Abstract: An implant insertion and removal system, including an insertion instrument that has a body portion with a handle portion at a first end of the body portion and a coupling member extending away from the handle portion to a second end of the body portion, and an engagement member rotatably coupled to the coupling member of the body portion. Specifically, instruments and systems used for hammertoe procedures for correcting bone deformities in the lower extremity. A surgical method including preparing a joint and inserting an implant into the proximal and middle phalanx using an insertion instrument.

Abstract: The present invention relates to a pet chew (100), preferably made substantially of a bioplastic material or composition, more preferably a biodegradable and/or edible bioplastic material or composition, yet more preferably a bioplastic material or composition based on starch or so-called thermoplastic starch (TPS) or polymer starch. The pet chew (100), which may be extrusion moulded, comprises at least a first pet chew body (10) and a second pet chew body (20). The first and second pet chew bodies (10, 20) are formed as elongate bodies, preferably substantially stick-shaped bodies. The first and second elongate pet chew bodies (10, 20) extend substantially parallel to each other and are connected to each other at their lateral sides. The pet chew (100) is arranged such that the first pet chew body (10) and the second pet chew body (20) can be torn apart from each other.

Abstract: An orthopedic implant system includes an insertion instrument having an actuator and a retention mechanism. The implant system also includes an orthopedic staple implant configured to releasably couple with the retention mechanism of the insertion instrument and, upon actuation of the actuator, decouple from the insertion instrument. Also disclosed is a surgical instrument having an upper portion and a lower portion that is integral with the upper portion. The lower portion includes an actuator extending laterally and a pair of retainers extending from the lower portion. Each retainer has a substantially curved geometry with the curvature pointing toward a midline of the instrument. An orthopedic staple implant is also disclosed that has a bridge and a pair of legs extending from a bottom surface of the bridge. Each of the legs includes a texture or gripping configuration disposed on an inner surface of the leg.

Abstract: Implants, systems and methods for correcting bone deformities and fractures in the lower extremity are disclosed. Specifically, implants, systems and methods used for correcting bone deformities and/or fractures in the foot using compression are disclosed. A nail system including a first member with a first deformable member positioned at a first end of the first member and a second member received within the first member.

Abstract: The present invention relates to a diesel exhaust fluid (DEF) pump, DEF pump system and method for use of a DEF pump in cleaning the exhaust from diesel and diesel-electric engines. The DEF pump includes a plurality of gears, a pump housing, wear plate, pump body cover, a pump body insert, inverter assembly, inverter housing, speed sensor, pressure sensor, controller area network (CAN) connector, inverter cooling pipe, mounting feet or base plate, inlet, outlet, lifting ring, power connector, and motor. The DEF pump system includes a DEF pump, a main DEF tank, a dosing tank, a selective catalytic reduction (SCR) system, a flow control valve, and a relief valve. The DEF pump pulls DEF from a large tank, pumps DEF to a smaller tank injects DEF from the small tank into the exhaust stream where some of the DEF is consumed, and circulates unused DEF back to the large tank.

Abstract: An implant having a proximal portion, a distal portion and a central portion positioned between the proximal portion and the distal portion. The implant further includes a longitudinal axis with the proximal portion, the distal portion and the central portion being centered along the longitudinal axis. An implant system that includes an implant having a proximal portion including an opening, a distal portion including a threading, a tip, and a tapping feature at the tip, and a central portion having at least one flat on an outer surface The central portion is disposed between the proximal and distal portions. The implant system also includes an insertion instrument configured to be releasably coupled with the implant.

Abstract: Osteotomy systems, devices, and methods for using the osteotomy systems are disclosed. The osteotomy system including an alignment device, at least one k-wire for insertion into the alignment device, and a cut guide with at least one hole for receiving at least one k-wire and a slot for receiving a saw blade. An osteotomy kit including an alignment device, cut guide, and position rotation device. The alignment device, cut guide, position rotation device, and bone plate are also disclosed. Finally, a method for fusing bones using the osteotomy system is also disclosed.

Abstract: Alignment instruments may include joint-line referencing systems having an alignment arm having a body with first and second portions defining first and second sides. The first portion has at least one first pin tube through-hole extending from the first to the second side. The second portion has a first opening on the first side. A pin tube guide member is receivable in the first through-hole. The pin tube guide member has a passageway therethrough. An angelwing alignment member includes a portion receivable in the first opening of the alignment arm. An alignment foot is secured to the second portion, and the alignment foot has a handle and a shim. The shim is positionable in a joint between a first bone and a second bone, the alignment arm is alignable relative to a first bone, and the pin tube guide is operable for securing a pin into the first bone.

Abstract: A trial insert having a first member having an engagement channel extending from a bottom surface towards a top surface and along a first direction that extends from a first end to a second end. The trial insert has a second member having an engagement member extending away from a top surface and along a second direction that extends from a first end to a second end, where the engagement member is received within the engagement channel, and where the first member is translatable relative to the second member along a longitudinal axis of the trial insert.

Abstract: Instruments, implants, bone plates, systems and methods for correcting bone deformities and fractures in the lower extremity are disclosed. Specifically, targeting instruments, implants, bone plates, systems and methods used for correcting bone deformities and/or fractures in the foot are disclosed.

Abstract: Instruments, implants, bone plates, systems and methods for correcting bone deformities and fractures in the lower extremity are disclosed. Specifically, targeting instruments, implants, bone plates, systems and methods used for correcting bone deformities and/or fractures in the foot using compression are disclosed.

Abstract: Instruments, implants, bone plates, systems and methods for correcting bone deformities and fractures in the lower extremity and applying compression across joints to be fused are disclosed. Specifically, targeting instruments, implants, bone plates, systems and methods used for correcting bone deformities and/or fractures in the foot and applying compression across joints to be fused are disclosed.

Abstract: Devices, systems, implants and methods for achieving ligament fixation are disclosed. An implant includes a head member and an anchor member coupled to the head member. The implant includes tension member that couples the head member to the anchor member. The head member and the anchor member include a cannulation that receives the tension member therein. The implant may include a coupling member positioned between and coupling the head member and the anchor member, the coupling member including a cannulation that receives the tension member therethrough. Insertion instruments for inserting an implant for ligament fixation are also disclosed. Methods of using an implant for achieving ligament fixation are also disclosed.

Abstract: Resection guides include a body a plurality of alignment pin through-holes and a plurality of guide through-holes so that the pattern of guide through-holes is operable for receiving a drill for use in resecting the at least a portion of the anatomical structure of the patient. Sweeping reamers include a body having a plurality of alignment pin through-holes and an elongated opening, and a reamer extendable through the elongated opening of the body. Decoupled resection guides include a first body having a plurality of alignment pin through-holes and a second body having a plurality of fixation pin through-holes and at least one guide aperture operable for guiding a cutting tool for use in resecting a portion of the second anatomical structure of the patient. Methods employing the same are disclosed and operable in, for example, total ankle replacement.

Abstract: An external fixation system includes an upper fixation element including a semicircular geometry, and an intermediate fixation element including a circular geometry, in which the intermediate fixation element is releasably coupled with the upper fixation element. The system also includes a lower fixation element including a substantially U-shaped geometry terminating at a first end point and a second end point, in which the lower fixation element is releasably coupled with the intermediate fixation element, and an anterior fixation element including a semicircular geometry. The anterior fixation element is also fixedly coupled with the first and second end points of the lower fixation element. The system also may include at least one strut member that is releasably coupled with the intermediate fixation element and the lower fixation element. Also disclosed is a joint having a first component, a second component and an intermediate component positioned therebetween to allow for pivotable motion.

Abstract: An implant system having a tibial component, a talar component, and a calcaneal component. The implant system includes a first intermediate component disposed between the talar component and the tibial component and a second intermediate component disposed between the talar component and the calcaneal component. The talar component has a first articulating surface configured to engage with the first intermediate component and a second articulating surface configured to engage with the second intermediate component. The first articulating surface is disposed on a superior surface of the talar component and the second articulating surface is disposed on an interior surface of the talar component. Also disclosed is a subtalar arthroplasty system having an intermediate component and a calcaneal component. The intermediate component has a superior surface that is shaped to articulate with a talar component. The calcaneal component has an inferior surface that configured to promote coupling to a calcaneus bone.

Abstract: Methods for total ankle replacement procedures are disclosed. A method includes making an initial incision, obtaining an alignment guide, performing an alignment, performing a tibia and talar resection, trialing the implant components, performing a talar chamfer resection, and implanting the components.

Abstract: There is an implant, comprising a plate portion at a first end, and a stem portion at a second end extending away from an end of the plate portion. In one embodiment, the plate portion comprises a first lobe with a first screw hole; and a second lobe with a second screw hole, wherein the first lobe is adjacent to the second lobe. There is also method of inserting an implant, comprising preparing a patient's bones, performing an osteotomy on the patient's bones to form a first bone segment and a second bone segment, aligning the first bone segment and the second bone segment and inserting an implant into an intramedullary canal in the second bone segment.

Abstract: A bone plate alignment system includes an alignment guide and a bone plate. The alignment guide includes a body portion, a first arm extending from a first side of the body portion, and a second arm extending from a second side of the body portion. The first and second arms extend from the body portion at a substantially oblique angle relative to one another. The bone plate includes an upper portion having at least one opening configured to receive at least one fastener to facilitate coupling with a first bone, a lower portion having at least one opening configured to receive at least one fastener to facilitate coupling with a second bone, and an intermediate portion disposed between the upper and lower portions, wherein the intermediate portion is configured to be disposed substantially adjacent both the first bone and the second bone.