Abstract: A cartilage plug, which is made from a biocompatible, artificial material, that is used to fill a void in natural cartilage that has been resected due to traumatic injury or chronic disease. Alternatively, the plug may be relied upon to anchor a flowable polymer to subchondral bone. The plug is prefabricatable in any size, shape, and contour and may be utilized either singly or in a plurality to fill any size void for any application. The plug may be formed of a laminated structure to match the physiological requirements of the repair site. A plurality of anchoring elements may share a single upper layer.

Abstract: A prosthesis is provided for implantation into a knee joint compartment between a femoral condyle and its corresponding tibial plateau which is suitable for patients having large tibial defects. The prosthesis includes a hard body free of any means of fixation within the knee joint compartment. The body has a generally elliptical shape in plan and a pair of opposed surfaces including a substantially flat bottom surface and an opposed top surface.

Abstract: A method for preparing a soft tissue xenograft includes the steps of removing at least a portion of a soft tissue from a non-human animal to provide a xenograft; washing the xenograft in saline and alcohol: subjecting the xenograft to cellular disruption treatment; and either digesting the xenograft with a glycosidase or glycosidase digestion followed by treatment for sialylation. A soft tissue xenograft for implantation into a human includes a portion of a soft tissue from a non-human animal, wherein the portion has extracellular matrix and substantially only dead cells. The matrix and dead cells have substantially no surface &agr;-galactosyl moieties and have sialic acid molecules linked to at least a portion of surface carbohydrate moieties. Each of the xenografts of the invention has substantially the same mechanical properties as a corresponding native soft tissue.

Abstract: Disclosed herein are methods, compositions and tools for repairing articular surfaces repair materials and for repairing an articular surface. The articular surface repairs are customizable or highly selectable by patient and geared toward providing optimal fit and function. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty.

Abstract: Disclosed herein are methods and devices for repairing articular surfaces in a knee joint. The articular surface repairs are customizable or highly selectable for each patient and geared toward providing optimal fit and function. Kits are also provided to enable customized repairs to be performed.

Abstract: A prosthesis is provided for implantation into a knee joint compartment between a femoral condyle and its corresponding tibial plateau without requiring bone resection. The prosthesis includes a body having a generally elliptical shape in plan and a pair of opposed surfaces where one of the surfaces is generally concave. The body further includes an exterior portion and an interior portion, where the exterior portion is constructed from a higher modulus material than the interior portion such that the body is at least slightly deformable.

Abstract: A prosthesis is provided for implantation into a body joint, such as a knee joint compartment between a femoral condyle and its corresponding tibial plateau, without requiring bone resection. The prosthesis includes a body having a generally elliptical shape in plan and including opposed top and bottom surfaces. The body includes a supporting portion and a coating portion, where the supporting portion has at least one surface at least partially disposed within an interior of the body and the coating portion has at least one surface disposed on an exterior of the body. The supporting portion is constructed from a higher modulus material than the coating portion such that the body is at least slightly deformable.

Abstract: A method of reconstructing a joint having two bones separated by cartilaginous material is provided. The method comprises the steps of removing a portion of the cartilaginous material to create a defect site, positioning an anatomically shaped reconstructive structure comprising multiple layers of submucosa and having a thickness of about 1 to about 12 millimeters adjacent to the defect site, and securing the reconstructive structure to the defect site. The method can further comprise the steps of positioning a barrier layer between the bleeding bone and the reconstructive structure, securing the barrier layer to the bleeding bone, and securing the reconstructive structure to the barrier layer.

Abstract: An implantable tissue repair device has a cover and tissue regeneration material. The cover includes a top panel and a bottom panel joined together along a leading edge. The tissue regeneration material is positioned between the top and bottom panels. The cover includes a continuous sheet of biocompatible material extending across the edge and into the top panel and bottom panel. The cover is thicker along the leading edge than at least a portion of the top panel and thicker than at least a portion of the bottom panel. At least a portion of one of the panels covering the tissue regeneration material is thicker than a portion of the other panel covering the tissue regeneration material. A method of making the device is also disclosed.

Abstract: This invention is directed to orthopedic implants and systems. The invention also relates to methods of implant design, manufacture, modeling and implantation as well as to surgical tools and kits used therewith. The implants are designed by analyzing the articular surface to be corrected and creating a device with an anatomic or near anatomic fit; or selecting a pre-designed implant having characteristics that give the implant the best fit to the existing defect.

Abstract: A permanent non-resorbable implant allows surgical replacement of cartilage in articulating joints, using a hydrogel material (such as a synthetic polyacrylonitrile polymer) reinforced by a flexible fibrous matrix. Articulating hydrogel surface(s) are chemically treated to provide a negative electrical charge that emulates the negative charge of natural cartilage, and also can be treated with halogenating, cross-linking, or other chemical agents for greater strength. For meniscal-type implants, the reinforcing matrix can extend out from the peripheral rim of the hydrogel, to allow secure anchoring to soft tissue such as a joint capsule. For bone-anchored implants, a porous anchoring layer enables tissue ingrowth, and a non-planer perforated layer can provide a supportive interface between the hard anchoring material and the softer hydrogel material.

Abstract: A method for preparing a soft tissue xenograft includes the steps of removing at least a portion of a soft tissue from a non-human animal to provide a xenograft; washing the xenograft in saline and alcohol; subjecting the xenograft to cellular disruption treatment; and either digesting the xenograft with a glycosidase or glycosidase digestion followed by treatment for sialylation. A soft tissue xenograft for implantation into a human includes a portion of a soft tissue from a non-human animal, wherein the portion has extracellular matrix and substantially only dead cells. The matrix and dead cells have substantially no surface &agr;-galactosyl moieties and have sialic acid molecules linked to at least a portion of surface carbohydrate moieties. Each of the xenografts of the invention has substantially the same mechanical properties as a corresponding native soft tissue.

Abstract: A femoral component for a prosthetic knee implant system. The femoral component comprises medial and lateral condyles, wherein the height of the medial condyle is greater than the height of the lateral condyle.

Abstract: The invention provides methods and devices for repairing a ruptured ligament, meniscus, cartilage, tendon, and bone.

Abstract: Improved methods of, apparatuses, devices and kits are disclosed for preparing and implanting a meniscal implant by surgical means into a recipient in need thereof. The bone bridge of the replacement meniscus is pre-shaped to fit into a slot in the recipient's tibia. The positioning of the slot is accomplished by an alignment procedure that conforms the slot to the angle of the dorsal tibial plane. Also disclosed are devices and corresponding methods to size the bone bridge section of the implants that have improved efficiency and increase the quality of implant and success of meniscal implant procedures.

Abstract: An implant that contains a membrane and a polymeric matrix covered by the membrane. Both the matrix and the membrane are biocompatible and bioresorbable. Also disclosed is a method of preparing such an implant.

Abstract: A meniscal allograft with a bone block having a trapezoidal shape in cross-section and a technique for using a meniscus allograft having a trapezoidal shaped bone block are disclosed. A groove is formed initially in the bone using drill bits. Dilators are used to increase the size of the drilled groove. The orthogonal corner at the bottom of the groove is shaped using a rasp. A smooth dilator compacts the bone in the acute angle at the bottom of the groove opposite the orthogonal corner to create the final trapezoid shape of the bone groove. A meniscal allograft having a bone block of corresponding trapezoidal shape is prepared using a workstation and three cutting jigs to make three corresponding cuts. The trapezoidal bone block of the meniscal allograft is then installed within the bone groove.

Abstract: An implantable support apparatus cushions between articulating structures, such as bone or other tissue. The apparatus includes a plurality of sheets of a substantially biocompatible tissue, which are connected together to form a laminated stack of the biocompatible tissue. Alternatively, the prosthesis may be formed of a molded protein, which has been cross-linked and substantially detoxified.

Abstract: An implant for tissue repair includes a support member, a flexible member coupled to the support member, and a substrate coupled to the support member. The substrate includes a material capable of being seeded with and supporting the proliferation of cells. The support member is capable of distributing a load throughout the flexible member. The flexible member includes parallel elongate elements and the support member serves to maintain a spacing between the parallel elongate elements.

Abstract: A cartilage plug, which is made from a biocompatible, artificial material, that is used to fill a void in natural cartilage that has been resected due to traumatic injury or chronic disease is disclosed. Alternatively, the plug may be relied upon to anchor a flowable polymer to subchondral bone. The plug is prebricatable in any size, shape, and contour and may be utilized either singly or in a plurality to fill any size void for any application. The plug may be formed of a laminated structure to match the physiological requirements of the repair site. Additionally, ridges may be formed about the periphery of each plug to facilitate its anchoring to surrounding cartilage, bone and/or adjacent plugs.

Abstract: A device for surgical implantation to replace damaged tissue in a joint (such as a meniscus in a knee) is created from a hydrogel that is reinforced by a three-dimensional flexible fibrous mesh. In a meniscal implant, the mesh is exposed at one or more locations around the periphery, to provide anchoring attachments that can be sutured, pinned, or otherwise securely affixed to tissue that surrounds the implant. The fibrous mesh should extend throughout most of the thickness of the hydrogel, to create an “interpenetrating network” (IPN) of fibers modelled after certain types of natural body tissues. Articulating surfaces which will rub and slide against cartilage should be coated with a hydrogel layer that is completely smooth and nonabrasive, and made of a material that remains constantly wet. This composite structure provides a meniscal implant with improved strength, performance, and wettability compared to implants of the prior art.

Abstract: The present invention relates to connective tissue substitute implant and method of preparation thereof. The implant is essentially composed of two bone anchors joined at the proximal ends by matrix layers and/or filaments coated by supplementary biocompatible matrix coating layer which can contain living stem cells isolated from injured connective tissue.

Abstract: The present invention relates to a method and a device for alleviating and/or preventing conditions relating to damaged joints involving articulating surfaces. In a first aspect the present invention relates to a prosthetic device for insertion into a joint cavity of a joint of a vertebrate, such as a human, said device consisting of a biocompatible material comprising at least a first polymeric component and a second polymeric component, wherein the chain length of the first polymeric component is longer than the chain length of the second polymeric component, the polymeric components in particular being polyethylene, polypropylene and/or polyvinylpyrrolidone.

Abstract: A self-centering meniscal prosthesis device suitable for minimally invasive, surgical implantation into the cavity between a femoral condyle and the corresponding tibial plateau is composed of a hard, high modulus material shaped such that the contour of the device and the natural articulation of the knee exerts a restoring force on the free-floating device.

Abstract: An implantable knee prosthesis includes a body having a substantially elliptical shape in plan and including a first portion and a second portion. The first portion includes a first peripheral edge and a first face. The second portion includes a second peripheral edge and a second face. The second peripheral edge extends radially outwardly from the first peripheral edge to form a shoulder between the first portion and the second portion.

Abstract: An implantable knee prosthesis for unicompartmental implantation into a knee joint includes a body having a substantially elliptical shape in plan and a pair of opposed faces. A peripheral edge extends between the faces and has first and second opposed sides and first and second opposed ends. At least one keel member extends from one of the faces. A first dimension D is defined by the first and second ends. A second dimension F is defined by the first and second sides. The dimension F is from about 0.25 to about 1.5 of the dimension D.

Abstract: An implantable knee prosthesis for unicompartmental implantation into a knee joint includes a body having a substantially elliptical shape in plan and a pair of opposed faces. A peripheral face extends between the opposed faces and has first and second opposed sides and first and second opposed ends. At least one aperture extends through the body and extends from a first one of the faces to a second one of the faces.

Abstract: An implantable knee prosthesis includes a body having a substantially elliptical shape in plan and a pair of opposed faces. A peripheral edge of variable thickness extends between the faces and includes a first side, a second side opposite the first side, a first end and a second end opposite the first end. The thickness of the peripheral edge at the first side is greater than the thickness of the peripheral edge at the second side, the first end and the second end.

Abstract: An implantable knee prosthesis includes a body having a substantially elliptical shape in plan and a pair of opposed faces. A first one of the faces has a first shape and a second one of the faces has a second shape different from the first shape. A peripheral edge extends at an incline between the first face and the second face.

Abstract: An implantable knee prosthesis includes a two-piece body having a substantially elliptical shape in plan and including a first piece and a second piece. The first piece is a tibial piece including a tibial surface. The second piece is a femoral piece including a femoral surface. The first piece and the second piece are mutually slidably engagable and separable.

Abstract: Methods and devices are provided for regenerating a meniscus. The devices comprise a layer of toughened naturally occurring extracellular matrix. The devices may, optionally, further comprise a biologic material to provide a framework for meniscus regeneration. The methods comprise the steps of removing a portion of a meniscus to provide a space, and inserting a device comprising a layer of toughened naturally occurring extracellular matrix into the space.

Abstract: This invention relates to a surgical implant which contains a relatively soft component, such as a hydrogel or gel-like component, that is affixed to a harder and stiffer material. One such implant is designed to replace a segment of damaged cartilage in a knee, hip, shoulder, or other joint. Instead of attempting to bond a gel-like material to a hard surface with a relatively flat interface, this improved device provides a “multi-perforated non-planar” (MP/NP) interface between the two types of material. This type of MP/NP interface can provide a stronger and more durable gel structure, and it can enable the water molecules in the gel component to disseminate and distribute compressive and shear loads in a more even manner, reducing the risk of tearing or other damage.

Abstract: A tissue composition includes the subendothelial layer, the elastica interna, and at least a portion of the tunica media of a blood vessel harvested from a mammal, with the endothelial cells removed from the blood vessel. The tissue composition can also include a portion of the tunica adventitia of a blood vessel harvested from a mammal. The tissue composition can be formed into a graft, a patch, a connective tissue for surgical repair, an orthopedic graft, and a substrate for cell growth, among other applications. The tissue composition can also be fluidized, or made into powdered form.

Abstract: An implant material in the form of a natural animal tissue crosslinked into a pre-formed shape, the tissue being adapted to substantially retain its shape when implanted into a body. Suitable tissues include fibro-serous membranes such as pericardium. Suitable crosslinking agents include aldehydes (e.g., glutaraldehyde), epoxides, isocyanates, carbodiimides, isothiocyanates, glycidalethers, and acyl azides. The implant material can be processed in either the supple or non-supple form, by the judicious use of ethanol and/or other dehydrating solutions in the course of its processing.

Abstract: A bio-absorbable cartilage repair system is provided for regenerating damaged or destroyed articular cartilage on a joint surface of a bone by establishing a chondrogenic growth-supporting matrix between an area of damaged or destroyed articular cartilage that has been removed and an adjacent healthy area of articular cartilage and subchondral cancellous bone. The system is an assembly of a delivery unit and a porous insert. The delivery unit is formed of bio-absorbable material and configured and dimensioned to be mounted in both an area of damaged or destroyed articular cartilage that has been removed and an adjacent healthy area of articular cartilage and cancellous bone. The delivery unit has a central body and a plurality of radially extending, flexible support arms projecting outwardly from the central body and configured and dimensioned to support the insert at least partially thereover.

Abstract: Improved methods of, apparatuses, devices and kits are disclosed for preparing and implanting a meniscal implant by surgical means into a recipient in need thereof. The bone bridge of the replacement meniscus is pre-shaped to fit into a slot in the recipient's tibia. The positioning of the slot is accomplished by an alignment procedure that conforms the slot to the angle of the dorsal tibial plane. Also disclosed are devices and corresponding methods to size the bone bridge section of the implants that have improved efficiency and increase the quality of implant and success of meniscal implant procedures.

Abstract: The present invention relates to a prosthetic knee. In one embodiment of the present invention, the knee has a femoral body and meniscal body. The femoral body has a femoral alignment member, and the meniscal body has a femoral side. Extending from the femoral side are at least two guiding protrusions that extend along the longitudinal axis of the meniscal body and define at least two sides of an alignment groove. The alignment groove slippingly receives the femoral alignment member. The femoral alignment is able to move within the alignment groove and slip over the alignment groove when a force of sufficient magnitude is applied to the prosthetic and revert into the alignment groove. In another embodiment of the present invention, the groove and the alignment components are reversed on the respective femoral and meniscal bodies.

Abstract: A tissue composition includes the subendothelial layer, the elastica interna, and at least a portion of the tunica media of a blood vessel harvested from a mammal, with the endothelial cells removed from the blood vessel. The tissue composition can also include a portion of the tunica adventitia of a blood vessel harvested from a mammal. The tissue composition can be formed into a graft, a patch, a connective tissue for surgical repair, an orthopedic graft, and a substrate for cell growth, among other applications. The tissue composition can also be fluidized, or made into powdered form.

Abstract: The present invention relates to a prosthetic knee. In one embodiment of the present invention, the knee has a femoral body and meniscal body. The femoral body has a femoral alignment member, and the meniscal body has a femoral side. Extending from the femoral side are at least two guiding protrusions that extend along the longitudinal axis of the meniscal body and define at least two sides of an alignment groove. The alignment groove slippingly receives the femoral alignment member. The femoral alignment is able to move within the alignment groove and slip over the alignment groove when a force of sufficient magnitude is applied to the prosthetic and revert into the alignment groove. In another embodiment of the present invention, the groove and the alignment components are reversed on the respective femoral and meniscal bodies.

Abstract: A device designed for surgical implantation to replace damaged tissue (such as a meniscus in a knee) is disclosed, having a hydrogel component reinforced by a three-dimensional mesh. The mesh component provides strength and structural support for the implant, which has at least one articulating surface, and at least one anchoring surface. In one embodiment, the mesh emerges from one or more selected locations around the peripheral rim of a meniscal implant, to provide anchoring attachments that can be sutured, pinned, clipped, or otherwise securely affixed to the fibrous capsule that surrounds the knee. Preferably, the rim surface should be porous, to promote scar tissue (or, in some cases, bone tissue) ingrowth into the implant, to create a strong permanent anchoring support for the implant.

Abstract: A biochemical implant is described which comprises at least two matrix components. The first matrix component is composed of collagen with a porous macrostructure with the ability to withstand tensile or shear forces. The second matrix component is a hydrated alginate gel which substantially fills the porous macrostructure of the first component and exerts a swelling pressure. The implant additionally comprises a population of cells comprising chondrocytes, fibrochondrocytes, fibroblasts or osteoblasts, or precursors thereof.

Abstract: A reconstructive structure for a cartilaginous element having a plurality of superimposed layers of intestinal submucosa tissue compressed and secured together and shaped to provide a reconstructive structure having the anatomical shape of the cartilaginous element to be reconstructed is described. The method of forming the reconstructive structure includes superimposing the planar layers of the intestinal submucosa tissue, securing the layers to form a multi-layered structure and cutting the resulting multi-layered structure to the desired shape.

Abstract: A self-centering meniscal prosthesis device suitable for minimally invasive, surgical implantation into the cavity between a femoral condyle and the corresponding tibial plateau is composed of a hard, high modulus material shaped such that the contour of the device and the natural articulation of the knee exerts a restoring force on the free-floating device.

Abstract: A reconstructive structure for a cartilaginous element having a plurality of superimposed layers of intestinal submucosa tissue compressed and secured together and shaped to provide a reconstructive structure having the anatomical shape of the cartilaginous element to be reconstructed is described. The method of forming the reconstructive structure includes superimposing the planar layers of the intestinal submucosa tissue, securing the layers to form a multi-layered structure and cutting the resulting multi-layered structure to the desired shape.