Abstract: Porous regions are formed using selected additive manufacturing techniques. The porous regions can assist in fibro-inductive regions and/or osteo-inductive regions. A prosthetic member can be formed completely with the additive manufacturing technique and/or the additive manufacturing techniques can be used to form an augment portion that is added to the prosthetic member formed separately.

Abstract: Reticulated composites are formed with a thin coating of a ductile biocompatible metal such as tantalum on a brittle biocompatible substrate such as vitreous carbon. Such composites exhibit physical properties that permit these monolithic composites to be morselized, or sized and shaped manually. Such composites exhibit surfaces with excellent ductile metal biocompatibility properties, but with strength and fracture physical properties that are more characteristic of the brittle substrate than of the ductile metal. Such composites fracture easily, and may be morselized or worked by manual sizing and shaping. Such morselization and working is accomplished by breaking or fracturing the composite, rather than plastically deforming it. Morselized or manually shaped reticulated composites exhibit excellent biocompatibility characteristics with micro- and nano-textured surfaces that promote rapid bone ingrowth and adhesion. When the composite is broken, the substrate is exposed.

Abstract: A medical implant device comprises a substrate (10) having an undulating surface provided by peaks (12) which are separated by recesses (14). The device includes a porous coating layer provided on the undulating surface of the substrate which comprises a plurality of particles (16). The spacing between adjacent peaks on the surface of the substrate is less than the particle size of the particles. The particles are bonded to the peaks on the surface of the substrate and adjacent particles are bonded to one another.

Abstract: The present application is directed to the field of implants comprising processed hard or soft biological tissues for use in implantation in humans. The molded biological tissue implants of the present application are preferably made from allograft soft tissue sources and demineralized bone matrix. The present application provides biological implants exhibiting advantageous properties of absorption, expansion, resiliency and shape retention. The properties of the biological implants produced by the methods of the present application are leveraged in the creation and development of novel biological implant constructs and of novel methods of treatment and surgical technique.

Abstract: The present invention relates to a granulated material mixture for regenerating bone, in particular by way of three-dimensional callus distraction, and to uses of said granulated material mixture. The granulated material mixture comprises rigid and deformable granulated materials.

Abstract: An orthopaedic prosthesis is provided having a porous layer and a substrate. A method is also provided for fastening the porous layer to the substrate. The porous layer defines a plurality of through-holes therein to accommodate localized bonding of the porous layer to the substrate through each of the plurality of through-holes.

Abstract: Methods for forming bone implants for the repair of the ends of bones at orthopedic joints, which implants have a Young's modulus close to that of human cortical bone. Substrates of dense isotropic graphite are coated overall with hard, microporous, isotropic pyrocarbon of specific character such that it can be polished to serve as an articular surface and can also securely receive an anchoring first metal layer through PVD. The first layer has a character such that, by thermal spraying a second biocompatible metal layer thereupon, fusion occurs and thereby anchors an outermost layer that is formed with a network of randomly interconnected pores and a surface character of peaks and valleys designed to promote enhanced appositional growth of cortical bone at the interface therewith.

Abstract: A composite interbody bone implant device is provided including a body having a non-bone composition, such as a polymer, formed into a shape and including one or more cavities. An osteoinductive material, such as bone allograft tissue, may be retained in the one or more cavities of the body. The body is formable via injection molding and/or machining into a shape and size adapted for implantation at a surgical site. The dimensions of the body include a length, a width and a thickness, and the thickness of the body may be less than at least one of the length and width.

Abstract: Aspects of the present disclosure relate generally to preparing models of three-dimensional structures. In particular, a model of a three-dimensional structure constructed of porous geometries is prepared. A component file including a porous CAD volume having a boundary is prepared. A space including the porous CAD volume is populated with unit cells. The unit cells are populated with porous geometries having a plurality of struts having nodes on each end. The space is populated with at least one elongated fixation element extending beyond the boundary to produce an interlocking feature enabling assembly or engagement with a mating structure.

Abstract: The production method of an implant material of the present invention includes step (A): a step of setting a porous ceramic material having substantially unidirectionally arrayed pores at any depth position inside a container, step (B): a step of filling the container with a cell-containing liquid containing at least bone marrow blood and/or peripheral blood, and step (C): a step of applying, on the container, a centrifugal force in the direction along the axis of the container.

Abstract: A prosthesis comprising: an inner layer (4) formed from a polyaryletherketone; a first outer layer (2a) adjacent to said inner layer formed from a porous polyaryletherketone, at least some of said pores having located therein material to promote osteointegration; and a second outer layer (2b) adjacent to said first outer layer formed from a porous polyaryletherketone, a portion of said pores being free of material to promote osteointegration. The invention also relates to a method of manufacture of the prosthesis.

Abstract: Compositions for use in treating and repairing orthopedic defects are provided. The compositions are especially useful for performing percutaneous vertebroplasty, percutaneous kyphoplasty and other procedures. When cured, the compositions are relatively solid but compressible, and prior to curing are viscous liquids with a low enough viscosity to fill voids in cavities such as voids within fractured vertebrae. Optionally, the properties of a composition according to the invention can be adjusted taking into account the hardness and density of the orthopedic structure to be repaired. Also disclosed are devices and methods for using the compositions, and a kit containing components for forming and utilizing the composition.

Abstract: A dynamic porous coating for an orthopedic implant, wherein the dynamic porous coating is adapted to apply an expansive force against adjacent bone so as to fill gaps between the dynamic porous coating and adjacent bone and to create an interference fit between the orthopedic implant and the adjacent bone.

Abstract: A bone augment for repairing a bone defect and associated method. The bone augment includes a porous body and a reinforcement member. The porous body defines a plurality of pores and is configured to be intraoperatively shaped to correspond to the bone defect.

Abstract: Implantable biomaterials, particularly hydrogel substrates with porous surfaces, and methods for enhancing the compatibility of biomaterials with living tissue, and for causing physical attachment between biomaterials and living tissues are provided. Also provided are implants suitable for load-bearing surfaces in hard tissue repair, replacement, or augmentation, and to methods of their use. One embodiment of the invention relates to an implantable spinal disc prosthesis.

Abstract: Disclosed are osteochondral constructs that can be utilized to encourage both bone and articular cartilage tissue repair in synovial joints. Disclosed constructs are composites including a hydrogel portion for implant in a cartilage defect site and an adjacent portion for implant in a bone defect site. The portion to be implanted in a bone defect site can include a polymeric/ceramic composite material. Disclosed constructs also include a polymeric anchor that can secure the construct at the desired site. Disclosed constructs can also include capillary channeled fibers within the bone portion of the construct that can provide improved nutrient flow to and waste flow from cells growing and developing on and in the construct.

Abstract: An orthopedic implant that includes an implant body having a bone contact surface to be in contact or near contact with a bone structure during use, wherein the bone contact surface has a bone interface structure protruding therefrom. The bone interface structure includes a first elongated portion to be at least partially pressed into the bone structure during use, and a second elongated portion to be at least partially pressed into the bone structure during use. The second elongated portion is coupled to the first elongated portion and extends from the first elongated portion at an angle oblique to the first elongated portion.

Abstract: A high-purity porous metal coating is formed over a substrate by thermal spraying a metal coating material over the desired portion of the substrate in an atmospheric air environment. The metal coating material may react with the atmosphere to cause impurities in the applied coating. The impurity-rich portion of the applied coating is subsequently removed to form the high-purity porous metal coating. Process steps are included that cause the impurity-rich portion of the applied coating to be a surface portion that is removable to arrive at the high-purity coating. A protective shroud may be used to limit the amount of impurity imparted to the applied coating and/or a getter material may be employed to continually bring impurities toward the surface of the coated substrate during coating.

Abstract: The present invention provides a method for processing a green body comprising a powder mixture in which a metal powder and a space filler assume respective positions, comprising applying a material that comprises aspherical metallic particles to at least one surface of the green body, thereby forming a coating on the green body. The present invention also provides implants that are produced in accordance with such method.

Abstract: The invention relates to an implant with a basic body made of aluminum, a method of producing an implant and an device for producing an implant. The implant has a microstructure and a macrostructure. Through this the biochemical interaction between the implant and tissue is optimized with regard to degradation and ingrowth behavior.

Abstract: A metal material for a bioimplant which is excellent in biointegration according to the present invention has a surface treated by sandblasting, and the surface has an average roughness Ra of 1 to 2.5 ?m and is made free from residual abrasive used in the sandblasting treatment by washing with water after the sandblasting treatment and the composition of the metal material surface does not change before and after the sandblasting treatment. According to the present invention, it is possible to provide a bioimplant metal material from which an abrasive used for sandblasting treatment can be easily removed by washing with water and which is excellent in biointegration to a bone or the like since having a good roughened surface and a production method thereof.

Abstract: The invention relates to a method for modification of a biocompatible component comprising the steps of a) providing a biocompatible component at least partly covered by metallic oxide; and b) treating at least a part of said component, which part is covered by said metallic oxide, with an aqueous composition comprising oxalic acid; whereby a modified metallic oxide is obtained. The invention also relates to a biocompatible component comprising a substrate having a surface comprising a) a microstructure comprising pits separated by plateus and/or ridges; and b) a primary nanostructure being superimposed on said microstructure, said primary nanostructure comprising depressions arranged in a wave-like formation.

Abstract: A prosthetic system that includes a prosthetic implant and a support structure secured to an inner surface of a cavity of a bone is disclosed. The support structure defines a channel that extends through the length of the support structure. The prosthetic implant is received in the channel, and a portion of the prosthetic implant is secured to an inner surface of the support structure by an adhesive. The support structure may comprise a pair of partially hemispherical components arranged in spaced apart relationship thereby defining the channel between the pair of components.

Abstract: An object of the present invention is to provide a three-dimensional cell support that is capable of uniformly distributing cells and retaining the cells in a state without nonuniformity and is made of a biodegradable material. The present invention provides a cell support consisting of a porous body made of a biodegradable material, the porous body having the following properties: (a) a porosity from 81% to 99.99%, (b) an average pore size of 10 to 400 ?m, (c) having a hole interconnecting pores, and (d) a water absorption rate from 1000% to 9900%.

Abstract: Implantable pliable bone blocks comprising a solid block of cortical bone characterized by a length, width and thickness, having a first and a second face on opposite sides of the block. The first and second faces have a plurality slot features. The angle of incidence of the slot features of the first face and the x-axis and the angle of incidence of the slot features of the second face and the x-axis (a2) are such that the slots would intersect if they were in the same plane. Methods are provided for making implantable pliable bone blocks.

Abstract: This invention relates to a bone implant that includes a bioinert substrate covered with a ceramic layer containing a plurality of indentations. The total surface area of the indentations is 30-70% of the total surface area of the ceramic layer. This invention also relates to a method of preparing such a bone implant. The method includes: (1) affixing a ceramic layer on the surface of a bioinert substrate; (2) forming a plurality of indentations in the ceramic layer, wherein the total surface area of the indentations is 30-70% of the total surface area of the ceramic layer; and (3) immobilizing a biopolymer onto the ceramic layer via covalent bonding.

Abstract: The present invention relates to processes involving contacting articles that include titanium or titanium alloy with a solution comprising hydrochloric acid and chloride-containing compound for a time and at a temperature effective to form a plurality of indentions that, independently, have a diameter of from about 200 nm to 10 microns.

Abstract: A medical implant device comprises a substrate (10) having an undulating surface provided by peaks (12) which are separated by recesses (14). The device includes a porous coating layer provided on the undulating surface of the substrate which comprises a plurality of particles (16). The spacing between adjacent peaks on the surface of the substrate is less than the particle size of the particles. The particles are bonded to the peaks on the surface of the substrate and adjacent particles are bonded to one another.

Abstract: An infection-blocking dental implant in which a threaded portion which contacts bone is roughened except for up to three threads which may be exposed by bone recession after implantation, which have a smooth surface. Preferably, the implant is of titanium or titanium alloy and the threaded portion is roughened by a two-step acid treatment.

Abstract: A hip prosthesis is provided for insertion into a femur. In one exemplary embodiment, the hip prosthesis includes a stem having a proximal end, a distal end, and a longitudinal axis. This stem may include anterior and posterior locking surfaces which diverge away from the longitudinal axis. A shank portion may extend distally from the anterior and posterior locking surfaces and converge at an angle distally toward the longitudinal axis.

Abstract: A layer is arranged on an implant for bone or tissue structure. The layer constitutes a boundary or barrier between the actual or unoxidized body of the implant and the structure for the purpose of increasing retention and has, in this context, a substantial thickness. The layer is designed with a channel network which gives the layer a substantial porosity. The channel network is designed with mouths which face towards the structure and whose respective cross-sectional diameters, at the surface of the layer facing towards the structure, are substantially less than the respective extents of the channels in and down into the layer as seen from the said surface.

Abstract: Implantable biomaterials, particularly hydrogel substrates with porous surfaces, and methods for enhancing the compatibility of biomaterials with living tissue, and for causing physical attachment between biomaterials and living tissues are provided. Also provided are implants suitable for load-bearing surfaces in hard tissue repair, replacement, or augmentation, and to methods of their use. One embodiment of the invention relates to an implantable spinal disc prosthesis.

Abstract: Biomedical implants (e.g., orthopedic implants) with modified surfaces that can enhance a cement bond's strength (e.g., tensile, shear, and/or fatigue) are disclosed, along with methods of manufacturing and using such implants. The implants can exhibit a variety of physical, chemical, or process-derived features which can enhance cement bonding. For instance, the implant surface can exhibit particular roughness values, and/or be substantially free of non native material. Processes for producing such implants can include providing a first roughened implant surface, which can be produced, for example, by particle blasting. A treatment formulation can be applied to the first roughened surface to create a second roughened surface that exhibits enhanced cement bonding properties relative to the first roughened surface. In some instances, the first roughened surface and the second roughened surface can exhibit substantially similar Ra values. The second roughened surface can exhibit a negative Rsk value.

Abstract: A biocompatible material, wherein at least a part of a surface of the biocompatible material is characterized by a micro or nano-meter scale topographical structure comprising a plurality of features where the structure is selected to promote the growth of undifferentiated pluripotent stem cells or serve to promote the uniform differentiated growth of stem cells. Furthermore, a biocompatible material is provided having a surface structure and composition that affects a cellular function, in particular cellular functions related to gene induction, cell differentiation and the formation of bone tissue in vivo and ex-vivo.

Abstract: A percutaneous implant device is biologically attached to bone and soft tissue of a broken limb or amputated limb without longitudinal or lateral movement. Bone and soft tissue in-growth are promoted. The percutaneous implant device has a bio-compatible metal alloy stem member, having an integral tapered fluted section designed to fit into a taper reamed bone canal. A precisely dimensioned cylindrical central core cooperates with a suture ring and an external extension member, facilitating attachment of the percutaneous implant device to a hand or foot prosthesis. A porous metal outer body having a female taper at one end and the capacity to promote growth of bone and soft tissue, is press fitted on the central core contacting suture ring. The assembled implant is inserted into a taper reamed bone cavity until the male taper-reamed bone free end contacts the female taper. Soft skin is extended over the outer surface of the porous metal outer body and the surrounding suture ring.

Abstract: A material can be molded into part made of a biocompatible binder containing one or several compounds for adding calcium and phosphorus It has been subjected to a surface pickling operation intended to ensure surface application and hence surface access of the elements added to the binder, in particular calcium and phosphorus. This material may advantageously be used for the realization of endo-bone implants or bone prostheses.

Abstract: An embodiment of a bone stabilization and distraction system of the present disclosure includes a light-sensitive liquid; a light source for providing light energy; a light-conducting fiber for delivering the light energy from the light source to cure the light-sensitive liquid; a delivery catheter having a proximal end in communication with the light-conducting fiber and the light-sensitive liquid, an inner lumen for passage of the light-conducting fiber, and an inner void for passage of the light-sensitive liquid; and an expandable body removably engaging a distal end of the delivery catheter, wherein the expandable body has a closed end, a sealable open end, an inner cavity for passage of the light-sensitive liquid, an external surface and an internal surface, and wherein the expandable body has an insertion depth with a fixed dimension, a width with a fixed dimension, and a thickness with a changeable dimension.

Abstract: The objection of this invention is to provide an article with a foamed surface having a porous structure in the surface of a plastic base, an implant and a method of producing them. The article has a body and a superficial layer formed in a surface of the body, the layer including small-diameter and large-diameter pores, wherein part of the small-diameter and large-diameter pores are open pores which are open at the surface of the layer; the open pores have small open pores with an average diameter of 5 ?m or less and large open pores with an average diameter from 10 to 200 ?m; and the large open pores have an inner wall with passages connected with the small-diameter large-diameter pores. The implant is the article itself or the article with a bioactive substance in the layer thereof. The method provides an example of producing the article and implant.

Abstract: Implantable medical devices are provided. In one embodiment, a device includes a body having an external surface defining an outer profile of the device. The body includes a porous matrix including a series of interconnected macropores defined by a plurality of interconnected struts each including a hollow interior. A filler material substantially fills at least a portion of the series of interconnected macropores. The external surface of the body includes a plurality of openings communicating with the hollow interior of at least a portion of the plurality of interconnected struts. In a further aspect of this embodiment, the external surface includes exposed areas of the filler material and porous matrix in addition to the exposed openings. In another aspect, the porous matrix is formed from a bioresorbable ceramic and the filler material is a biologically stable polymeric material. Still, other aspects related to this and other embodiments are also disclosed.

Abstract: A high strength porous polymeric material manufactured by a compression process is disclosed. The material results in a network of interconnected collapsed pores, which forces thin overlapping walls and passages to be created. The network provides permeable access for fluid migration throughout the material. The strength and/or permeability are advantageous for medical devices and implants.

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: An orthopedic device having a protective coating bonded to the substrate material of the device. The protective coating includes a thin layer of tetrahedral bonded Carbon (ta-C). The substrate also optionally includes an interface layer to facilitate the initial bonding and retention of the ta-C layer. The ta-C layer has a concentration of sp3 bonded carbon which varies through its thickness, such as varying in individual layers forming the protective coating. The protective coating may also be doped with various materials, either through its thickness, or at either an inner or an outer interface, or both, or include ion diffusion barriers.

Abstract: The invention solves the problem of anchoring a prosthetic component into compliant, cancellous bone by a thin, preferably pure titanium, or a titanium-based alloy, perforated, hence hydraulically open, shell (1, 13), spaced apart from the second, non-perforated shell (2, 14). In most applications, dictated by the anatomical site of insertion, shells are approximately hemispherical in form, connected to each other at the equator. The solid shell may contain a further, articulating component of the joint, e.g. a polymer or a ceramic insert, or it may serve that function itself. One or both components of a joint prosthesis can be anchored according to the invention.

Abstract: An implantable prosthesis including at least one element defining a bone-engaging surface, the bone-engaging surface including an anchoring mechanism operative for enhancing anchoring and adhesion of the joint defining element to the bone and thus improving the stability and longevity of the prosthesis.

Abstract: The invention relates to a method for modification of a biocompatible component comprising the steps of a) providing a biocompatible component at least partly covered by metallic oxide; and b) treating at least a part of said component, which part is covered by said metallic oxide, with an aqueous composition comprising oxalic acid; whereby a modified metallic oxide is obtained. The invention also relates to a biocompatible component comprising a substrate having a surface comprising a) a microstructure comprising pits separated by plateus and/or ridges; and b) a primary nanostructure being superimposed on said microstructure, said primary nanostructure comprising depressions arranged in a wave-like formation.

Abstract: A biomedical implant is disclosed with osteogenic factors and a solid impermeable membrane occluding a portion of its surface for the generation of new bone growth at the target site of the implant. The implant is porous, bioresorbable, and forms a three dimensional architectural scaffold for the formation of new bone tissue. The implant is formed with a polymer or collagen, bone morphogenetic protein and ceramic particles.

Abstract: Various embodiments of mosaicplasty constructs and methods for implanting the constructs into anatomical structures. The mosaicplasty constructs may be formed from artificial materials and may include a hard articulating portion and a relatively softer elastic, support portion. The mosaicplasty constructs may include bone ingrowth materials to facilitate ingrowth of bone and other tissues into the construct. The mosaicplasty constructs may also be at least partially formed of hydrogel materials.

Abstract: A composite porous object which comprises a biodegradable and bioabsorbable polymer containing bioactive bioceramic particles dispersed therein, the composite porous object having in inner parts thereof large voids 1 having a void diameter of 40-600 ?m and small voids 2 having a void diameter of 1 ?m or smaller, at least part of the large voids 1 and at least part of the small voids 2 constituting interconnected voids. The small voids 2 are formed in the biodegradable and bioabsorbable polymer walls 3 which surround the large voids 1 and in the surface of the walls 3. It is preferred that 40% or more of all voids constitute interconnected voids. The walls 3 surrounding the large voids 1 in the composite porous object are progressively replaced by bone tissues conducting from the surface of the walls (internal surface of the large voids 1) to inner parts of the walls and by bone tissues conducting from the internal surface of the small voids 2 in the walls 3 toward surrounding parts.

Abstract: An implant for bone replacement and attachment in an animal's body including, a structural portion having an outer porous surface, a ceramic material applied to the porous surface of the structural portion, characterised in that the thickness of the ceramic material as applied utilizing pulsed pressure MOCVD is such that at least some of the pores of the porous surface are not completely closed.

Abstract: A porous calcium phosphate ceramic body comprising a substrate 1, and three-dimensional nanotunnel layers 2 formed on wall surfaces of the substrate 1, the three-dimensional nanotunnel layers 2 having pluralities of three-dimensionally connected nanotunnels 21.