can be made of a second material that is different than the first material.

Abstract: Systems, devices, and methods for longitudinal closure of a dissected sternum are provided. The system includes first and second reinforcing members, fasteners, and closure members. Each reinforcing member is configured to be placed on an outer surface of a respective sternum portion, such that each reinforcing member is longitudinally disposed on an opposite side of a sternum opening with respect to the other reinforcing member. Fasteners may be placed in holes defined in the reinforcing members to secure a respective reinforcing member to a corresponding sternum portion. The closure members, which may be sternal closing wires, may then be wrapped around the sternum portions and the reinforcing members transversely to close the sternum opening. Because the reinforcing members include extended regions having lateral edges that extend away from a midline of the respective reinforcing member, the closure members are moved away from the edges of the bone.

Abstract: A method for early stabilizing of distracted connective tissue. A distraction site is at least partially covered with biodegradable, bioerodible or bioresorbable materials before a distraction procedure takes place. Distraction is performed on a connective tissue at the distraction site. The distracted connective tissue is stabilized using the biodegradable, bioerodible or bioresorbable materials.

Abstract: The present application generally relates to orthopedic stabilization systems, and in particular, to systems including clamps. The clamps can be used in addition to or to replace hooks that grasp onto bone members, such as the lamina. One example of such a clamp is an in-line clamp that includes a central opening for receiving a rod member, a first opening for receiving a set screw and a second opening for receiving an elastic member therethrough. Another example of such a clamp is an off-set clamp that includes an upper plate, a bottom plate, and an opening for receiving a rod therein. The upper plate can be separated from the bottom plate to make space for an elastic member that can be secured within the plates. Tulip clamps that utilize one or more elastic members are also provided.

Abstract: An improved bone fracture binding has a length of binding having interrupted and discontinuous points of contact. The binding when placed under tension leaving gaps for soft tissue between the bone and the points of contact in the binding while securing and immobilizing the bone fracture. The binding may have a tension cable or wire positioned around the bone spaced above the bone by beads. The beads are closely spaced about the cable or wire to space the wire a distance above the bone. The beads are preferably abutting and spaces between the adjacent beads form the gaps for soft tissue. The beads are round, and preferably shaped as ovals or spheres. The cable or wire in the binding maintains tension force when tensioned around the bone.

Abstract: A closure system may secure a first bone portion to a second bone portion. The closure system may include a bracket, a band and a tensioning device. The bracket may include a first portion adapted to engage the first bone portion and a second portion adapted to engage the second bone portion. The band may engage the bracket and may be adapted to be looped around the first and second bone portions. The tensioning device may include a body and a threaded member. The threaded member may be received in the body and may engage the band such that rotation of the threaded member relative to the body moves a first end of the band relative to a second end of the band.

Abstract: The present invention describes a system suitable for guiding a cross-connector to a target area, such as spinal implants including spinal implant rods, within the body (in vivo) and method of using the same. The system includes a targeting member being constructed of, or having a steering material, which can be coupled to the cross-connector. The system further includes one or more devices which are used to maneuver the targeting member into position prior to attachment of the cross-connector. The cross-connector is traversed into position through the passageway created by the targeting member and secured to one or more spinal implant members.

Abstract: The equipment includes at least one connecting bar, at least one flexible ligament, and at least one connector making it possible to connect the ligament to the connecting bar. The connector having a first conduit for engaging the connecting bar, equipped with a device for immobilizing the connector relative to the connecting bar, and a second conduit for receiving at least one strand of the ligament, having an insertion opening for this or these strands and an outlet opening for this or these strands, and equipped with devices for mobilizing the ligament relative to the connector. The second conduit is rectilinear between the insertion opening of the strand(s) of the ligament and the outlet opening. The second conduit has a transverse section adjusted to the transverse section of the strand(s) of the ligament that it is intended to receive, i.e.

Abstract: In some embodiments, a method comprises disposing a portion of a flexible fastening band into contact with a first bone portion and into contact with a second bone portion. The portion of the flexible fastening band having a substantially uniform shape configured to substantially compliment a shape of the first bone portion and a shape of the second bone portion. The method further includes inserting the portion of the flexible fastening band into a fastener and advancing the portion of the flexible fastening band through the fastener until the first bone portion and the and the second bone portion are stabilized.

Abstract: The present invention relates to a vertebral fixation device (1) for holding a vertebra (V) on a rod (2), having a body (3) of U-shaped or substantially U-shaped cross section, a flexible band (4, 4?) for connecting said vertebra to the fixation body which is provided with slits (17) for passage of the band and of means (M) for adjustably blocking the flexible band against the rod in the fixation body. The flexible hand (4, 4?) comprises a loop (5, 5?) closed on itself and provided with a flexible lamella (6, 6?) which is able to form a guide for passage around the vertebra and into the fixation body.

Abstract: The invention relates to methods of creating and/or enlarging a curvilinear cavity within a vertebral body or other body structure. The invention also relates to devices that may be used to perform the steps to create and/or enlarge the curvilinear cavity. In various embodiments, an apparatus for creating and/or enlarging a curvilinear cavity includes a handle and a flexible shaft assembly including a cutting tip or blade, a flexible rotatable drive shaft, and a flexible, moveable and non-rotatable housing.

Abstract: A tensioning tool and method for tensioning a conformable ligature of a bone fixing system are disclosed. The ends of a conformable ligature can be passed around bones, bone grafts, tendons, plates, rods, fasteners, or other anatomical or implanted structures, and the like to form a loop. Another portion of the conformable ligature can be coupled to a tensioning tool. The tensioning tool can include a first portion and a second portion in threaded engagement with each other. Rotation of one portion relative to the other can cause tensioning of the conformable ligature through translation of a tensioning member.

Abstract: A clamp housing assembly and method for providing stabilization as a bone anchor during an operation. The assembly includes a housing, a locking element and a band. The housing defines a longitudinal axis, a center recess, and at least one slot. The housing has two opposing arms extending from a base. At least a portion of the inside surface of each arm may be threaded and at least a portion of the outside surface of each arm may be planar. The locking element is positionable within the recess in a co-axial relationship to the housing. The band is sized for travel along a predetermined path defined in part by the at least one slot in the housing.

Abstract: A system, devices and methods are provided for facilitating stabilization of periarticular fractures. The system includes a compression plate and one or more of a cerclage cable for encircling the bone and securing the compression plate to the bone, a crimp lug for securing the cable in tension relative to the bone and/or a plate, and a supplemental plate coupled to the compression plate and adapted to receive bicortical or unicortical bone screws to further secure the compression plate relative to the bone. In addition, the system includes a cable tensioner for temporarily retaining the cable in tension and then applying a tension to the cable until a desired compression is effected between a plate and bone and while a cable retaining structure is secured to the cable to retain the applied tension on the cable. Also provided is a jig for use with plates for minimally invasive fracture stabilization.

Abstract: A system, devices and methods are provided for facilitating stabilization of periarticular fractures. The system includes a compression plate and one or more of a cerclage cable for encircling the bone and securing the compression plate to the bone, a crimp lug for securing the cable in tension relative to the bone and/or a plate, and a supplemental plate coupled to the compression plate and adapted to receive bicortical or unicortical bone screws to further secure the compression plate relative to the bone. In addition, the system includes a cable tensioner for temporarily retaining the cable in tension and then applying a tension to the cable until a desired compression is effected between a plate and bone and while a cable retaining structure is secured to the cable to retain the applied tension on the cable. Also provided is a jig for use with plates for minimally invasive fracture stabilization.

Abstract: A surgical fastener that has an urging part and a piercing part. The urging part is formed to urge the piercing part to move between open and closed positions. The piercing part includes a pair of piercing prongs that terminate at tips, which taper into a sharpened condition to pierce through skin tissue under manual force. The piercing prongs each having a different radius of curvature so that the tips overlap each other as the piercing part reaches the closed position and that spread apart from each other as the piercing part reaches the open position. At least one of the urging part and the piercing part including a mechanism that tends to urge the tips of the piercing prongs closer to each other as the piercing part moves to the closed position from the open position.

Abstract: An orthopedic device is adapted to fixate the spinous processes of vertebral bones. The device includes at least one bone engagement member. When implanted, a bone engagement member is located on each side of a spinous process and adapted to forcibly abut the side of each spinous process.

Abstract: Various methods and devices are provided for tensioning a tether. In one embodiment, a tether tensioning device is provided and includes an elongate shaft adapted to be positioned adjacent to a bone anchor implanted in bone, and a tensioning mechanism pivotally associated with the elongate shaft and adapted to couple to a tether seated across the bone anchor and to pivot relative to the elongate shaft to apply a tensioning force to the tether.

Abstract: This disclosure provides a system for securing a bone to a rod, the system comprising a ligature, a body, and two fasteners. The ligature has two free ends and an intermediate portion therebetween, the intermediate portion being configured to engage a bone. A portion of a rod can be fastened to the body using one of the fasteners. The ligature can be fastened to the body using another one of the fasteners. The two fasteners are distinct from one another and are adapted to fasten two free end portions of the ligature to the body independently from fastening the portion of the rod to the body.

Abstract: A device for securing tissue or bone. The device includes a self-locking construct, which includes first and second adjustable loops. The first adjustable loop includes a loop passage portion through which a first portion of the self-locking construct extends. The second adjustable loop extends through a sleeve defined by the self-locking construct. The self-locking construct is configured such that moving the second adjustable loop away from the first loop closes the first adjustable loop, and pulling the first portion further through the loop passage portion closes the second adjustable loop.

Abstract: A brace for supporting an exterior surface of a damaged bone including a plurality of elongated members interconnected at each of intermediate overlapping and end-to-end locations. An additional pair of end disposed supports is pivotally interconnected to outermost of the elongated interconnected members. A pair of elongated ties seating through apertures formed in the end disposed supports. The brace is adapted to being placed in encircling fashion over the damaged bone, following which the ties are displaced relative to at least one of the end disposed supports in order to cause the elongated members to inter-extend in scissor-like fashion in order to tighten the brace against the bone and to apply a preferred degree of compressive and immobilizing force around the damaged exterior bone.

Abstract: The invention proposes a fixing device for fixing the fracture ends of bones in a bone fracture comprising at least two tensioning elements (2a, 2b), each of which has a contoured body that is hollow when viewed from above, has a circumferential wall (4) and two face sided receiving sections (6a, 6b) lying opposite to each other, at least one clamping sleeve and at least two fixing means which can be position in the face sided receiving sections. The at least two tensioning elements (2a, 2b) are positioned in relation to each other in such a way that one receiving section (6a, 6b) of each tensioning element (2a, 2b) is aligned with the respective other receiving section and are penetrated by the clamping sleeve in such a way that both tensioning elements (2a, 2b) are coupled to each other.

Abstract: A device for binding a cable about a fractured bone to stabilize a fracture includes a slot including a distal opening sized to receive an enlarged end of a cable and a proximal opening sized to permit the cable to slide therethrough while preventing the enlarged end from passing therethough and a bore sized to slidably receive the cable, the bore extending to a proximal opening in combination with a locking element channel extending to a distal end opening into the bore and a locking element movable into a locking position in which a distal end of the locking element extends into the bore to engage a portion of the cable received therein and lock the cable in a desired position within the bore.

Abstract: A surgical device includes a member having first and second opposing surfaces. The member includes an intermediate portion in which the first surface has a recessed surface portion. The intermediate portion defines a hole extending from the recessed surface portion to the second surface. End portions extend from the intermediate portion, and each end portion defines a hole extending from the first surface to the second surface. The member has a tapered surface portion on the second surface. The surgical device includes a second member sized to be received within the recessed surface portion. A method includes locating a tissue fixation device at an opening to a bone hole, and increasing the size of the tissue fixation device by placing the tissue fixation device within a larger device.

Abstract: The present invention provides a sternal closure and ribs approximator device, the device comprising: a substantially C-shaped shaft/bracket, said bracket comprising: a linear shaft and a pair of curvilinear arms at either ends of the shaft, respectively; and a pair of claw shaped clamping elements, each claw shaped clamping element coupling with an arm of the C-shaped shaft/bracket, near its end portion, said claw shaped clamping element being positioned such that the concavity of the claw faces the inner area determined by the arms of the C-shaped clamping shaft/bracket, the coupling being provided by means of a fastening mechanism such that angular displacement of the claw shaped clamping element about the pivoted fastening mechanism is provisioned, said claw shaped clamping elements adapted to be angularly displaced towards each other or away from each other.

Abstract: Various forms of a cable fixation device, instrumentation, kit, and methods useful for repairing the skeletal system are introduced. The system utilizes a clamp housing fixing a butt end of a surgical cable therein. In an operative configuration the cable is looped around a damaged bone segment and reentered through a lock aperture in the clamp housing then through a collet and lock cap residing within the lock aperture. The cable loop and each aforementioned component comprise a central axis aligned within a single plane. A sliding interface situated between the lock cap and collet prevent twisting of the surgical cable. The locking mechanism is non-destructive to the cable despite repeated unlocking and relocking of the fixation device. The axis for tensioning of the cable is coincident with the locking axis. A counter torque instrument has a torsional input shaft generally perpendicular to the elongated axis of the instrument.

Abstract: The invention relates to a tensioning device for bone cerclages, consisting of a guide part with a spindle located in the interior which receives a slide secured against rotation relative to the guide part, wherein the spindle is operatively connected to a rotary handle such that the slide is adjustable inside the guide part in the direction of the longitudinal axis of same, and further including means for the clamped attachment of the bone cerclage on the slide.

Abstract: A tensioning device comprises an elongate member, preferably a band, and a frame having first and second sides. The band has a first end that is attachable to the first side of the frame and a second end that is releasably securable to the second side of the frame. A movable clamping member on the frame secures the second end of the band to the second side of the frame by cinching the second end of the band between an engagement surface on the band and a mating engagement surface on the second side of the frame. A restraining member is provided for restraining the clamping member to a first position spaced from the mating locking surface on the second side of the frame, when the restraining member is in a restraining orientation. The restraining member is movable out of the restraining orientation after the band is tensioned to a predetermined level using the second end.

Abstract: A method for trochanteric reattachment can include positioning a femoral prosthesis relative to a proximal portion of a femur. A first portion of a self-locking adjustable flexible member construct can be coupled to a first attachment region of the prosthesis, and a second portion of the self-locking adjustable flexible member construct can be coupled to a second attachment region of the femoral prosthesis, where the second portion can be opposite the first portion. A trochanter can be positioned relative to the femur and a trochanteric engaging region of the prosthesis, and the self-locking adjustable flexible member construct can be positioned around an outer surface of the trochanter. Free ends of the self-locking adjustable flexible member construct can be tensioned to draw the trochanter into secure engagement with the prosthesis and the femur via the self-locking adjustable flexible member construct in an absence of a knot.

Abstract: The present invention is a method and device for the correction and reduction of bone deformities, such as metatarsus primus adductus, using a plate body with winged buttresses and dorsal loop. The method and device can be affixed to a bone without any drilling or violating of the bone and can use a tethering technique which does not require drilling into the second metatarsal, nor does it require the placement of a prominent suture knot/button device medially along the first metatarsal.