Abstract: An extraction system for bone staples provided with a first and a second element, comprising a main gripping body having a distal end and a proximal end. The device comprises, in addition, a central rod provided with a proximal end and a distal end, the latter adapted to couple with the first element of the staple. The central rod slides axially within the main gripping body between a first position and a second position by means of suitable movement means. The device has a plurality of abutment elements protruding in the axial direction from the distal end of the main body, which are arranged circumferentially around the central rod, adapted to act on the second element of the staple to obtain, in cooperation with the movement of the central rod, the separation of the second element of the staple from the first element of the staple and the removal thereof.

Abstract: A patient-specific navigation guide for use in spinal surgery including a first and a second guide member, both integral with a supporting frame and extending along a respective longitudinal development axis from a proximal opening to a distal opening for guiding surgical instruments on a first vertebra of a patient. The guide also includes contact members designed to match with a corresponding plurality of contact areas on a first and on a second vertebra of the patient to define a single coupling configuration of the patient-specific navigation guide on the patient's vertebrae. The first and second guide members are substantially opposite with respect to a median plane orthogonal to a straight line joining the longitudinal axes of the first and second guide members. The navigation guide also comprises a single additional third guide member that is integral with the frame and is adapted to abut on a second vertebra.

Abstract: Biocompatible compositions, in particular for the preparation of a biodegradable coating for medical articles, include a biocompatible thickening polymer and a chitosan derivative comprising D-glucosamine units of the following formula (I): wherein X is an alditolic or aldonic polyol residue of the following formula (II): wherein: R is CH2 or CO; R1 is hydrogen, a monosaccharide moiety or an oligosaccharide moiety; R2 is OH or NHCOCH3. The present invention also relates to uses of the disclosed compositions, to a kit of parts including a composition in powder form and to a method for the preparation of a biocompatible composition in gel form. The biodegradable coating shows a good and long-lasting adhesion to the surface of a medical article and allows to improve both the coating operations and the effectiveness in preventing any biofilm formation on the medical article.

Abstract: The present invention relates to a substrate of a metal, preferably titanium or a titanium alloy, having at least one surface coated with an oxide layer of the metal itself, said surface being modified and enriched with Ca, P, Ga, Sr, and, optionally, Ag by anodic spark deposition (ASD). The present invention also relates to a process for producing said substrate by applying the anodic spark deposition (ASD) technique to a substrate, optionally pre-treated, immersed in an electrolytic solution comprising Ca, P, Ga, Sr and, optionally, Ag. Finally, the present invention also relates to a prosthesis and a surgical implant comprising or preferably produced with said substrate, as well as the use thereof for the prevention of bacterial colonisation and promotion of osteointegration in implantology operations, preferably orthopaedic prosthetic implantology.

Abstract: A computer-implemented method for checking the correct alignment of a hip prosthesis, includes: detecting a 3D model of the pelvic bone of a patient in a preoperative phase detecting at least one 2D image of the pelvic bone in post-implant situation, selecting an image of the 3D model according to a first inclination thereof and detecting a reference element on said selected image of the 3D model, identifying a plurality of reference points on the 2D image, superimposing the 2D image on said selected image of the 3D model, checking the correct superimposition and correspondence of the reference points of the 2D image with the reference element with said image of the 3D mode, and detecting possible differences in the positioning of the pelvic bone in post-implant configuration with respect to the preoperative situation.

Abstract: Various implementations of a bone anchoring assembly comprise a bone anchor and an insert. The bone anchor comprises a proximal end a distal end an outer profile suitable for defining a firm and stable coupling with the bone tissue, and a seat open at the proximal end, in which the seat defines an axis. The insert defines an axis that is suitable for being received in the seat of the bone anchor and comprises a proximal end a distal end and one or more eyelets placed at the proximal end. Moreover, the seat and the insert comprise snap coupling means suitable for axially retaining the insert in the seat and suitable for allowing the free rotation of the insert in the seat around the axis of the insert.

Abstract: A surgical device comprising a handling member comprising a sleeve with a central slot and a guiding pin, a guiding element that can be slid into the central slot and externally having a guiding groove that is slidably coupled to a guiding pin, locking means configured to lock the sliding of the guiding element inside the central slot, and switchable between an activation configuration, wherein the movement of the guiding element inside said central slot is prevented, and a deactivation configuration, wherein the movement of the guiding element is free. The guiding groove comprises a first and a second rectilinear groove portion, angularly spaced apart and mutually interconnected by means of a transversal connecting groove portion interposed between said first and said second rectilinear groove portions.

Abstract: Various implementations include a positioning device of a surgical instrument for hip arthroplasty surgery that includes an arched structure having a first and a second end, wherein the first end can be positioned inside a patient a gripping element located at the second end of the arched structure, a surgical instrument that can be coupled to the gripping element at a seat made in this gripping element, and a positioning and fixing head arranged at the first end of the arched structure and having connection means. The connection means of the positioning and fixing head face the gripping element to couple with a stem that can be inserted into a patient's femoral canal.

Abstract: A cutting guide for periacetabular osteotomy comprises at least one first main body having a longitudinal opening for the insertion of a cutting instrument, extending from a first end to a second end of the first main body and at least two positioning and fixing arms extending away from the first main body from opposite sides with respect to the longitudinal opening, in order to correctly position the first main body on a bone and fix it thereto through respective fastening members.

Abstract: Various implementations include a polyaxial surgical screw and a device for implanting the screw. The screw comprises: an internally hollow tulip displaying a first open end for accessing inside the tulip, a second end opposite to the first end, and a side wall extending between the first and the second end; and a threaded shank displaying a first end defining the tip of the screw and a second end opposite to the first one displaying a ball joint joined to the second end of the tulip to orient said shank with respect to the tulip itself. The tulip also comprises at least one elongated rod projecting from the side wall and extending from the first end in a direction opposite to the second end.

Abstract: A femoral component and a tibial component are respectively configured to exclusively couple with the distal end of a femur bearing a femoral prosthesis and with the proximal end of a tibia bearing a tibial prosthesis. The femoral component has a distal portion configured to face the distal end of the femur, bearing distal positioning holes facing a distal region of the femoral prosthesis. A frontal portion extends on the continuation of the distal portion and has a first abutment area operating against the femur bone part and a second area facing a frontal region of the femoral prosthesis. The frontal portion has at least two guide holes at the first abutment area, and at least two frontal positioning holes at the second area.

Abstract: A template for measuring the cross section of a graft comprises a first half-body and a second half-body. The two half-bodies are mutually secured such that they can rotate the one with respect to the other around an axis, each one of the two half-bodies comprises a plurality of openings having known and different sizes, each one of the openings of the two half-bodies is open toward the outside through an at least partially radial slot. The two half-bodies can rotate the one with respect to the other around the axis between an open position and a closed position and vice versa. In the open position the slots of the first half-body axially coincide with the slots of the second half-body, and in the closed position the openings of the first half-body axially coincide with the openings of the second half-body.

Abstract: A retractor for surgery according to various implementations comprises a handle, an operating portion, and a curved body. In a side view, the handle, the curved body, and the operating portion each define a mean line, wherein: the mean line of the curved body extends along an arc, the mean line of the handle is tangent to the arc, the mean line of the operating portion defines a concavity opposed to the concavity of the arc; the operating portion comprises a retraction segment and one rest segment comprising a tip; and the extension of the circular arc intersects the rest segment. In a front view, the curved body defines an opening comprising a proximal portion having width l and a distal portion having width L, wherein l<L.

Abstract: A surgical device includes a polyaxial surgical screw that includes an internally hollow tulip. The tulip includes two elongated rods which are parallel and mutually spaced apart, each elongated rod protruding from a side wall of the tulip and extending away from a first end of the tulip in a direction opposite to a second end of the tulip. The rods define a channel in communication with the first end for accessing the interior of the tulip. A locking unit can be reversibly mounted on the polyaxial surgical screw. The locking unit includes a tubular body which has an inner cavity and is adapted to be fitted about the elongated rods during a configuration of use of the surgical device. The tubular body has two mutually opposite protrusions which project into the inner cavity that are configured to face the channel and be mutually interposed.

Abstract: A gripping and positioning tool for a poly-axial screw insertion guide comprises a handle, a main body connected to the handle positioned at a first end of the main body and a coupling zone positioned at a second end of the main body. The coupling zone is able to vary its position with respect to the insertion guide keeping the application direction of the force applied by the surgeon to said instrument constant.

Abstract: A suturing device, in particular for suturing lacerations of the meniscus, comprises an elongated body provided with a longitudinal cavity extending along a main direction, at least a first and a second implant slidably inserted in the cavity and arranged in sequence along the main direction and a surgical thread slidably inserted in the cavity and connected to the first and second implant. Such first and second implant comprise, respectively, a first and a second wedge-shaped element arranged in sequence and extending from an enlarged portion to a tapered portion along the main direction.

Abstract: A cutting guide for spinal osteotomy comprises a main body having a first and a second arm, each provided with a respective through slot. The first and second arm are preferably inclined with respect to each other to substantially form a V shape. The guide also comprises a distal surface and a proximal surface shaped according to the anatomy of the specific patient and a height of each arm is also shaped according to the anatomy of the specific patient.

Abstract: Various implementations include a surgical screwdriver that comprises a first rotating shaft configured to be rotated about a respective longitudinal axis, a second rotating shaft extending along a respective development axis transverse to the longitudinal axis of the first shaft and having a shaped end tip that can be inserted into the head of a screw, and a transmission member interposed between respective first ends of the shafts to transfer the rotation from the first shaft to the second shaft. The transmission member comprises a pair of hemispherical elements, hinged together about a respective junction axis that is perpendicular to the longitudinal axis of the first shaft, and each hemispherical element is in turn hinged to a first end of one of said shafts.

Abstract: Various implementations include a surgical screwdriver that comprises a first rotating shaft configured to be rotated about a respective longitudinal axis, a second rotating shaft extending along a respective development axis transverse to the longitudinal axis of the first shaft and having a shaped end tip which can be inserted into the head of a screw, and a transmission member interposed between respective first ends of the shafts to transfer the rotation from the first shaft to the second shaft. The transmission member comprises a homokinetic spherical joint.

Abstract: Disclosed is a device for positioning a resurfacing prosthesis, including: a gripping and handling instrument for a main body of a resurfacing prosthesis; a connecting body, interposed between said gripping and handling instrument and said main body of said resurfacing prosthesis and suitable to connect them; a coupler which secures said connecting body to said main body, said coupler comprising: a plurality of bonding elements adapted to be interlocked, in an irremovable manner, in respective recesses provided in said connecting body; and a shear releaser, interposed between said main body of said resurfacing prosthesis and said connecting body, adapted to detach said connecting body from said main body. Other aspects are described and claimed.