Abstract: A woven retention device that is configured to receive a fastener in a bone hole can be configured to promote bone ingrowth and impede biofilm formation. The woven retention device can be made of woven filaments that outline apertures of varying sizes and shapes and can serve as an interface between the fastener and the bone material. In a first relaxed state, the interwoven filaments can outline apertures of varying sizes and shapes within a predetermined range and in a second constricted state inside the bone hole with the fastener the interwoven filaments can outline apertures of decreased area that still fall within the predetermined range. The woven retention device can be configured to allow for optimal bone growth while at the same time minimizing the likelihood that biofilm forms thereon.

Abstract: The present invention relates to orthopaedic implants having a fenestrated hollow shell and a biologic core. These design features provide an improved interface between the implant and the surrounding tissue, aiding fixation, and provide a vehicle for applying new bone healing and enhancing modalities, such as gene therapy, tissue engineering, and growth factors.

Abstract: The present invention relates to a bone-fixation anchor comprising a rigid expandable part and a soft part. The rigid expandable part secures the anchor with respect to the bone and the soft part enables the anchor to fit any bone screw on the market.

Abstract: Sheaths for implantable fixation devices are disclosed. Sheaths have a flexible body with a perforated wall, an open end, a closed end, and a body interior sized and shaped to receive the fixation device.

Abstract: Custom moldable cushions for covering medical implants fastened to a bone are provided. Such cushions inhibit irritation of the surrounding soft tissue by covering the bone-implant interface and by reducing friction caused by movement of soft tissue adjacent the implant. Such cushions may also be employed to spread and absorb forces reducing patient discomfort and risk of injury and infection associated with such implants.

Abstract: Disclosed is a clamping element for setting a bone fracture. The element comprises a closed contoured body which has a substantially hollow cross-section and is enclosed by a peripheral wall. The contoured body has two opposite receiving portions at the end faces thereof, the receiving portions being intended to receive fixing elements which can be pushed through the body, and has two lateral flanks having angled portions. The peripheral wall of the contoured body is resiliently deformable at least in sections, in particular in the region of the receiving portions on the end faces of same and in the region of the lateral angled portions. A defined resilient behaviour of the clamping element can be impressed via the angled portions in such a way that a predetermined tension can be generated between the receiving portions. Also disclosed are a method for producing the clamping element and a setting device for using said clamping element.

Abstract: Disclosed is a clamping element for setting a bone fracture. The element comprises a flexible and substantially non-plastically deformable continuous loop inside which at least two fixing elements can be pushed through, and an extension element of alterable length that can be inserted into and is expandable inside the continuous loop in such a manner that in order to enable the extension element to apply forces to the fixing elements, said forces being directed towards each other, a predetermined tensile stress can be generated over the circumference of the continuous loop. Also disclosed is a setting device comprising the clamping element.

Abstract: There is provided an intermaxillary fixation releasing device in which intermaxillary fixation can be released without a special tool, and the labor of the practitioner and the burden on the patient are reduced. The intermaxillary fixation releasing device comprises a maxillary joint composed of a first synthetic resin; a mandibular joint composed of a second synthetic resin; and a connector composed of an elastomer, wherein the maxillary joint is provided with an upper-side interlocking part and an upper-side support part; the mandibular joint is provided with a lower-side interlocking part and a lower-side support part; the elastomer forming the connector is incompatible or substantially incompatible with the first synthetic resin and the second synthetic resin; and the maxillary joint and the mandibular joint are joined with the connector in a state in which the upper-side support part and the lower-side support part are embedded in the connector.

Abstract: A three-dimensional mesh or screen in the shape of a simple flat piece of material that can be provided adjacent the graft (i.e., in between graft bundles, or around the graft, or between the graft and the fixation device) for improved strength and structural support for graft fixation. The mesh provides improved methods for installing and securing ligament grafts (such as double-bundle cruciate ligament grafts) with enhanced reconstruction results.

Abstract: An implant includes a section made of polymer, wherein at least a portion of the section has a layer of a polymerizable and/or cross-linkable material. A method for fixation of a bone plate having several plate holes using the implant includes removing a cover sheet protecting the layer of polymerizable and/or cross-linkable material, activating the layer of polymerizable and/or cross-linkable material with electromagnetic energy or with moisture, introducing the implant into one of the plate holes of the bone plate when the bone plate is positioned on a bone, pressing on an end of the implant in order to contact the activated layer of polymerizable and/or cross-linkable material with the bone underneath the bone plate, and allowing the activated and pressurized layer of polymerizable and/or cross-linkable material to polymerize and/or cross-link and to adhere to the bone.

Abstract: An improved disposable pin site wound protection system for covering the entry or exit site of a surgical pin, wherein the system substantially reduces the time required to change a dressing at a pin site wound. The invention comprises a sponge (11) and clip (21), both of which are designed to be attached to a pin (15) adjacent a wound. The clip (21), when compressed, crosses the legs (23, 25) of the clip and when released will attach to the full-range of external fixation pins and wires. This reverse action of the clip, opening when compressed and closing when released, is a self-closing and self-holding clip that can be applied and removed with one hand. The sponge (11) is preferably cylindrical or hemispherical in shape, and may include a spiral cut (12) to resist accidental displacement from the pin.

Abstract: A bone instrumentation cover or shield has a hollow cap or casing for encapsulating projecting parts of instrumentation installed in a bone, and a fastener portion for securing it to the bone or to parts of the instrumentation. The instrumentation shield or cover is made of medically safe material, in various sizes, and may be a rigid casing or pliable, stretchable, or adaptable with slidable, displaceable or pleated panels to provide a medically safe physical barrier between projecting parts of bone instrumentation constructs and surrounding bone and soft tissues, in order to minimize local irritation or injury and to provide a barrier to ingrowth from bone and/or fibrous tissues. The cap or casing is readily applied over the instrumentation, then cinched, tied or fastened to the instrumentation or adjacent areas.

Abstract: A bone instrumentation cover or shield has a hollow cap or casing for encapsulating projecting parts of instrumentation installed in a bone, and a fastener portion provided at a lower edge of the cap or casing for securing it to the bone or to parts of the instrumentation where it is installed in the bone. The instrumentation shield or cover is designed to provide a medically-safe physical barrier for implantation between projecting parts of bone instrumentation constructs and surrounding bone and soft tissues, in order to minimize local irritation or injury and also serve as a barrier to ingrowth from bone and/or fibrous tissues. The shield or cover can be formed in a variety of forms, from rigid casing, to semi-pliable sheath-like structure, to soft pouch or cinch sack. The cap or casing is readily applied over the instrumentation, then cinched, tied or fastened to the instrumentation or adjacent areas, using a locking toothed edge, suture ties, suture strings, drawstrings and the like.

Abstract: A three-dimensional mesh or screen in the shape of a simple flat piece of material that can be provided adjacent the graft (i.e., in between graft bundles, or around the graft, or between the graft and the fixation device) for improved strength and structural support for graft fixation. The mesh provides improved methods for installing and securing ligament grafts (such as double-bundle cruciate ligament grafts) with enhanced reconstruction results.

Abstract: An implant for filling and/or distracting a body region, particularly a non-soft tissue cavity, has a plurality of segments wherein at least two of the segments are flexibly connected. The segments have a crush-strength sufficient to create and/or maintain the distraction of two or more non-soft tissue body surfaces, and to maintain the stability of the body region. The implant may be inserted into a cavity by an applicator having a cannula with a distal opening, and a rotary driver for applying force to move the implant within the cannula.

Abstract: This document discusses, among other things, fiducial marker devices, tools, and methods. One example illustrates a combined computed tomography (CT) imagable fiducial locator head, an integral bone screw, and an integral divot for receiving a positioning wand of an image-guided surgical (IGS) workstation. A further example includes a fluid/gel-absorbing coating or cover into which a magnetic resonance (MR) imagable fluid is introduced, thereby permitting both CT and MR imaging. Protective caps and collars may be used to protect the fiducial marker from mechanical impact and/or to guide the fiducial marker during affixation. A bull's-eye or other template is used to select a center of a substantially spherical fiducial marker head on an image, such as for use during patient registration.

Abstract: A prosthetic screw for at least partial insertion into a bone and/or cartilage. The prosthetic screw includes a head and a lower portion connected to the head. The lower portion includes at least one interface that designed to at least partially discharge an electrical current, and/or a medical substance to or adjacent to the bone and/or cartilage.

Abstract: An improved disposable pin site wound protection system for covering the entry or exit site of a surgical pin, wherein the system substantially reduces the time required to change a dressing at a pin site wound. The invention comprises a sponge (11) and clip (21), both of which are designed to be attached to a pin (15) adjacent a wound. The clip (21), when compressed, crosses the legs (23, 25) of the clip and when released will attach to the full-range of external fixation pins and wires. This reverse action of the clip, opening when compressed and closing when released, is a self-closing and self-holding clip that can be applied and removed with one hand. The sponge (11) is preferably cylindrical or hemispherical in shape, and may include a spiral cut (12) to resist accidental displacement from the pin.

Abstract: Systems and methods for determining an effective amount of light energy to deliver to fluids, particularly fluids having target and non-target materials. The systems and methods specifically relate to phototherapy and photopheresis systems where an effective amount of light energy is desired to be delivered to targets in biological fluids.

Abstract: System for determining the properties of tissue parts of a living organism, comprising an optoelectronic measuring device (10) and an attachment device (20) which is opaque to light and surrounds a measuring window (28) through which determinations are carried out. The device (20) has one or several components (26) for reproducibly attaching the measuring device (10) in a direction toward a first surface of the tissue. Other subject matters of the invention are an attachment device (20) and a method for determining the properties of tissue parts with the aid of the claimed system.