Abstract: A surgical instrument is provided for urging a longitudinal spinal member into a bone fastener. The surgical instrument may include a holder assembly for engaging a bone fastener, the holder assembly preferably comprising a pair of pivotably connected members arranged in a scissor type configuration, and a reducing mechanism for moving the spinal rod with respect to the bone fastener, the reducing mechanism including a rod contacting member and an outer support structure having an opening for receiving at least a portion of the holder assembly and a cavity for receiving at least a portion of the vertical drive mechanism which is sized and configured to threadably engage the holder assembly. The holder assembly preferably includes a pair of jaws each having an extension formed thereon for engaging a recess formed on the lateral side walls of the bone fastener so that the holder assembly can engage the bone fastener without extending into the U-shaped channel.

Abstract: The disclosed cranial flap clamp includes first and second clamping members and an extension member. A portion of the first member is positionable against inferior surfaces of a bone flap and skull and a portion of the second member is positionable against superior surfaces of the flap and skull. The extension member extends from the first member and fits between the flap and skull. The second member has a through opening for receiving the extension member. Movement of either of the clamping members urges the inner surface of the first member against the inferior surfaces of the flap and skull and urges the inner surface of the second member against the superior surfaces of the flap and skull. A stop provided by mechanical deformation of the extension member at any location along its length secures the clamp.

Abstract: A surgical drill-guide assembly can be releasably attached to a part of a bone-fixation system, for example, a plate. The surgical drill-guide assembly is used for example, to guide a drill, screw, bone fastener, or other instrument or fastener into bone.

Abstract: A bone plate includes an upper surface, a bone contacting surface, and at least one hole extending through the upper and bone contacting surfaces for receiving a bone screw. The at least one hole includes a first portion and a second portion that overlap one another. The first portion defines a substantially circular outer periphery and the second portion defines an elongated outer periphery that is elongated in a direction substantially parallel to the longitudinal axis of the plate. The first portion may have threads configured to engage threads on the head of a bone screw, and the second portion may be configured to cooperate with the head of a different bone screw to provide compression to the fracture.

Abstract: An allogenic intervertebral implant for fusing vertebrae is disclosed. The implant is a piece of allogenic bone conforming in size and shape with a portion of an end plate of a vertebra. The implant has a wedge-shaped profile to restore disc height and the natural curvature of the spine. The top and bottom surfaces of the implant have a plurality of teeth to resist expulsion and provide initial stability. The implant according to the present invention provides initial stability need for fusion without stress shielding.

Abstract: The present invention relates to a bone plating system and method for fracture fixation of bone. The bone plating system includes a bone plate, at least one locking screw, and at least one non-locking screw. The bone plate has locking holes with threads and non-locking holes. The locking screws have a shaft with a thread for engaging bone and a head with a thread configured and dimensioned to mate with the thread of the locking holes. The non-locking screws have a thread for engaging bone and a non-threaded head. Both the locking and non-locking screws remain seated in their respective holes for substantially as long as the bone plate is implanted. The non-locking screws compress the bone plate against the bone and hold fracture reduction while the locking screws are secured to the plate at a fixed angular relationship. The mixed fixation achieved by this bone plating system and method is particularly useful for treatment of per-articular fractures.

Abstract: A spring-loaded surgical awl is provided for orthopedic applications that include creating or enlarging holes in bone. The awl has an awl shaft with a cutting tip within a sleeve, with a spring disposed between the awl shaft and sleeve to return the cutting tip of the awl tip to a position within the sleeve after the cutting tip of the awl shaft contacts the bone. The outer sleeve has an end that preferably engages a bone plate and the travel of the awl tip is limited by a shoulder within the outer sleeve.

Abstract: A damping element (1) comprising (a) two spring elements (2, 4) which are coaxial with or parallel to a longitudinal axis (3) and two axially end-wise connectors (5, 6) which can be linked to the spring elements (2, 4), where (b) the first spring element (2) exhibits a spring rate F, (c) the second spring element (4) exhibits a spring rate f, and (d) the spring rates F and f are different. A system stabilizing adjacent vertebras includes: (a) N pedicle screws or pedicle hooks (12), with N?3, and (b) at least one pedicle screw or one pedicle hook having a receiving device (13) which simultaneously allow receiving two parallel affixation devices (7), and where (c) an element (14) acting as a spring is used for affixation between the minimum of one pedicle screw or pedicle hook (12) including a receiving device (13) and a further adjacent pedicle screw or pedicle hook (12).

Abstract: A cutting and forming device includes an outer sleeve, an inner sleeve, and a housing. The outer sleeve has a longitudinal axis, a front end, a rear end, and a borehole having an borehole axis. The inner sleeve, can be rotated in the outer sleeve's borehole and includes a front end, a rear end, and a borehole having a borehole axis. The housing with a central axis has a front end, a rear end, and a cavity which accommodates the outer sleeve and passes through the housing parallel to the central axis. The front end of the inner sleeve has a circular cutting edge which is concentric with the borehole axis of the inner sleeve, and the borehole at the front end of the outer sleeve has a constriction whose longitudinal axis is parallel to the borehole axis of the outer sleeve.

Abstract: A screw with an integrated screwdriver, the screw having a screw shaft with a thread, a screw head, and a longitudinal axis, and the screwdriver being connected coaxially with the longitudinal axis over a specified breaking point with the screw head, characterized in that the screw head has an external thread.

Abstract: A method for augmenting a tissue including introducing into the tissue a first thermoplastic material at a first condition; treating the first thermoplastic material to achieve a second condition that includes an at least partially crystalline skin; and introducing a second material into the tissue whereby the first thermoplastic material and the second material are contained by the at least partially crystalline skin. Also a method of fracture reduction in a tissue including exposing to gamma radiation a mass of polycaprolactone characterized by a first shape; heating the mass of irradiated polycaprolactone above its melting temperature; introducing the heated mass of polycaprolactone into the tissue annulus to deform it from the first shape; allowing the material to return to the first shape.

Abstract: An implant for fixation of a bone includes a shaft having a proximal end and a distal end, and a longitudinal axis defined between the proximal end and the distal end. A plurality of blades are disposed on the shaft, and are helically twisted about the longitudinal axis. At least one of the blades has a variable blade width that increases in a direction along the longitudinal axis. A mechanism for coupling the implant to a second fracture fixation implant may be provided separately or in combination.

Abstract: An intervertebral implant is shaped in the form of a hollow cylinder and has a cover face, a base face, a hollow cylinder wall with an outer lateral area and an inner lateral area, as well as a hollow cylinder central axis. The implant is formed at least 95 percent by volume of a radiolucent material which has a modulus of elasticity of between 1 and 20 GPa. Postsurgical observation is permitted by means of X-rays, and at the same time the implant has a high degree of biocompatibility.

Abstract: The invention relates to a device for supplying electrical energy to an electro-pen with an electric drive unit for driving a tool. The device comprises a console with an energy supply unit having an accumulator for supplying the electrical drive unit with electrical energy. The console may be configure to be sterilized by steam having a housing and electrical components that are sealed liquid-tight. The accumulator may include a sterile covering for sterile introduction into the console. A coupling between the console and the electro-pen carries the supply of electrical energy from the console to the electro-pen. The coupling may be an electrical contact in the form of a sterilizable connector or an inductive coupling. The console may be configured to store energy and is thus mobile, or the console may include a connection for connecting to a mains or external power supply for charging the accumulator. The console may include a switch-mode power supply for charging the accumulator.

Abstract: A mixture of one or several substances from group A) lubricin, proteoglycan 4 (PRG4) and phosphollipid (SAPL); with one or several substances from group B) hyaluronic acid, glycosaminoglycan and derivatives of said substances; dissolved in a solvent, used for the production of an agent for treating defective or degenerated cartilage in vivo. Said mixture can also be used to produce natural cartilage replacement in vitro.

Abstract: The present invention relates to a nail system for fixation of an olecranon osteotomy or fracture. The nail system of the present invention is securely held in place in the intramedullary canal to ensure proper anatomic reduction of an osteotomy. Further, the invention provides an insertion device and a method for inserting the osteotomy nail system, securing the osteotomy nail system, and fixing the osteotomy.

Abstract: An allogenic intervertebral implant for fusing vertebrae is disclosed. The implant is a piece of allogenic bone conforming in size and shape with a portion of an end plate of a vertebra. The implant has a wedge-shaped profile to restore disc height and the natural curvature of the spine. The top and bottom surfaces of the implant have a plurality of teeth to resist expulsion and provide initial stability. The implant according to the present invention provides initial stability need for fusion without stress shielding.

Abstract: The present invention generally relates to mandibular prostheses. More particularly, the invention relates to a condylar-head replacement for reconstruction of the temporomandibular joint after resection of the condyloid process. The present invention provides a condylar-head replacement comprising a condylar-head attachment that may be adjustably positioned on a reconstruction plate to achieve various condylar-head heights. The condylar-head height adjustment allows the condylar-head replacement to be fit to a particular patient. The condylar-head replacement of the present invention obviates the need for custom fabrication of a condylar-head replacement for a patient.

Abstract: An improved tibial plateau leveling osteotomy plate is disclosed. The plate is contoured in its proximal head portion to more closely resemble the structure of the tibial bone segment that is cut and rotated during the procedure. The plate also preferably has screw holes in the proximal head portion that are machined through the pre-contoured proximal head portion and are designed to angle the screw in a targeted screw path with respect to the osteotomy.

Abstract: An intervertebral implant (1), specifically an artificial intervertebral disk, with a central axis (2), and an upper plate-shaped section (10), suitable for laying onto the base plate of a vertebral body lying on top, a lower plate-shaped section (30), suitable for laying onto the cover plate of a vertebral body lying below, wherein a central, plate-shaped section (20) is arranged between the upper and the lower section (10;30), a first circular-cylindrical rod (40) with a longitudinal axle (41) is arranged between the upper section (10) and the central section (20), and a second circular-cylindrical rod (50) with a longitudinal axle (51) is arranged between the lower section (30) and the central section (20).