Abstract: An external fixation frame for correcting a bone deformity includes a first fixation ring and a second fixation ring. A posterior adjustable length strut couples a posterior portion of the first fixation ring to a posterior portion of the second fixation ring and has universal joint. Medial and lateral adjustable length struts couples medial and lateral portions of the first fixation ring to medial and lateral portions of the second fixation ring respectively, each of the medial and lateral adjustable length struts including a constrained hinge joint. The fixation frame also includes a half ring hingedly coupled to the second fixation ring, and an anterior adjustable length strut coupling an anterior portion of the first fixation ring to the half ring.

Abstract: A drill guide for guiding elements, especially drill bits and implants of an implantation kit during a surgical intervention, has a main body having a gripping portion. The drill guide has an upper and a lower central opening along its longitudinal axis with a through going cavity for receiving the element to be guided. A lower contact surface is positioned on an object, such as a bone, on or into which the element is to be guided. The diameter of the through going cavity can be varied by a.) radial positioning of three or four jaws inside the cavity through a groove-slide block system and/or b.) against the force of a spring at the lower free end of guiding extensions. The spring is provided on the back side of the extensions which bear against the inner wall of the drill guide sleeve.

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 opening to accommodate a fixation element along the longitudinal axis of the reception opening. At least one locking element extends through the clamping assembly which locking element provides a clamping force to clamp the fixation element upon tensioning the locking element. The fixation clamp further comprises an actuation element which is in connection with the locking element such that the locking element is actuateable by means of the actuation element, and the actuation element is designed such that it is detachable from the locking element after use and that remounting onto the locking element is prevented after having detached the actuation element from the locking element.

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: A wrist fusion plate has a proximal portion comprising at least one opening, wherein the proximal portion attaches to the radius by inserting bone screws through the proximal portion opening. A distal plate portion has a plurality of openings and is adapted to be attached to a metacarpal (M) by inserting bone screws through the distal portion attachment openings and into the metacarpal. A central plate portion has at least one attachment opening and is adapted to be attached to a carpal bone by inserting bone screws through the attachment opening. The proximal and distal portions are aligned along a longitudinal axis of the wrist fusion plate. One of the distal portion attachment openings is elongated in a direction perpendicular to the longitudinal axis.

Abstract: A disposable medical device is especially an articulation for the relative positioning of fixation bars or of pins of an external fixator, having at least a clamping means to be introduced into the medical device, the clamping means comprises an element that alters its appearance when being heated over a threshold temperature, thus giving optical or mechanical information that the device should not be used a second time.

Abstract: A fixation clamp for use in an external fixation clamp has a clamping assembly having a reception to accommodate a fixation element. The clamp has a locking element extending through the clamping assembly for blocking the position in a defined angular position. A washer is arranged between the locking element and a central opening of the clamping assembly having a cutout extending radially from the through opening such that the washer is mountable and demountable in a radial direction to a locking element longitudinal axis. The cutout has a smaller distance between its sidewalls then the diameter of the through opening. The locking element has circular cross-section below its head portion adapted to fit through the through opening of the washer but larger than the opening of the cutout and has at least one pair of parallel beveled surfaces spaced closer than the distance between sidewalls of the washer cutout.

Abstract: An insert (70) for a clamping element with two jaws to clamp a rod-shaped element comprises an inner cavity (144) to accommodate a rod-shaped element and at least one flange element (153) at one longitudinal end of the insert intended to abut against the clamping element. The flange element (153) comprises clamping members (161) to reduce the available room within the inner cavity (144) for the rod-shaped element to be clamped and to clamp the flange element (153) between the rod-shaped element and an outer clamping surface of the clamping element to prohibit any longitudinal movement of the clamped insert.

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: 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 bone plate for fixing bone fragments to bone is provided. The bone plate comprises an elongated body portion as well as a hook portion. The elongated body portion comprises an attachment opening configured to receive an attachment element for attaching the bone plate to bone. The hook portion extends from an end of the body portion and comprises one or more hooks configured to grasp a bone fragment. Additionally, at least one guiding opening is provided in the hook portion to receive an elongated guiding member for guiding the bone plate towards the bone fragment.

Abstract: A disposable medical device is especially an articulation for the relative positioning of fixation bars or of pins of an external fixator, having at least one clamp to be introduced into the medical device, the clamp has an element that alters its appearance when being heated over a threshold temperature, thus giving optical or mechanical information that the device should not be used a second time.

Abstract: An external fixation system comprising: first and second planar at least part-circular ring elements, the first ring element having a circumferential track extending along the part-circular circumference thereof; a plurality of struts each having a first and second end, the first end of each strut coupled to the first ring by a first connector and the second end of each strut coupled to a second ring by a second connector, the first connector including a spherical joint; the second connector non-rotatably coupled to the second ring, the strut second end being coupled to the second connector by a U-joint; shuttles mounted on the track of the first ring for movement there along with one shuttle coupled to each strut; and means for controlling the angular position of each strut second end and means for controlling the position of each shuttle along the circumferential track on the first ring.

Abstract: A polymeric external fixator element, such as a rod or a pin or a clamp, has at least one contacting surface. At least one of the contacting surfaces of the element responsible to establish connection between the element and a different external fixator element is provided with a rough ablated structure. The clamping can be improved if one of the polymeric elements comprise fibers having fiber parts protruding above the surface.

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: An external fixation system comprising: first and second planar at least part-circular ring elements, the first ring element having a circumferential track extending along the part-circular circumference thereof; a plurality of struts each having a first and second end, the first end of each strut coupled to the first ring by a first connector and the second end of each strut coupled to a second ring by a second connector, the first connector including a spherical joint; the second connector non-rotatably coupled to the second ring, the strut second end being coupled to the second connector by a U-joint; shuttles mounted on the track of the first ring for movement there along with one shuttle coupled to each strut; and means for controlling the angular position of each strut second end and means for controlling the position of each shuttle along the circumferential track on the first ring.

Abstract: A wire or pin fixation and tensioning device has a wire post having a head portion with an opening having a predetermined longitudinal axis for reception of a wire or pin. The wire post has a neck portion for engaging an opening of the medical device. A locking element is adapted to be introduced into opening having an opening with inclined sections inclined to the longitudinal axis. A clamping cone abuts an abutment element and has a clamping opening to accommodate a wire and has outer surfaces inclined to the longitudinal axis and encompassed within the conical section of the locking element. Upon an axial displacement of the locking element relative to the cone a radial force is exerted onto the cone leading to a reduction of the diameter of the clamping opening to apply a radial force onto a wire or pin therein.

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.