Abstract: Provided are porous, biocompatible implant bodies and materials. These materials suitably comprise a population of randomly arranged thermoplastic constituents, with at least some of the constituents being bonded to one another The implant bodies are capable of being manipulated at room temperature from a first shape to a second shape, and of maintaining the second shape at about internal body temperature. Also provided are related methods of fabricating such implants and installing the implants into a subject.

Abstract: A perfusion device and method is provided. In one embodiment, the device includes a container having a first internal chamber configured to hold the material; a port for introducing the liquid into the chamber; a vent for releasing gas and liquid from the chamber; and a means for sealing the vent to allow a vacuum to be drawn on the first chamber The material may be biomaterial, such as a bone graft material in any form. In one embodiment, the container is a syringe that defines the internal material chamber and includes an end cap and a plunger. The vent may be formed by a venting passageway in plunger and/or cap in some embodiments. In one embodiment, the vacuum may be created by a medical syringe coupled to the container, and which in some embodiments may also be used to deliver the liquid into the container. The liquid may be bone marrow aspirate in some embodiments.

Abstract: A perfusion device and method is provided in various examples. In an example, the device includes a container having a first internal chamber configured to hold the material; a port for introducing the liquid into the chamber; a vent for releasing gas and liquid from the chamber; and a flow control device for sealing the vent to allow a vacuum to be drawn on the first chamber. In an example, the container includes a syringe that defines the internal material chamber and includes an end cap and a plunger. The vent may be formed by a venting passageway in the plunger and/or the cap. In various examples, the vacuum may be created by a medical syringe coupled to the container. In some examples, the medical syringe may also be used to deliver the liquid into the container.

Abstract: A first tool is configured to cut a polymer implant, and includes a handle, a cutting portion, and a bending portion. A second tool is configured to cut a polymer implant, and includes a handle, a first cutting portion, and a second cutting portion. The cutting portions contain a cutter that is preferably a blade. In the second tool, the blades are preferably angled with respect to each other between about 45°. The tools can be used to reshape an implant that is to be used to replace a portion of a skull.

Abstract: A drug-impregnated sleeve for encasing a medical implant is provided. In one embodiment, the sleeve may include a body made of a biologically-compatible material that defines an internal cavity configured to receive the medical implant. In one embodiment, the biologically-compatible material is bioresorbable. The body may include a plurality of apertures, such as perforations or holes, extending from the cavity through the body. The sleeve may further include a first end, a second end, and a drug impregnated into the resorbable sheet. In one possible embodiment, the first end of the sleeve may be open for receiving the medical implant therethrough and the second end may be closed. The implant may be encased in the sleeve and implanted into a patient from which the drug is dispensed in vivo over time to tissue surrounding the implantation site.

Abstract: Provided are porous, biocompatible implant bodies and materials. These materials suitably comprise a population of randomly arranged thermoplastic constituents, with at least some of the constituents being bonded to one another The implant bodies are capable of being manipulated at room temperature from a first shape to a second shape, and of maintaining the second shape at about internal body temperature. Also provided are related methods of fabricating such implants and installing the implants into a subject.

Abstract: A method for augmenting a tissue including introducing into the tissue a first thermoplastic material at a first condition; treating the first thermoplastic material to achieve a second condition that includes an at least partially crystalline skin; and introducing a second material into the tissue whereby the first thermoplastic material and the second material are contained by the at least partially crystalline skin. Also a method of fracture reduction in a tissue including exposing to gamma radiation a mass of polycaprolactone characterized by a first shape; heating the mass of irradiated polycaprolactone above its melting temperature; introducing the heated mass of polycaprolactone into the tissue annulus to deform it from the first shape; allowing the material to return to the first shape.

Abstract: The disclosed cranial flap clamp includes first and second clamping members and an extension member. A portion of the first member is positionable against inferior surfaces of a bone flap and skull and a portion of the second member is positionable against superior surfaces of the flap and skull. The extension member extends from the first member through the second member and fits between the flap and skull. Movement of either of the clamping members urges the inner surface of the first member against the inferior surfaces of the flap and skull and urges the inner surface of the second member against the superior surfaces of the flap and skull. The securing instrument includes features useful in cutting or crimping the extension member. The tension limiting assembly provides variable designs and combinations for limiting the tension placed on, and exerted by, the securing instrument during use.

Abstract: The disclosed cranial flap clamp includes first and second clamping members and an extension member. A portion of the first member is positionable against inferior surfaces of a bone flap and skull and a portion of the second member is positionable against superior surfaces of the flap and skull. The extension member extends from the first member and fits between the flap and skull. The second member has a through opening for receiving the extension member. Movement of either of the clamping members urges the inner surface of the first member against the inferior surfaces of the flap and skull and urges the inner surface of the second member against the superior surfaces of the flap and skull. A stop provided by mechanical deformation of the extension member at any location along its length secures the clamp.

Abstract: The invention relates to a syringe for delivery of a bone substitute material. The syringe includes a barrel for holding the material, a plunger receivable within the barrel and having a threaded portion, and an engagement member including a threaded throughbore positioned coaxial with the barrel. The threaded portion of the plunger is movable through the threaded throughbore barrel by pushing the plunger in the axial direction, and by rotating the plunger. The invention also relates to a method of expelling material from a syringe.

Abstract: The invention relates to a syringe for delivery of a bone substitute material. The syringe includes a barrel for holding the material, a plunger receivable within the barrel and having a threaded portion, and an engagement member including a threaded throughbore positioned coaxial with the barrel. The threaded portion of the plunger is movable through the threaded throughbore barrel by pushing the plunger in the axial direction, and by rotating the plunger. The invention also relates to a method of expelling material from a syringe.

Abstract: The disclosed cranial flap clamp includes first and second clamping members and an extension member. A portion of the first member is positionable against inferior surfaces of a bone flap and skull and a portion of the second member is positionable against superior surfaces of the flap and skull. The extension member extends from the first member and 10 fits between the flap and skull. The second member has a through opening for receiving the extension member. Movement of either of the clamping members urges the inner surface of the first member against the inferior surfaces of the flap and skull and urges the inner surface of the second member against the superior surfaces of the flap and skull. A stop provided by mechanical deformation of the extension member at any location along its length secures the clamp.