17280results about "Joint implants" patented technology

The present patent describes a three-dimensional inter-connected open cell porous foams that have a gradient in composition and / or microstructure through one or more directions. These foams can be made from a blend of absorbable and biocompatible polymers that are formed into foams having a compositional gradient transitioning from predominately one polymeric material to predominately a second polymeric material. These gradient foams are particularly well suited to tissue engineering applications and can be designed to mimic tissue transition or interface zones.

A surgical fastener apparatus is provided with a reinforcement material holder, where the holder positions a sheet of reinforcement material adjacent body tissue that is sutured by a plurality of surgical staples dispensed by the apparatus.

A fastener for insertion into pierced openings of a tissue wound has a body formed of a generally bioabsorbable polymer defining an initial capture area internal to the body. The body includes a pair of arms, each with an inwardly projecting cleat operably joined at an elbow portion defining an internal elbow angle. The arms are operably joined to a backspan at a shoulder portion defining an internal shoulder angle. A durable tissue retention zone is defined between the cleat and the arm. The elbow portion and the internal elbow angle define an insertion width greater than a width of the pierced openings resulting in the pierced openings stretching over the cleat and being elastically retained within the durable tissue retention zone. The fastener initially captures wound tissue in the initial capture area and then dynamically reforms in response to lateral stresses applied by the wound tissue without a fracture failure of the fastener until a minimum degradation period.

In various embodiments, a surgical stapling instrument can comprise a plurality of magnetic elements configured to articulate an end effector of the surgical instrument. The surgical instrument can comprise at least one electromagnet which can be selectively activated, or polarized, to generate a magnetic field sufficient to motivate a second magnetic element, such as a permanent magnet and / or an iron core, for example, mounted to the end effector. In certain embodiments, a surgical stapling instrument can comprise a plurality of magnetic elements configured to open and / or close an end effector of the surgical instrument. In at least one embodiment, a surgical stapling instrument can comprise a plurality of magnetic elements configured to advance and / or retract a firing bar, cutting member, and / or staple sled within the surgical instrument in order to incise and / or staple tissue positioned within an end effector of the surgical instrument.

This invention relates to an apparatus for incrementally advancing functional probes through tissue.

A multiple coil staple is provided which includes a backspan and a pair of spaced legs. The backspan includes one or more pockets configured to induce coiling of the legs of the staple. A multiple coil staple applier is also provided which includes a pusher having a distal face defining a staple engagement surface and one or more staple deforming pockets. Each staple deforming pocket is configured to induce coiling of the legs of a staple. The multiple coil staple and staple applier facilitate joining of tissues having wider ranges of thicknesses using a single size staple.

An anterior buttress staple and screw system is provided that can be used to hold an implant such as a disc prosthesis in place and thereby prevent its migration out of the spinal column. The buttress staple comprises a screw locking plate having a screw locking design that prevents the screw from backing up and away from the plate. The screw is configured to provide an interference fit with the screw locking plate, and can be used as a staple removal tool during revision surgery when the screw locking plate needs to be lifted from the bone surface on which it is attached.

An operating staple is provided in which stability during an operation is enhanced by firmly suturing an operating portion and an intraluminal stapeler for operation having the operating staple. The operating staple closely sutures a first suturing tissue and a second suturing tissue contacting the first suturing tissue, and the operating staple includes: a center portion extending in close contact with a surface of the first suturingtissue; a pair of penetrating portions which is bent from both ends of the center portion and penetrates the first suturing tissue and the second suturing tissue; and a pair of leg portions which is bent from the respective penetrating portions, extends linearly, and closely bonds the first suturing tissue and the second suturing tissue to each other. Therefore, by utilizing the operating staple, the suturing tissues can be firmly sutured, thereby enhancing the stability during an operation.

An inexpensive ligament fixing system capable of providing an efficient fixing force and accurately driving a staple with less invasion, comprising a flat-shaped plate having a plurality of drilled holes and curved bottom and upper surfaces and formed by casting and a cross bar used to allow a parallelism, to be checked, wherein the plate is fixed to a ligament and the folded-up ligament is further fixed with the staple, the tips of the leg parts of the staple are moved from the centerline to the inside, a cut-in is provided on the insides of the leg parts, the cross sections of the leg parts are formed in a polyhedron, the plate is pressed and driven by a driving device having a driving structure by a thrust bar is used.

This invention relates to a mixing and delivery device suitable for delivering injectable biomaterials, and to preferred bone cement formulations.

An implant for deployment in select locations or select tissue for regeneration of tissue is disclosed. The implant comprising collagen and or other bio-resorbable materials, where the implant may also be used for therapy delivery. Additionally, the implant may be “matched” to provide the implant with similar physical and / or chemical properties as the host tissue.

A surgical staple line reinforcement is provided for use with a variety of surgical staplers to protect against tissue damage from surgical staples. The surgical staple line reinforcement is made up of a tubular structure of bio-implantable material with one or more stiffening members attached to or integrated within the tubular structure to resist, prevent or inhibit movement, rotation, or longitudinal compression of the tubular structure.

A shape-memory device manufactured from shape memory material includes multiple activation temperatures. The multiple activation temperatures arise from either the heat treatment of the device during manufacturing, or by combining different elements with different activation temperatures. To manufacture a shape-memory device with multiple activation temperatures, it is formed into a first shape. A first portion of the shape-memory device is heated to a first temperature, and a second portion of the shape-memory device is heated to a second temperature. The shape-memory device is then worked into a second shape. Accordingly, the first portion has a first transition temperature, and the second portion has a second transition temperature. In use, the shape-memory device is placed into a desired position. Energy is applied such that the first portion, second portion, or both portions are transformed.

A new shape changing staple and instrument for the fixation of structures to include bone tissue and industrial materials. This new staple stores elastic mechanical energy to exert force on fixated structures to enhance their security and in bone affect its healing response. This staple once placed changes shape in response to geometric changes in the materials structure, including healing bone tissue. The staple is advanced over prior staples due to its: 1) method of operation, 2) high strength, 3) method of insertion, 4) compressive force temperature independence, 5) energy storing staple retention and delivery system, 6) compatibility with reusable or single use product configuration, 7) efficient and cost effective manufacturing methods, and 8) reduction in the steps required to place the device. In addition to the staple's industrial application an embodiment for use in the fixation of the musculoskeletal system is shown with staple, cartridge, and extrusion handle.

Unitary surgical devices (10) are disclosed. One group of the illustrated devices has a pair of biocompatible, bioresorbable anchors (16,18) connected to fixed lengths suture. The anchors (16,18) and fixed length of suture are connected to each other prior to surgery. Another group of unitary surgical devices has a pair of fixating mechanisms (15,17) connected to a base (21) prior to surgery. The second group of illustrated devices generally includes extracellular matrix material either as part of the base (21) or supported on the base (21). The extracellular matrix material serves as tissue regenerating material. In the second group of unitary surgical devices, the fixating mechanisms illustrated generally comprise suture, anchors or pre-formed holes in the base. All of the illustrated unitary surgical devices are useful in repairing a damaged meniscus. The first group of unitary surgical devices can be used to approximate inner surfaces of a tear in the meniscus. The second group of devices can be used either as an insert to be placed between and approximated to the inner surfaces of the tear or as an insert to replace a void in the meniscus left after a meniscectomy.

A bone fixing device, in particular for fixing to the sacrum for osteosynthesis of the backbone, comprises elongate link means receiving at least one bone-fastening screw, which passes through an orifice formed in the link means. In the bottom of the link means there is included a bearing surface of essentially circular cross-section. The head of the screw includes an essentially spherical surface for bearing against said bearing surface. The link means include a first thread in the vicinity of said orifice. The device further includes a plug having a second thread suitable for co-operating with the first thread, the plug being suitable for coming into clamping contact against said screw head to hold it in a desired angular position. According to the invention, the link means are constituted by a single-piece plate-shaped element having the orifice and the first thread formed therein, and said bearing surface is essentially spherical.

A bone adhesive application device has a pliable structure with an application surface upon which a bone adhesive may be applied. The application surface has a surface energy substantially equal to or less than a surface energy of the bone adhesive to reduce adhesion between the bone adhesive and the bone adhesive application device. The bone adhesive application device may be included in a kit for repairing bone defects having a bone adhesive formed from a reactive biocompatible polyurethane material. The bone adhesive may be applied to a bone defect by positioning the pliable structure over at least a portion of the bone defect, delivering the bone adhesive to the bone defect and removing the pliable structure from the bone adhesive.

A cartilage replacement or repair prosthesis comprises a layer of streamlined elastomer elements, preferably in the form of spheres, supported in a matrix material so that the radially opposed surfaces of the spheres are positioned on opposite surfaces of the layer and make contact with the opposed surfaces of the femur and tibia and the forces exerted between these bones extend through the streamlined elements. The matrix material has a substantially lower resistance to deformation than the spheres to control the position of the spheres relative to one another without significantly restraining their load-responsive deformation under forces exerted between the femur and tibia. The layer, with its elastomeric inserts, is sufficiently thin and flexible to allow it to be rolled for arthroscopic insertion into a knee joint.

An implant including a substantially cohesive aggregate comprising bone-derived particles. Cohesiveness is maintained by a member of mechanical interlocking, engagement of adjacent bone-derived particles with one another through engagement with a binding agent, thermal bonding, chemical bonding, or a matrix material in which the bone-derived particles are retained. The aggregate is shaped as a one-dimensional or two-dimensional body.

Methods and apparatus for forming one or more trans-sacral axial instrumentation / fusion (TASIF) axial bore through vertebral bodies in general alignment with a visualized, anterior or posterior axial instrumentation / fusion line (AAIFL or PAIFL) in a minimally invasive, low trauma, manner and providing a therapy to the spine employing the axial bore. Anterior or posterior starting positions aligned with the AAIFL or PAIFL are accessed through respective anterior and posterior tracts. Curved or relatively straight anterior and curved posterior TASIF axial bores are formed from the anterior and posterior starting positions. The therapies performed through the TASIF axial bores include discoscopy, full and partial discectomy, vertebroplasty, balloon-assisted vertebroplasty, drug delivery, electrical stimulation and various forms of spinal disc cavity augmentation, spinal disc replacement, fusion of spinal motion segments and implantation of radioactive seeds. Axial spinal implants and bone growth materials can be placed into single or multiple parallel or diverging TASIF axial bores to fuse two or more vertebrae, or distract or shock absorb two or more vertebrae.

Porous bioabsorbable, bioactive and load-bearing composite medical device structure includes a plurality of regular textile planar layers (1a, 1b . . . ) formed of continuous bioabsorbable polymer matrix and bioceramic fibers acting as reinforcements, both included in continuous fibrous elements (3) forming the textile layers. The layers are placed on top of each other to form a structure having two dimensions (x, y) at right angles to each other according to the two dimensions of the textile layer and a third dimension (z) perpendicular to them and resulting from the piling of the layers. A plurality of passages extend through the layers as a result of the openings (2) defined by portions of the continuous fibrous elements (3) extending substantially in the direction of the plane. The continuous fibrous elements (3) comprise both bioactive ceramic reinforcing fibers which form a reinforcing structure and a bioabsorbable polymer matrix material which forms a matrix which binds the layers together and also binds the portions of continuous fibers defining the openings together, thereby forming the passages and stiffening the structure. This bioactive and bioabsorbable composite structure is suitable to be used as a basic structure in medical devices, especially in osteochondral applications where the load-bearing properties of implant are required.

A dispensing device for granule bone graft of varying and / or irregular shape is characterized by a body defining a handle / hopper portion, a dispensing portion, and a feed system. The subject device permits reloading or refilling of bone graft at the time of use of the device. The bone graft dispensing device also accepts vials of bone graft. The vials are loaded onto and releasably retained by the dispensing device. In both forms, the feed system allows a controlled and / or variable rate of flow of bone graft during dispensing. The subject device may be made disposable as well as re-usable. The subject device is also modular in design allowing easy assembly / disassembly. The is subject bone graft dispenser is particularly suited for the dispensing of dry, particulate and / or granule bone graft. Particularly, the bone graft dispensing device is especially suited for the dispensing of particulate or granule bone graft having particulates or granules of various and / or irregular size, shape and combinations thereof.