Abstract: A bone fixation system has an elongate portion (122; 299) for engaging over a long bone (e.g. a femur) and an end engagement portion (120; 260) for engaging over an end region of a long bone (e.g. a greater trochanter). To allow for variation in bone geometries, the two portions are pivotably connectable. Preferably the connection is lockable. Thus the system can be adapted to a particular bone geometry and then made rigid.

Abstract: Bone plate systems are provided for surgical implants and bone repair. The bone plate is multi-tiered for receiving bone anchors screws for securing a plurality of bones or bone fragments in a desired relationship. The plate members include throughbores for receiving a pivot base therein, with head ends of the bone anchors being secured in the pivot bases. The throughbores may permit and define a translation path for the pivot base and the bone anchor secured therein relative to the plate. Pivot members extending between the pivot base and the plate member facilitate pivoting and optional translation of the pivot base relative to the plate. With the bone anchor seated within the pivot base, an apparatus for inhibiting screw back out is employed.

Abstract: This invention provides a bone plate for treating bone fractures and includes a base plate (1) with an arc or arch cross section, and hook-shaped angular reinforcements (2) which have blades thereon provided on the two ends of the concave surface of the base plate (1) for contacting bones. At least one tooth (3) is intervally arranged longitudinally on the blades of the angular reinforcements. The hook-shaped angular reinforcements at the two ends of the cross section present to be centripetal hooks at the engagement points of the blades and the periosteum of fractured bone. The base plate (1) is provided with thread holes (4), installing holes (6) for pressing screws, and adjusting holes (5) for aligning and restoring fractured bones. An adjusting setscrew (7) may be provided in the corresponding hole of the plate.

Abstract: A method of percutaneously implanting a first component and a second component of an orthopaedic assembly into a body of a patient includes the steps of securing a first instrument to the first component, and advancing the first component into the body of the patient. The first instrument is advanced into the body of the patient such that a portion of the first instrument extends out of the body. A second instrument is secured to the second component, and the second component is advanced into the body of the patient. The second instrument is advanced into the body of the patient such that a portion of the second instrument extends out of the body. A third instrument is advanced into contact with both the first instrument and the second instrument so as to position the first component and the second component in a predetermined position relative to one another. An instrument assembly for percutaneously implanting an orthopaedic assembly is also disclosed.

Abstract: A bone plate for use in anterior cervical spinal fixation has interlocking components to prevent dislodgement of the plate due to anatomical forces. The plate is formed in the shape of a block letter C and the exposed surface is smooth to prevent trauma to internal body tissue. The plate spans the intervertebral space with each end attached to an adjacent vertebrae by bone screws threadably engaged with the bone. The distal ends of the bone screws The plate has a screw lock in each end for preventing the locking screws from backing out.

Abstract: A device and system for stabilizing movement between two or more vertebral bodies and methods for implanting. Specifically, embodiments of the present disclosure may provide medical professionals the ability to selectively position and orient anchors in bony tissue and then attach a plate to the pre-positioned anchors. The plate assembly, once positioned on the anchors, prevents the anchors from backing out of the bony tissue.

Abstract: A plate is positioned in an intervertebral space to inhibit or prevent an intervertebral spacer from backing out from the intervertebral space.

Abstract: A dynamic bone fixation element for securing an elongated fixation element such as, a longitudinal rod or bone plate, to a patient's bone, preferably a vertebra. The dynamic bone fixation element preferably includes a bone fixation element and a flexible element for connecting the bone fixation element to the elongated fixation element. The flexible element preferably permits the elongated fixation element to move with respect to the bone fixation element and hence with respect to the bone affixed thereto. The flexible element preferably permits extension and/or compression of the elongated fixation element with respect to the bone fixation element and polyaxially movement of the elongated fixation element with respect to the bone fixation element. The flexible element is preferably in the form of a spring or a spring-like flexible element.

Abstract: A spine repair system and assembly are disclosed. The spine repair system includes a plate for use with a plurality of bone screws to treat a mammalian body having a plurality of vertebral portions in a spine. The plate has an elongate plate-like member having first and second end portions adapted for fastening respectively to a plurality of vertebral portions. First and second end portions are provided with a plurality of apertures for receipt of bone screws, including one or more apertures inclined relative to the plate-like member so as to enhance securement of the first and second end portions to the first and second vertebral portions when the bone screws are introduced through the screw holes into the vertebral portions. A method of operation and use are also disclosed.

Abstract: Surgical implants for neighboring bones are disclosed herein. Preferred implants are configured to be implanted into the scaphoid and lunate. Preferred implants include a first plate configured to be implanted into the scaphoid and a second plate configured to be implanted into the lunate wherein said first and second plates are couple together by a rotatable rod.

Abstract: The invention relates to a fracture reduction instrument for an osseous body, extending between a distal end (2) and a proximal end, the distal end comprising at least one deformable element (5) suitable for passing from a relaxed position for positioning of the distal end inside the osseous body, to a deformed position for forming a cavity inside the osseous body, the deformable element being stressed by a shift mechanism (6) so that the deformable element may pass from one position to another and vice versa. According to the invention, the deformable element (5) is a blade whereof the two ends are provided with axes of rotation (7, 8) mounted freely in rotation between two assembly supports (9, 10) whereof at least one is stressed by the shift mechanism (6) to be mobile in translation so as to bring together the ends of the blade (5) by rotation of said ends.

Abstract: A system and method for facilitating the installation of spinals support members on consecutive vertebrae where the optimal positioning of screws does not form a straight line. The system includes a first plate spanning a first and second vertebrae, a second plate spanning the second vertebrae and a third vertebrae and an offset member coupling the first plate to the second plate at a defined angle to accommodate the anatomical variations of the patients vertebrae.

Abstract: A method of fabricating medical devices and medical devices made from the method of fabricating a medical device, the medical device, without being exhaustive, may be a medical instrument, an implant, a prosthetic, a body support structure or the like. The method includes work-hardening a work-hardenable metal to achieve a desired microstructure of the metal, then fabricating a medical device in accordance with the desired microstructure utilizing the work-hardened metal. In one form, the desired microstructure is an elongated grain structure. The medical device is created from the grain-elongated metal such that the medical device is oriented relative to the plane of grain elongation. In a particular form of the invention, the medical device is a curved spine plate wherein elongated grains of the work hardened metal are oriented in a plane normal to a curvature of the spine plate. Work-hardening includes forging, cold rolling or hot rolling, and annealing prior to use in medical device fabrication.

Abstract: Embodiments of the present invention provide spinal implant systems and methods. According to one embodiment, a plate attached to one or more vertebrae can prevent expulsion of an interbody device from a disc space. The plate and interbody device can be coupled by an attachment member. According to one embodiment, the attachment member is coupled to the plate and includes a portion inserted in a threaded or non-threaded cavity. Preferably, the coupling between the plate and attachment member allows rotation in three dimensions thereby allowing the plate to rotate relative to the interbody device. This allows the plate to be better positioned for attachment to the spine during an operation.

Abstract: The implant is a fixation device shaped in the form of a plate for use in the fixation and stabilization of the thoracolumbar spine. The design and the configuration of the device allows for an anatomic fit of the plate in the spine. The improved fixation allows for an anatomical and biomechanicat advantage in stabilizing thoracolumbar spine trauma both in a primary fashion and/or in conjunction with vertebral body replacement. Its anatomic design allows the application of an ingrowth surface at the host/implant interface and encourages an additional point of fixation in cases at high risk for delayed or non-union such as severe trauma or malignancy. The thoracolumbar spine plate is anatomically designed to fit snugly against the thoracolumbar vertebral bodies through a twist around the Z (longitudinal) axis of the generally rectangular plate.

Abstract: A system for setting and intersomatically fusing vertebrae comprises at least one case and a plate perpendicularly adjacent to the main plane of said case, wherein said plate (1) and case (2) are provided with a hole (21)and a stud (12) insertable and releasable lockable into said hole 21, the plate (1) is removable by a simple traction and a disassembling device and a kit comprises a system for setting and intersomatically fusing vertebrae and the disassembling device.

Abstract: A combination of bone fixation device and bending tool. The bone fixation device comprising a plurality of screw receiving members. Each screw receiving member having an aperture extending there through for receiving a screw. The screw receiving members being connected together in a line by plastically deformable connecting arms extending therebetween. The bending tool comprising first and second bending arms. Each bending arm comprising a first face, a second face and a side wall extending therebetween. The side wall comprising a recess extending between the first and second faces. The intersection of the recess with the first and second faces defining first and second connecting arm receiving apertures respectively. The recess being adapted to receive a screw receiving member.

Abstract: An anterior cervical plate and method includes a plurality of retaining slots comprising a first and second hole each adapted to permit bone retaining members to pass partially therethrough; and a platform separating the first hole from the second hole. The plate further comprises a pair of locking slides matingly adjacent to one another and adapted to rest on the platform and retain the bone retaining members in the plurality of retaining slots, wherein each the locking slide comprises a deflectable flange; and a lip positioned on an opposite side of the deflectable flange, wherein a first locking slide of the pair of locking slides is positioned in an opposite orientation relative to a second locking slide of the pair of locking slides. The deflectable flange of the first locking slide is aligned adjacent to the deflectable flange of the second locking slide.

Abstract: The cervical plate locking mechanism of the present invention is elegant in its design and effective in its performance, and utilizes a plate with holes that each incorporate a locking lip structure and locking screws that each incorporate a head portion having petal structures that are outwardly biased prior to insertion via an internally-disposed c-ring or the like. Advantageously, the lead-in torque of each of the locking screws is less than the lead-out torque of each of the locking screws. Thus, reverse threading or backing out is prevented.

Abstract: The cervical plate locking mechanism of the present invention is elegant in its design and effective in its performance, and utilizes a plate with holes that each incorporate a locking lip structure and locking screws that each incorporate a head portion having petal structures that are outwardly biased prior to insertion via an internally-disposed c-ring or the like. Advantageously, the lead-in torque of each of the locking screws is less than the lead-out torque of each of the locking screws. Thus, reverse threading or backing out is prevented. Alternatively, the cervical plate locking mechanism of the present invention utilizes a locking plate having petal structures that are inwardly biased prior to insertion of the head portion of the locking screws via an externally-disposed c-ring or the like.

Abstract: A bone plate that may be used to maintain relative position of two pieces of fractured bone, for example, a fractured jaw bone. The bone plate has a slot and holes. The holes are surrounded by walls and the slot is also surrounded by walls. The thickness of walls surrounding the slot at their maximum is greater than the thickness of walls surrounding the holes. Often the nature of the fracture may require bending of the plate for implanting it as desired by the surgeon. Because walls of the slot are designed to be strong, the slot is not deformed when the plate is bent.

Abstract: A bone end (epiphysis) fracture device including a rotatable fixation plate having a guide pin aperture and a plurality of fixation screw apertures formed therethrough. The guide pin aperture is used by a surgeon to position the fixation plate so that one or more fixation screw apertures are properly positioned to receive fixation screws inserted by the surgeon for repairing a bone end fracture. In another embodiment, the fracture fixation device also includes a side plate to which the fixation plate is rotatably attached. This embodiment further includes one or more side plate apertures formed through an elongate extension, whereby the fixation device may also be attached to the bone for which an end fracture is being repaired. A lock screw is provided in this embodiment for locking the position of the fixation plate with respect to the side plate.

Abstract: A mount usable with an implantable extra-articular system including a body having a first end opposite a second end. The mount includes a coupling connection positioned at the first end of the mount for attaching the mount to a base component. The mount also includes a multi-dimensional articulating connection component configured at the second end of the mount. The body of the mount offsets the articulating connection component away from body anatomy when coupled to the base component. The mount also orients and aligns a link absorber that is coupled to the articulating connection component.

Abstract: An assembly includes a holder having a first arm and a second arm, the holder being movable between a first configuration and a second configuration. The assembly further includes an actuator movable in relation to the holder between a first position and a second position. Movement of the actuator from the first position to the second position causes movement of the holder from the first configuration to the second configuration. The first arm has a first bone plate contact portion, and the second arm has a second bone plate contact portion. The first bone plate contact portion and the second bone plate contact portion are separated by a first distance when the holder is in the first configuration. The first bone plate contact portion and the second bone plate contact portion are separated by a second distance when the holder is in the second configuration. The first distance is greater than the second distance.

Abstract: A bone plate having a plurality of openings for receiving a compression bone screw or a cortical screw. An end cap, threadably insertable in the opening and having a layer of polymeric material interposed between the end cap and the top of the head such that the compression of the polymeric material would allow slight axial movement of the screw. Alternatively, a locking ring adapted to attach to the head of the screw and having shape complimentary to the features formed on the head. The locking ring and the bone screw being assembled together and being insertable in the bone simultaneously using a dedicated instrument. Compression may be applied to a bone fracture by turning the bone screw alone after the locking ring has reached its final axial position.

Abstract: A cervical plate assembly having a body, with at least two wings, and a tensioning mechanism for applying a force to the wings. The tensioning mechanism includes a shape memory band and an adjuster for shortening or lengthening the band.

Abstract: A hip fracture device providing distance limited dynamization, load controlled dynamization and combinations of both dynamization methods by varying components. The hip fracture device includes a plate having a head portion and a shaft portion. A barrel projects from the head portion of the plate and a screw is inserted in the barrel. A friction pin is slidably connected with the screw, and an end cap is fixed to the head portion of the plate. The friction pin is fixedly connected with the end cap. The screw slides over the friction pin and toward the end cap when a load is applied on the fracture device. The load required for further sliding of the screw over the friction pin increases incrementally as the screw slides towards the end cap.

Abstract: A method for inserting an allograft implant between adjacent cervical vertebrae to fuse the vertebrae together and a surgical kit for use therein. The kit preferably comprises an allograft implant, a plurality of bio-absorbable screws, a forceps-type implant inserter tool, a drill, a drill guide, a tapping tool, and a screwdriver.

Abstract: Bone fracture fixation devices, systems and methods of use and manufacture are provided. One such bone fixation device includes an elongate element having a responsive zone. The element is adapted to be coupled to the bone so that the responsive zone is positioned adjacent a fracture or fusion site in the bone. The responsive zone is adapted to apply a desired pressure to the bone when coupled thereto. In some embodiments, the responsive zone comprises a shape memory material, which may be nickel titanium or Nitinol, to apply compressive pressure across the fracture or fusion site for longer periods of time than standard bone screws.

Abstract: A surgical implant for locking a spinal motion segment includes an anterior plate portion with laterally spaced interbody members extending posteriorly therefrom. The plate portion has passages to receive surgical fixing screws or other securing elements engaged in holes drilled in the vertebrae for securing the plate portion to the anterior faces of the vertebrae to be locked. The arms extend into a space between lateral portions of the vertebrae to be locked.

Abstract: A bone plate kit for stabilizing adjacent vertebrae or ends of a bone includes several bone plates of different sizes and several bone fasteners of the same or different sizes. The fasteners may have the same configuration or several different configurations. The fasteners may be coated with bone growth material. The plates have a span for extending across a discontinuity. The span has brackets for attaching to the bone. The brackets have countersunk apertures terminating through which bone screws are placed in the bone. An eccentric cam bore is located between the countersunk apertures and, upon rotation of an eccentric cam, wedge grip shoes are slid into the countersunk apertures and frictionally engage the spherical heads of the bone screws. To prevent back-out of the bone screws, the eccentric cam is locked into the wedge grip shoes.

Abstract: Provided is a novel system that includes an anterior vertebral body plate with at least one bone spike pivotally attached to the plate and capable of being manually inserted into underlying bone to securely fix the plate to the bone. Also provided is a method of stabilizing cervical vertebrae using the disclosed system.

Abstract: A hip screw assembly for fixation of a fractured femur is provided. The hip screw assembly includes a screw for engagement with the femur. The hip screw assembly also includes a barrel defining a cavity in the barrel. The barrel is fixedly secured to the plate. The screw including a portion thereof fitted in the cavity of the barrel. The hip screw assembly also includes a stop positionable in the barrel. The stop provides a limit on the movement of said screw in said barrel. The screw and the barrel have a first arrangement between each other in which the screw slides in the cavity of said barrel a first selectable predetermined distance and a second arrangement in which the screw slides a second selectable predetermined distance. The second distance is greater than the first distance.

Abstract: A bone plate (15) is provided with a keyhole shaped aperture (10) having a first wide portion (20) leading into a second narrow portion (22) by way of a discontinuous narrowing (24). The narrow portion (22) has a concave recess (26) in the upper surface (11) of the plate and a bevel (28) in the bone contacting surface (13) at its end remote from the wide portion. In use, a screw (30) can be inserted obliquely across a fracture (40) and does not need to be countersunk in the bone, nor removed and replaced to allow fitting of the plate (15). The wide portion (20) of the hole (10) passes over the head (32) of the screw (30), the plate is then slid (arrow a) so that the head (34) lies in the narrow portion (22). Once the screw is fully tightened its head sits in the concave recess (26) and because of the narrowing (24), it prevents the plate sliding back. The screw shank (34) adjacent the head is accommodated in the bevel (28).

Abstract: An improved bone plate system which permits a user to customize the number and location of the fasteners so as to secure to a bone in a desired location. A bone plate system may comprise a frame, a track, an insertion niche, and one or more adjustable fastening plates and tension members.

Abstract: Methods and devices are provided for passively locking a bone screw within a bone plate. In particular, the methods and devices allow a bone screw to be locked within a thru-hole in a bone plate without requiring any additional locking steps. In an exemplary embodiment, an annular feature is provided in a thru-hole of a bone plate, or in a bushing that is disposed within a thru-hole of a bone plate, for engaging a bone screw. The annular feature can be configured such that it allows the bone screw to be inserted through the thru-hole at various insertion angles while still being effective to prevent back-out of the bone screw, thereby locking the screw to the plate.

Abstract: The invention relates to novel internal fixation devices, such as bone plates, generally and novel craniomaxillofacial bone plates more specifically and systems for bonding the same. More specifically, the invention relates to bone plates made of a polymer blend of (poly)lactic acid and Ecoflex as well as a novel hot-melt adhesive polymer blend of the same material.

Abstract: A method for effecting reduction, stabilization and enhancement of fusion of the human cranio-cervical junction, which may be performed in order to relieve mechanical stresses imparted to the spinal cord and brainstem as a result of an abnormal clivo-axial angle, includes steps of achieving the correct craniocervical relationship, of effecting a fusion of a first portion of a bone forming material based structural member to a human cranium, and effecting fusion of a second portion of the bone forming material based structural member to a least one portion of a human cervical spine. Fusion of the bone forming material based structural member to the human cranium may be promoted through the use of plate member that is shaped to define a graft accommodation space between the plate member and the cranium.

Abstract: Provided is a novel system that includes a low profile anterior vertebral body plate and taper lock screws for the fixation and stabilization of the cervical spine, the anterior vertebral plate having a novel screw locking mechanism attached to the screw during the manufacturing thereof and providing a taper lock fit with the anterior vertebral plate. Also provided is a method of stabilizing cervical vertebrae using the disclosed device.

Abstract: Provided is a novel system that includes a low profile anterior vertebral body plate and closed thread screws for the fixation and stabilization of the cervical spine, the closed thread screw having an integral novel screw locking mechanism of an uppermost closed thread having a flat pitch, which engages and attaches the plate so as to lock the screw into the plate until an intentional, simultaneous combination of outward pulling force and counter-clockwise torque is applied to release the closed thread screw from the plate. Also provided is a method of stabilizing cervical vertebrae using the disclosed system.

Abstract: A method for effecting reduction, stabilization and enhancement of fusion of the human cranio-cervical junction, which may be performed in order to relieve mechanical stresses imparted to the spinal cord and brainstem as a result of an abnormal clivo-axial angle, includes steps of achieving the correct craniocervical relationship, of effecting a fusion of a first portion of a bone forming material based structural member to a human cranium, and effecting fusion of a second portion of the bone forming material based structural member to a least one portion of a human cervical spine. Fusion of the bone forming material based structural member to the human cranium may be promoted through the use of plate member that is shaped to define a graft accommodation space between the plate member and the cranium.

Abstract: Provided is a novel system that includes a low profile anterior vertebral body plate and quick lock screws for the fixation and stabilization of the cervical spine, the quick lock screw having an integral novel screw locking mechanism of a locking thread disposed on at least a portion of the side of the screw head, which engages an inwardly directed screw hole flange and thus attaches to the plate so as to lock the screw into the plate Also provided is a method of stabilizing cervical vertebrae using the disclosed system.

Abstract: A kit for the construction of a bone plate assembly for fixation of a fractured bone is provided. The kit includes a plurality of plate members, a connecting member for retaining the plurality of plate members in a desired configuration and a plurality of locking members for securing the plate members to the connecting member.

Abstract: The invention relates to a surgical data carrier for the identification of a medical implant, in particular, a surgical plate for the fixing of bones or bone fragments, wherein the data carrier has a carrier element and a connecting device which comprises a receptacle for the insertion of at least part of the implant. In order to make such a surgical data carrier available which has an improved handling capability, it is suggested in accordance with the invention that the data carrier have an actuating device which can be actuated by a user and with which the connecting device can be transferred from a connecting position, in which the implant is held in the receptacle, into a release position, in which the data carrier can be detached from the implant. The invention relates, in addition, to a surgical implantation system.

Abstract: A plate puller device can include a head portion and extension rod portion. The device enables the fastener receiving member to be pulled against a bone surface before a head section of the fastener is advanced within the fastener receiving member into a locked position. The head portion can be positioned between the head section of the fastener and a surface of the fastener receiving member not adjacent to the bone surface. Also, a plate puller device can include a screwdriver, a grasper portion and a grasper sleeve. The grasper portion and grasper sleeve can be threadingly mated wherein rotation of the grasper sleeve forces a head portion of the grasper portion to grip the head section of the fastener to prevent the head section from advancing within the fastener receiving member.

Abstract: A dynamic cervical plate has a ratchet and pawl mechanism that allows the cervical plate to post operatively shorten the length of the plate and maintain compression between adjacent vertebrae. The plate has an elongated shaft with grooves on one surface and a groove along each longitudinal edge. A lateral bar is attached on one end of the shaft. The bar has screw holes for connecting with the head of a spinal screw. Another lateral bar is slidably engaged in the longitudinal grooves along the shaft and has a spring clip acting as a pawl with the grooves on the shaft. The sliding bar has screw holes on each side of the shaft. The clip is configured to span the screw holes to prevent screws from backing out of the holes.

Abstract: A bone plate system comprising a thin plate and fasteners for securing the plate to at least two segments of bone. The plate may be hinged along the central axis, with a pair of collinear holes on each portion of the plate. Each of the holes accommodates a bolt which is screwed into the bone and secured to the plate using a nut.

Abstract: A sternum reinforcing device to be used after a sternotomy or a sternal fracture, made of a biocompatible material, comprises an elongated modular member (10) with a pair of legs (20, 30), that are joined each other by a body portion (4), and a pair of arms (6, 7). The legs (20, 30) can be fitted in an intercostal space of the thorax of a patient, laterally to the sternum, and can be bent in a mutually opposite direction, on the internal side of the thorax, after being fitted therein. The arms (6, 7), extending from one side to the other of the body portion (4) and orthogonally to the pair of legs (20, 30), constitute a male part and a female part, respectively, of a prismatic type coupling for consecutive modular members.

Abstract: An active compression orthopedic plate includes a first and a second end cross member, at least one longitudinal member slideably coupling the first and second end cross member, and at least one compressive member configured to exert a compressive force on the first and second end cross members.

Abstract: An intramedullary implant, useful particularly for the fixation of fractures of the radius, the implant comprising a first and second end, both ends configured for entry into the intramedullary canal through an entry point on the bone, such as the fracture site, and configured for positioning within the intramedullary canal of the fractured bone, the first end positioned in the intramedullary space of a first bone fragment and the second end positioned in the intramedullary space of a second bone fragment on the opposite side of the fracture. The first end is positioned by displacing the implant in a first direction and the second end is positioned by displacing the implant in a second direction, substantially opposite to the first direction. The implant further comprises a tip configured to abut an end surface of the second fragment to provide axial support to second fragment.