Abstract: A bone plate and system is provided. The bone fixation plate conforms to the contour of an irregularly shaped bone and eliminates the need for pre-bending or intraoperative bending of the plate. The bone plate is applied to the bone in a generally flat condition and the process of installing and tightening the bone screws in the prescribed order serves to contour the plate to the plate to the underlying bone while providing sufficient strength to effect bone healing. The geometry of the plate allows the plate to follow the contour of an irregularly shaped bone, preventing prominence and patient palpability and streamlining the surgical procedure.

Abstract: A flexible cable for sternal reconstruction, the cable including first and second ends, the first end of the cable including a crimp fitting member, and the crimp fitting member including a flattened disk-like head. Also provided are methods for sternal reconstruction including wrapping a flexible cable having first and second ends around the sternum, tensioning the flexible cable to a desired tension and securing the tensioned cable, wherein the first end of the cable includes a crimp fitting member, and the crimp fitting member includes a flattened disk-like head.

Abstract: A bone plate and system is provided. The bone fixation plate conforms to the contour of an irregularly shaped bone and eliminates the need for pre-bending or intraoperative bending of the plate. The bone plate is applied to the bone in a generally flat condition and the process of installing and tightening the bone screws in the prescribed order serves to contour the plate to the underlying bone while providing sufficient strength to effect bone healing. The geometry of the plate allows the plate to follow the contour of an irregularly shaped bone, preventing prominence and patient palpability and streamlining the surgical procedure.

Abstract: Described herein is a cranial plug for a burr hole or a cranial perforation made in a skull during brain surgery, the cranial plug being flexible and having a bottom portion and side walls extending upwards from the bottom portion, the bottom portion and the side walls formed in a concave or substantially concave shape, or alternatively, forming a concave or substantially concave shape when inserted into a burr hole or cranial perforation.

Abstract: A driver assembly for affixing a surgical fastener to a target location is provided. Operation of the driver assembly inserts the surgical fastener in two stages, first an alignment stage through application of a distally directed force to partially insert the surgical fastener, and then a fastening stage to fully insert and seat the surgical fastener to a proper depth or compression level. The driver assembly comprises a spring loaded automatic trigger mechanism that may be adapted for use with a linearly insertable or a rotationally insertable surgical fastener. Application of the distally directed force actuates the trigger mechanism, wherein a corresponding impact force is delivered for seating the surgical fastener, coupled to a distal end of the driver assembly, upon alignment of cam and receiver elements embodied within the trigger mechanism.

Abstract: Craniotomy closure systems comprising surgical fasteners and a protective covering over the dura are described for use in reattaching a skull flap removed from the skull of a patient during brain surgery. Methods of using the same are also described. Surgical strips optionally used in combination with the craniotomy closure systems are shaped to follow the perimeter contour of the skull flap. The craniotomy closure systems are designed to encourage bone growth and healing of the skull flap and they can be used to deliver medication and bone growth enhancement materials to the surgical site.

Abstract: A quick release brake mechanism has a housing, a first shaft mounted in the housing and at least one gear rotatably received thereon. A second gear is rotatably mounted in the housing in operative engagement with the first shaft. A clutch is operatively disposed between the first shaft and the second gear, and a locking mechanism is mounted in the housing in operative engagement with the first shaft at least one gear and the clutch. The clutch is moveable between a first position in which the first shaft is rotationally coupled to the first and the second gears, and a second position in which the second gear rotates with respect to the first shaft. A remotely operated quick release mechanism operatively coupled to the housing has a first end operatively coupled to a power source and an opposite second end operatively coupled to the clutch so as to move the clutch from the clutch first position into the clutch second position.

Abstract: A railway car control valve comprises a brake pipe port, an auxiliary reservoir port, a main piston, intermediate the brake pipe port and the auxiliary reservoir port, configured to compare an air pressure supplied at the brake pipe port with an air pressure supplied at the auxiliary reservoir port and a one-way check valve positioned intermediate the brake pipe port and the auxiliary reservoir port. The one way check valve comprises a body having a first end, a second end, and a bore extending from the first end to the second end, an elongated insert defining an outer surface, the insert configured to reduce the rate of air flow through the body, and sleeve received on the insert outer surface. The insert is received in the body bore.

Abstract: A load indicator for use with a railway car hand brake that is connected to a railway car brake rigging comprising a housing, a plurality of levers pivotally mounted in the housing, each of the plurality of levers having a first end and an opposite second end, a plate coupled to each of the plurality of lever second ends, wherein the plate is moveable with respect to the housing, and a plurality of springs each operatively coupled between a respective one of the plurality of lever first ends and the housing. At least one of the plurality of lever first ends is moveable between a first position in which tension exerted on the plate from the railway car hand brake is within a predetermined range, and a second position in which tension exerted on the load indicator from the railway car brake rigging is outside the predetermined range.

Abstract: Biocompatible mesh materials are employed to make implants for repairing or replacing a bone or for soft tissue repair. The mesh materials can be comprised of bioabsorbable materials, non-bioabsorbable materials or bioabsorbable and non-bioabsorbable materials. Pharmaceutical actives, bone growth enhancers and the like can be combined with the implants.

Abstract: A brake mechanism comprises a housing, a first handle, a first shaft mounted in the housing having at least one gear rotationally fixed thereon, a second gear rotatably mounted in the housing in operative engagement with the first shaft, a locking mechanism, and a clutch operatively disposed between the first handle and the second gear. The locking mechanism comprises a second shaft mounted in the housing, a second handle rotationally fixed to the second shaft, a first pawl rotatably received on the second shaft and in operative engagement with the first shaft at least one gear, and a second pawl having a first portion in operative engagement with the first pawl and a second portion. The clutch is in engagement with the second pawl second portion and is moveable between a first position in which the first shaft is rotationally coupled to the second gear and a second position in which the second gear rotates with respect to the first shaft.

Abstract: An apparatus and method for collecting particulate bone from the operating site during an osteotomy or bone drilling procedure so that it can be used subsequently to augment the bone fusion process. A bone cutting or drilling tool is provided with a module for collecting particulate bone simultaneously with cutting or drilling the bone. The collected particulate bone is transferred continuously to a sterile containment module and maintained under sterile conditions until it is prepared for re-use in the patient.

Abstract: A brake mechanism comprises a housing, a first handle, a first shaft mounted in the housing having at least one gear rotatably received thereon, a second gear rotatably mounted in the housing in operative engagement with the first shaft, a locking mechanism, and a clutch operatively disposed between the first handle and the second gear, where the clutch defined a recess therein. The locking mechanism comprises a second shaft mounted in the housing, a second handle rotationally fixed to the second shaft, a pawl rotatably received on the second shaft and in operative engagement with the first gear, and said pawl having a first portion in operative engagement with the first gear and a second portion operatively engaged with the clutch. The clutch is moveable between a first position in which the first shaft is rotationally coupled to the second gear and a second position in which the second gear rotates with respect to the first shaft and the pawl second portion is received in the clutch recess.

Abstract: A flexible cable for sternal reconstruction, the cable including first and second ends, the first end of the cable including a crimp fitting member, and the crimp fitting member including a flattened disk-like head. Also provided are methods for sternal reconstruction including wrapping a flexible cable having first and second ends around the sternum, tensioning the flexible cable to a desired tension and securing the tensioned cable, wherein the first end of the cable includes a crimp fitting member, and the crimp fitting member includes a flattened disk-like head.

Abstract: A bone plate and system is provided. The bone fixation plate conforms to the contour of an irregularly shaped bone and eliminates the need for pre-bending or intraoperative bending of the plate. The bone plate is applied to the bone in a generally flat condition and the process of installing and tightening the bone screws in the prescribed order serves to contour the plate to the plate to the underlying bone while providing sufficient strength to effect bone healing. The geometry of the plate allows the plate to follow the contour of an irregularly shaped bone, preventing prominence and patient palpability and streamlining the surgical procedure.

Abstract: A bone plate and system is provided. The bone fixation plate conforms to the contour of an irregularly shaped bone and eliminates the need for pre-bending or intraoperative bending of the plate. The bone plate is applied to the bone in a generally flat condition and the process of installing and tightening the bone screws in the prescribed order serves to contour the plate to the underlying bone while providing sufficient strength to effect bone healing. The geometry of the plate allows the plate to follow the contour of an irregularly shaped bone, preventing prominence and patient palpability and streamlining the surgical procedure.

Abstract: A sternal reconstruction system for securing parts of a sternum includes at least one flexible cable with crimp fitting, at least one cannulated screw and at least one reconstruction plate. Circumferential or parasternal fixation may be brought about by use of a sternal reconstruction system including a flexible cable and crimp fitting alone; a sternal reconstruction system including a flexible cable, crimp fitting and cannulated screws; or a system including a flexible cable, crimp fitting, cannulated screws and one or more reconstruction plates. The reconstruction plates are typically planar, having an upper and a lower surface, and containing generally perpendicular and transverse plate holes. The generally perpendicular plate holes are countersunk to better accommodate the heads of the cannulated bone screws. Also provided is a kit for sternal reconstruction.

Abstract: Craniotomy closure systems comprising surgical fasteners and a protective covering over the dura are described for use in reattaching a skull flap removed from the skull of a patient during brain surgery. Methods of using the same are also described. Surgical strips optionally used in combination with the craniotomy closure systems are shaped to follow the perimeter contour of the skull flap. The craniotomy closure systems are designed to encourage bone growth and healing of the skull flap and they can be used to deliver medication and bone growth enhancement materials to the surgical site.

Abstract: A brake mechanism having a chain locator comprises a chain coupled between a braking mechanism and a railway car brake system, a marker is releasably secured to the chain, and a sensor is coupled to the railway car proximate the chain for detecting the state of the railway car brake system. The chain is moveable between a first position in which the marker is not sensed by the sensor, and a second position in which the sensor detects the marker.

Abstract: A quick release brake mechanism has a housing, a first shaft mounted in the housing and at least one gear rotatably received thereon. A second gear is rotatably mounted in the housing in operative engagement with the first shaft. A clutch is operatively disposed between the first shaft and the second gear, and a locking mechanism is mounted in the housing in operative engagement with the first shaft at least one gear and the clutch. The clutch is moveable between a first position in which the first shaft is rotationally coupled to the first and the second gears, and a second position in which the second gear rotates with respect to the first shaft. A remotely operated quick release mechanism operatively coupled to the housing has a first end operatively coupled to a power source and an opposite second end operatively coupled to the clutch so as to move the clutch from the clutch first position into the clutch second position.