78 results about "Syme prosthesis" patented technology

A prosthesis for the replacement of a diseased or traumatized facet of a mammalian vertebra includes a surface that articulates with another prosthetic facet or a natural facet, a portion that replaces at least a bony portion of the diseased or traumatized spine facet which is to be replaced, and an element to attach the prosthesis to the vertebra in a manner that does not require attachment to or abutment against the posterior arch. A method of installing the prosthesis includes the steps of resecting at least a portion of a facet and attaching the prosthesis in a manner that does not require attachment or abutment against the posterior arch.

Disclosed herein are spinal implants particularly useful in interbody fusion surgery. One embodiment pertains to a plate configured to establish desired lordosis and / or disc height that may be implanted and secured to a superior and inferior vertebral body. The plate may be interlocked with a spacer component to form a single implant. Also disclosed is an anti-backout mechanism that helps prevent fixators from backing out upon securement of the plate in the spine. Kits comprising different sizes and inclination angles of components are disclosed, which can assist the surgeon in preoperatively assembling an implant to best fit in the surgical site of the patient.

A device in a leg prosthesis which via a pivot axle is connected to the leg prosthesis, wherein first means are arranged to permit a limited rotation of the foot with respect to the leg prosthesis from an initial position, in which the leg prosthesis and the foot have a certain angle with respect to each other and second means are arranged to permit a stepless adjustment of the angle between the prosthesis and the foot in the initial position.

A prosthetic ankle and foot combination has an ankle joint mechanism constructed to allow damped rotational movement of a foot component relative to a shin component. The mechanism provides a continuous hydraulically damped range of ankle motion during walking with dynamically variable damping resistances, and with independent variation of damping resistances in the plantarflexion and dorsiflexion directions. An electronic control system coupled to the ankle joint mechanism includes at least one sensor for generating signals indicative of a kinetic or kinematic parameter of locomotion and / or walking environment, the mechanism and the control system being arranged such that the damping resistances effective over the range of motion of the ankle are adapted automatically in response to such signals. Single and dual piston hydraulic damping arrangements are disclosed, including arrangements allowing independent heel-height adjustment.

Various embodiments of the present invention relate to an apparatus and method for reverse shoulder arthroplasty (e.g., reverse total shoulder arthroplasty). In one specific example, a glenoid component used to resurface the scapula may be provided. Of note, unlike traditional total shoulder arthroplasty the glenoid component in a reverse shoulder is convex rather than concave; it acts as a physical stop to prevent the superior migration of the humeral head—a typical occurrence in patients suffering from rotator cuff tear arthropathy (CTA).

A method and system for fitting and adjusting the operation of an acoustic hearing prosthesis or a hybrid electric and acoustic hearing prosthesis. A graphic user interface allows for the acoustic and electric fitting parameters to be viewed and adjusted in a comparable way. The method further allows for the parameters for acoustic stimulation of the acoustic channels to be adjusted in response to behavioural or objective measurement of responses to known stimuli, so as to achieve a desired response curve.

An artificial knee joint includes a knee seat attached to a residual thigh, a support frame attached to a prosthetic lower leg, and a driving member disposed pivotally in a mounting recess in the knee seat. A cushion device is disposed between the knee seat and the driving member. Two links have lower ends connected pivotally to the support frame. Two pivot pins extend respectively through upper ends of the links, and are journalled respectively within two mounting holes in the driving member by two bearing members, at least one of which is configured as a unidirectional bearing. When a knee angle is equal to a threshold angle, a pin-locking member is disposed in a pin-locking position so as to prevent rotation of the pivot pins within the driving member and, thus, relative rotation between the knee seat and the support frame.

Pre-surgical planning for cranial and facial reconstruction includes preparing a computer generated jaw or skull model for determining a locational position for a dental implant, a surgical bone implant to repair missing bone in the cranium, install ear prostheses, and / or install nose prostheses. The computer generated jaw or skull model is made from medical imagery and computer aided design. A surgical guide is prepared with oversize holes in registration with analogs for the dental or surgical bone implants to be inserted at the locational positions determined by a dentist or surgeon in the jaw or cranial skull model. The surgical guide is fitted atop each analog, and the surgical guide is bonded to the jaw or skull model at a predetermined angle of the analog in the jaw or skull. The surgical guide is removed from the model attached to the law or skull of a patient for accurate drilling during the dental or surgical procedure for insertion of the implants into the jaw or skull of the patient.

A screw-shaped anchoring fixture for anchoring a prosthesis in the skull bone. The anchoring fixture comprises a main body configured to be implanted into the bone and a flange configured to function as a stop to prevent the main body from completely penetrating through the bone. The main body comprises a distal tapered apical portion, a first portion, and a second portion. The inner diameter of the second portion is greater than the inner diameter of the first portion. The method for inserting the anchoring fixture includes providing the anchoring fixture, drilling a hole, and inserting the anchoring fixture into the hole until the flange contacts the skull bone, wherein the hole has a diameter that is greater than the inner diameter of the first portion and less than the outer diameter of the second portion.

An improved lower leg prosthesis is disclosed that, during use, provides an improved dynamic feel at heel strike and that provides improved inversion / eversion compliance. The prosthesis includes an elongated pylon having an upper, generally vertical section and a lower, forwardly oriented foot section, and it further includes a generally horizontally oriented foot plate disposed beneath the pylon and including a heel section projecting a substantial distance rearwardly of a vertical pylon axis. An elastomeric layer is interposed between the pylon and the foot plate, extending along substantially the entire length of the heel section of the foot plate, for attaching the pylon and foot plate together. During use of the prosthesis, at heel strike, upward deflection of the foot plate's heel section is limited in substantial part both by the stiffness of the heel section, itself, and by compression of the portion of the elastomeric layer disposed rearwardly of the vertical pylon axis.

Radial head prostheses and trialing devices. A radial head prosthesis includes a head component and a stem component, and may include an intermediate component. The head component may be offset from the stem component. The head component includes a bearing surface having an axis of rotation, which may be radially and / or angularly offset from the central longitudinal axis of the stem component. A radial head trialing device may include cutting edges for resection of a distal radius. Another trialing device may allow for adjusting the radial offset and / or angular position of a trial head component from a trial stem component.

A method of virtually producing a dental stent for placing one or more dental implants based on data derived from scanning a patient's mouth and a prosthesis to be installed or an impression of the patient's existing teeth. The virtual dental stent is converted to a usable dental stent, which is, thereafter, used to guide the placement of the one or more dental implants into the patient's jawbone. After the dental implants have been placed, a prosthesis can be mounted onto the dental implants.

A modular prosthetic socket for a residual limb of a lower extremity of a patient may include an adjustable height ischial seat for facilitating the distribution of body weight away from the distal end of the residual limb and channeling the weight preferentially through the ischial tuberosity. In one aspect, the modular prosthetic socket may include a base plate, multiple longitudinal struts, and an ischial seat pad adjustably coupled with the proximal end of a medial strut, such that the ischial seat pad is vertically adjustable relative to the medial strut to adjust a total length of the medial strut measured from a proximal end of the ischial seat pad to the distal end of the medial strut. The ischial seat pad is configured to engage an ischium of the patient when the prosthetic socket is worn by the patient.

Prostheses and methods for repair of a cervical fact joint. The articulating surfaces of the natural facets of the facet joint are removed only a sufficient amount to allow the insertion of flat or slightly curvilinear portions of protheses therebetween in an overlapping relationship. The portions are so inserted and the prostheses mounted by attachment to adjacent vertebrae. Also, a single natural facet may be similarly repaired with a single prosthesis.

A prosthetic mounting device for securing a prosthetic device on bone tissue. The device includes a bone screw and a prosthetic abutment attached to an aft end of the screw. The abutment engages and rigidly supports a prosthesis. A tapered collar extends radially outward from around the aft end of the threaded shaft. In one embodiment, the device also includes an installation handle connected to and extending axially from the abutment. A rotary driver is used to engage and rotate the handle. The handle detaches from the abutment under a predetermined torque load both to cue an installer that increased bone density requires that a different instrument be used and that bone density is sufficient to support both initial and long-term stabilization.

A dental prostheses modeling system includes a re-usable tray having in an upper part thereof a trough for receiving a semi-liquid casting material such as plaster of Paris or die stone, the trough having opposed vertical walls in which are formed alternating vertically disposed ribs and grooves for molding complementary shaped grooves and ribs in opposed sides of the base of a dental model casting molded in said tray. The trough has a base frame which overlies an upwardly concave lower cavity for receiving liquid die stone after the casting base has solidified, hardened and been removed. The base frame has therethrough an elongated aperture joining the upper trough to the lower cavity. A resilient insert is removably lodged in the base frame aperture to form therewith a liquid-tight seal, whereupon liquid die stone is poured into the upper trough to form the base of a dental model casting. After the casting has hardened, the insert is removed, and pins are fitted into selected portions of the cast base. The tray is then inverted to receive liquid die stone which hardens to form a stone base matrix for insertably receiving pins protruding from the casting base. The casting is then severed into segments which are releasably re-engageable along with adjacent portions of the casting within the tray, proper registration between segments of the casting being effected by insertable receipt of pins within holes formed in the matrix during hardening thereof, and engagement between ribs and grooves of the casting segment bases with complementarily-shaped grooves and ribs in the inner side walls of the upper tray trough.

A above knee prosthesis (P) applied to femoral connection (100) of an amputee that comprises a upper hinge (1) connected to femoral connection of the patient, an articulation axis (2) with the function of reproducing the knee movements, a tibia-calf muscle unit (3) pivotally connected to the femoral•segment and a damper (5) that reproduces some functions of the calf muscle and ensures to the prosthesis to brake and to allow the sequential swing and stance phases typical of the gait. The damper comprises a cylinder (5c) wherein a piston (10) and a stem (9) act connected to each other and adapted to carry out a damping reaction of said damper responsive to the forces loaded on the prosthesis. In particular, a force transducer is provided in the damper arranged, in particular, in the stem with a microprocessor that receives a force signal from the transducer and operates means for adjusting the reaction of the damper responsive to the detected force signal.

A stemless prosthetic shoulder joint may include a prosthetic humeral head and a stemless base. The stemless base may include a collar and an anchor extending from the collar intended to anchor the base into the proximal humerus. The anchor may include various features to enhance the fixation of the base, including hooks, threads, and / or expandable members that may be transitioned from a contracted insertion condition to an expanded implanted condition once the base is positioned in the bone. The anchor and / or collar may also include additional features to enhance fixation, such as geometries and surface features to enhance fixation to bone. The anchor may include a plurality of chisel slots to facilitate removal of bone during a revision surgery.

A hand held dental tool for removing dental prostheses and dental appliances from a user's mouth comprises a handle that facilitates a sturdy grip and an engagement head affixed an end of the handle for engaging the prosthesis of appliance. The engagement head has dual fingers extending oppositely away from the head wherein a first finger extends upwardly from the head and a second finger extends downwardly from the head for engaging lower and upper prostheses respectively.

A limb prosthesis which via coupling means is adapted to be connected to an implant in the form of an osseointegrated shaft projecting from an amputated stump. The coupling means comprises a flexible joint and the prosthesis further comprises at least one force transmitting device secured to and extending from a prosthetic member connected to the coupling means up to a position on the amputated stump or body portion to which the stump connects. The force transmitting device is adapted to be secured to the stump or other body portion in such a way that it relieves the implant from at least part of the bending and / or rotational forces exerted to the prosthetic member.

The invention relates to a thigh stump endoprosthesis for an exoprosthetic treatment of a patient whose leg has been amputated in the thigh area, whereby the thigh stump can be pulled into a shaft to which the replica of a lower leg part and foot part of the prosthesis is attached. The inventive prosthesis includes a proximal shaft part which can be inserted inside a femur stump, whereby the shaft part is at least partially covered by an open-mesh three-dimensional spatial network structure, and includes a conical adapter on the distal end thereof. A condyle replacement which re-creates the shape of natural condyles of a knee joint can be coupled to the shaft part by means of said adapter. A cuneiform support can be joined to the condyle replacement with a wedge angle alpha which restores the valgity of the leg.

An aid device for the motor disabled, suitable for allowing walking of transfemoral amputees, having: a lower-limb prosthesis of an amputated limb; a lower-limb orthosis suitable to be worn at a sound contralateral lower-limb; an orthotic pelvis module connecting the prosthesis to the lower-limb orthosis; and a control unit for the operational coordination of movements of the prosthesis and the lower-limb orthosis.

A joint prosthesis includes e.g., a femoral component and a tibial component. The medial and lateral condylar articular surfaces may have substantially uniform and equal radii from full extension to about 90° of flexion. From 90°, the lateral condylar articular surface has a smaller radius than the medial condylar articular surface such that the medial condyle gradually becomes increasingly more proud than the lateral condyle to facilitate internal rotation of the tibia at deep flexion. Also, the tibial articular component may include a post intermediate the medial and lateral compartments that engages a cam on the femoral articular component between the medial and the lateral condylar articular surfaces. The cam and post become congruent at flexion angles of approximately 70° flexion and mate symmetrically during the first 20°-30° of further flexion, and then mate asymmetrically at greater degrees of flexion to force internal rotation of the tibia.

A device to couple a prosthesis to a human leg stump above-the-knee in a first embodiment, and below the knee in the second embodiment. The device has an upper and a lower plate, the connecting mechanism being disposed in the lower plate. The upper plate is round and the same in both embodiments, but for above-the-knee junctions, the lower plate is elliptical while for below-the-knee junctions, the lower plate is round and of the same diameter as the upper plate. The operative connection is achieved by use of a guillotine, whose horizontally disposed blade engages one of a plurality of grooves on a locking stud. The movement of the spring-loaded guillotine is controlled by a retractable release pin to permit the guillotine to engage in or disengage the groove to which is disposed.

Presented herein are objective techniques for determining the upper limit of the dynamic range (i.e., the comfort level) of implanted stimulating contacts through the use of electrocochleography (ECoG) measurements to indirectly detect the onset and duration of a recipient's stapedius reflex. In particular, stimulation is delivered to a recipient's cochlea to trigger the onset of the stapedius reflex and the resulting acoustic impedance change is detected by monitoring the acoustically evoked ECoG.

A dental prosthesis and a process for design and manufacturing, incorporating a dental implant framework and veneering overlay that will be designed and manufactured simultaneously and permanently fixated to one another.

An alignment adapter for prosthetic sport feet, such as running feet, includes a male pyramid plate having a male pyramid, a female connector plate having a female connector, and a back plate. For use during alignment of a prosthetic running foot, the male pyramid plate is coupled to the back of a user's socket and the female connector plate and back plate are clamped about the foot. The male pyramid and female connector are coupled and adjusted relative to one another to achieve a desired alignment. The socket and foot are locked in an alignment fixture to maintain the alignment and the male pyramid, female connector, and back plates are removed. A laminated plate is coupled to the socket to maintain alignment during normal use.

An ankle-foot prosthesis includes a foot plate, an ankle frame attached to the foot plate, a yoke pivotally connected to the ankle frame and including a member for attaching to a leg, a damper having a first end connected to the yoke and a second end connected to the ankle frame, and a control mechanism for switching the damper between low and high settings.