Abstract: A medical device for handling an implant, the medical device comprising a loading section adapted to be loaded with an insert element to be inserted into a hole formed in an implant, and a guiding section adapted to be guided by a pin inserted into the hole formed in the implant for guidedly inserting the insert element into the hole formed in the implant.

Abstract: A screw for fixation of, for example, a fracture having a hollow shaft, a first outer thread and radial openings at its distal end, and a second outer thread and an inner engagement portion at its proximal end. The second outer thread is adapted to engage with a tissue protection sleeve. The inner engagement portion is adapted to fit to a driving end of a driving tool. By way of this, forces in axial or radial direction may be applied to the screw by the sleeve, and forces in rotational direction may be applied by the driving tool. Therefore, the screw can be installed accurately at the intended site in an object.

Abstract: An intramedullary nail has a posterior side, an anterior side, a proximal portion and a distal portion is described. A transverse bore is arranged in the proximal portion and is configured to receive a bone engagement member. The transverse bore includes at least two recesses formed at an inner wall of the transverse bore, wherein one recess is arranged on the posterior side and the other recess is arranged on the anterior side of the transverse bore of the intramedullary nail.

Abstract: A targeting device for targeting a cross bore in a bone nail has an arm member coupled to an end portion of the bone nail and an aiming portion forming part of the arm member extending parallel to a longitudinal axis of the bone nail. An adjustable aiming device is mounted on the aiming portion, the adjustable device having a guide bore alignable with the cross bore in the nail. The adjustable device is moveable with respect to the aiming portion in a direction perpendicular to a plane containing both the nail longitudinal axis and central axis of the cross bore. A target indicator is mounted on the adjustable aiming device. The target indicator has a radiolucent body including first and second spaced parallel planar portions each having a spaced radiopaque element therein.

Abstract: An implant system for use in orthopaedic surgery for fixation of bone includes an intramedullary nail and a coupling unit. The intramedullary nail has a proximal portion defining a longitudinal axis and a transverse bore. The proximal portion includes a bore defining a first axis and a guiding structure defining a second axis, wherein the first axis and the second axis are substantially parallel to the longitudinal axis of the proximal portion of the intramedullary nail and are spaced apart from each other. The coupling unit is movably arranged within the proximal portion and includes a substantially cylindrical pin and a drive member with a through hole. The guiding structure is configured to slidably receive the substantially cylindrical pin, such that the pin can engage within a groove of a bone fastener configured to penetrate the transverse bore of the intramedullary nail.

Abstract: Disclosed herein are systems and methods for automatic detection of clinical relevance of images of an anatomical situation. The method includes comparing a first image and a second image and determining whether a difference between the first and second images is at least one of a local type difference and a global type difference. The local type difference is a local difference of the first image and the second image and the global type difference is a global difference between the first image and the second image. The second image is determined as having a clinical relevance if it is determined that the difference between the first image and the second image comprises a local type difference.

Abstract: An implant for osteosynthesis, for example a bone nail, has an implant body which has at least one bore with a threaded portion and a bone screw which engages the thread when it is threaded into a bone for the fixation of the implant body. The threaded bore has an annular groove the diameter of which is larger than the thread outer diameter, and which receives a ring of a deformable material with an inner diameter which is smaller than the outer diameter of the thread of the bone screw so that the ring extends partially into the bore.

Abstract: An implant system for use in orthopaedic surgery for fixation of bone includes an intramedullary nail and a coupling unit. The intramedullary nail has a medial side, a lateral side and a proximal portion defining a longitudinal axis. The proximal portion includes a bore defining a first axis substantially parallel to the longitudinal axis of the proximal portion and a transverse bore configured to receive a bone fastener. The coupling unit is movably arranged within the bore of the proximal portion and includes one or more bone fastener engagement members at one or both of the lateral side and the medial side of the intramedullary nail.

Abstract: The insertion tool and pusher system of the present invention includes a bone screw having a head and a shaft. An annular washer is adapted to be mounted on the bone screw shaft. An insertion tool having a longitudinally extending shaft with an axial bore therethrough is provided for receiving the bone screw. The shaft has a first end with a washer retention surface surrounding the insertion tool cannulated shaft bore. The washer is held on the retention surface which positions the washer to receive the bone screw shaft. Pin-like spring elements are used to hold the washer in position. A plate is mounted on an outer surface at the first end of the inserter shaft, the plate having a bone contacting surface.

Abstract: Biomaterials, in particular bone foams, a process for preparing such materials as well as an applicator for applying the biomaterials directly to the patient's application site, and the use of a composition comprising water, a surfactant and a propellant in the preparation of a bone foam for the preparation of a calcium phosphate foam wherein the foam is obtainable by the mixture of at least two phases, a first phase comprising water and optionally a propellant, a second phase comprising one or more sources for calcium and/or phosphate, and wherein the foaming is performed during the mixture of the at least two phases to provide an improved calcium phosphate foam, process for the preparation of a calcium phosphate foam, use of a composition, solid state structure, calcium phosphate cement foam and bone foam applicator.

Abstract: A device and method for fixation of bone fractures has a bone screw comprising a shank with a threaded end portion, on the outer surface. The screw has a through bore with two bore portions differing in diameter. A step in the diameter is formed between these bore portions and is located within the end of the screw having the thread. This step in diameter can support a metal insert which in turn supports a polymer pin when the latter if pressurized with a sonotrode in the bone screw. Together with an applied ultrasonic vibration the pressure fluidizes the polymer pin and presses the material through holes configured in the wall of the bone screw and into surrounding bone.

Abstract: A bone fastener for use in orthopaedic surgery for anchoring an intramedullary nail to bone has a shaft with a front region and a rear region adjacent to the front region. The rear region has one or more explantation grooves helically arranged for facilitating the explantation of the bone fastener. Two axially spaced apart grooves or groove sections are separated by a flat shaft portion defining an outside diameter of the rear region, wherein the rear region has a core diameter greater than a core diameter of the front region.

Abstract: A method and device for assisting reduction for complex fractures includes the steps of receiving an x-ray image of a fractured bone having a plurality of bone fragments, identifying structural aspects of at least one of the bone fragments, adapting a virtual bone model to the imaged bone based on the identified structural aspects, and generating an overlay of the virtual bone model onto the x-ray image, with the virtual bone model aligned to the identified structural aspects. The device is adapted to perform the method.

Abstract: Device and a method for positioning and monitoring the rotary orientation of extremity bone fragments when implanting an intramedullary implant, and in particular to a device and a method for monitoring the rotary orientation of extremity bone fragments of the leg when implanting an intramedullary nail by using a monitoring of locking means of the intramedullary nail which so as to improve the accuracy of the orientation of extremity bone fragments.

Abstract: System for inserting an augmentation pin into an augmentation screw, comprising a pin inserter with an axial through-bore and a lateral opening, a pin-magazine with a pin-retainer for an augmentation pin, wherein the pin-magazine may be placed in the lateral opening of the pin-inserter and an augmentation pin in the pin-retainer may be aligned with the axial through-bore. The augmentation pin may be pushed by means of a pusher from the pin-magazine into an augmentation screw, when the augmentation screw is arranged in front of the pin-inserter.

Abstract: A protractor for use with an external fixation frame is provided. The protractor may include a face having angle designations thereon and a set of opposed and extending flanges projecting from said face. The flanges may connect to a portion of an external fixation frame, such as a ring (or other component) of the frame. The face may also include a post member to which a rotatable dial is mounted. An elongate member may be pivotally connected to a portion of the post member and may include a clamp. The clamp may be used to connect to an alternate portion of an external fixation frame, such as a strut of the frame. Thus, the protractor may be connected to two points on an external fixation frame so as to measure the angle between such points. Related methods of using the aforementioned protractor are also disclosed.

Abstract: A device and method for fixation of bone fractures has a bone screw comprising a shank with a threaded end portion, on the outer surface. The screw has a through bore with two bore portions differing in diameter. A step in the diameter is formed between these bore portions and is located within the end of the screw having the thread. This step in diameter can support a metal insert which in turn supports a polymer pin when the latter if pressurized with a sonotrode in the bone screw. Together with an applied ultrasonic vibration the pressure fluidizes the polymer pin and presses the material through holes configured in the wall of the bone screw and into surrounding bone.

Abstract: A system for inserting an augmentation pin into an augmentation screw, including a pin-inserter with an axial through-bore and a lateral opening. A pin-magazine with a pin-retainer for an augmentation pin in insertable in the lateral opening. The pin-magazine is placed in the lateral opening of the pin-inserter and an augmentation pin in the pin-retainer is aligned with the axial through-bore. The augmentation pin may be pushed by means of a pusher from the pin-magazine into an augmentation screw, when the augmentation screw is arranged in front of the pin-inserter.

Abstract: An implantation pin for implantation in a target structure has a pinhead and a shaft. The pinhead comprises a pinhead molding portion comprising a moldable material which can be liquefied by application of mechanical energy such as ultrasonic vibration energy. A channel extends through the pinhead and the shaft, the channel connecting the pinhead molding portion to a discharge opening located at the shaft. The moldable material can be liquefied by applying mechanical energy e.g. in the form of ultrasonic vibrations via e.g. a fixation device including an ultrasonic sonotrode and a vibrating tip. The pressure applied by the vibrating tip can be transmitted via the border of the pinhead to the target structure while the liquefied moldable material can be forced through the channel and the discharge opening into a gap between the implantation pin and a recess in a target structure thereby fixing the implantation pin in the target structure.

Abstract: The present invention discloses a system for securing at least one fastener to an implant. At least one adhesive capsule is inserted in a recess preferably located along a longitudinal axis of the implant. The at least one adhesive capsule may be inserted in the recess and held in place therein by a holder. A plurality of adhesive capsules and holders may be inserted in one or more recesses located substantially along the longitudinal axis of the implant. The at least one adhesive capsule preferably has a casing housing an adhesive material configured to be pierced by the at least one fastener to secure the at least one fastener to an aperture of the implant. The casing of the adhesive capsule may form an annular passageway to receive a guide wire for aiding the insertion of the capsule in an implant having a longitudinal bore along at least a portion thereof.