Abstract: A device for reducing a bone fracture includes (a) a first arm extending from a handle at a proximal end to a distal end having a first substantially spherical tip; (b) a second arm extending from a handle at a proximal end to a distal end having a second substantially spherical tip, the second arm is pivotally connected to the first arm; and (c) an insert removably attachable to the first or second tips. The insert includes a connection mechanism lockingly engaging the first or second spherical tips. Also, the insert includes a first face sized and shaped to be seated over a target portion of skin in an operative configuration. The first face has a first substantially planar portion and a second substantially curved portion attached thereto. The first and second portions define a contour conforming to a contour of skin's target portion.

Abstract: A device for treating a bone comprises a cable block including a first lumen extending from a first proximal opening in a proximal face of the cable block to a first distal opening in a distal face thereof, the first lumen being configured to receive a cerclage cable including an enlarged end. The cable block further includes a second lumen extending from a second proximal opening in the proximal face to a second distal opening in the distal face and being configured to receive a portion of the cable extending from the enlarged end while preventing the enlarged end from passing therethrough. The cable block includes a slot connecting distal portions of the first and second lumens and being at least as large as the second lumen in combination with a crimpable locking member including a channel configured to receive the portion of the cable extending from the enlarged end.

Abstract: A device for treating a bone comprises a cable block including a first lumen extending from a first proximal opening in a proximal face of the cable block to a first distal opening in a distal face thereof, the first lumen being configured to receive a cerclage cable including an enlarged end. The cable block further includes a second lumen extending from a second proximal opening in the proximal face to a second distal opening in the distal face and being configured to receive a portion of the cable extending from the enlarged end while preventing the enlarged end from passing therethrough. The cable block includes a slot connecting distal portions of the first and second lumens and being at least as large as the second lumen in combination with a crimpable locking member including a channel configured to receive the portion of the cable extending from the enlarged end.

Abstract: A crimp configured to fix a cable about a bone includes a body extending from a proximal end to a distal end and a first channel extending through the body from the proximal end to the distal end, the first channel being sized and shaped to permit a cable to be slid therethrough along with a second channel extending through the body from the proximal end to the distal end, the second channel being sized and shaped to permit a cable to be slid therethrough and a deformable extension attached to the proximal end of the body, the extension including a lumen aligned with the second channel and sized and shaped to permit the cable to be slid therethrough.

Abstract: An intramedullary osteosynthetic device includes an intramedullary nail, a hip helical implant, a sliding sleeve, a lateral set screw, and a distal locking screw. The intramedullary nail includes an oblique slotted bore that receives the sliding sleeve and in communication with a cannulation that is partially threaded to receive a coaxial set screw and a threaded notch compatible with the lateral set screw. The hip helical implant includes a frontal helical portion, at least two helical twisted blades attached to the frontal helical portion, and a rear smooth shaft having an external flat surface. The sliding sleeve includes a tube having an internal flat corresponding to the external flat and has external threads at the rear of the sleeve engaging the lateral set screw. The coaxial set screw fixes the sliding sleeve to the intramedullary nail by tightening the sliding sleeve inside the oblique bore.

Abstract: A method for determining a relative position of an hollow needle with a wire partially held by the hollow needle and a bone of a creature includes the following steps: i) capturing into a computer an X-ray image of the hollow needle inserted into a bone region; where the X-ray image has at least an image of the real bone, the hollow needle and the wire inserted in the hollow needle; ii) opening a 3D virtual model of the bone region, where the bone region has a virtual bone model, a virtual hollow needle and a virtual wire; iii) assessing a 3D virtual exact position of the needle relative to the bone region by freely moving, rotating and zooming the 3D virtual objects. The process does not require additional bulky equipment that must be held and maintained in the operating room.

Abstract: An apparatus for securing a cerclage member about a bone within a living body comprises a crimp including a first space extending longitudinally therethrough from a first space proximal opening to a first space distal opening, the first space sized and shaped to slidably receive a cerclage member therein and a second space extending parallel to the first space from a second space proximal opening to a second space distal opening, the second space including a proximal portion to receive the cerclage member and a distal portion decreasing in cross-sectional area and an insert that, when inserted into the second space distal opening adjacent to a cerclage member, a decreasing cross-sectional area of the second space distal portion forces the insert laterally relative to a longitudinal axis of the second space, pinching and locking the cerclage member against movement relative to the crimp.

Abstract: A curved positioning and insertion instrument for inserting a guide wire into the femur has a curved guide tube with a distal end to be placed on the trochanter and/or the medial muscle and a proximal end for inserting a guide wire. The instrument also has a holding arm that links the guide tube to a handle. A positioning hook fitted with at least one correction bore for receiving the guide wire or another guide wire is arranged at the distal end of the guide tube. This structure makes it possible to easily insert further or additional guide wires relative to a reference guide wire.

Abstract: An aiming arm (4) comprises a rigid distal member a distal portion (4?) of which is configured to be releasably coupled to a proximal end (1?) of an implant (1) to be implanted in a medullary canal of a bone (2), so that, when coupled to the proximal end of an implant, an orientation of the proximal end of the implant relative to the distal portion of the aiming arm remains constant in combination with a rigid proximal member (4?) a distal portion of which is rotatably coupled to a proximal end of the distal member. The proximal member includes an aligning feature (8) defining an axis. (10) aligned with an axis of a fixation element receiving hole (9) extending through a distal portion of the implant, the proximal member being rotatable after implantation of the implant, to an adjusted configuration in which the aligning feature is aligned with a post-implantation orientation of the fixation element.

Abstract: A device for treating a bone comprises a cable block including a first lumen extending from a first proximal opening in a proximal face of the cable block to a first distal opening in a distal face thereof, the first lumen being configured to receive a cerclage cable including an enlarged end. The cable block further includes a second lumen extending from a second proximal opening in the proximal face to a second distal opening in the distal face and being configured to receive a portion of the cable extending from the enlarged end while preventing the enlarged end from passing therethrough. The cable block includes a slot connecting distal portions of the first and second lumens and being at least as large as the second lumen in combination with a crimpable locking member including a channel configured to receive the portion of the cable extending from the enlarged end.

Abstract: A device for the positioning of a bone plate against a bone comprises first and second arms pivotally connected at a first joint, distal ends of the first and second arms defining a gripping surface for gripping the bone therebetween, proximal portions of the first and second arms extending in a first plane. An extension member couples to the first and second arms at the first joint and includes a first section extending distally from the first joint parallel to the first plane and a second section extending distally from the first section angled relative to the first section so that when the first and second arms are in a desired configuration gripping the bone, the second section extends parallel to the bone. A compression mechanism couples to the second section and includes a compression member and a coupling member being movable toward and away from the second section.

Abstract: A plate for fixation to a target portion of bone to be treated, comprises a first fixation element receiving opening extending therethrough from a proximal surface to a distal surface, the first fixation element receiving opening including a plurality of columns distributed about a circumference thereof and a plurality of radially expanded sections separating adjacent ones of the columns from one another in combination with a plurality of projections formed on the columns, the projections extending from surfaces of the columns, shapes of the surfaces of the columns on which the projections are formed being selected so that, when engaged by a head of a bone fixation element, the projections engage a thread of a head of the bone fixation element to lock the bone fixation element in the first fixation element receiving opening at any user selected angle within a permitted range of angulation.

Abstract: A depth gauge for measuring the depth of blind holes in bones and/or nails inserted into bones. The measurement tool comprises: a probe with an abutment at its end to engage against the distal edge of the blind hole; a tubular body; and a grooved insert. After the probe, lying into the tubular body, is positioned through the blind hole to be measured, the grooved insert is slid forward inside the tubular body, surrounding the probe, and pushing the probe sideward, towards the blind hole wall. When probe and groove insert are retracted together, they firmly engage against the distal bone wall. The tubular housing is then pushed forward until it abuts against the proximal bone wall, allowing even in small diameter holes, an accurate reading of hole depth on the scale located at the rear end of the probe.

Abstract: An apparatus for securing a cerclage member about a bone comprises a crimp including a first lumen extending therethrough from a first lumen proximal opening to a first lumen distal opening and being configured to slidably receive a cerclage member therein, a proximal portion of the first lumen comprising a first recess configured to receive an enlarged proximal end of the cerclage member, the crimp further comprising a second lumen extending parallel to the first lumen from a second lumen proximal opening to a second lumen distal opening, a distal portion of the second lumen comprising a second recess configured to slidably receive a sleeve provided over a distal end of a cerclage member. A first wall of the crimp adjacent the second lumen distal opening is angled with respect to a second wall of the crimp adjacent the first lumen distal opening to permit pivoting of the sleeve thereagainst.

Abstract: An apparatus for securing a cerclage member about a bone within a living body comprises a crimp body including a first lumen extending longitudinally therethrough from a first proximal opening to a first distal opening, the first lumen being sized and shaped to slidably receive a cerclage member therein and a second lumen extending substantially parallel to the first lumen from a second proximal opening to a second distal opening, a diameter of a distal portion of the second lumen being greater than a diameter of a proximal portion thereof and an insert sized to be inserted into the distal portion of the second lumen, an insert lumen extending through the insert aligning with the second lumen when the insert is received therewithin, the insert being crushable over a cerclage member inserted therethrough to lock the cerclage member relative to the crimp body and apply tension thereto.

Abstract: A bone clamping device, comprises first and second arms pivotally connected to one another, the first arm including a distal end configured to directly contact a portion of bone to be clamped and the second arm including a distal end comprising a substantially spherical tip and an insert configured for attachment to the spherical tip of the second arm, the insert comprising a first face having an opening for receiving the spherical distal tip of the second arm and a second face opposite the first face, the second face having a contour selected to match a contour of a portion of skin against which the insert is to be positioned when in an operative configuration.

Abstract: An intramedullary osteosynthetic device includes an intramedullary nail, a hip helical implant, a sliding sleeve, a lateral set screw, and at least one distal locking screw. The intramedullary nail is cannulated. The cannulation is at least partially threaded to receive a coaxial set screw. The intramedullary nail includes at least one oblique slotted bore in communication with the cannulation, where the at least oblique slotted bore receives a sliding sleeve, and further includes a threaded notch compatible with the lateral set screw. The hip helical implant includes a frontal helical portion having a truncated conical shape, at least two helical twisted blades attached to the frontal helical portion, and a rear smooth shaft, the shaft having an external flat surface. Each blade of the hip helical implant has a hole for receiving a peg from a step helix fixating the hip helical implant to the step helix.

Abstract: A device for binding a cable about a fractured bone to stabilize a fracture comprises a slot including a distal opening sized to receive an enlarged end of a cable and a proximal opening sized to permit the cable to slide therethrough while preventing the enlarged end from passing therethough and a bore sized to slidably receive the cable, the bore extending to a proximal opening in combination with a locking element channel extending to a distal end opening into the bore and a locking element movable into a locking position in which a distal end of the locking element extends into the bore to engage a portion of the cable received therein and lock the cable in a desired position within the bore.

Abstract: A device (100) for creating a tunnel through soft tissue, comprises an elongated insertion member including a lumen extending therethrough to a distal opening, the elongated insertion member being sized to he inserted into the body via an opening of no more than 35 mm diameter and a tunneling member (108) received in the lumen for movement between an insertion configuration in which a tissue penetrating distal tip is received within the lumen and a tunneling configuration in which the distal tip extends distally from the distal opening by a desired distance in combination with a handle (104) coupled to a proximal end of the insertion member, the handle remaining outside the body and including a first actuator (106) for moving the tunneling member between the insertion and tunneling configurations.

Abstract: A device for securing an intramedullary implant within a bone, comprises a bolt having a first portion extending proximally from a distal end of the bolt and a second portion extending proximally from a proximal end of the first portion to a proximal end of the bolt. A length of the bolt is selected to substantially match a thickness of a portion of bone through which it is to be inserted and a length of the second portion being selected to substantially equal a distance from a point on an outer surface of the bone through which the bolt is to be inserted into the bone to an outer surface of the implant so that, when the bolt is fully inserted into the bone, the distal end of the second portion abuts an outer surface of the implant.