1255 results about "Gonial angle" patented technology

The present invention is a minimally invasive surgical method for fusing adjacent vertebrae. A first K-wire is inserted into the spinous process of an upper vertebrae. A second K-wire is inserted into a transverse process of a lower vertebrae. A first fixation block is secured to the first K-wire and a second fixation block is secured to the second K-wire. A rod member extends across the K-wires. A swivel block assembly is secured to achieve a desired angle for a first axis along which a first screw will be implanted into a facet joint. The swivel block assembly is secured at a desired axial position on the rod member. Percutaneous access to the upper vertebrae along the first axis is then obtained via a cannula. A removable screw having a threaded section for implantation across the facet joint and an elongated shank section that is shearable subcutaneously is inserted through the cannula. The threaded section is implanted along the first axis across the facet joint to attach the upper and lower vertebrae. A shearing tool is inserted percutaneously over the shank section and the shank section is sheared off immediately above the lamina.

A rivet-like bone anchor has a floating washer at its head that can adapt to an angled bone surface and, thereby, better secure a tissue thereto. The anchor includes a rivet, an expandable sleeve, and a washer. The rivet includes a head and an elongate body having proximal and distal ends, the head being mounted on the proximal end of the elongate body. The expandable sleeve has an inner bore adapted to receive the rivet body. The washer “floats” at a proximal end of the sleeve. As the rivet is inserted into sleeve, the sleeve expands into an interference fit with the bone. The head of the rivet, moreover, forces the floating washer into contact with the tissue at an angle that conforms to that of the underlying bone surface. A deployment tool permits the anchor to be deployed without application of unnecessary counterforce. The tool includes an outer tube, the distal end of which can hold the anchor housing, e.g., via a screw fit. A rod, which is slidably disposed within the bore of the tube, can be used to push the rivet into the expandable sleeve so that the sleeve expands into the bone, so that the floating washer is forced into position against the bone surface, and so that anchor is broken away from the housing. This can be effected, for example, by squeezing the distal ends of the outer tube and the rod together, e.g., in the manner that the end of a syringe is squeezed.

The present invention is related to a device for irradiating a patient with a charged particle beam, comprising a number of beam channels attached to a vertical wall, wherein a deflection magnet is present at the end of each channel. This deflection magnet is able to deflect the beam in the vertical plane over a given angle range. The couch whereon the patient is reclining is mobile in the vertical plane, so that the combined movement of the patient, and the variable deflection of the beam allow one point in the patient to be irradiated from several angles in the vertical plane.

An expandable intervertebral prosthesis includes a bone graft implant member dimensioned for insertion within an intervertebral space defined between adjacent vertebrae, thereafter adapted to vertically elevate and expand a plurality of barbs into the surrounding bone. The expandable intervertebral prosthesis has a tubular outer body portion having an axial bore with an enlarged proximal end and an exterior surface dimensioned to fit snugly within the space, and a barbed expansion cylinder slidably or rotatably mounted within the axial bore. The tubular outer body portion of the expandable intervertebral prosthesis has a plurality of longitudinal slots or holes in the wall thereof to allow the expansion and retraction of the expansion cylinder's barbs into or out of the surrounding bone. The barbs on the expansion cylinder may be elastically deformed from a normal, retracted configuration to a locking, splayed configuration wherein the outer ends of the barbs extend outwardly through the slots and exterior surface of tubular outer body to penetrate the surrounding bone as the expansion cylinder is moved. The expansion cylinder and, in one embodiment, the exterior surface of the tubular outer body portion, have a plurality of barbs disposed in circumferentially spaced relation about the body and positioned in various angles and positions respect to the axial bore. In another embodiment, the intervertebral prosthesis includes an elevating cylinder rotatably mounted within a frangible tubular outer body portion. The elevating cylinder has one or more detent positions that expand and vertically elevate the frangible tubular outer body portion of the intervertebral prosthesis body upon rotation thereof.

A prosthetic glenoid component for attachment to a scapula to provide a bearing for a humeral head in a shoulder prosthesis has a one-piece bearing element having a concave lateral bearing surface for contact with the humeral head with which it is to be used. An opposing relatively hard medial surface of the bearing element is provided for attachment to a scapula. The lateral surface is a soft low modulus concave lateral bearing surface extends around the periphery of the bearing element and increases its thickness to provide a deformable rim to simulate the labrum in an anatomical glenoid. The bearing element preferably has two affixation pegs which project from the medial face thereof, one at a superior position which projects in a superior direction and the other which is located in an inferior position and which projects in an inferior direction which is angled in relation to the medial-lateral direction.

An artificial knee joint that includes a femoral component with a specially shaped bearing surface and a tibial component, whose surface interacts with the femoral surfaces. The interaction provides for the motion and stability characteristics of the anatomic knee. The interaction between the femoral and tibial surfaces is such that as the knee is flexed to maximum, the femoral component moves posteriorly on the tibial surface, more so on the lateral side than on the medial side. This is accomplished by the interaction of a projecting tibial post inside a cupola in the center of the femoral component, and by the saggital radius on the medial side being smaller than that on the lateral side. The prevention of anterior sliding of the femur on the tibia in early flexion is accomplished by the interaction between a distal-anterior recess on the medial side of the femur and an apposing raised pad on the tibial surface. Rotational laxity at all angles is allowed by the presence of only one recess pad and by non-conforming femoral-tibial surfaces on the lateral side.

A femoral component of a knee prosthesis comprises a femoral flange from an inner end of which extend lateral and medial condylar parts which are interconnected by a box-like bridging part at an intercondylar groove. The interior surface of the femoral component has six discrete flat sections, with the sixth flat section which extends to a free end of the femoral component being angled relative to a plane normal to the third flat section and to the length of the intercondylar groove. Also disclosed is a trial femoral component and a method of use thereof to prepare a femur for the fitting of the femoral component of the prosthesis.

A femoral component of a knee prosthesis has spaced condyle surfaces defining a notch therebetween. The notch defines an elongated cam housing having an anterior cam and a posterior cam at opposite ends of the housing. The tibial component of the knee prosthesis includes a platform and a bearing supported on the platform, the bearing defining bearing surfaces configured to articulate with the condyle surfaces. The tibial component includes a spine projecting superiorly from the bearing that defines an anterior face and a posterior face. The posterior face and the posterior cam define complementary curved surfaces configured for cooperative engagement when the femoral component and the tibial component are at a predetermined flexion angle. The cam housing is configured to form a gap between the posterior cam and the spine when the knee is normally extended. In another feature, the spine includes a stiffening pin extending therethrough.

The invention comprises an elongated device adapted for insertion, including self-insertion, through the body, especially the skull. The device has at least one effector or sensor and is configured to permit implantation of multiple functional components through a single entry site into the skull by directing the components at different angles. The device may be used to provide electrical, magnetic, and other stimulation therapy to a patient's brain. The lengths of the effectors, sensors, and other components may completely traverse skull thickness (at a diagonal angle) to barely protrude through to the brain's cortex. The components may directly contact the brain's cortex, but from there their signals can be directed to targets deeper within the brain. Effector lengths are directly proportional to their battery size and ability to store charge. Therefore, longer angled electrode effectors not limited by skull thickness permit longer-lasting batteries which expand treatment options.

An implement for orientating a tool at a predetermined angle with respect to a plane of a target surface to be engaged by the tool includes a rod having a distal end coupled to a head formed with three contact points arranged in a circular array around the longitudinal axis of the rod, such that the three contact points define a plane. The rod is coupled to the head with the longitudinal axis of the rod at the predetermined angle to the plane defined by the three contact points, such that when the three contact points of the rod are in contact with the target surface, the longitudinal axis of the rod is at the predetermined angle with respect to the plane of the target surface. The implement is described particularly for orientating a surgical cutting tool perpendicularly to bone tissue for harvesting and implanting a bone plug to repair damaged bone tissue.

Embodiments of instrumentation and methods are provided for the insertion of intervertebral disc prosthesis. The instrumentation of the embodiments comprises a guide comprising at least two lateral faces, at least one upper plate, at least one lower plate, at least one retainer, a cage defining an insertion axis for the prosthesis, and an angle adjuster adapted to adjust an angle formed by the insertion axis and an antero-posterior sagittal axis; and at least one separator sized to maintain a gap between the upper vertebra and the lower vertebra. Methods for implanting a prosthesis using the disclosed instrumentation comprise implanting a pin in the median sagittal axis of a vertebrae; measuring the dimensions of the intervertebral space; choosing the prosthesis; choosing the guide; adjusting the angle adjuster; positioning the guide adjacent to the intervertebral space; inserting the prosthesis into the guide; and inserting the prosthesis into the intervertebral space.