Abstract: A method of preparing a patient's proximal tibia with a surgical saw and cutting instrumentation is disclosed. The method of the present invention prepares the patient's proximal tibial to receive a tibial implant. The patient's intramedullary canal is first reamed and then an intramedullary rod is placed in the intramedullary canal as a reference. A first cutting instrument is bound on the rod above the patient's proximal tibia. The first cutting instrument includes a stylus that is used to set the depth of cut by referencing the top of the proximal tibia. The proximal tibia is then transversely cut with the saw by tracking the first cutting guide surfaces with the saw. The first cutting instrument is removed together with its stylus. A secondary cutting instrument is then placed on the rod above the proximal tibia. The second cutting instrument has a cutter at its center for cutting longitudinally into the proximal tibia.

Abstract: A suture sleeve for anchoring the lead body of an implantable medical device is fabricated of a biocompatible, polymeric material to which has been added color pigment in clear contrast with the bodily tissue adjacent the sleeve. The sleeve is therefore readily visible to the naked eye to aid the physician in locating the sleeve during lead implant or lead revision. Furthermore, the tubular body may be radiopaque and, therefore, easily seen on a fluoroscope through the addition of a radiologically dense material, such as tantalum powder, to the plastic from which the sleeve is molded.

Abstract: An improved chiropractic adjusting instrument is provided for use in spinal manipulative therapy and for exciting a human spine at its natural frequency. The chiropractic adjusting instrument includes a thrust element for delivering an input force, a body contact member removably attached to the thrust element, a spring means for propelling the thrust element and the body contact member outwardly, and an adjustment knob arranged on the thrust element for adjusting the amount of potential energy imposed on the spring means and for controlling the magnitude of the resulting input force. In use, the input force is mechanically tuned to a desired frequency (e.g., the natural frequency of a human spine) by positioning a shaped mass on the thrust element. By mechanically tuning the chiropractic adjusting instrument in this way, the dynamic output response of the spine is maximized while the requisite impact force is minimized.

Abstract: An implantable bone lengthening apparatus may utilize an entirely self-contained lengthening mechanism which includes a shape memory material-powered hydraulic pump, a shape memory material-powered ratchet mechanism, a permeable head piston mechanism, and a bellows extension mechanism. The bone lengthening nails are more compact, simpler, eliminate unnecessary shifting or torsional movement, and maintain alignment of the bone during its natural healing process.

Abstract: A modular intramedullary nail includes three connectable sections that are connectable end to end. The three sections include an upper proximal nail component, a lower distal nail component, and a central nail component. The nail components are connected and the end using corresponding frustroconical socket and frustroconical projecting end portions of adjoining end nail components that can be fitted together with a taper lock or morse taper connection and secured tightly together upon impact. Upon assembly, the connections are self orienting, providing corresponding key and slot portions adjacent the respective frustroconical socket and frustroconical projecting end portions of the nail components. The interlocking keys and slot align and abut upon assembly so that the adjoining nail components only align in one relative rotational position.

Abstract: A laparoscopic suturing method comprises the steps of (a) disposing a laparoscopic cannula in an abdominal wall of the patient, (b) moving a first end section of a suture through the laparoscopic cannula and into an abdominal cavity of the patient so that a second end section of the suture remains outside the patient, (c) passing the first end section of the suture through organic abdominal tissues of a patient, and (d) drawing the first end section of the suture back out through the laparoscopic cannula upon passing of the suture through the abdominal tissues of the patient. Upon drawing of the first end section of the suture out of the patient, a suture locking device is slid along the suture end sections and through the laparoscopic cannula until the locking device is substantially juxtaposed to the organic tissues at the opening. Then, the suture end sections are severed on a side of the locking device opposite the abdominal tissues and the opening.

Abstract: In the broader aspects of the invention, there is provided an improved surgical tool guide and entry hole positioner comprising at least one cannulated sleeve with a handle and soft tissue protector secured to the sleeve. The cannulated sleeve has an inner surface which serves as a guide surface for a surgical tool and an obturator at one end thereof which fits in the cannulated sleeve.

Abstract: This is an implantable vaso-occlusive device. It is a complex, helically wound coil comprised of a primary helically wound coil which is then wound into a specific secondary shape. The final shape upon deployment is in the approximate shape of an anatomical cavity. upon deployment, the device first fills the periphery of the cavity and then continues to infill the center. The device is a self-forming shape made from a pre-formed linear helically wound. Fibers may be introduced onto the device and affixed to the pre-formed linear member. The constituent member may be also be covered with a fibrous braid. The device is typically introduced through a catheter. The device is passed axially through the catheter sheath and assumes its form upon exiting the catheter without further action. The invention also includes methods of winding the vaso-occlusive device into appropriately shaped forms and annealing them.

Abstract: A surgical device for cutting substantially across a cornea of an eye of a patient, the device including a positioning ring structured to be temporarily attached to a portion of the eye surrounding the cornea to be cut, and defining an aperture sized to receive and expose the cornea to be cut. The surgical device further includes a cutting head assembly structured to be guided and driven over an upper surface of the positioning ring in a generally arcuate path, and having a cutting element positioned therein and structured to oscillate laterally to facilitate smooth and effective cutting of the cornea. The cutting head assembly is structured to be detachably coupled to the positioning ring by a coupling member which permits movement of the cutting head assembly relative to the positioning ring along the generally arcuate path, but maintains sufficient engagement therebetween to ensure that smooth, steady, driven movement is maintained.

Abstract: The earring assembly is manufactured at low cost, which enables conventional pierced earrings to be reused, is diversified in ornamental effect and has its user be completely free from a so-called metal allergy. In the assembly: a post 10 is fabricated from titanium, titanium alloys, or ceramics; an insertion hole 50 is formed in a front-end portion 11 of the post 10, the hole 50 extending in a direction of its longitudinal axis Z; an insertion axle 60 corresponding to the insertion hole 50 is formed in a holder 30; and, the insertion axle 60 of the holder 30 is inserted into the hole 50 of the post 10 and fixed thereto with the use of an adhesive, whereby the holder 30 is integrated into the post 10.

Abstract: An external fixator for securing a first bone portion in a fixed relationship with respect to a second bone portion. The fixator includes a bone screw clamp for receiving a first bone screw which is connected to the first bone portion and which includes a spherical portion. The fixator further includes a bone screw clamp which is operable to receive a second bone screw which is connected to the second bone portion and which has a spherical portion. The fixator also includes a connection member having a radiographic window to permit radiographic examination of the bone fracture, as well as a cantilever member operable to secure the circle portions of the first and second bone screw clamps to the connection member.

Abstract: A percutaneously insertable system for sealing punctures in blood vessels includes an element that is percutaneously insertable into and deplorable within a blood vessel, a thread-like member attached to the element that passes through the wall of the blood vessel and arresting element moveable on the thread and into engagement with the other surface of the blood vessel thereby to seal the opening.

Abstract: A system for performing proximal tibial or femoral osteotomies. The system includes a plurality of bone plates of various sizes, and a calibrated wedge tool for opening a resected tibial wedge and determining the size plate to use in the osteotomy.

Abstract: A modular intramedullary nail has two or more modular components of varied sizes and designs, which are joined by a morse taper friction fit. Adjacent modular components are prevented from rotating relative to each other and can be properly aligned when assembled.

Abstract: Absorbable copolymers are fabricated from a predominant component of dioxanone randomly copolymerized with minor amounts of other bioabsorbable monomers. The copolymers are useful in forming surgical articles, including both monofilament and multifilament sutures.

Abstract: A suture anchor having an anchor member, a central shaft and outwardly extending wing members. A suture mounting hole is provided in the suture anchor for receiving a surgical suture. The suture anchor is inserted into a bore hole in a bone as part of an orthopedic surgical procedure wherein soft tissue such as a tendon is attached to the surface of the bone. Optionally, bone tissue may be attached to the surface of the bone. The wings may have cutting edges or piercing points. The suture anchors may have screw threads on their outer surfaces.

Abstract: An instrument for adjusting vertebrae and other osseous joint subluxation and luxations comprising a device for generating a complex energy waveform, of varying frequency and amplitude, to be applied to the patient in the proximity of the vertebrae or other joints to be adjusted comprising a hand held portion with a moveable stylus at one end, which imparts lateral and torque components of energy, a stylus driving apparatus, a display array to indicate proper alignment of the hand held portion and a pistol grip for ease of handling of the hand held portion; and a fixed controller portion which is used to program the proper alignment of and energy to be applied via the stylus in the hand held portion, and the method for adjusting vertebrae and other osseous joint subluxation and luxations using the said complex energy waveform.

Abstract: A surgical instrument includes a cutting implement comprised of two elements. A driver, which may be disposed within an outer member, transmits force applied at a base to the cutting implement to move one element of the cutting implement in one direction, and the other element in the opposite direction.

Abstract: Apparatus to determine the mutual positions of a femur head and a pelvis in the course of hip surgery in order to be able to make correct securement of prosthetic hip components. Elongated first and second orientation rods are releasably securable respectively to a femur head and a hip pelvis. A gauge rod (13) extends between the two orientation rods and is displaceable along one of the orientation rods. The gauge rod is releasably securable in any of a plurality of adjusted positions longitudinally of that one orientation rod, in order to control the mutual parallelism and the distance between the two orientation rods. The orientation rod other than that one orientation rod has gauge markings thereon for determining the position of the gauge rod along that other orientation rod.

Abstract: An apparatus for retaining bone portions in a desired spatial relationship includes a longitudinal plate extendable along the bone portions. A fastener has a first end portion engageable with a bone portion. A connecting member for connecting the plate to the fastener in any one of an infinite number of positions along the slot includes a recess for receiving a portion of the plate. The recess has an interference fit with the portion of the plate received in the recess. A nut engages the second end portion of the fastener to apply a force to cause the interference fit between the plate and the recess.