Abstract: An intervertebral implant having a three-dimensional body (10) and a securing plate (1). The three-dimensional body (10) includes an upper side (1) and an underside (2) which are suitable for abutting the end plates of two adjacent vertebral bodies, a left side surface (3) and a right side surface (4), a front surface (5) and a rear surface (6), a horizontal middle plane (7) between the upper side (1) and the underside (2), and a vertical middle plane (12) extending from the front surface (5) to the rear surface (6). The three-dimensional body further includes a plurality of boreholes (9a) passing through the body (10), which are suitable for accommodating longitudinal fixation elements (20).

Abstract: A bone reconstruction device (100, 200, 300) is provided that includes an elongated linkage (102, 202, 302) having a plurality of links (104, 204, 304). The reconstruction device further includes an adjustment assembly (120, 220, 320) that provides for adjustment of the directional and/or angular orientation of the links. The reconstruction device further includes a locking assembly (122, 222, 322) that is movable between a disengaged configuration and an engaged configuration. In the disengaged configuration, the adjustment assembly can be actuated to adjust the orientation of the links. In the engaged confirmation, the locking assembly inhibits adjustment of the orientation of the links.

Abstract: An intervertebral spacer implant (80) is provided with a retention mechanism (86) to help alleviate expulsion and movement of the implant when placed in the spine while providing an implant that is easier to insert in the spine. In one embodiment the retention mechanism comprises a keel on at least one of the inferior or superior faces of the spacer implant preferably extending in an anterior-posterior direction. In another embodiment the implant comprises a spacer (84) and a plate (82), the plate comprising a supplemental or alternative retention mechanism. In one embodiment the retention mechanism comprises one or more holes (88) in the anterior end of the plate. In yet another embodiment, the retention mechanism comprises one or more blades that are in a first position when inserted and are preferably rotated to a second position that engages the superior and inferior vertebrae.

Abstract: A device for a ball-and-socket-type connection of two members includes a first member having a head and a second member having a cavity that receives the head. The cross-sectional surface of the cavity is tapered at the lower end of the second member as a result of a constriction. The head and/or cavity is configured spherically with a center of articulation (Z). The ball-and-socket-type connection between the two members can be detachably fixed by means of a clamping element that can be connected to the second member. The head has a recess in which the front end of the clamping element can rest. The recess and/or the front end has an at least partially spherical surface with a center (C). In the clamped position of the device, the center of articulation (Z) and the center (C) are identical.

Abstract: The invention relates to a bone fixation means (1) comprising: A) a longtitudinal shaft (2) with longtitudinal axis (3), and; B) an anchoring element (4), which can be fixed inside a bone and which has the same longitudinal axis (3) and is characterized in that; C) interacting means (5; 6) are provided on the shaft (2) and on the anchoring element (4), which either permit or prevent a rotation of the anchoring element (4) about the longitudinal axis (3) relative to the shaft (2).

Abstract: A device for clamping fixation elements, which have been inserted into bone, for manipulating fragments of a fractured bone. The device incorporating a hollow body with a cavity having a wall, a clamping body moveable within the cavity between a first position and a second position, and a clamping device operably connected to the clamping body for moving the clamping body between the first position and the second position. The device being sized and configured so that when the clamping body is in the first position a free end of the fixation element(s) may be positioned between the clamping body and the wall of the cavity. Once the fixation element(s) is properly positioned within the cavity, the clamping device may be used to move the clamping body into the cavity, thereby wedging the fixation element(s) between the clamping body and the wall of the cavity. A bone fragment may then be manipulated using the device.

Abstract: A surgical cable and crimp device is provided. The cable has an enlargement (bead) affixed to one of its ends. The crimp member includes two holes. One of the holes includes a slot and a cavity. The cavity is sized to accept the bead of the cable, and the slot is sized to receive the flexible cable but not allow the bead to pass through. The other hole is a simple through hole. The cable can be inserted to loop the bone isolated from the crimp member. After the beaded end of the surgical cable is fastened to the crimp, the cable is passed through the simple through hole. The cable is then tensioned by the application thereto of a tensioning tool with the tool applied to the cable and to an abutment face of the crimp member.

Abstract: An expandable intervertebral implant (10) includes superior (20) and inferior (30) bone contacting members and at least one vertical wire netting (50) interconnecting the superior and inferior bone contacting members. The superior and inferior bone contacting members include at least two bone contacting components interconnected via one or more lateral wire nettings such that the implant is vertically and laterally expandable in situ from a first insertion configuration to a second expanded configuration. The vertical and lateral wire netting are preferably constructed of a plurality of individual link members. The present invention also preferably relates to an associated method of manufacturing the intervertebral implant such that the intervertebral implant can be manufactured as an integral component or part.

Abstract: An intervertebral implant component includes an inlay which fits into an endplate, where the inlay is prevented from moving relative to the endplate. Various embodiments of locking mechanisms for preventing movement are disclosed. In some preferred embodiments, a surgeon is able to see that the locking mechanism is properly engaged.

Abstract: A depth gauge for measuring the depth of blind holes in bones and/or nails inserted into bones. The measurement tool comprises: a probe with an abutment at its end to engage against the distal edge of the blind hole; a tubular body; and a grooved insert. After the probe, lying into the tubular body, is positioned through the blind hole to be measured, the grooved insert is slid forward inside the tubular body, surrounding the probe, and pushing the probe sideward, towards the blind hole wall. When probe and groove insert are retracted together, they firmly engage against the distal bone wall. The tubular housing is then pushed forward until it abuts against the proximal bone wall, allowing even in small diameter holes, an accurate reading of hole depth on the scale located at the rear end of the probe.

Abstract: A method of implanting an intervertebral implant or component thereof, in which each component is selected to have an inner surface and an outer surface which engages an adjacent vertebra and presents only three distinct points of contact with a cortical rim of the vertebra. The outer surface is selected to have a footprint which is sized to be within that of the cortical rim. In disclosed embodiments, the footprint can be convexo-concave shaped or kidney shaped. The intervertebral implant can be provided with upper and lower (or first and second) components which engage adjacent first and second vertebrae and which move relative to one another. The implant has both the first and second outer surfaces sized to present a respective footprint sufficient for two lateral-anterior and one posterior points of contact with an adjacent cortical rim of the respective first and second vertebra.

Abstract: A soft tissue defect repair system for approximating defects, such as defects in the annulus fibrosus of an intervertebral disc, includes a cannulated rod through which is disposed a suture retrieval device. A strand of suture includes a locking or ratcheting knot pre-tied around the outside of the cannulated rod and a free end that is guided in and out of the soft tissue. A knot pusher fits around the cannulated rod, which is used to push the knot off of the cannulated rod after the stitching of the tissue is accomplished. The defect is approximated by tensioning the free end. Various suturing methods or patterns are disclosed for defect approximation.

Abstract: A device for osteosynthesis that includes a fixation element having at least one through hole designed to receive a pivotable bushing for a bone screw. The through hole has a central axis and a cross-section extending orthogonally to the central axis defined by two incomplete semicircles connected to each other by at least two non-circular cut outs forming grooves in the fixation element. The device also includes at least one bushing insertable in the through hole. The bushing has top and bottom surfaces, a longitudinal axis, a central bore designed to receive a bone screw, and a peripheral outside face having at least two outwardly extending protrusions defining an axis of rotation of the bushing extending through the protrusions. A cross section of the bushing orthogonal to the longitudinal axis is shaped such that the bushing is pivotable about the axis of rotation defined by the protrusions.

Abstract: System, including methods, apparatus, and kits, for fixing ribs with bone plates.

Abstract: A coupling device for connecting tools with different configuration to a driving mechanism. The coupling device may have a longitudinal axis, a first clamping device which may engage a tool with a peg-shaped clamping segment and a second clamping device which may engage a tool with a generally flat portion. The coupling device may be used to connect a tool to a drive shaft which may be attached to a motor. The tools may be locked or unlocked relative to the coupling device by sliding a sleeve along the axis of the coupling device. The sleeve may be biased in a locked position by biasing means such as a spring. The coupling device may be configured so that the first and second tool may be prevented from rotating and/or moving axially with respect to the drive shaft.

Abstract: A bone plate has an upper surface, a lower surface, and at least one first hole extending through the upper and lower surfaces. The first hole has two or three vertically separate regions, each region communicating with or abutting an adjacent region. The first hole has a first unthreaded upper region, which has a curved inward taper from the plate's upper surface toward the plate's lower surface. The first hole has a second threaded middle region, which has a conical inward taper from the plate's upper surface toward the plate's lower surface. A third unthreaded lower region has a conical outward taper from the plate's upper surface toward the plate's lower surface. The bone plate may be straight, curved, or include a combination of both straight and curved segments.

Abstract: An intervertebral implant has two U-shaped inserts set over each other with a center piece in between. The two inserts each have an opposing base surface, two lateral side surfaces, and a contact surface. The contact surface has a channel configured to receive a spinal process of a vertebral body. The center piece has two resting surfaces corresponding respectively to each contact surfaces. The contact and resting surfaces each have corresponding structures that can engage each other such that the U-shaped inserts can each be fastened in a detachable manner to the center piece. The U-shaped inserts each have on the same lateral side surface connecting means to fasten the inserts to gripping elements of a surgical instrument. And the first and second structures can be engaged or disengaged only by the lateral side surface fitted with the connecting means.

Abstract: This invention relates generally to devices, systems and methods for the internal fixation of bone fractures, and particularly, to intramedullary fracture fixation devices such as those used in, for example, the treatment of long bone fractures. An IM rod preferably is provided with multiple curved sections in different planes preferably designed to conform with the long bones of a patient, both during insertion and in the rod's final position in the long bone. In addition, the overlap of portions of the curved sections results in a co-planar curvature of portions of the IM rod which assist in the insertion process by guiding the proper rotation of the IM rod as it is inserted into the bone. Spiraling flutes extending down the distal portion of the rod also assist in properly guiding and orienting the rod about its longitudinal axis during insertion such that the appropriate segment of the curved rod conforms with the appropriate portion of the long bone at the appropriate place.

Abstract: The present invention relates to a method and a device for producing a planar implant (I) for a human or animal body, which planar implant (I) is preformed corresponding to a desired anatomical shape. The method comprises the following steps: making available a blank of the planar implant; making available a preforming device (V) that comprises a plurality of discrete adjustable support elements (STE) for adjusting an associated plurality of support points in accordance with the desired anatomical shape; defining the desired anatomical shape and determining corresponding settings for the support elements; adjusting the support elements in accordance with the settings determined for the desired anatomical shape; and producing the preformed implant by bending the blank onto the adjusted support elements.

Abstract: The present invention relates to a surgical retractor. The surgical retractor may include a handle having a longitudinal axis and proximal and distal ends, a first coupling mechanism adjacent the proximal end of the handle, and a blade member having a proximal end and a distal end. The blade member may have a coupling element, and the coupling element may be configured and dimensioned to connect with the first coupling mechanism. The present invention also relates to methods for treating bone.