Abstract: A non-patient specific implant for neuroplastic surgery is provided. The non-patient specific implant includes a three-dimensional mesh. The three-dimensional mesh comprises titanium. The three-dimensional mesh is pre-folded. The three-dimensional mesh is configured to replace a space for a hard tissue and/or a space for a soft tissue. The three-dimensional mesh has a three-dimensional triangular shape.

Abstract: The invention is directed to a bone void filler comprising a scaffold or matrix. The scaffold or matrix may include a porous inorganic matrix component and/or a 3D-printed implantable device. The bone void filler may include a cellular component containing cells, some of which are capable of making extracellular matrix resembling native bone tissue. The bone void filler may include an organic matrix, such as, an organic biopolymer that aids in cell retention and renders the scaffold or matrix moldable. The bone void filler may include growth factors and/or cytokines. The bone void filler may include a clotting agent.

Abstract: A delivery system comprising a covering containing at least a first substance for release to a surgical site is provided. The covering includes an elongated containment portion having at least one compartment, wherein the covering includes an elongated containment having a first end and a second end. At one end the elongated containment defines an opening configured to receive at least one substance. The at least one substance can be DBM or a mixture of demineralized fibers and particles in a ratio of 30:70. The delivery system also includes a closing member that can close the elongated containment prior to insertion at a surgical site. The closing member can be drawing strings, stitches, sutures, wing sutures, heat seals, adhesion, pressure fittings, coil ring, twist tie. The substance contained in the delivery system can also be enclosed by twisting and folding over a portion of the covering.

Abstract: An implant assembly comprises a stem and an augment. The augment includes a porous outer region which is integrally formed onto a solid inner region. The augment further includes, solid posts integrally formed on the solid inner region and extend through the porous outer region to the outer surface of the augment. The posts are integrally formed with and surrounded by the porous region and are designed to allow assembly of the augment to the stem without damaging the structure of the porous region. A method of attaching the augment is described, wherein a tool is designed to grip to posts of the augment and apply loads through these posts during assembly.

Abstract: A device for containing bone graft material comprises a body including an inner sleeve extending longitudinally from a proximal end to a distal end and an outer sleeve surrounding the inner sleeve and extending longitudinally from a proximal end to a distal end such that a bone graft collecting space is formed therebetween.

Abstract: A delivery system comprising a covering containing at least a first substance for release to a surgical site is provided. The covering includes an elongated containment portion having at least one compartment, wherein the covering includes an elongated containment having a first end and a second end. At one end the elongated containment defines an opening configured to receive at least one substance. The at least one substance can be DBM or a mixture of demineralized fibers and particles in a ratio of 30:70. The delivery system also includes a closing member that can close the elongated containment prior to insertion at a surgical site. The closing member can be drawing strings, stitches, sutures, wing sutures, heat seals, adhesion, pressure fittings, coil ring, twist tie. The substance contained in the delivery system can also be enclosed by twisting and folding over a portion of the covering.

Abstract: An implant assembly comprises a stem and an augment. The augment includes a porous outer region which is integrally formed onto a solid inner region. The augment further includes, solid posts integrally formed on the solid inner region and extend through the porous outer region to the outer surface of the augment. The posts are integrally formed with and surrounded by the porous region and are designed to allow assembly of the augment to the stem without damaging the structure of the porous region. A method of attaching the augment is described, wherein a tool is designed to grip to posts of the augment and apply loads through these posts during assembly.

Abstract: Disclosed is an orthopedic implant that includes an anchor, a bore, and a compressible and expandable mesh. The anchor is configured to secure the implant at an implantation site and defines a longitudinal axis. The bore is defined by the anchor and extends along the longitudinal axis. The compressible and expandable mesh is aligned along the longitudinal axis and defines a plurality of openings. The mesh is configured to compress along the longitudinal axis and expand from the longitudinal axis to engage surrounding bone or tissue at the implantation site to secure the implant at the implantation site.

Abstract: A method for fabricating an artificial bone by multi-pass extrusion, includes: a first extrusion process of forming roll-shaped filaments having sheets of calcium phosphate/calcium phosphate-(t-ZrO2)/t-ZrO2; a second extrusion process of arranging the prepared roll-shaped filaments circularly and extruding the same; and a third extrusion process of forming an external shell of hydroxyapatite (HAp). The method for fabricating an artificial bone allows fabrication of an artificial bone having the biocompatibility and mechanical strength of the natural bone and may be utilized variously in biomedical engineering, medicine and other applications.

Abstract: A bilayered bone graft device includes a core portion comprising deminernalized gelatin and a shell portion surrounding the core portion. The shell portion includes a calcium silicate and the deminernalized gelatin in a range of 1 to 30 weight percent, and the calcium silicate has a molar ratio of calcium to silicon ranging from 10 to 0.1. The core portion and the shell portion are bound by the deminernalized gelatin without using a binder. In one embodiment of the present invention, the core portion is configured to provide buffering for receiving an insertion, and the shell portion is configured to provide a load-bearing structure.

Abstract: A device made up of a textile tubular sheath, which can be implanted in the human body, suitable for containing a filling material and the ends of which are suitable for covering the ends of two portions of a single resected rib. The sheath contains a braid, in which the yarns allow relative movement in relation to one another in order locally to modify the diameter and the shape of the braid, such that the braid not only covers but also encloses the end of one portion of the rib. The sheath is secured to a tip which, allowing the injection of a biocompatible material for filling the sheath, the packing of the braid and the connection by adhesion of the sheath and the braid with the ends of the portions of the rib, is in turn sectional.

Abstract: This invention relates to an osteogenic device for the de novo induction of bone formation in a mammal. The device contains a at least one transforming growth factor-&bgr;3 isoform and a retention matrix. The device is introduced by direct injection or surgical implantation into an area where de novo bone formation is desired and, once implanted, the retention matrix acts to retain the TGF-&bgr;3 isoform at its place of introduction and forms a scaffold for generated bone, the induction of which is promoted by the TGF-&bgr;3 isoform. The device may be used to induce bone growth where bone has been debrided in a surgical procedure and it may also be used to transform neoplastic primary and/or metastatic secondary masses into bone thus facilitating surgical debridement thereof.

Abstract: Disclosed is a bone fixation device of the type useful for connecting two or more bones or bone fragments together or connecting soft tissue or tendon to bone. The device comprises an elongate body having a distal anchor thereon. An axially moveable proximal anchor is carried by the proximal end of the fixation device, to accommodate different bone dimensions and permit appropriate tensioning of the fixation device. A sleeve can surround at least a portion of the bone fixation device to promote bone in-growth with or at the bone joint or fracture to facilitate fusion of the bone segment.

Abstract: An implantable prosthesis system including a selectively applied bone growth promoting agent is disclosed. The types of prostheses which may include a selectively applied bone growth promoting agent include rods, fracture plates, screws, as well as other types of prostheses. Additionally, the structural composition of many types of prostheses may be modified to help induce bone ingrowth and allow for fusion with the implantable prosthesis.

Abstract: A synovial joint implantable apparatus for the reconstruction of skeletal defects with a flexible member, which is preferably resorbable, attached to a rigid structural prosthesis such as a total hip or total knee replacement implant. The cavitary space defined and surrounded by the flexible member is filled with osteoconductive and/or inductive materials which eventually matures into new column of bone. The prosthesis is supported by the bed of graft material surrounding it and is gradually unloaded as the bed matures into solid bone. The fixation of the prosthesis into native bone depends on the specific implant and the anatomic area of its use. The flexible member is secured to the margins of the prosthesis using rails, runners, sutures, or other attachment devices that prevent the escape of the bone graft and maintain an initial column of support for the implant.

Abstract: The present invention relates to a device for regenerating a bone, in particular by means of three-dimensional distraction, a method for three-dimensional callus distraction, and use of said device. The device comprises sheathing and a swelling agent.

Abstract: A temporary femoral implant system has a porous mold and a femoral component. The system fits at least partially in a femoral cavity. The mold has a wall with an interior surface and an exterior surface forming an interior space for receiving an antibiotic bone cement. The mold allows the antibiotic to diffuse through the wall to the exterior surface. The femoral component has a stem portion received within the mold. A method of using the implant system includes providing an implant system comprising a mold and a femoral component, inserting the mold into the femoral cavity with the exterior surface facing the femoral cavity, inserting the stem portion of a femoral component into the interior space of the mold and filling the interior space of the mold with an antibiotic bone cement.

Abstract: The present invention relates to an irregularly shaped grain for providing ingrowth and growth of connective tissue as well as growth of other cell types leading to cluster of cells, tissues and parts of organs. Said grain includes multiple pores that are continuous through said grain, and openings of said multiple pores and ducts or passages interconnecting at least a portion of said multiple pores have a width of greater than about 10 ?m. Said grain is preferably a metal or metal alloy. The invention also relates to different applications of the grains.

Abstract: A drug-impregnated sleeve for encasing a medical implant is provided. In one embodiment, the sleeve may include a body made of a biologically-compatible material that defines an internal cavity configured to receive the medical implant. In one embodiment, the biologically-compatible material is bioresorbable. The body may include a plurality of apertures, such as perforations or holes, extending from the cavity through the body. The sleeve may further include a first end, a second end, and a drug impregnated into the resorbable sheet. In one possible embodiment, the first end of the sleeve may be open for receiving the medical implant therethrough and the second end may be closed. The implant may be encased in the sleeve and implanted into a patient from which the drug is dispensed in vivo over time to tissue surrounding the implantation site.

Abstract: A body, such as a grain, for providing ingrowth and growth of bone tissue and/or connective tissue. The body consists of a plastic or non-essentially elastic biocompatible material, preferably metal or metal alloy. It is also porous, having the following porosity characteristics: (a) the porosity is continuous and (b) the opening of cavities/indentations/pockets and the ducts connecting them has the width of >about 50 ?m for bone tissue and >about 10 ?m for connective tissue. In a method of making such a body, the body has been produced by blowing gas into a melt of metal. An advantageous use of bodies according to the invention is enclosing thereof in a casing, formed with openings, for making an implant, such as a spinal implant.

Abstract: Arthroplasty devices having improved bone in growth to provide a more secure connection within the body. Different embodiments disclosed include devices having threaded intramedullary components, devices configured to receive bone growth promoting substances, devices with resorbable components, and devices configured to reduce shear stress.

Abstract: Several embodiments of an implant sleeve are shown for use with implants inserted through a wound into a surgical site. In some embodiments, the sleeve is useful to protect mating implant components from contamination during insertion through the wound. In other embodiments, the sleeve is useful to clean components that have become contaminated during insertion.

Abstract: A method of tissue grafting. Tissue elements are obtained from at least one human body and are enclosed within a retaining structure. The tissue elements with the retaining structure are shaped to form a grafting material having a predetermined configuration. The grafting material is then implanted into a patient.

Abstract: Prosthetic joints, components for prosthetic joints, superhard bearing and articulation surfaces, diamond bearing and articulation surfaces, substrate surface topographical features, materials for making joints, bearing and articulation surfaces, and methods for manufacturing and finishing the same, and related information are disclosed, including a diamond-surfaced femoral head for use in a prosthetic joint.

Abstract: Several embodiments of an implant sleeve are shown for use with implants inserted through a wound into a surgical site. In some embodiments, the sleeve is useful to protect mating implant components from contamination during insertion through the wound. In other embodiments, the sleeve is useful to clean components that have become contaminated during insertion.

Abstract: An anchor assembly for autologous or artificial tendon grafts comprises an insertion element and a stabilizing element. The insertion element has a stem and a head containing an aperture large enough to receive a graft. The stabilizing element is adapted to be embedded in bone, and comprises a sleeve with a cavity arranged to receive and hold the insertion element stem. In use, the stabilizing element is affixed in the bone, and the stem of the insertion element is placed therein. A tendon graft may be secured to the insertion element either before or after its placement in the stabilizing element. Two such anchors may be linked with one or multiple grafts, in either a two-ply or four-ply arrangement.

Abstract: An orthopedic surgical implant of one or more components having a surface which is to be contacted by body tissue and/or fluid. The surface contains an inorganic antimicrobial agent either incorporated in the material forming a component having the surface or incorporated in a coating, such as of the adhesive or powder spray type, applied to the surface.

Abstract: An implant (prosthesis) comprising a batch of a mixture of porous grains/granular material of tissue-compatible type and disintegrated tissue-compatible biological material (preferably endogenous material, such as bone meal). The batch further comprises a component which allows moulding or modelling of the batch, and the batch is enclosed in a pouch or wrap made of a flexible tissue-compatible material and having pores/apertures/perforations or the like of a size which allows outgrowth and ingrowth of tissue of the biological material. The implant is applicable in many contexts, such as a fixing agent for a hip-bone prosthesis, as a filler in plastic surgery and as a bone growth promoting agent when treating rheumatism.

Abstract: The present invention is intended to provide a metal jacket for a cementless artificial joint stem, wherein shear force detrimental to the service life of an artificial joint can be markedly reduced and stress shielding phenomena can also be markedly relieved, due to the construction of the metal jacket which can be fixed to the bone and can enclose the surface of the stem so as to allow for the stem of artificial joint to slide vertically relative to the bone, and wherein osteolysis of a bone due to the infiltration of wear particles can be minimized by curbing the gap formation between the bone and the stem.

Abstract: A joint prosthesis assembly includes a stem for disposition in a canal of a first bone constituting a first portion of the joint, a neck fixed to the stem, a collar fixed on the neck and having a peripheral groove, and an articulating head fixed on the neck. The assembly further includes a cup for disposition in a second bone constituting a second portion of the joint, an insert disposed in the cup to provide an interior lining for the cup, the insert being configured to receive the articulating head for movement therein, and the insert having a peripheral groove therein. A sleeve-shaped membrane is provided with a first O-ring fixed thereto at a first end thereof for disposition in the insert groove, and a second O-ring fixed thereto at a second end thereof for disposition in the collar groove. The membrane is thereby disposed to capture particulate debris generated by the articulating head in the insert. There is further contemplated a method for installing the assembly.

Abstract: This invention relates to bioabsorbable multi-layer two-dimensional composite devices and their method of manufacture by spot welding the layers of the device at designated points, which devices can easily be cut into any desirable form by a surgeon during operation on a patient.

Abstract: The present invention relates to an implant comprising two or more bone fragments that are combined to form a single unit. Cancellous bone or cortical bone is removed from a source and fashioned into bone components with desirable shapes and sizes. The bone components may be integrated to form implants for implantation in the body. Bone stock may be formed by combining sections of various bones of the body, and the bone stock may be further fashioned for use as implants with particular geometries.

Abstract: The present invention relates to plugs for filling vacancies in bone tissue. The plugs include a body and at least one end cap that are coupled together and may be formed from bone. The body of the plug may be a sleeve, and the plug may further include an insert configured and dimensioned to be received in the sleeve.

Abstract: The present invention relates to an implant comprising two or more bone fragments that are combined to form a single unit. Cancellous bone or cortical bone is removed from a source and fashioned into bone components with desirable shapes and sizes. The bone components may be integrated to form implants for implantation in the body. Bone stock may be formed by combining sections of various bones of the body, and the bone stock may be further fashioned for use as implants with particular geometries.