Abstract: A holding device for a packaging, more particularly for a sterile packaging, for holding, in a specific location, a medical tool having a tool shaft with a working end, which is to be protected against user-side contact, in a receiving space of the packaging, wherein the holding device has holding means for receiving, in a specific position, the tool, wherein the holding device has a stop for the working end for positioning the tool in the direction of the tool shaft.

Abstract: A calcaneal targeting device includes a guide body configured to target a corresponding calcaneal bone plate. The guide body includes at least one mounting opening that is configured to align with a corresponding mounting opening of the calcaneal bone plate, at least one targeting opening configured to align with a corresponding fixation opening of the calcaneal bone plate, and a guiding portion that includes a tali targeting opening and a first elongated opening that has a first length. The first elongated opening is configured to allow sliding of a guide wire across the first length and align the tali targeting opening with a sustentaculum tali.

Abstract: Radiolucent composite implants. Some embodiments include reconfiguration indicators. Some embodiments include radio-opaque markers, especially along contours. Some embodiments are provided in kit form with accessories such as radiolucent drill guides and/or drives. Some embodiments have fiber reinforcement adapted for various usage scenarios. Some embodiments include metal components, for example, to increase strength. Also described are manufacturing methods.

Abstract: A locking clip for retaining a fastener in a bone fixation plate, the locking clip comprising a flexure member and a body member coupled to the flexure member, the body member comprising a locking tab, the locking tab configured to provide an axial limitation to motion of the fastener in a non-rotationally-ratcheting manner, the flexure member resiliently flexible to permit displacement of the locking tab to allow passage of a fastener head of the fastener, the locking tab configured to translate a downward force of the fastener head into a lateral spreading force to effect the displacement, the body member defining a clip tool engagement cavity for translational displacement of the locking tab.

Abstract: The disclosure relates to a bone plate for repairing bone fractures. The bone plate has a first upper surface and a first opposed bone-facing surface. The first bone facing surface is shaped to generally conform to a plate-facing surface of the bone, a bone plate thickness, at least one fastener hole extending between the first upper surface and the first bone facing surface, and a suture hole structure extending from a portion of a boundary or boundary edge of the bone plate and has a second upper surface and a second opposed bone facing surface, a suture hole structure thickness, at least one suture hole extending between the second upper surface and the second bone-facing surface. The suture hole structure thickness is less than the bone plate thickness, and the second bone-facing surface of the suture hole structure is elevated above the first bone-facing surface of the bone plate.

Abstract: A method of performing vertebral facet fusion by lateral approach and related devices. The lateral approach to facet fusion involves identifying the lateral mass and introducing any of the fixation methods known or described herein laterally at one or more facets through the use of a Kirschner wire guide, a cannulated bone drill and cooperatively cannulated staple guide. A surgical bone staple have a perforated bridge is used across the lateral facet joint where fixation is required. Where fusion is desired, a bone screw have lateral perforations of the shank is inserted through the cannulated staple guide and bridge perforation at the joint to promote fusion. A staple cap and graft container for overlay grafting may be utilized for additional fusion. The method involves less surgical time, reduced blood loss and discomfort for the patient as compared to the posterior approach.

Abstract: Implants for forming a positive connection with human or animal parts include a material, such as thermoplastics and thixotropic materials, that can be liquefied by means of mechanical energy. The implants are brought into contact with the tissue part, are subjected to the action of ultrasonic energy while being pressed against the tissue part. The liquefiable material liquefies and is pressed into openings or surface asperities of the tissue part so that, once solidified, the implant is positively joined thereto. The implantation involves the use of an implantation device that includes a generator, an oscillating element, and a resonator. The generator causes the oscillating element to mechanically oscillate, and the element transmits the oscillations to the resonator. The resonator is used to press the implant against the tissue part to transmit oscillations to the implant.

Abstract: Implants for forming a positive connection with human or animal parts include a material, such as thermoplastics and thixotropic materials, that can be liquefied by means of mechanical energy. The implants are brought into contact with the tissue part, are subjected to the action of ultrasonic energy while being pressed against the tissue part. The liquefiable material liquefies and is pressed into openings or surface asperities of the tissue part so that, once solidified, the implant is positively joined thereto. The implantation involves the use of an implantation device that includes a generator, an oscillating element, and a resonator. The generator causes the oscillating element to mechanically oscillate, and the element transmits the oscillations to the resonator. The resonator is used to press the implant against the tissue part to transmit oscillations to the implant.

Abstract: An instrument for holding a bone plate may include a first arm, a second arm connected to and adjustable relative to the first arm, a first connection tip at the distal end of the first arm configured to connect to the first side wall of the bone plate, and a second connection tip at the distal end of the second arm configured to connect to the second side wall of the bone plate. A stabilizing member is connected to the first connection tip. The stabilizing member is distally spaced apart from the first connection tip to form an opening for receiving a portion of bone between the first connection tip and the stabilizing member.

Abstract: A method of performing vertebral facet fusion by lateral approach and related devices. The lateral approach to facet fusion involves identifying the lateral mass and then introducing any of the fixation methods known or described herein laterally at one or more facets through the use of a hollow cannula. A surgical bone staple have a perforated bridge is used across the lateral facet joint where fixation is required. Where fusion is desired, a bone screw have lateral perforations of the shank is inserted through the bridge perforation at the joint to promote fusion. The staple and screw may be used in conjunction with one another or individually. The facet joint may be distracted prior to fixation to increase the foraminal space and decompress the neural structures to relieve pain. The method involves less surgical time, reduced blood loss and discomfort for the patient as compared to the posterior approach.

Abstract: A bone fixation system that may be configured to move at least one of a first bone segment and a second bone segment relative to the other, is disclosed. The system may include a first lever and a second lever pivotally coupled to the first lever. The first lever may include a first handle, a first jaw extending from the first handle, and an aperture extending through the first jaw. The aperture may be configured to receive a fixation element to thereby fixedly couple the first lever to a bone plate. The second lever may include a second handle, a second jaw extending from the second handle, and an aperture extending through the second jaw. The aperture may be configured to receive a temporary fixation element to operatively couple the second lever to the second bone segment.

Abstract: A variable angle locking screw assembly that includes a plate material, a screw, and a washer at least partially located within the plate material, the washer and screw cooperating to create a wedge locking the screw in one of a plurality of axial and rotational positions, where the locked position may be undone and adjusted by manipulation of at least one of the screw and washer.

Abstract: A disposable single indication orthopedic trauma surgical kit has no bone plates other than a single bone plate precontoured and sized to match an anatomic shape of a portion of a bone of a patient's extremity. The single bone plate has a plurality of fastener apertures. The surgical kit also has a plurality of fasteners with heads that are dimensioned to mate with the fastener apertures. The surgical kit also has a disposable torque driver adapted to engage the fastener heads. The foregoing components are contained in a sterile sealed container.

Abstract: Bone fixation system, including methods, apparatus, and kits, and comprising a bone plate and at least one instrument that attaches to the bone plate and provides at least one radiopaque region to facilitate positioning the bone plate on bone visualized by radiographic imaging. The instrument may be a handle assembly and/or a targeting guide.

Abstract: An orthopedic screw fastener system, includes at least one screw, consisting in each case of a screw head and of a screw shank, the screw head being provided with a thread, and at least one plate with a thickness, provided with at least one through-bore which is able to receive a screw. The plate has a through-opening, formed by at least two through-bores, each through-bore being defined by a midpoint and by a radius, and the through-bores are offset relative to each other and intersect each other in such a way that intersection lines and/or intersection surfaces form, which extend into the depth of the through-opening.

Abstract: A bone plate system for the internal fixation of a fractured bone of a patient has a bone plate with one or more threaded bone fastener apertures and one or more non-threaded bone fastener apertures. The system also has a plurality of bone fasteners, each with a shaft and a head. The heads are dimensioned and configured to threadedly engage the threaded bone fastener apertures to provide a fixed angle locking construct. The heads also are dimensioned and configured to directly engage the non-threaded bone fastener apertures to provide a polyaxial non-locking compressive construct.

Abstract: A multi-purpose bone plate system comprises a set of sterile malleable bone plates, an adjustable bending and contouring tower with adjustable angulation and compression slots and a set of bone plates with angulation and compression slots positioned at pre-selected locations to aid three-dimensional shaping of the bone plate. The surgeon inserts the sterile bone plate template to surround the fractured bone and works the template to acquire the physical shape of the fractured bone, inserts the template into the tower to set the adjustable angulation and compression slots of the tower. Now a symmetrical bone plate is inserted into the tower and bent to a shape that replicates the shape of the bone plate. The three-dimensionally shaped bone plate is sterilized and is attached by screws or nails surrounding the fractured bone segment and provides support to fractured bone segments during healing of the bone.

Abstract: An instrument for holding a bone plate may include a first arm, a second arm connected to and adjustable relative to the first arm, a first connection tip at the distal end of the first arm configured to connect to the first side wall of the bone plate, and a second connection tip at the distal end of the second arm configured to connect to the second side wall of the bone plate. A stabilizing member is connected to the first connection tip. The stabilizing member is distally spaced apart from the first connection tip to form an opening for receiving a portion of bone between the first connection tip and the stabilizing member.

Abstract: An assembly includes a holder having a first arm and a second arm, the holder being movable between a first configuration and a second configuration. The assembly further includes an actuator movable in relation to the holder between a first position and a second position. Movement of the actuator from the first position to the second position causes movement of the holder from the first configuration to the second configuration. The first arm has a first bone plate contact portion, and the second arm has a second bone plate contact portion. The first bone plate contact portion and the second bone plate contact portion are separated by a first distance when the holder is in the first configuration. The first bone plate contact portion and the second bone plate contact portion are separated by a second distance when the holder is in the second configuration. The first distance is greater than the second distance.

Abstract: Template systems and methods of use are disclosed herein for use in conjunction with corresponding spinal fusion plates. Preferred templates are slotted to allow for use with distractor pins and a distractor. Additionally preferred templates include windows to allow the operating surgeon to have more visibility of the intervertebral area, including the graft. After the appropriate sized template has been placed against the targeted vertebrae, holding pins can be placed into the vertebral bodies to help guide the fusion plate and to compress the intervertebral space.

Abstract: Implants (7) for forming a positive connection with human or animal parts include a material, such as thermoplastics and thixotropic materials, that can be liquefied by means of mechanical energy. The implants (7) are brought into contact with the tissue part, are subjected to the action of ultrasonic energy while being pressed against the tissue part. The liquefiable material liquefies and is pressed into openings or surface asperities of the tissue part so that, once solidified, the implant is positively joined thereto. The implantation involves the use of an implantation device that includes a generator (2), an oscillating element, and a resonator (6). The generator (2) causes the oscillating element to mechanically oscillate, and the element transmits the oscillations to the resonator (6). The resonator (6) is used to press the implant (7) against the tissue part to transmit oscillations to the implant (7).

Abstract: A method and device are provided for reducing abnormal vertebral orientation using a fixation plate that is used in conjunction with a positioning tool to reduce spinal deviation and properly position and secure adjacent vertebrae for fusion of the spine. The disclosed embodiments are particularly useful in minimally invasive surgical techniques such as laterally performed anterolisthesis and retrolisthesis.

Abstract: Bone plates with an upper surface, a bone contacting surface, and at least one hole extending through the upper and bone contact surfaces are disclosed. A hole interchangeably accepts a compression screw for compression of a fracture and a locking screw that threads into the bone plate.

Abstract: A device, system and method for securing a plate to a bone. An anchor device has a screw (with a head portion) and a locking disc. The head portion includes a slotted wall defining a plurality of petals disposed around a central opening. The screw further includes an internal bore. The locking disc is rotatably disposed within the central opening, such that in a first rotational position the petals may flex inwardly, and in a second rotational position the petals are substantially prevented from flexing inwardly. A tool for manipulating the anchor device has a shaft with its end configured to mate with the internal bore of the screw to permit selective rotation of the screw, and a sleeve member rotatably and slideably mounted on the shaft having an end that mates with the locking disc to permit selective rotation of the disc.

Abstract: A sternal reconstruction system for securing parts of a sternum includes at least one flexible cable with crimp fitting, at least one cannulated screw and at least one reconstruction plate. Circumferential or parasternal fixation may be brought about by use of a sternal reconstruction system including a flexible cable and crimp fitting alone; a sternal reconstruction system including a flexible cable, crimp fitting and cannulated screws; or a system including a flexible cable, crimp fitting, cannulated screws and one or more reconstruction plates. The reconstruction plates are typically planar, having an upper and a lower surface, and containing generally perpendicular and transverse plate holes. The generally perpendicular plate holes are countersunk to better accommodate the heads of the cannulated bone screws. Also provided is a kit for sternal reconstruction.

Abstract: A spinal plate system and method for fixation of the human spine is provided. In an embodiment, the spinal fixation system includes a plate, a coupling member, a locking system for substantially locking the coupling member in a desired position, and an anchoring system to secure the coupling member in the locking system. The plate may have a hole that allows the coupling member to couple the plate with a bone. At least a portion of the coupling member may swivel in the hole so that a bottom end of the member may extend at a plurality of angles substantially oblique to the plate. The locking system may lock the coupling member in desired positions relative to the plate. The anchoring system may secure the coupling member in the locking system to inhibit the coupling system from detaching from the locking system when stressed. An assembly tool may be used to engage and disengage the anchoring system during the installation or removal of the spinal fixation system.

Abstract: An instrument for insertion and placement of dynamic spinal fixation plates is provided. In general, the instrument is a clip that holds the plate at its maximum extension for implantation.

Abstract: A method of percutaneously implanting a first component and a second component of an orthopaedic assembly into a body of a patient includes the steps of securing a first instrument to the first component, and advancing the first component into the body of the patient. The first instrument is advanced into the body of the patient such that a portion of the first instrument extends out of the body. A second instrument is secured to the second component, and the second component is advanced into the body of the patient. The second instrument is advanced into the body of the patient such that a portion of the second instrument extends out of the body. A third instrument is advanced into contact with both the first instrument and the second instrument so as to position the first component and the second component in a predetermined position relative to one another. An instrument assembly for percutaneously implanting an orthopaedic assembly is also disclosed.