Abstract: A joint prosthesis system is suitable for cementless fixation. The system has two metal implant components and a bearing. One of the metal implant components has an articulation surface for articulation with the bearing. The other metal implant component has a mounting surface for supporting the bearing. One of the metal implant components includes a solid metal portion and a porous metal portion. The porous metal portion has surfaces with different characteristics, such as roughness, to improve bone fixation, ease removal of the implant component in a revision surgery, reduce soft tissue irritation, improve the strength of a sintered bond between the solid and porous metal portions, or reduce or eliminate the possibility of blood traveling through the porous metal portion into the joint space. A method of making the joint prosthesis is also disclosed. The invention may also be applied to discrete porous metal implant components, such as augments.

Abstract: A joint prosthesis system is suitable for cementless fixation. The system has two metal implant components and a bearing. One of the metal implant components has an articulation surface for articulation with the bearing. The other metal implant component has a mounting surface for supporting the bearing. One of the metal implant components includes a solid metal portion and a porous metal portion. The porous metal portion has surfaces with different characteristics, such as roughness, to improve bone fixation, ease removal of the implant component in a revision surgery, reduce soft tissue irritation, improve the strength of a sintered bond between the solid and porous metal portions, or reduce or eliminate the possibility of blood traveling through the porous metal portion into the joint space. A method of making the joint prosthesis is also disclosed. The invention may also be applied to discrete porous metal implant components, such as augment.

Abstract: Provided are methods for processing a green body that includes compacted metal powder, comprising impacting the green body with a particulate material for a time and under conditions effective to displace a portion of the metal powder from the green body. The present methods can be used to prepare green bodies that have “roughened” surfaces and that can be used to make orthopedic implants displaying low movement relative to bone when installed in situ, which corresponds to higher stability upon implantation and decreases the time required for biological fixation of the implant. Also provided are implants comprising a metallic matrix, and methods comprising surgically installing an implant prepared from a “surface roughened” green body in accordance with the present invention.

Abstract: An electronic funds transfer consumer authorization verification system for efficiently proving that a consumer authorized a financial transaction via an ACH network. The electronic funds transfer consumer authorization verification system generally includes accepting by a business an authorization from a consumer to debit and/or credit the consumer's financial account in a specified amount via an ACH network, communicating the ACH detailed record for the ACH transaction along with a transaction data file from the business to a third-party payment processor, and communicating to the business a transaction key associated with both the ACH detailed record and the transaction data file. The transaction data file is an image data file that may be comprised of an ACH authorization signature or statement by the consumer authorizing the ACH transaction, a copy of the identification documents for the consumer and/or state licensing information for the business.

Abstract: A payment system for rapidly facilitating funds transfers from a payer to a payee. The payment system generally includes enrolling a payee with a payer, verifying the payee information, sending an introductory message to the payee, receiving an acceptance message from the payee, receiving a funds request message from the payee, depositing funds into a payee financial institution and sending a funds deposited message to payee. In an alternative embodiment, a customer initiated payment system allows customers to initiate payments to a merchant.

Abstract: An orthopaedic prosthesis for cementless fixation has a solid metal base and porous metal pegs extending out from the base. The pegs are mechanically, rather than metallurgically, fixed to the base. A process for making such a prosthesis is also disclosed.

Abstract: Orthopaedic implants with scratch-, wear- and corrosion-resistant ceramic coatings on metal substrates are provided, as well as methods for making such coatings. The metal substrate is advantageously HIP'd and homogenized prior to coating with the ceramic, and the HIP'd and homogenized metal substrate is preferably ground and polished prior to coating with the ceramic. The ceramic coating may include a band with multiple thin alternating layers of titanium nitride, titanium carbonitride or both titanium nitride and titanium carbonitride, and may include an alumina overcoat. The present coatings curtail the growth of microcracks that can otherwise result from surface cracks or scratches on coated substrates, and thereby provide improved wear characteristics, scratch resistance, and prevent the penetration of corrosive fluids to the substrate material.

Abstract: A joint prosthesis system is suitable for cemented fixation. The system has two metal implant components and a bearing. One of the metal implant components has an articulation surface for articulation with the bearing. The other metal implant component has a mounting surface for supporting the bearing. One of the metal implant components includes a solid metal portion and a porous metal portion. The porous metal portion has surfaces with different characteristics, such as roughness, to improve bone fixation, ease removal of the implant component in a revision surgery, reduce soft tissue irritation, improve the strength of a sintered bond between the solid and porous metal portions, or reduce or eliminate the possibility of blood traveling through the porous metal portion into the joint space. A method of making the joint prosthesis is also disclosed. The invention may also be applied to discrete porous metal implant components, such as augment.

Abstract: A flexion gap instrument is configured to mate with a ligament tensioning tool, such as known distraction devices and pivoting knee balancers. The instrument facilitates making A/P resections in the femur for placement of a femoral prosthesis component to maintain an optimum symmetric flexion gap, which will avoid the risk of medial or lateral laxity in flexion, instability of articulating component dislocation. The instrument includes a base that is configured to sit within the ligament tensioning device, and a vertically extending upstanding portion that is configured to mate with a cutting block or other knee arthroplasty instrument that must be positioned relative to the distal end of the femur. The upstanding portion includes a measurement plate that bears a scale indicating a flexion gap distance.

Abstract: A flexion gap instrument is configured to mate with a ligament tensioning tool, such as known distraction devices and pivoting knee balancers. The instrument facilitates making A/P resections in the femur for placement of a femoral prosthesis component to maintain an optimum symmetric flexion gap, which will avoid the risk of medial or lateral laxity in flexion, instability of articulating component dislocation. The instrument includes a base that is configured to sit within the ligament tensioning device, and a vertically extending upstanding portion that is configured to mate with a cutting block or other knee arthroplasty instrument that must be positioned relative to the distal end of the femur. The upstanding portion includes a measurement plate that bears a scale indicating a flexion gap distance.

Abstract: A patella clamp and method for use in resecting a patella for the reception of a patellar prosthesis holds the patella in a preparation position and provides the surgeon with a direct and interoperative accurate visual indication of the bone thickness of the patella prior to and subsequent to resection, as well as a direct and interoperative accurate visual indication of an interoperatively settable depth of resection, all without the necessity for introducing supplemental instruments or other apparatus during the resection procedure.