Abstract: A bone fixation apparatus comprising a shape memory effect material includes a bridge member having at least three sides and an open center portion. Each of the bridge member sides defines a curve having a respective first radius when the shape memory effect material is in a first state, and a respective second radius larger than a corresponding first radius when the shape memory effect material is in a second state. Elongate members are connected to, and extend outwardly from, the bridge member. Each of the elongate members are connected to the bridge member at an approximate intersection of a respective two of the sides, such that each elongate member is subject to a force from each of two intersecting sides, and moves toward the open center portion of the bridge member when the shape memory effect material changes from the second state to the first state.

Abstract: A lateral fixation assembly engages vertebrae in a spinal column. The lateral fixation assembly includes a housing having a first rod and a second rod supported thereon. The first rod is adapted to be secured to a first vertebra in the spinal column and is fixed in position relative to the housing. The second rod is adapted to be secured to a second vertebra in the spinal column and is movable relative to the housing. Respective pluralities of such first and second rods may be provided. Staples having varying thicknesses may be provided to facilitate the installation of the lateral fixation assembly on the vertebrae in the spinal column. A temporary blocking device can be used to prevent relative movement of the movable rod during the installation of the lateral fixation assembly.

Abstract: A pin assembly for operation includes a hollow pin for operation having a plurality of side holes defined through a wall thereof and a root part which is closed or open due to the presence of a through-hole; and a hollow support member having a pin fastening part formed therein in the shape of a groove to fasten one end of the pin for operation, and being open at both ends thereof, wherein the pin for operation is fastened to the pin fastening part of the support member, and by applying external force to one end of the support member, the pin for operation is inserted into a bone.

Abstract: An orthopedic implant, illustratively a spinal staple, including pre-attached fasteners.

Abstract: A system, components of the system, and methods for attaching a plate between two or more bones or bone fragments. The system includes distraction pins having a threaded bone attachment or screw section and a detachable shaft section. The screw section of the distraction pins remain in the bone and are used to affix a plate to the bones.

Abstract: A system for use in reconstructing a ligament is provided. The system includes a graft ligament support block and an installation tool. The support block includes a body having a distal and proximal ends and a longitudinal axis extending therebetween, the proximal end being tapered so as to facilitate withdrawal of the support block through a bone tunnel, a graft hole extending through the body transverse to the longitudinal axis and configured to receive a graft ligament therein and a transverse fixation pin hole extending through the body transverse to the longitudinal axis and configured to receive a transverse fixation pin therein. The installation tool includes a holder having a shaft with distal and proximal ends and longitudinal axis extending therebetween, the proximal end of the shaft including at least one finger for engagement in the opening and a handle mounted to the proximal end of the shaft.

Abstract: A composite skull pin comprising: a core comprising a cone terminating in a distal point, the core being formed out of a substantially radiotranslucent material; and a jacket comprising a hollow cone terminating in a sharp distal point, the hollow cone of the jacket being sized and shaped so that it overlies, and closely conforms to, the exterior of the cone of the core, the jacket being formed out of a strong, hard material, and further wherein the jacket has a sufficiently small mass such that the composite skull pin has a low X-ray signature.

Abstract: At least one bone fixation device comprising a stem having a maximum outer diameter is inserted into the sacroiliac joint through a minimally invasive incision path sized approximately at or about the maximum outer diameter of the stem in soft tissue, into the iliac bone, across the sacroiliac joint and into the sacrum. The stem is inserted through the incision path to a position within the sacroiliac joint between the iliac bone and the sacrum, to fuse the sacroiliac joint, without invasive joint preparation, removal of cartilage, or scraping at or near the sacroiliac joint. Desirably, at least a portion of the stem includes a surface permitting bony in-growth.

Abstract: A targeting surgical instrument for use in spinal disc replacement includes a first arm, a second arm and a body portion. The first arm is configured to be longitudinally aligned with a mid-line of a spine and to be at least partially received on an endplate of a lower vertebra of spinal cavity. The spinal cavity is defined by a lower vertebra and an upper vertebra of the spinal cavity. The second arm is positioned at an angle relative to the first arm. The second arm defines an insertion angle for a spinal implant. The body portion connects the first arm and the second arm. The body portion includes a plurality of radial opaque markers located to allow alignment of the first arm on the mid-line of the spine.

Abstract: Locking mechanism for a broken or fractured bone, comprising a medulla nail with a proximal portion which may incorporate perforations and a distal portion, and at least one locking aid, characterised in that the distal portion has a surface structure which is designed so that the bone can be stabilised by means of the medulla nail due to the at least one locking aid acting on the surface structure of the nail through the bone from outside, preferably preventing it from rotating and/or being subjected to axial stress.

Abstract: A tool set for preparing a joint, inserting an implant or removing an implant from a joint in an open or less invasive procedure generally comprises a set of nested tools, pin guides, jigs, and/or immobilization elements. The nested tool set comprises at least one pin and at least one cannulated tool. In some embodiments, the cannula can comprise tangs that project from the distal end of the cannula. The tangs can be offset such that drilling would remove different amounts of bone relative to drilling through a centered drill guide. The cannulated tool kit generally can comprise at least one tool guide/cannula, drill bits/reamer, syringe, and/or inserter. With the pin positioned into the joint, at least one cannula is positioned over and around the pin. The channel of the cannula guides the other tools into the joint. A plurality of cannulae in a nested arrangement can be used to afford selectively sized channels for tools and/or implants based on selected cannulae configuration.

Abstract: Absorbable, multiphasic, crystalline, solid blend compositions having at least two first order thermal transitions, are formed of a segmented l-lactide copolymer as the principal or major component and at least one additional crystalline thermoplastic absorbable polyester having glycolide-based sequences, a fraction of which participated in ester-ester interchange reactions with lactide-based sequences to produce crystalline materials with modulated properties for use in producing orthopedic and tissue-repair devices.

Abstract: A bone plate system is disclosed which includes a bone plate having at least one plate hole, at least one pin adapted to be disposed in the at least one plate hole, and a polymer component disposed between the at least one pin and the bone plate. The polymer component includes a polymer that may be melted through the application of ultrasonic energy. The at least one pin is constructed of a material that will not melt under such application of ultrasonic energy. The re-solidified polymer component creates a bond between the at least one pin and the bone plate to provide a more rigid and secure mating therebetween, and to at least substantially prevent backout of the at least one pin with respect to the bone plate. A method of implanting the bone plate system is also disclosed.

Abstract: A wire fixation device for fixing a tensioned wire or a pin to a medical device has a wire post having a head portion with an opening having a predetermined longitudinal axis for reception of a wire or pin. The wire post has a neck portion for being in engagement with an opening of the medical device. A locking element is adapted to be introduced into opening having an opening with inclined sections that are inclined to the longitudinal axis. A clamping cone abuts on an abutment element. The clamping cone has a clamping opening to accommodate a wire and has inclined outer surfaces that are inclined to the longitudinal axis and which are encompassed with the conical section of the locking element. Upon an axial displacement of the locking element relative to the clamping cone a radial force is exerted onto the clamping cone leading to a reduction of the diameter of the clamping opening such that if a wire or a pin is received in the clamping opening a radial force results onto the wire or the pin.

Abstract: A bioabsorbable polyurethane block copolymer with having hard and soft segments is formed by the reaction between a diisocyanate such as lysine ethyl ester diisocyanate and a mixture of (i) an aromatic amide or an amino acid derivative and (ii) a polyether glycol and/or an absorbable elastomeric polymer derived from the reaction between dialkylene glycol and a cyclic bioabsorbable monomer such as trimethylene carbonate, caprolactone, or dioxanone.

Abstract: A one step entry pedicular preparation device works well with Minimal Invasive Spine Surgery (MISS) to facilitating such approach. A related intervertebral disc access system and pedicle screw compatible with the systems is also illustrated. The systems include a manipulator having a bar handle and main body with main barrel bore a pedicle dart having a proximal tip end and a second distal open end selectably attachable to the manipulator using a variety of interconnect configurations, both of which work in conjunction with a guide pin. The pedicle darts can be made of any material, disposable or re-usable and can be utilized for a variety of purposes, including bone structure formation for faster conventional pedicle screw insertion with precision and vertebra fixation.

Abstract: A radiopaque guide pin that is insertable into a pedicle of a vertebra to be used as a guide to determine the proper and safe entry point and angular trajectory for a pedicle screw placed in a pedicle, has a distal part and terminal tip for initial entry of the guide pin, an opposite proximal part that serves as a handle, and a central part that includes a first radiopaque marker spaced proximally from the tip and a stop element spaced proximally from the first marker, the stop element having greater diameter than the distal and central parts of the guide pin and adapted to be stopped by the lamina surface from further advancement into the pedicle. The invention further includes a method for pedicle screw placement using the new pedicle screw guide pin.

Abstract: Arthrodesis apparatus for first and second bones (2, 3), comprising a nail (5) and an instrument (20) for putting the nail (5) into place, the instrument comprising a base (21) and compression means (22, 23) comprising control means (22) for causing the nail to move relative to the base (21) and holder means (23) for holding the second bone (3) relative to the base (21); a guide (11) for the nail, the guide (11) and the holder (23) being arranged and shaped to cooperate together in such a manner to as allow the nail to move relative to the holder (23) and move the first bone (2) and the second bone (3) towards each other.

Abstract: The invention relates to a tertiary amine intermediate represented by the following formula, and electrophilic monomers derived therefrom. The invention also relates to adhesives or sealants derived from such electrophilic moieties. where R?CH3, H, CH3CH2 or other alkyl group; and R1?H, C(O)CH2OCH2COOH, C(O)(CH2)nCOOH with n=1-4, or combinations thereof.

Abstract: An orthopedic device for fixating bone parts includes a set of one or more bone fixation pins for engaging a bone piece, an elongated fixator body having an internally threaded bore extending longitudinally therethrough, a pair of opposed longitudinally extending slots in the fixator body, and a pin-holder received within the fixator body and configured to removably hold the set of one or more bone fixation pins. The pin-holder is longitudinally movable within the fixator body for controlling the position of the set of bone fixation pins within the fixator body. The fixator body also can be configured to removably hold a second set of one or more bone fixation pins at a location fixed along the fixator body.

Abstract: An implant (10) for anchoring on a bone (1) has a plurality of anchoring pins (20) which extend away from a fastening side of the implant and are provided for anchoring the implant in the bone. In different areas of the fastening side of the implant, the pin arrangement and/or the geometry of the pins are chosen differently. In particular, in different areas of the fastening side of the implant, the volume of the anchoring pins (20) per unit of surface area of the fastening side of the implant is different, preferably in such a way that the geometry and/or arrangement of the pins (20) is chosen according to the proportion of bone tissue in the total tissue of the bone substance, opposite which the area of the fastening side is provided, in such a way that, in areas where there is a relatively higher proportion of bone tissue as a whole, less tissue is displaced by the anchoring pins than in areas where there is a relatively smaller proportion of bone tissue.

Abstract: A prosthesis, in particular a shoulder prosthesis, includes a socket part receiving a joint head; an anchoring part anchoring the prosthesis in a bone; and a connecting arrangement securely connecting the socket part to the anchoring part. The socket part is assigned at least one pin and the anchoring part has at least one guide. The guide is designed in such a way that the pin can be held substantially safe from tilting in the guide.

Abstract: Described is a reference pin for use during a bone fracture treatment. The pin may include a longitudinal shaft and a spreading member. The longitudinal shaft with a longitudinal axis, a front end, a rear end and a through hole penetrating the shaft from the front end to the rear end. The shaft includes a rear portion adjoining the rear end and an expandable front portion adjoining the front end. The expandable front portion is insertable in a distal locking hole of an intramedullary nail and reversibly expandable transversely to the longitudinal axis. The spreading member is moveably located in the through hole and apt for reversibly expanding the expandable front end portion. The expandable front portion is reversibly expandable within a range between 0.3 mm and 0.5 mm.

Abstract: A method of reconstructing a ruptured anterior cruciate ligament in a human knee. Femoral and tibial tunnels are drilled into the femur and tibia. A transverse tunnel is drilled into the femur to intersect the femoral tunnel. A filamentary loop is threaded through the femoral tunnel and tibial tunnel and partially through the transverse tunnel. A replacement graft is formed into a loop and moved into the tibial tunnels using a surgical needle and suture. A flexible filamentary member is simultaneously moved along with the loop into the femoral and transverse tunnels. The filamentary member is used as a guide wire in the transverse tunnel to insert a cannulated cross-pin to secure a top of the looped graft in the femoral tunnel.

Abstract: The invention concerns a pin (1) for usage in fractures (2) in bones (3) in arms (14) or other body parts to achieve support of the aforementioned bone (3) while healing the fracture. The pin (1) presents at opposite ends an angled, rounded front section and a double bent, extra cortical equipped with fixation eye (6) and is formed of a spring material.

Abstract: Systems, apparatuses and methods for securing tissue to bone using tack anchors, bone anchoring systems are described. The tack anchor may include a body and a securing element. The body may include one or more compressible flanges, an opening and, a cavity. The cavity may include an opening near or proximate the flanges, and be configured to receive a suture. The securing element may be configured to slide into the opening of the body to secure a portion of one or more sutures in the cavity such that the ends of the sutures are accessible through the cavity opening. In some embodiments, tack anchor tool for insertion of a tack anchor into tissue and/or bone is described.

Abstract: An intramedullary nail (10, 110, 210, 310, 410, 510, 610) suitable for insertion in a fractured elongate bone (12), of the type comprising a stem (14, 114, 214, 314, 414, 514, 614) extended between a proximal end (16, 116, 216, 416, 516, 616) and a distal end (18, 118, 218, 418, 518, 618). The nail comprises a plurality of elements (20, 120, 220, 320, 420, 520, 620) realised with at least one shape-memory material, a plurality of seats (19, 119, 219, 319, 419, 519, 619) formed in the stem (14, 114, 214, 314, 414, 514, 614) for housing the elements (20, 120, 220, 320, 420, 520, 620). The elements (20, 120, 220, 320, 420, 520, 620) are suitable to take a first shape wherein they are retractably housed in the respective seats (19, 119, 219, 319, 419, 519, 619) and a second shape wherein they project from the respective seats (19, 119, 219, 319, 419, 519, 619).

Abstract: A surgical nail (1), in particular, an intramedullary nail, has a central axis (2) and is formed of a material (M) having a modulus of elasticity (E). A plurality of transversal openings (5) run transversally to the central axis (2) and have a cross-sectional profile (F) and a transversal axis (6), the cross-sectional profile (F) having a maximum length (a) that runs in the direction of the central axis and a maximum width (b) that runs perpendicular to the length. A longitudinal bore (3) runs coaxially with the central axis (2) and defines a wall (4). A longitudinal insert (7) can be introduced into the region of the transversal opening (5) via the longitudinal bore (3). Said insert has a longitudinal axis (13) and consists of a material (m). The insert (7) comprises at least one longitudinal slot (25) so that said insert can be elastically compressed in a radial manner and includes a plurality of radial elevations (14) fitting inside the transversal openings (5).

Abstract: An implantation pin for implantation in a target structure has a pinhead and a shaft. The pinhead comprises a pinhead moulding portion comprising a moldable material which can be liquefied by application of mechanical energy such as ultrasonic vibration energy. A channel extends through the pinhead and the shaft, the channel connecting the pinhead molding portion to a discharge opening located at the shaft. The moldable material can be liquefied by applying mechanical energy e.g. in the form of ultrasonic vibrations via e.g. a fixation device including an ultrasonic sonotrode and a vibrating tip. The pressure applied by the vibrating tip can be transmitted via the border of the pinhead to the target structure while the liquefied moldable material can be forced through the channel and the discharge opening into a gap between the implantation pin and a recess in a target structure thereby fixing the implantation pin in the target structure.

Abstract: A pin for the anchoring of articular prostheses includes a connecting portion (4) with a prosthesis (2) and an engagement portion (5) in a hole obtained within a bone. The engagement portion (5) is at least partly deformable in a radial direction and in a resilient way, in order to allow the instantaneous blocking of the pin (1) in the hole and the primary fixing of the prosthesis (2) on the bone, so as to al low an easy primary fixing of the prosthesis by simply introducing with a pressure the connecting portion in the hole obtained within the bone itself.

Abstract: A positioning device for aligning at least one support on at least one structure includes a positioning tool configured to interface with a part of the structure, and a positioning element coupled to said positioning tool. The positioning element includes at least one holding part, wherein the at least one support is releasably coupled to said at least one holding part.

Abstract: Assemblies, systems and components for a hybrid jointed bone screw system. A receiver member having an upper opening and a lower opening also includes an internal mating bone anchor interface channel at the bottom. A bone anchor is loaded into the lower internal mating bone anchor interface opening of the receiver member, and an anchor pin is “pushed” through the receiver member and through the bone anchor head to retain the bone anchor member. The bone anchor is capable of single-axial positioning throughout a range of motion of about 180 degrees. An elongated member may be placed in the upper channel of the receiver member and a compression retaining member applied via the upper opening. The compression retaining member presses down on the elongated member, which presses down on a floor of the upper channel, locking the elongated member between the retaining member and the receiver member floor.

Abstract: An interlocking nail having an hour-glass geometry is used for repair of bone fractures. The hour-glass interlocking nail includes a proximal section, a mid section, and a distal section. Each section of the hour-glass interlocking nail has a diameter. The proximal and distal sections each have a diameter larger than the mid section so that the interlocking nail has an hour-glass geometry. The hour-glass interlocking nail comprises at least one fixation aperture located within either the proximal or distal section of the hour-glass interlocking nail. Preferably, the fixation aperture has a tapered locking design adapted to receive a screw-cone peg. The hour-glass geometry utilized by the interlocking nail is better suited to address a larger population of bone canal geometries, stressing the fracture site with known values within the healing process and preventing inadvertent perforation of the nail through the cortex of the bone.