Abstract: This invention relates to medicine, in particular to surgical devices for curing the locomotor apparatus with the aid of osteosynthesis. In order to improve operational reliability during implantation, the structure of the inventive device for elongating long bones is embodied in such a way that the axes of the bearing part and the thread screwed part of a screw-holder are offset at a distance ranging from 0.5 to 0.8 mm. A boss (bulge) is embodied on the external body of the device on the side of the orifice in which said screw-holder is fixed. The specific structural embodiment of a finger makes it possible to reduce the traumatic effects of a surgical operation.

Abstract: Instrument set for fitting an intervertebral prosthesis, comprising a guide device (4) for an instrument or a prosthesis part, which guide device (4) is to be secured on at least one vertebral body (2). To be able to attach the guide device (4) precisely on the vertebral bodies despite the difficult operating conditions, an adjustment instrument (10) is provided which positions the guide device when this is being arranged on the vertebral body (2). This adjustment instrument (10) expediently comprises an intervertebral plate (11) which is fitted into the intervertebral space so as to be positioned exactly in relation to the vertebral bodies.

Abstract: A bone screw is disclosed for attaching a spinal fixing element. The bone screw includes a threaded screw shank that can be fixed in place in a bone and a screw head having a fastening area for fastening a fastening device for the spinal fixing element. The fastening area includes a threaded section for fixing the fastening device in place. The screw head includes a recess differing from a threaded section. The recess has a longitudinal axis and allows for non-sliding accommodation of an extension of the fastening device laterally to the longitudinal axis of the recess. The extension of the fastening device engages the recess, the fastening device is rotatable about the longitudinal axis of the recess, and the threaded section extends in the longitudinal direction of the recess. The threaded section may be a hole and, together with the recess, a stepped hole.

Abstract: Medical devices that have a novel mechanical trap(s) on the distal end of a shaft that is used for the removal of material from the body. Further an expandable channel is included to entrap the material that aid with removal or obliteration of tissue or foreign bodies is disclosed.

Abstract: A surgical instrument is provided for urging a longitudinal spinal member into a top-loading spinal implant. The instrument may comprise a holder assembly having a pair of fingers sized and configured to engage the underside of an edge of the spinal implant, a release assembly, and an actuating member. The release assembly may comprise a tubular member and a pusher member, the tubular member being sized and configured to be slidably disposed within the holder assembly, and the pusher member being sized and configured to slidably surround at least a portion of the holder assembly. Upon movement of the actuating member, the holder assembly and the release assembly are moveable with respect to one another so that the longitudinal spinal rod, which is engaged to the pusher member, is urged into engagement with the rod-receiving channel of the spinal implant.

Abstract: An orthopedic bone plate system having a bone plate for placement adjacent one or more vertebral bodies. The bone plate has a first aperture extending along a longitudinal axis and an upper and lower surface. The bone plate system further includes a sliding element having a top portion and a base portion and an aperture extending along a central axis. The sliding element is adapted for being placed adjacent to the bone plate aperture. The system preferably includes a bone fastener having a longitudinal axis which is adapted for connecting the bone plate to a vertebral body. The bone fastener includes a stem and a bone engaging portion. The diameter of the stem may be less than a cross section of the sliding element aperture so that the stem may be oriented within the sliding element aperture at a plurality of angles. The system may further include a stopping element engageable with the sliding element base portion.

Abstract: The present invention relates to an apparatus for fitting a protecting femoral neck device. The said apparatus includes a clamping base. A fixation element whose circumference size can be adjusted according to the size of the femoral neck in mounted on an end of the said clamping base and a locating element is mounted on the other end of the said clamping base. An element for shaping the bone can be fixed on the said locating element.

Abstract: A device for treating bone fractures and/or for fixing surgical implants, surgical threads or tissues in or on the bone comprising a closing element and a rivet. The rivet includes a shaft extending from a rear end to a front end coaxial to a central axis and having a through-hole extending coaxially therethrough. The shaft of the closing element is coaxially displaceable in the through-hole and the head of the closing element can be axially brought to rest on the front shaft end. The rivet also comprises at least two grooves on the outside, these grooves extending from the front shaft in the direction of the rear end, parallel to the central axis.

Abstract: Vaso-occlusive devices are provided for occluding an aneurysm within the human vasculature. The vaso-occlusive device also includes a stretch-resisting member that extends through at least a portion of a lumen of the primary coil and is directly or indirectly attached to the primary coil at two locations axially separated from each other to prevent or minimize axial stretching of the primary coil. At one location, the stretch-resisting member is coupled to the primary coil via a flexible anchor assembly disposed within the lumen. The anchor coil is incorporated into the primary coil by disposing the anchor coil windings between the windings of the primary coil.

Abstract: A bone attachment apparatus and implantation system. The attachment device provides a screw with channels formed therein for implantation within a bone aperture. The channels are used as a torque transfer surface during implantation, and cooperate with a thread forming tap to enable screw implantation simultaneously with thread formation within the aperture. The tap can be used to form channels within the bone. A staple is coupled to the screw and the bone, utilizing the respective channels formed therein, to prevent rotation therebetween. The screw can also cooperate with the staple to secure a soft tissue graft.

Abstract: The invention relates to implantable medical devices, particularly, to porous structures for such devices. In one aspect, the invention provides a porous metal scaffold comprising a porous metal network having pores defined by metal webs, the metal webs covered with at least one layer of metal particles bonded to the metal webs. In other aspects, the invention provides methods of forming porous scaffolds. In one such aspect, the method includes providing a polymer foam; forming a skin of biocompatible metal on the polymer foam by low temperature arc vapor deposition; and heating the polymer foam and the metal skin above the decomposition temperature of the polymer foam in an inert gas atmosphere; thereby the polymer foam decomposes producing a green metal foam. In yet other aspects, the invention provides methods of improving stability of porous scaffolds.

Abstract: An orthopedic device having a support structure provided with at least an orifice for a fixing screw associated with a nut; the head of the screw to be pressed on one side of the support, and the nut adapted to be pressed on the other side of the support, in a housing enabling its being integrated at least partly, so as to enable the support structure to be clamped between the screw head and the nut when the screw body has been completely screwed in the receiving bone material. The implantable device includes elements for maintaining the nut in its housing opposite the orifice, and elements for locking the nut in rotation. The contours of the housing and of the nut are dimensioned to provide at least one degree of freedom to the nut in the housing enabling self-centering of the screw and nut.

Abstract: A bone fixation assembly includes a fixation device, a cup shaped bushing, and a fastening screw. The fixation device has a through passage with an annular recess. The a fastening screw has a threaded shaft for insertion through the through passage and for threadable insertion into bone. The screw has a head with substantially frustospherical shaped side surfaces and mates with the cup shaped bushing. The annular recess in the through passage of the fixation device is configured and dimensioned to downwardly, directly, and annularly receive an upper end of the bushing under compression with a snap fit to prevent the screw from backing out of the bone fixation assembly.

Abstract: Methods and instrumentation particularly adapted for disc space preparation for insertion of implants from an anterior approach to the spine are provided. The instruments include a guide sleeve defining a channel having overlapping cylindrical working channel portions and lateral non-distracting extensions extending from reduced thickness wall portions. The guide sleeve has an overall reduced width configuration. A pair of distractors are provided. A first distractor includes a shaft and distal tip, each having convex walls. A second distractor includes a shaft and distal tip including a recessed area at least along the tip. The first distractor is at least partially received within the recessed area of the second distractor when the first and second distractors are in side-by-side relation and a reduced overall width of the distractors is obtained. Preferably, the first and second distractors are used with the guide sleeve. Methods using the disclosed instruments are also provided.

Abstract: Methods and apparatus for arthroscopic tenodesis using sockets in bone created by retrograde cutting. A cannulated pin is drilled through bone and into a joint space in the normal, antegrade direction, guided by a drill guide. A strand provided through the cannulated pin is used to draw a retrodrill cutter into the joint space. The retrodrill cutter is threaded onto the cannulated pin, which is turned for retrograde cutting of a socket into the bone. The method is used to form a pair of sockets in the joint, which accept the respective ends of a replacement graft. The graft is brought into position in the joint space using loops formed in the strands, in a manner similar to introduction of the retrodrill cutter. The reconstruction is completed by securing suture attached to the graft ends with a button implant installed at the bone surface.

Abstract: A device and method, which can be used for insertion of surgical implants, are provided in which the device includes a shaft having a proximal end and a distal end, and at least one moveable element. In a particular embodiment, the moveable element is disposed within a conduit defined by the shaft. The moveable element includes a leg extending through the conduit and a foot at an end of the leg proximal to the distal end of the shaft. The element is moveable relative to the shaft between a first position, wherein the foot extends beyond the distal end, and a second position, wherein the foot is substantially adjacent to the distal end. The device can further include a surgical implant that can be removably attached to the distal end.

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: A tool for dilating tunnels in bone, in order to compact the cancellous bone around the tunnel and providing better holding for interference screws and the like, comprises a plurality of elongated segments mounted for radial motion with respect to an axis of elongation. When actuated, the segments move radially outwardly, parallel to the axis of elongation, compacting the bone.

Abstract: An adjustable humeral cutting guide for defining a cutting plane for a saw in a bone using a positioning structure includes a clamp, a saw guide, and an orientable coupling. The clamp is configured to be secured to the positioning structure. The saw guide includes a slot formed therein and formed to cooperate with a saw and limit the saw to cutting in a specific plane. The orientable coupling is mounted to the clamp and the saw guide. The orientable coupling is configured to adjust the saw guide at a selectable anterior/posterior angle and a selectable medial/lateral angle.

Abstract: An instrument and a method for gripping an orthopaedic fixation pin during a surgical procedure and extracting the pin from bone in which the pin is embedded. The pin has an embedded portion extending into the bone along a longitudinal axis, and a projecting portion projecting longitudinally from the bone adjacent a bearing surface associated with the bone. The instrument and the method enable gripping of the projecting portion of the pin between gripping elements which are moved laterally relative to one another to grip the projecting portion of the pin and then are moved longitudinally by urging a plunger against the bearing surface to pull the pin along a linear path essentially parallel to the longitudinal axis so as to withdraw the embedded portion of the pin from the bone along a direction parallel to the longitudinal axis.