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 bone fixator for securing a first bone portion in a position relative to second bone portion is disclosed, including at least two clamping assemblies each for receiving at least one bone pin and a main body disposed between the clamping assemblies. The main body includes at least one joint for orienting the clamping assemblies with respect to each other. The at least one joint may permit pivoting or rotation. Some joints permit the articulation of several components to be simultaneously and releasably lockable.

Abstract: The intervertebral implant is in the form of a three-dimensional structure (10) comprising (a) a top side (1) and an underside (2) which are designed to rest against the end plates of two adjacent vertebras, (b) a left side face (3) and a right side face (4), (c) a front face (5) and a rear face (6), (d) a horizontal center plane situated between the top side (1) and the underside (2), (e) a vertical center plane (8) situated between the left side face (3) and the right side face (8) and (f) a plurality of boreholes (9) passing through the implant structure (10) that are designed to receive longitudinal affixation elements (20), the axes (19) of said elements intersecting the horizontal center plane (7). At least one of the boreholes (9) is designed in a manner that the affixation element (10) received in it can be rigidly connected to the intervertebral implant. Said connection is implemented using a thread or by matching conical surfaces.

Abstract: A bone plate for fixation of a fractured bone includes a first portion having a first longitudinal axis and a second portion having a second longitudinal axis. The second portion is angled with respect to the first portion. The first portion has at least one hole for receiving a bone anchor having a shaft. The hole has a first hole portion defining a first central axis substantially perpendicular to a lower surface of the first portion and configured to receive the bone anchor. The hole includes a second hole portion overlapping and in communication with the first hole portion from upper to lower surface defining a second central axis substantially angled with respect to the first central axis, and configured to receive the bone anchor such that the shaft is substantially angled with respect to the second portion of the bone plate so as to form a truss.

Abstract: An allogenic implant for use in intervertebral fusion is formed from two parts. The first part, composed of cortical bone, provides mechanical strength to the implant, allowing the proper distance between the vertebrae being treated to be maintained. The second part, composed of cancellous bone, is ductile and promotes the growth of new bone between the vertebrae being treated and the implant, thus fusing the vertebrae to the implant and to each other. The implant is sized and shaped to conform to the space between the vertebrae. Teeth formed on the superior and inferior surfaces of the implant prevent short-term slippage of the implant.

Abstract: A driver has a tip that enables it to engage each one of a conventional hexagonal-head fastener and a conventional lobed-head fastener. The tip includes alternating flutes and crests. The crests are substantially flat to engage straight walls of a hexagonal-head. The flutes engage the lobed head of the fastener. A socket-type driver engages each type of conventional fastener. A fastener and a pair of socket-type fasteners have alternating flutes, which can be engaged by a conventional lobed-head driver, and crests or sidewall surfaces, which can be engaged by a conventional hexagonal-head driver.

Abstract: An intervertebral implant for fusing vertebrae is disclosed. The implant has a body with curved, substantially parallel posterior and anterior faces separated by two narrow implant ends, superior and inferior faces having a plurality of undulating surfaces for contacting upper and lower vertebral endplates, and at least one depression at a first end for engagement by an insertion tool. The arcuate implant configuration facilitates insertion of the implant from a transforaminal approach into a symmetric position about the midline of the spine so that a single implant provides balanced support to the spinal column. The implant may be formed of a plurality of interconnecting bodies assembled to form a single unit. An implantation kit and method are also disclosed.

Abstract: An intervertebral implant for fusing vertebrae is disclosed. The implant has a body with curved, substantially parallel posterior and anterior faces separated by, two narrow implant ends, superior and inferior faces having a plurality of undulating surfaces for contacting vertebral endplates, and at least one depression in the anterior or posterior face for engagement by an insertion tool, at least two vertical through-channels extending through the implant, a chamfer on the superior and inferior surfaces at one of the narrow implant ends, and a beveled edge along a perimeter of the superior and inferior faces. The implant configuration facilitates transforaminal insertion of the implant into a symmetric position about the midline of the spine so that a single implant provides balanced support to the spinal column. The implant may be formed of a plurality of interconnecting bodies forming a single unit. An implantation kit and method are also disclosed.

Abstract: The invention relates to a bone fixation device which includes a pair of bone plates and a longitudinal carrier. The longitudinal carrier can be used to permit the bone plates to telescope with respect to one another, such as in a direction parallel to the longitudinal axis of the vertebral column. A joint also may be used to permit swivelling of the plates with respect to each other.

Abstract: A vertebral implant for fusing adjacent vertebrae or for replacing vertebral bodies is disclosed. The implant is a biocompatible metal, resorbable, or radiolucent implant conforming substantially in size and shape with an end plate of a vertebra. The implant preferably 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 areas with a plurality of teeth to resist expulsion and provide initial stability and areas devoid of any protrusions to receive implantation instrumentation. The implant also has a stackability feature. The implant provides initial stability needed for fusion without stress shielding.

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: A screw holder for securing a screw having a longitudinal shank and a central axis, a spindle adjoining the front end of the shank and having a bore therethrough flush with a groove, configured and dimensioned for receiving an elastic component to secure a screw into a steady position while turning the screw in or out.

Abstract: The present invention is directed to a radiolucent aiming guide for locating and drilling through the holes in the distal end of an implanted intramedullary nail. The aiming guide comprises an elongate handle constructed substantially of a radiolucent material, which does not cast a strong image on a monitor when exposed to radiation. The radiolucent handle is used in conjunction with a protection sleeve, trocar, drill sleeve, and drill bit, which are used to locate and drill through the hole in the nail. Radiopaque components in the distal end of the protection sleeve, trocar, and drill bit are used to align the drill over the nail hole. A pair of radiopaque pins, located within the handle and lying parallel to its longitudinal axis, aid in ensuring the proper rotational alignment of the aiming guide over the nail hole. The aiming guide may also include a structure to facilitate its alignment over a second hole in the distal end of the intramedullary nail.

Abstract: Orthopedic implant insertion instruments for precision guiding of a fracture fixation implant into fractured bone to promote healing are disclosed. The implant insertion instruments comprise an insertion handle for implantation of a first fixation implant, an aiming arm for precise guiding of a second fixation implant into bone, a guide sleeve for protection of soft tissue and for translational and rotational control of the second fixation implant, and a drive shaft with coupling screw for attachment to the second fixation implant and for driving the second fixation element through the aiming arm and guide sleeve into the fractured bone. The implant insertion instruments also include a soft tissue clearance device to aid the surgeon in inserting the first fixation implant into the fractured bone. Also disclosed is a measuring device that reduces measuring errors made by a user and a measuring device that determines implant length, diameter, and angle of insertion.

Abstract: The embodiments of the present invention relate to a device for storing and/or mixing and/or injecting cements, especially bone cements. The device includes a tube having a longitudinal axis, a front end with an outlet opening, a rear end; and an internal cylindrical cavity having a first end and a second end; a locking mechanism detachably connected to the front end of the tube so that the outlet opening can be sealed; and a lid detachably connected to the rear end of the tube; the lid having a borehole extending therethrough.

Abstract: An intervertebral disk prosthesis having an essentially hollow cylindrical base element (1) which is provided with a casing (2) that is embodied as a bellows, a top end (3), and a bottom end (4), and a central longitudinal axis (5). The base element also includes an upper apposition plate (6), which is disposed perpendicular to the longitudinal axis (5) at the top end (3) of the base element (1) and rests on the base plate of the vertebra, and a lower apposition plate (7), which is arranged perpendicular to the longitudinal axis (5) at the bottom end (4) of the base element (1) and leans on the cover plate of a vertebra. The casing (2) serves a spring element having a defined spring rate.

Abstract: A drill guide with integral drill bit is provided for drilling a hole into bone. The drill guide may have a housing for engaging a screw hole of a bone plate to fix the trajectory of the drill guide and drill with respect to the bone plate. An adjustable stop assembly is also provided and is axially slidable along the drill bit. The adjustable stop has a drill bit engaging mechanism to selectively lock the adjustable stop to the drill bit at a desired location to limit the depth that the drill may penetrate into the bone.

Abstract: A graft fixation device, system and method are disclosed for reconstruction or replacement of a ligament or tendon preferably wherein a soft tissue graft or a bone-tendon-bone graft is received and implanted in a bone tunnel. The graft fixation system includes a fixation device comprising a threaded body which is rotatably connected to a graft interface member. One embodiment of the implant/graft interface member includes an enclosed loop for holding a soft tissue graft. Another embodiment of the interface member includes a bone cage comprising a cage bottom and removable cage top to hold a bone block at one end of a bone-tendon-bone (BTB) graft. An additional embodiment of the interface member includes a one-piece bone cage which may be crimped or stapled to a bone block. The fixation device holds a graft in centered axial alignment in a bone tunnel.