Abstract: A CAS system and method for guiding an operator in inserting a femoral implant in a femur as a function of a limb length and orientation of the femoral implant with respect to the femur, comprising a reference tool for the femur, a registration tool, a bone altering tool and a sensing apparatus.

Abstract: A porous, self-sustaining body useful as a scaffold for bone grafting is provided. The scaffold comprises a carbonaceous matrix comprising a continuous phase having a surface and defining a plurality of open spaces throughout the matrix. The internal and external surfaces of the matrix are coated with a layer or film selected from the group consisting of osteogenic materials, therapeutic agents, and combinations thereof. The porous body comprises organic materials and is substantially free of metals. Methods of making and using the porous self-sustaining body are also provided, along with kits for facilitating the same.

Abstract: An implant system for total shoulder arthroplasties, hemi shoulder arthroplasties, and “reverse” total shoulder arthroplasties including a humeral stem having an enlarged head portion with interfaces adapted to removably receive various modular interchangeable components, such as articulating liners, spacers, and adapter inserts. The humeral stem functions as a universal platform that may be used in either conventional or “reverse” total shoulder arthroplasties, as well as hemi shoulder arthroplasties, and may remain implanted in place during a revision in which the implant system is converted between the foregoing configurations, for example.

Abstract: A tibial prosthesis including a tibial component including a tray having first and second opposing surfaces and a stem extending from the second surface of the tibial component, a tibial conversion module including a receiver portion defining a stem-receiving cavity for slideable engagement with the stem of the tibial component, wherein the stem of the tibial component is positioned within the stem-receiving cavity at a first end of the receiver portion, and an extension peg engaged with the stem-receiving cavity at a second end of the receiver portion that is opposite the first end of the receiver portion.

Abstract: A spacer device (1) for the two-step treatment of prosthesis infections, made from biologically compatible and porous material designed to allow the possibility of adding pharmaceutical products, active and/or therapeutic ingredients, includes a first portion (2) designed to be fixed to a corresponding bone bed remaining from a previous implant, and a second portion (3) designed to be inserted in a corresponding articular area of the patient, the first portion (2) and the second portion (3) being attached by adjustable connecting means (4).

Abstract: A joint support and subchondral support system and method of use of same for providing structural and dampening support to damaged subchondral bone adjacent to a body joint are disclosed. The joint support and subchondral support system and method of use of same are applicable to many parts of the joint as any area with cartilage disease has an adjoining subchondral component.

Abstract: A finger joint prosthesis is provided including a joint body having first and second joint elements, which are connected together pivotably about a rotary axis and from each of which extends an anchoring bar for fixing to a proximal and/or distal phalanx. The anchoring bars have eyes with openings for receiving fixing screws. To increase stability, it is proposed that the first joint element have an external hollow body with an insertion opening, that the second joint element have an internal hollow body, and that the internal hollow body in the position of installation can be inserted by way of the insertion opening relatively movably into the external hollow body. A spindle can be inserted in the position of installation into the internal hollow body for rotationally movable connection to the external hollow body.

Abstract: Apparatus and methods are described including an implantable device shaped to define (a) at least two artery-contact regions, the artery-contact regions comprising struts that are configured to stretch an arterial wall by applying pressure to the arterial wall, and (b) at least two crimping regions that comprise locking mechanisms configured to prevent the crimping regions from becoming crimped due to pressure from the wall of the artery on the artery-contact regions. The crimping regions are configured to be crimped during insertion of the device, via a catheter, by the locking mechanisms being unlocked during insertion of the device. Other embodiments are also described.

Abstract: A carpometacarpal joint replacement system for replacing the trapezium bone in the hand is provided. The system includes a trapezial implant for the carpometacarpal joint resulting in replacement of the carpal trapezium bone with a prosthesis having the same anatomical configuration as the trapezium bone. The implant device comprises a plurality of concave surfaces, with the plurality of concave surfaces articulating with the carpal and metacarpal bones.

Abstract: The invention relates to devices that are stabilized at an intraluminal residence site in the gastrointestinal tract by their conformation, including dimensions of length and curvature. The device as a whole corresponds to the conformation of the residence site; more particularly, the curved or angled portions correspond to the curved or angled portions of the residence site and do not conform to an immediately proximal or distal site. In some embodiments, the conformationally stabilized device may effect a change in the residence site shape that contributes to stability of the device. Some embodiments are directed toward curbing appetite and/or reducing food intake, other embodiments may be directed toward other therapeutic ends. Some embodiments of the device are designed to reside wholly in the duodenum; others reside principally within the duodenum but extend proximally into the gastric antrum, while other embodiments are designed to reside elsewhere within the gastrointestinal tract.

Abstract: A spacer for an artificial spinal disc arrangement is provided. The artificial disc arrangement includes an upper plate, a lower plate, and articulating surfaces between the upper and lower plates arranged to permit motion between the upper and lower plates. The spacer has a first surface for contacting the upper plate and a second surface for contacting the lower plate and is of sufficient thickness such that, when disposed between the upper and lower plates, the spacer limits motion between the upper and lower plates. An artificial disc, a method of limiting motion of an artificial disc in a patient, and a method of performing spinal disc surgery are also disclosed.

Abstract: A medical implant includes a flexible container having two layers of flexible surrounding walls, each surrounding wall being provided with a plurality of through holes; a tubular fitting being connected to an open end of the flexible container for inserting or infusing a medical filling material into the flexible container through the tubular fitting; and a thrust part connected to the flexible surrounding walls of the flexible container and at a distal end of the flexible container. The thrust part has a receiving seat and a ring, the receiving seat having a central bore and an annular groove surrounding the central bore and opposite to the central bore, wherein a tubular surrounding wall is inserted into the ring and is folded so that the two layers of flexible surrounding walls are formed with the ring imbedded between the two layers of flexible surrounding walls, and the ring with the two layers of flexible surrounding walls are received in the annular groove and detained therein due to friction.

Abstract: A femoral implant includes a main shaft with a proximal end and a smooth distal end. A porous circumferential collar is provided between the proximal end and distal end, and a porous distally-extending portion extends distally from the collar to provide for additional bone ingrowth.

Abstract: Joint space interpositional prosthetic devices for positioning between surfaces of a joint in a patient are disclosed. The prosthetic device may have exterior surfaces affixed to the joint surfaces and may have internal surfaces which provide bearing surfaces. In an exemplary embodiment, the bearing surfaces are encapsulated within the device. The exterior surfaces of the device may include bone securement features to facilitate attachment of the prosthetic device to the joint surfaces.

Abstract: A device for ameliorating joint conditions and diseases comprising a) a first section comprising a joint-ward end, an opposing mating end, and a lateral wall, a peripheral column partially forming the lateral wall of the first section, a central column, and three or more than three struts extending between and connecting the peripheral column and the central column, and each strut thereby supporting the central column, the joint-ward end further comprising a plurality of fenestrations formed by a confluence of the peripheral column, the central column and two adjacent struts of the three or more than three struts, and first section further comprising a central aperture within and formed by the central column, and configured to mate with a driver, b) a second section comprising a mating end, an opposing leading end, and a lateral wall, the lateral wall of the second section comprising threads.

Abstract: An implant system for total shoulder arthroplasties, hemi shoulder arthroplasties, and “reverse” total shoulder arthroplasties including a humeral stem having an enlarged head portion with interfaces adapted to removably receive various modular interchangeable components, such as articulating liners, spacers, and adapter inserts. The humeral stem functions as a universal platform that may be used in either conventional or “reverse” total shoulder arthroplasties, as well as hemi shoulder arthroplasties, and may remain implanted in place during a revision in which the implant system is converted between the foregoing configurations, for example.

Abstract: A multi-axial expandable pedicle screw includes a hollow screw having a spherical shaped end for connecting with an adapting piece in the form of a universal joint structure. The hollow screw further includes a tip shaped end, and a bore formed inside the hollow structure having a taper shaped tip. Expansion gaps are formed in the hollow screw to uniformly set up two, three, four or more anterior fins on the hollow screw extending upward along its axial direction, from its tip to the bore. The hollow screw is configured to receive an inner needle disposed in the bore. This pedicle screw is easy to operate and provides a high degree of control in screw expansion with increased stability and reliability. At the same time, this pedicle screw reduces the occurrence of screw loosening, and screw pull-out events, and also reduces failure rates of spinal surgeries.

Abstract: A method for selectively dissolving the beta (?) phase of a titanium alloy out of the surface of the alloy, thereby leaving behind a nano-scale porous surface having enhanced bonding properties with either a biological tissue, such as bone, or an adhesive material, such as a polymer or ceramic by immersing the alloy in an ionic aqueous solution containing high levels of hydrogen peroxide and then exposing the alloy to an electrochemical voltage process resulting in the selective dissolution of the beta phase to form a nano-topographic metallic surface.

Abstract: A stent graft includes a stent graft material of tubular shape and annular shaped stent elements coupled to the stent graft material. The stent graft further includes hooked fixation elements, having hook-end portions and coupling-end, circumferentially spaced about an annular shaped spring attachment element, and coupled to the stent graft at apexes of the spring attachment element. Before deployment the hook-end portions of the apexes of the attachment element and the hooked fixation elements attached thereto are compressed within the space bounded by the interior and exterior sides of the spring attachment element and angled laser cut strut inner surfaces under each apex of the spring attachment element are cut at an angle to cause apex and hook rotation at expansion and deployment.

Abstract: A system of prosthetic patellar components including first and second prosthetic patellar components having dissimilar perimeter shapes and which are interchangeably usable without altering the securement feature formed on the natural patella or the position of the apex of the articulating surface of the prosthetic patella is described. A keyed securement feature as well as a patellar implant having a single offset mounting post for facilitating the proper placement of a patellar prosthesis on a natural patella based on patella tracking are also described.