Abstract: A patella drill guide includes a base portion rotatably mounted on a bone-gripping component. A trial portion with a contoured articulation surface is above the base portion. The base portion and trial portion have aligned drill guide bores. The base portion and trial portion can be rotated together on the bone-gripping component to optimize the positions of the drill guide bores with respect to the patella surface, thereby optimizing the locations of the mounting pegs of the patella implant component on the patella to optimize the orientation of the patella implant component. The base and the bone-gripping component may be unitary so that the entire assembly rotates on the patella about the central longitudinal axis of the bone-gripping component.

Abstract: A method and toolset capable of remotely moving a rotor of an implanted device in a first arcuate direction and detecting a first limit of travel, moving the rotor in a second, opposite direction and detecting a second limit of travel without altering the current performance setting of the implanted device, comparing the first and second limits of travel with known values for a plurality of selectable performance settings, and indicating the current performance setting of the implanted device.

Abstract: An anchor-in-anchor fixation system is provided for securing underlying structure, such as bone. The fixation system includes a linkage that defines first and second bores, a first bone anchor having a shaft for fixation to underlying bone, and a head that is configured to attach to the linkage in the first bore, and a second bone anchor having a shaft for fixation to underlying bone and a head that is configured to attach to the linkage in the second bore.

Abstract: An assembly tool for use in assembling orthopaedic prosthetic components is disclosed. The assembly tool includes a frame, a base plate that includes a mounting bracket configured to engage a first end of an orthopaedic prosthetic component and a mechanical actuator configured to apply a compressive load to the orthopaedic prosthetic component.

Abstract: An expandable interbody spacer (10) is provided that includes a pair of oppositely facing endplate components (20, 40) and an interior component that includes one or more vertically extending stacks of arranged C-clip members (70) radially surrounding one or more bosses (30) protruding interiorly from one of the endplates, wherein the size and configuration of the bosses and the C-clip members are designed to allow the incremental expansion of expandable interbody spacer.

Abstract: Methods and devices are provided for delivering and affixing tissue replacements. In one embodiment, a tissue scaffold can be delivered into a patient through a cannula to a cavity formed at a defect site in tissue, e.g., cartilage. A delivery shaft can be used to deliver the scaffold through the cannula, and a loading device can help load the scaffold onto the delivery shaft. A delivery guide device can position and temporarily hold the scaffold within the cavity. The delivery guide device can guide one or more surgical instruments to the scaffold to affix the scaffold within the cavity, e.g., to bone underlying the scaffold, using at least one securing mechanism.

Abstract: A delivery system for an embolic coil including a delivery tube having a lumen. A proximal coil junction is disposed between the delivery tube and the embolic coil. Insertable through the lumen and extending proximally beyond the proximal end of the delivery tube is a detachable wire with a terminating feature disposed on its distal end. At least one stretch resistant member is disposed within a lumen formed by the embolic coil. A distal end of each of the at least one stretch resistant members is secured to a distal end of the embolic coil, while each of the at least one stretch resistant members is also secured proximate the proximal end of the embolic coil. The distal end of the delivery tube is retained by the wire physically against without being attached in any way to the proximal junction.

Abstract: A method and instrument for preparing a surface of a joint is provided. The glenoid surface is adapted for receiving a prosthetic component having a feature closely conforming to the surface. The prosthetic component provides a bearing surface for a head portion of a long bone. The instrument includes a guide having a first feature and a second feature and a tool. The tool is used for cooperation with the first feature for preparing the surface. The first feature is adapted to at least partially control the position of the tool as it prepares the surface. The second feature is adapted to assist in positioning of the guide with respect to the joint.

Abstract: A system and method for draining at least one type of bodily fluid from a patient, including a chamber capable of being adjusted to hold one of at least a first volume of fluid and a second, smaller volume of fluid. The chamber has an inlet end with a barrier defining an opening and has an outlet end defining an outlet passage. The system further includes a valve with a valve seat and a valve closure member to define a usable volume within the chamber, and a movable adjustment member with a shaft passable through the opening in the barrier and terminating within the chamber at a first end. The first end of the shaft is connected to the valve seat, and the shaft has a plurality of features along its length engagable with corresponding engagement features in a fixed relationship with the barrier to enable the shaft to be advanced into the chamber to reduce the usable volume to be less than the first volume.

Abstract: A bone cement formulation having i) a PMMA powder fraction designed for quick reaction and ii) a polymerization inhibitor provided in a delayed release form. This allows the cement to obtain an initial viscosity suitable for injection and a long working time.

Abstract: An occlusion device suitable for endovascular treatment of an aneurysm in a blood vessel in a patient, including a substantially tubular structure having a proximal end region and a distal end region, having a first, expanded condition and a second, collapsed condition. The device has dimensions in the second, collapsed condition suitable for insertion through vasculature of the patient and through a neck of the aneurysm. The device further includes a control ring having a substantially annular body disposed on the proximal end region of the structure and at least substantially circumscribing the proximal end region to prevent radial expansion of the proximal end region and to provide an engagement feature during manipulation of the occlusion device.

Abstract: A modular orthopaedic implant system has first, second and third implant components. Two of the components have bores and the third component has a post. The third component can be assembled with either the first or second components with the post received in the respective bore of the other component. When assembled, the length of the post received within the bore of one of the components is greater than the length of the post received within the bore of the other component. The fatigue strength of the assembly with a greater length of the post received within the bore is greater, and this assembly can be used where such greater fatigue strength is needed and the other assembly can be used where a lesser fatigue strength is needed. Since the third component that is used in both assemblies may be the same, inventory may be reduced.

Abstract: A knee prosthesis system has a tibial component with frame with medial and lateral openings to receive the medial and lateral bearing components. The bearing components have distal surfaces that are exposed when assembled with the frame and pegs extending distally from the distal surfaces. The system optionally includes a tibial base plate with elongated curved receptacles to receive the pegs and allow the frame and bearing component assembly to rotate when mounted on the base plate. Different thicknesses of bearing components can be selectively locked onto the frame. Different sizes of tibial components have commonly sized, shaped and positioned elements so that multiple sizes of tibial components can be mounted on the same prepared tibial surface.

Abstract: A method for performing an orthopaedic surgical procedure on a femur includes attaching a proximal end of an intramedullary adaptor to an intramedullary orthopaedic surgical instrument, securing a distal end of an intramedullary adaptor to a base cutting block, inserting the intramedullary orthopaedic surgical instrument into a medullary canal using the base cutting block, and positioning the base cutting block on a distal end of the femur.

Abstract: Customized patient-specific orthopaedic surgical instruments are disclosed. Methods for fabricating and using such instruments are also disclosed.

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

Abstract: An orthopaedic implant assembly includes a plurality of dome patella components and a plurality of anatomic patella components. Each of the dome patella components and the anatomic patella components is interchangeable with a plurality of femoral components. Each of the plurality of dome patella components and each of the plurality of anatomic patella components are configured to be positioned in contact with any of the plurality of femoral components.

Abstract: A fixation assembly having a driver, a holding sleeve, and an alignment mechanism is disclosed. The driver may include a driver body and a coupling extending from a distal end of the driver body. The holding sleeve may have a holding sleeve body, a channel extending through the holding sleeve body, and a fixation element coupler disposed at a distal portion of the holding sleeve body. The channel may be configured to receive the driver, and the fixation element coupler may be configured to temporarily hold a fixation element. The alignment mechanism may extend from the holding sleeve, and may have at least one alignment member configured to engage an underlying structure to which the fixation element is to be affixed so as to align the fixation element and driver assembly with respect to the underlying structure.

Abstract: An housing for a medical device includes an insert configured for removable insertion into the housing, outer dimensions of the insert conforming to inner dimensions of the housing to prevent movement thereof within the housing. The insert includes first and second planar walls connected to one another and having first and second openings extending therethrough. The first and second walls are movable between an open configuration in which the first and second walls are separated from one another and a closed configuration in which the first and second walls are folded to contact one another such that the first and second openings are aligned to define a medical device receiving cavity configured to house a medical device. In the closed configuration, the first and second walls apply a frictional clamping force to a packet containing the medical device to prevent movement of the medical device relative to the inlay.

Abstract: An implantable orthopaedic knee prosthesis assembly includes a femoral component, a stem component, a fastener, and a retention device. The femoral component is configured to be implanted into a distal end of a femur of a patient and includes a stem post having a proximal tapered bore, a distal passageway, and a threaded passageway connecting the proximal tapered bore and the distal passageway. The stem component is configured to taper fit to the femoral component and includes a bore formed therein extending proximally and a threaded aperture defined at a proximal end of the bore. The head of the fastener is configured to be received in the distal passageway, whereas the proximal end of the shaft of the fastener is configured to be positioned in the threaded aperture. The retention device is received in the threaded passageway and prevents the proximal end of the fastener from reentering the threaded passageway.