Abstract: Provided herein are devices and methods for connecting a transcutaneous external prosthetic device to a bone, such as a bone of an amputee. The device is a two-piece transcutaneous implant device to provide reversible connection for ease of implantation, reliability, and relatively easy access for removal, while maximizing tissue ingrowth to reduce risk of infection and attendant adverse outcomes. The devices provided herein comprise a prosthetic interface and a bone anchor. A through-hole that traverses a longitudinal length of the prosthetic interface and at least a longitudinal portion of the bone anchor receives a fastener to reversibly connect the prosthetic interface to the bone anchor implanted in bone. A connector may connect to a failsafe element which, in turn, connects to an external prosthetic device.

Abstract: For correction of an image from an imaging system, a deep-learnt generative model is used as a regularlizer in an inverse solution with a physics model of the degradation behavior of the imaging system. The prior model is based on the generative model, allowing for correction of an image without application specific balancing. The generative model is trained from good images, so difficulty gathering problem-specific training data may be avoided or reduced.

Abstract: An expandable interbody fusion device includes superior and inferior endplates that are configured to receive a sequentially inserted stack of expansion members or wafers in interlocking engagement. The expansion members are formed to each have a generally U-shaped rearward facing opening. The superior and inferior endplates have openings through their outer surfaces in at least partial alignment and communication with the rearward facing openings of the expansion members. The inferior endplate has a fully bounded cavity for telescoping receipt of the superior endplate. The inferior endplate also has a fully bounded channel extending through the rear endwall thereof in direct communication with the rearward facing opening of at least one expansion member for the receipt of bone graft material into the device to promote fusion between opposing vertebral bodies of the spine.

Abstract: A bone material for hydration with a liquid is provided, the bone material comprising a coherent mass of milled and demineralized bone fibers, the coherent mass having no binder disposed in or on the coherent mass. In some embodiments, a bone material for hydration with a liquid is provided, the bone material comprising a coherent mass of cartridge milled, lyophilized and demineralized bone fibers, the coherent mass having no binder on the coherent mass. In some embodiments, a method of implanting a bone material is provided, the method comprising contacting the bone material with a liquid, the bone material comprising a coherent mass of cartridge milled, lyophilized and demineralized bone fibers, the coherent mass having no binder disposed in or on the coherent mass; molding the bone material into a shape to implant the bone material; and implanting the bone material at the target tissue site.

Abstract: The present invention is directed to methods for collecting and processing autografts, processed autografts, kits for collecting and transporting autografts, and tools for preparing autografts. It is also directed to autologous bone grafts, and methods of preparing them.

Abstract: An implant and methods for use in various procedures are disclosed. According to an example of the present application, an orthopedic implant is disclosed. The implant can include a base and a body. The base can comprise a porous metal material configured to encourage bone ingrowth into the base. The body can be coupled to the base and can comprise a second material that differs from the porous metal material of the base.

Abstract: A composition and method for fabricating graphitic nanocomposites in solid state matrices is presented. The process for fabricating graphitic nanocomposites in solid state matrices may include selecting one or a mixture of specific graphitic nanomaterials. The graphitic nanomaterial(s) may be functionalizing with a moiety similar to the building blocks of the solid state matrices. The functionalized graphitic nanomaterials are mixed with the building blocks of the solid state matrices. The mixture may be cured, which causes in situ formation of the sol-gel solid state matrices that entraps and/or covalently links with the graphitic nanomaterials during the network growing process. This process allows the nanomaterials to be introduced into the matrices homogeneously without forming large aggregations.

Abstract: Systems for lower extremity fusion and arthroplasty include fusion spacers, bone plates, and articular prostheses fixed to bone by blade anchors. Examples are shown for anterior, lateral, and medial approaches.

Abstract: A knee spacer device configured to be implanted temporarily at the joint area between the tibia and femur of a patient to replace an infected joint prosthesis and to maintain the size or spaces of the patient's joint area before implanting a new prosthesis includes a tibial unit and a femoral unit.

Abstract: A spinal implant comprises an implant body extending between an anterior surface and a posterior surface, and including a first vertebral engaging surface and a second vertebral engaging surface. The implant body further including an inner surface that defines at least a first cavity and a second cavity spaced from the first cavity. The first cavity is oriented to implant a fastener oblique relative to a bilateral axis of a subject body. The second cavity is oriented to implant a fastener in substantial alignment with the bilateral axis. Systems and methods of use are disclosed.

Abstract: A dental implant and a method for manufacturing same which assure early stability and fixation power of an implant by suppressing early osteolysis after an implant procedure, and allowing better bone coherence of the implant surface during an osteogenic period by controlling the speed of bone remodeling.

Abstract: An implant device for osseous integration includes a plurality of connection bars and at least one frame bar. These connection bars are connected with each other to form a three-dimensional (3D) grid structure. The frame bar is connected with at least two of the connection bars to define at least one edge of the 3D grid structure. Wherein, the frame bar has a diameter substantially greater than that of these connection bars.

Abstract: Bone particle compositions and kits are provided that include a biologically-resorbable cement and a plurality of processed bone particles. A first portion of the processed bone particles in the compositions have a shape configured to interconnect with one another, while a second portion of the processed bone particles having an irregular shape. Methods for treating a bone defect are also provided wherein an effective amount of the bone particle compositions are administered to a site of a bone defect in a subject.

Abstract: An expandable interbody fusion device includes superior and inferior endplates that are configured to receive a sequentially inserted stack of expansion members or wafers in interlocking engagement. The expansion members are formed to each have a generally U-shaped rearward facing opening. The superior and inferior endplates have openings through their outer surfaces in at least partial alignment and communication with the rearward facing openings of the expansion members. The inferior endplate has a fully bounded cavity for telescoping receipt of the superior endplate. The inferior endplate also has a fully bounded channel extending through the rear endwall thereof in direct communication with the rearward facing opening of at least one expansion member for the receipt of bone graft material into the device to promote fusion between opposing vertebral bodies of the spine.

Abstract: An implant includes a microstructured hyperhydrophilic surface with protrusions and depressions in which a spacing between the protrusions as a statistical mean is in a range of 1 to 100 ?m and a profile height of the protrusions and depressions as a statistical mean is in the range of 1 to 80 ?m.

Abstract: Biomaterials, implants made therefrom, methods of making the biomaterial and implants, methods of promoting bone or wound healing in a mammal by administering the biomaterial or implant to the mammal, and kits that include such biomaterials, implants, or components thereof. The biomaterials may be designed to exhibit osteogenic, osteoinductive, osteoconductive, and/or osteostimulative properties.

Abstract: An interbody spacer is disclosed and includes a body portion defining a longitudinal axis. The longitudinal axis includes a distal end portion, a proximal end portion, opposed side surfaces that extend between the distal and proximal end portions, and top and bottom surfaces configured and adapted to engage vertebral bodies. The body portion includes a cavity defined through the top and bottom surfaces that increases in width at a medial position thereof. The cavity is configured to retain biological material therein. A method of performing spinal surgery is also disclosed.

Abstract: An expandable interbody fusion device includes superior and inferior endplates that are configured to receive a sequentially inserted stack of expansion members or wafers in interlocking engagement. The expansion members are formed to each have a generally U-shaped rearward facing opening. The superior and inferior endplates have openings through their outer surfaces in at least partial alignment and communication with the rearward facing openings of the expansion members. The inferior endplate has a fully bounded cavity for telescoping receipt of the superior endplate. The inferior endplate also has a fully bounded channel extending through the rear endwall thereof in direct communication with the rearward facing opening of at least one expansion member for the receipt of bone graft material into the device to promote fusion between opposing vertebral bodies of the spine.

Abstract: A method and a dental implant system for accessing selected intra-cavity locations there-through that includes: (a) a dental implant having a plurality of openings configured for being implanted in an intra-cavity area of a patient, wherein each one of the plurality of openings allows access from an external area of the dental implant to a space in the intra-cavity area between the implant and a jawbone of the patient, when the dental implant is installed in the intra cavity; and (b) one or more directing element that is removably securable to the dental implant, wherein the directing element includes openings and is configured to allow access to one or more specific locations at this space through a selected at least one of the plurality of openings of the dental implant, when secured thereto.

Abstract: Augments systems and methods for attaching two or more augments to an underside (50) of a tibial baseplate (16) are disclosed. An augment system (100) can include a first augment (102) having a superior surface (106) and an inferior surface (108), the superior surface configured for attachment to the underside of the tibial baseplate. The augment system can include a second augment (104) having a superior surface (110) and an inferior surface (112), the superior surface configured for attachment to the inferior surface of the first augment. The first and second augments can be formed of different materials. One or more additional augments can be used with the first and second augments, and the augment system can be stacked on a resected surface of the tibia. In an example, the augment that directly contacts the resected surface of the tibia can be formed of a porous material, such as to facilitate bone growth.

Abstract: A bone implant, particularly but not necessarily, for fixing bones of the foot is provided having body in the form of a crescent or arced shaped wedge, or a wedge in the shape of a crescent or arc. The crescent shaped wedge has bone screw bores that are each configured to hold a bone screw at a particular angle for receipt in a bone, eliminating the need to also use a plate. The crescent shape provides a graft area that allows introduction and retention of bone graft material to promote bone fusion. One or both tapered sides of the crescent shaped wedge may also have teeth, serrations or the like.

Abstract: A system for fixating a dysfunctional sacroiliac joint for SI joint fusion, the system including a sacroiliac joint implant, a sacroiliac joint screw or rod and a delivery tool configured for approaching a sacroiliac joint. The system may include an implant having a porous 3D matrix structure and may be manufactured by laser or electron beam additive manufacturing. The delivery tool may include a radiolucent material. The SI fusion system may further include custom sacroiliac joint implants, anchors, alignment tools or targeting arms manufactured for a particular patient. Pre-surgical imaging studies, including 3D rendering, and their interpretation may assist in planning desired trajectories, anchor dimensions and implant dimensions and may provide details specific to the manufacture of particular sacroiliac joint tools or implants and their implantation into the sacroiliac joint. The system may be configured for use with surgical robots and may include an integrated nerve monitoring and stimulation system.

Abstract: Improved tools and procedures relate to the immobilization of the sacroiliac joint for the treatment of pain associated with the joint. Kits comprise, for example, a guide element and an immobilization element of a biocompatible material with a size and shape suitable for placement within the sacroiliac joint. Suitable immobilization elements include, for example, pins, nails, screws, darts, wedges, shims and hardening material. A bioactive agent can be delivered into the joint to compliment the immobilization and promote healing. Suitable procedures can be done in a less invasive procedure through a cannula or the like.

Abstract: A method of forming a shaped abrasive particle having a body formed by an additive manufacturing process.

Abstract: A process for producing medical devices with functional surfaces, e.g., ceramic implants having bone-affine surfaces, and to medical devices produced in such a manner.

Abstract: A prosthetic device for a knee joint includes a body portion and a first keel. The body portion attaches to a bone of a knee joint. The body portion can have a bearing surface configured to replace at least a portion of the bone and an implantation surface configured to face the bone upon implantation. The first keel can be configured to be inserted into a corresponding first keel void formed in the bone. The first feel can be configured to project outwardly from the implantation surface by an amount sufficient to inhibit movement of the body portion relative to the bone in both medial and lateral directions upon insertion into the first keel void. The first keel can extend along a longitudinal direction of the body portion and is offset from a longitudinal centerline of the body portion. Methods of implanting and removing the prosthetic device are also provided.

Abstract: A prosthesis system includes at least one stem including a cavity, a plurality of heads having a head coupling portion, at least one first coupler including a first upper coupling portion and a first lower coupling portion, the first upper coupling portion configured to couple with the head coupling portion of each of the plurality of heads and the first lower coupling portion configured to couple with the stem with a predetermined version angle and a predetermined inclination angle, and at least one second coupler including a second upper coupling portion and a second lower coupling portion, the second upper coupling portion configured to couple with the head coupling portion of each of the plurality of heads and the second lower coupling portion configured to couple with the stem with any of a plurality of version angles and any of a plurality of inclination angles.

Abstract: An implant for a femoral head of a patient. The implant includes a shell implantable on the femoral head of the patient and correcting a defect of the femoral head. The shell is designed preoperatively to have a patient-specific first surface for articulation with the patient's acetabulum and a patient-specific periphery mateable with a periphery of the defect. The shell caps the defect and the first surface of the shell is continuous to a remaining healthy surface of the femoral head. The defect can be a bone defect, a cartilage defect or a combination thereof.

Abstract: 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.

Abstract: A method of making a branched polyester resin with a target glass transition temperature. Particularly, the target glass transition temperature can be achieved by adjusting the molar ratio of the first cyclic alkylene carbonate to the second cyclic alkylene carbonate; adjusting the molar ratio of the first alkoxylated BPA monomer to the second alkoxylated BPA monomers; adjusting the molar ratio of the first diacid to the second diacid; or any combination thereof.

Abstract: The present disclosure is directed to orthopedic implants and methods of rapid manufacturing orthopedic implants using in vivo data specific to an orthopedic implant or orthopedic trial. Specifically, the instant disclosure utilizes permanent orthopedic implants and orthopedic trials (collectively, “implants”) outfitted with kinematic sensors to provide feedback regarding the kinematics or implant to discern which implant is preferable, and thereafter rapid manufacturing the implant.

Abstract: An implant for repairing an articular cartilage defect site including an implant fixation portion with an upper segment and at least one bone interfacing segment and a top articulating portion with an articulating surface and an engagement surface. The upper segment includes a supporting plate with a first locking mechanism segment. The engagement surface includes a second locking mechanism segment. The first locking mechanism segment with at least two channels is structured to couple to the second locking mechanism segment with at least two protrusions. The at least one bone interfacing segment structured for insertion into the articular cartilage defect site. An implant including an implant fixation portion, a top articulating portion, and a locking mechanism with a first locking segment coupled to the upper segment and a second locking segment coupled to the at least one engagement surface and structured to couple to the first locking segment.

Abstract: The present invention is an extendable surgical implant that can be inserted into a surgically created cavity.

Abstract: Disclosed is a multi-layered structure for drug reservoir, comprising a first micelle layer for crosslinking and adhesion, comprising a drug, a multi-arm polymer, a phenol derivative, and a dopa derivative and having a one or two-layered structure; a second micelle layer for crosslinking, being stacked on the first micelle layer, comprising a drug, a multi-arm polymer, and a phenol derivative, and having a one or two-layered structure; and a physiologically active material layer, being stacked on the second micelle layer, comprising a physiologically active material, a water-soluble polymer, and a phenol derivative, and having a one or two-layered structure.

Abstract: An orthopaedic augment includes a porous material, which is removably attached to a medical implant. The porous material has a bone ingrowth surface for interfacing with an existing bone material and another surface for interfacing with the medical implant.

Abstract: 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 an exemplary embodiment, the present invention provides an intervertebral implant. The intervertebral implant may be configured to transition from a collapsed configuration having a first height and a first width to an expanded configuration having a second height and a second width.

Abstract: An assembly for accessing a body cavity is provided. The access assembly includes a flexible outer sleeve configured to be received through an opening in tissue. The outer sleeve defines a passageway therethrough and a notch formed about an inner surface thereof. The access assembly further includes a support plate configured for selective reception through the passageway of the outer sleeve and within the notch formed in the inner surface. The support plate defines at least a first opening configured to receive a surgical instrument therethrough.

Abstract: A system and method for managing inventories of orthopaedic implants includes receiving a medical image of a bone of a patient from a healthcare provider, performing a digital templating procedure on the medical image to determine an orthopaedic implant for use with the bone of the patient; transmitting the digital templated medical image to the healthcare provider, and shipping the orthopaedic implant to the healthcare provider in response to an electronic approval of the digital templated medical image received from the healthcare provider. Implant constraint data may also be received from the healthcare provider and used in determining the orthopaedic implant. In addition, a number of orthopaedic implants having a range of different sizes based on the size of the determined orthopaedic implant may be shipped to the healthcare provider. In some embodiments, the healthcare provider may perform the digital templating procedure on the medical image.

Abstract: A bendable polymer tissue fixation device suitable to be implanted into a living body, consisting of a highly porous body, made from a polymer, the porous body having a plurality of pores, such that the device is capable of being smoothly bent, wherein the bending collapses a portion of the pores to form a radius curve, and the polymer fixation device is rigid enough to protect a tissue from shifting. Preferably, the polymer fixation device may be capable of being gradually resorbed by said living body. In one embodiment, the polymer fixation device consists of a plurality of layers distinguishable by various characteristics, such as structural or chemical properties. In another embodiment, the polymer fixation device may feature additional materials which serve to reinforce or otherwise alter the structure or physical characteristics of the device, or alternatively the additional materials serve to deliver therapies to the living being.

Abstract: A cryocatheter for introduction into a body vessel or into an organ, with a catheter inner surrounded by a catheter sheath, and with a catheter tip arranged at its distal end, with a feed line for an expansion or cooling agent arranged in the catheter sheath or the catheter inner, and with a balloon, arranged close to the catheter tip, which can be expanded and contracted again by means of the expansion and cooling agent, is to be constructed in such a way that by simple manipulation it can be positioned at a precise target position in the body vessel and, in addition, it minimizes the burden on the patient from invasive interventions. For this purpose, in accordance with the invention an image capture device, with at least one imaging sensor for mapping the region of the vessel around the balloon, is positioned in the region of the catheter tip.

Abstract: Bone plates and bone plate systems are provided in which a bone plate includes a plurality of bone screw holes formed therein and positioned in laterally adjacent pairs. Positioned between the laterally adjacent pairs of bone screw holes are stabilizing strut. The bone plate system can additionally include windows positioned between longitudinally adjacent struts. Transverse bone screw planes can extend across the superior and inferior edges of the bone screw holes and define the minimum longitudinal boundaries of the windows. A guide device adapted for mating with the bone plate is also disclosed.

Abstract: A surgical plate system, components and methods of using are described. A surgical plate system includes a plate having an anterior surface, a posterior surface, a longitudinal axis, a transverse axis and a through hole passing through the anterior and posterior surfaces. A variable fastener is configured and dimensioned to connect to the plate, the variable fastener having a head and a shaft extending distally from the head. The head is configured to assume different proximal end diameters. The head, in a first configuration allows inward flexing to reduce a diameter of the head to allow the head to pass through an entrance opening of the through hole. In a second configuration, the head is prevented from flexing inwardly thereby preventing the head from backing out of the entrance opening, while allowing articulation of the head, within the through hole, relative to the plate.

Abstract: The invention relates to a ceramic biocomposite for bone regeneration, having a pH range of between 6.5 and 8.5, with an initial plasticity that allows the biocomposite to be easily moulded in situ and to set after 7 minutes, meaning that it can remain at the indicated location during the healing process. In addition, the biocomposite has demonstrated an ability to stimulate bone formation in hard-to-heal wounds. The material can act alone or in combination with other types of bone graft such as autografts, homografts or xenografts which act as a vehicle, as a binding material for endosseous prostheses or as a covering for endosseous implants or prostheses.

Abstract: Orthopedic fracture repair implants, systems and methods are disclosed. Implants include one or more biocompatible sleeves and struts. The implants, systems and methods are applied to bone fractures, such as segmentation fractures.

Abstract: Methods, systems, and devices for replacement of a joint with a prosthetic system that replicates the natural kinematics of the joint is disclosed.

Abstract: A fixation device comprises a first clamping member having an adjustable clamping collar and a first curved support portion attached to the adjustable clamping collar. The first clamping member is adapted to receive a digit. The first curved support portion is adapted to support an inferior surface of a proximal phalanx of the digit. A distal member is adjustably attachable to the first clamping member. The distal member has a second curved support surface adapted to support an inferior surface of a distal phalanx of the digit and a curved distal end adapted to apply a compressive force in a proximal direction to a distal end of the distal phalanx.

Abstract: An osteotomy implant including a porous portion, a solid portion, and a hinge portion. The porous portion includes a first part and a second part that defines a clearance therebetween. A solid portion abuts the porous portion. A hinge portion of the solid portion is coupled to the first part and the second part. The hinge portion is configured to enable the implant to be changed from a first configuration to a second configuration.

Abstract: The invention discloses a novel method of controlling the open circuit potential (OCP) of a medical implant by coupling it with small amounts of metals having a lower OCP than the implant. Coupling of Mg to less than 1% of the surface area of a titanium implant is shown to induce cathodic polarization of the titanium that inhibits cell proliferation at the surface of the implant. Mg—Ti coupling in medical devices promises to attenuate or eliminate potential complications of surgery such as peri-implantitis and bacterial infections at the site of implantation.

Abstract: An orthopaedic implant for use with a fastener having at least one of threads and grooves includes a body defining a long axis. The body includes an inner wall defining an elongated slot. The inner wall includes a pair of opposing walls and a single projection disposed on the inner wall. When the fastener is inserted into the slot, the single projection slidably fits within a groove of the fastener to limit sliding of the implant over the fastener along an axis substantially transverse to the long axis and to permit sliding of the implant over the fastener along the long axis.

Abstract: A bone cement formulation comprising: (a) magnetic calcium phosphate nanoparticles present in an amount of 5.0-95 wt. % and having a largest linear dimension of 150 nm to 50 microns; (b) polymerizable acrylate monomer present in an amount of 5.0-95 wt. %; and (c) polyacrylate polymer present in an amount of 0-80 wt. % and having a largest linear dimension from 5.0 to 500 microns. Upon exposure to an alternating magnetic field the formulation is heated which results in polymerization of the acrylate monomer component. The formulation may also be polymerized via the use of chain polymerization initiators.