Abstract: The present disclosure includes fixation devices, such as an orthopedic screw or implant, that comprises one or more porous elements or fenestrations to aid in osteo-integration of the fixation device. The fixation device may be additively manufactured using biocompatible materials such that the solid and porous aspects of the screw are fused together into a single construct. In yet another aspect, the fixation device comprises at least a portion or section incorporating a porous structure, which enables bony ingrowth through the porous section/portion of the screw, and thereby facilitates biocompatibility and improve mechanical characteristics. Methods for using the fixation device are also described herein.

Abstract: Threaded sacro-iliac joint stabilization (e.g., fusion, fixation) implants and methods of implantation and manufacture. Some implants include a threaded distal region, an optionally threaded central region, and an optionally threaded proximal region. The distal, central, and proximal regions have lengths such that when the implant is laterally implanted across a SI joint, the distal region can be positioned in a sacrum, the central region can be positioned across an SI-joint, and the proximal region can be positioned in an ilium.

Abstract: The present invention provides, in one aspect, a bone fixation device, the bone fixation device having a shaft, the shaft including a drive end and a tip end, at least a portion of the shaft configured to anchor into bone. The shaft further includes a first non-resorbable section extending from the tip end of the shaft, a second non-resorbable section extending from the drive end of the shaft, and a resorbable section. The resorbable section includes a tip side and a drive side, the resorbable section is between the first non-resorbable section and the second non-resorbable section, with the tip side of the resorbable section coupling to the first non-resorbable section and the drive side coupling to the second non-resorbable section.

Abstract: A bone screw including a head portion, a neck portion, and a shaft portion is provided. The shaft portion includes a first end, an opposite second end, a helical thread form, and a shank. The first end of the shaft portion is attached to the neck portion, and the helical thread form extends around the shank between the first end and the second end. The thread form terminates at a thread-termination surface adjacent the first end of the shaft portion, where the thread-termination surface affords an abrupt transition into the shank.

Abstract: The present disclosure includes fixation devices, such as an orthopedic screw or implant, that comprises one or more porous elements or fenestrations to aid in osteo-integration of the fixation device. The fixation device may be additively manufactured using biocompatible materials such that the solid and porous aspects of the screw are fused together into a single construct. In yet another aspect, the fixation device comprises at least a portion or section incorporating a porous structure, which enables bony ingrowth through the porous section/portion of the screw, and thereby facilitates biocompatibility and improve mechanical characteristics. Methods for using the fixation device are also described herein.

Abstract: A method for setting a screw, which has an external thread in a front region and a drive in a rear region for introducing a torque into the screw, in a drilled hole in a substrate of a mineral material includes producing an internal thread in the drilled hole by a threaded drill provided with a cutting thread and then introducing the screw into the drilled hole and in so doing the external thread of the screw is screwed into the internal thread, produced by the threaded drill, in the drilled hole. The external diameter of the cutting thread of the threaded drill is smaller than the external diameter of the external thread of the screw.

Abstract: A fixation device includes an outer member, a retaining member, and an inner member. The outer member includes an elongated body portion defining a central bore through at least a portion thereof that extends along a central longitudinal axis. The elongated body portion includes a slot defined therethrough. The retaining member is disposed within the outer member when in an initial position and extends through the slot of the outer member when in a deployed position. The inner member includes a cam shaft body disposed within the central bore of the outer member. The cam shaft body is coupled to the retaining member such that rotation of the inner member moves the retaining member between the initial and deployed positions.

Abstract: The present disclosure includes fixation devices, such as an orthopedic screw or implant, that comprises one or more porous elements or fenestrations to aid in osteo-integration of the fixation device. The fixation device may be additively manufactured using biocompatible materials such that the solid and porous aspects of the screw are fused together into a single construct. In yet another aspect, the fixation device comprises at least a portion or section incorporating a porous structure, which enables bony ingrowth through the porous section/portion of the screw, and thereby facilitates biocompatibility and improve mechanical characteristics. Methods for using the fixation device are also described herein.

Abstract: A X-ray detectable bioabsorbable bone screw comprises a light-emitting element, a light-sensing element, a transparent inner encapsulant body, an outer covering body, and two conductive frames on which. An optically reflective surface is in contact and formed between the dome enclosing portion of the transparent inner encapsulant body and the outer encapsulant body. A portion of the light emitted by the light-emitting element is reflected to the light-sensing element through the optically reflective surface, and the other portion of the light emitted from the light-emitting element is directly emitting to the light-sensing element through the transparent inner encapsulant body. The present invention applies the optically reflective surface to minimize the overlapping area between the two conductive frames, and reduces the capacitance value, and increases the CMRR in a manner that the photo coupler of the present invention is able to meet the standard of electrical characteristics as required.

Abstract: The invention provides a surgical tool (1), e.g. a hand-held tool, for inserting surgical implants in a patient's body, the tool comprising: a main body (2) extending along a longitudinal axis (X-X?) between firstly a working end (3) and secondly a proximal end (4), the main body (2) also presenting an outside surface (5) connecting the working end (3) to the proximal end (4); and a guide cannula (14) arranged within the main body (2) and extending between a distal orifice (15) opening to the outside of said main body (2) at the working end (3), and a rear orifice (16); said surgical tool (1) being characterized in that said rear orifice (16) opens out to the outside surface (5) of said main body (2), and in that said main body (2) presents longitudinal splines (25, 27, 28) projecting from said main body (2) in respective planes extending. radially relative to the longitudinal axis (X-X?). Surgical instrumentation.

Abstract: A bone anchoring element (1) for anchoring an external device in a bone is described. A head (2) capable of connection to the external device is provided with a shaft (3) that can be anchored in a bone. A predetermined section of the shaft (3) has a bone thread (5). Moreover, the shaft (3) also has at least one bone thread-free surface (6,7; 11,12; 16,17; 21,22,23) that extends from a first end to a second end of the predetermined section essentially along the direction of the shaft axis. The bone anchoring element (1), thus provided, is pressed or soft-hammered into a hole (8, 28) previously generated in the bone and fixed in the bone by rotation by a predetermined angle. If the bone anchoring element has to be removed this can be achieved by unscrewing it in the standard fashion. The disclosure also describes methods for using the bone anchoring element.

Abstract: A suture anchor system and method including a suture anchor and a suture anchor drive. The suture anchor is positionable on a rod of the suture anchor drive. The rod defines an awl for forming a hole in a bone. The suture anchor drive further has an impactor for moving the suture anchor along the rod between a retracted position and an advanced position so as to implant the suture anchor in the bone with the awl positioned in the bone.

Abstract: A composite material bone screw comprising an embedded insert. The embedded insert may serve as a thread cutting tool by covering at least one cutting edge of the screw.

Abstract: Composite orthopedic devices that facilitate spine stabilization, such as: bone screws, rods, plates, interbodies, and corpectomy cages are disclosed. They are designed to provide both strength and load carrying capabilities, while increasing bio-integration of the devices with the surrounding bone tissue. They are constructed of composite layers of allograft and/or autograft bone and a structural material, such as titanium alloy or carbon/graphite fiber composite. Cannulations within the device are loaded with a mixture of stem cells, particles of allograft and/or autograft bone, and bone growth factors, such as BMP-2. The cannulations are connected to the surface of the device via multiple fenestrations that provide pathways to supply the bone/stem cell mixture to the surface, allowing living bone tissue to grow and insure bio-integration.

Abstract: A fixation component for a bone-supporting component of a bone implant, comprising a body including a core, and a head portion. A distal end of the component comprises an insert formed of a hard material, which covers a portion of the distal end, and acts a thread cutting tool. In some embodiments, the insert comprises a planar portion abutting against a material of the fixation component. In some embodiments, the fixation component is a screw, and the insert covers at least a portion of a cutting edge of the screw.

Abstract: The invention relates to a self-tapping and self-boring osteosynthesis screw for compressive orthopaedic surgery, characterised in that, in the bone engagement regions, at both the distal portion (A1a) and at the proximal portion (A2a), the sum of the angles defining the outer taper of the shank (f) and the taper of the crest line of the screw thread pitch (P) is higher than 45°, and in that the leading portion (i.e. the most distal one) of each thread includes a plurality of cutting edges (AR) obtained by stock removal.

Abstract: In an arrangement for obtaining reliable anchoring of a threaded implant (3) in dentine, a hole (2) is made in the bone substance. In the side wall (2b) of the hole it is possible to establish an internal threading which can cooperate with an external threading (3d) on the implant. The implant threading is arranged to force the bone substance out in essentially radial directions as a function of the extent to which the implant is screwed into the hole. The threading is arranged to effect greater forcing out of the bone substance at the outer parts of the hole than at the inner parts of the hole. The degree of forcing out is adapted in relation to the softness of the bone in order to achieve the reliable anchoring. Along at least part of the longitudinal direction of the implant, the implant threading can be given a non-circular configuration for the purpose of obtaining improved rotational stability in soft/weak bone.

Abstract: A threaded fastener for embedment into bone is disclosed. Threads are formed on cylindrical stock. The thread pattern features upper and lower surfaces. The upper surface includes (in section) two facets which intersect to form a “V” shaped contour and a lower surface which is undercut below an upper facet nearest a root of the fastener thread. The fastener includes a self-tapping cutter at a distal extremity and a driving head at its proximal extremity. The cylindrical stock contemplates two variants: it may be hollow from the proximal end to the self-tapping cutter or from the self-tapping cutter to its distal end. The self-tapping cutter is configured to feed bone shards into the hollow.

Abstract: Surgical fasteners, including tacks are disclosed for fastening a surgical mesh to underlying tissue during surgical procedures to repair body tissue, such as in hernia repair. Such tacks can include a head, a elongated body portion having a distal end and a proximal end, and an anchoring element on an outer surface of the body portion for inhibiting the removal of the tack from the mesh and body tissue.

Abstract: An orthopedic fastener rated to be received into a corresponding bone specimen. The corresponding bone specimen has an overall outer thickness from near cortex to far cortex. Preferably, but optionally, the corresponding bone specimen also has a predetermined bone hole preparation which includes a pilot hole through the near cortex and into the far cortex. The fastener itself comprises a plurality of cutting flutes on one end. The cutting flutes transition into a tapered male threaded portion. The tapered male threaded portion provides a plurality of self-tapping threads. The self-tapping threads taper from a minimum thread crest diameter Dmin proximal to the cutting flutes to a maximum thread crest diameter Dmax distal from the cutting flutes. The cutting flutes are further rated to ream the pilot hole, when provided, to a diameter of about Dmin.

Abstract: The present invention relates to a bone implant device, comprising a body having a first part and an opposite second part, the first part and an opposite second part defining a longitudinal axis, the first part including an external thread extending from a cylindrical part to the distal end of the body, the external thread comprising a first thread part having a first radius measured from the longitudinal axis and a second thread part having a second radius measured from the longitudinal axis. The first radius is larger than the second radius, the first thread part is a cutting part, and the second thread part is a contact surface. The first part may include one or more cavities for storing bone fragments while the bone implant is in use.

Abstract: A dual-start fastener is disclosed having two threads helically wound about its shaft. The thread tooth profile (in section) constitutes substantially parallel upper and lower facets on each thread flank. A first thread has a crest diameter greater than a second thread. A distal end of the fastener includes self-tapping cutters formed on the threads which force shards of bone to advance into shallow troughs adjacent the cutters for subsequent resorption by adjacent osseous tissue.

Abstract: An orthopedic structure includes a method for making a threaded fastener with thread geometry and leading edge geometry which provides greater precision during installation. Specifically, thread pitch and tooth profiles are independently variable. A leading portion of the fastener advances bone shards forward of the forward of the fastener to reduce insertion torque and prevent the shards from residing in the upstream tooth profile for better retention.

Abstract: A surgical bone screw (1) and driver (31), and a method for using them for repairing an osteotomy or fracture. The screw has a shaft having a head (5) at its proximal end, screw threads (3) at its distal end and a compression member (7) between the head and the screw threads. In an embodiment, the threads are self-tapping and self-drilling, the head is polygonal, and the sides of the polygon are convex. The driver turns the screw until the threads cross a fracture site and the compression member contacts the proximal bone fragment. The threads and compression member draw the fragments together and leaves the head entirely clear of the bone surface. The screw is removed through a small incision. Tilting the driver to allow the socket to engage an inwardly extending lower portion of the head permits the driver to lift the screw out of the bone.

Abstract: Disclosed is a self-tapping bone screw, in particular for use as a compression screw or a locking screw for an implant. The bone screw has screw shank, which has a front tip, a cutting region, an intermediate region, and a rear head region. In a transition region including mutually adjoining parts of the cutting region and the intermediate region, the root diameter of the screw shank in the cutting region is greater than the root diameter of the screw shank in the intermediate region, and the outside diameter of the screw shank is constant.

Abstract: A multiple zone bone fastener includes a head attached to an elongated shaft with a leading edge. The elongated shaft has a first zone, a second zone and a third zone, such that the second zone is disposed between first and third zones. The shaft has a continuous helical thread along the length of the first, second and third zones wherein the distance between the threads in the second zone is twice the distance between the threads in the first and second zones.

Abstract: A compression bone screw (100) comprises a shank (110), a first element (120) and a second element (130). The shank (110) has longitudinally opposing first and second shank portions (111, 112). The first shank portion (111) is externally threaded with a first shank thread (113). The first element (120) is threadingly mounted on the first shank portion (111) by way of a first element internal thread (122) threadingly engaging the first shank thread (113). The first element (120) is externally threaded with a first element external thread (123). The second element (130) is mounted on, or integrally formed with, the second shank portion (112). The second element (130) is externally threaded with a second element external thread (133). The second element external thread (133) and the first element external thread (123) are like-handed.

Abstract: A surgical device of a drill/driver with bit recognition to set a desired application mode and a method of utilization thereof is provided. Various operating modes of the drill/driver are automatically set by a sensor which recognizes the bit applied to the drill/driver. A method of utilizing the drill/driver allows the drill driver to apply surgical screws at very high speeds while automatically preventing excessive torque levels that would strip out the surgical screw from the patient's bone.

Abstract: A fixation component for a bone-supporting component of a bone implant, comprising a body including a core, and a head portion. A distal end of the component comprises an insert formed of a hard material, which covers a portion of the distal end, and acts a thread cutting tool. In some embodiments, the insert comprises a planar portion abutting against a material of the fixation component. In some embodiments, the fixation component is a screw, and the insert covers at least a portion of a cutting edge of the screw.

Abstract: A composite material bone screw comprising an embedded insert. The embedded insert may serve as a thread cutting tool by covering at least one cutting edge of the screw.

Abstract: A bone screw and method of inserting a bone screw into a bone is disclosed. In one example, the bone screw includes a tip segment for creating a starter hole in the bone. A pilot segment is located proximally of the tip segment for creating a pilot hole in the bone after creation of the starter hole. A threaded segment is located proximally of the pilot segment for fixedly securing the bone screw in the bone. A head is located proximally of the threaded segment for allowing a surgical rod to be fixedly secured to the bone screw.

Abstract: An orthopedic fastener rated to be received into a corresponding bone specimen. The corresponding bone specimen has (1) an overall outer thickness from near cortex to far cortex in a predetermined rated range of outer bone thicknesses, and (2) a predetermined bone hole preparation including an entry portion in the near cortex. The entry portion has a predetermined minimum entry diameter. The fastener provides a tapered portion. When the fastener is operably secured into the far cortex of a bone thickness for which it is rated to be received, the tapered portion of the fastener contacts the entry portion in the near cortex so as to impart no more than about 0.2 mm of radial preload into the bone surrounding the entry portion.

Abstract: An orthopedic fastener rated to be received into a corresponding bone specimen. The corresponding bone specimen has a predetermined bone hole preparation including a tapered female threaded section. Threads on the tapered female threaded section have a pre-selected thread profile. The fastener itself comprises a male tapered threaded portion. Threads on the male tapered threaded portion are rated to mate, according to the pre-selected thread profile, with corresponding threads on the tapered female threaded section. The pre-selected thread profile has a predetermined thread geometry. The thread geometry is predetermined so that, when the male tapered threaded portion on the fastener is fully engaged in the tapered female threaded section on the bone hole preparation, a predetermined further tightening of the fastener imparts a corresponding predetermined radial preload on bone tissue surrounding the tapered female threaded section.

Abstract: A bone implant includes a head and a core body extending from the head to a tip. Multiple osteotomy blades extend outwardly from at least a portion of the core body, arranged end-to-end to form a spiral thread. The implant, and particularly the osteotomy blades, are configured to self-osteotomize and channel cut bone between the blades and facilitate bone growth and grafting and integration of the implant to the bone.

Abstract: A fracture fixation device is described for fixing a bone having a near cortex and a far cortex, comprising a shaft portion configured to span a distance between the near cortex and the far cortex of the bone; a head portion adjoining the shaft portion and providing for engagement of the device with a bone plate, wherein the head portion is integral with the shaft portion; and a threaded front section for engagement of the device with the far cortex of the bone, wherein the device permits motion of the shaft portion relative to the near cortex.

Abstract: A bone screw having a head portion and an adjoining shaft portion is described. The shaft portion has a front, a mid, and a neck section, where at least two of the sections having complementary features and/or attributes to facilitate positive-locking, but flexible engagement of the bone screw to a bone.

Abstract: A bone screw, such as a pedicle screw, comprises en elongate structure having a head, an anchoring portion or tip distal from the head, and an open, helical body extending there-between. In one embodiment, the invention provides a screw having an anchoring portion, which engages bone and which includes a means for engaging a driver or the like whereby the screw is driven into the bone by the anchoring portion. A method of driving a screw is also provided.

Abstract: A bone screw includes a tubular body including a wall having a bone thread in at least a portion of an outer portion of the wall, an open first end and an open second end. A plurality of cutting teeth is provided at the open first end. An engagement structure is provided at the second end for engagement with a screwing-in tool. The wall in the vicinity of the plurality of cutting teeth is thicker in a radial direction than the wall adjacent to the plurality of cutting teeth.

Abstract: An orthopedic fastener rated to be received into a corresponding bone specimen. The corresponding bone specimen has an overall outer thickness from near cortex to far cortex. Preferably, but optionally, the corresponding bone specimen also has a predetermined bone hole preparation which includes a pilot hole through the near cortex and into the far cortex. The fastener itself comprises a plurality of cutting flutes on one end. The cutting flutes transition into a tapered male threaded portion. The tapered male threaded portion provides a plurality of self-tapping threads. The self-tapping threads taper from a minimum thread crest diameter Dmin proximal to the cutting flutes to a maximum thread crest diameter Dmax distal from the cutting flutes. The cutting flutes are further rated to ream the pilot hole, when provided, to a diameter of about Dmin.

Abstract: An orthopedic fastener rated to be received into a corresponding bone specimen. The corresponding bone specimen has a predetermined bone hole preparation including a tapered female threaded section. Threads on the tapered female threaded section have a pre-selected thread profile. The fastener itself comprises a male tapered threaded portion. Threads on the male tapered threaded portion are rated to mate, according to the pre-selected thread profile, with corresponding threads on the tapered female threaded section. The pre-selected thread profile has a predetermined thread geometry. The thread geometry is predetermined so that, when the male tapered threaded portion on the fastener is fully engaged in the tapered female threaded section on the bone hole preparation, a predetermined further tightening of the fastener imparts a corresponding predetermined radial preload on bone tissue surrounding the tapered female threaded section.

Abstract: An orthopedic fastener rated to be received into a corresponding bone specimen. The corresponding bone specimen has (1) an overall outer thickness from near cortex to far cortex in a predetermined rated range of outer bone thicknesses, and (2) a predetermined bone hole preparation including an entry portion in the near cortex. The entry portion has a predetermined minimum entry diameter. The fastener provides a tapered portion. When the fastener is operably secured into the far cortex of a bone thickness for which it is rated to be received, the tapered portion of the fastener contacts the entry portion in the near cortex so as to impart no more than about 0.2 mm of radial preload into the bone surrounding the entry portion.

Abstract: The present invention is generally directed to a unique bone screw which, in one form, may be used to engage with and attach an implant to bone or bony tissue. In one embodiment, a bone screw includes an elongate shank extending along a longitudinal axis from an enlarged proximal head portion to a distal tip. The elongate shank includes a first portion having a first non-tapered, linear external profile and a second portion having a first tapered external profile that increases toward the proximal head portion. The second portion is positioned between the first portion and the head portion and terminates distally of the proximal head portion. In one form of this embodiment, the bone screw can be advanced through a passage of an implant such that an interference fit is provided between the bone screw and the implant.

Abstract: This invention relates to a system and a method for affixing soft tissue to bones. The system for fixing soft tissue within a bone tunnel comprising a first fixation member having a proximal end and a distal end and a bore extending from said proximal end to said distal end, said first fixation member is adapted for insertion against a first portion of a soft tissue positioned within a bone tunnel, a second portion of said soft tissue emerging from said bone tunnel; a second fixation member adapted to engage said bore of said first fixation member, having means for restraining disengagement therewith and a proximal end; and a third fixation member adapted to engage said second portion of said soft tissue, having means for coupling onto said proximal end of said second fixation member and restraining disengagement therewith.

Abstract: A self-drilling bone screw includes a screw body centered on a longitudinal axis and having an external thread winding. The bone screw has a head portion at one end of the screw body and a drill point at the other end. The drill point has two blades, each having a cutting lip and a primary relief surface trailing from the cutting lip. The two blades defining a flute between them. The flute has an opening to the side of the screw body, which opening spans an obtuse angle, such as about 120°, about the longitudinal axis. The primary relief surfaces have a lip relief angle of about 30°. The drill point has a point angle of about 100°.

Abstract: A screw fastener for attachment to an orthopedic component such as an orthopedic plate for use in connection with fracture fixation, joint reconstruction or spinal stabilization or fusion is disclosed as having a shank with at least two different shank diameters, one in a plate engaging portion of the shank and one in the bone or other component engaging portion of the shank. At least two of the different shank diameters on the shank include threads, the threads on the two different diameter portions each having substantially the same thread height and pitch. A plate having a threaded aperture, or an adapter having a threaded aperture, is sized such that the threads of the smaller diameter shank portion engage and cooperate with the internal threads of the aperture to correctly align the screw fastener and the implant as the screw fastener is threaded through the implant.

Abstract: A compression bone screw is described, with a shank having two opposite shank sections along its axial extent, a first thread being connected in a rotationally fixed manner to the shank in the region of the first shank section. The shank has at least one latching element for rotatably coupling a threaded component bearing a second thread to the second shank section. The invention furthermore relates to a screwdriver blade for the compression bone screw.

Abstract: The invention relates to a self-tapping bone screw, in particular for use as a compression screw or a locking screw for an implant. The bone screw has screw shank, which has a front tip, a cutting region, an intermediate region and a rear head region. In a transition region comprising mutually adjoining parts of the cutting region and the intermediate region the root diameter of the screw shank in the cutting region is greater than the root diameter of the screw shank in the intermediate region, and the outside diameter of the screw shank is constant.

Abstract: The present invention relates to an orthopedic plate and screw system and instruments for surgical fixation of a small bone or bones. The plate facilitates three dimensional contouring to provide for a variety of applications and to accommodate individual variation in bone shape. The plate has a modified x shape including a central trunk portion including one or more screw holes along a longitudinal axis and a set of divergent upper and an oppositely extending set of divergent lower arms, each arm including screw holes which are placed at a radially equal distance but which diverging asymmetrically from the longitudinal axis relative to its paired upper or lower mate. The screws of the system are self-starting, self-tapping screws including the option of partial or full cannulation.

Abstract: The invention relates to bone implants, namely screw-type implants and, more particularly, to a self tapping dental implant having at least two helical grooves running in opposite directions around the implant.

Abstract: This disclosure presents methods and devices for treating a tear, rent, incision, defect, aperture or delamination of the annulus fibrosus of an intervertebral disc. The methods and devices can employ fixation delivery apparatuses, fixation apparatuses, patch delivery tools and patches positioned, at least in part, in or on aspects of an intervertebral disc for treatment of the intervertebral disc or its components. In some aspects, these techniques include the use of this includes a fixation apparatus that includes at least one bone anchor connected to at least one disc anchor by a shortenable elongate member.