Abstract: Disclosed is an artificial bone material having controlled calcium ion elution, which does not induce cytotoxicity or any inflammatory response. It is found that the elution of a calcium ion from an artificial bone material for transplantation which contains a calcium-containing substance can be prevented effectively by subjecting the carrier to a surface treatment or adding a surface-treating agent to the carrier. It is also found that the induction of cytotoxicity can be prevented and the induction of an inflammatory response can also be prevented by using the above-mentioned carrier having controlled calcium ion elution.

Abstract: A component for an arrangement at an implant includes a sensor detecting a measurement variable and generating measuring data corresponding to the detected measurement variable; telemetry device transmitting data; a data transmission connection between the sensor and the telemetry device for the transmission of the measuring data therebetween; and an assembly arrangement detachably mounting the component in an implant recess of the implant wherein the component is configured to be insertable through an implant recess of an implant positioned over a target portion of a bone so that the component extends through the opening toward an outer periphery of the target portion of the bone.

Abstract: A method of reinforcing the bone in an acetabulum for receiving a prosthetic acetabular implant includes preparing a surface of the acetabulum to receive an acetabular implant. At least one porous generally cylindrical bone reinforcement element is provided. At least one bore is drilled in an area of the acetabulum receiving the prosthetic acetabular implant for receiving at least one and preferably more reinforcement elements in the form of cylindrical pilings. The cylindrical porous bone reinforcement element is inserted in the bore such that an exposed surface of the porous bone reinforcement element is adjacent the surface of the acetabulum. The acetabular implant is then implanted with an outer surface of the acetabular implant supported by the reinforcement members.

Abstract: An implant includes a head portion, an intermediate portion and an initially separate stem portion configured to engage the head portion so that at least the head portion and the stem portion cooperatively secure the intermediate portion on the implant. The implant may also include a locking mechanism configured to secure the head portion to the stem portion by a press fit or a threaded connection. The intermediate portion may include a porous metal such as tantalum.

Abstract: A surgical process for affixing an elbow implant into the ulna has the steps of separating the olecranon process from the ulna so as to expose an end of an intermedullary canal of the ulna, inserting a stem of the elbow implanted into the intermedullary canal such that an end of the stem extends outwardly of the end of the ulna, and affixing the olecranon process onto the exposed end of the ulna. A hole is drilled through the olecranon process such that the hole is axially aligned with the intermedullary canal of the ulna. This hole is drilled prior to the step of separating.

Abstract: A method for treating arthritis of a joint includes identifying a bone lesion in a bone adjacent to the joint; and implanting in the bone a reinforcing member in or adjacent to the bone lesion. A kit for conducting the method includes: (a) at least one reinforcing member having a proximal face adapted to face the joint, a distal face adapted to face away from the joint, and a wedge-shaped edge adapted to pierce bone, wherein the at least one reinforcing member is planar and sterile; and (b) a container adapted to maintain the at least one reinforcing member sterile. Another kit includes: (a) a sterile fluid; (b) a syringe for injecting the fluid into a bone; (c) a curing agent adapted to cure the fluid to polymerize and/or cross-link; and (d) a container adapted to maintain the sterility of contents of the container.

Abstract: Embodiments of the invention include an implantable force distribution boot with hydraulic features that mimic the natural hydraulics of a joint. Further embodiments include an exterior prosthetic leg device having intermittent and/or variable electromagnetic features that can engage with magnetic blades on the implantable force distribution boot. In use, the exterior prosthetic leg can be maintained on a residual limb by magnetic force between the implanted blades and the exterior electromagnets. Also disclosed are surgical techniques for preparing a residual limb to better receive and adapt to a prosthetic device. The techniques include an improved surgical method for harvesting a vascularized glabrous skin free flap.

Abstract: Equipment for placing an implant comprising an instrument for gripping the implant comprising two portions able to adopt a position of holding the implant and an open position allowing gripping or release of the implant once the latter is implanted, and an element for locking the portions in the holding position, the locking element comprising an attachment device arranged to come into engagement with a complementary attachment device provided in a reception housing formed by the portions in the implant-holding position, the attachment device and the complementary attachment device forming a sliding connection.

Abstract: Provided herein is methods of treating a medical implant and methods of using the same.

Abstract: The present invention is directed to implantable compositions comprising substantially spherical bioactive glass particles.

Abstract: A medical prosthesis for use within the body which is formed of radiation treated ultra high molecular weight polyethylene having substantially no detectable free radicals, is described. Preferred prostheses exhibit reduced production of particles from the prosthesis during wear of the prosthesis, and are substantially oxidation resistant. Methods of manufacture of such devices and material used therein are also provided.

Abstract: A composite material including ultra-high molecular weight polyethylene in conjunction with a biologically active agent is described. The biologically active agent can be, for example, an anti-osteolytic agent such as a bisphosphonate. The composite material can be utilized in forming implants such as total joint replacement implants. The biologically active agent can be released from the composite material either from the bulk or from wear particles released from the surface of the implant component during use. Upon release, the biologically active agent can carry out the intended function of the agent.

Abstract: Prosthetic artificial joints are described, including hip, knee and shoulder joints. In some embodiments, an artificial joint prosthesis includes: a bone-facing surface of a artificial joint prosthesis, the bone-facing surface configured to face a bone-prosthesis interface in vivo; a first component of the artificial joint prosthesis including a contact surface of the artificial joint prosthesis, the first component fabricated from at least one polymer and a plurality of magnetic particles; and a second component of the artificial joint prosthesis including at least one magnet configured to create a magnetic field within the artificial joint, the at least one magnet positioned to form a magnetic field directed to influence a location of debris including the magnetic particles in the joint to a position distinct from the bone-prosthesis interface in vivo.

Abstract: Prosthetic artificial joints are described, including hip, knee and shoulder joints.

Abstract: Prosthetic artificial joints are described, including hip, knee and shoulder joints. In some embodiments, a artificial joint prosthesis includes: a bone-facing surface of a artificial joint prosthesis, the bone-facing surface configured to face a bone-prosthesis interface in vivo; a non-contact surface of the artificial joint prosthesis, the non-contact surface adjacent to the bone-facing surface of the artificial joint prosthesis; at least one fluid deflection structure positioned adjacent to the non-contact surface, the fluid deflection structure positioned to deflect synovial fluid away from the bone-prosthesis interface in vivo; and a mechanism attached to the fluid deflection structure, the mechanism operable to move the fluid deflection structure to direct synovial fluid away from the bone-prosthesis interface in vivo.

Abstract: The present invention comprises devices, systems, and methods for elongating bone using an extension implant having a first end and a second end. The first end of the extension implant is inserted into an opening in the live bone and the second end of the extension implant is combined with an enlarged implant. A plurality of channels extend through the components to serve as conduits for delivering fluids and physiological signals which induce bone formation. Some embodiments include a subcutaneous cage assembly for helping to support the implant as the bone heals around it.

Abstract: Various embodiments of implant systems and related apparatus, and methods of operating the same are described herein. In various embodiments, an implant for interfacing with a bone structure includes a web structure, including a space truss, configured to interface with human bone tissue. The space truss includes two or more planar truss units having a plurality of struts joined at nodes. Implants include one or more flexible struts that impart flexibility to the implant.

Abstract: A hand and/or wrist implant, including a web structure having a space truss with two or more planar truss units having a plurality of struts joined at nodes. The web structure is configured for the repair of traumatic bone fractures.

Abstract: An apparatus for integrating bone and implant material and a method for fabricating an implant material are provided. The apparatus includes a laser applying unit that applies the laser beam to a junction of the bone and the implant material to drill a hole in the bone and melt the implant material, a processing-condition setting unit that sets a processing condition for at least one of the bone and the implant material, and a control unit that controls an application of the laser beam based on the processing condition. The method includes burning a bone by applying a heat source to the bone, foamed-layer forming including melting sintered implant material by applying the heat source to the implant material in a gas atmosphere produced by burning the bone, and forming a foamed layer on melted implant material in which foamed air bubbles are confined and coagulated.

Abstract: The invention relates to an implant (1) for osseous fusion between two bones, including a first portion (20) having a longitudinal axis A, for being inserted in the first bone and including a first means (24) for attaching said implant in said first bone, and a second portion (30) having a longitudinal axis B, for being inserted in the second bone and including a second means (34) for attaching said implant in said second bone, said first and second portions (20, 30) being connected by a central core (40), said central core being a solid body, the cross-section of which, in a plane perpendicular to said longitudinal axis A, has the shape of a star having at least three points (41, 42, 43), said first portion having three tabs (21, 22, 23), each tab extending along said longitudinal axis A from the free end (41a, 42a, 43a) of one of the points of said central core.

Abstract: Artificial joint prosthetic components including synovial fluid deflection structures are described. Embodiments of artificial joint prosthesis include those with: a bone-facing surface of a artificial joint prosthesis, the bone-facing surface configured to face a bone-prosthesis interface in vivo; a non-contact surface of the artificial joint prosthesis; and at least one fluid deflection structure positioned on the non-contact surface, the fluid deflection structure positioned to deflect synovial fluid away from the bone-prosthesis interface in vivo.

Abstract: A layer applied to a joint defined surface including a general mat shape body exhibiting a plurality of recesses, such that abrading contact with an opposing joint surface creates debris which are entrapped within the recesses during a normal range of motion. The body can further exhibit a first harder plastic substratum and a second softer plastic surface. The recesses further incorporate undercut defined patterns selected from any of circular, linear and arcuate designs.

Abstract: Implants and methods for producing same are described, the implants featuring an adjustable porous shell, the inside being continuously interconnectingly adjustably porous and which can be sintered net shaped; these implants exhibit a high compression stability and show, when being combined with filler materials with or without active agents, different chemical, physical-mechanical, biomechanical or also pharmacological properties. The essential features of the manufacturing process are described in FIG. (1) and comprise expandable shaping elements, deformable elastic tools, the application of defined negative pressures, temperatures during defined application periods in combination with combined materials, which can be separated from each other physically, chemically or mechanically and removed.

Abstract: A method for applying bone graft to an orthopaedic implant. The method includes using a bone graft applicator including a pair of arms, a bone graft receptacle coupled to the arms, and a linking mechanism coupled to the bone graft receptacle. The linking mechanism is slid over a portion of the orthopaedic implant. Bone graft is scraped into the bone graft receptacle. The user closes the bone graft receptacle over the portion of the orthopaedic implant and then removes one of the bone graft applicator and the orthopaedic implant from the other of the bone graft applicator and the orthopaedic implant.

Abstract: A method for preparing a biological material for implanting provides irradiating at least a portion of the surface of the material with an accelerated Neutral Beam.

Abstract: An implantable device includes a polymeric body and a metallic first mounting strip connected to a trailing end portion of the body. The body has a leading end portion, a first side surface, a second side surface, an upper surface, a lower surface and a central opening extending through the upper and lower surfaces. The central opening has an internal surface with an internal leading surface, a first internal side surface and a second internal side surface. A first depth is defined between the leading end and the internal leading surface, a first spacing is defined between the first side surface and the first internal side surface and a second spacing is defined between the second side surface and the second internal side surface. The first spacing is substantially the same as the second spacing and the first depth is less than the first spacing.

Abstract: This invention relates to methods for producing a composite bone graft material that can regenerate bony defects in the body. The invention further relates to methods that allow for the production of bioactive glass particles used in the composite that have been surface treated to allow for the production of a highly porous composite that can hold significant amounts of body fluid or other molecules that will aid in the regenerative process. The method of surface treatment allows for the manufacture of a suitable implantable composite while retaining the unique osteostimulative properties that are associated with bioactive glass particles.

Abstract: Artificial joint prostheses, including hip, knee and shoulder joints, are described. In some aspects, an artificial joint prosthesis includes: a bone-facing surface of an artificial joint prosthesis, the bone-facing surface configured to face a bone-prosthesis interface in vivo; a non-contact surface of the artificial joint prosthesis, the non-contact surface adjacent to the bone-facing surface of the artificial joint prosthesis; at least one fluid deflection structure attached to the non-contact surface, the fluid deflection structure positioned to direct a flow of synovial fluid away from the bone-prosthesis interface in vivo; and at least one particle retaining structure positioned to contact the directed flow of synovial fluid and configured to retain particles present within the synovial fluid.

Abstract: A support structure implant for location within a bone cavity to support the bone which defines the cavity is formed from wires by braiding in a machine direction from a first end of the structure towards an opposite second end. The wires are formed into loops at the first end of the structure so that two lengths of wire extend away from each loop and a reformed into the braid. Each of the wires which is formed into the braid is held at the second end of the structure in a clamp. The clamp is provided by a support ring and a clamp ring which is formed from a shape memory alloy which can shrink to clamp the wires against the support ring when heated.

Abstract: The present invention relates to mosaic implant (15) comprising a plurality of mosaic plates (17) connected by a wire or mesh anchoring arrangement (9). Methods for forming such implants and methods for using said implants for correction of bone and soft tissue defects are described.

Abstract: Implantable components configured to be secured to a recipient with a bonding agent are presented herein. The implantable components are configured to be implanted adjacent to a recipient's bone and/or tissue and have a surface for attachment to the bonding agent.

Abstract: An orthopaedic implant for filling voids in bones, and methods of using the same. The orthopaedic implant comprises an open porous metal component, having pores for promoting bone regeneration, and a resorbable bone growth promoting component which is resorbed into new bone. The orthopaedic implant and methods of the present disclosure provide structural support for the bone as well as osteoconductive and/or osteoinductive matrix for promoting bone re-growth within bone void. Advantageously, the orthopaedic implants and methods disclosed herein are useful in filling critically sized bone voids.

Abstract: A tibial tuberosity advancement implant and method includes a spacer body made of biocompatible, biodegradable material and having a main section with at least one bony growth orifice therethrough and a proximal slot and at least one fin extending from the main section by at least one connector. A metal clip is slideable into the proximal slot of the spacer body main section and includes spaced screw holes for securing the spacer body to the advanced tibial tuberosity and the tibia when the implant is placed in the space between the advanced tibial tuberosity and the tibia.

Abstract: This invention provides aragonite- and calcite-based scaffolds for the repair, regeneration, enhancement of formation or a combination thereof of cartilage and/or bone, which scaffolds comprise at least two phases, wherein each phase differs in terms of its chemical content, or structure, kits comprising the same, processes for producing solid aragonite or calcite scaffolds and methods of use thereof.

Abstract: The present disclosure is directed to orthopedic implants and methods of rapid manufacturing orthopedic implants using in vivo data specific to an orthopedic implant or orthopedic trial. Specifically, the instant disclosure utilizes permanent orthopedic implants and orthopedic trials (collectively, “implants”) outfitted with kinematic sensors to provide feedback regarding the kinematics of the trial or implant to discern which implant is preferable, and thereafter rapid manufacturing the implant.

Abstract: The present invention provides a ceramic porous body for in-vitro and in-vivo use comprising a composition comprising a calcium aluminate (CA) containing phase and optionally at least one of an accelerator, a retarder, a surfactant, a foaming agent, a reactive alumina, water, a fiber, and a biologically active material, and combinations thereof. Ceramic compositions are provides as well as method of using the ceramic compositions and methods of manufacturing a ceramic porous body. The ceramic porous bodies of this invention may be used as artificial bones, joints, in-vitro support structures, and in-vivo support structures for cells, tissues, organs, and nerve growth and regeneration.

Abstract: The invention relates to a biocompatible body to be implanted into a cavity of a bone, comprising a main structure made of a bone substitute material. According to the invention, the body has a connecting element, said connecting element being embedded at least partially in the main structure of the body.

Abstract: Methods are provided for producing compositions, e.g. pastes or clays, which rapidly set into high-strength calcium phosphate products. In the subject methods, dry reactants that include calcium and phosphate sources, as well as a monovalent cation dihydrogen phosphate salt, are combined with a setting fluid and the combined reactants are mixed to produce the settable composition. A feature of the invention is that cements rapidly set into high strength product compositions. Also provided are the compositions themselves as well as kits for preparing the same. The subject methods and compositions produced thereby find use in a variety of applications, including hard tissue repair applications.

Abstract: Hard-tissue implants are provided that include a bulk implant, a face, pillars, and slots. The pillars are for implantation into a hard tissue. The slots are to be occupied by the hard tissue. The hard-tissue implant has a Young's modulus of elasticity of at least 10 GPa, has a ratio of the sum of (i) the volumes of the slots to (ii) the sum of the volumes of the pillars and the volumes of the slots of 0.40:1 to 0.90:1, does not comprise any part that is hollow, and does not comprise any non-pillar part extending to or beyond the distal ends of any of the pillars. Methods of making and using hard-tissue implants are also provided.

Abstract: A method of reconstructing a wrist includes removing a patient's scaphoid to create a void. The scaphoid has a plurality of adjacent bones, each of the adjacent bones comprising a surface generally facing the void. The surface of at least two of the adjacent bones is prepared by affixing a magnetic element thereto and a magnetic scaphoid implant is inserted into the void.

Abstract: Systems, apparatus, and methods may be adapted for grafting tissue at a tissue site that may include an elongate housing and a plurality of elongate cutting members. The plurality of elongate cutting members may define a cutting surface at a distal end of the elongate housing. The cutting surface may be adapted to contract from a first diameter to a second diameter that is less than the first diameter. The contraction of the cutting surface from the first diameter to the second diameter may define a tapered profile between the first diameter and the second diameter suitable for obtaining a tapered graft.

Abstract: A method for increasing the acoustic impedance of the round window membrane of the cochlea in a human patient includes surgically opening access to the round window membrane and placing a packing layer over the round window membrane. Optionally a layer of collagen graft may be obtained from the patient and placed between the round window membrane and the packing layer. Optionally the packing layer may be enclosed within the collagen graft. Optionally bone paté may be obtained from the patient and used to form at least a portion of the packing layer. Optionally a silastic buttress may be placed under compression between the packing layer and the bone of sinus tympani of the patient.

Abstract: Demineralized bone particles are obtained by demineralizing whole bone and thereafter subdividing the demineralized bone to provide the demineralized bone particles.

Abstract: A joint support and subchondral support system and method of use of same for providing structural and dampening support to damaged subchondral bone adjacent to a body joint are disclosed. The joint support and subchondral support system and method of use of same are applicable to many parts of the joint as any area with cartilage disease has an adjoining subchondral component.

Abstract: The invention relates to an osteosynthesis implant (1) for adapting the shape and the working volume of a ribcage with a view to the implantation of an artificial heart in said ribcage, characterized in that it comprises the following elements:—a main part (10) which has a shape and dimensions that can be adapted to the shape and the dimensions of the rib cage,—attaching elements (20) for attaching the main part to the ribcage, wherein said attaching elements (20) are rigidly attached to the main part (10), and—a protection (30) for the artificial heart, attached to the main part (10).

Abstract: An orthopaedic prosthesis includes a curved outer surface configured to abut a patient's bone when the orthopaedic prosthesis is implanted therein. The outer surface may or may not be electrically conductive. A channel is defined in the outer surface in which one or more electrical conductors are positioned. A switch is positioned at a first location on the outer surface and is configured to establish an electrical connection between the electrical conductor and the outer surface (e.g., an electrical trace) and/or another electrical conductor when the first location of the outer surface is pressed against the patient's bone. The switch may be embodied as an end of the electrical conductor or a more complex switch such as a push-button type switch.

Abstract: A procedure for determining a plan for cutting a bone sample for use as an implant provides scanning the bone with a CT scanning system to provide slice images of the bone. The scanning system then determines the cortical or cancellous bone dimensions and density of the bone. Determining such dimensions and density permits accurate planning and preparation of an implant graft that is correlated to the predetermined plan without waste of bone through cutting test specimens to determine the bone parameters. Other images techniques that provide slice images are also disclosed.

Abstract: An osteoinductive demineralized bone matrix, corresponding osteoimplants, and methods for making the osteoinductive demineralized bone matrix are disclosed. The osteoinductive demineralized bone matrix may be prepared by providing demineralized bone and altering the collagenous structure of the bone. The osteoinductive demineralized bone matrix may also be prepared by providing demineralized bone and compacting the bone, for example via mechanical compaction, grinding into a particulate, or treatment with a chemical. Additives such as growth factors or bioactive agents may be added to the osteoinductive demineralized bone matrix. The osteoinductive demineralized bone matrix may form an osteogenic osteoimplant. The osteoimplant, when implanted in a mammalian body, may induce at the locus of the implant the full developmental cascade of endochondral bone formation including vascularization, mineralization, and bone marrow differentiation.

Abstract: A micro-alloyed porous metal is disclosed having an optimized chemical composition to achieve targeted mechanical properties for use as an orthopaedic implant and a cell/soft tissue receptor. The porous metal may achieve a targeted compressive strength and a targeted ductility, for example. These targeted mechanical properties may allow the porous metal to be densified to a low relative density.

Abstract: A method of performing at least one surgical procedure is disclosed. The method includes: preparing a patient for a first surgical procedure; making a first incision through the skin of the patient in accordance with the first surgical procedure; exposing a target area for the first surgical procedure through the first incision; performing a step of the first surgical procedure on the target area for the first surgical procedure; placing a protective pad with a fluid pocket between a vulnerable anatomical part and the target area for the first surgical procedure; and closing the first incision in accordance with the first surgical procedure with the protective pad between the vulnerable anatomical part and the target area. A protective system for facilitating revision surgery is also disclosed.