Abstract: A fixation assembly is described, comprising a fixation plate having an upper surface, a lower surface, a longitudinal axis, and a first opening extending from the upper surface through to the lower surface; a first resilient element extending through at least a portion of the first opening; wherein the first opening is configured to receive a first bone fastener, the first bone fastener having a head and a shaft; wherein the first resilient element is deflectable from a first condition to a second condition; and wherein the first resilient element is configured to engage at least a portion of the head of the first bone fastener when the first bone fastener is at least partially inserted into the first opening. A method of use is also described.

Abstract: A fixation system may comprise at least one carriage element being capable of receiving one or more bone fasteners. The carriage element is mountable on a plate, and the plate has an engaging portion for adjustably securing the carriage element to the main plate. The engaging portion of the carriage element allows translational movement of the carriage plate with respect to the plate in only one axial direction. In one embodiment, the plate includes arms for receiving the carriage element and the carriage element includes channels mountable on the arms, with the engaging portion disposed within the channels.

Abstract: Tools for use in the creation of cavities in bones. The tools include a probe, a cannula that provides percutaneous passageway to the interior of the treated bone, a bone tamp, and a system for delivering bone filler material into the cavity. The bone tamp has a shaft that is inserted into the bone through the cannula. The end of the shaft that is inserted into the bone may have a flapper tip that extends out of axial alignment with the shaft upon deployment by the physician. Once the tip is deployed, the bone tamp can be rotated to form the cavity. The cavity may then be treated with a medicament, filled with bone filler material, or both. Other tools and materials described herein may be used to lift or restore the treated bone closer to its natural anatomy.

Abstract: Skeletal reconstruction cages include a central body having first and second ends, a first end cap coupled to one end of the central body, and a second end cap coupled to the other end of the central body. At least two of the central body, first end cap, and second end cap are formed from bone. Each of the central body, first end cap, and second end cap may be provided in different sizes so that cages with varying overall heights, and related angulations, may be created.

Abstract: An intervertebral implant (1), including an upper section (10) provided with a ventral side area (11), a dorsal side area (12), two lateral side areas (13,14), a top apposition surface (15) and a bottom surface (16), a lower section (20) provided with a ventral side area (21), a dorsal side area (22), two lateral side areas (23,24), a bottom apposition surface (25) and a top surface (26), wherein the two sections (10,20) are moveable in relation to each other by means of two joints (38;39) arranged between the two sections (10;20), and wherein each of the joints (38;39) has a swivel axle (3;4) and the two swivel axles (3;4) are arranged perpendicular to each other, each of the joints (38;39) comprises at least one axle (34;36) coaxial to the relevant swivel axle (3;4) and a bearing shell (35;37) receiving the axle (34;36), and roll bodies (70) are inserted between the axles (34;36) and the bearing shells (35;37).

Abstract: The present invention relates to a transbuccal plate holding cannula used in osteofixation procedures. The transbuccal plate holding cannula of the present invention can be releasibly secured to a bone plate such that tools and fasteners may be passed through the plate holding cannula in order to secure the bone plate to a bone.

Abstract: A method to impregnate a porous bone replacement material (1) with a liquid impregnating agent (5), wherein a) the bone replacement material (1) is or will be enclosed in a chamber (2) with two openings (3, 4) that can be closed, b) the impregnating agent (5) is introduced into the chamber (2) until the bone replacement material (1) is at least partly immersed in the impregnating agent (5), c) one of the two openings (3, 4) will be closed, d) the chamber (2) is evacuated at least partly via the other, open, opening (4, 3), so that the air contained in the pores of the bone replacement material (1) is at least partly removed from it, e) the vacuum produced in the chamber is terminated again by supplying air or a gas through one of the openings (3, 4), and f) the vacuum produced in the pores of the bone replacement material (1) is terminated by the impregnating agent (5) penetrating into the pores of the bone replacement material (1) immersed into the impregnating agent (5).

Abstract: A prosthesis for use in maintaining an interspinal space is disclosed. The prosthesis may be provided as first and second substantially symmetrical halves. The first and second halves may each have a coupling portion and a process portion. The coupling portions allow the separate halves to be separately fit within the interspinal space and then connected to form a single prosthesis, eliminating the need for cutting connecting ligaments to allow insertion of the prosthesis. Various connection and locking arrangements are disclosed to maintain the halves engaged with each other and the interspinal space.

Abstract: A drug-impregnated sleeve for encasing a medical implant is provided. In one embodiment, the sleeve may include a body made of a biologically-compatible material that defines an internal cavity configured to receive the medical implant. In one embodiment, the biologically-compatible material is bioresorbable. The body may include a plurality of apertures, such as perforations or holes, extending from the cavity through the body. The sleeve may further include a first end, a second end, and a drug impregnated into the resorbable sheet. In one possible embodiment, the first end of the sleeve may be open for receiving the medical implant therethrough and the second end may be closed. The implant may be encased in the sleeve and implanted into a patient from which the drug is dispensed in vivo over time to tissue surrounding the implantation site.

Abstract: The invention relates to a sleeve (1), for a bone fixation element, in particular, a wire (10), comprising A) two tubular elements (3; 4), having a common longitudinal axis (2), each with a central drilling (8) of the same diameter (D), an external end (20; 21) and an intermediate end (22; 23) with a front face (28; 29) and B) a shearable connector web (5), fixed to the two tubular elements (3; 4), outside the central drilling (8), by means of which the two tubular elements (3; 4) are axially connected to each other.

Abstract: The present invention discloses a securing device that is used to secure a fixation device to two bone portions to promote healing between the two bone portions. The bone portions commonly include a skull bone portion and a skull bone flap or implant, and the fixation device is commonly a cranial clamp. The securing device provides for securing the fixation device in a uniform, single movement as opposed to currently available products. The securing device has two handles pivotably connected, and a gripping means moveably associated with one handle. As the handles are activated, the gripping means travels proximally along the one handle and grips an elongated section of the fixation device and exerts a tensioning force along the shaft of the elongated section prior to the cutting means cutting the elongated shaft to secure the fixation device in place.

Abstract: Disclosed is an intervertebral implant (1) comprising a central axis (2), a bottom cover plate (3) and a top cover plate (4), which are respectively provided with an exterior surface (7; 8) that extends transversal to the central axis (2), and a central part (10). Said central part (10) is located between the cover plates (3; 4) and is provided with a sleeve (12) encompassing a fiber system (5) that is connected to the cover plates (3; 4) and is embedded in an enveloping body (25) made of a homogeneous material. In analogy with the anatomic structure of the natural disk, the inventive intervertebral implant (1) can transfer occurring compressive forces onto the cover plates (3, 4) thereof as tensile forces that are applied to the individual fibers of the fiber system (5) thereof.

Abstract: The invention relates to dura substitutes to be used as prostheses for dural defects in the field of neurosurgery and processes for producing the same. The present invention provides artificial dura mater materials comprising sheets of microbial-derived polysaccharide processed to have the necessary strength characteristics, conformability and physical properties.

Abstract: A probe used during a total knee arthroplasty for measuring forces and locations of their points of application and thereby moments includes two load sensitive plates t to be inserted in one joint-compartment of a knee joint each and each being provided with a top surface and a bottom surface. At least two load sensors may be situated on the top surfaces and/or the bottom surface of each load sensitive plate.

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: The prosthetic joint has at least two members having each a cooperating articulating surface layer on a substrate material. At least one of said articulating surface layers comprises amorphous diamond-like carbon; or Titanium Nitrate (TiN) on a bonding layer bonded to the substrate material. The prosthetic joint provides a reduction of the number of wear debris and shows enhanced dry run properties.

Abstract: A damping element (1) includes: (a) two spring elements (2, 4) which are coaxial with or parallel to a longitudinal axis (3) and two axially end-side connectors (5, 6), 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 device stabilizing adjacent vertebras, comprising (a) N pedicle screws of hooks (12), where N?3 and where (b) each pedicle screw or pedicle hook (12) includes a receiving device (13) receiving a longitudinal affixation device (7) and where (c) an element (14) acting as a spring is inserted between two adjacent pedicle screws (12) or pedicle hooks.

Abstract: A device for cement augmentation of bone implants that includes a hollow cylinder having an inner diameter, an outer diameter and a longitudinal axis. The hollow cylinder includes an inner cavity, a front end configured and adapted for insertion into a bone, a rear end having a bore hole in communication with the inner cavity, and a shell having at least one perforation. The device also includes a bone implant insertable into the hollow cylinder. The hollow cylinder is adapted and configured to receive unhardened bone cement through the bore hole into the inner cavity.

Abstract: The invention relates to dura substitutes to be used as prostheses for dural defects in the field of neurosurgery and processes for producing the same. The present invention provides artificial dura mater materials comprising sheets of microbial-derived polysaccharide processed to have the necessary strength characteristics, conformability and physical properties.

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.