Abstract: A system and method of implanting a distal wrist implant relative to a host bone is presented. A distal radial component having a body including a first connection portion couplable to a stem is coupled to a second prosthetic coupled to a medial surface of the body. The second prosthetic replaces at least a portion of the sigmoid notch.

Abstract: A prosthetic interface includes an orientation assembly, a mounting plate and a load bearing assembly. The orientation assembly includes an anterior frame portion and a posterior frame portion. The anterior frame portion extends over an anterior portion of a torso of a wearer of the prosthetic interface. The posterior frame portion extends over a posterior portion of the torso. The mounting plate is disposed at an intersection of the posterior frame portion and the anterior frame portion. The mounting plate forms a structure to which a prosthetic limb is attachable. The load bearing assembly includes breathable fabric forming a load distribution matrix to distribute a load on the mounting plate over portions of the torso with which the fabric is in contact.

Abstract: Implants and methods for producing same are described, the implants featuring an adjustable porous shell, the inside being continuously interconnectingly adjustably porous and which can be sintered net shaped; these implants exhibit a high compression stability and show, when being combined with filler materials with or without active agents, different chemical, physical-mechanical, biomechanical or also pharmacological properties. The essential features of the manufacturing process are described in FIG. (1) and comprise expandable shaping elements, deformable elastic tools, the application of defined negative pressures, temperatures during defined application periods in combination with combined materials, which can be separated from each other physically, chemically or mechanically and removed.

Abstract: A femoral component of an artificial knee joint is configured with multiple different facets which are similar in size and shape for many different sizes, to simplify an associated method for forming a distal end of the femur to receive the femoral component. Jig embodiments are provided to form surfaces on a distal end of a femur to correspond with facets of the femoral component, with the same jig usable for femoral components of differing size. The femoral component includes medial and lateral condylar legs with a posterior facet of the femoral component exhibiting a negative angle relative to a central axis of the femur, to maximize contact and increase flexion of the artificial knee joint.

Abstract: A prosthesis for reducing injury to soft tissues of the body, comprising an implantable member adapted to simulate at least one of a size or a shape of a naturally occurring bursa, where the member may be inflatable or otherwise expandable, flexible or rigid, and may be composed of a biocompatible, biodegradable, or non-biodegradable material. The member is adapted to be implanted at a musculoskeletal attachment site or at a site between a muscle and a bone, and is shaped and sized to reduce injury to the site. The prosthesis may also include a plug which seals the prosthesis automatically upon removal of an inflation tube.

Abstract: An improved prosthesis and method for stimulating vision nerves to obtain a vision sensation that is useful for the patient that has lost vision due to age-related macular degeneration (AMD) and retinitis pigmentosa (RP) and other diseases. The present invention utilizes infrared light to cause action potentials in the retinal nerves similar to those which result from rods and cones stimulated by visible light in healthy retinas. In some embodiments, the invention provides a pathway or “image pipe” for transmitting a stimulation pattern of infrared light from an external stimulator array through the eye and focusing the stimulation pattern of infrared light on the retina, especially the fovea. Some embodiments provide improved resolution down to a group of nerves, or even the individual nerve level, with sufficient energy density so as to cause a desired action potential.

Abstract: A tibial component of an artificial knee joint is provided which cooperates with a femoral component to allow pivoting rotation of the artificial knee joint in either a clockwise or counterclockwise direction. The tibial component includes a plate with a tapered dovetail rib thereon which allows an insert to be removably secured thereto to act as a meniscal structure for the tibial component. The insert has a proximal surface with left and right wells therein that include valleys to guide rotation of one condylar leg of a femoral component while holding a second condylar leg of the femoral component within the other one of the wells, allowing pivoting rotation in either direction. A nesting of the insert into a portion of the plate minimizes an overall height of the tibial component and minimizing tibial bone resection, while providing a greater resistance to shear forces upon the knee joint.

Abstract: Implant devices, and method of using the same, are provided. The implant devices have a head and a stem. The head has an upper surface, a perimeter surface, and a lower surface. The upper surface is blended into the perimeter surface. The perimeter surface is blended into the lower surface. The upper surface has a general shape of at least a portion of a superior articular surface of a talus and at least a portion of a medial articular surface of a talus. The stem has a cylindrical portion, which optionally has at least one circumferential groove.

Abstract: A prosthesis for a joint includes a stem for engagement with a bone. The stem includes a surface defining a bore. The prosthesis further includes a joint component. The joint component includes a bearing surface for articulating engagement with at least one of a natural opposing joint component and a prosthetic opposing joint component. The prosthesis further includes a mounting element. The mounting element includes a proximal portion for engagement with the joint component and further includes a substantially solid articulating portion having a contiguous periphery. The substantially solid articulating portion is configured to facilitate articulating movement of the substantially solid articulating portion within the bore when the contiguous periphery is not forcefully engaged with the bore, and the substantially solid articulating portion and the bore are configured to fixedly couple the mounting element to the stem when the contiguous periphery is forcefully engaged with the bore.

Abstract: Implantable assemblies for manipulating energy transferred by members defining an anatomical joint, and methods of implanting and using. The members of the anatomical joint collectively define a path of motion. An assembly includes a first component configured to be attached to a first member of the anatomical joint; a second component configured to be attached to a second member of the anatomical joint; and a joint joining the first and second components. The first component includes a first flex member and the second component includes a second flex member. The first and second flex members are configured to flex to absorb energy transferred by the members of the anatomical joint.

Abstract: A vacuum-assisted suspension device for a lower limb prosthesis secures the prosthesis to a residual body portion. Sandwiched between the residual body portion and an impermeable socket is a flexible liner made of an impermeable material that is porous to allow the transport of air and fluid directly away from the residual body portion to the outer surface of the liner. A fabric distribution layer is located over the liner and between the liner and the socket to allow transmission of such extracted air and fluid laterally over the liner to an evacuation port in the socket. The evacuation port has an associated one-way valve. During use, loading of the socket compresses the flexible liner and air is expelled via the evacuation port. When the load is removed, a vacuum is created directly between the residual body portion and the socket, the vacuum being maintained by the one-way valve.

Abstract: A humeral component of a shoulder prosthesis encloses a stem module which has a shank and an upper shank portion with a stem support surface. A joint adapter is adapted to hold either a liner or a spherical cap. The joint adapter has an adapter support surface which interfaces with the stem support surface. Further, the stem support surface and the adapter support surface have corresponding radial arc shaped sections which allow positioning of the joint adapter against the stem module at different inclination angles. For fastening the joint adapter to the stem module, a bolt or screw is provided.

Abstract: An artificial blood vessel includes a flexible tube and a structure provided at one end portion of the tube and capable of being deformed to a first outside diameter and a second outside diameter greater than the first outside diameter, wherein the tube is provided with a lock part which is locked at a desired position when the tube is folded back from its other end portion to the inside.

Abstract: Knee prostheses featuring components that more faithfully replicate the structure and function of the human knee joint in order to provide, among other benefits: greater flexion of the knee in a more natural way by promoting or at least accommodating internal tibial rotation in a controlled way, replication of the natural screw home mechanism, and controlled articulation of the tibia and femur respective to each other in a more natural way. In a preferred embodiment, such prostheses include an insert component disposed between a femoral component and a tibial component, the insert component preferably featuring among other things a reversely contoured posterolateral bearing surface that helps impart internal rotation to the tibia as the knee flexes.

Abstract: Knee prostheses featuring components that more faithfully replicate the structure and function of the human knee joint in order to provide, among other benefits: greater flexion of the knee in a more natural way by promoting or at least accommodating internal tibial rotation in a controlled way, replication of the natural screw home mechanism, and controlled articulation of the tibia and femur respective to each other in a more natural way. In a preferred embodiment, such prostheses include an insert component disposed between a femoral component and a tibial component, the insert component preferably featuring among other things a reversely contoured posterolateral bearing surface that helps impart internal rotation to the tibia as the knee flexes.

Abstract: A system for securing a prosthesis in a bone includes a reference anchor for insertion into a cavity of a bone to define a reference point during prosthesis implantation, the reference anchor including a body having a mating feature and a gripping projection for engaging an inner surface of the bone cavity. The system also includes a stem having a terminal end adapted to mate with the engagement feature of the reference anchor such that the stem is disposed at a desired position relative to the reference point.

Abstract: Improved methods and apparatuses for vertebral body distraction and fusion in accordance with various embodiments employ mechanisms for stabilizing a device so that the device can stay in the body and stably support the disc space during vertebral fusion following distraction of the adjacent vertebra by operation of the device. The device is inserted into the disc space and distracted from a compressed configuration to an expanded configuration to distract the disc space. Mechanisms for stabilizing the device in the expanded configuration constrain the device to zero degrees of freedom of movement to allow the device to stably support the disc space. A bone growth stimulant for promoting vertebral fusion can be inserted into an open space defined by the device, which continues to stably support the disc space during vertebral fusion.

Abstract: Fibrocartilage implants characterized by circumferential fiber networks embedded in arcuate or torroidal scaffolds with orthogonal fiber networks embedded therein to prevent separation of the circumferential fiber networks. The fiber networks convert axial compressive forces on the scaffolds to tensile loads on the circumferential fibers. Artificial knee meniscus and vertebral disc implants are disclosed, as well as articular disc implants for joints such as the temporomandibular joint and wrist. Methods for implanting the fibrocartilage devices are also disclosed.

Abstract: Custom moldable cushions for covering medical implants fastened to a bone are provided. Such cushions inhibit irritation of the surrounding soft tissue by covering the bone-implant interface and by reducing friction caused by movement of soft tissue adjacent the implant. Such cushions may also be employed to spread and absorb forces reducing patient discomfort and risk of injury and infection associated with such implants.

Abstract: A bilayered bone graft device includes a core portion comprising deminernalized gelatin and a shell portion surrounding the core portion. The shell portion includes a calcium silicate and the deminernalized gelatin in a range of 1 to 30 weight percent, and the calcium silicate has a molar ratio of calcium to silicon ranging from 10 to 0.1. The core portion and the shell portion are bound by the deminernalized gelatin without using a binder. In one embodiment of the present invention, the core portion is configured to provide buffering for receiving an insertion, and the shell portion is configured to provide a load-bearing structure.