Abstract: Bone plates and methods of using the bone plates for adjoining bone fragments are disclosed herein. A device for adjoining at least two bone fragments includes a delivery catheter having an elongated shaft with a proximal end, a distal end, and a longitudinal axis therebetween, wherein the delivery catheter has an inner void for passage of at least one filling material and an inner lumen for passage of a light source; a conformable bone plate releasably engaging the distal end of the delivery catheter, wherein the conformable bone plate has a first surface, a second surface, a proximal end, and a distal end and at least one aperture extending from the first surface to the second surface for receiving a fastener; and an adapter releasably engaging the proximal end of the delivery catheter for receiving the light source and a delivery system housing the at least one filling material.

Abstract: Embodiments of the invention include implantable apparatus including a magnet and related methods that can be used to lengthen the limbs of a subject. In an embodiment, the invention includes a limb lengthening apparatus including a magnet and a piston having a lengthwise axis, the magnet oriented so as to cause movement of the piston along its lengthwise axis in response to application of an external magnetic field. The apparatus also includes a first body member and a second body member, the first body member and second body member configured to be disposed lengthwise within the bone of a limb to be lengthened. The apparatus also includes a lengthening mechanism, the mechanism including a drive nut, wherein sequential application and removal of the external magnetic field causes the drive nut to rotate around the lengthwise axis of the piston causing the distance between the first body member and the second body member to increase. Other embodiments are also included herein.

Abstract: An intramedullary anchoring stem for an orthopaedic implant head. The stem is in one piece, is made of biocompatible material and is movable in relation to the head, with which it has connecting means, and it has a truncated or substantially truncated peg shape at least partially recessed longitudinally, and parallel or substantially parallel to the dorso-palmar plane.

Abstract: The invention relates to an internal osteodistraction device, which includes two fixing points (7, 8) for attachment to a bone in such a way that the distance between the fixing points can be increased in a controlled manner, and a magnetostrictive element (1) which produces a reciprocating mechanical motion in a changing magnetic field. The magnetostrictive element is configured for taking up solely a compressive or tensile force, such that the magnetostrictive element pushes a unidirectional movement permitting element which allows for an increase in the distance between the fixing points, and as the magnetostrictive element is in the process of returning to its original length, a second unidirectional movement permitting element allows the magnetostrictive element to resume its original length without changing a distance between the fixing points of the distraction device.

Abstract: A reamer for reaming a portion of a long bone cavity for use in implanting a joint prosthesis. The reamer is used in cooperation with a portion of an orthopaedic implant component and includes an expandable body that is adapted to adjust between a plurality of diameters. A plurality of cutting edges are also included and extend outwardly from the body, the edges adapted for cooperation with bone, and the cutting edges expanding as the expandable body expands.

Abstract: Systems and methods for separating an internal bone fixation device from an introducer are disclosed. In some embodiments, a separation system includes a stabilizer configured to slide over an introducer for delivery of a bone fixation device to a bone cavity, the stabilizer being further configured to score a proximal end of the bone fixation device; and a separator configured to engage the introducer and to provide an impact to the introducer to separate the introducer from the bone fixation device.

Abstract: An adjustable length orthopedic device and system. According to one embodiment, the adjustable length orthopedic device or system comprises an elongated shaft with a longitudinal axis, and an adjustable portion extending from a proximal end of the elongated shaft along the longitudinal axis. The adjustable length orthopedic device further comprises at least one hole in a distal end portion of the device, where the hole is adapted for insertion of a pin through the device and into the bone in order to anchor the device to the bone. According to another embodiment is a lag screw extending from a proximal end of the elongated shaft at an angle oblique to the longitudinal axis, the lag screw comprising a lag screw shaft segment, and an adjustable segment that extends from the proximal end of the shaft segment. According to another embodiment is an adjustable length locking screw.

Abstract: An implant comprises a deformable gas tight sack. The sack comprises a first chamber in fluid communication with an obturatable opening, the chamber filled or fillable with a filling material filling the first chamber. The implant is configured such that when one or both of a gas and fluid surrounding the filling material is removed from the first chamber through the opening, a wall of the first chamber forms around and holds the filling material. This causes the implant to transition from a relatively flexible insertion state to a relatively rigid fixation state in which the implant is fixable in the target portions of bone.

Abstract: The present disclosure relates to systems and methods for installing shape memory polymers relative to orthopedic implants.

Abstract: Photodynamic bone stabilization systems are disclosed herein. In an embodiment, a photodynamic bone stabilization system includes a catheter having an elongated shaft with a proximal end adapter, a distal end releasably engaging an expandable portion, and a longitudinal axis therebetween; a light-conducting fiber configured to transmit light energy to the expandable portion; a light-sensitive liquid monomer comprising an initiator, wherein the initiator is activated when the light-conducting fiber transmits the light energy to initiate polymerization of the light-sensitive liquid monomer; and a cooling medium configured to control polymerization temperature, wherein the catheter comprises an inner void sufficiently designed to pass the light-sensitive liquid monomer into the expandable portion, and wherein the catheter comprises an inner lumen sufficiently designed to pass the light-conducting fiber into the expandable portion and configured to circulate the cooling medium.

Abstract: A method for fusing a joint, which includes the step of inserting a first anchoring zone of an arthrodesis device being in a first closed position into a first opening within a first bone. The first anchoring zone includes a first pair of legs. Each leg is capable of transitioning between the first closed position and a first open position for internally gripping the first opening. Also, included in the method is the step of inserting a second anchoring zone of the arthrodesis device being in a second closed position into a second opening within a second bone. The second anchoring zone includes a second pair of legs. Each leg is capable of transitioning between the second closed position and a second open position for internally gripping the second opening.

Abstract: An expandable rod is provided that is sized for insertion into a patient's bone. A method for using the expandable rod to prepare the patient's bone to receive an orthopedic implant is also provided. The expandable rod is adjustable between a first, contracted state and a second, expanded state, the expansion member expanding radially outwardly from the contracted state to the expanded state.

Abstract: In one embodiment the present invention is an implant suitable for implantation in bone, comprising a median zone extending along a longitudinal axis between a first end and a second end, the first end having a face extending generally perpendicular to the axis to form an abutment having a width; and a first fixation zone extending from the first end and the abutment, the first fixation zone including a pair of tabs formed of shape-memory material extending from a base portion of the tabs adjacent the abutment such that the abutment extends further from the axis in a radial direction than the base portion of the tabs, wherein the pair of tabs are separable from one another by shape-memory action at body temperature.

Abstract: Bone fixation methods and devices with an elongate body having a longitudinal axis and having a flexible state and a rigid state, a plurality of grippers, a rigid hub connected to the elongated body, and an actuator operably connected to the grippers to deploy the grippers from a first shape to an expanded second shape. One method can include inserting a bone fixation device into an intramedullary space of the bone to place at least a portion of an elongate body of the fixation device in a flexible state on one side of the fracture and at least a portion of a rigid hub on another side of the fracture, and operating an actuator to deploy a plurality of grippers of the fixation device to engage an inner surface of the intramedullary space to anchor the fixation device to the bone.

Abstract: Photodynamic bone stabilization systems are disclosed herein. In an embodiment, a photodynamic bone stabilization system includes a catheter having an elongated shaft with a proximal end adapter, a distal end releasably engaging an expandable portion, and a longitudinal axis therebetween; a light-conducting fiber configured to transmit light energy to the expandable portion; a light-sensitive liquid monomer comprising an initiator, wherein the initiator is activated when the light-conducting fiber transmits the light energy to initiate polymerization of the light-sensitive liquid monomer; and a cooling medium configured to control polymerization temperature, wherein the catheter comprises an inner void sufficiently designed to pass the light-sensitive liquid monomer into the expandable portion, and wherein the catheter comprises an inner lumen sufficiently designed to pass the light-conducting fiber into the expandable portion and configured to circulate the cooling medium.

Abstract: Intramedullary medical devices (e.g., intramedullary nails) and methods for their use and manufacture are described herein. The intramedullary medical devices described herein may provide sustained compressive forces across a bone fusion site despite bone resorption processes. Through various embodiments, the intramedullary medical devices described herein may provide non-linear force curves relative to displacement. Intramedullary medical devices are described with multiple elements made of different materials. Examples of intramedullary medical devices are described with shape memory alloys.

Abstract: The assembly supports the trailing end of a lag screw or hip nail device being used to immobilize a hip fracture, and enables the compression of the fractured bone ends together, thereafter enabling sliding of the femoral head together with the lag screw or hip nail laterally, while simultaneously limiting their rotation, thereby promoting healing of the fracture.

Abstract: An improved fastener apparatus includes an outer sleeve which is moved into a patient's body tissue. A distal end portion of the outer sleeve is expanded in the patient's body tissue. An inner sleeve is moved axially through the outer sleeve and a distal end of the inner sleeve is expanded in the patient's body tissue. The fastener apparatus may be provided with an external thread convolution on either or both of the inner and outer sleeves. During expansion of the distal end portion of either the inner or outer sleeve, a proximal end portion of the outer sleeve may be gripped and pulled to offset forces applied to the distal end portion of one of the sleeves. Although inner and outer sleeves may advantageously be utilized, the fastener apparatus may be constructed with only a single sleeve or three or more sleeves if desired. A secondary fastener assembly may be moved through a main fastener assembly.

Abstract: An intramedullary lengthening device includes a housing and a distraction shaft. The intramedullary lengthening device is placed within a cavity of two bone sections (either already separated or purposely separated for insertion of the device). The distraction shaft of the intramedullary lengthening device is attached to the one of the bone sections using, for example, one or more attachment screws. The housing of the intramedullary lengthening device is attached to the second bone section using, for instance, one or more attachment screws. Over the treatment period, the bone is continually distracted, creating a new separation into which osteogenesis can occur. In one embodiment, the intramedullary lengthening device includes an actuator and an extension rod, which can be attached to one other.

Abstract: A method for providing stabilization and compression of a bone fracture, the method comprising: providing an intramedullary prosthesis sized for insertion into the intramedullary canal of a bone and having a distal end, a proximal end and a porous structure therebetween, wherein (i) in a first state, the prosthesis is longitudinally expanded and radially contracted, and (ii) in a second state, the prosthesis is longitudinally contracted and radially expanded, conforms to the shape of the adjacent bone and exerts forces on the adjacent bone; and positioning the intramedullary prosthesis within the intramedullary canal of a bone so that the intramedullary prosthesis spans the bone fracture, whereby to provide stabilization and compression of the bone fracture.

Abstract: The present disclosure provides an external fixation strut for an external fixation device having a ball joints that can be attached to the outer or inner surface of the ring and locked to increase overall stability of the external fixation device. Some embodiments of the fixation strut include a first ball joint coupled to a first end portion of a strut housing, the strut housing having an axial bore defined therethrough. A second ball joint is coupled to a second end portion of a threaded elongated member. The threaded elongated member is threadably coupled to an adjustment mechanism, which is rotatably coupled to an upper end portion of an adjustment sleeve. The adjustment sleeve is slidably disposed in the axial bore of the strut housing, and is used to effect coarse strut length adjustments. Gradual strut adjustments are effected by translating the elongated member.

Abstract: A bone fixation device is provided with an elongate body having a longitudinal axis and having a flexible state and a rigid state, a plurality of grippers disposed at longitudinally spaced locations of the elongated body, a curved rigid hub connected to the elongated body, and an actuator operably connected to the grippers to deploy the grippers from a first shape to an expanded second shape. Methods of repairing a fracture of a bone are also disclosed. One such method comprising inserting a bone fixation device into an intramedullary space of the bone to place at least a portion of an elongate body of the fixation device in a flexible state on one side of the fracture and at least a portion of a curved rigid hub on another side of the fracture, and operating an actuator to deploy a plurality of grippers of the fixation device to engage an inner surface of the intramedullary space to anchor the fixation device to the bone.

Abstract: The system and method for intramedullary plate fixation of the preferred embodiments include a first intramedullary plate of a first geometry with a plurality of bores, a second intramedullary plate of a second geometry with a plurality of bores, a plurality of fasteners that fasten the first and second intramedullary plates to bone, and an alignment fixture held outside of the body that indicate the location of the bores of the first and second intramedullary plates and through which the fasteners are aligned with the bores of the first and second intramedullary plates, allowing the surgeon to make incisions in the patients body in known locations of the bores, and thus allowing for a minimally invasive intramedullary plate installation and fixation procedure.

Abstract: Intramedullary nail for distraction of a long bone with an at least partially hollow shank extending in an axial direction of the intramedullary nail, locking element for locking the shank in a first bone fragment of the long bone, a first inner section which is arranged in axially movable manner within the shank and has a through hole orientated in the radial direction for accommodating a segment bolt for fixing a bone segment of the long bone, wherein the shank has an elongated hole in the area of the inner section for passing through of the segment bolt, an actuator for axially moving the first inner section, wherein a second inner section is arranged within the shank so as to be axially movable.

Abstract: Intramedullary osteosynthesis device is capable of adopting a profiled H-shape in a closed introductory state in order to be easily implantable and an X-shape in an open implanted state for good fixation in the bone.

Abstract: The invention concerns an intramedullary nail to be inserted into a fractured long bone, for example a femur, comprising: a rod (2) extending between a proximal part (3) and a distal part (4); a tubular sleeve (5) into which said rod (2) is inserted coaxially; at least a first pair of expansion means (12) located in the distal part (4) of said rod (2), said expansion means (12) being made of a shape-memory material in order to assume a first configuration of rest in which they are disposed inside recesses in the lateral wall of the nail (1), and a second configuration of use in which said means (12) are located projecting from the lateral wall of the nail (1); slots (55) are present on the tubular sleeve (5) in correspondence with the shape-memory means (12) to allow for the fastening onto the bone when the means assume said second configuration of use; where said rod (2) comprises in correspondence with the proximal end (3) a transversal channel (6) for the passage of a stop screw (S), said tubular sleeve (5

Abstract: Internal bone fixation devices and methods for using the devices for repairing a weakened or fractured bone are disclosed herein. A device for use in repairing a fractured bone includes a delivery catheter having an elongated shaft with a proximal end, a distal end, and a longitudinal axis therebetween, wherein the delivery catheter has an inner void for passage of at least one reinforcing material and an inner lumen for passage of a light source; a conformable member releasably engaging the distal end of the delivery catheter, wherein the conformable member moves from a deflated state to an inflated state when the at least one reinforcing material is delivered to the conformable member; and an adapter releasably engaging the proximal end of the delivery catheter for receiving the light source and the at least one reinforcing material.

Abstract: Photodynamic bone stabilization systems are disclosed herein. In an embodiment, a photodynamic bone stabilization system includes a catheter having an elongated shaft with a proximal end adapter, a distal end releasably engaging an expandable portion, and a longitudinal axis therebetween; a light-conducting fiber configured to transmit light energy to the expandable portion; a light-sensitive liquid monomer comprising an initiator, wherein the initiator is activated when the light-conducting fiber transmits the light energy to initiate polymerization of the light-sensitive liquid monomer; and a cooling medium configured to control polymerization temperature, wherein the catheter comprises an inner void sufficiently designed to pass the light-sensitive liquid monomer into the expandable portion, and wherein the catheter comprises an inner lumen sufficiently designed to pass the light-conducting fiber into the expandable portion and configured to circulate the cooling medium.

Abstract: Combination photodynamic devices for repair and stabilization of a fractured or a weakened bone are disclosed herein. In an embodiment, a combination photodynamic device includes a load bearing member and one or more conformable members connected to the load bearing member, the conformable member expandable from a deflated state to an inflated state. The load bearing member is designed to reside inside a cavity of fractured or weakened bone and act as internal bone fixation and stabilization device. The conformable member is designed to anchor the load bearing member inside a bone cavity, transform the load bearing member from a flexible state to a rigid state, contribute to fixating and stabilizing a fractured or a weakened bone, and provide longitudinal and rotational stability to a fractured or a weakened bone during the healing process or combinations thereof.

Abstract: A segmented bone fixation device is provided with an elongate body having a longitudinal axis and having a first state in which at least a portion of the body is flexible and a second state in which the body is generally rigid. Methods of repairing a fracture of a bone are also disclosed. One such method comprises inserting a segmented fixation device into an intramedullary space of the bone to place at least a portion of the fixation device in a flexible state on one side of the fracture, providing rigidity across the fracture, and operating an actuator to deploy at least one gripper to engage an inner surface of the intramedullary space to anchor the fixation device to the bone. Various configurations allow a segmented device body to change shape as it moves from a flexible state to a rigid state.

Abstract: An implantable intramedullary fixation structure adapted to be received in the intramedullary canal of a long bone is disclosed comprising a plurality of elongated segments. Each segment has a first end and a complementarily-shaped second end such that the first end of a segment cooperatively engages the second end of an adjacent segment. The segments define a guide aperture so as to be receivable over a guide for positioning in the intramedullary canal.

Abstract: The nail is inserted into the interior of a long tubular bone. It has a plurality of elongate segments joined to the leading end of its tubular sheath. When the segments are urged through a segment guiding device that is positioned at the leading end of the sheath, the segments with their sharpened bone penetrating distal ends exit in a radial distal direction causing them to lock into the surrounding bone. During the distal translation of the sheath and the elongate segments, the segment guiding means is maintained in a fixed position relative to the surrounding bone by the centrally placed shaft of a setting tool.

Abstract: The intramedullary nail has a longitudinal axis, a proximal end, a distal end, at least one hole that extends transversely to the longitudinal axis and is situated in a plane with a defined diameter to accommodate a locking element, as well as a longitudinal slot extending in the plane parallel to the longitudinal axis. In the unexpanded state of the intramedullary nail the longitudinal slot has a width b, measured perpendicularly to the plane in the region outside of the holes, said slot being maximum 0.6 times that of the smallest defined diameter of the holes.

Abstract: Provided is an accumulator that may store energy within a pressurized inflatable nail to compensate for small changes or losses in a system volume. Alternatively, the accumulator may be external to a pressurized inflatable nail and attached to the nail after the nail is implanted. The accumulator may be comprise a piston or a pressurized bladder. The energy may be stored in a spring, compressed air, or other pressure source. The accumulator may stabilize a system pressure by supplying fluid to the closed system. Alternatively, the accumulator may stabilize a system pressure by replacing the volume of the lost fluid.

Abstract: The present invention relates to a bone dilator designed for treating compression fracture of vertebral body, and fractures of cancellous bones at other sites. The bone dilator comprises a head portion, a neck portion, a connecting tube, a handle and a rotary hilt. The head portion embodies different shapes for use at different locations. When the rotary hilt is rotated clockwise and the pull rod is pulled backwards, the upper and the lower parts of the head portion keep parallel or at a predetermined angle during expanding. When the rotary hilt is rotated counterclockwise and the pull rod is pushed forwards, the head portion and the neck portion completely join together, the distal end of the pull rod and the bar stays are completely or partially retracted in grooves inside the head portion and the neck portion.

Abstract: A bone fixation device is provided with an elongate body having a longitudinal axis and having a first state in which at least a portion of the body is flexible and a second state in which the body is generally rigid, an actuateable gripper disposed at a distal location on the elongated body, and an actuator operably connected to the gripper to deploy the gripper from a retracted configuration to an expanded configuration. Methods of repairing a fracture of a bone are also disclosed. One such method comprises inserting a bone fixation device into an intramedullary space of the bone to place at least a portion of an elongate body of the fixation device in a flexible state on one side of the fracture and at least a portion of a hub on another side of the fracture, and operating an actuator to deploy at least one gripper of the fixation device to engage an inner surface of the intramedullary space to anchor the fixation device to the bone.

Abstract: Apparatus and methods for bone fracture repair. The apparatus may include a structural support for positioning a first bone segment relative to a second bone segment. The apparatus may include an anchoring substrate. The anchoring substrate may be configured to compress the first bone segment to the second bone segment. The anchoring substrate may transmit tension from a distal bone segment anchor in the first bone segment to a proximal bone segment anchor in the second bone segment. The apparatus may be configured to be deployed percutaneously in an inner cavity of a bone. The apparatus may be installed in an open fracture. The apparatus may be expanded, self-expanding or configured for mechanically actuation. Some embodiments of the apparatus may include a central axis member that may be used in conjunction with expansion of one or both of the structural support and the anchoring substrate to configure the apparatus.

Abstract: A bone fixation device is provided with an elongate body having a longitudinal axis and having a first state in which at least a portion of the body is flexible and a second state in which the body is generally rigid, an actuatable gripper disposed at a distal location on the elongated body, a hub located on a proximal end of the elongated body, and an actuator operably connected to the gripper to deploy the gripper from a retracted configuration to an expanded configuration. Methods of repairing a fracture of a bone are also disclosed. One such method comprises inserting a bone fixation device into an intramedullary space of the bone to place at least a portion of an elongate body of the fixation device in a flexible state on one side of the fracture and at least a portion of a hub on another side of the fracture, and operating an actuator to deploy at least one gripper of the fixation device to engage an inner surface of the intramedullary space to anchor the fixation device to the bone.

Abstract: A trial device and a method for using the device in surgery are disclosed. The device includes a body including a proximal portion and a distal portion. The proximal portion has a post or trunion projecting therefrom. The distal portion extends from the proximal portion and includes a first arm and a second arm, the first and second arms being movable with respect to one another. The body further includes a cavity formed therein so as to extend through the proximal portion and into the distal portion. The device further includes a driver adapted for sliding engagement within the internal cavity of the body such that movement of the driver, preferably in a distal direction, causes movement of a portion of the first arm away from a portion of the second arm.

Abstract: There is disclosed a device and method for stabilizing a bone. The device includes a polymer with a glass transition temperature. The polymer is relatively deformable at a temperature above the glass transition temperature and relatively rigid at a temperature below the glass transition temperature. The device, while the polymer is above the glass transition temperature, is responsive to a bending force to bend during insertion into the intramedullary canal of the bone. The device, while the polymer is below the glass transition temperature, is relatively rigid and able to provide reinforcement to the bone.

Abstract: A growing prosthesis comprising a joint replacement part, a prosthesis stem, a stem-anchoring element, and an element with corresponding drive provided for the lengthening of the growing prosthesis. The element provided for the lengthening of the growing prosthesis is a spindle element arranged in the stem-anchoring element.

Abstract: A method for treating a fracture with a variable length nail is provided. The nail is configured for at least 5 mm of axial length change in each direction. An incision is made in proximity to a fractured bone and canal is cleared through the center of the bone. The variable length nail is inserted into the canal and a distraction shaft and a housing are secured to separate portions of the fractured bone. The incision is allowed or caused to close. An external adjustment device with at least one rotatable magnet is placed in proximity to the patient's skin. The external adjustment device is operated so that a magnetic field of the at least one rotatable magnet of the external adjustment device causes the rotatable permanent magnet of the variable length nail to rotate, causing either extension or retraction of the distraction shaft relative to the housing.

Abstract: Systems and methods for repairing a weakened or fractured bone are disclosed herein. A system for repairing a fractured bone includes a delivery catheter having an elongated shaft with a proximal end, a distal end, and a longitudinal axis therebetween, wherein the delivery catheter has an inner void for passage of bone cement components and an inner lumen for passage of a mixing element; an internal bone fixation device releasably engaging the distal end of the delivery catheter, wherein the internal bone fixation device moves from a first compact state to a second expanded state when the bone cement components are delivered to the internal bone fixation device and mixed within the internal bone fixation device; and a spinning mechanism engaged to a rotatable shaft, wherein the spinning mechanism is inserted into the internal bone fixation device.

Abstract: The intramedullary nail has a longitudinal axis, a proximal end, a distal end, at least one hole that extends transversely to the longitudinal axis and is situated in a plane with a defined diameter to accommodate a locking element, as well as a longitudinal slot extending in the plane parallel to the longitudinal axis. In the unexpanded state of the intramedullary nail the longitudinal slot has a width b, measured perpendicularly to the plane in the region outside of the holes, said slot being maximum 0.6 times that of the smallest defined diameter of the holes.

Abstract: Provided is an accumulator that may store energy within a pressurized inflatable nail to compensate for small changes or losses in a system volume. Alternatively, the accumulator may be external to a pressurized inflatable nail and attached to the nail after the nail is implanted. The accumulator may be comprise a piston or a pressurized bladder. The energy may be stored in a spring, compressed air, or other pressure source. The accumulator may stabilize a system pressure by supplying fluid to the closed system. Alternatively, the accumulator may stabilize a system pressure by replacing the volume of the lost fluid.

Abstract: The present invention relates to elongation nails for long bones or similar. The elongation nail according to the invention is principally characterized in that it comprises a tube (10), another tube (20) mounted slidably and rotatably in the tube (10) in such a way that the end (21) of the tube (20) emerges from the end (11) of the tube (10), means (30) for coupling the two tubes (10, 20) in such a way that successive rotational oscillations of the two tubes with respect to each other about their longitudinal axis (100) cause a step-by-step translation of the two tubes with respect to each other.

Abstract: An implant comprises a deformable gas tight sack. The sack comprises a first chamber in fluid communication with an obturatable opening, the chamber filled or fillable with a filling material filling the first chamber. The implant is configured such that when one or both of a gas and fluid surrounding the filling material is removed from the first chamber through the opening, a wall of the first chamber forms around and holds the filling material. This causes the implant to transition from a relatively flexible insertion state to a relatively rigid fixation state in which the implant is fixable in the target portions of bone.

Abstract: There is disclosed a method for implanting a device in a fractured bone. The device has an elongated shape and includes a thermo-chemically activated portion including a polymer having a glass transition temperature greater than 37 degrees Celsius. The thermo-chemically activated portion is deformable at a first thermo-chemical state in which the temperature of the polymer is greater than the glass transition temperature. The thermo-chemically activated portion is hard at a second thermo-chemical state in which the temperature of the polymer is lower than the glass transition temperature. The method includes transforming the thermo-chemically activated portion from the second to the first thermo-chemical state. The method includes inserting the device into an intramedullary canal.

Abstract: The present invention provides a deformable implant and a deformation apparatus. The implant has an elongated shape and may be inserted into the intramedullary canal of a fractured bone. The implant may have a support structure and thermo-chemically activated matrix material, deformable at a first state and hardened at a second state, surrounding the support structure. The deformation apparatus is shaped to be inserted co-axially into the implant, and includes a tube co-axially positioned inside a balloon, and a set of hoses connected to the tube and the balloon. A heat source, a cartridge and a pump may be connected to the apparatus to supply heat, and regulate temperature and pressure of a liquid or gas and circulate it through the balloon. Liquid or gas is introduced through the hoses into the balloon to inflate the balloon and cause the surrounding implant to expand radially, providing support to the fractured bone.

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) realized 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).