349 results about "Vertebral bone" patented technology

Threaded bone implants, such as pedicle screws, are provided with an elongate body comprising a first portion, a second portion distal to the first portion, and a third portion distal to the second portion. The first, second and third portions may be provided with different features that correspond to first, second and third anatomical regions of interest in a vertebrae or other bone segment(s). The bone implants, systems, methods of manufacture, and methods of use disclosed herein may be used for the stabilization, fixation and / or fusion of the sacroiliac joint, the spine and or other bone segments.

An expandable vertebral device includes a base assembly having end portions that are movable relative to one another via adjustment of an adjustment mechanism at the first end portion. A plurality of movable plates are movably disposed at the base assembly and are at least vertically movable relative to the base assembly as the end portions are moved relative to one another. Each of the end portions has a pair of vertical guide elements and may have a pair of lateral guide elements. Each of the movable plates includes a vertical guide that moves along the respective vertical guide element and may have a lateral guide that moves along a respective lateral guide element. When the adjustment mechanism is adjusted to draw the end portions toward one another, the movable plates move outward from a longitudinal axis of the base assembly as the guides move along the respective guide elements.

The invention provides an interbody fusion cage and a manufacturing method of the interbody fusion cage. The interbody fusion cage comprises a first end plate assembly, a second end plate assembly and an elastic supporting assembly. The two ends of the elastic supporting assembly are connected with the first end plate assembly and the second end plate assembly respectively. The first end plate assembly comprises an end plate body, a tooth retreating prevention structure and a porous structure, the end face of one end of the end plate body is connected with the elastic supporting assembly, and the end face of the other end of the end plate body is a bearing contact face used for abutting against vertebra tissue; the tooth retreating prevention structure and the porous structure are respectively arranged on the bearing contact surface; the tooth retreating prevention structure protrudes out of the bearing contact surface and is used for being fixedly connected with vertebra tissue; hollowed-out holes are formed in the porous structure and used for allowing a part of growing vertebra tissue to extend into the porous structure. The interbody fusion cage solves the problems that in the prior art, due to the fact that the contact area between an interbody fusion cage and vertebrae is small, postoperative prostheses are prone to disengagement or looseness, end plate sclerotin is damaged, and the fusion efficiency is poor.

Provided herein are an anchor and interbody for interbody fusion, including an interbody for insertion between human vertebrae, including an interbody cage including a plurality of anchor receptacles, each anchor receptacle configured to receive an anchor to secure the interbody to a vertebra; and the anchor, including a head configured to engage an anchor receptacle; a curved partial-tubular shank with a convex curve, connected to or integral with the head at a distal end of the head, and extending from the head; a tapered tip portion extending from a distal end of the curved partial-tubular shank; one or more rails integral with or connected to an outside surface of the anchor, extending from a proximal end of head and along the curved partial-tubular shank to a proximal end of the tapered tip portion; and a feature formed from two flat surfaces on an outside of the anchor and a rail.

The present disclosure relates to an artificial lumbar disc and provides a lateral approach artificial disc that is inserted laterally rather than anteriorly of the spine, thereby preventing damage to blood vessels or other organs that may occur when an anterior access artificial disc is inserted from the front, shortening the surgical time, preventing dislodgment of the artificial disc, and improving the surgical prognosis. The artificial disc is inserted between two adjacent vertebrae and includes an upper plate contacting an upper vertebra, a lower plate contacting a lower vertebra, and an inserter inserted between the upper plate and the lower plate to allow the upper plate to rotate by a set angle with respect to the lower plate, and an upper wing portion and a lower wing portion are formed on the upper plate and the lower plate.

A spinal implant device includes a unitary strand extending from a first end to a second end. The unitary strand includes an exterior surface defining an infill volume with an infill structure. The exterior surface extends from the first end to the second end. A first bead is formed in the strand has a first diameter. The second bead is formed in the strand has a second diameter. At least one joint is formed in the strand between the first bead and the second bead. The at least one joint has a third diameter that is less than the first diameter and less than the second diameter.

A bone fixation system comprises a first fastener configured to anchor into a first vertebrae, a second fastener configured to anchor into a second vertebrae, and a set screw to retain the second fastener to the first fastener. The first fastener includes a shaft extending along a longitudinal axis and a head. The shaft includes a first cylindrical body. The head of the first fastener includes a second cylindrical body defining a passageway having an interior surface. The passageway defines a longitudinal axis that is different than the longitudinal axis of the shaft. The first cylindrical body of the shaft and the second cylindrical body of the head are angled relative to each other. A head of the second fastener is configured to engage the interior surface of the passageway of the head of the first fastener. The set screw retains the head of the second fastener in the passageway.

A method of providing a guidance device for guiding a bone removal instrument for the removal of bone from a cervical vertebra and providing a vertebral body replacement device for placement into a void in a cervical spine between two endplates of a single vertebra during the course of an anterior spinal surgical procedure upon the cervical spine wherein the vertebral body replacement device has been given a PLR product code from the Food and Drug Administration (FDA).

Expandable fusion devices, systems, instruments, and methods thereof. The expandable fusion implant may include an upper endplate and a lower endplate configured to engage adjacent vertebrae, an expansion gear configured to adjust a height of the upper endplate, a locking collar configured to attach to an inserter instrument at multiple orientations for a desired surgical approach, and an actuation ram configured to lock, unlock, or change insertion orientation of the locking collar. The expandable fusion device is attachable to the inserter instrument to reorient the locking collar and expand the upper endplate.

Proposed is a vertebral cage including a body which is inserted between a vertebra and a neighboring vertebra, and is provided with a space part that can be filled with bone powder; a blade which is rotatably provided on an inner side surface of the body. The cage also includes a locking means which fixes the blade, which has or has not been rotated on the body, on the inner side surface of the body, wherein the locking means comprises fixing protrusions and groove parts which are provided on mutually facing surfaces of the body and the blade, and coupled to each other.

A unique, universal Zero-Profile Expandable Intervertebral Spacer (ZP-EIS) device for fusion and distraction throughout the entire spine is provided which can be inserted via anterior, anterolateral, lateral, far lateral or posterior surgical approaches dependent on the need and preference. Multiple ZP-EIS embodiments each with unique mechanisms of calibrated expansion are provided. Two of these embodiments incorporate bi-directional fixating transvertebral (BDFT) screws and five other embodiments do not incorporate BDFT screws. A tool for implantation into the intervertebral device and calibrated device expansion is also disclosed.

An intervertebral fusion device comprises an endplate, a core component and at least one ratchet. Each of the endplate and the core component has a leading end and a trailing end and is configured to be received in an intervertebral space defined between first and second vertebrae. The ratchet comprises a pawl and a linear rack defining plural recesses. The pawl is comprised in the core component or the endplate and the linear rack is comprised in the other of the core component and the endplate. The core component and the endplate are configured to engage with each other by disposing the leading end of the core component adjacent the trailing end of the endplate and then moving the core component relative to the endplate in a direction of insertion such that the leading end of the core component moves towards the leading end of the endplate and extent of overlap of the core component and the endplate increases. The plural recesses of the linear rack extend in the direction of insertion and from near or at one of the leading end and the trailing end of the other of the core component and the endplate towards the other of the leading end and the trailing end of the other of the core component and the endplate. The plural recesses extends by no more than 60% of a distance between the leading end and the trailing end. The ratchet is configured such that the pawl starts to inter-engage with the plural recesses of the linear rack as the core component is moved further relative to the endplate in the direction of insertion and such that the pawl progresses along the plural recesses with further movement of the core component until the core component and the endplate have a desired extent of overlap.

A bone fusion method, system and device for insertion between bones that are to be fused together and / or in place of one or more of the bones, such as, for example, the vertebrae of a spinal column. The bone fusion device comprises one or more extendable tabs having a central rib. The bone fusion device includes one or more support channels configured to receive an insertion instrument that is then secured to the bone fusion device via a coupling mechanism. As a result, the coupled device is able to be securely positioned between vertebrae using the insertion instrument with minimal risk of slippage.

Described herein are various implementations of systems and methods for treating back pain (e.g., chronic low back pain) caused by different (e.g., independent) sources of pain, such as pain originating or stemming from intervertebral discs, from vertebral endplates, and / or from intraosseous locations within one or more vertebral bodies. For example, methods for treating back pain (e.g., chronic low back pain) may involve both vertebral fusion (e.g., arthrodesis or spondylodesis to fuse adjacent vertebrae) and neuromodulation (for example, ablation of nerves within or surrounding one or more of the adjacent vertebrae). The neuromodulation may facilitate treatment of pain that is generated by insertion of fusion hardware.

The invention discloses a patient-specific finite element model-based vertebroplasty optimization method and a related device. The method comprises the following steps of: constructing a patient-specific three-dimensional spine model according to a vertebral bone structure and a vertebral soft tissue structure; discretizing the patient-specific three-dimensional spine model into tetrahedral finite element grids, endowing each finite element unit with bone material attributes according to pixel values of CT scanning images, and endowing intervertebral disc and ligament soft tissue structures with soft tissue material attributes; determining an optimal bone cement injection path and an optimal bone cement injection amount of the tetrahedral finite element mesh; and simulating the vertebroplasty in the tetrahedral finite element mesh, predicting the stress distribution of the vertebrae, the rigidity of the vertebrae and the stress change of the adjacent vertebrae after the operation, and presenting the simulation result of the simulated vertebroplasty in a three-dimensional visual form. According to the method, personalized optimization and prediction of preoperative simulation of the vertebroplasty are realized by constructing the patient-specific finite element model, and an efficient auxiliary reference operation scheme is provided for an operator.

The invention relates to a spinal degenerative disease grading early warning and rehabilitation management system and method, and belongs to the technical field of medical equipment. The system comprises a system control module, a first-stage detection module, a second-stage detection module, a third-stage detection module, a data processing module, an evaluation module and a rehabilitation management module. The first-stage detection module is used for acquiring foot pressure distribution data of a patient; the secondary detection module collects electromyographic signal data of muscles around the spine of the patient; the third-stage detection module is used for collecting vertebral bone mineral density data of the patient. The data processing module is used for preprocessing and analyzing the collected data; the evaluation module is used for carrying out grading evaluation on the spinal degenerative lesion; and the rehabilitation management module formulates a personalized rehabilitation scheme according to the evaluation result. The system adopts a logic mechanism of hierarchical detection and hierarchical intervention, automatically adjusts intervention measures according to different evaluation indexes, and realizes accurate rehabilitation management. The risk of spinal degenerative diseases is found in an early stage, a targeted rehabilitation scheme is provided, and spinal diseases are effectively prevented and managed.

A system for injecting a bone reinforcement composition into at least one bone proximate a joint, wherein the bone reinforcement composition is injected to reinforce the region of the bone proximate the joint. The bone reinforcement composition is injected using a bone reinforcement composition delivery system. An aperture through an implant is employed to locate the delivery system in an appropriate location of the respective bone. A secondary alignment tool can be employed to aid in registering the delivery system with the aperture. For a vertebral interbody device, the aperture is provided through a vertebral flange. An interbody insertion tool can include a primary registration feature to align the delivery system with the aperture. Once aligned, a needle of the delivery system is inserted into the bone and a volume of the bone reinforcement composition is injected into the bone.

The utility model relates to a bone grafting instrument. The bone grafting instrument comprises a handle, an extension tube, a sealing cover and a storage bin for placing broken bones, the front end of the handle protrudes from back to front to form a protruding part, the extension pipe is communicated with the protruding part, and the sealing cover is in threaded connection with the end, away from the extension pipe, of the handle. According to the bone grafting instrument, through the mechanical structure of the pushing rod and the pushing plate, broken bones can be rapidly and effectively pushed to the position between adjacent vertebrae from the storage bin, the operation efficiency is greatly improved, the operation time and discomfort of a patient are reduced, the top plate and the closing assembly are used in cooperation, the broken bones can be accurately controlled to be released in the pushing process, and the bone grafting effect is improved. Compared with the prior art, excessive scattering or blocking of broken bones is avoided, the accuracy and the success rate of an operation are guaranteed, in addition, the storage bin is closed through the closing assembly, the broken bones are effectively prevented from leaking in the pushing process, the clean and sterile state of an operation area is kept, and the infection risk is reduced.

A spinal fixation system for use in securing a spinal rod to a vertebra using a lockable bone screw connector. The connector is configured to be movably connected to the head of a bone screw, and a spinal rod can then be used to physically connect a first vertebra to a second vertebra. The spinal fixation system includes a tool grasping the connector by a locking and / or unlocking instrument that can allow the connector to lock to the bone, screw by moving a collet, while the connector can still move along the spinal rod until locked into place by a set screw. The connector can be selectively unlocked from the bone screw for adjustment or removal.

A multi-portal method for treating a subject’s spine includes distracting adjacent vertebrae using a distraction instrument positioned at a first entrance along the subject to enlarge an intervertebral space between the adjacent vertebrae. An interbody fusion implant can be delivered into the enlarged intervertebral space. The interbody fusion implant can be positioned directly between vertebral bodies of the adjacent vertebrae while endoscopically viewing the interbody fusion implant using an endoscopic instrument. The patient’s spine can be visualized using endoscopic techniques to view, for example, the spine, tissue, instruments and implants before, during, and after implantation, or the like. The visualization can help a physician throughout the surgical procedure to improve patient outcome.

Provided is a system that is capable of easily placing an interbody spacer accurately in a predetermined position between vertebral bodies using the PLIF procedure, even in a narrow surgical field. The system has an interbody spacer including a pair of contact surfaces to be in contact with vertebral bodies, a ventral surface which is a side surface on a ventral side having a convex shape in plan view and which connects the pair of contact surfaces on the ventral side, a ventral groove formed along the curved direction on the ventral surface, and an interbody spacer engagement portion having a radius of curvature smaller than a radius of curvature of the ventral surface, formed on a bottom surface of the ventral groove. The system has a guiding tool for guiding the interbody spacer to a predetermined position between the vertebral bodies, the guiding tool including a guide rail to be fitted into the interbody spacer engagement portion on a distal end side, a handle portion to be grasped by the surgeon outside the patient's body on a proximal end side, and a guide rail engagement portion on a distal side of the guide rail having a radius of curvature in plan view which is the same as the radius of curvature of the interbody spacer engagement portion in plan view.

CT images from the neck, lung, cardiac, abdominal, pelvis, hip, spine or lower extremity areas are obtained and analyzed by a computer to measure trabecular bone density on each level it is available, in the spine and hip. Any bone tissue associated with vertebrae that is fractured is excluded, along with Schmorl's nodes, large blood vessels, and cortical bone, to accurately average the trabecular bone density on a scan. The density of fat, heart, and muscle tissue of a subject is used to calibrate the results. That data may be input to an absolute fracture risk model (Fracture Risk Algorithm calculator). Information such as bone density, T score, Z score, fracture risk, and identification of vertebral fractures (if present) may be determined and reported.

The invention belongs to the technical field of bone cement dispersion prediction, and discloses a bone cement dispersion state prediction method, which comprises the following steps: S1, acquiring voxel points of a preoperative vertebra image as modeling data to train network parameters of a first convolutional neural network; s2, calculating a first velocity field and a first pressure field of flowing of the bone cement to obtain first training output data and second training output data; s3, calculating a directed distance function value of the flow area grid and outputting an area mark to obtain first training input data and second training input data; s4, training to obtain network parameters of a second convolutional neural network; s5, calculating a target velocity field and a target pressure field of the flowing of the current bone cement to be injected; and S6, calculating the motion track of the current to-be-injected bone cement to obtain the dispersion state of the current to-be-injected bone cement. The bone cement dispersion state prediction accuracy is high, and reliable reference can be provided for bone cement injection in a clinical operation.

An expandable prosthetic implant for engagement between vertebrae includes a first member having a first end, a second end, a plurality of extensions and a hollow interior portion extending from the first end to the second end, wherein the plurality of extensions extend from the first end to the second end. A second member includes a first end, a second end, a hollow interior portion extending from the first end to the second end, and a plurality of extensions extending from the second end to the first end. The plurality extensions of the first member are configured to coaxially interdigitate with the second member, and the plurality of extensions of the second member are configured to coaxially interdigitate with the first member. The first member of the implant is moveable relative to the second member along a longitudinal axis.

A novel orthosis for correcting and modifying the position of vertebrae in the spine and neck. A plurality of force vectors are generated by the orthosis which transfers the forces to the wearer to counter compression and / or displacement of the vertebrae. In addition, the magnitude of the force vectors can be modified while wearing the orthosis which improves comfort and efficacy.

An interbody cage for the spinal column structured as a scaffold made of at least two folding and unfolding scaffoldings: one base member (also named a cage body) which receives the pivoting means of a pivoting member (also named an extension member), and one extension member, structured to pivot around an axis on the cage body from a first folded or stowed configuration to a second unfolded or deployed configuration such that the perimeters of the contact surfaces between the interbody cage and the vertebrae and / or the height of the interbody cage increase from the stowed configuration to the deployed configuration.

An implant that is implantable between vertebrae includes a monolithic body with a first end and a second end opposite the first end, an outer surface extending axially from the first end to the second end, a plurality of teeth at the first end, each of the teeth extending axially away from the second end to a free end, and an abutment surface facing away from the second end that is positioned radially inwardly relative to at least one of the teeth. The abutment surface is recessed axially relative to the free ends of the teeth to an extent such that the abutment surface is configured to contact a vertebra when the implant is implanted. The monolithic body is configured to extend axially over a majority of an entire axial length of the implant.

A biomimetic intervertebral fusion device with a piezoelectric multifunctional coating belongs to the field of implantable medical devices. It includes an upper piezoelectric multifunctional coating, a fusion device body, and a lower piezoelectric multifunctional coating. A bone graft window is located in the middle of the biomimetic intervertebral fusion device. The piezoelectric multifunctional coating is made of electrospun piezoelectric PVDF / HA fibers, which are conformally adhered to the upper and lower surfaces of the fusion device body through a polydopamine adhesive layer. The upper and lower surfaces of the fusion device body have a biomimetic curved surface configuration to match the morphology of the vertebral endplates, increasing the contact area and reducing stress concentration at the fusion interface. While maintaining an elastic modulus similar to natural bone and good radiation permeability, this fusion device, after implantation, can create a microenvironment conducive to cell adhesion and proliferation. Under the influence of cell traction, ultrasonic stimulation, and the physiological load of the human lumbar spine, it generates electrical stimulation signals, promoting bone fusion, improving the stability of the fusion interface, and reducing the risk of postoperative loosening and subsidence of the fusion device.

An expandable spinal implant includes a distal projection extending from only one side of the implant, ending in an anterior tip, the anterior portion and anterior tip defining an elongated distal end hook, which is wider than the proximal end. The distal end hook rotates around the spinal cord, aligning the implant with a desired pathway, then inserts into place in the disc space between the vertebrae. The elongated widened distal end hook provides a TLIF approach, distributes loads, provides anterior rim engagement, and creates lordosis.

An intervertebral implant for implantation in an intervertebral space between vertebrae. The implant includes a body extending from an upper surface to a lower surface. The body has a front end, a rear end and a pair of spaced apart first and second side walls extending between the front and rear walls such that an internal chamber is defined within the front and rear ends and the first and second walls. The body defines an outer perimeter and an inner perimeter extending about the internal chamber. At least one of the side walls is defined by an integral porous structure.