Abstract: A spinal device includes a rod which has a first end disposed in a housing and a second end which protrudes out of the housing through an aperture and which is movable to protrude more out of the housing or less out of the housing. A biasing device, mounted on the rod, includes a series of connected at-least partial coils. A first end of the biasing device is arranged to abut against the housing and a second end of the biasing device, opposite to the first end, is affixed to the rod.

Abstract: An interspinous process device is configured for placement between adjacent spinous processes on a subject's spine. The device includes a housing configured for mounting to a first spinal process, the housing having a lead screw fixedly secured at one end thereof. A magnetic assembly is at least partially disposed within the housing and configured for mounting to a second spinal process. The magnetic assembly includes a hollow magnet configured for rotation within the magnetic assembly, the hollow magnet comprising a threaded insert configured to engage with the lead screw. An externally applied magnetic field rotates the hollow magnet in a first direction or a second, opposite direction. Rotation of the hollow magnet in the first direction causes telescopic movement of the magnetic assembly out of the housing (i.e., elongation) and rotation in the second direction causes telescopic movement of the magnetic assembly into the housing (i.e., shortening).

Abstract: The invention relates to an external fixator device and a method of its use in treating bone fractures and in orthopedic interventions, such as corrective osteotomies.

Abstract: An interspinous process device is configured for placement between adjacent spinous processes on a subject's spine. The device includes a housing configured for mounting to a first spinal process, the housing having a lead screw fixedly secured at one end thereof. A magnetic assembly is at least partially disposed within the housing and configured for mounting to a second spinal process. The magnetic assembly includes a hollow magnet configured for rotation within the magnetic assembly, the hollow magnet comprising a threaded insert configured to engage with the lead screw. An externally applied magnetic field rotates the hollow magnet in a first direction or a second, opposite direction. Rotation of the hollow magnet in the first direction causes telescopic movement of the magnetic assembly out of the housing (i.e., elongation) and rotation in the second direction causes telescopic movement of the magnetic assembly into the housing (i.e., shortening).

Abstract: A method and a device for bone adjustment in a mammal is presented, wherein a device is implanted in the body of said mammal, said device being a device exerting a force to anchoring devices anchored in said bone. The method and device has utility in therapeutic and cosmetic bone adjustments, including the lengthening, reshaping and realigning of bones, joints or vertebra, for example in the correction of congenital deformations, restorative orthopaedic surgery and the like.

Abstract: Various exemplary embodiments relate to a distractor system including one or more of the following: a distraction screw comprising a double threaded distal portion and a nonthreaded locking feature near a proximal end of the distraction screw; a crossbar; a first arm coupled to the crossbar; a second arm coupled to the crossbar and having an interior bore sized to receive at least a portion of the distraction screw; and a lock having a nonthreaded aperture sized to receive at least a portion of the distraction screw therethrough, wherein the lock is configurable in a first position and a second position, when configured in the first position the lock engages the locking feature to substantially inhibit axial movement of the distraction screw within the interior bore, and when configured in the second position the lock substantially permits axial movement of the distraction screw within the interior bore.

Abstract: Orthopaedic device (10, 110, 210, 310) for correcting deformities of a long bone (11), comprising a bar (12), extended along an axis (Y-Y) and intended to be placed alongside the bone (11), at least a first clamp (14, 214, 314) for a first group of osseous screws (16) and a second clamp (18, 19, 118) for a second group of osseous screws (20, 22), removably mounted on said bar (12), wherein the first of said clamps (14, 214, 314) is placed onboard a support base (21, 221, 321) in turn mounted on said bar (12), and angularly movable in relation to the support base around a given rotation axis (X-X, X?-X?, Z-Z) by means of a rotary coupling, characterised in that said rotary coupling comprises a male element (35; 235, 236, 237, 238, 239; 333, 334) associated with the first clamp (14, 214, 314) and having a surface at least partially cylindrical, and a corresponding female element (36; 130; 250, 254, 255; 336, 337) associated with the support base (21, 221, 321) and having a surface at least partially cylindrical

Abstract: Tool force information is provided to a user of a telesurgical system using an alternative modality other than force reflection on a master manipulator, such as providing the information on user-visible, user-audible, or haptic “buzz” or “viscosity” indicators, so as to allow expanded processing, including amplification, of the information, while not significantly affecting the stability of the telesurgical system or any closed-loop control systems in the telesurgical system.

Abstract: Dynamic external fixator comprising a pair of rods (1) made of a radiolucent material, each rod (1) comprising a base (10), preferably with an opening (13), a stem (11) extending from the base (10), with a sliding groove (14) extending along a longitudinal axis of the stem (11); and stopping means (12, 2) between the base (10) and the stem (11); a pair of springs (3), each spring (3) being arranged on the stem (11) of one of the rods (1) and abutting against the stopping means (12, 2); proximal attachment means (K1) for attaching the base (10) of each rod (1) to a first position; distal attachment means (K2) for attaching the stem (11) of each rod (1) to a second position, wherein the distal attachment means (K2) are inserted into the spirals of the spring (3) and through the sliding groove (14) of each of the rods (1), such that turning the spring (3) around the stem (11) allows adjusting a distraction force between the proximal attachment means (K1) and the distal attachment means (K2); and method for attac

Abstract: Transport distraction apparatus for performing transport distraction osteogenesis is provided which includes a track capable of being formed into a curvilinear shape with a carriage movable longitudinally along the track. The carriage has a fixation plate secured or securable to it and at least one gear for moving the carriage along the track in order to adjust its position relative to the length of the track. The track has a series of formations extending along one edge of the track and engaged by the gear which is at least partially accommodated within a space between a plane including the front face of the track and a plane including the rear face of the track. Preferably, the apparatus creates a gap between a central region of the track and a patient's bone in use. A fixation plate is also provided.

Abstract: Disclosed herein are external fixation devices including at least an elongate rod, a housing and an actuation member. The housing is coupled to the elongate rod and the actuation member is rotatably coupled to the housing such that a central longitudinal axis of the actuation member is angled and offset with respect to a central longitudinal axis of the elongate rod. Rotation of an actuation portion of the actuation member about the central longitudinal axis thereof in a first radial direction causes the housing to translate along the central longitudinal axis of the elongate rod in a first direction.

Abstract: The invention relates to a customized intraoral jaw distractor, of the type that comprises two anchoring means (1, 2) fastened to the mandibular body at two fixed anchor points, located on either side of the osseous callus.

Abstract: A bilateral dynamic external distractor is disclosed for the treatment of complex fracture luxations of the PIP of the hand. The distractor comprises two setscrews, one left proximal guide block, one right proximal guide block, two threaded rods, two distal guide blocks, and two optional alignment guide clips. The left and right distal guide blocks each comprise a threaded passage, and the first threaded rod extends between the right proximal guide block and the right distal guide block, and the second threaded rod extends between the left proximal guide block and the left distal guide block. Furthermore, rotation of the first and second threaded rods causes the left and right distal guide blocks to move relative to the left and right proximal guide blocks along an axis of the first and second threaded rods.

Abstract: A bone distraction device applies guided incremental forces to opposing bone segments for the purpose of generating native bone in an osteotomy site (distraction osteogenesis). The bone distraction device automatically adjusts the rate of the distraction utilizing feedback received from the ultrasound transducer and other sensors, using an adaptive decision algorithm(s). A wireless transmitter allows for remote guidance, feedback and monitoring.

Abstract: An external fixation system comprising: first and second planar at least part-circular ring elements, the first ring element having a circumferential track extending along the part-circular circumference thereof; a plurality of struts each having a first and second end, the first end of each strut coupled to the first ring by a first connector and the second end of each strut coupled to a second ring by a second connector, the first connector including a spherical joint; the second connector non-rotatably coupled to the second ring, the strut second end being coupled to the second connector by a U-joint; shuttles mounted on the track of the first ring for movement there along with one shuttle coupled to each strut; and means for controlling the angular position of each strut second end and means for controlling the position of each shuttle along the circumferential track on the first ring.

Abstract: The invention relates to a customized intraoral jaw distractor, of the type that comprises two anchoring means (1, 2) fastened to the mandibular body at two fixed anchor points, located on either side of the osseous callus.

Abstract: A distraction assembly for automatically facilitating bone growth which may be required for the application of a dental implant is presented. A drive assembly is dimensioned and configured to be anchored within the mouth of a patient and includes a drive component and a timing assembly collectively disposed and structured to drive at least one displacement member along a predetermined path of travel, wherein the displacement member is connected to a bone segment associated with the implant site. The drive component and timing assembly are further cooperatively structured and disposed to cause incremental advancement of said displacement member along the predetermined path of travel and concurrent displacement of the bone segment relative to the implant site at a constant or otherwise predetermined rate.

Abstract: The present invention regards an orthopedic device to be associated with the outside of a bone and of the type comprising a support rail, extended along a central longitudinal axis substantially parallel to the bone, at least two clamps mounted slidably along the axis on the support rail and supporting endosseous screws insertable into the bone, and a distractor/compressor device removably attachable to the two clamps by means of respective connection pins inserted into corresponding holes of each clamp, wherein each clamp comprises a clamp body having a base or lower jaw and a lid, or upper jaw as well as two screws for fixing the upper jaw to the lower jaw Advantageously the holes for the connection pins are aligned along a line that is extended substantially parallel to the axis with at least one hole for the connection pins of the remaining clamp also being aligned along the line, thus making the overall structure of the clamps mounted on the orthopedic device particularly compact.

Abstract: A Mini External Fixate device is disclosed in closed operations in order to fix fractures of elbow bone especially olecranon and cure its problems including mal-unions and non-unions, correcting elbow deformities, lengthening the bone length up to 5 cm. The device comprises three curved plates which are connected by a threaded rod. The device may further comprise two half pin consuls which go through each curved plate in one direction. The half pin consuls may extend as far as they are connected to the fracture, while they don't reach the other side of the bone. Half pins may be used instead of full pins in this device. The half pin consuls may be attached to the curved plate by means of a wire fixation bolt. A hinge may be attached to the extreme of the threaded rod.

Abstract: A telescopic strut for use with an external fixator includes a tube and a rod, especially a threaded rod being in threaded engagement with the tube. The tube comprises at least one hole for accommodating a ball, the ball having the spherical shape for engagement with the threaded rod. A sleeve is provided on the portion of the tube comprising the hole. The sleeve comprises a non-spherical inner cross-section. The greater diameter of the sleeve has a dimension which is at least the sum of the outer diameter of the threaded rod plus the diameter of an accommodating ball for allowing direct axial movement of the threaded rod against the tube in such a rotational position of the sleeve. The lesser diameter has a dimension to place the ball within the threaded rod for allowing a rotational movement of the threaded rod against the tube.

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 external fixator for treating a fracture of a long bone has six extension arms which are extendable out of and retractable into a main body. The six extension arms are arranged into two sets of three out opposing sides of the main body, with each set of three extension arms being able to support a fixation ring. Each extension arm is pivotable at a joint and extendable so as to allow the ring to be set at a wide range of angular positions relative to the main body. The three extension arms and the ring each define a wrap angle about the axis of the long bone being treated. The longitudinal position of each extension arm can be changed either with a coarse adjustment capability or with a fine adjustment capability, with the coarse adjustment capability being through rotation of a thumb wheel.

Abstract: Apparatus and methods for distracting or compressing distance between a first and second boney structure and for engaging a connecting element.

Abstract: The present invention regards an orthopaedic device (10; 110) to be associated with the outside of a bone and of the type comprising a support rail (12; 112), extended along a central longitudinal axis (Y-Y) substantially parallel to the bone (11; 111), at least two clamps (14, 18; 114, 118) mounted slidably along said axis (Y-Y) on the support rail (12; 112) and supporting endosseous screws (16, 20; 116, 120) insertable into the bone, and a distractor/compressor device (58) removably attachable to the two clamps (14, 18; 114, 118) by means of respective connection pins (68) inserted into corresponding holes (64; 164) of each clamp, wherein each clamp comprises a clamp body having a base or lower jaw (24; 124) and a lid, or upper jaw (23; 123) as well as two screws (25, 26; 125, 126) for fixing the upper jaw (23; 123) to the lower jaw (24; 124).

Abstract: An external fixation device for the extension of the distance between two clamping members of an external fixator has a central internal rod and an outer hollow housing. The internal rod is movable axially. One end of the internal rod projects over the one end of the housing, and serves to fix the one clamping member. An adjusting member is provided disposed at the other end of the housing and is connected with internal rod and/or the outer hollow housing, whereby the axial position of the interior shaft can be adjusted in relation to the housing by means of rotation of the adjusting member. Furthermore, an adjusting knob is provided that can be detachably attached to the adjusting member with an essentially positive fit.

Abstract: An ambulatory spinal unloading method and apparatus are implemented to achieve a desired minimum level of residual cushioning in response to a biasing force applied to the associated apparatus tensioning and/or compression mechanism(s). The ambulatory spinal unloading apparatus may further include a treatment system to provide desired levels of nerve and/or muscle stimulation in addition to hot and/or cold elements to provide further therapeutic effects as desired or necessary.

Abstract: The fixator is an apparatus for repairing fractures of the distal radius and wrist. Distal, pivot, distraction, and radial members provide an anatomically contoured, radiolucent apparatus that permits the wrist to move through a substantially normal range of motion. A means for distraction of the bones by the fixator is also provided. The fixator may be affixed to the lower arm and hand by spaced-apart elongate distal mounting pins with lower ends adapted or mounting in the metacarpal bone and by spaced-apart elongate radial mounting pins with lower ends adapted for mounting in the radius.

Abstract: A method and apparatus are provided for changing the form of the jaw and facial bones of an adult patient that did not develop fully during childhood. The method utilizes a device having a plate body with an expansion screw that fits within the mouth of the patient; flap springs that project from the plate body, and an overlay extending from the plate body. The device is placed within the mouth of the patient so that the overlay is in a position between at least two opposing teeth. In this position, opposing teeth contact the overlay during function (e.g. swallowing). This intermittent, unilateral application of force to the facial bones causes these bones to further develop, positioning out of place teeth into more proper positions, and inducing a more symmetrical and enhanced appearance of the face, as well as increasing the airway space behind the jaws. Concomitantly, the flap springs gently press against selected teeth that are out of alignment in order to guide those teeth into place.

Abstract: A method and apparatus are disclosed for treating bone fractures by the application of intermittent pneumatic compression. The period of compression is sufficient to induce venous stasis at the fracture site. The period of recovery can be about half the period of compression. The applied pressure can be in the range os about 25–60 mmHg.

Abstract: A mechanism for powering an auto-extensible tissue distractor, e.g. a bone fixator, is described in which a movable device is caused to move in small incremental steps of a few &mgr;m each along an elongate member towards its distal end under the influence of one or more piezoelectric actuators.

Abstract: A method and apparatus are disclosed for treating bone fractures by the application of intermittent pneumatic compression. The period of compression is sufficient to induce venous stasis at the fracture site. The period of recovery can be about half the period of compression. The applied pressure can be in the range os about 25-60 mmHg.

Abstract: A method and apparatus are disclosed for treating bone fractures by the application of intermittent pneumatic compression. The period of compression is sufficient to induce venous stasis at the fracture site. The period of recovery can be about half the period of compression. The applied pressure can be 50% or less of the baseline pressure.

Abstract: The present invention is directed to a device for fixation of a bone fracture. The device comprises at least one distal pin having a mounting end for insertion on a distal side of the fracture, at least one proximal pin having a mounting end for insertion on a proximal side of the fracture, a distal member attached to the distal pins, a proximal member attached to the proximal pins and slideably connected to the distal member for reducing or distracting the bone fracture, a distraction assembly for controlling the movement between the proximal and distal members, and a removable engagement element. The distraction assembly has two modes of operation: an active configuration and an inactive configuration. In the active configuration, incremental relative sliding movement between the proximal and distal members is allowed, and, in the inactive configuration, free relative sliding movement between the proximal and distal members is allowed.

Abstract: A device for moving a first object relative to a second object, which device comprises a first part, which can be fixed to the first object, and a second part, which can be fixed to the second object. The first part comprises an elongated portion, along which the second part can move, which second part is provided with a clamping member, which is capable of clampingly engaging the elongated portion. The clamping member comprises shape memory metal, which gives the clamping member a clamping shape or a releasing (non-clamping) shape, depending on the temperature of the shape memory metal. The device may be suitable for being implanted into a human or animal body, whereby the first object is a first bone portion and the second object is a second bone portion, which bone portions are to be moved relative to each other.

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: Devices for lengthening bone, particularly the mandible and other small bones, by distraction osteogenesis are presented. The devices are implantable in an appropriate surgical procedure, and provide for an optional flexible drive shaft, used to transmit controlled torque for elongation of the devices thereby effecting distraction osteogenesis, which optional flexible drive shaft may conveniently terminate within the oral or buccal cavity. In one embodiment, the devices provide a telescoping screw assembly and drive means, which drive means may be an angled gear drive. In another embodiment, a threaded flexible drive shaft is provided which provides for elongation of the devices thereby effecting distraction osteogenesis.

Abstract: A vertebral axial decompression table is operated by applying a baseline tension to the two table parts, increasing tension to about 50% of maximum above baseline, then logarithmically increasing tension to maximum tension. Thereafter, tension is linearly relaxed back to baseline. This cycle is repeated a programmed number of times to effect a therapy session. Data concerning the table operation is transmitted to allow remote monitoring and re-programming of the table.

Abstract: A system for therapeutic treatment of bone includes a source of energy for stimulating a bone, a feedback loop for receiving response information from the bone generated by the stimulation and an adjustment device for adjusting the energy source according to predetermined criteria. A method of therapeutically treating bone includes the steps of providing a source of energy for stimulating a bone, feedback means for receiving response information from the bone generated by the stimulation and adjustment means for adjusting the energy source according to predetermined criteria, applying energy to cyclically stimulate the bone, collecting response information from the bone due to the stimulation, comparing the response information to the predetermined criteria and adjusting the energy source to obtain a response in accordance with the predetermined criteria. The system and method ensure, augment and accelerate the bone healing process.

Abstract: A device for generating passive motion of a joint while applying traction has a proximal bracket for engaging a pin drilled into a proximal bone adjacent to the joint, and a distal bracket for engaging a pin drilled into a distal bone adjacent to the joint. The two brackets are connected by a tension-hinge mechanism which includes a hinge for permitting relative rotational movement of the brackets, and an adjustment mechanism. The adjustment mechanism is configured to allow substantially continuous adjustment of the distance between the hinge and at least one of the brackets so as to apply tension across the joint. The adjustment mechanism also includes a number of elastic elements deployed so as to allow elastic variation of the distance between the two brackets.

Abstract: A compression-distraction apparatus for fixation of two fragments of a fractured bone comprises three annular members placed in spaced-apart alignment around the limb of the broken bone. It features two outer members are each connected to one of the fragments by at least two through-going pins, while a third, median member is connected to the outer members by three bolts or studs after proper alignment of the fragments. A first outer member is to connected to the median member in non-parallel manner by bolts having a pivot incorporated therein, while firm connection to the second outer member is made only after measurement of the compression or distraction forces.

Abstract: An apparatus and method to elongate and extend outward and downward a surgically transected forward section of the mandible with small daily adjustments to stretch the filamentary connective tissue between the divided sections of bone to correct severe malocclusion. The apparatus maintains a narrow gap between the separated sections of the mandible as the connective tissue is lengthened and mineralized forming new bone. The slowly widened gap has a chance to create new bone forming tissue to bridge the gap. By containing the apparatus within the oral cavity, advantages over cumbersome external apparatus become apparent. Infection and inflammation are easier to control within the oral environment. By clamping the apparatus to the ramus under the masseter muscles, no external facial scars result from externally applied surgical pins. Separate adjustments independently move the transected section of the mandible outward and downward.

Abstract: The invention serves patients having a fractured bone wherein separate parts of the bone have been immobilized by an external axial fixator, and the invention provides patient-operated mechanical structure to enable him to transiently distract spaced bone-anchored regions of the fixator. In one embodiment, the patient-operated mechanism is in the form of an accessory that is detachably mounted to the fixator; in another embodiment, the patient-operated mechanism is embodied in an external axial fixator, preferably of the so-called dynamic variety.

Abstract: An osteotomy procedure for adjusting the conformation of a long-bone is described. Illustratively, a proximal tibial osteotomy procedure produces two relatively rotatable long-bone segments. A jig including a body and having two pins extending therefrom in the same direction in a plane containing the long axis of the jig preferably is used to adjustably fix the two segments relative to one another with each pin securely fixed within a corresponding one of the segments. Importantly, at least the distal pin is bendable such that a desired rotation with two degrees of freedom is achievable between the two to-be-fixed segments. By bending the distal pin in a region thereof extending between the jig body and the distal segment, any desired relative rotation may be achieved between the segments. Correction of any and all conditions including varus, valgus, internal and external rotation may be accomplished in a single osteotomy procedure.

Abstract: An external fixator for securing a first bone portion in a fixed relationship with respect to a second bone portion. The fixator includes a bone screw clamp for receiving a first bone screw which is connected to the first bone portion and which includes a spherical portion. The fixator further includes a bone screw clamp which is operable to receive a second bone screw which is connected to the second bone portion and which has a spherical portion. The fixator also includes a connection member having a radiographic window to permit radiographic examination of the bone fracture, as well as a cantilever member operable to secure the spherical portions of the first and second bone screw clamps to the connection member.

Abstract: A clamping assembly for bone-screw or bone-pin adjustment (a) longitudinally along the guideway of an external fixator, and (b) angularly about a pivot axis at a selected longitudinal location. The clamping assembly comprises a slide block adapted for releasably locked longitudinal positioning along the guideway, an intermediate plate element, and a clamp block, in sandwiched relation, with a single central bolt to secure (i) a selected angular setting of bone-screw engagement grooves coacting between the clamp block and the upper surface of the intermediate plate, and (ii) coacting arcuate tongue-and-groove formations wherein the releasably lockable coaction is between the slide block and the lower surface of the intermediate plate, to secure a given clamped angular orientation of bone-screw orientation with respect to the longitudinal direction of the guideway.

Abstract: A bone lengthening mechanism is placed into a bone which is then lengthened by extending the mechanism. The mechanism is extended by effecting a rotational movement in a drive bolt which mates with a threaded portion in a section of the mechanism. The threads convert the rotational movement to a longitudinal force thereby lengthening the bone.

Abstract: An external fixator for securing two or more bone elements. The external fixator includes an elongated bar; a first carriage for mounting on the bar and for securement to a first bone element; a second carriage for mounting on the bar and for securement to a second bone element; and a drive mechanism for driving the first and second carriages along the length of the bar independent of one another.

Abstract: A dynamic joint support having proximal and distal support sections and means for rigidly connecting each support section to bone and a pair of hinges connecting each support section to each other and pivoting at the joint to cause movement of the support section and its corresponding attached bone through the movements of flexion and extension. The hinge may be driven in its movement by a gear mechanism which may be disengaged by means of a clutch. The dynamic joint support may also include a distraction mechanism for movement of the bones out of contact in the joint, while allowing for an active range of motion at the joint.

Abstract: This invention relates to a device and method to externally fix bone fractures and bone deformities by moving an arc gear member, which is attached to a first bone segment, through an arc shaped path so as to place the first bone segment in the desired position relative to a second bone segment.

Abstract: A device for promoting the healing of bones has a pair of elongated carriers which support screws to be anchored in bone structure. The screws are movable longitudinally of the carriers by means of spindles. The carriers are joined to one another by a connector consisting of a rigid rod having a ball at either end. The balls are received in part-spherical sockets formed in the respective carriers and can be fixed relative to the carriers via screws.