Abstract: An intramedullary fixation device for use in securing a trial in the medullary canal of a bone to determine the offset and orientation of a prosthetic implant for replacement of a joint articulating surface of the bone is disclosed. The fixation device comprises a body for receiving a trial and a fixation portion for engaging the trial. A system for use in surgical repair of a joint comprising a selection of prosthetic implants of various sizes, a selection of trials of various sizes corresponding to the sizes of the implants, a selection of fixation devices of various sizes corresponding to the sizes of the trials, a trial fixation device driver for inserting the fixation device and attached trial into the canal of a bone, and a trial device extractor for removing the fixation device from the resected bone is disclosed. Methods of using the fixation device and system of the invention are disclosed.

Abstract: An orthopedic implant with a diffusion-hardened surface on non-load bearing areas of the implant for interaction with non-load bearing surfaces of a polymeric bio-compatible material, such as UHMWPE (ultra-high molecular weight polyethylene). The orthopedic implant is a mobile-bearing knee prosthetic and system where a coating of oxidized zirconium is formed on the post of the tibial tray of the prosthetic for interaction with an opening of a polymeric tibial insert. The diffusion-hardened surface of the orthopedic implant provides a strengthened post and reduction in wear in the opening of the polymeric insert.

Abstract: Methods, instrumentation and devices for humeral implant positioning, including an improved trialing system utilizing an adjustment instrument and orientation indicia.

Abstract: A buffer accessible by an application executing under an application server in a first address space is managed by a database adapter executing in a second address space. A data request from the application executing in said first address space, comprising a buffer locator in the empty state, is received by the database adapter executing in the second address space. A buffer is allocated in the first address space and the address of this buffer is stored in the buffer locator. Data associated with the data request, received from a database subsystem, is copied to the buffer. Control is then transferred back to the application whereby the application utilizes the buffer locator to access the buffer and process the data contained therein.

Abstract: An intramedullary fixation device for use in securing a trial in the medullary canal of a bone to determine the offset and orientation of a prosthetic implant for replacement of a joint articulating surface of the bone is disclosed. The fixation device comprises a body for receiving a trial and a fixation portion for engaging the trial. A system for use in surgical repair of a joint comprising a selection of prosthetic implants of various sizes, a selection of trials of various sizes corresponding to the sizes of the implants, a selection of fixation devices of various sizes corresponding to the sizes of the trials, a trial fixation device driver for inserting the fixation device and attached trial into the canal of a bone, and a trial device extractor for removing the fixation device from the resected bone is disclosed. Methods of using the fixation device and system of the invention are disclosed.

Abstract: An orthopedic implant with a diffusion-hardened surface on non-load bearing areas of the implant for interaction with non-load bearing surfaces of a polymeric bio-compatible material, such as UHMWPE. The orthopedic implant is a posterior stabilized knee prosthetic and system where a coating of oxidized zirconium is formed in the cam of the femoral prosthetic for interaction with the central post of a polymeric tibial insert. The diffusion-hardened surface of the orthopedic implant provides a strengthened cam and reduction in wear in the central post of the polymeric tibial insert.

Abstract: A method, apparatus, and article of manufacture for accessing a database management system. A database management system (DBMS), executed by a server computer, manages one or more datastores stored on the computer. The DBMS includes an Open Transaction Manager Access (OTMA) that provides a high level application programming interface (API) for an application program to access the DBMS and its datastores, wherein the OTMA allows the application program to create an authorized connection with the DBMS. The server computer also executes a TCP/IP OTMA Connection (TOC) that establishes and manages connections between the DBMS and the application program. In the preferred embodiment, the application comprises a Java servlet or applet executed by a Java Virtual Machine JVM).

Abstract: An UOWE is created to represent a message which is put out to the coupling facility. If it is a committed message and the PUT failed for some reason, the UOWE is flagged for “retry”. These retry UOWEs will accumulate over time. The retry logic analyzes each “retry” UOWE, extracts the log token from this UOWE, uses this log token to read a specific log record from the IMS log data set and attempts to put the committed message to the central facility again.

Abstract: A method, apparatus, and article of manufacture for accessing a database management system. A database management system (DBMS), executed by a server computer, manages one or more datastores stored on the computer. The DBMS includes an Open Transaction Manager Access (OTMA) that provides a high level application programming interface (API) for an application program to access the DBMS and its datastores, wherein the OTMA allows the application program to create an authorized connection with the DBMS. The server computer also executes a TCP/IP OTMA Connection (TOC) that establishes and manages connections between the DBMS and the application program. In the preferred embodiment, the application comprises a Java servlet or applet executed by a Java Virtual Machine (JVM).

Abstract: The present invention is a method and system for ensuring client access to paired and unpaired response messages. In the method, the server detects one or more unpaired message which are stored in a data structure on the server. The data structure may be created when the server is started or automatically when the first unpaired message is identified. The method then uses a communications protocol between the client and server which allows the client to request one or more of the stored unpaired messages. The system of the present invention uses a request module configured to receive a client request and prepare the client request for a response generator. The response generator receives the client request from the request module and generates an appropriate response. Next, an unpaired message module analyzes the response message generated by the response generator and distinguishes a paired message from an unpaired message.

Abstract: A method, computer program product, system, and data structure used in mapping data received from a centralized transaction processing system, such as the IMS system available from IBM, at the request of a remote application program or other client made across a communications network, such as the Internet. In one embodiment, a transaction code, a map identifier, and other information necessary for the transaction are sent to a centralized system or server. The transaction is executed on the transaction processing system and results data received therefrom. The map is then accessed in order to format the results data before returning it to the requesting client. One form of information that could be used within a map are source-destination triplets. In this instance, there is a source indicator, a destination offset into a buffer, and a length indicating how much to transfer from the indicated source into a buffer. The source indicator may be either a literal value or an offset into a results data set.

Abstract: Methods, instrumentation and devices for humeral implant positioning, including an improved trialing system utilizing an adjustment instrument and orientation indicia.

Abstract: During phase one of each protected conversation transaction, one or more messages are inserted. These messages are logged for recoverability. IMS system could crash before phase two of commit. When IMS restarted and eventually reached phase 2, it could vote to abort or commit the conversation. During IMS restart, the retry logic is used to put all protected conversation messages out to central facility with a specification that the first message segment be put on the staging queue using the recovery token as the queue name. If it is an abort request, all messages under the same commit scope identified by the recovery token, will be deleted. If it is a commit request, the first segment of all messages under the same commit scope will be moved to its appropriate ready queue with its actual queue name.

Abstract: A modular humeral prosthesis for replacement of the humeral head of a humerus. The prosthesis generally comprises a stem to be fitted to a resected humerus; a head sized and configured to approximate the humeral head; and an intermediate connecting member for connecting the stem to the head. The intermediate connecting member provides a desired angle of inclination or offset between stem and head. The head may be a traditional humeral head, or it may be an eccentric humeral head, with its mating portion being offset. The head may also comprise a groove or milled trench at least partially surrounding or otherwise defining mating portion. Also disclosed is a modular humeral prosthesis kit comprising a variety of different intermediate connecting members that may be selected to tit the prosthesis to the patient, and a method of replacing a humeral head in a patient.

Abstract: A spinal fastening apparatus for use in spinal fixation systems, comprising a bone screw, a collar and a locking pin. The bone screw has a threaded shaft portion with a generally longitudinal axis and a head portion having an eyelet with a central bore. The collar is generally U-shaped with a transverse axis and a slot adapted for placement over the eyelet portion of the screw. The elongated locking pin has an outer surface with gripping means on at least a portion of the outer surface and is sized and shaped to be slidably inserted through the eyelet. Surface portions of the collar and eyelet each include means for engaging the gripping means of the pin when the pin is inserted through the eyelet bore and the eyelet occupies the slot of the collar. The collar is capable of pivoting in relation to the eyelet to adjust for angulation between the longitudinal axis of the threaded shaft and the transverse axis of the collar and being locked into a selected angled position.