Abstract: A bone plate system is disclosed which includes a bone plate having at least one plate hole, at least one pin adapted to be disposed in the at least one plate hole, and a polymer component disposed between the at least one pin and the bone plate. The polymer component includes a polymer that may be melted through the application of ultrasonic energy. The at least one pin is constructed of a material that will not melt under such application of ultrasonic energy. The re-solidified polymer component creates a bond between the at least one pin and the bone plate to provide a more rigid and secure mating therebetween, and to at least substantially prevent backout of the at least one pin with respect to the bone plate. A method of implanting the bone plate system is also disclosed.

Abstract: A tool for breaking a shaft has a first and a second tubular element, both provided with inner through bores adapted to receive a shaft in the tool. A first handle is fixedly connected with the first tubular element and the second tubular element is connected to a second handle. A bottom surface of the second tubular element forms a shearing plane with a neck surface of the first tubular element. A rotation between the two tubular elements shears the shaft at the shearing plane. The second handle turns the first tubular element around an axis and has a gear engaging the second tubular element for transmitting the rotation of the second handle into a rotation of the second tubular element. The drive element is mounted offset, in a direction of the longitudinal axis, from the gear.

Abstract: A screw cutting tool for cutting a screw comprising a first grip having a first cutting aperture, a second grip pivotally connected to the first grip, the second grip having a second cutting aperture, a measuring scale attached to a proximal end of the first or second grip, and a screw holder slidably attached to the measuring scale having a hole extending therethrough, wherein the hole aligns with the first and second cutting apertures in at least one position.

Abstract: A fixation clamp, more particularly for use in an external fixation system for holding bone fragments adjacent to each other with the help of fixation elements, has at least one clamping assembly having at least one reception to accommodate a fixation element along the longitudinal axis of the reception and at least one locking element extending through the clamping assemblies for blocking the position of the clamping assemblies in a defined angular position. Between said locking element and said at least one clamping assembly there is arranged a washer. The clamping assembly comprises a first contact surface which is spherical and convex and in that said washer comprises a second contact surface which is spherical and concave, wherein the first contact surface is in contact with the second contact surface.

Abstract: A system for fixing a wire to a surface of an external fixator having a wire adapted to extend through bony structure fastened with respect to the surface. A bolt having a shaft which comprises a threaded section, a head section and at least one clamping element is provided wherein the bolt is adapted to extend through an opening in the external fixation element with a nut, and clamps the wire to the surface. A counter torque tool is used to provide a counter torque while fastening the wire with the bolt and the nut. The bolt comprises a counter torque opening and wherein the counter torque tool comprises a section which is adapted to engage into the counter torque opening of the bolt to apply the counter torque.

Abstract: Disclosed herein are systems and methods for manipulating the orientation of a plurality of bone fragments with respect to one another. A bone transport frame including first and second rings, a plurality of elongate struts, and a plurality of ring transport assemblies for orienting a first bone segment with respect to a second bone segment is disclosed. A third ring may be included in the bone transport frame for orienting a third bone segment with respect to the first and second bone segments. Manipulation of an adjustable member of the bone transport frame can transport a ring in either a proximal or distal direction with respect to other rings of the frame. Manipulation of another adjustable member of the bone transport frame can translate a central axis of one of the rings either toward or away from the central axes of the plurality of elongate struts.

Abstract: An easy to clean clamping device has at least one clamping assembly having two jaws. The jaws form at least one recess to accommodate an element to be clamped along the longitudinal axis of the recess. A locking unit is provided to allow closing of the jaws against the force of a spring element. The locking unit has a shaft extending along an axis and through bores of the jaws. The shaft has a head for operating the clamping action abutting against the uppermost jaw. A locking element is provided having a through bore and which locking element can be arranged between the head and the uppermost jaw. One portion of the locking unit has a larger diameter than the bore of the second jaw and the head of the locking unit has a smaller diameter than the bore of the adjacent jaw. The locking element comprises at least one locking surface which can be brought into positive locking with a corresponding surface of the head for blocking removal of the locking element.

Abstract: A clamping pin is provided for mounting in an opening of a medical device. The clamping pin comprises an axially extending screw, a first clamping element having a surface inclined to a longitudinal screw axis and provides a first part of a clamping section. A second clamping element has a surface inclined to the longitudinal axis and provides a second part of the clamping section which is complementary to the opening in the medical device. The inclined surfaces of the first and second clamping elements contact. A screw extends at least partly through both the first and second clamping elements. The screw engages one of the clamping elements such that the axial distance between the two clamping elements and the diameter of the clamping section that can come in contact with a surface of the opening in the medical device will be changed upon actuation of the screw.

Abstract: A ratchet wrench for use in connection with medical instruments comprises a handle and a drive element which is rotatable around an axis (M) with respect to the handle. The wrench is adapted to tighten or loosen a respective element and a ratchet mechanism which is in connection with the drive element and which permits movement with respect to the handle in a first direction of rotation (R1) and blocks movement in the other direction of rotation (R2). The handle comprises a flat arm, wherein the ratchet mechanism is arranged on a bearing surface of the flat arm, and wherein the drive element extends through an opening in the flat arm in which opening the drive element is rotatably arranged.

Abstract: A drill guide for drilling bone comprising a housing having a bore running through the housing is disclosed. In one embodiment, the drill guide may comprise a locking member coupled to the housing that is adapted to engage with a locking portion of a drill bit to lock the drill bit axially within the housing. The locking member may also be adapted to disengage with the drill bit to allow the drill bit to move within the bore of the housing and be inserted into bone. A movable guide may also be provided with the drill guide, such movable guide including a bore for receiving a portion of the drill bit and allowing the same to move axially within the housing. Methods of using the aforementioned drill guide are also disclosed.

Abstract: A bolt is adapted to clamp a pin to an external fixator system. The bolt includes a shaft having a threaded section, a head section and a pin opening that is arranged opposite the threaded section and accommodates and clamps a pin or a wire to a plate or ring of an external fixator. The plate comprises at least one opening which accommodates the shaft and a surface against which the pin or the wire is clamped by the bolt. The pin opening comprises at least two edges extending essentially along the same direction as the pin opening such that the pin or wire to be clamped is contact with said edges.

Abstract: A two-piece clamping element comprises two separate, i.e., non-integral, opposing first and second clamping jaws forming a laterally open cavity to receive a pin or rod-shaped element. Each clamping jaw has a bore aligned with one another to receive a screw, wherein a pivot bearing is arranged opposite said cavity allowing the two opposing clamping jaws to come in contact to one another. The pivot bearing comprises at least one set of complementary part-cylindrical bearing surface portions. An anti-rotation pin extends between the two jaw members.

Abstract: An adjustment tool for an external fixator comprises a fitting element for holding fast a clamping assembly of the external fixator. A positioning clamp is provided for fixing the adjustment tool on a rod of the external fixator near the clamping assembly. A connecting element is attached to the fitting element and the positioning clamp is adapted to move the fitting element towards to or away from the positioning clamp. The fitting element comprises a blocking sleeve adapted to push the uppermost jaw of the clamping assembly in the direction of the longitudinal axis of the clamping assembly to block the second upper most jaw against an abutment portion of the fitting element. The tool further comprises an actuation element within the blocking sleeve to actuate the locking element of the clamping assembly for releasing the rod within the clamping assembly without releasing the bone pin.

Abstract: A surgical assembly has a first section having a first hole with a smallest diameter and a second section having a threaded second hole with a minor thread diameter smaller than the smallest diameter of the first hole. The first hole encloses a center axis of the second hole and a clearance is provided between the first section and the second section. The assembly includes a screw member having a length for engaging the first hole and the second hole so as to bridge the clearance. The screw member has a first portion with a largest outer diameter smaller than or equal to the smallest diameter of the first hole, and a threaded second portion axially spaced from the first portion and configured to threadedly engage the second hole. A major thread diameter of the second portion is larger than the smallest diameter of the first hole.

Abstract: An adjustment tool for an external fixator comprises a fitting element for holding fast a clamping assembly of the external fixator. A positioning clamp is provided for fixing the adjustment tool on a rod of the external fixator near the clamping assembly. A connecting element is attached to the fitting element and the positioning clamp is adapted to move the fitting element towards to or away from the positioning clamp. The fitting element comprises a blocking sleeve adapted to push the uppermost jaw of the clamping assembly in the direction of the longitudinal axis of the clamping assembly to block the second upper most jaw against an abutment portion of the fitting element. The tool further comprises an actuation element within the blocking sleeve to actuate the locking element of the clamping assembly for releasing the rod within the clamping assembly without releasing the bone pin.

Abstract: An external fixation system has a planar ring with an adjustable device having a body releasably mounted on the ring. The adjustable device includes a first member for movement in a direction generally perpendicular to the ring. A second member is mounted on the first member for movement in a direction parallel to a side wall of the planar ring. A method for treating a broken bone includes providing an external fixation system and inserting a first k-wire or half pin through a first piece of the bone and affixing the first k-wire or half pin to the ring, then inserting a second k-wire or half pin through a second piece of bone and affixing the second k-wire or half pin to the adjustable device. The pieces of bone are realigned, compressed, or distracted by adjusting at least one of the first and second adjustable members.

Abstract: A bone-fixation system is disclosed, the system comprising a bone plate having a section with a plurality of holes and a recessed area at least partially surrounding one or more of the holes, the recessed area defining a floor surface situated below a top surface of the plate, the floor surface extending at least partially between some or all of the plurality of holes, and an aiming device having a plurality of holes arranged to align with the plurality of holes in the plate and an extension, the extension being receivable within the recessed area and defining a bottom surface adapted to at least partially rest on the floor surface.

Abstract: A two-piece clamping element comprises two separate, i.e., non-integral, opposing first and second clamping jaws forming a laterally open cavity to receive a pin or rod-shaped element. Each clamping jaw has a bore aligned with one another to receive a screw, wherein a pivot bearing is arranged opposite said cavity allowing the two opposing clamping jaws to come in contact to one another. The pivot bearing comprises at least one set of complementary part-cylindrical bearing surface portions. An anti-rotation pin extends between the two jaw members.

Abstract: An attachment device for attaching a bone plate to a bone having a medullary canal is provided. The attachment device comprises a central portion having a recess to accommodate the bone plate and at least two lateral fixation support members projecting from the central portion. The lateral fixation support members are arranged on opposite sides of the central portion, wherein each lateral fixation support member comprises a hole extending through the lateral fixation support member and are adapted to accommodate a fixation element therethrough to fix the attachment device to bone. The angles of the hole axes of the holes are different with respect to a perpendicular bisector of the centers of the holes and the hole axes lie outside of the medullary canal.