Abstract: A bone connector system comprises first and second connector members. At least one, and preferably both, of the connector members carries an external bone screw thread to permit securance within a bone. One of the connector members defines a boss having an outer end with intersecting slots therein to form flexible fingers, the boss having flanges which may be formed by an external screw thread adjacent to the outer end and an external hexagonal engagement surface spaced from the outer end. The other of the connector members defines a bore having grooves which may be formed by an internal screw thread proportioned to engage the flanges on the boss, and a hexagonal engagement portion proportioned to mateably receive and engage the hexagonal engagement surface, when the connectors are brought together. Either or both of the connector members may define guidewire lumens.

Abstract: The present invention relates to a method and instrumentation for gaining access to areas in and around joints for treatment and to provide new implants and instrumentation adapted for the new method. In a transosseous core approach of the present invention, the joint is entered through a pathway provided in a portion of a joint bone. Such pathway is preferably made by taking out a bone core from the bone in or adjacent to the joint, wherever possible without substantially compromising physical integrity and physiological viability of the joint. Typically the main route for the transosseous core approach traverses through a more-accessible bone of the joint which can be aligned with a less-accessible bone of the joint in order to facilitate treatment of articular surfaces and/or other structures in the joint. The transosseous pathway into the joint is preferably provided by novel surgical instruments such as a core cutter, cartilage punch, hemostatic device, and retractable axial/transaxial cutting device.

Abstract: A device for repositioning fractured bone fragments has a rod and a clamping device secured to each end of the rod and bone fasteners for anchoring in the fractured bone fragments to be fixed. The rod has three translation mechanisms and three rotation mechanisms for altering the relative position of the two clamping devices so that the device has in total 6 degrees of freedom along the axes Tx, Ty, Tz, Rx, Ry, and Rz,.

Abstract: The present invention recognizes that existing distraction devices have certain disadvantages, including the requirement to remove materials in the distraction device from the subjects body after distraction is completed. Depending on the location of distraction, this procedure can be of varying degrees of undesireability. One aspect of the present invention is a connective tissue distraction device comprising: a first transmitting means for transmitting force to a first tissue region and a second transmitting means for transmitting force to a second tissue region by contact with bone, expansion means for exerting force distracting said first transmitting means from said second transmitting means, wherein at least one of said first transmitting means, said second transmitting means and said expansion means comprises in whole or in part a biodegradable, bioerodible or bioresorbable material.

Abstract: A surgical measuring instrument includes a caliper having pin apertures formed therein for mounting on surgical pins in a first skeletal member. An adaptor includes pin apertures on a first portion for mounting on the surgical pins when the caliper is removed, and includes adaptor pins extending from a second portion for engagement with the caliper. A rod is connected to the caliper for indicating alignment and flexibility of a second skeletal member relative to the first skeletal member.

Abstract: A device especially for osteodistraction, configured for attachment to different bone parts that have been separated, and that are bound together by the device which holds the bones parts in a pre-set position and/or simultaneously exerts pressure for distancing or bringing together the bone parts. The device includes at least two elements configured for fastening to two bone parts that are separate from each other. The two elements are coupled together and movable along at least one pre-set direction, there being inserted between them an elastic element for providing a thrust in the distancing or traction direction. The device may be removably coupled to the bone parts to facilitate installation.

Abstract: A pubic bone-mounted urethra stabilization and support system and method therefor for the long term cure of recurrent female urinary incontinence. The system comprises, a pair of anchors affixed to the posterior/inferior pubic bone, sutures attach to the anchors and a mesh sling passing behind and about the urethra and the adjacent endopelvic fascia and having ends attached to the anchors by the anchor-mounted sutures. The method includes the steps of accessing said urethra with the endopelvic fascia therebehind and the pubic bone, properly locating and attaching the anchors to the pubic bone, properly locating the sling about the urethra and adjacent endopubic fascia and suturing and tensioning the ends of the sling to the anchors, causing said sling to restore, support and stabilize functional urethral continence anatomy and prevent urethral descent under intraabdominal pressure.

Abstract: A surgical anchor is provided with one or more anchor holes distributed around the head of the anchor. Each anchor hole is inclined to allow attachment of one or more sutures to the anchor either before, during or after the anchor is seated in a bone. The upper and lower apertures of each anchor hole are chamfered, and the chamfered areas from the anchor hole to the outside edge shall be polished or somehow smoothed to remove share edges and rough areas which may cause friction and abrasion to soft tissue or suture material. The lower surface of the anchor head may be angled to further simplify the task of feeding a surgical needle through the anchor hole after the anchor is seated into bone.

Abstract: A tool for correcting abnormal curvatures of the spine is described. The tool includes a first member having a handle portion, a hose portion, with a neck portion connecting the handle portion to the hose portion. A second member likewise has a handle portion, and a hose portion with a neck portion connecting the handle portion to the hose portion. The two members are connected at the neck portions, wherein the hose portions include an open-sided elongated arm with a locking element to lock onto a vertebral clamp set, wherein the clamp set has a longitudinal rail attached to it after adjustment with the tool.

Abstract: A system for securing a tendon to a bore hole surface in a femur and a tibia, the system including a bone anchor having a flexible body with a distal end having an aperture to receive the tendon, and two legs forming a concave relief extending from the aperture to a split end, with the concave relief forcing the tendon into direct contact with the femur bore hole surface. An anchor insertion instrument is used to insert the anchor into the femur bore hole, the instrument having a pair of spaced apart pins to hold the bone anchor. A tibia fixation device joins the tendon to the tibia bore hole and has a generally cylindrical body with an open proximal end and at least two rounded legs formed by at least two slits extending from a distal end. At least one opening is located adjacent to the open proximal end for receiving the tendon. A clamping screw and spiked washer are used to lock the tibia fixation device and tendons into the tibia bore hole.

Abstract: An orthopaedic bone plate includes a flexible bag having a plurality of through holes; and a hardened polymer within the bag. The bone plate is attached to a bone by placing the bag against the bone; affixing the bag to the bone using a plurality of fasteners which extend through the bag; injecting a polymer into the bag; and hardening the polymer in the bag.

Abstract: The present invention discloses bone grasping tongs for seizing bones or bone fragments. The tongs comprise two mutually pivotable tongs levers fitted with clamping tips at the ends of the tongs levers for seizing the bone. The tongs further comprise a locking element to detachably lock the relative position of the tongs levers and a connecting member to connect with an additional component within an external fixation device. The locking element is located at a distance from the axis of rotation and the longitudinal axis of the connecting member is situated in the plane of pivoting of the tongs lever. The present invention also discloses an external fixation device for externally fixating bone fractures. The device comprises at least one bone grasping tongs, one elongated support, and at least one clamp which detachably connects the connecting member of a bone grasping tongs and an elongated support in a mutually rotatable manner.

Abstract: A balloon for use in compressing cancellous bone and marrow (also known as medullary bone or trabecular bone) against the inner cortex of bones whether the bones are fractured or not. The balloon comprises an inflatable, non-expandable balloon body for insertion into said bone. The body has a shape and size to compress at least a portion of the cancellous bone to form a cavity in the cancellous bone and to restore the original position of the outer cortical bone, if fractured or collapsed. The balloon is prevented from applying excessive pressure to the outer cortical bone. The wall or walls of the balloon are such that proper inflation the balloon body is achieved to provide for optimum compression of all the bone marrow. The balloon is able to be folded so that it can be inserted quickly into a bone. The balloon can be made to have a suction catheter. The main purpose of the balloon is the forming or enlarging of a cavity or passage in a bone, especially in, but not limited to, vertebral bodies.

Abstract: A slider 37 having a rod-pressing portion 35 for pressing a rod 23 into a rod-engaging recess 25 is movably provided on a holder body 27 having the rod-engaging recess 25. The holder body 27 includes a pressing state holding mechanism for relatively moving the slider 37 with respect to the holder body 27 to hold the rod 23 in a state in which the rod 23 is pressed against the rod-engaging recess 25 by the rod-pressing portion 35. The pressing state holding mechanism includes a screw rod movably, detachably and threadedly engaged with a screw hole formed in the holder body 27. A tip end of the screw rod 45 and the slider 37 connected to each other such that they permit rotation of the screw rod 45 with respect to the slider 37 but move integrally with respect to the holder body 27, and the slider 37 can be attached to and detached from the slider 37.

Abstract: The invention provides surgical needles with a porous distal portion from which a liquid injectate will weep or ooze multidirectionally under injection pressure while the porous distal portion of the needle is inserted into a body surface. The porous distal portion of the needle can be fabricated from a porous carbon, metal, ceramic or polymer and preferably has a decreasing gradient of impedance to fluid flowing to the point of the needle to compensate for the falling off of injection pressure as fluid moves towards the point, thereby ensuring uniform weeping of the injectate along the injection course. The needle is adapted for attachment to a catheter or syringe. In another embodiment, a surgical assemblage is provided wherein a porous distal portion having similar fluid flow characteristics is located along the distal end of a catheter, and a needle point is attached to the distal end of the catheter (e.g., a steerable catheter) for piercing tissue.

Abstract: In a surgical instrument for the mechanical removal of bone cement (2), comprising a longitudinal housing (4) with a cylinder (6) in which a piston element can be reciprocated by a drive means (14), wherein the piston element on the distal end (18) of the cylinder (6) exerts an impact on a chisel tool supported axially in the housing (4), it is provided that the piston element (10) comprises a projectile (10) adapted to be accelerated to a high final speed and inducing a shock wave into the chisel tool comprising a metallic shock wave transmission probe (22), the probe tip (26) of the chisel tool transmitting the shock wave to the bone cement (2) at a low movement amplitude of the probe tip (26).

Abstract: An advanced coupling device using shape-memory technology. The coupling device includes a coupling element defining a longitudinal passage extending therethrough, the passage bounded by a side wall having a first end and an opposing second end, the side wall defining a first slot extending from the first end toward the second end, and a second slot extending from the second end toward the first end, and wherein a portion of the second slot is positioned proximately adjacent and longitudinally overlapping a portion of the first slot. The device further includes a compression element at least partially formed of a shape-memory material and being disposed about at least a portion of the coupling element. The compression element has a configuration which contracts about the coupling element and compresses the side wall against a member disposed within the passage to limit movement of the member relative to the coupling element.

Abstract: An instrument and method for guiding a spinal implant from a location outside of a patient's body to a location adjacent an exposed portion of a bone anchor engaged to the patient's spine. The instrument is a guide rod having a connecting portion and a guiding portion disposed along a longitudinal axis, with the connecting portion having a shaped end portion adapted to releasably engage a corresponding shaped end portion of the bone anchor. The guiding portion slideably engages a spinal implant and guides the implant along the longitudinal axis until the implant is positioned adjacent the exposed portion of the bone anchor for fixation thereto. The guide rod is then selectively separated or detached from the bone anchor and removed from the patient's body. In one aspect of the invention, the guiding portion is at least partially formed of a malleable material, such as aluminum or a shape-memory material, to allow the guiding portion to be bent or reshaped.

Abstract: An osteosynthetic holding system is provided which comprises bone anchoring elements, each of which has a clamping element as well as two receptacles arranged thereon for receiving holding bars. The receptacles have blocking elements arranged thereon which define accesses to the receptacles. Two holding bars are provided which are insertable into the receptacles of each bone anchoring element. The clamping element can be tightened to clamp the two holding bars against the receptacles, thereby fixing the position of each bone anchoring element with respect to the other. The blocking elements, together with the clamping element in a tightened state, constrict the accesses to said receptacles in a direction transverse to a longitudinal direction of the holding bars such that the holding bars no longer fit through the accesses.

Abstract: The invention relates to a distraction apparatus for holding a fracture during the healing process. The apparatus includes screws or pins for insertion into a bone at points proximal and distal relative to a fracture site, and a pair of springs which can be connected externally between the screws or pins at spaced positions thereon. The springs act as an extension spring and a compression spring respectively between the screws or pins. The invention is characterized in that the springs are connected at the spaced positions at such distances relative to the bone that the springs will exert moments of force in order to obtain a desired torque load at the fracture site.

Abstract: A measuring gauge for measuring the relative position of two bones during surgery, the measuring gauge comprising an anchor, an adapter, an outrigger and a locking joint.

Abstract: A subcutaneous bone expansion device including a stationary plate and an expansion plate, each affixed to bone portions, and an expansion mechanism to vary relative distance between the stationary plate and the expansion plate. The expansion mechanism may be operated from a location remote from the stationary plate and expansion plate. The device may be located almost entirely subcutaneously, except for portions of the expansion mechanism necessary to effect operation of the device. Those portions of the expansion mechanism necessary to effect operation of the device may exit from within the body under the skin at a location remote from the location of the expanding bone portions. The bone expansion is a gradual process. As the bone portions are separated by small distance, distraction of callus between the bone portions generates new bone to fill the gap between the bone portions.

Abstract: The invention herein describe reduces the concerns associated with the use of intramedullary instrumentation by providing for the reduction of pressure within the medullary canal as the intramedullary instrument is inserted. Specifically, in the preferred embodiment a sleeve having a proximal end connected to a vacuum source is fitted over the intramedullary rod so that as the rod is inserted into the intramedullary canal, the pressure within the canal is reduced to thereby reduce the magnitude of cells released into the blood stream. In order to draw air from the medullary canal, the proximal end of the sleeve includes a gasket which seal against the intramedullary rod causing the air to be drawn only from the distal end of the sleeve. In an alternative embodiment, an air passage is provided directly through the instrument with the exposed end of the instrument being connected to a vacuum source.

Abstract: In a pulling apparatus for correcting a jaw on a skull, for instance for the elimination of a supraclusion, cross bite or cleft palate, a basic member is provided with elements for attachment to the jaw and is movable in the correcting direction (x1). The basic member is to be movable also in a direction deviating from the correcting direction (x1).

Abstract: In order to be able to adjust the tension of a ligament replacement implant in a controlled manner, a device is suggested for handling an implant which can be placed against a contact surface of a bone and thereby covers a tunnel in the bone and fixes in position at least one thread extending in the tunnel, this device being characterized by releasable spreading elements on the device, with which the device can be connected to the implant in a locking position of the spreading elements in such a manner that as a result of rotation of the device this implant can be turned in relation to an axis defined by the tunnel and, in addition, be lifted away from the contact surface in the direction of this axis.

Abstract: An apparatus and procedure for the external unilateral fracture fixation, fracture compression or enlargement of osseous tissue with a metal or equivalent material slotted forked stick to hold and position the threaded pins in its length, inserted in the bone with multiple fastening slid able screws and their bolts to attach the pins to the slotted forked stick, a solid slid able cube to hold and position the slotted forked stick, a supporting axial bar, and an axial threaded bar. A preferred embodiment includes at least three slotted forked sticks that hold and fix, with the use of compression screws and their bolts, threaded pins that penetrate the proximal and distal fragments of the bone through both corticals. A preferred embodiment includes slotted forked sticks that adapt to the threaded pins, introduced in the bone, at any degree of inclination or orientation that these pins might have with respect to the bone.

Abstract: An instrument for spreading the anterior leaflet of a mitral valve. The surgical instrument is designed to allow a surgeon to grip an instrument with one hand during sizing of the anterior leaflet prior to implantation of an annuloplasty ring in a heart valve. The instrument includes a pair of tines that each have an engagement tip for engaging the chordae tendinae proximate an anterior leaflet of a heart valve. The tines are coupled together by a gripping mechanism that may be easily held in one hand, while an annuloplasty ring sizer is held in the surgeon's other hand.

Abstract: A vertebral rod for fixation of a spine, the rod formed of a first material and defining a passage extending at least partially therethrough, the passage at least partially filled with a second material different from the first material to thereby enable the stiffness of the rod to be varied along its length. The first and second materials are either a metallic material or a biocompatible material such as plastic. The rod may be formed of at least three layers of material, with the layers composed of at least two different materials.

Abstract: A process for non-surgical repositioning of craniofacial bones following surgery for severe disease or trauma. At least two osseointegrated, i.e. bone implanted, fixtures are implanted in the patient. A malleable bar, preferably of a gold, platinum and nickel alloy, is fastened between the two fixtures. The gold bar initially has a flexed shape that could include loops, curves or other nonlinear segments. The flexed gold bar is periodically bent to a more straightened position which thus applies a force between the two bone implanted fixtures. The force between the two fixtures tends to reposition the facial bones over a period of time to restore function and/or form to the injured area.

Abstract: A suction assembly for use in a surgical procedure. The assembly includes a plurality of suction head attachments. Each of the suction head attachments has a base segment, a tip segment and a suction conduit that extends through the base segment and the tip segment. The base segment of each of the suction head attachments has a common configuration. However, the tip segment of each of the suction head attachments has a unique configuration. The assembly also includes a single handle element. A coupling mechanism is disposed at a first end of the handle element. The coupling mechanism is adapted to selectively engage the base segment of any of the plurality of suction head attachments. The handle element also connects to a suction source. As the handle element connects to one of the suction head attachments, the handle element interconnects the suction head attachment to the suction source.

Abstract: The damaged portion of an injured tendon or ligament (C) ("connective cord") is inserted into a thin, hollow sleeve (100, 110, 120, 130, 140, 160, 180, 200, 240, 260, 270, 300, 390, generically designated "S") and is connected to the sleeve (S) such that the cord-sleeve combination can immediately withstand normal tensile forces. The interconnection can be mechanical, such as by pins (22, 22',148, 150, 164, 188, 190, 206, 206', 210, 226, 230, 238, 239, 266, 286, 308) extending through the sleeve (S) and cord (C). The sleeve (S) can be bioabsorbable over a sufficiently long period of time that the cord (C) is healed by the time the sleeve (S) is absorbed.

Abstract: Linear expander for progressive correction of craniofacial deformations. It consists in two elements which are movable longitudinally with respect to one another, are driven by an actuating element arranged between them and are intended to cause mutual displacement of the portions of tissue to which they are applied by means of the injection of a fluid. The expander also comprises an inflatable element, made of flexible and elastic material, which actuates a movable element adapted to cause separation of the bony tissue to which it is applied from the remainder of the bony tissue anchored to the fixed element of the expander. Said movable element has its free end shaped as a hook in order to be applied under the edge of the portion of bony tissue opposite that in which the fixed element, which may have a similar hook, is anchored.

Abstract: The invention relates to a coupling of two sides of a synergetically cooperating fixation system in medical equipment and apparatus, illustrated by way of example of an external fixator with rod-like guide elements, wherein a point-precise and internally tension-free clamping connection is formed by in each case two planar parallel disposed faces. The complementary, uncoated coupling surface is shape-matchingly impressed "de novo" and "uniquely" during each coupling closure by a static press-on force based on a diamond, plastic grain layer of a chaotic profile solidly attached to one of the faces, such that a clamping connection with the multilatent force-form match closure is furnished.

Abstract: An apparatus for impacting bone chips in a bone canal. The impactor has an impaction head of predetermined dimensions and a stem extending therefrom. There is a visual indicator provided with means for secure location on said stem to visually indicate the distance of insertion of the impaction head within a bone canal.

Abstract: An extraction device (10,110) for removing a socket bearing insert (12) from an acetabular cup (14) in an acetabular prosthesis in which an extracting member (30, 130) is adapted for attachment to a groove (20) in the insert (12). The extraction device (10, 110) includes a support in the form of a sleeve (38, 138) which bears against the rim of the acetabular cup (14). The extraction device (10, 110) has means for providing an axial force exclusively between the extracting member (30, 130) and the support such that no force is transmitted to a bone to which the acetabular cup (14) is attached.

Abstract: An apparatus and method for retrieval of fractured cannulated screws used for bone fixation. The retractor comprises a retraction shaft having a proximal end and a distal end, a tool shaft connected to the proximal end, a body having a reverse helix connected to the distal end, and a feeler shaft having a point connected to the body.

Abstract: An apparatus for relative movement of first and second bone segments, such as segments of a skull, includes first and second nodes attachable to first and second bone segments, respectively, and a first rod mechanism flexibly attached to both the first and second nodes. The rod mechanism is either extendible or retractable along an axis thereof. The rod mechanism axis is pivotable with respect to the first and second nodes in at least a first plane parallel to a plane tangent to the skull. The rod mechanism axis also is pivotable with respect to the first and second nodes in a second plane perpendicular to the first plane.

Abstract: A kit for external fixation pin site care in conjunction with practicing a uniform and consistent standardized protocol to significantly reduce post-operative infection risk is provided. The kit contains labeled treatment materials to be used in the newly-designed, standard post-operative cleansing and infection treatment procedure. The result is significantly reduced incidences of infection at the pin/skin interface of patients.

Abstract: A self-locking and threaded bone tack screw device (10) for fixing and retaining tissue grafts and synthetic membranes directly to a maxillofacial bone graft site. The tack has an oversized cylindrical dome shaped head (14) for retaining the tissue and synthetic membrane to the bone graft site and a hexagonal recess (14a) for easy insertion and removal of the device. The tip of the device incorporates a sharp pin point (12a) to easily pierce the tissue and membrane and initially penetrate into the bone graft site. A locking flange (12c) locks into the bone graft site in a single direction. A self-tapping screw thread (12f) is provided for driving the pin point tip into the bone graft site. Incorporation of the self-locking pin point tip in series with the self-tapping thread allows the hexagonal tool driven bone tack to be easily inserted and removed from the graft site without compromising its fixation.

Abstract: A procedure for supporting the soft tissue of a patient's scalp in a superior position using a microanchor includes forming a plurality of incisions proximate to the soft tissue to be moved, inserting an endoscope through at least of one of the incisions and undermining the soft tissue to be moved while at least a portion of the undermining process is viewed through the endoscope. At least one microanchor having a generally cylindrical body including a first bone contacting end, a second trailing end and bone fixation means formed on at least a portion of an outer surface of the microanchor between the first and second ends is provided. Each of the one or more microanchors has a length of less than about 4.0 mm and has a predetermined length of suture thread attached thereto. At least one pilot hole is formed in the patient's cranium through the incisions made therein.

Abstract: A kinematic restraint device and method for determining the range of motion of a total knee replacement system are disclosed. The kinematic restraint device is used as a surrogate knee that duplicates the elastic behavior of individual ligaments, tendons, muscles related to a human knee. The kinematic restraint device according to the invention includes a total knee replacement system and at least one cable or cable-spring combination representing a ligament, tendon, or muscle component of the human knee. The kinematic restraint device overcomes hurdles posed by the use of natural knees in pre-operatively determining the range of motion of a total knee replacement system. Furthermore, an outer membrane is used to simulate the viscoelastic effects exhibited by fibrous structures, fatty tissues, and muscle mass enveloping the joint on the total knee replacement kinematics.

Abstract: A middle expanded, removable disk implant for stabilizing adjacent vertebrae. The implant is substantially rectangular in cross-sectional shape with a minimal height and a width greater than the height. The implant is detachably mounted to an applicator for insertion into the anatomical region between two adjacent vertebrae from which a portion of the intervertebral disk has been removed. Once inserted, the implant is positioned by anterior-posterior movement in the disk space to the position in which both the expanded, larger width middle portion and the smaller diameter end portions of the implant engage the bodies of the adjacent vertebrae and the implant is then rotated to bring the sides of the rectangularly-shaped implant defining the width of the implant, with its larger dimension, into engagement with the bodies of the adjacent vertebrae. A lock is then secured to the implant to prevent further rotation thereof.

Abstract: A plate for use in fixating the position of a first bone segment relative to a second bone segment, the plate comprising a body portion having a plurality of attachment mechanisms located therein, wherein the attachment mechanisms include: a first group of three attachment mechanisms substantially positioned within 90.degree.-150.degree. of one another about a circle, and preferably within substantially 120.degree. of one another, whereby the first group of attachment mechanisms is designed to facilitate attachment of a plurality of adjustable length struts to the plate; and a second group of attachment mechanisms substantially positioned about the circle that are designed to facilitate attachment of accessories to the plate, wherein the total number of the attachment mechanisms is a multiple of three.

Abstract: The bone-fixing devices which are designed to allow for a freer assembly of the parts which are mounted to maintain plurality of bones in a specified position relationship, and also call for only one or two parts to be tightened to assemble all parts into the whole system. A pedicle 10 to be implanted into a bone is connected by using a connector 20 with a shaft 30 that serves as a reference to position the bones. In order to ensure that the pedicle 10 is connected with the fixture 20, a shaft 12 is supported in a fork 21 formed at the end of the fixture 20, said short shaft 12 is fitted into a concave 11 formed at the head of the pedicle 10, and said short shaft 12 is fixed at the head of the pedicle with a retaining screw 13 so that the fixture 20 is mounted rotatably about the short shaft with reference to the pedicle 10.

Abstract: A biocompatible osteosynthesis plate operable for being enhanced in a substantially secured relation to a plurality of adjacent bone portions is provided. The biocompatible osteosynthesis plate includes an elongated section having a top face and a bottom face, at least one fastener opening disposed between the top face and the bottom face, and means disposed upon elongated section to permit the formation of additional fastener openings therethrough during a surgical procedure. The osteosynthesis plate is in a first configuration at a first thermochemical state and is operable to be converted to a second thermochemical state so that it may be deformed prior to fixation. The osteosynthesis plate may further include means disposed upon the elongated section for enhancing structural rigidity, which may be provided as one or more raised surfaces, or rails, disposed upon the top face of the osteosynthesis plate.

Abstract: Methods, systems and apparatus for planning the position of a prosthesis in a long bone in orthopaedic surgical procedures, such as hip replacement surgery, knee replacement surgery, long bone osteotomies, and the like. A bone model is generated from a scanned image of a bone, a prosthesis model is selected from a library of prosthesis models and then a cavity model is formed based on the prosthesis model and/or the bone model. The cavity model may then be positioned over the bone model, either interactively by the surgeon or automatically through an algorithm based on clinical parameters, to determine a reasonable location for implantation of a prosthesis within the bone. The cavity model allows the surgeon to optimize placement of the implant within the bone, and it provides important clinical information to the surgeon, such as areas in which press fits are provided, extension areas for possible subsidence and access areas for allowing the surgeon to insert the implant into the cavity.

Abstract: An apparatus and method for submergible self-retaining distraction osteogenesis is provided. Distraction osteogenesis devices are submerged below a layer of tissue and/or skin layers and are activated based upon maximum pressures, rather than constant activation rates. Distraction osteogenesis devices are also self-retaining in that the force in displacing bone segments is transferred substantially through metal plates, rather than screws or fixation points. In particular, zygomatic, alveolar and mandibular distraction osteogenesis devices are provided. The zygomatic and alveolar distraction osteogenesis devices include a submergible first and second metal plate along with a threaded rod. The zygomatic and alveolar distraction osteogenesis devices are activated using a cannula, torque wrench adapter and torque wrench. The mandibular distraction osteogenesis device includes a palate expander having a plurality of rods used in coupling first and second self-retaining U-shaped plates.

Abstract: An apparatus and method for submergible self-retaining distraction osteogenesis is provided. Distraction osteogenesis devices are submerged below a layer of tissue and/or skin layers and are activated based upon maximum pressures, rather than constant activation rates. Distraction osteogenesis devices are also self-retaining in that the force in displacing bone segments is transferred substantially through metal plates, rather than screws or fixation points. In particular, zygomatic, alveolar and mandibular distraction osteogenesis devices are provided. The zygomatic and alveolar distraction osteogenesis devices include a submergible first and second metal plate along with a threaded rod. The zygomatic and alveolar distraction osteogenesis devices are activated using a cannula, torque wrench adapter and torque wrench. The mandibular distraction osteogenesis device includes a palate expander having a plurality of rods used in coupling first and second self-retaining U-shaped plates.

Abstract: The damaged portion of an injured tendon or ligament (C) ("connective cord") is inserted into a thin, hollow sleeve (100, 110, 120, 130, 140, 160, 180, 200, 240, 260, 270, 300, 390, generically designated "S") and is connected to the sleeve (S) such that the cord-sleeve combination can immediately withstand normal tensile forces. the interconnection can be mechanical, such as by pins (22, 22', 148, 150, 164, 188, 190, 206, 206', 210, 226, 230, 238, 239, 266, 286, 308) extending through the sleeve (S) and cord (C). The sleeve (S) can be bioabsorbable over a sufficiently long period of time that the cord (C) is healed by the time the sleeve (S) is absorbed.

Abstract: A pulsed lavage attachment (40) is secured to a conventional, powered, modular, surgical hand piece (42) to allow a pulsed lavage delivery set (18) to be connected to and controlled by the hand piece (42), thereby eliminating the need for dedicated air or power lines and a dedicated pulsed lavage hand piece in the operating room. The pulsed lavage attachment (40) includes an internal driver (52) which mates with an output driver of the hand piece (42) and is axially rotatable by the output driver. A cam driver (56) connected to the internal driver (52) by pegs or other suitable means, and is rotatable therewith, has a cammed surface (62). A bearing member (64) rides on the cammed surface (62), and drives shaft (66) in an axial direction. Membrane (68) flexes outward to actuate a connecter (24) of the pulsed lavage delivery set (18) to actuate an internal pumping cartridge therein.