5658results about "Fracture" patented technology

Systems for bone and spinal stabilization, fixation and repair include intramedullar nails, intervertebral cages and prostheses, remotely activatable prostheses, tissue extraction devices, and electrocautery probes. The intramedullar nails, intervertebral cages and prostheses, are designed for expansion from a small diameter for insertion into place to a larger diameter which stabilizes, fixates or repairs the bone, and further can be inserted percutaneously. Remotely activatable prostheses can be activated from an external unit to expand and treat prosthesis loosening. Tissue extraction devices, and electrocautery probes are used to remove tissue from desired areas.

A rod-shaped implant element (1, 100, 101, 102, 300) is disclosed for the connection of bone anchoring elements, Each bone anchoring element has an anchoring section (12) to be anchored in the bone and a receiver member (13) to be connected to the rod-shaped implant element The rod-shaped implant element has at least one rigid section (7, 8) that is configured to be placed in the receiver member (13). It also has a flexible section (9, 90, 900, 902) that is adjacent to the rigid section. The flexible section and the rigid section are formed in one piece. Also disclosed is a stabilization apparatus using a rod-shaped implant element and at least two of the bone anchoring elements. The stabilization apparatus can limit the movement of two vertebrae or parts of a bone in relation to each other in a defined manner.

Implantable devices and methods for the repair of a defective cardiac valve are provided. The implantable devices include an annuloplasty ring and a restraining and/or a remodeling structure or mechanism. The annuloplasty ring functions to reestablish the normal size and shape of the annulus bringing the leaflet in proximity to each other. A device having a remodeling structure further facilitates remodeling of the valve but allows the use of a flexible ring. The restraining structure functions to restrain the abnormal motion of at least a portion of the valve being repaired. The restraining and remodeling structures may include at least one strut across the interior of the circumference of the ring.

A closure system for braces, protective wear and similar articles is disclosed. The closure system includes a plurality of opposing lace guide members and a tightening mechanism. The closure system further includes a lace extending through the guide members and coupled to the tightening mechanism. In some embodiments, a quick release apparatus is included to facilitate opening of the closure system. The tightening mechanism in some embodiments includes a control for winding the lace into a housing to place tension on the lace thereby tightening the closure system.

A shroud is provided which includes a rounded atraumatic distal configuration. The shroud is configured and dimensioned to be positioned on the distal end portion of a surgical instrument. The shroud is movable between a first position in which a distal portion of the shroud extends beyond a distal end of a tool assembly of the surgical instrument and a second position in which the distal portion of the shroud is positioned proximal to the distal end of the tool assembly.

The present invention generally relates to a dilator with a curved tip. The curved tip is machined through a specific range of diameters so that a physician can establish the diameter of the opening with the dilator inserted. The angle of the dilator also allows the physician to access the interspinous ligament through a minimally invasive opening in the patients back, minimizing the trauma caused to surrounding body tissue.

A suture anchor system for repairing torn or damaged tissue is provided and generally includes a first suture anchor having at least one length of suture attached thereto, and a second suture anchor having at least one length of suture attached thereto. Each length of suture is coupled to one another such that a distance between the first and second suture anchors with respect to each other can be selectively adjustable. The suture anchor system also preferably includes at least one slip knot that allows the first and second suture anchors to be maintained in a fixed position with respect to one another. In use, the suture anchors can be deployed through tissue to be repaired and into the anchoring tissue at a position spaced apart from one another by a selected distance. The suture length(s) can then be tensioned to re-approximate the torn or damaged tissue toward the anchoring tissue, thereby securely attached the torn tissue to the anchoring tissue.

A spinal stabilization system may be formed in a patient. In some embodiments, a minimally invasive procedure may be used to form a spinal stabilization system in a patient. Bone fastener assemblies may be coupled to vertebrae. Each bone fastener assembly may include a bone fastener and a collar. The collar may be rotated and/or angulated relative to the bone fastener. Extenders may be coupled to the collar to allow for formation of the spinal stabilization system through a small skin incision. The extenders may allow for alignment of the collars to facilitate insertion of an elongated member in the collars. An elongated member may be positioned in the collars and a closure member may be used to secure the elongated member to the collars. A reducer may be used to achieve reduction of one or more vertebral bodies coupled to a spinal stabilization system.

There is provided a method and system for determining a distal cut thickness and posterior cut thickness for a femur in a knee replacement operation, the method comprising: performing a tibial cut on a tibia; performing soft tissue balancing based on a desired limb alignment; measuring an extension gap between the femur and said tibial cut while in extension; measuring a flexion gap between the femur and the tibial cut while in flexion; calculating a distal cut thickness and a posterior cut thickness for the femur using the extension gap and the flexion gap and taking into account a distal thickness and posterior thickness of a femoral implant; and performing said femoral cut according to the distal cut thickness and posterior cut thickness.

An intervertebral implant, alone and in combination with an insertion tool for inserting same and a method for inserting same. The implant has upper and lower parts which have universal movement relative to each other. Each of the upper and lower parts also has a surface engaging an adjacent vertebrae. Each part has a keel extending from said surface into a cutout in the adjacent vertebrae, and each keel has an anterior opening recess therein. An insert tool has a pair of arms which are received in the recess of the keels through the anterior opening to securely hold and insert the implant. Projections and matching indentations in each arm and the base of its recess securely attached each arm within its keel.

An implant for positioning between the spinous processes of cervical vertebrae include first and second wings for lateral positioning and a spacer located between the adjacent spinous processes. The implant can be positioned using minimally invasive procedures without modifying the bone or severing ligaments. The implant is shaped in accordance with the anatomy of the spine.

A wound treatment appliance is provided for treating all or a portion of a wound. In some embodiments, the appliance comprises a cover or a flexible overlay that covers all or a portion of the wound for purposes of applying a reduced pressure to the covered portion of the wound. In other embodiments, the wound treatment appliance also includes a vacuum system to supply reduced pressure to the site of the wound in the volume under the cover or in the area under the flexible overlay. Methods are provided for using various embodiments of the invention.

A method of reconstructing a ruptured anterior cruciate ligament in a human knee. Femoral and tibial tunnels are drilled into the femur and tibia. A transverse tunnel is drilled into the femur to intersect the femoral tunnel. A filamentary loop is threaded through the femoral tunnel and tibial tunnel and partially through the transverse tunnel. A replacement graft is formed into a loop and moved into the tibial tunnels using a surgical needle and suture. A flexible filamentary member is simultaneously moved along with the loop into the femoral and transverse tunnels. The filamentary member is used as a guide wire in the transverse tunnel to insert a cannulated cross-pin to secure a top of the looped graft in the femoral tunnel.

An expandable support device and methods of using the same are disclosed herein. The expandable support device can expand radially when compressed longitudinally. The expandable support device can be deployed in a bone, such as a vertebra, for example to repair a compression fraction. The expandable support device can be deployed into or in place of all or part of an intervertebral disc. The expandable support device can be deployed in a vessel, in an aneurysm, across a valve, or combinations thereof. The expandable support device can be deployed permanently and/or used as a removable tool to expand or clear a lumen and/or repair valve leaflets.

The invention relates to an orthopedic fixation device with an at least partly shaft-like fixation member, a shaft-like mounting body, and a transverse support securing the fixation member and the mounting body in a position in which they are laterally offset from one another. In order to adjust the transverse support without having to change the position of the fixation member, the fixation member can be rotated about its longitudinal axis in the transverse support and can be secured in a defined angular position.

Precision recesses are cut in the end plates of vertebral bodies by inserting into the disc space a cutter having a pair of shell elements provided with cutting edges shaped to match bone growth apertures in a selected prosthesis. The remainder of the end plates are left undisrupted, to maximize bearing strength while promoting bone growth at the apertures.

An Extramedullary system of alignment for total knee arthroplasties uses a small diode laser at the center of the knee adjustable to the longitudinal axis of the femur to triangulate the center of the femoral head. It utilizes a V-Frame positioning device that fits into the distal femoral intercondylar notch and is tangent to the articular surfaces of the notch. It is also parallel to the anterior femoral cortex by using a removal tongue flange that sits flat on the filed surface of the anterior cortex. This prepositions the Distal Femoral Resector Guide within a few degrees of the center of the femoral head. An adjustment knob on the V-Frame pivots the distal femoral resector guide to the exact center of the femoral head for that particular patient accomplishing fine adjustment of the longitudinal axis of the femur. There is only one position where the laser beam will go through the center of the target no matter where you position the leg and that is when the target's bulls-eye is exactly over the rotational center of the femoral head. Since the laser confirms this position, the surgeon is assured that the alignment is accurate. The Distal Femoral Resector Guide is then fixed to bone with fixation pins and the resection made with a power saw. The laser is moved to the target mount to act as a longitudinal “laser ruler” for the remainder of the operation.