Abstract: An assembly for use in a procedure for implantation of an orthopedic joint component, comprises a head part of the joint component which has a tapered bore within it, and a connector part which is tapered inwardly along its length so that it can be received snugly in the tapered bore in the head part, the connector part having a bore within it. A tool includes a spigot which fits snugly into the bore in the connector part. Each of the tool and the connector part has a face which contact one another when the spigot on the tool is fully received in the bore in the connector part, and in which each of the said faces extends generally transverse relative to the aligned axes of the spigot and the bore.

Abstract: A surgical jig and method of use in image guided and non-guided surgery are described. The jig is for use in determining an axis of a body part. The jig includes a handle at a proximal end and a mouth at a distal end. The mouth is engagable about the body part and defines a substantially flat plane. A guide has a channel with an axis substantially perpendicular to the plane and a support attaches the guide to the jig. The guide can be translatable relative to the mouth while maintaining the axis substantially perpendicular to the plane. The method determines an axis relative to a body part using the jig. The method comprises engaging the mouth about the body part and translating the guide relative to the mouth so as to align the axis of the channel with the axis of the body part.

Abstract: An orientation guide comprising a housing arranged to couple to a surgical instrument. In one embodiment the orientation guide further comprises first and second indicators (22, 26). The first indicator (22) is pivotally coupled to the housing (20) such that the first indicator (22) can rotate relative to the housing (20) about a first axis (24) to maintain its angular position about the first axis (24) relative to a vertical axis irrespective of movement of the housing (20). The second indicator (26) surrounds the first indicator (22) and is pivotally coupled to the housing (20) such that the second indicator (26) can rotate relative to the housing (20) about a second axis (32) orthogonal to the first axis (24) to maintain its angular position about the second axis (32) relative to the vertical axis irrespective of movement of the housing (20).

Abstract: A support structure implant for location within a bone cavity to support the bone which defines the cavity is formed from interlaced wires which extend from a first end of the structure towards an opposite second end. The wires are formed into loops at the first end of the structure. The structure includes a clip having a plurality of fingers which extend through the loops to control the spacing between the loops.

Abstract: A surgical jig for determining an axis extending into the end of a bone (2). The jig comprises a platform (10) arranged to be supported upon a resected surface (4) at an end of a bone (2), first and second clamps (16) and an alignment guide (18). The first and second clamps (16) are coupled to the platform (10) and are arranged to engage first and second portions of a bone lip (6) extending around at least part of the resected surface (4) to secure the platform (10) to the resected surface (4). The alignment guide (18) defines an axis extending into the end of the bone (2), the alignment guide (18) being pivotally coupled to the platform (10). A method of determining an axis extending into the end of a bone (2) using the surgical jig is also disclosed.

Abstract: A support structure implant for location within a bone cavity to support the bone which defines the cavity is formed from wires by braiding in a machine direction from a first end of the structure towards an opposite second end. The wires are formed into loops at the first end of the structure so that two lengths of wire extend away from each loop and a reformed into the braid. Each of the wires which is formed into the braid is held at the second end of the structure in a clamp. The clamp is provided by a support ring and a clamp ring which is formed from a shape memory alloy which can shrink to clamp the wires against the support ring when heated.

Abstract: An assembly for deploying a stranded support structure implant within a bone cavity to support the bone which defines the cavity comprises a support structure implant and an insertion tool. The support structure implant is formed from interlaced wires which extend from a first end of the structure towards an opposite second end. The structure flares outwardly from the first end to a maximum transverse dimension at a wide point between the first and second ends, and tapers inwardly between the wide point and the second end to a constant cross-section throat portion at the second end. The structure includes (i) a clip for controlling the spacing between the wires at the first end of the structure, in which the clip carries one of a spigot and a socket, and (ii) a ring clamp at the second end to retain the wires at the second end, in which the ring clamp has at least one clamp engagement formation.

Abstract: An alignment guide is provided having a shaft with a longitudinal axis and a guide arm having a first portion, a second portion and a third portion. The first portion is attached to the shaft and configured to be rotatable about a first axis substantially perpendicular to the longitudinal axis. The second portion extends from the first portion at a first predetermined angle along a second axis. The third portion extends from the second portion at a second predetermined angle.

Abstract: An implantable medical device, which comprises a device substrate, a coating on the substrate which includes a drug which is highly soluble in water, and a protective layer which overlies the coating. The protective layer comprises a polymer selected from the group consisting of polylactic acid, polyglycolic acid and a lactic acid/glycolic acid copolymer having a weight average molecular weight of not more than 40,000.

Abstract: A method of aligning an alignment guide relative to a reamed acetabulum of a patient is provided. The method includes the step of manipulating an alignment guide comprising a shaft having a longitudinal axis and a guide arm having a first portion, a second portion and a third portion, the first portion attached to the shaft and configured to be rotatable about a first axis substantially perpendicular to the longitudinal axis, the second portion extending from the first portion at a first predetermined angle along a second axis, and the third portion extending from the second portion at a second predetermined angle. The guide arm is rotated about the first axis relative to the shaft. A cup or trial is attached to the distal end of the shaft and positioned to contact the reamed acetabulum. The third portion of the guide arm is then oriented with respect to the long axis of the patient and the surface of the table on which the patient is positioned.

Abstract: A goniometer comprises a first arm (2), a second arm (4) and a connecting portion (6) pivotally connecting the first arm (2) to the second arm (4) about a pivot axis (7). An instrument connector (8) is coupled to the first arm (2) arranged to couple to a surgical instrument (10). A method of aligning a surgical instrument (10) using the goniometer is also disclosed.

Abstract: An assembly for use in fixing a first component of a joint prosthesis, having a bone facing surface and an exposed surface which faces towards a second component of the joint prosthesis when implanted on a patient's bone. The assembly includes a skirt which can be temporarily fixed to the edge of the first component extending along the edge thereof from a remote portion of the edge to an accessible portion of the edge. The skirt provides at least one opening through which cement located between the bone facing surface of the component and the surface of the bone can be displaced. The opening is located so that cement is prevented from being displaced at the remote portion of the edge and is instead displaced at the accessible portion of the edge.

Abstract: Patient specific surgical instruments, and in particular cutting guides, and methods of use and manufacture are described. The surgical instrument can be used in an orthopaedic arthroplasty procedure to be carried out on a joint of a patient and can allowing soft tissue balancing for the joint. The instrument comprises a body having an attachment area configured using data specific to a bone of the joint of the patient so as to attach to the bone in a unique position. The instrument includes at least a first cutting guide and an adjustment mechanism operable to change the position of the cutting guide relative to the bone.

Abstract: An instrument for positioning a cup component of an orthopaedic joint prosthesis includes a shaft, and a flange located near an end of the shaft on which the cup component can be fixed. The flange extends from the shaft transversely, and can be retracted from an in-use position wherein the flange is received in a groove in the internal surface of the cup component when positioned over the said end of the instrument, and a retracted position in which the flange is withdrawn toward the axis of the shaft from the in-use position, allowing the cup component to be released from the instrument.

Abstract: A system of surgical instruments for use with at least a first implant and a second implant of the same type but different sizes is provided. The system includes a first container containing at least a first surgical instrument of a first type that is size specific and a second surgical instrument of a second type that is size specific; a second container containing at least a third surgical instrument of the first type and a fourth surgical instrument of the second type, wherein both the third and fourth instruments are of a second size that is different from the first size and that corresponds to the second implant; and a third container containing at least a fifth surgical instrument of a third type that is size independent.

Abstract: A surgical resection guide comprising: a housing (36); a stylus arm (38) extending through the housing (36) and a linear adjustment mechanism. The linear adjustment mechanism comprises: a shaft (30) at least partially received within a bore extending through the housing (36) such that the shaft (30) can slide along its longitudinal axis relative to the housing (36), the shaft (30) incorporating a shaft tooth (50); and a dial (44) rotatably coupled to the housing (36) and incorporating a helical dial groove (48) defining a longitudinal axis offset from the longitudinal axis of the shaft (30). The shaft tooth (50) engages the dial groove (48) such that rotating the dial (44) relative to the housing (36) causes the shaft tooth (50) to slide along the dial groove (48) causing the shaft (30) to slide within the bore along its longitudinal axis. The housing (36) and the stylus arm (38) can rotate about the shaft (30) without causing the shaft (30) to slide within its bore along its longitudinal axis.

Abstract: Apparatus for monitoring the cure of a bone cement material which is provided in a container. The apparatus includes a radiation source from which radiation is directed towards cement in the container and a sensor for detecting radiation from the radiation source which has passed through cement in the container, and for generating a signal according to the intensity of the detected radiation. A data processor is used in monitoring changes in the intensity of radiation that is detected by the sensor due to changes in the opacity of cement in the container to radiation from the source as the cement cures.

Abstract: An instrument for forming a cavity within a bone. The instrument comprises a shaft, a blade pivotally mounted on the shaft towards a first end of the shaft and a push rod extending within the shaft and coupled to the blade, the push rod being arranged to slide within the shaft to cause the blade to rotate about its pivot. The instrument further comprises a depth stop coupled to the shaft arranged such that when the shaft is inserted into a bore extending into a bone the depth stop is arranged to engage bone surrounding the bore to limit movement of the shaft into the bore. A spring couples the push rod to the shaft and is arranged to resist axial movement of the push rod within the shaft towards the first end of the shaft. When the depth stop engages bone surrounding a bore, axial force exceeding the spring resistance applied to the push rod causes the push rod to slide within the shaft.

Abstract: A bone cement collector includes a body having a structure that is permeable to bone cement and has opening for trapping bone cement. The body is releasably attached to an orthopaedic implant component at a location on the implant at which bone cement is likely to escape during positioning of the orthopaedic implant.

Abstract: A drill guide assembly for determining the axis for drilling a bore in a generally dome-shaped bone to receive a component of an orthopaedic joint prosthesis is described. The drill guide assembly includes a drill guide sleeve, a carriage and a platform. The drill guide sleeve is mounted in the carriage towards a first end so that the angular orientation of the drill guide sleeve relative to the carriage can be adjusted about at least one axis. The carriage includes at least one threaded angle-adjustment screw which extends between the carriage and the drill guide sleeve by which the angular orientation of the drill guide sleeve can be adjusted. The platform is fastenable to the bone, and includes at least three feet depending from the platform to engage the surface of the bone with the bone extending towards the platform into the space between the feet.