Abstract: A bone plate system for fixation of bone includes a bone plate and a first fastener. The bone plate includes a bone contacting surface, an upper surface, and a first opening extending between the bone contacting surface and the upper surface. The first opening includes a lower portion, a non-threaded upper portion, and a threaded portion. The threaded portion includes threads and converges towards the lower portion. The lower portion includes a smallest diameter of the first opening. The first fastener includes a head at least partially comprising a spherical portion and a first material. When the first fastener is inserted into the first opening, the threads of the first opening form threads in the first material on the head of the first fastener to secure the first fastener in place at one of a plurality of possible angles within the first opening.

Abstract: A bone plate system for fixation of bone includes a bone plate and a first fastener. The bone plate includes a bone contacting surface, an upper surface, and a first opening extending between the bone contacting surface and the upper surface. The first opening includes a lower portion, a non-threaded upper portion, and a threaded portion. The threaded portion includes threads and converges towards the lower portion. The lower portion includes a smallest diameter of the first opening. The first fastener includes a head at least partially comprising a spherical portion and a first material. When the first fastener is inserted into the first opening, the threads of the first opening form threads in the first material on the head of the first fastener to secure the first fastener in place at one of a plurality of possible angles within the first opening.

Abstract: The present application relates to a sensing system for an medical device, the sensing system having at least one sensor for measuring movement of the medical device and a recording device for storing movement data from the at least one sensor. The application also relates to a method for evaluating a patient's compliance with a healing regimen, the patient provided with a medical device, the method having the steps of a) collecting movement data relating to movement of a sensing system affixed within, to, or near the medical device; b) retrieving the movement data from the sensing system; and c) analyzing the movement data and comparing the movement data to standard movement data to evaluate the patient's compliance with the healing regimen.

Abstract: Apparatuses and methods for externally fixing and precisely adjusting fractures, such as fractures near the ankle, are disclosed. In one embodiment, an external fixation apparatus includes a first member attachable to a first bone segment through pins, a second member coupled to the first member through a lockable ball joint, wherein first and second ends of the second member may be translated transversely relative to a longitudinal axis of the second member, and a pin clamp coupled to and rotatable about the second member through a lockable joint and attachable to a second bone segment. The pin clamp and the second member may be releasably coupled.

Abstract: Systems, devices and methods are disclosed for treating fractures. The systems, devices and methods may include one or both of an implant, such as an intramedullary nail, and a fastening assembly, such as a lag screw and compression screw assembly. The implant in some embodiments has a proximal section with a transverse aperture and a cross-section that may be shaped to more accurately conform to the anatomical shape of cortical bone and to provide additional strength and robustness in its lateral portions, preferably without requiring significant additional material. The fastening assembly may be received to slide, in a controlled way, in the transverse aperture of the implant. In some embodiments, the engaging member and the compression device are configured so that the compression device interacts with a portion of the implant and a portion of the engaging member to enable controlled movement between the first and second bone fragments.

Abstract: A bone plate system for fixation of bone includes a bone plate and a first fastener. The bone plate includes a bone contacting surface, an upper surface, and a first opening extending between the bone contacting surface and the upper surface. The first opening includes a lower portion, a non-threaded upper portion, and a threaded portion. The threaded portion includes threads and converges towards the lower portion. The lower portion includes a smallest diameter of the first opening. The first fastener includes a head at least partially comprising a spherical portion and a first material. When the first fastener is inserted into the first opening, the threads of the first opening form threads in the first material on the head of the first fastener to secure the first fastener in place at one of a plurality of possible angles within the first opening.

Abstract: Systems, devices and methods are disclosed for treating fractures. The systems, devices and methods may include one or both of an implant, such as an intramedullary nail, and a fastening assembly, such as a lag screw and compression screw assembly. The implant in some embodiments has a proximal section with a transverse aperture and a cross-section that may be shaped to more accurately conform to the anatomical shape of cortical bone and to provide additional strength and robustness in its lateral portions, preferably without requiring significant additional material. The fastening assembly may be received to slide, in a controlled way, in the transverse aperture of the implant. In some embodiments, the engaging member and the compression device are configured so that the compression device interacts with a portion of the implant and a portion of the engaging member to enable controlled movement between the first and second bone fragments.

Abstract: A system for fixation of bone, including a bone plate with an opening comprising threads made of a first material and a fastener with a head at least partially comprising a polymeric material that is softer than the first material. In some embodiments, when the fastener is inserted into the first opening, the threads of the first opening form threads in the polymeric material on the head of the fastener and secure the fastener in place at one of a plurality of possible angles within the first opening. The first opening additionally accepts a fastener with a substantially spherical head for compression of a fracture, or a fastener with a threaded head that engages with the threads of the threaded opening. In some embodiments the first opening includes a substantially frustoconical-shaped top portion. In other embodiments there may be a second opening that is either non-threaded or comprises a plurality of protruding fins.

Abstract: The present invention relates to methods and devices for treating femoral fractures, wherein a polyaxial cross member is employed to accommodate a wide range of angles and anteversions/retroversions in the femur, and different securing mechanisms can also be employed to hold and retain such polyaxial cross member in place at the desired orientation.

Abstract: Systems, devices and methods are disclosed for treating fractures. The systems, devices and methods may include one or both of an implant, such as an intramedullary nail, and a fastening assembly, such as a lag screw and a compression screw assembly. The implant in some embodiments has a proximal section with a transverse aperture and a cross-section that may be shaped to more accurately conform to the anatomical shape of cortical bone and to provide additional strength and robustness in its lateral portions, preferably without requiring significant additional material. The fastening assembly may be received to slide, in a controlled way, in the transverse aperture of the implant. In some embodiments, the engaging member and the compression device are configured so that the compression device interacts with a portion of the implant and a portion of the engaging member to enable controlled movement between the first and second bone fragments.

Abstract: A system for fixation of bone, including a bone plate with an opening comprising threads made of a first material and a fastener with a head at least partially comprising a polymeric material that is softer than the first material. In some embodiments, when the fastener is inserted into the first opening, the threads of the first opening form threads in the polymeric material on the head of the fastener and secure the fastener in place at one of a plurality of possible angles within the first opening. The first opening additionally accepts a fastener with a substantially spherical head for compression of a fracture, or a fastener with a threaded head that engages with the threads of the threaded opening. In some embodiments the first opening includes a substantially frustoconical-shaped top portion. In other embodiments there may be a second opening that is either non-threaded or comprises a plurality of protruding fins.

Abstract: Systems, devices and methods are disclosed for treating fractures. The systems, devices and methods may include one or both of an implant, such as an intramedullary nail, and a fastening assembly, such as a lag screw and compression screw assembly. The implant in some embodiments has a proximal section with a transverse aperture and a cross-section that may be shaped to more accurately conform to the anatomical shape of cortical bone and to provide additional strength and robustness in its lateral portions, preferably without requiring significant additional material. The fastening assembly may be received to slide, in a controlled way, in the transverse aperture of the implant. In some embodiments, the engaging member and the compression device are configured so that the compression device interacts with a portion of the implant and a portion of the engaging member to enable controlled movement between the first and second bone fragments.

Abstract: Systems, devices and methods are disclosed for treating fractures. The systems, devices and methods may include one or both of an implant, such as an intramedullary nail, and a fastening assembly, such as a lag screw and compression screw assembly. The implant in some embodiments has a proximal section with a transverse aperture and a cross-section that may be shaped to more accurately conform to the anatomical shape of cortical bone and to provide additional strength and robustness in its lateral portions, preferably without requiring significant additional material. The fastening assembly may be received to slide, in a controlled way, in the transverse aperture of the implant. In some embodiments, the engaging member and the compression device are configured so that the compression device interacts with a portion of the implant and a portion of the engaging member to enable controlled movement between the first and second bone fragments.

Abstract: The present application relates to a sensing system for an medical device, the sensing system having at least one sensor for measuring movement of the medical device and a recording device for storing movement data from the at least one sensor. The application also relates to a method for evaluating a patient' s compliance with a healing regimen, the patient provided with a medical device, the method having the steps of a) collecting movement data relating to movement of a sensing system affixed within, to, or near the medical device; b) retrieving the movement data from the sensing system; and c) analyzing the movement data and comparing the movement data to standard movement data to evaluate the patient's compliance with the healing regimen.

Abstract: Systems, devices and methods are disclosed for treating fractures. The systems, devices and methods may include one or both of an implant, such as an intramedullary nail, and a fastening assembly, such as a lag screw and compression screw assembly. The implant in some embodiments has a proximal section with a transverse aperture and a cross-section that may be shaped to more accurately conform to the anatomical shape of cortical bone and to provide additional strength and robustness in its lateral portions, preferably without requiring significant additional material. The fastening assembly may be received to slide, in a controlled way, in the transverse aperture of the implant. In some embodiments, the engaging member and the compression device are configured so that the compression device interacts with a portion of the implant and a portion of the engaging member to enable controlled movement between the first and second bone fragments.

Abstract: A bone screw apparatus and method of implantation provides a bone screw having an elongated shaft of an oversized length with proximal and distal end portions. The distal end portion of the shaft has a cutting head. The proximal end portion of the shaft is sized and shaped to accept a driver tool, such as a drill chuck. The shaft is externally threaded along a majority of its length. A pair of opposed longitudinally extending circumferentially spaced flat surfaces are provided along the shaft. A removable head with a central opening enables the head to slide along the shaft proximally to distally. A ratcheting mechanism prevents movement of the head along the shaft in but one direction. A central opening of the head is shaped to conform to the shaped surfaces of the shaft, so that the head and shaft can be rotated as a unit by engaging and rotating the head. The tool receptive surface portion of the head includes intersecting external surfaces of the head spaced radially away from the shaft during use.