Abstract: Provided is a nested screw assembly and a related method for fusing a joint between two bones using the nested screw assembly, where the nested screw assembly includes a cannulated outer screw and an inner screw.

Abstract: An anchoring system is a combination of a nanofiber scaffold material and an arthroscopically deployable suture anchor. The anchor is deployed into a bone tunnel using common techniques. The nanofiber material extends out of the proximal end of the implant, once deployed. The implant also includes pre-loaded sutures or has the ability to accept and lock sutures to the implant. For an implant pre-loaded with suture, the implant is placed into the bone, the material is deployed above the anchor onto the surface of the bone, suture is passed through the soft tissue, and knots are tied to secure the tissue against the bone, sandwiching the material between the bone and tissue, to provide a pathway for cells from the bone marrow to the soft tissue-bone interface, promote the healing response, provide a biomimetic structure that cells readily adhere to, and create a larger healing footprint.

Abstract: Instruments, implants, bone plates, systems and methods for correcting bone deformities and fractures in the lower extremity are disclosed. Specifically, targeting instruments, implants, bone plates, systems and methods used for correcting bone deformities and/or fractures in the foot are disclosed.

Abstract: The present invention relates to a device and system for fixation of intra-articular and extra-articular fractures and non-unions of small bones and other small bone fragments, and more particularly to a threaded nail with a robust length and a trailing end with a cutting tip and longitudinal cutting flutes and a stepped diameter with cutting flutes at the transition point, and an optional cannulation along the central longitudinal axis of the nail.

Abstract: Systems, methods, and devices for sacroiliac joint fusion described include an implant comprising a first body having a distal anchor and a second body having proximal anchor. The first body includes a threaded body integrally formed with the first body or threadably coupled to the first body. The distal anchor may be formed by a pair of deployable wings. The pair of deployable wings may be deployed within the cancellous bone of the sacrum and anchored against the cortical bone of the sacrum. The proximal anchor may engage with an outer surface of the ilium. The second body may be threaded along the threaded body to provide compression across the sacroiliac joint. Compressing the sacroiliac joint can reduce motion thereof to promote fusion and stabilization.

Abstract: A sacroiliac joint implant system includes a primary implant configured to be received in a sacroiliac joint of a patient and a secondary implant configured to couple with the primary implant. The primary implant includes a body extending from a proximal end to a distal end and a plurality of threads extending from the body. The secondary implant includes a first anchor configured to anchor within a sacrum of the patient and a second anchor configured to anchor within an ilium of the patient.

Abstract: A cannulated headless compression screw is provided with an attachment mechanism that enables coupling various attachments to the headless compression screw. The headless compression screw includes a screw thread on its exterior that is adapted to effect compression between two bone fragments. For instance, the exterior screw thread may have a variable pitch formed to effect such compression. The interior of the headless compression screw's trailing end includes an interface that is adapted to engage with a driving instrument. A surgeon may drive the headless compression screw into bone via the driving instrument and then access the attachment mechanism to couple an attachment to the headless compression screw.

Abstract: A method and system for promoting the union of a bone fracture and/or fusion of bones across a joint space at a target region of a subject which may be accomplished by: inserting a surgical implant device at the target region; providing a guide member in the surgical implant device bore; sealing the surgical implant device bore distal opening and/or the surgical implant device bore proximal opening with the guide member; and positioning the guide member relative to the surgical implant device to provide for the guide member to be partially absent from the surgical implant device bore to allow the biomaterial and/or biologically active agents to extrude or diffuse from the activated apertures to the target region of the subject.

Abstract: Instruments, implants, bone plates, systems and methods for correcting bone deformities and fractures in the lower extremity are disclosed. Specifically, targeting instruments, implants, bone plates, systems and methods used for correcting bone deformities and/or fractures in the foot are disclosed.

Abstract: An anchoring system is a combination of a nanofiber scaffold material and an arthroscopically deployable suture anchor. The anchor is deployed into a bone tunnel using common techniques. The nanofiber material extends out of the proximal end of the implant, once deployed. The implant also includes pre-loaded sutures or has the ability to accept and lock sutures to the implant. For an implant pre-loaded with suture, the implant is placed into the bone, the material is deployed above the anchor onto the surface of the bone, suture is passed through the soft tissue, and knots are tied to secure the tissue against the bone, sandwiching the material between the bone and tissue, to provide a pathway for cells from the bone marrow to the soft tissue-bone interface, promote the healing response, provide a biomimetic structure that cells readily adhere to, and create a larger healing footprint.

Abstract: A dental abutment system including an abutment, an inlay and screw, wherein the screw at least partially occupies the interior channel of the inlay. A method of manufacturing a dental abutment system and to a control data set including a plurality of control instructions that are configured to, when implemented in an additive manufacturing system, to cause the system to execute at least the step of forming an abutment at the distal end of an inlay using an additive manufacturing process. The screw is a captive screw. The interior channel of the abutment is variable in diameter and the smallest diameter is ?102% and ?110% of the width of the screw head and the longitudinal axis of the interior channel of the abutment and the longitudinal axis of the interior channel of the inlay are angled with respect to each other at an angle of ?5 degrees.

Abstract: A bone fastener includes a shaft. The shaft includes a wall that defines a longitudinal cavity and a plurality of openings in communication therewith. The openings are disposed in axial alignment along the shaft and the wall is closed exclusive of the openings. In some embodiments, systems, spinal constructs, surgical instruments and methods are disclosed.

Abstract: Devices, systems, implants and methods for achieving ligament fixation are disclosed. An implant includes a head member and an anchor member coupled to the head member. The implant includes tension member that couples the head member to the anchor member. The head member and the anchor member include a cannulation that receives the tension member therein. The implant may include a coupling member positioned between and coupling the head member and the anchor member, the coupling member including a cannulation that receives the tension member therethrough. Insertion instruments for inserting an implant for ligament fixation are also disclosed. Methods of using an implant for achieving ligament fixation are also disclosed.

Abstract: A device for treating orthopaedic trauma includes a device body having an exterior surface and a cannulation formed therein that extends from one longitudinal end of the device body to an opposite longitudinal end of the device body and at least one porous ingrowth material region associated with the exterior surface of the device body and fluidly coupled to the cannulation. The at least one porous ingrowth material region is configured to deliver a therapeutic agent from the cannulation to a region outside the device body.

Abstract: A hybrid radiolucent screw having radiopaque components and radiolucent components, which collaboratively define a tip of the screw and a head of the screw. In this manner, distortion is minimized during fluoroscopy or radiography of the screw while visualization of the screw and surrounding area is enhanced.

Abstract: A deployment device, including a driver shaft; an implant attached to the distal end of the driver shaft; a handle assembly connected to the proximal end of the driver shaft including a handle and a knob positioned distally to the handle; a cleat configured to secure a proximal end of a suture received from the implant through an aperture of the driver shaft resulting in a first applied tension value when the implant is placed in a pilot hole, wherein each of the implant, proximal handle and cleat is connected to the driver shaft such that rotation of the proximal handle in a first direction results in the rotation of the implant in the first direction and the maintenance of at least 50% of the first applied tension value when the implant is rotated in the first direction and advanced in the distal direction within the pilot hole.

Abstract: A suture passer which is sized and shaped to be inserted through the femoral notch during a meniscal repair. The suture passer includes upper and lower jaws that may be straight or that may have an angled offset in relation to the common axis of the suture passer in order to gain an indirect access to meniscal tissue in a constricted space. The jaws of the suture passer may be angled, either to the left or to the right, up to 45 degrees from the central axis of the shaft. The suture passer is also able to grasp meniscal tissue prior to suture passing. A nitinol needle housed within one of the jaws can then be deployed to pass a preloaded suture through the tissue to be captured on the opposite side of the tissue.

Abstract: The present invention is a fastener (30). The current fastener (30) is particularly useful in surgical procedures. Among other things, the surgical fastener (30) is provided with a conduit (50, 210) to dispense or carry biocompatible substances.

Abstract: A bone fixation system is provided for use in the spine between vertebrae. The system comprises a first fastener configured to anchor into a first vertebrae, a second fastener configured to anchor into a second vertebrae, and a set screw to retain the second fastener to the first fastener. The first fastener includes a shaft extending along a longitudinal axis and a head. The shaft includes a first cylindrical body. The head of the first fastener includes a second cylindrical body defining a passageway having an interior surface. The passageway defines a longitudinal axis that is different than the longitudinal axis of the shaft. The first cylindrical body of the shaft and the second cylindrical body of the head are angled relative to each other. The second fastener includes a shaft and a head. The head of the second fastener is configured to engage the interior surface of the passageway of the head of the first fastener.

Abstract: The present invention provides an implant having an enhanced initial fixation force, and more particularly, to an implant that may maintain a fixed state without relative movement with respect to vertebral bodies until fusion is completely performed. The implant includes: an implant body inserted between vertebral bodies; and an injection unit installed in the implant body, and configured to inject bone cement into the vertebral bodies.

Abstract: A modular screw includes a post and a head assembly. The post includes a tapered portion extending along a length of the post, the post defining a first bore. The head assembly is adjustably coupled with the post. The head assembly includes a head defining a slot configured to receive a spinal rod therein, an elongate screw having external threads extending along a length of the elongate screw, and a screw shank defining a second bore configured to receive the elongate screw therein. The screw shank includes an engaging portion configured to expand radially outward when the elongate screw engages the engaging portion, and internal threads configured to engage the external threads of the elongate screw. At least a portion of the screw shank is dimensioned to be selectively received in the first bore of the post.

Abstract: A bone fixation element is described. The bone fixation element includes first and second channels, a connection channel, and at least one fenestration. The first channel includes a first proximal channel portion and a first distal channel portion. The first proximal channel portion extends from a proximal end of the first channel toward a distal end, and the first distal channel portion extends from the first proximal channel portion to the distal end. The connection channel extends between the distal end of the first channel and a distal end of the second channel such that the first channel is in fluid communication with the second channel via the connection channel. The at least one fenestration extends from at least one of the first and second channels to an outer surface of the bone fixation element.

Abstract: The present invention relates to a device and system for fixation of intra-articular and extra-articular fractures and non-unions of small bones and other small bone fragments, and more particularly to a threaded nail with a robust length and a trailing end with a cutting tip and longitudinal cutting flutes and a stepped diameter with cutting flutes at the transition point, and an optional cannulation along the central longitudinal axis of the nail.

Abstract: A method is provided for stabilizing a bone. A plate is positioned over a bone. The bone plate has a polyaxial screw hole with a spherically curved seat. A bone hole is formed beneath the screw hole. A screw having a head with a spherical outer surface, and a threaded shaft with an internal cannula and a plurality of fenestrations is provided. The screw is driven through the first screw hole and into the bone hole until the outer surface of the head is supported by the spherically curved screw seat. A syringe provided with a needle is inserted into the internal cannula of the shaft of the screw. The syringe includes a bone injectable material that is injected through the needle, into the internal cannula, and out of at least one fenestration into the bone. After injection, the needle is removed from the screw shaft.

Abstract: The invention features bone screws having a threaded screw body and a screw head attached to one end of the screw body, the bone screw further including: a) an interior channel extending longitudinally through the screw head and through at least a portion of the screw body, wherein the interior channel has a width of less than 5.0 millimeters; and b) a plurality of radially-disposed delivery channels connecting the interior channel to the exterior of the screw body, each delivery channel having exterior openings. The invention further features devices that include a bone screw and a delivery manifold detachably attached to the screw head of the bone screw. In addition, the invention features methods of treating a patient having a bone defect by using a bone screw described herein.

Abstract: A two-part implant insertable in two bone segments that are intended to be fused together, wherein the implant provides built-in axial compressive forces that aid in maintaining the two bone segments in compression against each other so as to facilitate fusion.

Abstract: A method and apparatus are disclosed for providing a compression fixation between a first and further component. The apparatus comprises an elongate body having a head end and a tip end and comprising a screw thread including a first region in which the screw thread has a corresponding first pitch and a further region, extending from the tip end, in which the screw thread is tapered and has a corresponding further pitch that continually decreases away from the tip end.

Abstract: Some embodiments of the invention include a cannulated bone screw including a screw shaft with screw thread, a proximal end, a distal end, and a channel extending through the screw shaft. Some embodiments include an inlet port coupled to the channel and extending through the distal end, and an outlet port coupled to the channel by a curved or angled channel region. In some embodiments, the outlet port extends through the screw shaft and exits a side that is substantially parallel to the shaft longitudinal axis. In some embodiments, the cannulated bone screw can form part of a therapy delivery device. In some embodiments, the outlet port extends through a portion of the screw shaft and exits at the distal end. In some embodiments, the valve includes a plunger with a plunger rod within the screw shaft, and a valve seat for control of fluid flow out of the screw.

Abstract: A resorbable implant for osteosynthesis for stiffening in a central joint (e.g., the proximal interphalangeal joint referred to as PIP) during arthrodesis or for stiffening in an end joint (e.g., the distal interphalangeal joint referred to as DIP) during arthrodesis and for osteosynthesis and stabilization of fractures of small bones of the human skeleton includes two shafts placed against each other. At least one fixing aid is located between the shafts. The fixing aid protrudes beyond a diameter of the shafts. Each shaft may have longitudinal grooves and transverse grooves. The implant is a magnesium-based material which can be resorbed by the human body. The disclosed implant has a relatively high tensile strength, excellent stability, optimal healing properties, and an optimally adapted resorption speed.

Abstract: A device and method of manufacturing and implanting a custom subtalar arthroereisis implant having side surfaces which are mirrored in topography with the sinus tarsi of a patient. The implant is formed using images of the patient standing in a weight bearing position with their sinus tarsi and the surrounding bone structure in an anatomically correct alignment. Once implanted, the implant urges and maintains the anatomically correct alignment thereby minimizing any patient tendency for abnormal motion between said patient's talus and calcaneus.

Abstract: A medical implant and a method of implanting a medical implant are disclosed. In some embodiments, the medical implant can include an apical bone anchoring portion for bone apposition and an unthreaded coronal portion. The coronal portion can have a length (L2) exceeding or equaling a length (L1) of the apical portion. Further, in some embodiments, the apical portion has a maximum outer diameter (D1) that is equal to or larger than a maximum outer diameter (D2) of the coronal portion. In some embodiments of the method, an apical part of an implant is affixed in the zygomatic bone and a coronal part is positioned outside the maxilla in the mucous membrane.

Abstract: Various bone screws configured to be implanted into bone and methods of use are provided. In an exemplary embodiment, a bone screw is provided with an elongate shank having at least two threads thereon, and having a distal facing surface with at least two cutting edges. The cutting edges can be configured to cut bone as the bone screw is rotated into bone, thereby forming a path for the threads.

Abstract: An anchor for a pedicle screw having an anchor body comprising a proximal end, a proximal portion, a distal portion, and a distal end, and a through-hole through the anchor body from the proximal end to the distal end. The through-hole defines a long axis of the anchor, and is provided with undersized female threads in the proximal portion and a reduced inner diameter in the distal portion. The reduced inner diameter causes expansion of at least the distal portion of the anchor body when a screw is inserted into the through-hole. The anchor is further provided with a plurality of ridges on an exterior surface of the anchor body, the ridges configured to reduce the likelihood of pullout when the anchor is inserted into a vertebra and a screw is inserted into the through-hole.

Abstract: Systems, tools, and screws for reducing a bone fracture are disclosed. In embodiments, the system comprises: a screw, a driver, a sleeve comprising a longitudinal bore configured to enable insertion of the driver through the sleeve, a locking mechanism configurable into a first state that locks the sleeve to the driver and a second state that unlocks the sleeve from the driver, and a retaining sleeve coupled to a first end of the driver and configured to couple to the screw. In the first state, the sleeve applies a compressive force while distal threads of the screw are driven into the bone while retaining proximal threads of the screw in the sleeve. After a desired compression is achieved, the locking mechanism is configured to the second state, allowing the proximal threads of the screw to be driven into the bone while maintaining application of the compressive force to the bone.

Abstract: Disclosed herein is a bone cage that includes a shaft extending from a head to a tapered tip and including threads disposed on an external surface of the shaft. The cage also includes a plurality of fenestrations defining a row disposed in at least a first helix along at least a portion of the shaft, each of the plurality of fenestrations extend directly through a natural portion of the thread. The cage also includes a cannula positioned within the shaft and extending from an opening in the head to another opening in the tip. Each of the fenestrations are defined by a wall that extends from the exterior of the shaft to the cannula.

Abstract: Tissue anchors and systems and methods for delivering and removing them are provided. In an exemplary embodiment, the tissue anchor may include an outer shell including a proximal end, a distal end, a passage extending therebetween, and a plurality of expandable arms; an expander including a proximal portion disposed within the passage and distal portion that extends distally from the outer shell distal, the expander movable proximally relative to the outer shell to a deployed position wherein the distal portion directs the plurality of arms outwardly to engage adjacent bone. A fork extends from the distal portion of the expander including a pair of tines spaced apart from one another and a concave distal surface extending between the tines. A suture loop extends from the distal portion of the expander for capturing a tissue structure.

Abstract: A combination of an implant (100) like a bone screw together with an augmentation sleeve (200) is suggested. The bone screw may comprise a trailing end portion with a plurality of lateral bores (120). The augmentation sleeve may comprise a leading end portion which is adapted to be coupled to the trailing end portion of the bone screw, and a lateral opening (220) at the leading end. The augmentation sleeve may be adapted to guide an augmentation tool to the trailing end portion of the bone screw and to the leading end portion of the augmentation sleeve so that the trailing end portion of the bone screw may be augmented by pressing augmentation material through the plurality of lateral bores at the trailing end portion of the bone screw and further through the lateral opening of the augmentation sleeve into the bone at the trailing end of the bone screw, or other implant. After the augmentation of the trailing end portion of the bone screw, the augmentation sleeve may be removed.

Abstract: This interphalangeal arthrodesis implant comprises a proximal anchor portion intended to be engaged and anchored in the medullary canal of a first phalanx sectioned along a first osteotomy plane, the proximal anchor portion including a plurality of proximal anchor branches each provided with at least one bone anchor element; and a distal anchor portion, connected to the proximal anchor portion, intended to be engaged and anchored in the medullary canal of a second phalanx sectioned along a second osteotomy plane, the distal anchor portion including a plurality of distal anchor branches each provided with at least one bone anchor element. The distal anchor portion comprises a stop portion including a stop surface intended to bear against a sectioned surface of the first phalanx extending along the first osteotomy plane.

Abstract: There is disclosed a device and method for stabilizing a bone. The device includes a flexible threaded portion operable to thread along a curved path in a bone.

Abstract: Provided is a bone joining device suitable for joining a first bone piece to a second bone piece. Also provided is a method of joining a first bone piece with a second bone piece in a living mammal. The method comprises inserting the above bone joining device between the first bone piece and the second bone piece.

Abstract: A pedicle anchor device is equipped for being used like a pedicle screw, i.e. for being implanted in the vertebra from dorsal direction (but generally at an angle to the sagittal plane, slightly inward towards the sagittal plane) through the pedicle so that a distal portion of the device protrudes into the vertebral body. The pedicle anchor device includes a pedicle anchor device body with a head portion, a shaft portion and a longitudinal bore that extends from a proximal end of the pedicle anchor device body and has a hole or a plurality of holes from the longitudinal bore outward, for example radially outward.

Abstract: A suture fixation device and method thereof is provided. The suture fixation device includes a suture fiber having a length of about 24 to 40 inches and a plurality of knots spaced apart from each other along the length of the suture fiber. Each of the plurality of knots has an overall width of about 3.0 to 4.0 mm.

Abstract: A two-part implant insertable in two bone segments that are intended to be fused together, wherein the implant provides built-in axial compressive forces that aid in maintaining the two bone segments in compression against each other so as to facilitate fusion.

Abstract: Devices and methods are disclosed for the fusion of joints (particularly finger joints or toe joints) in a bent (or angled) position. The device is not cannulated, straight and inserted into the joint in its straight configuration. The device is configured to have a thicker portion at its proximal end than at its distal end. The device is preferably inserted into a finger joint that is already bent at an angle, and the thin, distal end is configured to screw into and attach to the bone of second joint thereby fusing the first joint to the second joint.

Abstract: A soft tissue displacer tool can include a shaft that is elongate along a central axis, the shaft including a shaft body that defining a proximal end, a distal end that is spaced from the proximal end in a distal direction, and a central location that is disposed equidistantly between the proximal and distal ends. The shaft defines at least one inclined groove that 1) is inclined with respect to a plane that is normal to the central axis, and 2) revolves about the central axis, the groove terminating at a first end and a second end that is spaced from the first end along the distal direction, and the second end is spaced from the distal end. Soft tissue displacer tools are also described in which the shaft is cannulated. The soft tissue displacer tool can further include a guidance member, such as a K-wire, a trocar, or a bone punch.

Abstract: Examples of devices and methods for stabilizing a fracture in a bone include a body having an elongate distal portion having an outer surface defining a screw thread and an elongate proximal portion having a non-threaded outer surface.

Abstract: An improved joint fusion screw for transiliac fixation has a screw head and extending therefrom an elongate hollow shaft. The hollow shaft has an externally threaded end portion extending to a tip end and a non-externally threaded shank portion having a plurality of window openings. At or near the tip end is a start of a thread with a bone cutting flute. The bone cutting flute has a cutting edge on a circumferential exterior of the threaded tip to cut bone and directs the cut bone internally into a bone receiving opening in the hollow shaft directly in front of the cutting flute. The cutting edge lies at the start of the thread extending radially above the bone receiving opening at least partially overhanging the opening configured to cut bone.

Abstract: Stand alone fusion cage assemblies that can be secured to the adjacent vertebral bodies via an in-line approach that is substantially perpendicular to the anterior wall of the stand alone cage (or substantially parallel to the cage insertion direction).

Abstract: A bone anchor is provided comprising an anchor member having an open first end, a second end and a tubular section between the first end and the second end, a longitudinal axis extending from the first end to the second end, and a bone engagement structure for engaging the bone in at least a portion of the tubular section, wherein the anchor member is made of a first material. The bone anchor also comprises a core member having a first end and a second end and being insertable into the anchor member and connectable thereto, wherein the core member is made of a second material that is different from the first material.

Abstract: A bone screw arrangement with a variable length, comprises a guide screw, which is formed with a guide that extends in the axial direction in the interior of the guide screw, and comprises an anchor screw, which has a guide element that is received in the guide such that an arrangement length formed by the guide screw together with the anchor screw can be adjusted by moving the guide element in the axial direction in the guide in the interior of the guide screw. The guide element is received in a free-running manner in a portion of the guide when the guide element is moved in order to change the arrangement length, and the guide element is blocked from running freely in the axial direction at least in a distal end position in which the anchor screw is completely extended.