Abstract: Provided is a structure for individual authentication in which a pillar pattern region including a plurality of nanopillars formed of synthetic quartz glass is formed on at least a part of a surface portion of a synthetic quartz glass substrate. In the pillar pattern region, the nanopillars have an indentation elastic modulus of 35 to 100 GPa as measured by a nanoindentation method, and the nanopillars are plastically deformed.

Abstract: Disclosed herein is a material that may be useful as a coating for optical slides and medical implants. The material may aid or restrict grown of cells on a coating of the composite material. As such, there is provided a composite material having a substrate on the surface of which a coating layer of an amorphous metal oxide is formed. The metal oxide may be one or more of Ag2O, ZnO, ZrO2, TiO2, CuO, and Y2O3 and the coating layer may be from 5 to 100 nm thick and have a root mean square roughness of the coating surface is from 0.1 to 0.7 nm.

Abstract: There is disclosed a hip implantation structure, comprising a stem and a femoral head, the femoral head comprising a plurality of grooves, an outer acetabular cup and an inner liner, wherein presence of the inner liner and plurality of grooves on the femoral head reduces friction and thereby reduces wear of the hip implantation structure. The hip implantation structure is used for total hip arthroplasty. The plurality of grooves on the femoral head comprises a plurality of hemispherical grooves of varying widths, and debris produced by the inner liner gets trapped inside the plurality of grooves, resulting in a reduced chance of adhesive wear.

Abstract: An expandable intervertebral fusion implant, including an inferior component, including a first top surface, a first bottom surface, a first end including a first worm rotatably arranged therein, and a second end including a second worm rotatable arranged therein, a superior component, including a second top surface, a second bottom surface, a third end, and a fourth end, and a first expansion mechanism including a first screw, the first screw including a first bottom end connected to the inferior component and a first top end connected to the superior component, wherein as the first worm is rotated in a first circumferential direction, the first screw rotates in a second circumferential direction and the superior component is displaced relative to the inferior component.

Abstract: A femoral hip implant includes a first end, a second end, and a collar with a porous surface, all fabricated from a single piece of material. The entire area of the collar is porous, and the collar elastically deflects under load to promote bone ingrowth.

Abstract: A method of forming a shoulder prosthesis includes resecting an end portion of a humerus to form a resected end of the humerus and a resected portion separated from the humerus, the resected portion having an outer convex surface and an inner surface. The inner surface of the resected portion is processed to include a concave articular surface. The outer convex surface of the resected portion is implanted in the resected end of the humerus. An implant having a convex articular surface is secured to a glenoid. The concave articular surface of the resected portion is articulated with the convex articular surface of the implant.

Abstract: A medical device for implantation in a hip joint of a patient is provided. The medical device comprising a first piece being adapted to be fixated to the femoral bone and a second piece adapted to be fixated to the pelvic bone. The medical device further comprises a releasing which in a first state is adapted to hold said first piece attached to said second piece, and in a second state release said first piece from said second piece. The releasing member is adapted to change from said first state to said second state when a predetermined strain is placed on said releasing member by the connection with the first or second piece. The medical device further comprises a calibration member for calibrating the pre-determined strain required for said releasing member to change from said first state to said second state.

Abstract: An insert is advanced and at least partially secured into a prosthetic device configured for use in a joint. The prosthetic device includes a shell with a cavity defined by an interior surface. The interior surface includes first and second portions that share an edge and that abut an edge of the interior surface. The first portion includes a partially spherical surface while the second portion is a partially cylindrical shape. A maximum radius of the second portion is larger than a radius of the first portion. A center defining the maximum radius of the second portion is offset from a center defining the radius of the first portion. The geometry of the interior surface allows the insert to be advanced into the shell in a single orientation. When advanced sufficiently into the shell, the insert is rotated to constrain the insert within the shell.

Abstract: A modular spacer device implantable in the human body for the treatment of an infected articular seat includes a stem element, a head or ball element and coupling elements between the stem element and the head, wherein such coupling elements comprise a plurality of elongated teeth, placed at pre-established distances from each other, and a plurality of housing seats for the teeth.

Abstract: Multi-hooded enarthrodial joint implant has a ceramic articulating cup including a ceramic head-receiving cup having an articular surface upon which a head of a joint can articulate, and which, in general, has a margin generally about a hemisphere more or less and at least two hoods that are marginally extended continuations of superior one-half or so of cup containment of a sufficient magnitude to reduce an overall dimension of socket outlet to less than a hemisphere, which can embrace and contain the head. The head is made of ceramic and has a truncated generally circular cross section, a truncated surface with a feature for attachment of the stem, and an opposing articular surface for articulation against the articular surface of the ceramic head-receiving cup. As an ensemble, the cup is combined with the head, typically with a stem, for a total joint implant.

Abstract: A surgical implant device, comprising: a body portion; and one or more surfaces comprising a plurality of protruding structures; wherein the body portion and the one or more surfaces comprising the plurality of protruding structures are integrally formed. The one or more surfaces comprising the plurality of protruding structures are formed by an additive manufacturing process. The plurality of protruding structures comprise a plurality of needles. Optionally, the surgical implant device comprises one of an anterior lumbar interbody fusion cage, a posterior lumbar interbody fusion cage, a transforaminal lumbar interbody fusion cage, an oblique lumbar interbody fusion cage, a cervical cage, and a bone screw.

Abstract: An implantable prosthetic hip system generally includes acetabular components, femoral components, and tooling for implanting the components. The acetabular components include an acetabular socket and a bushing received within the acetabular socket. The acetabular socket defines a reamer with cutters for preparing the acetabulum. The femoral components generally include a cutter cap, a head cover, and a screw. Tooling includes a cutting bit that is used to cut a flat on the femoral head. The cutter cap is advanced in a cutting action onto the femoral head to remove the sides of the head and the cutter cap is also implanted on the femoral head. The head cover is positioned on the cutter cap, and retained with a coupling screw. The acetabular socket and the head cover are assembled with a bushing therebetween. Methods of implantation are also provided.

Abstract: A composition and medical implant made therefrom, the composition including a thick diffusion hardened zone, and preferably further including a ceramic layer. Also provided are orthopedic implants made from the composition, methods of making the composition, and methods of making orthopedic implants from the composition.

Abstract: A patient-specific acetabular guide can be used for preparing an acetabulum of a patient to receive an acetabular implant. The acetabular guide includes a patient-specific engagement surface designed to be complementary and mateable with a corresponding surface of the patient's pelvic anatomy. The acetabular guide is designed during a pre-operative plan for the patient by a three-dimensional reconstruction of the anatomy of the patient using two-dimensional medical images. The patient-specific engagement surface has a first portion mateable with a portion of the acetabulum of the patient. The acetabular guide includes a guiding element that extends from the acetabular guide opposite to the first portion of engagement surface. The guiding element defines a bore designed to be oriented along an alignment axis for an acetabular implant when the acetabular guide is engaged to the acetabulum.

Abstract: Methods and systems include a patient specific instrument for installing a glenosphere within a joint. For example, a method for implanting a glenosphere includes installing first and second pins in a glenoid cavity using a patient specific instrument that sets a distance between the guide pins, installing an implant at the location of the second guide pin, and guiding a glenosphere onto the implant using a helper connected to the first pin. In another example, a glenosphere helper includes a cup shaped body having an interior surface for engaging at least a portion of an outer surface of the glenosphere, and a flange extending from the cup to receive a guide pin at a point, the flange extending from the cup shaped body such that the point is positioned outside a periphery of the glenosphere.

Abstract: In one embodiment a method of implanting a prosthetic includes implanting a first member including a concave articulation surface portion defined by a first radius of curvature in a first bone, implanting in a second bone a second member including a first convex articulation surface portion defined by a second radius of curvature and a second convex articulation surface defined by a third radius of curvature, wherein the second convex articulation surface is defined by the lemon portion of a spindle torus and each of the second radius of curvature and the third radius of curvature has a length that is different from the length of the first radius of curvature by less than 0.05 millimeters and wherein the origin of the second radius of curvature is not coincident with the origin of the third radius of curvature, and bringing the first member into slidable contact with the second member.

Abstract: A bufferable femoral implant includes a metallic main body, and an elastomer member integrally formed or connected to a lower portion of the metallic main body, whereby when an external force acts upon the femoral implant as implanted in a patient's femur, the elastomer member as packed within the medullary cavity in the femur will bufferably dampen such an external force for safely protecting the patient's femur, the femoral implant and the related hip bones.

Abstract: A trial liner system for use in hip arthroplasty. The liner system includes a first trial liner having a generally convex outer surface and a generally concave inner surface, the generally concave inner surface having a first locking mechanism. The liner also includes a second trial liner having a generally convex outer surface and a generally concave inner surface The generally convex outer surface includes a second locking mechanism adapted to lock with the first locking mechanism of the first trial liner when the second trial liner is inserted into the first trial liner.

Abstract: A two piece humeral component for use in joint arthroplasty which is adapted to be implanted into a joint and engaged by a socket component of the joint. The joint component includes a body having a first articulating surface and a second medial surface opposite the first articulating surface. The first articulating surface is adapted to be engaged by the socket and the second medial surface is adapted to be secured to mounting portion. The mounting portion has a first surface and a second medial surface. The first surface is adapted to be fixably engaged to the second mounting portion of the humeral component. The second medial surface is adapted to be secured to the humerus. A peg which has a first end adapted to engage a cavity found in the humerus is disposed on the mounting portion's second medial surface.

Abstract: A orthopedic implant comprises an acetabular cup and a wireless communication device. The wireless communication device is coupled to a rim surface of the acetabular cup. In one embodiment, a recess is defined in the rim surface and the wireless communication device is positioned therein. In another embodiment, the wireless communication device is positioned in an annular ring formed of a biocompatible material. The annular ring is coupled to the rim surface of the acetabular cup. The wireless communication device may be, for example, a radio frequency identification (RFID) tag or device.

Abstract: The invention reduces wear in total joint articulations by modifications of the shape of either component of the kinematic pair, so as to result in an annular surface contact between the two components. Fluid trapped between the two components within the inner contour of the annular contact area is pressurized under load due to elastic deformation of the components and exuded out through inter-articular gap over the surface of contact, aiding in lubrication and reducing the wear. Reduced to practice for a total hip joint with UHMWPE-metal pair, the wear rate tested in a hip joint simulator up to five million cycles was reduced by factor seven to fifteen compared to conventionally shaped components.

Abstract: Captured element shoulder joint implant may be configured with a captured humeral ball; in a reverse shoulder configuration; to have a barrel- or disc-like humeral head to recessed glenoid articulation; and so forth. Multi-point fixation glenoid component may be provided. A humeral implant may have a universal joint connection, which can be mounted to or in a humeral bone and provide for a center of movement generally within a volume defined by an upper head of a normal humerus.

Abstract: A variable angle locking system having a humeral component with an underside at least partially defined by a cavity. A humeral stem is couplable to the humeral component and the system has a first washer defining a first through-hole and including a threaded portion. The system has an adaptor defining a second through-hole and having a shelf portion and an elongated second washer, the shelf portion being adapted to be received by the cavity of the humeral component. A spring washer is positioned between the first washer and the elongated second washer and defining a third through-hole. A screw is configured to lock the humeral component to the humeral stem at more than one angle relative to a common axis defined by the first, second and third through-holes. The screw includes a head portion having helical threads and an elongated shaft portion extending from the head portion.

Abstract: A femoral stem for canines or humans is made bone-compliant by use of a thick sintered titanium body in a proximal bone contacting region and a polymeric or ceramic body in a distal bone contacting region of the femoral stem. An elastic modulus is thereby engineered to match that of bone tissue. The porous sintered titanium body is created by sintering spheres of titanium. It is bonded to a central solid biocompatible metallic body by diffusion bonding. The distal region has a biocompatible polymeric body or biocompatible cement body. When compression molded the distal region develops an elastic modulus matching that of bone tissue. The proximal region has a porosity designed to encourage bone ingrowth.

Abstract: A hip implant having two distinct bodies, a neck body and a bone fixation body. The neck body is formed from a solid metal and has an interface for connecting to a femoral ball. The bone fixation body has an elongated shape and is formed as a porous structure that is inserted into an intramedullary canal of a patient.

Abstract: A shroud for protecting exterior portions of a prosthetic implant from adhesive and a method for utilizing the same. The shroud includes a hub, a rim, and at least one bridge connecting the hub and the rim. The rim of the shroud may be sized to cover substantially the same area as a guard of the implant. The method of utilizing the shroud involves securing the shroud to the prosthetic implant. A quantity of adhesive is provided, and the prosthetic implant is secured thereto. The shroud is removed from the implant, and then the guard is secured to the implant.

Abstract: A method of forming a surface structure of a component of a medical devices includes forming a fatigue-resistant portion, which entails forming a first layer comprising a transition metal selected from the group consisting of Ta, Nb, Mo, V, Mn, Fe, Cr, Co, Ni, Cu, and Si on at least a portion of a surface of the component, where the surface comprises a nickel-titanium alloy, and alloying the transition metal of the first layer with the nickel-titanium alloy of the surface. The method further includes forming a rough outer surface of the fatigue-resistant portion where the rough outer surface is adapted for adhesion of a material thereto.

Abstract: A reverse hip prosthesis comprising an acetabular cup for implanting in a previously implanted acetabular cup. The acetabular cup is secured to the previously implanted acetabular cup using an o-ring. The acetabular cup has a stem extending from the center of a concave portion thereof and an acetabular ball is attached to the stem, preferably by means of a Morse taper. A femoral implant is provided with a femoral cup attached to the proximal end thereof. The femoral cup has a stem which can be constructed in a modular fashion with several stem lengths in order to accommodate the various sizing requirements of different patients. After implantation of the acetabular cup and ball and the femoral cup, the members are assembled together so that the femoral cup can articulate on the acetabular ball.

Abstract: A prosthetic hip joint comprising: (a) a femoral component including a femoral head; and, (b) an acetabular component including an acetabular cup and an acetabular cup insert, the acetabular cup insert sized to receive the femoral head, where the femoral head is sized to have a spherical center that matches a spherical center of a patient's native femoral head, where the acetabular cup is sized to have a cavity with a spherical center that matches a spherical center of a cavity of a patient's native acetabulum and, where the femoral head center of the femoral component is concentric with the center of the cavity of the acetabular cup.

Abstract: A reverse hip prosthesis comprising an acetabular cup for implanting in an acetabular socket. The acetabular cup is secured to the acetabular socket. The acetabular cup has a stem extending from the center of a concave portion thereof and an acetabular ball is attached to the stem. A femoral implant has a femoral cup attached to the proximal end thereof. The femoral cup has a stem which can be made with several stem lengths in order to accommodate the various sizing requirements of patients. After implantation of the acetabular cup and ball and the femoral cup, the members are assembled together so that the femoral cup can articulate on the acetabular ball. The prosthesis of the invention has a wide range of motion and substantially improved tribology.

Abstract: An artificial joint associated with an implant having a pair of three dimensional and structurally extending bones, each defining a contoured and opposing end face and collectively defining a joint location. A plasticized layer is applied to an end face of each bone and coacts in substantially frictional reducing fashion with an opposing end face of a further selected bone. The plasticized layer further includes at least a plurality of projecting contact locations, between which are defined a network of valleys for receiving, supporting, and distributing a lubricant across a surface area associated with the layer.

Abstract: The present invention relates to a method of treating a hip joint of a human patient by providing at least one hip joint surface, said hip joint comprising a caput femur and an acetabulum, said method comprising the steps of: cutting the skin of said human patient, dissecting an area of the pelvic bone on the opposite side from said acetabulum, creating a hole in said dissected area, said hole passing through said pelvic bone and into said hip joint of said human patient, and providing at least one hip joint surface to said hip joint, through said hole in said pelvic bone of said human patient.

Abstract: A joint prosthesis including a first component having a cleaned silicon carbide layer, and an annealed graphs layer disposed on the cleaned silicon carbide layer, the annealed graphene layer being a contact layer interfacing a second component of the joint prosthesis, wherein at least one of the first component and the second component is moveable with respect to the other component

Abstract: A medical device for implantation in a hip joint of a patient is provided. The medical device comprises a first and second piece and a releasing member adapted to, in a first state hold the first piece attached to the second piece, and in a second state release the first piece from the second piece. The releasing member is adapted to change from the first state to the second state when a pre-determined strain is placed on the releasing member.

Abstract: Methods and apparatus of the present invention provide for orthopaedic replacement of the hip while substantially preserving muscles and soft tissues around the hip joint resulting in reduced healing time and decreased risk of dislocation following the procedure. In an exemplary embodiment, an intramedullary rod 1502 is inserted longitudinally into the femur. A prosthetic femoral neck 3102 is then inserted from a point along the side of the patient's body and into the side of the femur and through a pre-existing lateral bore in the intramedullary rod 1502 and through the remainder of the femur to join the prosthetic femoral head 1102. The methods and apparatus include structures and techniques for fixing the prosthetic femoral neck 3102 in relation to the intramedullary rod 1502.

Abstract: A method of orienting a femoral head member of an implant relative to an acetabular member positioned in the acetabulum including implanting a femoral stem of an implant within an intramedullary canal of a femur, inserting an acetabular member in the acetabulum, positioning a femoral head member of the implant at least partially in the acetabular member with the femoral head member including a curved articulating surface and a plurality of indicia on the curved articulating surface, and orienting the femoral head member relative to the acetabular member and generally aligning one of the indicia on the curved articulating surface with an alignment feature of the acetabular member to signify an orientation of the femoral head member relative to the acetabular member.

Abstract: An acetabular cup includes an articular insert (1) having a substantially semi-spherical articular cavity (1c), and a spherical head (2) engaged in the articular cavity (1c). A retaining device (10a) opposes the axial release (4) of the spherical head (2) from the articular cavity (1c) of the articular insert (1). For example, the retaining device can take the form of a back-tapered segment (10a) of the articular insert (1). The spherical head (2) is factory mounted in the articular insert (1), by temporarily heating the articular insert (1) and performing sterilization after assembly. In this way, the spherical head (2) retention capacity in the articular insert (1) is increased substantially in order to reduce the risk of luxation.

Abstract: Provided are processes comprising crosslinking polyethylene or using crosslinked polyethylene. Furthermore, the processes may include compacting and/or sintering the polyethylene. The polyethylene can comprise virgin ultrahigh molecular weight polyethylene having a weight average molecular weight of at least 1,000,000 g/mol, to provide a compacted composition comprising virgin ultrahigh molecular weight polyethylene.

Abstract: A prosthesis (2) comprising: a first component (4) formed from a fibre reinforced polymer material and having a bearing surface; and a second component (6), the second component being adapted to articulate with the bearing surface of the first component (4), wherein a surface treatment is applied to at least a portion of the bearing surface of the second component (6) to form a wear-resistant surface.

Abstract: An acetabular hip implant includes an acetabular shell component having a first feature and a first insert having a second feature that cooperates with the first feature of the acetabular shell component and further includes a third feature. The implant further includes a second insert having a fourth feature that cooperates with the third feature of the first insert and further includes a fifth feature. A femoral head component includes a sixth feature that cooperates with the fifth feature. Interaction between the first and second features, between the third and fourth features, and between the fifth and sixth features mechanically constrains the acetabular hip implant to prevent dislocation of the femoral head during rotation.

Abstract: In a femoral head cap implant having a cup-shaped cap component and a pin fixed to its concave inner surface, a pick-up coil is arranged in the latter, each respective terminal of the same being connected to a tissue electrode. One tissue electrode comprises a cap component, the other an electrode provided insulated on the pin or on at least one part of the pin which is electrically insulated from the cap component. By inducing a low-frequency alternating current in the pick-up coil by means of an external coil, this low-frequency alternating current flows from the two tissue electrodes through the femoral head bone provided with the implant, thereby promoting the maintenance of its vitality.

Abstract: A joint implant assembly including a spherical shaped component adapted to securing to an end of a first joint defining bone and a recess shaped component adapted to securing to an end of a second joint defining bone. Each of the components establishes an opposing wear surface, at which microscopic sized particles build up over time resulting from prolonged use of the joint. At least one of the spherical and recess shaped components exhibits a plurality of interior entrapment chambers, each of which including a narrow-most entranceway location communicating with the wear surface. The entrapment chambers further exhibit outwardly widening capture profiles extending within the associated component for securing volumes of the microscopic particles away from a zone defined between the wear surfaces.

Abstract: A prosthesis trial system includes at least one head member having an outer surface and a cavity configured to mate with an exterior surface of a stem member. The prosthesis trial system further includes at least one shell member having an inner surface configured to mate with the outer surface of the at least one head member.

Abstract: An orthopaedic prosthesis for use in a hip replacement surgery includes an implantable stem component. The implantable stem component includes a core and a shell extending over the core. The shell includes a polymeric material and is configured to receive a femoral head component. Metal foam may extend over a portion of the shell.

Abstract: A layer applied to a joint defined surface including a general mat shape body exhibiting a plurality of recesses, such that abrading contact with an opposing joint surface creates debris which are entrapped within the recesses during a normal range of motion. The body can further exhibit a first harder plastic substratum and a second softer plastic surface. The recesses further incorporate undercut defined patterns selected from any of circular, linear and arcuate designs.

Abstract: Disclosed is a bearing liner engageable within a shell member with an integrated projection portion. The integrated projection portion may deform a selected amount during positioning of the bearing liner within the shell. The shell may include a complementary engaging portion.

Abstract: Methods, systems and devices for preventing prosthetic articulating surfaces from separating from each other. A containment system according to one embodiment seeks to prevent an implant stem head from dislocating from a prosthetic component while providing an increased range of motion over conventional constrained components. In one embodiment, an implant structural member includes a cavity and an opening having a lip, including a web along a portion of the lip. An implant stem head has a cooperating surface that corresponds with the web, so that when the cooperating surface of the implant stem head is aligned with the web, the head may be inserted into the implant structural member. The implant stem head is then rotated and the femoral stem component attached, thereby preventing dislocation of the head.

Abstract: An acetabular hip implant includes an acetabular shell component, a first insert secured to the acetabular shell component, a second insert secured to the first insert, and a femoral head configured to be secured to the second insert. The first insert is permitted to rotate relative to the acetabular shell about a first axis, the second insert is permitted to rotate relative to the first insert about a second axis, and the femoral head is permitted to rotate relative to the second insert about a third axis.

Abstract: A variable angle locking system comprising a humeral component having an underside at least partially defined by a cavity; a humeral stem couplable to the humeral component; a first washer defining a first through-hole and including a threaded portion; an adaptor defining a second through-hole and having a shelf portion and an elongated second washer, the shelf portion being adapted to be received by the cavity of the humeral component; a spring washer positioned between the first washer and the elongated second washer and defining a third through-hole; and a screw configured to lock the humeral component to the humeral stem at more than one angle relative to a common axis defined by the first, second and third through-holes, the screw including a head portion having helical threads and an elongated shaft portion extending from the head portion.

Abstract: This application relates to hip replacement systems and methods. Disclosed include patient-adapted (patient-specific or patient-engineered) hip replacement systems including patient-adapted implants and patient-adapted surgical instrumentation. Related methods of making and using the systems are also disclosed.