742 results about "Bones fixation" patented technology

An elongated plate for coupling severed bone regions comprising at least one bridge region, the at least one bridge region terminating in at least two bone fixation regions. The at least two bone fixation regions each contain at least one aperture for receiving a suitable fastening device for securing the elongated plate to the bone regions to be coupled. The bridge region may be configured so as to be easily severed by a suitable severing device such as surgical scissors. The elongated plate and fastening device may be formed from a bio-compatible or bio-resorbable material.

A tool and a method are provided for driving a bone pin into a fractured bone to stabilize the fractured bone by maintaining the fractured bone in a reduced state. The tool may be a handheld device including a cartridge having at least one passageway that receives the bone pin. The tool may also include a pneumatically-powered piston having a needle that is sized for receipt within the passageway of the cartridge, the needle applying sufficient force to the bone pin to drive the bone pin out of the cartridge and into the fractured bone.

An apparatus, method and system for treating spinal conditions by moving or spatially fixing at least one vertebra relative to another vertebra. The invention includes a link member the ends of which are configured to be secured to adjacent vertebrae and which are offset from a central portion of the link member. The link members can be in the form of a C-shaped or V-shaped rod or plate to form the offset. The offset provides increased bone volume that can be used for grafts or fusion. Attachment structure in the form of bone screws, bolts, or hook members are provided to secure the link members to respective vertebrae or other bones. A plurality of link members can be connected in chain-like fashion to connect multiple points on a plurality of vertebrae or other bones even though those points are nonlinear. In another aspect of the invention, a multi-directional attachment member is provided and may be used with the link members to form a spinal implant or external bone fixation system.

This invention relates to a orthopedic implant that comprises a shape memory polymeric material. The orthopedic implant can be fabricated or molded in a desired configuration selected to provide support or tension to bony structures. Examples of implantable devices include spinal rods, bone plates, and bone fixation cords. The orthopedic implant can be deformed to a second configuration different from the first configuration either prior to implantation or after implantation. When desired, the shape memory polymeric material can be induced to revert to it original molded configuration. This can compress the attached bony structure and / or promote arthrodesis.

A bone fixation assembly including a coupling element having an inner surface defining a first bore coaxial with a first longitudinal axis, and a second bore coaxial with a second longitudinal axis, whereby the second longitudinal axis intersects the first longitudinal axis. The coupling element has a seat adjacent the lower end of the coupling element, the seat being defined by the inner surface of the coupling element. The assembly includes an anchoring element assembled with the coupling element, the anchoring element having a first end for insertion into bone and a head spaced from the first end, the head being in contact with the seat of the coupling element. The assembly provides sufficient angulation between adjacent anchoring elements securing a common orthopedic rod, and is particularly useful for assemblies mounted in spines having abnormal curvatures and in the cervicothoracic region of the spine.

An elongated plate for coupling severed bone regions comprising at least one bridge region, the at least one bridge region terminating in at least two bone fixation regions. The at least two bone fixation regions each contain at least one aperture for receiving a suitable fastening device for securing the elongated plate to the bone regions to be coupled. The bridge region may be configured so as to be easily severed by a suitable severing device such as surgical scissors. The elongated plate and fastening device may be formed from a bio-compatible or bio-resorbable material.

A dynamic bone fixation plate assembly includes a bone plate with at least one fastener-receiving aperture, and at least one self-locking fastener. Each fastener includes a threaded shaft or shank for secure engagement with patient bone, and a head for engaging the bone plate in a manner providing a low profile orthopedic device. The fastener shank includes features lock the fastener to the bone plate to prevent the fastener from backing out of the bone plate while still allowing rotational movement between the fastener and the plate. Utilizing the features of the present invention, the bone plate controllably subsides and settles into a position of stability.

Disclosed is a fracture fixation device, for reducing and compressing fractures in a bone. The fixation device includes an elongate body. An axially moveable proximal anchor is carried by the proximal end of the fixation device and comprises a tubular sleeve that includes a plurality of graduations positioned on an outer surface of the tubular sleeve. The device is rotated into position across the femoral neck and into the femoral head, and the proximal anchor is distally advanced to lock the device into place. In certain embodiments, the elongated body includes a distal anchor with a distal cutting tip.

An implant for insertion into the disc space between vertebrae. The implant including a spacer portion, a plate portion coupled to the spacer portion, a plurality of bone fixation elements for engaging the vertebrae and a retention mechanism for preventing the bone fixation elements from postoperatively uncoupling from the implant.

Disclosed is a bone fracture fixation device, such as for reducing and compressing fractures in the proximal femur. The fixation device includes an elongate body with a helical cancellous bone anchor on a distal end. An axially moveable proximal anchor is carried by the proximal end of the fixation device. The device is rotated into position across the fracture or separation between adjacent bones and into the adjacent bone or bone fragment, and the proximal anchor is distally advanced to apply secondary compression and lock the device into place. The device may also be used for soft tissue attachments.

A plate for coupling severed bone regions comprising at least one bridge region, the at least one bridge region terminating in at least two bone fixation regions. The at least two bone fixation regions each contain at least one aperture for receiving a suitable fastening device for securing the plate to the bone regions to be coupled. The bridge region may be configured so as to be easily severed by a suitable severing device such as surgical scissors. The plate and fastening device may be formed from a bio-compatible or bio-resorbable material.

A pedicle screw system includes a pedicle screw and a tulip assembly. A rod is inserted and fixed in the pedicle screw system to surgically connect vertebral bodies. The pedicle screw includes a head portion and a threaded shaft. In one embodiment, the tulip assembly includes a tulip body, a rod-support member, a collar member, a cap, and a fastening member. The tulip body has an upper portion and a lower portion, these portions being displaceable in opposite directions relative to an intermediate web. The tulip body can be intra-operatively coupled to the pedicle screw after the screw has been inserted into the bone. The cap engages with the tulip body to lock the tulip body onto the pedicle screw and thus fix the tulip body at a desired angle relative to the pedicle screw.

A low profile orthopedic device is used to fix and stabilize bones to correct anomalies in skeletal structure occurring naturally or by trauma. Bone screws are screwed into bones by application of torque. Clamps are movably attached to the screws. Each clamp includes a compression ring. A connecting rod connects several screws through slots in the clamps. The clamps are tightened to hold the rod and the heads in a pre-selected position by linear movement of the compression rings.

An implant for insertion into a disc space between vertebrae, wherein the implant includes a spacer portion, a plate portion coupled to the spacer portion, two bone fixation elements for engaging the vertebrae and a retention mechanism for preventing the bone fixation elements from postoperatively backing-out of the plate portion. The retention mechanism may be in the form of a spring biased snapper element that is biased into communication with the bone fixation elements so that once the bone fixation element advances past the snapper element, the snapper element is biased back to its initial position in which the snapper element interfaces with the bone fixation elements. Alternatively, the retention mechanism may be in the form of a propeller rotatable between a first position in which the bone fixation elements are insertable to a second position where the bone fixation elements are prevented from backing-out.

A coupling device for securing an elongate member to the spine is provided. The coupling device comprises a compressible inner member that secures an anchor member therein when the inner member is axially shifted within an outer member. Structures are provided to prevent disassembly of the anchor and coupling device prior to locking of the elongate member.

A material fixation system is particularly adapted to improve the tendon-to-bone fixation of hamstring autografts, as well as other soft tissue ACL reconstruction techniques. The system is easy to use, requires no additional accessories, uses only a single drill hole, and can be implanted by one person. Additionally, it replicates the native ACL by compressing the tendons against the aperture of the tibial tunnel, which leads to a shorter graft and increased graft stiffness. It is adapted to accommodate single or double tendon bundle autografts or allografts. It also provides pull out strength measured to be greater than 1000 N.

A bone fixation assembly and method of fixing bones including a fixation element having a head portion, a unitary coupling element and at least one locking element. The unitary coupling element includes a first bore adapted to slidably receive the head portion of the fixation element. A first locking element is adapted to secure the head portion in the first bore.

A chain of loops of braided high strength suture for soft tissue to bone fixation. The suture chain is advantageous for use in knotless fixation of soft tissue to bone, and can be used for knotless side-to-side suturing of U-shaped defects, such as rotator cuff tears. The soft tissue to bone fixation includes: (i) providing a first medial row constructed with a first plurality of fixation devices, at least one of the first plurality of fixation devices being an anchor; (ii) providing a second lateral row constructed with a second plurality of fixation devices, at least one of the second plurality of fixation devices being a knotless fixation device, (iii) providing a suture loop construct that includes at least two loops formed of and connected by suture; and (iv) fixating the suture loop construct so that it extends over the soft tissue and is secured in place by at least one of the fixation devices or anchors.

A coupling assembly is provided with a yoke device that allows an anchor member secured thereto to rotate in a turret-like manner with respect to an elongate member secured by the yoke in addition to allowing the anchor member to pivot away from the central axis of the yoke. A first yoke member holds the elongate member and is rotatably coupled to a second yoke member that holds a bone anchor. A combination of rotation of the second yoke member and pivoting of the anchor member allows the anchor to be positioned in a wide variety of orientations with respect to the yoke device and elongate member.

Apparatuses, systems and methods for bone fixation are disclosed herein. A fixation apparatus is disclosed having a head portion having outer wall sections at least partially surrounding a central hollow area, and the head portion also having an inner bottom surface. A shank portion can extend from the head portion. An expander hub is provided for positioning at least partially within the central hollow area of the head portion and can be seated at least partially on the inner bottom surface of the head portion. The expander hub is rotatable to force the outer wall sections of the head portion outwardly for engaging and locking the fixation apparatus in place when the fixation apparatus is positioned within a hole of a plate. The fixation apparatus can advantageously be used with a plate whereby the fixation apparatus and plate can compress bone separately from locking the fixation apparatus in a desired position. Also, the angle, alignment or position of the fixation apparatus can be changed if desired even after locking of the fixation apparatus. Separate drivers can be used to drive the fixation apparatus, to rotate the expander hub to lock it in place, and to remove the fixation apparatus. The drivers can be cannulated as desired such that the drivers can be assembled in a nested and concentric configuration and can be used without removal from the nested configuration.

A low profile orthopedic device is used to fix and stabilize bones to correct anomalies in skeletal structure occurring naturally or by trauma. Bone screws are screwed into bones by application of torque. Clamps are movably attached to the screws. Each clamp includes a compression ring. A connecting rod connects several screws through slots in the clamps. The clamps are tightened to hold the rod and the heads in a pre-selected position by linear movement of the compression rings.

Disclosed is a fracture fixation device, for reducing and compressing fractures in a bone. The fixation device includes an elongate body comprising a first portion and a second portion that are detachably coupled to each other. The first portion defines a helical cancellous bone anchor and the second portion defines a distal end. An axially moveable proximal anchor is carried by the proximal end of the fixation device and is rotationally locked to the first portion. The device is rotated into position across the femoral neck and into the femoral head, and the proximal anchor is distally advanced to lock the device into place. The second portion is then detached from the first portion.

A soft tissue fixation system, most typically applicable to orthopedic joint repairs, such as anterior cruciate ligament (ACL) knee repair procedures, comprises an implant which is placeable in a tunnel disposed in a portion of bone, wherein the tunnel is defined by walls comprised of bone. A first member is deployable outwardly to engage the tunnel walls for anchoring the implant in place in the tunnel, and a second member is deployable outwardly to engage tissue material to be fixed within the tunnel. The second member also functions to move the tissue material outwardly into contact with the tunnel walls to promote tendon-bone fixation. Extra graft length is eliminated by compression of the tendon against the bone at the aperture of the femoral tunnel, which more closely replicates the native ACL and increases graft stiffness. The inventive device provides high fixation of tendon to bone and active tendon-bone compression. Graft strength has been found to be greater than 1,000 N (Newtons), which is desirable for ACL reconstruction systems.

A bone plate is provided for fixation of spaced vertebra. The bone plate has at least one through passage for securing the plate to bone with a bone fixation screw. The threaded shaft of a bone fixation screw is inserted through a bushing located in the through passage of the bone plate and the screw is thereby threadably secured to the underlying bone and the bushing is then compressed inward against the head of the screw with cams that are actuated by rotating the bushing in the through passage whereby the screw is locked relative to the bone plate. The bushing is not only compressed inwardly against the head of the screw but is also compressed downwardly by the cams into a seat to clamp separate elements of the bone plate together.

Systems and methods for bone fixation are disclosed. A fixation system can have a planar fixation device and a laterally-fixed fixation apparatus. The planar fixation device can have a planar surface and at least one opening having side walls defining an at least generally cylindrical shape. The laterally-fixed fixation apparatus can have an at least generally cylindrical shaped head portion having outer wall sections at least partially surrounding a central hollow area. The head portion can have an inner bottom surface. An expander hub is provided in the fixation apparatus for positioning at least partially within the central hollow area of the head portion and can be seated at least partially on the inner bottom surface of the head portion. The expander hub is rotatable to force the outer wall sections of the head portion outwardly for engaging and locking the fixation apparatus in place in the opening. The fixation apparatus is further adapted for rotation about a longitudinal axis of the fixation apparatus without lateral toggle movement relative to the planar surface of the planar fixation device. In other aspects, systems for fixating an orthopedic guide and systems and methods for compressing bone portions are also provided.

System, including methods, apparatus, and kits, for bone fixation using a bone plate and a strut that stabilizes the bone plate on bone.

A cervical compression plate assembly having screw receiving elements at opposite ends that are configured for engaging bone fixation screws extending from respective vertebral elements. The assembly permits the distance between the screw receiving elements at opposite ends to be shortened but prevents the distance from increasing. A spring mechanism is housed within the plate assembly and is configured for continuously urging the screw receiving elements at opposite ends together for thereby providing continuous compressive loading on bone graft material disposed between the vertebral elements.