The present disclosure describes a surgical guide comprising a cutting guide defining a plurality of cutting slots and including at least one removable insert positioned between the plurality of cutting slots. The at least one removable insert defines an aperture which is designed to receive a surgical fastening device. The surgical guide further comprises a template guide which defines a feature. The at least one removable insert is designed to fit in the template guide at least in part using the feature.
The present disclosure sets forth a system and method for forming sheets of material, such as titanium mesh or plates, for surgical applications prior to surgery. The disclosed solutions provide this capability without incurring expense from use of PEEK or PEKK by manufacturing contoured plates based on a shape of an anatomical structure in a 3D image, such as a pre-defect MRI. The contoured plates are used to stamp the titanium mesh, plate, or other sheet of material into the shape of the bone prior to the defect. In some aspects, the mesh or other material layer can also be trimmed prior to surgery using, for example, a reproduction of the anatomical structure manufactured from a post-defect MRI of the same anatomical structure.
The present disclosure provides a burr hole cover (e.g., burr hole cover) and method of manufacturing such apparatus. The burr hole cover disclosed herein may be multi-functional in that it may be used to: (a) form a burr hole which provides access to the brain, and (b) facilitate concealing the burr hole without employing any fastening devices (e.g., surgical screws, wires, etc.). In embodiments, the burr hole cover may include a sleeve having an outer surface, an inner surface, and a hollowed portion. In embodiments, the outer surface of the sleeve may define external serrations. The sleeve may be configured to create a burr hole in a skull, and the external serrations may be configured to secure the sleeve within the burr hole. The burr hole cover may also include a plate configured to fit with the sleeve and conceal the burr hole.
A61B 90/10 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures pour la chirurgie stéréotaxique, p. ex. système stéréotaxique à cadre
A61N 1/05 - Électrodes à implanter ou à introduire dans le corps, p. ex. électrode cardiaque
In an aspect, a method of manufacturing a surgical kit includes providing one or more medical devices based on a three-dimensional (3D) image of an anatomical structure. The method additionally includes providing packaging based on the 3D image, and providing the surgical kit utilizing the packaging and the one or more medical devices. In another aspect, a surgical kit has one or more contoured packaging surface having a contour that matches a contour of an anatomical structure. The contoured packaging surface has one or more features for receiving one or more medical devices provided based on the contour in the 3D image. The surgical kit additionally has a lid connected under pressure with the one or more contoured packaging surface. The lid has apertures for sterilization of components of the one or more medical devices situated between the lid and the contoured packaging surface.
A61B 50/30 - Récipients spécialement adaptés à l'emballage, la protection, la distribution, la collecte ou l'élimination des appareils ou des instruments chirurgicaux ou de diagnostic
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
A61B 17/88 - Moyens ou procédés pour implanter ou pour extraire des dispositifs de fixation interne
A61B 50/00 - Récipients, étuis, mobilier ou supports spécialement adaptés aux appareils ou aux instruments chirurgicaux ou de diagnostic, p. ex. étuis stériles
A lead fixation device for attaching a deep brain stimulation lead within in a burr hole in a human skull. The lead fixation device may comprise a mounting plate and an insertion collar extending from a lower surface of the mounting plate and configured to be received in within the burr hole in the human skull. The mounting plate may comprise a mounting flange, a first arm and a second arm. The mounting flange and the first arm may comprise a static mounting hole while the second arm may comprise an adjustable mounting hole. The second arm may be movable to an operating position when the second arm is compressed toward the first arm, the inner walls of the first and second arms are substantially parallel, and the mounting screw is tightened within the adjustable mounting hole when the second arm is in the operating position.
A method, system, and apparatus for bone fusion. Bone fusion can be performed using an elongated plate having a top face and a bottom face and defining a plurality of screw apertures therethrough. The elongated plate has a longitudinal dimension between a first and second ends and a lateral dimension between first and second sides. The screw apertures are defined in a generally straight line along the longitudinal dimension of the elongated plate, and three or more of the screw apertures are configured to facilitate different trajectories of bone screws through each of the three or more screw apertures. The screw apertures are configured to facilitate trajectories of bone screws to secure at least three bones to the elongated plate.
Medical devices, namely, bone screws, bone plates, and surgical bone saws and drills; surgical implants comprising artificial material; artificial tissue used in bone fusion and reconstruction, namely, artificial biomaterials for augmentation of bone and tissue for medical purposes; synthetic bone grafts; Bone substitutes for surgical use
A lead fixation device for attaching a deep brain stimulation lead within in a burr hole in a human skull. The lead fixation device may comprise a mounting plate having first and second arms. The first arm may comprise a first flange, a first mounting hole, and a first inner wall. The second arm may comprise a second flange, a second mounting hole, and a second inner wall. The first and second arms may comprise first and second arcuate grooves located on the first and second inner walls. When the lead device is in a closed position the first and second arcuate grooves form a guide channel and the first and second inner walls form an exit channel to receive the lead when the lead fixation device is in a closed position.
The present disclosure provides a burr hole cover (e.g., burr hole cover) and method of manufacturing such apparatus. The burr hole cover disclosed herein may be multi-functional in that it may be used to: (a) form a burr hole which provides access to the brain, and (b) facilitate concealing the burr hole without employing any fastening devices (e.g., surgical screws, wires, etc.). In embodiments, the burr hole cover may include a sleeve having an outer surface, an inner surface, and a hollowed portion. In embodiments, the outer surface of the sleeve may define external serrations. The sleeve may be configured to create a burr hole in a skull, and the external serrations may be configured to secure the sleeve within the burr hole. The burr hole cover may also include a plate configured to fit with the sleeve and conceal the burr hole.
A61N 1/05 - Électrodes à implanter ou à introduire dans le corps, p. ex. électrode cardiaque
A61B 17/56 - Instruments ou procédés chirurgicaux pour le traitement des os ou des articulationsDispositifs spécialement adaptés à cet effet
A61B 90/10 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures pour la chirurgie stéréotaxique, p. ex. système stéréotaxique à cadre
A burr hole cover is provided that is constructed to be positioned within a recessed region formed on a patient's skull in order to conceal a burr hole. The burr hole cover may be affixed to the patient's skull in the recessed region. For instance, surgical fastening devices may be inserted through apertures defined in the burr hole cover. The burr hole cover may have a thickness and curvature that enables it to be substantially flush with the surface of the skull when affixed in the recessed region. The burr hole cover's curvature follows the contour of the patient's skull. The burr hole cover may include one or more perforations sized to allow air (or moisture) to flow towards the burr hole, which promotes skin/bone growth. Some of the perforations may be large enough to permit access to the brain with leads and/or drainage devices.
The present disclosure describes a surgical guide comprising a cutting guide defining a plurality of cutting slots and including at least one removable insert positioned between the plurality of cutting slots. The at least one removable insert defines an aperture which is designed to receive a surgical fastening device. The surgical guide further comprises a template guide which defines a feature. The at least one removable insert is designed to fit in the template guide at least in part using the feature.
In a particular implementation, an apparatus configured to measure bone temperature during drilling includes a processor and an infrared (IR) sensor coupled to the processor and configured to measure temperature data indicating a temperature at an interface between a drill bit and a bone of a patient.
The present application describes various embodiments of guides that include one or more removable struts. The guides may include at least two guide portions that are connected to one another via at least one strut. In embodiments, the at least one strut may be designed such that it could be disconnected from at least one of the guide portions. The removable feature of the strut allows a surgeon to perform an osteotomy procedure by using the cutting slots and other relevant markings defined on the secured portions of the guide.
The present application describes various embodiments of guides that are designed in accordance with one or more anatomical landmarks near an operated bone (or portion thereof). In aspects, at least a portion of a guide is designed to conform to the shape of one or more anatomical landmarks in order to attach (or latch) the guide to at least one of the one or more anatomical landmarks. In aspects, the contact surface (or inner contour) of a guide may also be designed to follow at least a portion of the contour of the operated bone. The landmark-conforming and/or contour-following design of the guide may assist surgeons in the placement of the guide.
In an aspect, a method of manufacturing a surgical kit includes providing one or more medical devices based on a three-dimensional (3D) image of an anatomical structure. The method additionally includes providing packaging based on the 3D image, and providing the surgical kit utilizing the packaging and the one or more medical devices. In another aspect, a surgical kit has one or more contoured packaging surface having a contour that matches a contour of an anatomical structure. The contoured packaging surface has one or more features for receiving one or more medical devices provided based on the contour in the 3D image. The surgical kit additionally has a lid connected under pressure with the one or more contoured packaging surface. The lid has apertures for sterilization of components of the one or more medical devices situated between the lid and the contoured packaging surface.
A61B 50/30 - Récipients spécialement adaptés à l'emballage, la protection, la distribution, la collecte ou l'élimination des appareils ou des instruments chirurgicaux ou de diagnostic
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 50/00 - Récipients, étuis, mobilier ou supports spécialement adaptés aux appareils ou aux instruments chirurgicaux ou de diagnostic, p. ex. étuis stériles
A61B 17/88 - Moyens ou procédés pour implanter ou pour extraire des dispositifs de fixation interne
The present disclosure sets forth a system and method for forming sheets of material, such as titanium mesh or plates, for surgical applications prior to surgery. The disclosed solutions provide this capability without incurring expense from use of PEEK or PEKK by manufacturing contoured plates based on a shape of an anatomical structure in a 3D image, such as a pre-defect MRI. The contoured plates are used to stamp the titanium mesh, plate, or other sheet of material into the shape of the bone prior to the defect. In some aspects, the mesh or other material layer can also be trimmed prior to surgery using, for example, a reproduction of the anatomical structure manufactured from a post-defect MRI of the same anatomical structure.
A method, system, and apparatus for bone fusion. Bone fusion can be performed using an elongated plate having a top face and a bottom face and defining a plurality of screw apertures therethrough. The elongated plate has a longitudinal dimension between a first and second ends and a lateral dimension between first and second sides. The screw apertures are defined in a generally straight line along the longitudinal dimension of the elongated plate, and three or more of the screw apertures are configured to facilitate different trajectories of bone screws through each of the three or more screw apertures. The screw apertures are configured to facilitate trajectories of bone screws to secure at least three bones to the elongated plate.
A surgically implanted lead stabilizer used to stabilize leads is described herein. A lead stabilizer may include a plate that is permanently or semi-permanently surgically installed on a patient's skull under their skin via screws. The plate may hold one or more lead in place. In further embodiments, the plate has two hinged halves that may be affixed fully closed or may include a slotted arm allowing the two hinged halves to be affixed partially open. The plate may include apertures through which electrical leads may pass. Example leads may be guided through one or more surface channels on the top surface of the plate causing the leads to lay flat along the patient's skull. In an example use, a burr hole may be formed in a patient's skull with one or more leads threaded there through; a surgeon may open a hinged half of a plate and clamp one or more leads within one or more of the lead holes of the plate, close the hinged halves partially or entirely, affix the plate to the skull, and snap the leads into the surface channels.
A surgically implanted lead stabilizer used to stabilize leads is described herein. A lead stabilizer may include a plate that is permanently or semi-permanently surgically installed on a patient's skull under their skin via screws. The plate may hold one or more lead in place. In further embodiments, the plate has two hinged halves that may be affixed fully closed or may include a slotted arm allowing the two hinged halves to be affixed partially open. The plate may include apertures through which electrical leads may pass. Example leads may be guided through one or more surface channels on the top surface of the plate causing the leads to lay flat along the patient's skull. In an example use, a burr hole may be formed in a patient's skull with one or more leads threaded therethrough; a surgeon may open a hinged half of a plate and clamp one or more leads within one or more of the lead holes of the plate, close the hinged halves partially or entirely, affix the plate to the skull, and snap the leads into the surface channels.
A61B 90/11 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures pour la chirurgie stéréotaxique, p. ex. système stéréotaxique à cadre avec des guides pour aiguilles ou instruments, p. ex. des glissières courbes ou des articulations à rotule
A61B 90/10 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures pour la chirurgie stéréotaxique, p. ex. système stéréotaxique à cadre
A61M 25/02 - Dispositifs de maintien en position, p. ex. sur le corps
Systems, tools, and screws for reducing a bone fracture are disclosed. In embodiments, the system comprises: a screw, a driver, a sleeve comprising a longitudinal bore configured to enable insertion of the driver through the sleeve, a locking mechanism configurable into a first state that locks the sleeve to the driver and a second state that unlocks the sleeve from the driver, and a retaining sleeve coupled to a first end of the driver and configured to couple to the screw. In the first state, the sleeve applies a compressive force while distal threads of the screw are driven into the bone while retaining proximal threads of the screw in the sleeve. After a desired compression is achieved, the locking mechanism is configured to the second state, allowing the proximal threads of the screw to be driven into the bone while maintaining application of the compressive force to the bone.
Implant devices for the internal fixation of fractured bones, and more particularly to ankle plates for the tibia bone are disclosed and include an anterolateral tibia plate having an L-shaped body including a proximal portion defining a longitudinal axis, and a distal portion defining a traverse axis, and having a support bridge connected between the proximal portion and the distal portion. Implant devices disclosed also include an anterior tibia plate having an elongated first portion, a second portion that widens outward with respect to the elongated first portion, and a plurality of removable tabs attached to the outer edge of the second portion. Implant devices disclosed also include a medial tibia plate having an elongated shaft with a proximal portion and a distal portion. The distal portion is configured to extend proximate to a base of medial malleolus, and has a curvature with respect to a longitudinal axis defined by the elongated shaft. The distal portion may include a plurality of removable tabs. The removable tabs may be disposed to define an opening between the removable tabs to orient a bone fastener into a bone.
A power-driven surgical tool that includes an elongated housing having a fin member aligned substantially parallel with the longitudinal axis of such elongated housing. The tool is power-driven and enables the attachment of either a drill bit or a screwdriver bit. The configuration is such as to provide maximum comfort and a visualization of the target area for the surgeon.
A61B 17/16 - Instruments pour réaliser une ostéoclasieForets ou ciseaux pour osTrépans
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A method, system, and apparatus for bone fusion. Bone fusion can be performed using an elongated plate having a top face and a bottom face and defining a plurality of screw apertures therethrough. The elongated plate has a longitudinal dimension between a first and second ends and a lateral dimension between first and second sides. The screw apertures are defined in a generally straight line along the longitudinal dimension of the elongated plate, and three or more of the screw apertures are configured to facilitate different trajectories of bone screws through each of the three or more screw apertures. The screw apertures are configured to facilitate trajectories of bone screws to secure at least three bones to the elongated plate.
A system for securing bones together across a joint includes a transfixation screw and a plate. The plate includes an elongate spine having a transfixation screw hole disposed along the spine. The transfixation screw hole includes an inner surface configured to direct the transfixation screw through the transfixation screw hole such that the transfixation screw extends alongside the bridge portion at a trajectory configured to pass through a first position on the first bone and a second position on the second bone once the plate is placed across the joint. The transfixation screw includes a head configured to abut the inner surface of the transfixation screw hole and a shaft configured to contiguously extend through the first bone, across the joint, and into the second bone.
The invention pertains to a method and apparatus for delivering an article formed of a shape memory alloy to a surgical implantation site. The apparatus may include a body having a passage for receiving the proximal portion of the shape memory article, the passage being shaped to substantially prevent the shape memory article from deforming in accordance with its shape memory properties when the proximal portion of the shape memory article is positioned in the passage. An exemplary involves placing the distal portions of legs of a staple in at least one passage in a constraining device that substantially constrains the legs from deforming; and placing the proximal portions of the legs of the staple in at least one passage in an apparatus that, independently of the constraining device, substantially prevents the legs from deforming.
A61B 17/10 - Instruments, dispositifs ou procédés chirurgicaux pour refermer les plaies ou les maintenir ferméesAccessoires utilisés en liaison avec ces opérations pour poser ou retirer les clamps pour blessuresChargeurs de clamps pour blessures
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
The present disclosure describes various embodiments of a plate and guide that enable fixation of a fractured bone while reducing damage to tissue in the vicinity of the fractured bone. The plate may be sized and dimensioned such that the plate may be slid underneath a muscle or other tissue and positioned into a proper location for providing fixation of the plate to the fractured bone without requiring cutting of the muscle or other tissue. The guide may be sized and dimensioned to interface with the plate such that the guide is place over the top of the muscle or other tissue, thereby enabling the guide to be used for providing screws or other devices (e.g., rods, K-wires, etc.) to the plate in a proper orientation to provide fixation to the fractured bone without requiring cutting of the muscle or other tissue.
Systems, methods, and devices provide for a bone centering drill guide. The bone centering drill guide may include a clamping mechanism which clamps to a bone in a pivotable fashion. The proximal end of the clamping mechanism includes a handle portion having a first arm and a second arm which is configured to allow a user to grip the device and exert force which urges the first and second arms toward each other. The distal end includes a clamping portion having first and second arms which are urged into a closed configuration when closing force is provided to the handle portion. The proximal end may further include a locking mechanism which locks the clamping device in a clamped configuration. The bone centering drill guide may further include a guide slot disposed on the distal end above the clamping arms, the slot configured to remain centered between the first and second clamping arms.
Implant devices for the internal fixation of fractured bones, and more particularly to ankle plates for the tibia bone are disclosed and include an anterolateral tibia plate having an L-shaped body including a proximal portion defining a longitudinal axis, and a distal portion defining a traverse axis, and having a support bridge connected between the proximal portion and the distal portion. Implant devices disclosed also include an anterior tibia plate having an elongated first portion, a second portion that widens outward with respect to the elongated first portion, and a plurality of removable tabs attached to the outer edge of the second portion. Implant devices disclosed also include a medial tibia plate having an elongated shaft with a proximal portion and a distal portion. The distal portion is configured to extend proximate to a base of medial malleolus, and has a curvature with respect to a longitudinal axis defined by the elongated shaft. The distal portion may include a plurality of removable tabs. The removable tabs may be disposed to define an opening between the removable tabs to orient a bone fastener into a bone.
Implant devices for the internal fixation of fractured bones, and more particularly to ankle plates for the tibia bone are disclosed and include an anterolateral tibia plate having an L-shaped body including a proximal portion defining a longitudinal axis, and a distal portion defining a traverse axis, and having a support bridge connected between the proximal portion and the distal portion. Implant devices disclosed also include an anterior tibia plate having an elongated first portion, a second portion that widens outward with respect to the elongated first portion, and a plurality of removable tabs attached to the outer edge of the second portion. Implant devices disclosed also include a medial tibia plate having an elongated shaft with a proximal portion and a distal portion. The distal portion is configured to extend proximate to a base of medial malleolus, and has a curvature with respect to a longitudinal axis defined by the elongated shaft. The distal portion may include a plurality of removable tabs. The removable tabs may be disposed to define an opening between the removable tabs to orient a bone fastener into a bone.
A system for securing bones together across a joint includes a transfixation screw and a plate. The plate includes an elongate spine having a transfixation screw hole disposed along the spine. The transfixation screw hole includes an inner surface configured to direct the transfixation screw through the transfixation screw hole such that the transfixation screw extends alongside the bridge portion at a trajectory configured to pass through a first position on the first bone and a second position on the second bone once the plate is placed across the joint. The transfixation screw includes a head configured to abut the inner surface of the transfixation screw hole and a shaft configured to contiguously extend through the first bone, across the joint, and into the second bone.
Implant devices for the internal fixation of fractured bones, and more particularly to ankle plates for the tibia bone are disclosed and include an anterolateral tibia plate having an L-shaped body including a proximal portion defining a longitudinal axis, and a distal portion defining a traverse axis, and having a support bridge connected between the proximal portion and the distal portion. Implant devices disclosed also include an anterior tibia plate having an elongated first portion, a second portion that widens outward with respect to the elongated first portion, and a plurality of removable tabs attached to the outer edge of the second portion. Implant devices disclosed also include a medial tibia plate having an elongated shaft with a proximal portion and a distal portion. The distal portion is configured to extend proximate to a base of medial malleolus, and has a curvature with respect to a longitudinal axis defined by the elongated shaft. The distal portion may include a plurality of removable tabs. The removable tabs may be disposed to define an opening between the removable tabs to orient a bone fastener into a bone.
An improved medical device tube is disclosed for use in a percutaneous procedure. An improved medical procedure is also disclosed to insert a cannulated screw across a fracture of a human bone using the improved tube.
A system for securing bones together across a joint includes a transfixation screw and a plate. The plate includes an elongate spine having a transfixation screw hole disposed along the spine. The transfixation screw hole includes an inner surface configured to direct the transfixation screw through the transfixation screw hole such that the transfixation screw extends alongside the bridge portion at a trajectory configured to pass through a first position on the first bone and a second position on the second bone once the plate is placed across the joint. The transfixation screw includes a head configured to abut the inner surface of the transfixation screw hole and a shaft configured to contiguously extend through the first bone, across the joint, and into the second bone.
The invention pertains to a method and apparatus for delivering an article formed of a shape memory alloy to a surgical implantation site. The apparatus may include a body having a passage for receiving the proximal portion of the shape memory article, the passage being shaped to substantially prevent the shape memory article from deforming in accordance with its shape memory properties when the proximal portion of the shape memory article is positioned in the passage. An exemplary involves placing the distal portions of legs of a staple in at least one passage in a constraining device that substantially constrains the legs from deforming; and placing the proximal portions of the legs of the staple in at least one passage in an apparatus that, independently of the constraining device, substantially prevents the legs from deforming.
A61B 17/10 - Instruments, dispositifs ou procédés chirurgicaux pour refermer les plaies ou les maintenir ferméesAccessoires utilisés en liaison avec ces opérations pour poser ou retirer les clamps pour blessuresChargeurs de clamps pour blessures
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
An improved fixation plate using at least a double helix screw as disclosed. The double helix screw may include alternate embodiments comprising three, four, or more threads. The helix thread screw intertwines with double helix thread in the screw hole of the fixation plate providing enhanced fixation to a fractured bone.
Medical devices, namely, bone screws, bone plates, bone saws and drills; surgical implants comprising artificial material; artificial tissue used in bone fusion and reconstruction; synthetic bone graft substitutes
Medical devices, namely, bone screws, bone plates, [ bone saws and ] drills; surgical implants comprising artificial material [ ; artificial tissue used in bone fusion and reconstruction ] [ ; synthetic bone graft substitutes ]
An ulnar fixation plate includes a head portion configured to conform to a volar side of an ulnar bone proximate to an ulnar head, the head comprising of first head portion configured to receive a first fixation device, a second head portion configured to receive a second fixation device, and a shaft portion coupled to the head portion with the shaft portion configured to conform to the volar side of the ulnar bone.
Systems for trauma and/or joint fusion implants and instruments include transarticular screw and intra-articular washer, polyaxial screw and plate, single- and multi-level polyaxial bone clamps, and minimally invasive adaptations.
A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
According to one example embodiment, a radial fusion plate includes a first portion and a fusion portion. The first portion is configured to conform to a dorsal side of a radius bone between a second compartment and a fourth compartment of the radius bone. The fusion portion is distal to the first portion and configured to conform to a scaphoid and a lunate. The first portion includes scaphoid hole and a lunate hole.
A screw system ( 10 ) includes a screw ( 20 ) and a washer assembly ( 40 ) captive to the screw. The washer assembly is polyaxially pivotable relative to the screw. The screw may be freely rotated in one direction relative to the washer assembly, but frictionally binds with the washer assembly when rotated in a second direction. A cannula insertion system includes an instrument ( 100 ) and a cannula ( 130 ). The instrument may include a dilator ( 114 ). The cannula insertion system may have a locked setting in which the dilator is fixed relative to the cannula, and an unlocked setting in which the dilator is slidable relative to the cannula. A surgical method uses the cannula insertion system to implant the screw system.
A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
A bone plate assembly including at least one bone plate, polyaxially adjustable fixation elements and a polyaxially adjustable locking mechanism. A first plate includes at least one polyaxial element for lockable connection with a fixation pad, and a connection feature which allows the plate to translate and polyaxially rotate relative to the locking mechanism. A second plate includes at least one polyaxial element for connection with a fixation pad and a connection feature for non-rotatable connection with the locking mechanism. The locking mechanism allows translation and polyaxial adjustment of the first plate relative to the second plate and locks the first and second plates via a taper lock. The fixation pad includes a deflectable spacer configured to prevent premature locking of the pad. Methods for implantation of the bone plate assembly between bone structures are disclosed. Instrumentation for implantation, compression and locking of the bone plate assembly is disclosed.
A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
53.
POLYAXIAL FACET FIXATION SCREW SYSTEM WITH FIXATION AUGMENTATION
A screw system (90) includes a screw (100) and a washer assembly (95) captive the screw. The washer assembly is polyaxially pivotable relative to the screw. The screw may be freely rotated in one direction relative to the washer assembly, but frictionally binds with the washer assembly when rotated in a second direction. Various auxiliary fixation features are disclosed.
A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
According to one example embodiment, a bone fixation plate may include a metaphysis portion, a central column portion, and a lateral column portion. The metaphysis portion is configured to conform to a metaphysis of a volar side of a radius bone. The central column portion is configured to conform to a central column of a diaphysis of the volar side of the radius bone. The lateral column portion is configured to conform to a lateral column of the diaphysis of the volar side of the radius bone.
A minimally invasive dilation device includes a plurality of rigid arms radially arrayed about a center and a dilating member positioned between the arms. The device may be introduced into tissue toward a targeted area, while in a closed configuration. The dilating member may be a balloon, wherein upon inflation of the balloon, the arms are pushed radially outward, expanding the device and dilating the surrounding tissue. The dilating member may be a tube, wherein upon insertion of the tube, the arms are pushed radially outward. A cannula may be inserted inside the plurality of arms to keep the arms in an open configuration, and the dilating member may be withdrawn, providing an open passageway through the device to the targeted area. The device may be used with a neural monitoring system.
A61B 17/56 - Instruments ou procédés chirurgicaux pour le traitement des os ou des articulationsDispositifs spécialement adaptés à cet effet
A61F 2/958 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes ballons gonflables pour insérer les stents ou les endoprothèses déployables couvertes
A61M 29/02 - Dilatateurs gonflablesDilatateurs faits de matériaux dilatables
An implant for use on a joint- facing end of a bone includes a cap having convex outer surface overlying a concave inner surface and a stem protruding from the inner surface such that an edge of the cap surrounds the stem and overhangs a portion of the stem leading up to the inner surface. The stem may further include a plurality of raised ridges parallel to its length that begin near a tip of the stem and extend onto the portion of the stem overhung by the edge.
A61F 2/42 - Articulations pour les poignets ou les chevillesArticulations pour les mains, p. ex. pour les doigtsArticulations pour les pieds, p. ex. pour les orteils
A61F 2/00 - Filtres implantables dans les vaisseaux sanguinsProthèses, c.-à-d. éléments de substitution ou de remplacement pour des parties du corpsAppareils pour les assujettir au corpsDispositifs maintenant le passage ou évitant l'affaissement de structures corporelles tubulaires, p. ex. stents
A screw system (10) includes a screw (20) and a washer assembly (40) captive to the screw. The washer assembly is polyaxially pivotable relative to the screw. The screw may be freely rotated in one direction relative to the washer assembly, but frictionally binds with the washer assembly when rotated in a second direction.
A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
A bone plate assembly including at least one bone plate, polyaxially adjustable fixation elements and a polyaxially adjustable locking mechanism. A first plate includes at least one polyaxial element for lockable connection with a fixation pad, and a connection feature which allows the plate to translate and polyaxially rotate relative to the locking mechanism. A second plate includes at least one polyaxial element for connection with a fixation pad and a connection feature for non-rotatable connection with the locking mechanism. The locking mechanism allows translation and polyaxial adjustment of the first plate relative to the second plate and locks the first and second plates via a taper lock. The fixation pad includes a deflectable spacer configured to prevent premature locking of the pad. Instrumentation for implantation, compression and locking of the bone plate assembly, and methods for implantation of the bone plate assembly between two bone structures are disclosed.
A61B 17/70 - Dispositifs de mise en position ou de stabilisation de la colonne vertébrale, p. ex. stabilisateurs comprenant un liquide de remplissage dans un implant
A system for securing bones together across a joint includes a transfixation screw and a plate. The plate includes an elongate spine having a transfixation screw hole disposed along the spine. The transfixation screw hole includes an inner surface configured to direct the transfixation screw through the transfixation screw hole such that the transfixation screw extends alongside the bridge portion at a trajectory configured to pass through a first position on the first bone and a second position on the second bone once the plate is placed across the joint. The transfixation screw includes a head configured to abut the inner surface of the transfixation screw hole and a shaft configured to contiguously extend through the first bone, across the joint, and into the second bone.
A system for securing bones together across a joint includes a transfixation screw and a plate. The plate includes an elongate spine having a transfixation screw hole disposed along the spine. The transfixation screw hole includes an inner surface configured to direct the transfixation screw through the transfixation screw hole such that the transfixation screw extends alongside the bridge portion at a trajectory configured to pass through a first position on the first bone and a second position on the second bone once the plate is placed across the joint. The transfixation screw includes a head configured to abut the inner surface of the transfixation screw hole and a shaft configured to contiguously extend through the first bone, across the joint, and into the second bone.
The invention pertains to a method and apparatus for delivering an article formed of a shape memory alloy to a surgical implantation site. The apparatus may include a body having a passage for receiving the proximal portion of the shape memory article, the passage being shaped to substantially prevent the shape memory article from deforming in accordance with its shape memory properties when the proximal portion of the shape memory article is positioned in the passage. An exemplary involves placing the distal portions of legs of a staple in at least one passage in a constraining device that substantially constrains the legs from deforming; and placing the proximal portions of the legs of the staple in at least one passage in an apparatus that, independently of the constraining device, substantially prevents the legs from deforming.
A plate (100) for securing bones together includes an elongate spine (104) having at least one groove (106) spanning along a length of the spine parallel to a central axis of the spine, and a plurality of arms (107) extending laterally from the spine, the plurality of arms comprising at least one arm on a first side of the spine and at least one arm on a second side of the spine.
A system for lockably engaging bone screws into a fixation plate may include a locking fixation plate including a threaded screw hole defined by an inner surface surrounding the threaded screw hole, the inner surface comprising an upper countersink and a threaded portion, the threaded portion comprising a pair of threads arranged in a double helix configuration, and a screw comprising a generally conical head tapering into a generally cylindrical shaft that ends at a tip and a single thread beginning near the tip and extending along the generally cylindrical shaft and onto the generally conical head, a thread height of the single thread being constant over a majority of the generally cylindrical shaft and tapering as the thread extends onto the head.
The present disclosure provides for a system for mandibular distraction which includes a rod and a first pin clamp assembly coupled adjacent a first end of the rod. Furthermore, the first pin clamp assembly includes a first clamp. The system further includes a second pin clamp assembly which includes an advancement mechanism that moveably couples the second pin clamp assembly to the rod and a second clamp. Furthermore, a swivel joint is disposed between the advancement mechanism and the second clamp whereby the second clamp is enabled to rotate relative to the advancement mechanism.
A61B 17/56 - Instruments ou procédés chirurgicaux pour le traitement des os ou des articulationsDispositifs spécialement adaptés à cet effet
A61B 17/60 - Instruments ou procédés chirurgicaux pour le traitement des os ou des articulationsDispositifs spécialement adaptés à cet effet pour ostéosynthèse, p. ex. plaques, vis ou matériels de fixation pour l'ostéosynthèse externe, p. ex. appareils étireurs ou constricteurs
A61B 17/66 - Mécanismes de compression ou de traction
Medical devices, namely, ligament separator, fascia separator, tissue locator, surgical blade, flex trip instrument for use in podiatric surgery, sterilization tray
A medical implant includes a body having a conical portion and adapted for implantation into a person's body. A plurality of threads formed around an exterior surface of the conical portion of the body are adapted to help secure the implant in place within the person's body.
A61F 2/42 - Articulations pour les poignets ou les chevillesArticulations pour les mains, p. ex. pour les doigtsArticulations pour les pieds, p. ex. pour les orteils
Medical devices, namely bone screws, bone plates, bone saws and drills, craniofacial mesh; and surgical implants comprising artificial tissue for use in bone reconstruction
