text:
Joint bone
Subclass of:
623 - Prosthesis (i.e., artificial body members), parts thereof, or aids and accessories therefor
623160110 - Bone
Patent class list (only not empty are listed)
Deeper subclasses:
|Class / Patent application number
|Number of patent applications / Date published
|Knee joint bone
|Hip joint bone
|Shoulder joint bone
|Wrist, hand (e.g., finger, etc.)
|Elbow joint bone
|Total joint bone (i.e., including two connected joint bones)
|Joint head bone
|Stem structure
|With magnet
|BONE PROSTHESIS FOR MAINTAINING JOINT OPERATION IN COMPLEX JOINTS - A method of reconstructing a wrist includes removing a patient's scaphoid to create a void. The scaphoid has a plurality of adjacent bones, each of the adjacent bones comprising a surface generally facing the void. The surface of at least two of the adjacent bones is prepared by affixing a magnetic element thereto and a magnetic scaphoid implant is inserted into the void. A magnetic relationship exists between the magnetic elements and the magnetic scaphoid implant
|DEVICE AND METHOD FOR FORCE MANAGEMENT WITHIN A JOINT - Disclosed is a device and method of management of forces within a joint. The device includes a first component with a first magnet arrangement providing a first magnetic field, a second component to interface with the first component with a second magnet arrangement providing a second magnetic field, and a compressible volume that is coupled with the second component that controls the separation of the first and second magnetic fields based upon a compressive force that causes the compressible volume to compress. The method includes using the normal force generated between the first and second components during joint use as the compressive force, causing the compressible volume to compress, bringing the first and a second magnetic fields into contact and overlap, and creating forces to couple with the normal force and regulating the overall normal force between the first and second components.
|LOCKABLE IMPLANTS AND RELATED METHODS - Total joint replacements for implants include a first member configured to attach to a first bone, a second member configured to reside in an adjacent second bone and a locking mechanism. The locking mechanism is configured to (i) lock the first and second members in alignment for full extension or other defined stabilized configuration and (ii) unlock to allow the first and second members to pivot relative to each other for flexion or bending.
|BONE PROSTHESIS FOR MAINTAINING JOINT OPERATION IN COMPLEX JOINTS - A prosthesis including a magnetic implant approximating the size of a bone to be replaced; a first magnetic bone implant securable to a first bone adjacent the bone to be replaced; and a second magnetic bone implant securable to a second bone adjacent the bone to be replaced. Each of the first and second magnetic bone implants have a magnetic relationship with the magnetic implant. A method of reconstructing a wrist includes removing a patient's scaphoid to create a void. The scaphoid has a plurality of adjacent bones, each of the adjacent bones comprising a surface generally facing the void. The surface of at least two of the adjacent bones is prepared by affixing a magnetic element thereto and a magnetic scaphoid implant is inserted into the void. A magnetic relationship exists between the magnetic elements and the magnetic scaphoid implant.
|SYSTEMS AND DEVICES HAVING HYDROMAGNETIC JOINTS AND HYDROMAGNETIC SPRINGS - A hydromagnetic joint includes a first joint part having a first magnetic element with a magnetically charged surface, and a first buoyant element coupled with the first magnetic element, and a second joint part including a second magnetic element having a second magnetically charged surface that opposes the first magnetically charged surface of the first magnetic element, and a second buoyant element coupled with the second magnetic element. The hydromagnetic joint has a liquid disposed between the first and second joint parts. The first and second joint parts are moveable relative to one another and are in fluid communication with the liquid. The first and second magnetically charged surfaces have a common polarity and repel one another.
|BONE IMPLANT INTERFACE SYSTEM AND METHOD - An orthopedic implant that includes an implant body having a bone contact surface to be in contact or near contact with a bone structure during use, wherein the bone contact surface has a bone interface structure protruding therefrom. The bone interface structure includes a first elongated portion to be at least partially pressed into the bone structure during use, and a second elongated portion to be at least partially pressed into the bone structure during use. The second elongated portion is coupled to the first elongated portion and extends from the first elongated portion at an angle oblique to the first elongated portion.
|Joint Actuation Mechanism for a Prosthetic and/or Orthotic Device Having a Compliant Transmission - Disclosed herein a prosthetic or orthotic device having a joint portion and a compliant transmission assembly in operational communication with the joint portion. The device restores the normal capabilities and natural dynamics of a healthy joint for common activities. The compliant transmission assembly includes a compliant element. The compliant transmission assembly absorbs energy when a torque is applied. between a prosthetic or orthotic device portion and another adjacent device portion or the adjacent limb segment, of the user. The compliant element of the invention absorbs energy during flexion of a joint for the dampening thereof and releases this energy during extension of the joint for assistance thereof. Also disclosed herein is an actuator assembly, a torque sensor and an actuator locking device as well as a method for determining the torque of such prosthetic and orthotic devices.
|PROSTHETIC IMPLANT SUPPORT STRUCTURE - A prosthetic system that includes a prosthetic implant and a support structure secured to an inner surface of a cavity of a bone is disclosed. The support structure defines a channel that extends through the length of the support structure. The prosthetic implant is received in the channel, and a portion of the prosthetic implant is secured to an inner surface of the support structure by an adhesive. The support structure may comprise a pair of partially hemispherical components arranged in spaced apart relationship thereby defining the channel between the pair of components.
|CERAMIC COMPONENTS FOR REPLACING JOINT SURFACES - Ceramic components for replacing joint surfaces, and methods for production thereof. In particular, the invention relates to ceramic joint surface implants which completely or partially replace natural cartilage.
|ARTICULAR JOINT IMPLANT - Implantable biomaterials, particularly hydrogel substrates with porous surfaces, and methods for enhancing the compatibility of biomaterials with living tissue, and for causing physical attachment between biomaterials and living tissues are provided. Also provided are implants suitable for load-bearing surfaces in hard tissue repair, replacement, or augmentation, and to methods of their use. One embodiment of the invention relates to an implantable spinal disc prosthesis.
|ARTIFICIAL JOINT - An artificial joint includes a ball and a cup constituting a pair of joint members which forms a joint. A convex curved surface and a concave curved surface which constitute a pair of friction surfaces which slides relative to each other are provided between the pair of joint members. The convex curved surface which is at least one friction surface out of the convex curved surface and the concave curved surface includes: at least either one of groove-shaped recessed portions and hole-shaped recessed portions having a width gradually narrowed toward the inside of the convex curved surface from a surface side of the convex curved surface; and curved surface portions which smoothly connect inclined surface portions which form the recessed portions and a surface which forms a surface portion of the convex curved surface.
|PROSTHESIS OR ORTHOSIS - A prosthesis or orthosis has a first body and a second body rotatable relative to one another, a passive mechanical converting mechanism with a third body arranged movably with respect to the first body, and an elastic element arranged between the third and the second body. The mechanical converting mechanism is configured for converting an angular change between the first body and the second body into a change of load on the elastic element. There is further provided a ratio adapting device interacting with the converting mechanism and configured for modifying the conversion ratio by which the change of load on the elastic element is performed.
|High Wear-Resistant Bearing Material and Artificial Joint Replacement Using the Same - The present invention provides a bearing material that is excellent in durability and is capable of maintaining wear resistance over a long period of time. The bearing material of the present invention is a high wear-resistance bearing material
|APPARATUS AND METHODS FOR BALANCING A JOINT - An apparatus includes a first portion configured to be coupled to a first bony structure and a second portion configured to be coupled between the first portion and a second bony structure. The second bony structure is disposed opposite the first bony structure. The apparatus further includes a transducer coupled between the first portion and the second portion.
|MULTI-PIECE PROSTHETIC JOINT COMPONENT - An elongate, longitudinally oriented outer sleeve includes an outer sleeve surface defining a radially oriented proximal sleeve border, a radially oriented proximal sleeve rim intersecting the outer sleeve surface at the proximal sleeve border, an outer sleeve body enclosed by the outer sleeve surface and the proximal sleeve rim, and an elongate, longitudinally oriented stem-receiving cavity formed in the outer sleeve body and intersecting the proximal sleeve rim to define a stem-receiving aperture. A joint articulating member includes an elongate, longitudinally oriented stem, an articulating surface, and an interface rim. When the stem is at least partially inserted into the stem-receiving cavity, the proximal sleeve rim and the interface rim interact to change a longitudinal relationship between the outer sleeve and the joint articulating member responsive to relative radially-oriented rotation between the stem and the stem-receiving cavity.
|INTRA-ARTICULAR JOINT REPLACEMENT - A method for implanting an intra-articular shoulder prosthesis is provided. The method includes removing a proximal portion of a humerus. The proximal portion of the humerus preferably forms a resected portion. The resected portion has a convex outer surface and an inner surface. The method further includes engaging the convex outer surface of the resected portion with a cut surface of the proximal portion of the humerus. The cut surface of the proximal portion of the humerus and/or the inner surface of the resected portion are optionally processed to form a generally concave surface, such as by impacting. In one embodiment, the inner surface of the resected portion is impacted into engagement with the cut surface of the proximal portion of the humerus. The generally concave inner surface of the resected portion forms a concave articular surface to receive an interpositional implant.
|METHOD FOR TREATING JOINT PAIN AND ASSOCIATED INSTRUMENTS - The embodiments provide provides devices, instruments, and associated methods for treating joint pain. A joint is evaluated using magnetic resonance imaging to detect any defects in the subchondral bone. For example, using T2-weighted MRI images, bone marrow lesions or edemas can be identified, and using T1-weighted MRI images, associated regions of sclerotic bone adjacent to the bone marrow lesion can be identified. The treatment method may involve introducing a bone void filler material at the site to address the bone marrow lesion or edema, and/or drilling and inserting an implant to address the sclerotic bone, bone marrow lesion or edema, and insufficiency or stress fractures. An access path is mapped to a location in the subchondral region where the insufficiency fracture resides. The access path attempts to preserve an articular surface of the joint. A reinforcing member that stabilizes the insufficiency fracture is then implanted via the access path.
|Method of a Pharmaceutical Delivery System for Use Within a Joint Replacement - Methods and apparatus of providing a joint replacement parts with a pharmaceutical delivery system is provided. The pharmaceutical delivery system is placed within the joint replacement parts to provide, over a period of time, sustained release of a controlled concentration of pharmaceuticals within the joint space of the joint replacement and to produce a local or systemic physiological of pharmacological effect.
|EXTRA-ARTICULAR IMPLANTABLE MECHANICAL ENERGY ABSORBING ASSEMBLIES HAVING A TENSION MEMBER, AND METHODS - Implantable assemblies/devices and methods are provided for manipulating energy transferred by members defining an articulating anatomical joint, wherein the members collectively define a path of motion. Assemblies/devices are provided with a first component configured to be attached to a first anatomical member of the anatomical joint, a second component configured to be attached to a second anatomical member of the anatomical joint; and a tension member joining the first and second components. The tension member is placed under tension to absorb energy transferred by the anatomical members when the first component is attached to the first anatomical member and the second component is attached to the second anatomical member and a distance between locations of attachment of the first and second components becomes smaller then an implant-defined distance between the locations.
|PRESSURE FORMING OF METAL AND CERAMIC POWDERS - A method of pressure forming a brown part from metal and/or ceramic particle feedstocks includes: introducing into a mold cavity or extruder a first feedstock and one or more additional feedstocks or a green or brown state insert made from a feedstock, wherein the different feedstocks correspond to the different portions of the part; pressurizing the mold cavity or extruder to produce a preform having a plurality of portions corresponding to the first and one or more additional feedstocks, and debinding the preform. Micro voids and interstitial paths from the interior of the preform part to the exterior allow the escape of decomposing or subliming backbone component substantially without creating macro voids due to internal pressure. The large brown preform may then be sintered and subsequently thermomechanically processed to produce a net wrought microstructure and properties that are substantially free the interstitial spaces.
|Coated Implants - An implantable device which provides structural support for the skeletal system, such as the spine, coated with hydroxyapatite (HA). This invention provides a mechanically and bioactively functional coating of hydroxyapatite (HA) without altering the biocompatibility profile of the poly-ether-ether-ketone (PEEK) substrate.
|ULTRA HIGH MOLECULAR WEIGHT POLYETHYLENE FOR BEARING SURFACES - A prosthetic device may comprise an insert having a first surface configured to contact a first prosthetic component and a bearing surface configured to articulate against a second prosthetic component. The insert comprises an ultra-high molecular weight polyethylene and vitamin E. The vitamin E may have a concentration in the range of 0.02 to 0.12 wt % first mixed with the ultra-high molecular weight polyethylene and then molded with the ultra-high molecular weight polyethylene at a temperature greater than the melting point of the ultra-high molecular weight polyethylene. The ultra-high molecular weight polyethylene and vitamin E may be gamma irradiated with a dosage of radiation between 5 and 20 Mrad. The insert may be machined prior to gamma irradiating the insert in air such that the gamma irradiation, at suitably high dosages, may also sterilize the insert.
|BALL AND SOCKET ASSEMBLY - A ball and socket assembly including a ball component with a notch formed therein. The socket is a one-piece structure including an opening sized to receive the ball component.
|THREE-MEMBER PROSTHETIC JOINT - A prosthetic joint includes: (a) a first member comprising rigid material and having a perimeter flange defined by an undercut groove, the flange defining a wear-resistant first contact surface having a protruding rim; (b) a second member comprising rigid material and having a perimeter flange defined by an undercut groove, the flange defining a wear-resistant, second contact surface having a protruding rim; and (c) a third member comprising rigid material positioned between the first and second members, the third member defining opposed wear-resistant third and fourth contact surfaces; (d) wherein the first and second contact surfaces bear against the third and fourth contact surfaces, to transfer loads through the member, while allowing pivoting motion between the first and second members; (e) wherein the flanges can deform elastically such that the first and second contact surfaces conform to the third and fourth contact surfaces.
|FASTENING CERAMIC COMPONENTS - A ceramic component to be securely connected to an additional component in force-locked manner. A joint prosthesis comprising a ceramic sphere (
|PERCUTANEOUS SACROILIAC JOINT IMPLANT AND METHOD FOR SURGICALLY INSERTING AND SECURING THE IMPLANT INTO THE SACROILIAC JOINT - An implantable device comprising a tapered body having a cavity therein, an open end, a first opening arranged diametrically opposite a second opening wherein the first and second openings are proximate the open end, and a plurality of apertures within the tapered body; and, a first ancillary member operatively arranged to project outwardly from the first opening and a second ancillary member arranged to project outwardly from the second opening. A method for surgically inserting and securing the implant into the sacroiliac joint, comprising the steps of: drilling a tapered body, tapping and placing a first ancillary member to either the sacrum or the iliac bone through an open end of the tapered body, and tapping and placing a second ancillary member to either the sacrum or the iliac bone through the open end of the body.
|Implantable medical device and method of implanting the medical device - An implantable medical device for implantation in a mammal joint having at least two contacting surfaces is provided. The medical device comprises; an artificial contacting surface adapted to replace at least the surface of at least one of the mammal's joint contacting surfaces, wherein the artificial contacting surface is adapted to be lubricated, when implanted in said joint. Furthermore the medical device comprises at least one inlet adapted to receive a lubricating fluid from a reservoir, at least one channel at least partly integrated in the artificial contacting surface in connection with the at least one inlet for distributing the lubricating fluid to the surface of the artificial contacting surface. The medical device could be adapted to be operable by an operation device to receive the distributed lubricated fluid from a reservoir.
|JOINT CONSTRUCTION, SUCH AS FOR USE BY ATHLETES - A reinforced joint assembly includes a first implant portion secured to a sectioned end of a first bone. A second implant portion is likewise secured to a sectioned end of a second bone and in opposing fashion relative to the first implant to define a joint zone therebetween. The first implant exhibits a first surface profile, whereas the second implant exhibits a second and mating surface profile. A male projection extends from the first surface profile of the first implant and seats within a recess defined within the second implant.
|Method Of Surface Finishing A Bone Implant - A method of surface finishing a bone implant comprises the steps of roughening a surface of the implant by blasting with abrasive particles and then pickling the surface-roughened implant in a pickling solution in order to loosen any partially embedded abrasive blasting particles that may be contaminating the surface of the implant. Thereafter the roughened surface of the implant is cleaned by mechanical action to detach the loosened abrasive particles there from. The pickling and cleaning steps are not intended to produce any additional roughening of the treated surface, which should be structured to the required roughness by the initial abrasive blasting, typically such that the Ra and Rt roughness parameters are 3≦Ra≦7 μm and 20≦Rt≦70 μm respectively.
|METHOD FOR FUSING A HUMAN OR ANIMAL JOINT AS WELL AS FUSION DEVICE AND TOOL SET FOR CARRYING OUT THE METHOD - The fusion device for fusing a synovial joint of a human or animal patient, in particular a human facet joint, finger joint or toe joint, includes two pin-shaped anchorage portions and arranged therebetween a stabilization portion. The anchorage portions include a thermoplastic material which is liquefiable by mechanical vibration. The stabilization portion preferably has a surface which is equipped for enhancing osseointegration. The anchorage portions have a greater thickness and a greater depth than the stabilization portion. Then the fusion device is pushed between the articular surfaces and mechanical vibration, in particular ultrasonic vibration, is applied to the proximal face of the fusion device. Thereby the liquefiable material is liquefied where in contact with the bone tissue and penetrates into the bone tissue, where after re-solidification it constitutes a positive fit connection between the fusion device and the bone tissue.
|CEMENT SHROUD FOR USE WITH CEMENTED PROSTHETIC IMPLANT - A shroud for protecting exterior portions of a prosthetic implant from adhesive and a method for utilizing the same. The shroud includes a hub, a rim, and at least one bridge connecting the hub and the rim. The rim of the shroud may be sized to cover substantially the same area as a guard of the implant. The method of utilizing the shroud involves securing the shroud to the prosthetic implant. A quantity of adhesive is provided, and the prosthetic implant is secured thereto. The shroud is removed from the implant, and then the guard is secured to the implant.
|EXTRA-ARTICULAR IMPLANTABLE MECHANICAL ENERGY ABSORBING SYSTEMS - A system and method for sharing and absorbing energy between body parts. In one particular aspect, the system facilitates absorbing energy between members forming a joint such as between articulating bones.
|ORTHOPEDIC JOINT DEVICE - A percutaneously implantable orthopedic device is a shape-changing joint prosthesis with a generally arcuate or generally rectilinear configuration which is delivered through a delivery device in a substantially straightened or slightly curved configuration into a joint in a patient. The generally arcuate configuration may include an open ring or spiral shape. The generally rectilinear configuration may include a polygon or zig-zag shape. The delivery and retrieval device can be a syringe, hypodermic needle or cannula. The orthopedic device is moveable into its generally arcuate or generally rectilinear configuration in the joint by manipulation or a shape memory set. The orthopedic device acts as a soft compliant bearing surface or cushion that minimizes the bone-on-bone wear from articulation and loading.
|Tightenable Surgical Retractor Joint - A tightenable joint for use in a surgical retractor system includes a monolithic, unitary joint body which has a top leg and a bottom leg. The top leg provides a top compression surface and the bottom leg provides a bottom compression surface operating on a ball. A handled cam is used between proximal ends of the top leg and the bottom leg. When the handle is thrown to tighten the joint, the proximal ends of the top leg and the bottom leg are driven apart by the cam, and a hinge or fulcrum portion on the joint body flexes between top and bottom leg portion such that the top compression surface and bottom compression surface tighten on the ball. The ball has flats that enable the ball to be positioned into the socket, and then an extension is fixed to the ball to prevent removal of the ball from the socket. The cam is defined with an eccentric surface relative to its pivot pin, which is received in an arcuate recess of a bearing plate. When the handle is thrown, the bearing plate slides relative to the joint body under the cam.
|ARTIFICIAL JOINT SUPPORT BETWEEN FIRST AND SECOND BONES - An artificial joint associated with an implant including a pair of three dimensional and structurally extending bones, each defining a contoured and opposing end face, and which collectively defines a joint location. At least one plasticized layer is applied to one of, or both, the end faces in a coacting and substantially frictional reducing fashion. A lubricating plastic is defined upon an exposed face of the bladder. The plasticized layers may include a fluid receiving and inflatable bladder for filling a three dimensional area associated with the joint location. A curable/settable fluidic material can be injected into the bladder and which includes at least one of an epoxy, a urethane, a gelatin and a two-part hardener. The bones each further include an artificial implant constructed from at least one of a plasticized and a metallic material,
|Sacroiliac Joint Implants and Implantation Methods - Sacroiliac (SI) joint implants for promoting SI joint fusion and methods of their delivery are described herein. The SI joint implant has a spacer operatively coupled to a planar member having tapered holes to receive fastening elements. When placed in the SI joint, the spacer engages the articular surfaces of the SI joint while the plate traverses the SI joint. The implant is held in place fastening elements, which are inserted through the tapered holes in the planar member. The implant is delivered via an inferior inlet MIS procedure, wherein the SI joint is accessed through an inlet inferior to the SI joint.
|PROSTHETIC BALL-AND-SOCKET JOINT - A prosthetic joint includes: (a) a first member comprising rigid material including a wear-resistant, concave cup surface; and (b) a second member comprising rigid material with a wear-resistant, convex contact surface; (c) one of the surfaces includes: (i) an annular first flange defining a protruding wear-resistant first contact rim at or near an apex of the member; and (ii) an annular second flange defining a protruding wear-resistant second contact rim, at or near an outer periphery of the member; (d) the first and second contact rims bear directly against the contact surface, so as to transfer loads between the first and second members, while allowing pivoting motion therebetween; and (e) the flanges are shaped and sized so as to deform elastically and permit the contact rims to conform in an irregular shape to the surface of the opposite member, when the joint is placed under a predetermined load.
|ORTHOPAEDIC IMPLANTS AND METHODS OF FORMING IMPLANT STRUCTURES - Additive processes and novel implant designs provide precise pore design and positioning for clinically useful microstructures exhibiting the appropriate rigidity for orthopaedic implants.
|Minimally Invasive Joint Implant with 3-Dimensional Geometry Matching the Articular Surfaces - This invention is directed to orthopedic implants and systems. The invention also relates to methods of implant design, manufacture, modeling and implantation as well as to surgical tools and kits used therewith. The implants are designed by analyzing the articular surface to be corrected and creating a device with an anatomic or near anatomic fit; or selecting a pre-designed implant having characteristics that give the implant the best fit to the existing defect.
|PULSED CURRENT SINTERING FOR SURFACES OF MEDICAL IMPLANTS - A porous medical implant and a method of making same is described. The medical implant comprises a porous surface formed by application of pulsed electrical energy ins such a way as to cause a localized heating in the surface of the material comprising portions of the implant. The method comprises a pulsed current sintering technique.
|KNEE PROSTHESIS - Osteoarthritis (OA) is the most common disease affecting human joints. Mechanical stress through the joint is one of the most important independent etiological factors. The present invention provides a prosthesis that bypasses some of the stress from the joint without destroying the joint surface. It allows full range of joint movement, while sharing the load with the physiological joint, thereby maintaining the viability of the physiological joint surface.
|Historical Patient-Specific Information for Articular Repair Systems - Methods and systems for retention and use of historical patient-specific information in selecting and/or designing patient-adapted articular repair systems are disclosed herein. Various embodiments include articular repair system components that are selected and/or designed based, at least in part, on both current patient-specific information and historical patient-specific information. According to certain embodiments, a method of making an implant component for intended treatment of a diseased or damaged joint of a patient is disclosed.
|BONE-DERIVED IMPLANTABLE DEVICES FOR SUBCHONDRAL TREATMENT OF JOINT PAIN - Implantable devices for the surgical treatment of bone, and particularly to a bone defect at a joint region, and even more particularly at the subchondral bone level of the joint region, are disclosed. The implantable devices may be formed of a bone material, and configured to serve the dual functions of providing mechanical strength and structural integrity to the area to be treated, while also facilitating the dispersal of a flowable material in the same area. Associated delivery tools are also provided.
|Prosthetic joint - A prosthetic joint includes: (a) a bone-implantable first member comprising a rigid material and including a body having an annular flange extending outward at a first end thereof, the first end of the body and the flange cooperatively defining a wear-resistant concave first contact surface having a protruding rim and a recessed central portion; and (b) a bone-implantable second member comprising a rigid material with a wear-resistant convex second contact surface; (c) where the first and second contact surfaces bear directly against each other so as to transfer axial and lateral loads from one of the members to the other, while allowing pivoting motion between the two members; (d) wherein the flange is shaped so as to deform elastically and permit the first contact surface to conform to the second contact surface when the joint is placed under a predetermined load.
|IMPLANT ASSEMBLY - An implant assembly having an articulating surface and an axial cavity arranged to receive an end of a bone, the axial cavity being generally circular in cross section in a plane normal to the axis of the implant, and including a spacing element detachable from the implant. At least a portion of the interior surface of the cavity is roughened and is arranged to abrade bone when the end of the bone is received in the cavity. The spacing element is arranged to prevent the implant from fully seating on the end of the bone such that the implant and the end of the bone are in a predetermined spaced apart arrangement.
|CROSSLINKED POLYMERIC MATERIAL WITH ENHANCED STRENGTH AND PROCESS FOR MANUFACTURING - A radiation crosslinked (50 kGy), pressure-treated UHMWPE material has been developed by applying compressive force on a crosslinked polymer in a direction orthogonal to an axial direction. The deformed material is then cooled while held in a deformed state. The resulting material is anisotropic, with enhanced strength oriented along the axial direction. The directionally engineered material is oxidatively stable even after four weeks of accelerated aging in a pressure vessel containing five atmospheres of oxygen (ASTM F2003). Because of its oxidative stability, the deformation processed material is a suitable candidate for air-permeable packaging and gas sterilization, which has thus far been reserved for remelted highly crosslinked UHMWPEs.
|ORTHOPAEDIC JOINT PROSTHESIS IMPLANT KIT - This invention relates to an orthopaedic joint prosthesis implant kit (
|PROSTHETIC HAVING A MODULAR SOFT TISSUE FIXATION MECHANISM - A method and apparatus for coupling soft tissue to a prosthetic is disclosed. Soft tissue attachment pads having porous metal attachment regions and suture accepting holes are selectively positioned onto an implantable prosthetic to provide coupling locations.
|ORTHOPEDIC PAEK-ON-POLYMER BEARINGS - An orthopedic prosthetic joint comprising a joint couple having a first bearing surface made of a poly aryl ether ketone (PAEK) and a second joint component having a second bearing made of a polymer that is softer than the PAEK such as UHMWPE the first and second bearing surfaces in sliding engagement with one another.
|FIXATION OF BONE IMPLANTS - An orthopaedic implant system includes an orthopaedic implant having an articulating component with an articulating surface and an interface surface opposed to the articulating surface, and a body component connected to the interface surface and having a bore formed therein, the bore having at least one lip; and an orthopaedic screw connected to the orthopaedic implant, the orthopaedic screw including a main body having a torqueing end, an inner chamber formed therein, and at least two mating features separated by a separation gap, the separation gap extending into the inner chamber and at least one of the at least two mating features abutting against the at least one lip, and a support member removably placed in the inner chamber of the main body and having a support portion at least partially filling the separation gap between the at least two mating features.
|SHIELDED PROSTHETIC COMPONENT - A prosthetic component suitable for trialing or long-term implantation is provided. The prosthetic component includes at least one sensor for measuring a parameter of the muscular-skeletal system or a biological parameter is disclosed. The prosthetic component comprises a conductive material. Electronic circuitry and sensors are housed within the prosthetic component. Data from the prosthetic component can be transmitted to a remote system. The prosthetic component can comprise steel, titanium, cobalt, an alloy, or other conductive material. At least a portion of the conductive material comprising the prosthetic component is coupled to ground to shield the sensor from parasitic coupling that can affect measurement accuracy. The prosthetic component can have an opening in the shield to allow sensing or transmission of data.
|WEAR COMPENSATING JOINT ASSEMBLY INCORPORATING A PRESSURIZED FLUID INJECTABLE RESERVOIR UPWARDLY BIASING A HARDENED PLASTIC WITH A WEAR SURFACE - An artificial joint associated with an implant having a pair of three dimensional and structurally extending bones, each defining a contoured and opposing end face, which collectively defines a joint location. At least one plasticized and three dimensional shaped disk, such as a hardened and sanitary plastic material, is seated within a selected end cavity associated with a first of the bones. The disk exhibits an exterior surface configuration mating with an opposing end face of the other bone and which is biased, such as by a pressurized and fluid-filled bladder seated against an underside of the disc, in a contacting fashion against the other bone to establish a continuous wear surface.
|FACET JOINT IMPLANT DEVICE - A bone graft implant device for treating a tissue site is provided, the device including an implant body including a demineralized allograft bone material portion, and at least one engagement member protruding from the implant body including a mineralized allograft bone material portion. The engagement member may be integrally formed with the implant body, or alternatively, the implant body may include an aperture and the engagement member may be insertable therein. At least one of the amount of demineralization or area of the demineralized allograft bone material portion is adjustable to impart a desired flexibility to the implant body.
|POLYMER BASED JOINT IMPLANTS AND METHOD OF MANUFACTURE - A method and implant based on injection molding techniques. The method produces polymeric components suitable for implantation with a structure and mechanical properties close to those of natural bone tissue. In a variant, method for making an implant or component thereof includes forming a standard shape foamed blank, and over-molding a thin layer of non-foamed PEEK material onto the standard shaped foamed blank to obtain a final implant component geometry, whereby the blank is completely encapsulated by the over-molded layer.
|Modular Joint Prosthesis - The invention relates to modular joint prostheses, comprising a curved head part and/or a shaft-like shaped shaft part, to the conical pins of which a slip-on joint ball is attached, and comprising a nail which can be inserted into the bone marrow canal of the long bone and has a nail neck, wherein a connecting means is provided between the head part and the nail neck which holds the head part in a non-rotatable manner. The invention is based on the problem of providing a modular joint prosthesis which increases the modularity of the prosthesis by increased longitudinal variability, enables improved adjustability of the angular position while reducing the number of parts at the same time, and simplifies revision surgeries. This problem is solved for the prosthesis having the curved head part in that the connecting means comprises at least one collar-like module which is located in the axial direction of the nail and has at least two semi-shells, which are divided in the axial direction of the module, are detachably connected to each other, form an axially extending passage with each other for inserting the nail head into the passage and have recesses, which are disposed coaxially in the longitudinal direction of the module, are positioned perpendicularly to the axis and correspond to each other, for receiving a tensioning means, which in the tensioned state fixes the nail head in the passage exclusively by way of frictional engagement in a jaw-like manner with a tightening torque sufficient to prevent axial displacement and rotation.
|IMPLANT FOR BONE AND CARTILAGE RECONSTRUCTION - The aim of the invention is to restore the mobility of an articular end (
|AVASCULAR NECROSIS CAGE MANUFACTURING PROCESS - A method for manufacturing a spherical cage. The method includes providing a wire braid and inserting a spherical ball inside the wire braid. The wire braid and spherical ball are placed inside a mold. Excess wire braid is trimmed from the mold, creating trimmed ends of the braid. The mold is heat set with the spherical ball and wire braid. The spherical ball and wire braid are removed from the ball and the spherical ball is removed from the wire braid, resulting in a spherical wire cage.
|PHARMACEUTICAL COMPOSITIONS COMPRISING LUBRICANTS FOR PREVENTING OR REDUCING ASEPTIC LOOSENING IN A SUBJECT - The present invention relates to pharmaceutical compositions comprising one or more amphiphilic polymer lubricants for use in association with artificial orthopaedic implants. Additionally, the invention relates to medical use of the lubricants of the invention in connection with conditions associated with artificial orthopaedic implants. The invention furthermore relates to artificial joint implants comprising the polymer lubricants according to the invention and methods for preparing such implants.
|OSTEOSYNTHESIS DEVICE - In one embodiment, the present invention includes an intramedullary osteosynthesis or arthrodesis implant including a central body, a first pair of legs extending from the central body to a pair of leg tips, and a second pair of legs extending from the central body, in a direction opposite the first pair of legs, to a pair of leg tips such that the central body, first pair of legs and second pair of legs are positioned alongside a longitudinal axis.
|IMPLANTABLE BONE AUGMENT AND METHOD FOR MANUFACTURING AN IMPLANTABLE BONE AUGMENT - Method for manufacturing an implantable bone augment arranged to at least partially fit in a bone defect in a bone of a patient, wherein the method comprises the steps of: —providing a three-dimensional model of at least a part of the bone of the patient comprising the bone defect; —designing the shape and size of an augment based on the three-dimensional model, wherein a bone contacting surface of the augment is formed complementary to a corresponding outer surface of the bone, in particular a surface of the bone defect; —designing the body of the augment having the designed shape and size and having a porous microstructure, wherein the step of designing further comprises providing reinforcements in said body based on predicted loading conditions of the implanted augment, and; —manufacturing the designed augment.
|SOLID STATE DEFORMATION PROCESSING OF CROSSLINKED HIGH MOLECULAR WEIGHT POLYMERIC MATERIALS - Solid-state deformation processing of crosslinked high molecular weight polymers such as UHMWPE, for example by extrusion below the melt transition, produces materials with a combination of high tensile strength and high oxidative stability. The materials are especially suitable for use as bearing components in artificial hip and other implants. Treated bulk materials are anisotropic, with enhanced strength oriented along the axial direction. The material is oxidatively stable even after four weeks of accelerated aging in a pressure vessel containing five atmospheres of oxygen (ASTM F2003). Because of its oxidative stability, the deformation processed material is a suitable candidate for air-permeable packaging and gas sterilization, which has thus far been reserved for remelted crosslinked UHMWPE.
|HIGHLY CRYSTALLINE CROSS-LINKED OXIDATION-RESISTANT POLYETHYLENE - The present invention relates to methods for making highly crystalline cross-linked polymeric material, for example, highly crystalline cross-linked ultra-high molecular weight polyethylene (UHMWPE). The invention also provides methods of making antioxidant-doped highly crystalline cross-linked polymeric material using high pressure and high temperature crystallization processes, medical implants made thereof, and materials used therein.
|Articular Surface Implant and Delivery System - A method is provided for delivering an implant for replacing a portion of an articular surface. The method may include forming a socket in an articulating feature that is capable of moving relative to the articular surface. An implant may be placed in the socket and the articulating feature may be moved relative to the articular surface to generally align the socket with an implant site formed in the articular surface. The implant may be transferred from the socket into the implant site.
|END SURFACE MOUNTED PLUGS INCORPORATED INTOAN ARTIFICIAL JOINT AND INCLUDING CUSHIONEDSOFT PLASTIC BETWEEN OUTER HARDENED PLASTICLAYERS TO IMPROVE WEAR CHARACTERISTICS - The present invention discloses an implant for use with a joint defining bone having a three dimensional shape and including a first exposed and joint surface defining layer and an inner most and bone mounting layer. The body further has at least one intermediate layer exhibiting a hardness less than either of the exposed layer and the inner most layer such that, upon mounting the body to a conditioned end of a joint defining bone, it provides the dual features of dynamic cushioning support and external wear resistance.
|HIGH MODULUS CROSSLINKED POLYETHYLENE WITH REDUCED RESIDUAL FREE RADICAL CONCENTRATION PREPARED BELOW THE MELT - The present invention provides an irradiated crosslinked polyethylene containing reduced free radicals, preferably containing substantially no residual free radical. Disclosed is a process of making irradiated crosslinked polyethylene by irradiating the polyethylene in contact with a sensitizing environment at an elevated temperature that is below the melting point, in order to reduce the concentration of residual free radicals to an undetectable level. A process of making irradiated crosslinked polyethylene composition having reduced free radical content, preferably containing substantially no residual free radicals, by mechanically deforming the polyethylene at a temperature that is below the melting point of the polyethylene, optionally in a sensitizing environment, is also disclosed herein.
|PROSTHESIS FOR SIMULATING NATURAL KINEMATICS - A bearing component
|METHODS AND APPARATUS FOR REPLACING BIOLOGICAL JOINTS USING BONE CEMENT IN A SUSPENDED STATE - The present disclosure provides methods and apparatus for replacing biological joints, but applies also to the fixation of any solid implant for use in dental or orthopaedic applications. In general, an ideal amount of bone cement is applied to the implant prior to going in to the operating room. Next, the polymerization (e.g., drying) process is suspended with a coating and/or a chemical. Once the implant(s) are needed in the operating room, the polymerization process is resumed. In this manner, the bone cement does not need to be mixed in the operating room, the surgeon does not need to "race the clock," each implant is placed with the ideal amount of cement in the ideal consistency, there are no powder clumps, and there is little to no excess cement to remove.
|COMPOUND ANGLE IMPLANT - A method of aligning implant components includes placing a first implant component in bone, followed by: coupling a first intermediate member to the first implant component; coupling a first alignment member to the first intermediate member; rotating the members as a unit to place the first intermediate member in an alignment position; removing the first alignment member from the first intermediate member; coupling a second alignment member to a second intermediate member; coupling the second intermediate member to the first intermediate member and rotating the second alignment member and the second intermediate member as a unit relative to the first intermediate member to provide a desired orientation of the second intermediate member. An alignment system for aligning first and second members includes a first alignment member having an offset channel dimensioned to receive the first member, and a second alignment member having a channel dimensioned to receive the second member.
|ARRANGEMENT AND IMPLANT FOR REPLACING SURFACES THAT ARE SUBJECT TO STRESSES - The invention relates to an implant for partially replacing surfaces that are subject to stresses, especially the surfaces of a joint. Said implant comprises a spherical or axial, preferably cylindrical base to be inserted in an area removed from the bone, e.g. a punched or drilled area. The base comprises at least one surface for replacing the section to be replaced and/or an adapter for receiving an element carrying the section, e.g. a joint surface element, tooth or pivot tooth. The system for inserting the implant comprises an angle determination system in the form of elliptical plates of different diameter and cutting angle to be placed onto the joint section to be restored to determine the angle and/or the size of the substitute material to be implanted, an angle guiding device comprising a fixing extension to be inserted between the joint surfaces, and an angle adjusting device linked with the fixing extension and comprising at least one guide element whose angle can be adjusted or which can be disposed in an angle-defined position, for placing at least one guide wire in the operation field or bore guide for a tubular drill. The system further comprises a drill system that comprises at least one drill/punch that can be guided through the bore guide. Said bore guide is held in a fixed relative position to the joint section to be restored either by the angle adjusting device or by the guide wire. The invention further relates to an angle determining system in the form of elliptical plates, an oscillation drill device and hollow cylinder drills or punches having a beveled tip.
|SOFT TISSUE ATTACHMENT DEVICE AND METHOD - An attachment device that secures soft tissue to an orthopedic prosthetic implant or bone. The attachment device includes a receptor surface, an attachment plate with an attachment surface, and fasteners. The receptor surface can be formed on the implant or on a separate receptor plate. The receptor surface accepts the soft tissue and/or a bony structure, the attachment plate at least partially covers the receptor surface, and the fasteners secure them together to compress and hold in place the soft tissue and/or a bony structure.
|Nanorough Alloy Substrate - A CoCr substrate for growing mammalian cells and, in particular, chondrocytes and synovial stem cells. The substrate may be treated electrolytically to produce a surface topography that is amenable to cell growth and migration. The substrate shows improved adhesion and migration characteristics and may be useful as a prosthesis or implant and in particular as a prosthesis in a joint such as the knee.
|ENDOPROSTHESIS WITH INTERMEDIATE PART - An endoprosthesis for replacement of a joint includes two slide surfaces having different contours and correspondingly determining movement planes for a bearing formed by an intermediate part. The endoprosthesis includes a clamping bracket to enclose the slide surfaces of the intermediate part that is arranged thereon such that it is free from the movement planes defined by the slide surfaces having different contours. It is thus possible to strengthen endoprostheses which have complex biomechanics having a plurality of degrees of freedom.
|DETERMINING THE OFFSET OF THE HEAD PART OF AN ORTHOPAEDIC JOINT PROSTHESIS STEM COMPONENT - A method of determining the offset of the head part of an orthopaedic joint prosthesis stem component, relative to the neck of the stem part on which the head part can be fitted, involves obtaining a first and second images of the patient's joint on a non-coincident first and second planes. Template parts are fitted to the first and second images of the bone, which have markings on them which can be placed relative to the head part and the stem part respectively of the patient's bone, and scales for measuring first and second displacements which are the distances between the axis of the head part and the axis of the neck of the patient's bone measured in the first and second planes.
|Implantable biological joint replacement - The present invention concerns the problem of solving issues of common mechanical endoprostheses and limitations of current cartilage replacement methods by manufacturing a complete implantable biological joint replacement. Devices which provide for the shaping, diffusion activation and particularly fulling of the joint replacement which is being produced—i.e. compression with alternating pressure and possibly a gliding motion of the fulling device on the surface of the joint replacement—are used in order to produce a weight bearing biological joint replacement with hyaline cartilage. Substances and processes which activate the formation of hyaline cartilage tissues are also provided. At the present time, the biological joint replacement is preferably suitable for implantation into the shoulder and hip, but can also be used for other joints by applying multidimensional grinding techniques.
|PROCESS OF FABRICATING IMPLANTS HAVING INTERNAL FEATURES FOR GRAFT RETENTION AND LOAD TRANSFER BETWEEN IMPLANT AND VERTEBRAE - Processes of fabricating at least one graft contact surface and other surface topographies on an interbody spinal implant, such as a solid-body or composite implant. The graft contact surface as one or more of the internal surfaces of the implant includes at least one ridge or groove, for example, which is designed to contact and promote retention and stabilization of bone growth-inducing materials placed within the internal openings of the implant body. In addition, the ridges or grooves may influence the biological processes to promote bone healing and fusion.
|PROSTHETIC ARTICULATION SURFACE MOUNTING - An apparatus for facilitating the mounting of a prosthetic articulation surface to a patient tissue includes an anchoring base including a central fastener aperture extending longitudinally therethrough. A first base end is laterally spaced from the central fastener aperture. A second base end is laterally spaced from the first base end with the central fastener aperture laterally interposed therebetween. Both of the first and second base ends include a plate engagement feature. An anchor plate includes a central coupler aperture extending longitudinally therethrough. An outer perimeter is spaced laterally apart from the central coupler aperture. A plate rim extends laterally inward from the outer perimeter to substantially laterally surround the central coupler aperture. At least one plate fastener aperture extends longitudinally through the plate rim. At least one base engagement feature is located on the plate rim and is selectively engageable with the plate engagement feature of the anchoring base.
|OPEN-PORE BIOCOMPATIBLE SURFACE LAYER FOR AN IMPLANT, METHODS OF PRODUCTION AND USE - The invention relates to an open-pore biocompatible surface layer for an implant, which layer is arranged over a virgin surface of the implant, wherein pores of the open-pore surface layer are connected to form a coherent pore network and the surface layer has an internal surface area of ≧0.06 μm/μm
|Prosthetic joint - A prosthetic joint includes: (a) a bone-implantable first member comprising a rigid material and including a body having an annular flange extending outward at a first end thereof, the first end of the body and the flange cooperatively defining a wear-resistant concave first contact surface having a protruding rim and a recessed central portion; and (b) a bone-implantable second member comprising a rigid material with a wear-resistant convex second contact surface; (c) where the first and second contact surfaces bear directly against each other so as to transfer axial and lateral loads from one of the members to the other, while allowing pivoting motion between the two members; (d) wherein the flange is shaped so as to deform elastically and permit the first contact surface to conform to the second contact surface when the joint is placed under a predetermined load.
|GLENOID VAULT FIXATION - A joint prosthesis system, specifically a shoulder prosthesis, for shoulder replacement, revision and repair. The implants provide fixation into the best bone available to a surgeon. The implants are used in a superior-inferior and anterior-posterior construct forming a type of cross or X-shape. The implants allow for interchangeability of the articulating component as well as rotational orientation. The systems will allow for augments to accommodate bone loss. The implants may allow for additional security using screws or anchors inserted into the scapula.
|TENSIONED DELIVERY OF ORTHOPEDIC JOINT DEVICE - Devices and treatments for various joint conditions include a resilient elongate orthopedic device inserted into a joint space using a suture. The suture is passed through the joint space and used to pull the orthopedic device into the joint space. The suture may be using a percutaneously inserted needle or other type of needle-based delivery instrument. The resilient elongate orthopedic device may be restrained to a reduced profile that permits minimally invasive implantation, but assume an enlarged profile when positioned at an implantation site. To facilitate insertion of the orthopedic device through a minimally invasive or limited access procedure, a delivery system may be used to support and orient the orthopedic device during implantation. In some instances, the delivery system may also reduce the delivery profile of the device for insertion through a minimally invasive or limited access procedure.
|ASSEMBLY SYSTEM FOR ORTHOPEDIC COMPONENTS - An assembly system configured to seat a first orthopedic component having either a male taper or a female taper with a second orthopedic component having the other of a male taper or a female taper. In one embodiment, the assembly system includes a taper seating connector having a fastener and a bushing moveable retained on the fastener. The fastener may be connected to the first orthopedic component and the bushing may be positioned adjacent the second orthopedic component. The corresponding tapers on the first and second orthopedic components may be configured to secure the first and second orthopedic components together. Thus, by exerting a sufficient force on the bushing, the bushing will move along the fastener, transferring the force to the second orthopedic component. In this manner, the corresponding tapers of the first and second orthopedic components may be seated.
|Robotic Device and Method of Using a Parallel Mechanism - A parallel kinematically redundant device includes a base body portion and a movable portion. The movable portion includes first, second, and third joints. A first actuator is coupled to the first joint of the movable portion and to the base body portion. A second actuator is coupled in parallel with the first actuator between the second joint of the movable portion and the base body portion. A linking member is rotationally coupled to the third joint of the movable portion to provide an output for the first and second actuators. A housing is coupled to the base body portion and fits onto a user. A prosthetic joint device includes a base portion and a movable portion. An actuator is rotationally coupled to the movable portion and base portion. A compliant element is coupled in parallel with the actuator between the movable portion and base portion.
|NON-PLANAR ORTHOPEDIC IMPLANTS AND METHODS - Deformable joint implants with a generally hyperbolic paraboloid shape are disclosed, including configurations for delivery into the small joints of the body in the wrists, hands, ankle and feet, such as the first carpo-metacarpal joint, which comprises a double-saddle structure. The center of the implant may be supported, or supported and configured as a central opening. Implants with supported center regions may have a uniform or non-uniform thickness. A region of non-uniform, reduced thickness may be circular, oval or ring-like in shape, with a central support that may have an increased thickness relative to the perimeter region of the implant.
|Method for Performing Implant Surgery - The joint implant manufacturer obtains and compiles surgeon-specific surgical and supply preference information in relation to a supplied joint implant prior to surgery. The manufacturer designates and trains at least one surgical team member using the surgeon-specific preference information and then supplies the service of the surgical team member(s) together with the supplied joint implant and supplies. The surgical team member(s) perform surgical procedures on the patient to assist the surgeon in removing a defective joint and replacing it with the supplied implant in accordance with the surgeon's surgical preferences.
|Systems for and Methods of Diagnosing and Treating a Sacroiliac Joint Disorder - Aspects of the present disclosure involve a method of diagnosing and treating a sacroiliac joint of a patient comprising: a) delivering a first member into the ilium via a first posterior approach; b) delivering a second member into the sacrum via a second posterior approach; and c) diagnosing an ailment of the sacroiliac joint by: manipulating the first member relative to the second member; or identifying joint movement via a sensor positioned in or near the sacroiliac joint.
|LINERS FOR MEDICAL JOINT IMPLANTS WITH IMPROVED WEAR-RESISTANCE - A polymeric liner for joint implants includes at least one friction reducing member and at least one body member. The friction reducing member is made of a polymeric matrix which contains a polymeric material and at least one nanotube nanoparticle having a volume concentration of between 5%-99% v/v (volume per volume). The body member is formed of at least a polymeric material. The friction reducing member and the body member are conjoined preferably by compression molding or any other method of coupling such as mold injection, 3D printing, adhesion or any other suitable method can be applied. A method produces the polymeric.
|PROSTHETIC JOINT COMPONENT PLANNING TEMPLATE - A method for planning the implantation of a prosthetic joint component in a prosthesis-receiving bone is described. Surrounding soft tissue is retracted to expose the prosthesis-receiving bone. A prosthetic joint component planning template comprising a planar template body having a unitary structure is provided. The planning template is positioned in a superimposed orientation with a curvilinear surface of an exposed prosthesis-receiving bone. The position of the planning template is adjusted into a desired superimposed orientation with respect to the prosthesis-receiving bone. At least one of a size and an orientation of the prosthetic joint component is determined through visualization of the planning template and the prosthesis-receiving bone. An apparatus for assisting a user with determining at least one of a size and an orientation of a prosthetic joint component is also provided.
|SHAPE MEMORY ORTHOPEDIC JOINT - Shape memory material to effect construction of an artificial joint. Placement is effected through a minimally invasive surgical technique, wherein the device transforms from a collapsed indeterminate form to a determinate form as heat is introduced. The device self deploys to a joint having determinate geometric shape and super elastic properties.
|Prophylactic Bactericidal Implant - A medical implant system is described for inhibiting infection associated with a joint prosthesis implant. An inventive system includes an implant body made of a biocompatible material which has a metal component disposed on an external surface of the implant body. A current is allowed to flow to the metal component, stimulating release of metal ions toxic to microbes, such as bacteria, protozoa, fungi, and viruses. One detailed system is completely surgically implantable in the patient such that no part of the system is external to the patient while the system is in use. In addition, externally controlled devices are provided which allow for modulation of implanted components.
|Adjustable Absorber Designs For Implantable Device - A system for manipulating energy transferred by members defining a joint. The system includes a first attachment structure configured to be attached to a first member of the joint and a second attachment structure configured to be attached to a second member of the joint. There is also an adjustable energy absorbing device attached to the first attachment structure and second attachment structure, wherein adjusting the energy absorbing device changes the load manipulating characteristics of the energy absorbing device.
|JOINT IMPLANT - A joint implant, includes a neck and a blade extending along a longitudinal axis and connected to the neck to form a blade plane. A plurality of bores is located in the blade, each of the bores having a central axis, the axes being oriented so that none project at the same angle relative to the blade plane.
|ARTIFICIAL WEAR RESISTANT PLUG FOR MOUNTING TO EXISTING JOINT BONE - An artificial and wear-resistant plug mounted to an existing bone associated with a joint structure and which includes a three dimensional and composite platicized material. An end surface of an existing bone is reconditioned in preparation for engagement of the plug thereto and in order to define a reconditioned artificial wear surface. Ina preferred application, a pair end mounted plugs are arranged in opposing fashion between first and second bones and respectively define a male receiving end and a female socket. A lubricant retaining and cartilage defining exterior layer is applied to one or both of opposing surfaces of the plugs.
|METHODS OF REPAIRING A JOINT USING A WEDGE-SHAPED IMPLANT - According to some embodiments, a method of treating a joint of a patient comprises creating a recess in a bone located at or near a targeted joint, wherein the recess includes a generally wedge or truncated cone shape. In one embodiment, the recess in a bone comprises a surface opening along an outer surface of the bone and a bottom opening along the distal end of the recess, such that a diameter of the surface opening is generally smaller than a diameter of the bottom opening. The method additionally comprises providing a joint implant having a wedge or truncated cone shape, wherein a diameter of a top end of the joint implant is generally smaller than a diameter of a bottom end of the joint implant, inserting the joint implant within the recess.
|Joint Arthroplasty Devices Formed In Situ - Disclosed herein are methods and devices for repairing articular surfaces. The articular surface repairs are customizable or highly selectable by patient and geared toward providing optimal fit and function.
|COATING FOR A CoCrMo SUBSTRATE - A coating for a CoCrMo substrate including a first layer located directly on the substrate and including Ta(CoCrMo)
|BONE STAPLE STORAGE, INSERTER, AND METHOD FOR USE THEREWITH - The invention comprises a fusion implant system for a generally u-shaped bone staple in which the staple is provided on a storage block with the two side legs in an un-splayed position, and an inserter having two triangular shaped pivoting handles has detachable tips that engage the staple on the storage block such that when the handles are aligned one over the other in a congruent position, the tips force the side legs into a splayed configuration at 90° and a sliding block holds the handles in this position to allow the staple to removed from the storage block and tamped using the inserter handles into respective bone.
|Method of a Pharmaceutical Delivery System for Use Within a Joint Replacement - Methods and apparatus of providing a joint replacement parts with a pharmaceutical delivery system is provided. The pharmaceutical delivery system is placed within the joint replacement parts to provide, over a period of time, sustained release of a controlled concentration of pharmaceuticals within the joint space of the joint replacement and to produce a local or systemic physiological of pharmacological effect.
|Joint Prosthesis with Positionable Head - A prosthesis assembly in one embodiment includes a stem configured to be implanted in a bone and including a first coupling portion, a head having a bearing surface configured to mate with at least one of a natural opposing joint component and a prosthetic opposing joint component, the head further having a second coupling portion, a coupler including a third coupling portion and a fourth coupling portion, the third coupling portion configured to couple with the second coupling portion, and an insert including (i) a fifth coupling portion configured to couple with the fourth coupling portion in any of a plurality of rotational orientations in combination with any of a plurality of roll angles and any of a plurality of pitch angles, and (ii) a sixth coupling portion configured to couple with the first coupling portion only when the insert assumes a predetermined rotational orientation with respect to the stem.
|Systems and Methods for Joint Stabilization - Photodynamic devices for stabilizing a joint are provided. In some embodiments, a photodynamic joint spacer is provided that includes an expandable member configured for attachment to a bone having an excised region; a formable bar configured for attachment to the bone along at least a portion of the expandable member; and a light-sensitive liquid passed into the expandable member to expand the expandable member, wherein the expandable member is shaped by the formable bar to a shape resembling the excised region of the bone, and wherein the light-sensitive liquid is curable upon exposure to light energy to set the expandable member in the shape resembling the excised region to form a photodynamic joint spacer.
|NANOTEXTURED COBALT-CHROMIUM ALLOY ARTICLES HAVING HIGH WETTABILITY AND METHOD OF PRODUCING SAME - The present invention relates to articles comprising a cobalt-chromium alloy and bearing a surface oxide layer that has a thickness of 20 to 40 Å, is enriched in chromium relative to said article, and includes a plurality of indentions that, independently, have a diameter of from about 40 to about 500 nm. Such articles can be suitable for implantation in a mammal.
|PROSTHETIC JOINT WITH ALIGNMENT FEATURE - A prosthetic joint includes: (a) a first member including a bone-implantable surface, comprising rigid material, and including a body having a cantilevered perimeter flange that defines a wear-resistant, concave first contact surface having a protruding rim and a recessed central portion; (b) a second member including a bone-implantable surface and comprising rigid material with a wear-resistant, convex second contact surface; (c) where the contact surfaces bear directly against each other, transferring axial and lateral loads between the members, while allowing pivoting motion therebetween; (d) wherein the flange is shaped and sized so as to deform elastically, permitting the first contact surface to conform in an irregular shape to the second contact surface when the joint is loaded; and (e) wherein at least one of the bone-implantable surfaces includes at least one mechanical feature configured to maintain the associated member in a specific position and/or orientation relative to bone.
|CREEP RESISTANT, HIGHLY LUBRICIOUS, TOUGH, AND IONIC HYDROGELS INCLUDING PVA-PAAMPS HYDROGELS - The invention provides creep resistant, highly lubricious, tough and ionic hydrogels, creep resistant, lubricious, tough ionic hydrogel-containing compositions, and methods of making the same. The invention also provides methods of implanting or administering the creep resistant, highly lubricious, tough and ionic hydrogels including ionic PVA-hydrogels, ionic PVA-PAAMPS-hydrogels, or the ionic hydrogel-containing compositions to treat a subject in need. Methods of cross-linking pre-solidified or pre-gelled ionic hydrogels and making cross-linked ionic hydrogels and cross-linked ionic hydrogel-containing compositions also are disclosed herein.
|Prosthetic Having A Modular Soft Tissue Fixation Mechanism - A method and apparatus for coupling soft tissue to a prosthetic is disclosed. Soft tissue attachment pads having porous metal attachment regions and suture accepting holes are selectively positioned onto an implantable prosthetic to provide coupling locations.
|METHOD FOR FASTENING AN IMPLANT TO BONE TISSUE AND CORRESPONDING IMPLANT SYSTEM - An implant designed e.g. as a replacement for an articulating surface of a human or animal joint is secured to the bone tissue with the aid of a plurality of fasteners (
|COATING FOR A TITANIUM ALLOY SUBSTRATE - The present disclosure relates, at least in part, to a surgical implant and a method for manufacturing the surgical implant. In one embodiment, the surgical implant comprises a metallic substrate; a tantalum interlayer disposed adjacent to the metallic substrate and comprising α-tantalum and amorphous tantalum; at least one DLC layer disposed adjacent the tantalum interlayer; wherein the amorphous tantalum has a phase gradient increasing from the metallic substrate side to the DLC side; wherein the DLC layer has a hardness value and an elastic modulus value; and wherein the hardness value has a gradient increasing away from the tantalum side; and wherein the elastic modulus value has a gradient from the tantalum side.
|INTRAOPERATIVE SCANNING FOR IMPLANT OPTIMIZATION - Systems and methods for implant optimization using intra-operative scanning are set forth. According to one embodiment, a method comprising intraoperatively scanning a joint surface, processing the scan and creating a three-dimensional computer model, performing simulations with the three-dimensional computer model, determining an optimal implant attribute from analysis of the simulations, selecting an optimal implant, determining an ideal positioning and orientation of the selected implant relative to scanned anatomical features, rapidly creating a patient-matched guide to facilitate bone surface preparation in order to achieve ideal positioning and orientation of the selected implant, preparing the surface using the patient matched guide, and implanting the optimal implant is set forth.
|TAPERED JOINT IMPLANT AND RELATED TOOLS - According to some embodiments, a method of treating a joint of a patient comprises creating a recess in a bone located at or near a targeted joint, wherein the recess includes a generally wedge or truncated cone shape. In one embodiment, the recess in a bone comprises a surface opening along an outer surface of the bone and a bottom opening along the distal end of the recess, such that a diameter of the surface opening is generally smaller than a diameter of the bottom opening. The method additionally comprises providing a joint implant having a wedge or truncated cone shape, wherein a diameter of a top end of the joint implant is generally smaller than a diameter of a bottom end of the joint implant, inserting the joint implant within the recess.
|METHOD AND APPARATUS FOR DISTAL RADIOULNAR JOINT (DRUJ) ARTHROPLASTY - Apparatus for reconstructing a joint of the sort comprising a first bone having a first articular surface and a second bone having a second articular surface, wherein the first articular surface and the second articular surface engage one another, the apparatus comprising:
|INSERT MEASURING SYSTEM HAVING A POLYMER ARTICULAR SURFACE - At least one embodiment is directed to an insert for measuring a parameter of the muscular-skeletal system. The insert can be temporary or permanent. In one embodiment, the insert is prosthetic component for a single compartment of the knee. The insert comprises a support structure and a support structure respectively having an articular surface and a load-bearing surface. At least one of the support structures comprises polycarbonate. The polycarbonate allows short-range transmission of measurement data. The height of the insert is less than 10 millimeters. At least one internal cavity is formed when support structures are coupled together for housing electronic circuitry, sensors, and the power source. The internal cavity is isolated from the external environment and can be hermetically sealed.
|MECHANICAL CAPSTAN AMPLIFIER - A mechanical capstan amplifier. The mechanical capstan amplifier (
|CAST BASE FOR BIOMEDICAL USE FORMED OF COBALT-CHROMIUM BASED ALLOY AND HAVING EXCELLENT DIFFUSION HARDENING TREATABILITY, SLIDING ALLOY MEMBER FOR BIOMEDICAL USE AND ARTIFICIAL JOINT - A cast base for biomedical use, which is formed of a cobalt-chromium based alloy and has excellent diffusion hardening treatability, characterized by containing 0.1 mass % or greater of nitrogen (N) and having a volume fraction of an fcc (face centered cubic lattice) phase in the metallic structure thereof of 50% or greater. Even in the case of subjecting the aforesaid cobalt-chromium based alloy cast base in the as-cast state, the structure of which is liable to be non-uniform, to a diffusion hardening treatment, it is possible to obtain a sliding alloy member for biomedical use, wherein a uniform hardened layer has been formed, by the diffusion hardening treatment. Thus, a sliding alloy member for biomedical use and so on, which can stably and continuously exhibit high strength, excellent abrasion resistance and, moreover, excellent corrosion resistance, can be provided.
|COMPOSITE PROSTHETIC SURFACES - A composite article (e.g., prosthesis) and method of preparing the article is provided. An article may include a body having a matrix of a first hardness having a plurality of particles of a second hardness embedded in the matrix in fixed locations, the second hardness being harder than the first hardness, and the matrix having an external wear surface with a portion of the particles being proximal to or exposed at the external wear surface. The matrix with the particles may improve the life and durability of the article.
|SUTURE-BASED ORTHOPEDIC JOINT DEVICES - Devices and treatments for various joint conditions include a resilient elongate orthopedic device inserted into a joint space using a suture. The suture is passed through the joint space and used to pull the orthopedic device into the joint space. The suture may be using a percutaneously inserted needle or other type of needle-based delivery instrument. The resilient elongate orthopedic device may be restrained to a reduced profile that permits minimally invasive implantation, but assume an enlarged profile when positioned at an implantation site.
|Energy Capturing and Controlling Joint Module for External Prosthetics - A prosthetic joint module to provide a variety of motions and functions similar to human joint systems during rigorous activities. The joint module includes a housing component attached to a proximal prosthetic device, an elastomeric polymer attached to the housing component and a yoke component attached to the elastomeric polymer and to a distal prosthetic device. The yoke component and distal prosthetic device are moved relative to the housing component and proximal prosthetic device causing the elastomeric polymer to distort. This distortion allows the joint module to flex, and absorb, capture, store and return the energy from the movement to of the yoke component.
|SUBCHONDRAL TREATMENT TO PREVENT THE PROGRESSION OF OSTEOARTHRITIS OF THE JOINT - Methods for the prevention, or delayed onset or progression of, bone marrow edema or bone marrow lesion, and subchondral treatment to prevent the progression of osteoarthritis of a joint are disclosed. The methods involve treating the subchondral bone, while preserving, as much as possible, the joint's articular and cartilage surface. The methods could be performed before, during, or after an initial arthroscopic surgery to repair the joint. Associated devices and instruments for treatment of the subchondral bone are also disclosed.
|Polymeric adhesive for anchoring compliant materials to another surface - Methods, compositions, and kits for adhering polymers and other materials to another material, and in particular to bone or bone-like structures or surfaces. A composition of matter includes a urethane dimethacrylate-methyl methacrylate copolymer with a plurality of first polymer regions based on urethane dimethacrylate and a plurality of second polymer regions based on methyl methacrylate. The method includes placing an orthopedic joint implant having an attachment surface in a joint space, applying a first non-urethane-containing precursor, a second urethane-containing precursor, and a initiator to the attachment surface; contacting the first and second precursors and the initiator with the joint surface; and copolymerizing the first and second precursors and forming an adhesive copolymer and attaching the implant to the joint.
|Mulit-Phasic Solid Implants for Tissue Repair - This invention provides aragonite- and calcite-based solid substrates for the repair, regeneration, enhancement of formation or a combination thereof of cartilage and/or bone, which solid substrates comprise or are made to ultimately comprise three phases, wherein each phase differs in terms of its chemical content, or structure, kits comprising the same, and methods of use thereof.
|JOINT DEVICE AND METHOD - A mould adapted to be introduced into a joint of a human patient for resurfacing at least one carrying contacting surface of said joint is provided. The mould is adapted to receive material for resurfacing at least one carrying contacting surface of said joint. The mould is further adapted to be resorbed by the human body or melt after having served its purpose. Further, a method of treating hip joint osteoarthritis in a human patient by providing an artificial hip joint surface using a mould is provided. The method comprises the steps of: said mould being placed inside of said hip joint, said mould being injected with a fluid adapted to harden, said fluid hardening inside of said hip joint, said mould being resorbed by the human body, and said hardened fluid serving as artificial hip joint surface.
|METHOD AND DEVICE FOR AMELIORATING JOINT CONDITIONS AND DISEASES - A device for ameliorating joint conditions and diseases comprising a) a first section comprising a joint-ward end, an opposing mating end, and a lateral wall, a peripheral column partially forming the lateral wall of the first section, a central column, and three or more than three struts extending between and connecting the peripheral column and the central column, and each strut thereby supporting the central column, the joint-ward end further comprising a plurality of fenestrations formed by a confluence of the peripheral column, the central column and two adjacent struts of the three or more than three struts, and first section further comprising a central aperture within and formed by the central column, and configured to mate with a driver, b) a second section comprising a mating end, an opposing leading end, and a lateral wall, the lateral wall of the second section comprising threads.
|Joint Arthroplasty Devices Formed In Situ - Disclosed herein are methods and devices for repairing articular surfaces. The articular surface repairs are customizable or highly selectable by patient and geared toward providing optimal fit and function.
|HOMUNCULUS - The object of the present invention is to provide a homunculus of a glenohumeral joint in which the supraspinatus and the infraspinatus are correctly connected to the superior humerus. A homunculus
|IMPLANTABLE JOINT ASSEMBLY FEATURING DEBRIS ENTRAPMENT CHAMBER SUBASSEMBLIES ALONG WITH OPPOSING MAGNETIC FIELDS GENERATED BETWEEN ARTICULATING IMPLANT COMPONENTS IN ORDER TO MINIMIZE FRICTIONAL FORCE AND ASSOCIATED WEAR - A multi-component joint assembly incorporated into reconditioned end surfaces established between a first bone and opposing second bone. A first component is anchored into a reconditioned end surface of the first bone and exhibits a first exposed support surface. A second component is anchored into a reconditioned end surface of at least one of radius and ulna bones and exhibits a second exposed support surface. An intermediate component is supported in articulating fashion between the first and second anchored components. A plurality of micro debris entrapment chamber subassemblies are incorporated into the components and communicate with at least one of the articulating surfaces for isolating and capturing debris resulting from joint wear.
|PROSTHETIC KNEE VOID FILERS WITH SPLINED FIXATION - Disclosed herein are systems and methods for filling bone voids which may be present at the time of surgery. The systems disclosed herein generally include a baseplate component, a spacer component, and void filler component. The spacer component is generally assembled to the baseplate component with a taper or press-fit, for example, in one of a plurality of selected axial positions. The void filler component is then generally assembled to the spacer component in one of a plurality of selected axial positions. The void filler component preferably has an outer surface with portions having varying diameters such that the outer surface thereof can be received within a canal of a bone and contact the bone forming the canal at different locations in order to aid in stabilizing the assembled components in the canal.
|ADJUSTABLE ABSORBER DESIGNS FOR IMPLANTABLE DEVICE - A system for manipulating energy transferred by members defining a joint. The system includes a first attachment structure configured to be attached to a first member of the joint and a second attachment structure configured to be attached to a second member of the joint. There is also an adjustable energy absorbing device attached to the first attachment structure and second attachment structure, wherein adjusting the energy absorbing device changes the load manipulating characteristics of the energy absorbing device.
|ABSORBER DESIGN FOR IMPLANTABLE DEVICE - A system and method for sharing and absorbing energy between body parts. In one embodiment, the system includes an implantable energy absorbing device having a first part with a piston and arbor arranged parallel to one another and a second part also having a piston and arbor. The piston of the first part is slidable within the arbor of the second part and the piston of the second part is slidable within the arbor of the first part. Further, two springs can be received over the arbors of the first and second part and configured to bias the first and second parts apart. The energy absorbing device is configured to span across a joint.
|METHOD AND APPARATUS FOR PREPARING FOR A SURGICAL PROCEDURE - A method of preparing for a surgical procedure includes creating a three-dimensional bone model of a subject bone of a patient. At least a portion of the bone model is compared to at least one three-dimensional reference anatomic model. At least one structural difference between the bone model and the at least one reference anatomic model is identified. At least one desired subject bone structural change is specified to produce a modified bone model responsive to the step of identifying at least one structural difference between the bone model and the at least one reference anatomic model. An apparatus for preparing for a surgical procedure is also provided.
|Cannulated Hemi-Implant and Methods of Use Thereof - The present invention provides a cannulated hemi-implant with a base and a threaded stem for fixing the stem of the implant within a medullary canal of a phalanx or other bone in the foot. The implant includes a tri-part head capable of both cutting bone and self-threading, with bone forming the medullary canal of a phalanx of a human foot. The present invention also provides a hand tool which engages and rotates the implant within the medullary canal of the phalanx. The present invention further provides a method of surgically implanting the implant in the medullary canal of the phalanx or other bone.
|Unitary Orthopedic Implant - The present disclosure relates to an orthopedic implant that may be used to repair and/or replace focal defects in an individual's articular cartilage. In one exemplary embodiment, the present invention provides a unitary orthopedic implant that includes a bone contacting layer and an articulating layer. In exemplary embodiments, the bone contacting layer may have a thickness of between about 1 millimeter and 3 millimeters. In exemplary embodiments, the articulating layer may have a thickness of between about 1 millimeter and 2 millimeters. As a result, the orthopedic implant may have an overall thickness of between about 2 millimeters and about 5 millimeters.
|SUBSTRATE FOR WEAR-PROOF ORTHOPAEDIC JOINTS, OF NON FERROUS METAL WITH A NITRIDE-BASED COATING - Substrates for joints for orthopaedic implants are described, wherein at least one of the sliding surfaces of non-ferrous metal alloys, in particular of cobalt, chromium, molybdenum alloys, has a coating consisting of niobium nitride nanolayers alternating with chromium nitride nanolayers, the lot being protected by a chromium nitride microlayer.
|Joint Replacement or Joint Resurfacing Devices, Systems and Methods - Joint resurfacing and/or replacement devices, systems and methods that include thin film ternary ceramic coatings that are effective to provide reliable articulation and bearing surfaces and protection of both articular and modular junction surfaces from the potential for corrosion, wear, and fretting, and reduce the potential for release of metal ions from the joint systems. Isoelasticity is provided according to the particular joint resurfacing/replacement devices, systems and methods based on parameters that include material of construction, porosity and coating system. The thin film ternary ceramic coatings may be functionalized to enhance hydrophilicity and may be employed in any anatomical articulating joint region. Titanium alloy composite structures are provided that include an ultra-porous structured titanium alloy bone fixation surface and an opposed solid articular surface and a thin film ternary ceramic coating applied to one or both opposed surfaces.
|MICRO AND MACRO TEXTURING OF MACHINED OBJECTS - There is provided a method for texturing at least one object surface of a machined object for placement at an articular joint, the articular joint having a bodily fluid flowing therethrough. The method comprises at least one of machining a plurality of spaced macro-sized cavities on the at least one object surface, each one of the plurality of cavities configured to retain the bodily fluid therein, and machining a plurality of micro-sized ridges on the at least one object surface, each one of the plurality of ridges con figured to guide the bodily fluid on the at least one object surface.
|MEDICAL DEVICES WITH GALVANIC PARTICULATES - Implantable medical devices having galvanic particulates are disclosed. The particulates may be coated onto at least part of a surface of the medical device. In addition, the galvanic particulates may be contained in the material used to manufacture the antimicrobial medical devices, or may be embedded into the surface of the medical devices. The present invention also provides novel coating methods and processing methods. The present invention further provides a combination of galvanic particulates with an aqueous gel, a method of making this combination, and a method of treatment using this combination. The devices and compositions may have advantageous characteristics and effects including anti-microbial, anti-inflammatory, tissue regeneration promoting, and pain reduction or elimination.
|JOINT REVISION IMPLANT - An osteoconductive backing implant for joint revisions is provided that may enhance bone healing and, for cementless implants, bony integration of the implant. The backing implant comprises a generally planar surface that may be formed into a generally hemispherical shape. In one embodiment, the backing implant comprises a disc having an inner hole and an outer edge, at least one slit extending from the inner hole to the outer edge. The disc may be formed from a coherent mass of elongate, mechanically entangled demineralized bone particles.
|MODULAR LONG BONE PROSTHESIS - A prosthesis for partial replacement of a long bone in humans or animals, the prosthesis including: a proximal or distal end component forming one component of a prosthetic joint; a shaft on or assembled with the distal or proximal end component in use; a stem for engagement in a resected bone; and an initially separate collar assembled to the shaft or an extension thereof in use, the collar being dimensioned to abut the resected end face of the bone into which the prosthesis is to be fitted, wherein the end face of the collar facing the resected face of the bone is sized and shaped to correspond to the resected end face of the bone.
|System and Method for Attaching Soft Tissue To An Implant - One embodiment of the present invention is directed to compositions and methods for enhancing attachment of soft tissues to a metal prosthetic device. In one embodiment a construct is provided comprising a metal implant having a porous metal region, wherein said porous region exhibits a nano-textured surface.
|PROPHYLACTIC BACTERICIDAL IMPLANT - A medical implant system is described for inhibiting infection associated with a joint prosthesis implant. An inventive system includes an implant body made of a biocompatible material which has a metal component disposed on an external surface of the implant body. A current is allowed to flow to the metal component, stimulating release of metal ions toxic to microbes, such as bacteria, protozoa, fungi, and viruses. One detailed system is completely surgically implantable in the patient such that no part of the system is external to the patient while the system is in use. In addition, externally controlled devices are provided which allow for modulation of implanted components.
|PROSTHESIS PART - The invention relates to a prosthesis part having a conical protrusion for connecting to an additional prosthesis part having a complementary conical bore, wherein the conical protrusion has a lateral recess for the engagement of a securing element, and wherein the prosthesis part with the conical protrusion has a removable cone attachment, said cone attachment having a lateral recess for the engagement of a securing element. The invention further relates to a prosthesis having a prosthesis part according to the invention and a set of prosthesis parts, wherein a prosthesis part according to the invention is formed.
|MEDICAL IMPLANTS - The current invention is directed to a medical implant made of bulk-solidifying amorphous alloys and methods of making such medical implants, wherein the medical implants are biologically, mechanically, and morphologically compatible with the surrounding implanted region of the body.
|PATIENT-ADAPTED AND IMPROVED ARTICULAR IMPLANTS, DESIGNS AND RELATED GUIDE TOOLS - Methods and devices are disclosed relating improved articular models, implant components, and related guide tools and procedures. In addition, methods and devices are disclosed relating articular models, implant components, and/or related guide tools and procedures that include one or more features derived from patient-data, for example, images of the patient's joint. The data can be used to create a model for analyzing a patient's joint and to devise and evaluate a course of corrective action. The data also can be used to create patient-adapted implant components and related tools and procedures.
|METHOD AND APPARATUS FOR USE IN OPERATING ON A BONE - An implantable device includes a polymeric body and a metallic first mounting strip connected to a trailing end portion of the body. The body has a leading end portion, a first side surface, a second side surface, an upper surface, a lower surface and a central opening extending through the upper and lower surfaces. The central opening has an internal surface with an internal leading surface, a first internal side surface and a second internal side surface. A first depth is defined between the leading end and the internal leading surface, a first spacing is defined between the first side surface and the first internal side surface and a second spacing is defined between the second side surface and the second internal side surface. The first spacing is substantially the same as the second spacing and the first depth is less than the first spacing.
|Allogenic Articular Cavity Prosthesis and Method for Implanting the Same - An articular cavity prosthesis comprises a block extending along a central axis and including a top section and a base section, the top section having an articular bearing surface extending transverse to the central axis and a supporting surface opposite the articular bearing surface configured to contact a surface of a bone on which the block is to be mounted, the base section having a fixing protrusion protruding outward from the supporting surface along the central axis and having a volume V, the block being formed of human tissue.
|DEVICE FOR REPAIRING A HUMAN OR ANIMAL JOINT - A human or animal joint is treated by introduction of a device between the suitably prepared articulating surfaces of the joint, and the device is anchored in both these articular surfaces with a material having thermoplastic properties. For allowing at least limited articulation of the joint after implantation, the device includes two articulating portions, wherein one of the articulating portions is anchored in each articulating surfaces of the joint. On implantation a proximal face of the device is contacted with a vibrating tool and the vibration is transmitted through parts of the device to locations in which the material having thermoplastic properties is near the bone tissue of the articulating surfaces of the joint and in which liquefaction is desired. The liquefied material penetrates the bone tissue and, on re-solidification forms a positive fit connection between the device and the bone tissue
|JOINT AUGMENTATION IMPLANT AND APPLICATIONS THEREOF - The disclosure relates to a joint augmentation implant in the form of an elastomeric polymer cap for the ball portion of a ball and socket joint such as a hip or shoulder. The cap is adapted to swell in the presence of synovial fluid and to supplement or replace native cartilage. The disclosure also relates to methods of use of the joint augmentation implant.
|METALLIC STRUCTURES HAVING POROUS REGIONS FROM IMAGED BONE AT PRE-DEFINED ANATOMIC LOCATIONS - An additively manufactured medical implant, comprising a metallic body having at least one porous surface configured to promote bony on-growth or in-growth of tissue, the porous surface being replicated from a high resolution scan of bone, and a biological surface coating configured to create a barrier to particulate debris, the biological surface coating being produced from a titanium porous plasma spray surface coating or a biomimetic coating.
|IMPLANT - The present invention provides an implant, which is used to fix an artificial joint in bone, including a biodegradable magnesium alloy.
|Prosthetic System - A prosthetic device having a housing, an axle, at least three housing vanes, a flow medium and a valve. The axle is disposed within the housing and moveable independently of the housing. The axle has an axle reservoir and at least three axle vanes extending from the axle to contact the chamber wall. The three housing vanes extend from a chamber wall and contact the axle. A first opening and a second opening are formed in each axle vane. The flow medium is contained entirely within the chamber and the axle reservoir. The valve is disposed in the axle and operable in response to movement of the axle in a first direction relative to the housing to allow the flow medium to enter the axle reservoir from the chamber for storage under pressure.
|CERAMIC TO CERAMIC JOINT AND ASSOCIATED METHODS - The present invention provides a ceramic to ceramic joint and methods for making such a joint. Generally, the joint includes a first ceramic part and a second ceramic part, wherein the first and second ceramic parts each include a ceramic-carbide or a ceramic-nitride material. In some cases, an aluminum-initiated joint region joins the first and second ceramic parts. This joint region typically includes chemical species from the first and second ceramic parts that have diffused into the joint region. Additionally, the first and second ceramic parts each typically include a joint diffusion zone that is disposed adjacent to the joint region and which includes aluminum species from the joint region that have diffused into the joint diffusion zone. Other implementations are also described.
|RESILIENT MEDICALLY INFLATABLE INTERPOSITIONAL ARTHROPLASTY DEVICE - This disclosure is directed to a resilient interpositional arthroplasty implant for application into joints to pad cartilage defects, cushion joints, and replace or restore the articular surface, which may preserve joint integrity, reduce pain and improve function. The implant may endure variable joint compressive and shear forces and cyclic loads. The implant may repair, reconstruct, and regenerate joint anatomy, and thereby improve upon joint replacement alternatives. Rather than using periosteal harvesting for cell containment in joint resurfacing, the walls of this invention may capture, distribute and hold living cells until aggregation and hyaline cartilage regrowth occurs. The implant may be deployed into debrided joint spaces, molding and conforming to surrounding structures with sufficient stability to avoid extrusion or dislocation. Appendages of the implant may repair or reconstruct tendons or ligaments, and an interior of the implant that is inflatable may accommodate motions which mimic or approximate normal joint motion.
|MODULAR PROSTHESIS - Modular prosthesis components having first and second relief patterns, the first relief pattern being complementary to the second relief pattern such that a component having the first relief pattern may seat fully on and in register with a component having the second relief pattern.
|Surgically Implantable Joint Spacer - A spacer formed of an intermetallic compound, such as nitinol. The spacer includes two segments shaped in opposing arches. The unique properties of the intermetallic compound enable the material to be deformed into a planar, insertable shape when the material is cooled below a transition temperature and returns to the undeformed shape when the material returns to an ambient, operational temperature. An expansion mechanism assembly can engage with the spacer to apply an expansion force. The expansion force extends the spacer longitudinally drawing the spacer into the planar configuration. The expansion mechanism assembly can be used to guide the spacer into the desired position within the patient. The spacer control mechanism assembly is subsequently removed, relieving the expansion force. The spacer returns to the natural undeformed shape as it returns to body temperature. Retention features can be integrated in the spacer to aid in retaining the spacer in location.
|VARIABLE DENSITY IMPLANT AND METHOD - An implant can comprise a porous region including a plurality of interconnecting interstitial cells configured to receive bone or biological tissue ingrowth. The porous region can be formed of a first portion, including a first plurality of the interconnecting interstitial cells and having a first density, and a second portion, including a second plurality of the interconnecting interstitial cells and having a second density different than the first density. The plurality of interconnecting interstitial cells can form a framework onto which a material can be disposed in different amounts to provide the first and second densities of the first and second portions, respectively. The second density can be selected and configured to provide greater bone or biological tissue ingrowth than the first density. The first and second density can be selected and configured to substantially match an anisotropic property of a body component the implant is intended to replace or augment.
|JOINT FOR AN ORTHOPEDIC BRACE EQUIPPED WITH A RAPID LOCKING AND UNLOCKING SYSTEM - A locking system to be fitted on a joint device (
|Joint Arthroplasty Devices - A mobile bearing implant includes a first component. The first component includes a bone facing surface for engaging one of a substantially uncut articular cartilage surface and a substantially uncut subchondral bone surface. The bone facing surface substantially matches the one of the articular cartilage surface and the subchondral bone surface. The mobile bearing implant further includes an external surface. A bearing component has a first surface for slidingly engaging the external surface of the first component, and a second surface for engaging at least one of a second component, bone, and cartilage.
|HIGHLY LUBRICATING SLIDING MEMBER AND ARTIFICAL JOINT USING SAME - Disclosed are: a sliding member which is capable of maintaining wear resistance over a long period of time; an artificial joint member in which the polymer base is reduced in thickness; and an artificial joint which exhibits high lubricating properties in the body, biocompatibility and resistance to dislocation. Specifically disclosed is a polymer sliding material which has a coating layer (B) that is composed of a graft polymer containing a phosphorylcholine group and having a density of at least 1.4 g/cm
|TWO PIECE CANCELLOUS CONSTRUCT FOR CARTILAGE REPAIR - The invention is directed toward a cartilage repair assembly comprising a shaped allograft two piece construct with a demineralized cancellous cap and a mineralized cylindrical base member defining a blind bore with a through-going transverse bore intersecting the blind bore. The demineralized cancellous cap has a cylindrical top portion and a smaller diameter cylindrical stem extending away from the top portion which fits into the blind bore of the mineralized base member. The cap stem defines a transverse through-going bore which is aligned with the through-going bore of the base member to receive a cylindrical cortical pin holding the cap within the base member. The shaped structure is dimensioned to fit in a drilled bore in a cartilage defect area so that the assembly engages the side wall of the drilled bore in an interference fit.
|SURFACE CROSSLINKED POLYETHYLENE - A method for producing a wear resistant polyethylene medical implant includes forming a medical implant, such as an orthopedic implant, made at least partially of ultra high molecular weight polyethylene (UHMWPE). The polyethylene may be irradiated with gamma ray or e-beam radiation to form free radicals and then crosslinked to eliminate free radicals prior to exposure to oxygen. The so treated bearing surface of the crosslinked polyethylene is then coated with a photoinitiator. Thereafter the bearing material is photocrosslinked with ultra-violet (UV) radiation. The photocrosslinking process can also be applied to non-crosslink UHMWPE.
|Method and Apparatus for Force Redistribution in Articular Joints - Pathologies of joints arising from improper force distributions are addressed by displacement of targeted connective and muscle tissues surrounding the joint in order to realign force vectors and alter moment arms loading the joint.
|Mechanical joint imitating creatures' joints - A mechanical joint system comprises at least a pair of segments swivelable relative to each other. The swivel of the segments are actuated by ligament(s) and the ligament(s) are actuated by either or the combination of "a two-direction control by force transmitting device," "a right-hand thread and left-hand thread co-existence mechanism" and "an extendible and retractable mechanism." The three actuation ways simulate relaxation and tension of creatures' ligaments and muscles by using threaded cylinders and nuts, and can replace conventional motor units in order to reduce the size, weight and cost of a robot.
|Methods of Using Water-Soluble Inorganic Compounds for Implants - A method for controlling generation of biologically desirable voids in a composition placed in proximity to bone or other tissue in a patient by selecting at least one water-soluble inorganic material having a desired particle size and solubility, and mixing the water-soluble inorganic material with at least one poorly-water-soluble or biodegradable matrix material. The matrix material, after it is mixed with the water-soluble inorganic material, is placed into the patient in proximity to tissue so that the water-soluble inorganic material dissolves at a predetermined rate to generate biologically desirable voids in the matrix material into which bone or other tissue can then grow.
|METHOD AND APPARATUS FOR RESTORING A JOINT, INCLUDING THE PROVISION AND USE OF A LONGITUDINALLY-ADJUSTABLE AND ROTATIONALLY-ADJUSTABLE JOINT PROSTHESIS - A joint prosthesis for mounting in a first bone and presenting a prosthetic joint surface for engaging an opposing joint surface of a second bone, the joint prosthesis comprising:
|Sacroiliac joint fixation system - A sacroiliac joint fixation fusion system that provides a method of fixation and fusion of the sacroiliac joint and a sacroiliac joint implant which upon placement within the articular region of the sacroiliac joint facilitates stability and fusion of the sacroiliac joint.
|IMPLANT HAVING A CONVEX SURFACE SURROUNDING A CONCAVE ARTICULAR SURFACE - An orthopedic implant includes a first region for attachment to a bone and a second region coupled to the first region, the second region having a perimeter and including a concave articular surface on top of the second region and a convex surface between the perimeter and the concave articular surface.
|METHOD AND APPARATUS FOR FUSING THE BONES OF A JOINT - Apparatus for fusing a first bone of a joint with a second bone of a joint, the apparatus comprising:
|PROSTHETIC DEVICE AND METHOD FOR IMPLANTING THE PROSTHETIC DEVICE - A substantially cup-shaped prosthetic device for a joint is provided. The prosthetic device includes an outer surface configured to operatively engage at least one of a first bone of the joint and a component, an inner surface including at least a portion configured to connect to a second bone of the joint, and at least one reservoir having an opening at each of the inner surface and the outer surface and extending therebetween.
|PROSTHETIC IMPLANT AND ASSEMBLY METHOD - An orthopedic prosthetic implant comprises a metal alloy stem element (
|Modular Articulating Cement Spacer Mold - The present teachings provide a modular articulating cement spacer mold for forming a temporary implant. The modular spacer mold includes a head component mold defining a first opening, a head connector positioned within the first opening of the head component mold, a stem component mold defining a second opening, and a stem connector to fit within the second opening of the stem component mold to mateably engage the head connector. Related kits and methods of forming a temporary implant are provided.
|Catalytic Surface for Hydrogen Release Reactor - There is disclosed a gold surface for the catalytic release of hydrogen from an alkane thiol. More specifically, the present disclosure provides a large surface area of gold on a carbon fiber scaffold that does not contain any sublayers of metals that can block the catalytic release of hydrogen from alkane thiols or form other reactions that remove the sulfur moiety from alkane thiol. There is further disclosed a method for forming a gold surface onto woven carbon fiber sheets wherein no sublayer or other intermediate material is used.
|Method Of Surface Finishing A Bone Implant - A method of surface finishing a bone implant comprises the steps of roughening a surface of the implant by blasting with abrasive particles and then pickling the surface-roughened implant in a pickling solution in order to loosen any partially embedded abrasive blasting particles that may be contaminating the surface of the implant. Thereafter the roughened surface of the implant is cleaned by mechanical action to detach the loosened abrasive particles there from. The pickling and cleaning steps are not intended to produce any additional roughening of the treated surface, which should be structured to the required roughness by the initial abrasive blasting, typically such that the Ra and Rt roughness parameters are 3≦Ra≦7 μm and 20≦Rt≦70 μm respectively.
|ADJUSTABLE ABSORBER DESIGNS FOR IMPLANTABLE DEVICE - A system for manipulating energy transferred by members defining a joint. The system includes a first attachment structure configured to be attached to a first member of the joint and a second attachment structure configured to be attached to a second member of the joint. There is also an adjustable energy absorbing device attached to the first attachment structure and second attachment structure, wherein adjusting the energy absorbing device changes the load manipulating characteristics of the energy absorbing device.
|ENDOPROSTHESIS WITH CONVEX CONFIGURATION - The invention relates to an endoprosthesis for replacement of a joint, in which slide surfaces that have different contours and correspondingly define movement planes for bearing are formed by an intermediate part. According to the invention, the intermediate part has a projection, preferably a convex projection, on at least one side face, in order to avoid fibrosis.
|Joint Prostheses - The present invention provides an implantable joint prosthesis configured to replace a natural joint, and methods for implantation. The prosthesis may include a first component implantable in a first bone, having a first bearing surface, and a second component implantable in a second bone, having a second bearing surface which corresponds to the first bearing surface. Each bearing surface may include a flattened section such that when the bearing surfaces are placed in cooperation with one another in a preferred orientation, the flattened sections are aligned. Alternatively, the bearing surfaces may have and asymmetric configuration, with non-congruent surfaces that may enable correction of deformity. Several types of implantable joint prostheses are disclosed, including: carpometacarpal, metacarpophalangeal, metatarsophalangeal, distal interphalangeal, proximal interphalangeal, ankle, knee, shoulder, and hip.
|Joint Endoprosthesis and Method for Assembly such a Prosthesis - A prosthesis, in particular a shoulder prosthesis, includes a socket part receiving a joint head; an anchoring part anchoring the prosthesis in a bone; and a connecting arrangement securely connecting the socket part to the anchoring part. The socket part is assigned at least one pin and the anchoring part has at least one guide. The guide is designed in such a way that the pin can be held substantially safe from tilting in the guide.
|Methods, Devices and Compositions for Adhering Hydrated Polymer Implants to Bone - A method of attaching an implant to a bone, the implant comprising a hydrated polymer comprising a lubricious hydrated surface and an attachment surface comprising accessible chemical functional groups. The method includes the steps of treating the implant or the bone with an isocyanate-containing compound; placing the attachment surface in apposition to the bone; and allowing the isocyanate-containing compound to cure to bond the implant to the bone. The invention also includes a medical implant having a hydrated polymer comprising an attachment surface comprising a thermoplastic material, the hydrated polymer having an interpenetrating polymer network with at least two polymers, the hydrated polymer having a low coefficient of friction on at least one surface.
|Process for manufacturing a prosthetic joint - The application relates to a process for manufacturing a prosthetic joint with at least one loaded surface which consists at least partially of polyethylene, comprising compressing one or more layers of a woven fabric of drawn gel-spun polyethylene fibres into the desired shape in a hollow mould part using a plug at a pressure of at least 0.05 MPa and at a temperature of between 120 and 165° C. and below the crystalline melting point of the polyethylene at the prevailing temperature and pressure, without a matrix material being present, and at least the woven fabric in a layer situated on a loaded surface comprising at least 90 wt % of fibres with a titre of at most 1000 denier, and to a prosthetic joint with a crease-free surface.
|SHOULDER OR HIP PROSTHESIS AND METHOD FOR SETTING SAME - A prosthesis and method for a ball and socket joint. The prosthesis includes a first component including an anchoring shank and a metaphyseal portion. The metaphyseal portion includes a first articular surface configured to move in translation relative to the anchoring shank. An intermediate component includes a first articular surface configured to engage with the first articular surface on the metaphyseal portion, and a second articular surface configured to engage with the ball and socket joint.
|Passive electro-magnetically damped joint - The present invention comprises an apparatus, system and method utilizing a passive electro-magnetically damped joint for prosthetics or orthotics. Such as system may be controlled through changing the resistive nature of the circuit in which a braking or damping mechanism can sufficiently replicate and augment biomechanical movement. This may be accomplished through electronic circuitry means only, or through the use of intelligent control through a microprocessor and dynamic ambulation replication algorithms.
|METHOD AND APPARATUS FOR DELIVERING TREATMENT TO A JOINT - The present invention relates to an apparatus and method for treating inflammation and/or infection within a synovial joint. The invention is comprised of a depot, tether and cap. The depot is comprised of a biodegradable polymer which is impregnated with a biological agent targeted to treat the inflammation and/or infection. The depot is inserted into the synovial joint through an incision or hole in the synovial membrane. A tether that extends from the depot is then thread back through the incision or hole and coupled to a cap such that the depot is coupled to the synovial membrane on an interior side of the synovial joint capsule and the cap is secured to the membrane on an exterior side of the synovial joint capsule. Once secured, the depot degrades and gradually releases the biological agent over a sustained time period. The biological agent then treats the targeted inflammation and/or infection.
|JOINT DEVICE - A joint device for an orthoses or prostheses includes an upper part, a lower part mounted on the upper part in such a way as to turn about a pivot axis, and braking means that brakes or blocks a pivoting movement of the lower part relative to the upper part. The braking means includes a spiral spring arranged between two contact surfaces and is mounted such that it can be braced in the direction of the contact surfaces about a rotation axis parallel to the pivot axis.
|Articular Implants Providing Lower Adjacent Cartilage Wear - Disclosed herein are methods and devices for repairing articular surfaces. The articular surface repairs are customizable or highly selectable by patient and geared toward providing optimal fit and function.
|SURGICAL IMPLANTATION METHOD AND DEVICES FOR AN EXTRA-ARTICULAR MECHANICAL ENERGY ABSORBING APPARATUS - A surgical implantation approach for preparing a patient and precisely and effectively placing an energy absorbing apparatus relative to the patient's anatomy. Various surgical implantation apparatus and methods for achieving proper device-to-anatomy juxtapositional relationships are employed in the implantation approach.
|INSTRUMENT FOR USE IN A JOINT REPLACEMENT PROCEDURE - A trial implant component for use in a surgical procedure for replacement of a joint between a long bone and another bone, comprises a metaphyseal part which can be located so that it extends into a cavity at the resected face of the long bone in contact with the internal wall of the cavity in the metaphyseal region, and a disk which has an essentially flat shape and which can be fitted to the metaphyseal part to provide a gauge as to the appropriate size of a head part which is to be selected according to the location of the axis of the bone relative to the edge of the resected bone.
|ADJUSTABLE ABSORBER DESIGNS FOR IMPLANTABLE DEVICE - A system for manipulating energy transferred by members defining a joint. The system includes a first attachment structure configured to be attached to a first member of the joint and a second attachment structure configured to be attached to a second member of the joint. There is also an adjustable energy absorbing device attached to the first attachment structure and second attachment structure, wherein adjusting the energy absorbing device changes the load manipulating characteristics of the energy absorbing device.
|PROSTHETIC OR ORTHOTIC JOINT - Prosthetic or orthotic joint with at least two joint segments that are mounted rotatably to each other around a joint axis, and a pivotal piston mounted in torque-proof fashion in one of the upper or lower joint segments. The pivotal piston is received in a displacement chamber containing a fluid, with the pivotal piston subdividing the displacement chamber into two partial chambers that are connected with each other via a connecting channel at least across a selected pivoting angle range of the pivotal piston. At least one flow section determining contour is formed between the pivotal piston and one selected displacement chamber wall, which is in a fluidic connection with the connecting channel and the displacement chamber across a selected rotation angle. The contour also provides a varying free flow section for the passage of the fluid dependent on the rotational position of the pivotal piston.
|Tribological Applications of Polyelectrolyte Multilayers - One aspect of the present invention relates to an implantable medical device comprising a surface coated with a polyelectrolyte multilayer, wherein said surface is glass, metal, plastic, polymer, or fiberglass. Another aspect of the present invention involves a method of preparing a PEM-coated implantable medical device, comprising the step of applying a film to a surface of an implantable medical device, wherein said film comprises a polyelectrolyte multilayer and said surface is glass, metal, plastic, polymer, or fiberglass. Another aspect of the present invention involves a method of reducing the wear between two contacting materials, comprising the step of moving a first material in contact with a second material in an environment, wherein a first surface of said first material is in contact with a second surface of said second material, wherein said first surface, said second surface, or both is coated with a polyelectrolyte multilayer, thereby decreasing the wear of said first material, said second material, or both compared to the wear in the absence of said polyelectrolyte multilayer.
|Tough Hydrogels - The invention provides fabricated tough hydrogels, hydrogel-containing compositions, and methods of making the same. The invention also provides methods of implanting or administering the tough hydrogels, or the hydrogel-containing compositions to treat a subject in need. Methods of cross-linking pre-solidified or pre-gelled hydrogel particles and making cross-linked tough hydrogels, and crosslinked tough hydrogel-containing compositions also are disclosed herein.
Patent applications in class Joint bone
Patent applications in all subclasses Joint bone