1829results about "Acetabular cups" patented technology

An osteogenic osteoimplant in the form of a flexible sheet comprising a coherent mass of bone-derived particles, the osteoimplant having a void volume not greater than about 32% and a method of making an osteogenic osteoimplant having not greater than about 32% void volume, the method comprising: providing a coherent mass of bone-derived particles; and, mechanically shaping the coherent mass of bone-derived particles to form an osteogenic osteoimplant in the form of a flexible sheet.

A polyaxial orthopedic device for use with rod implant apparatus includes a screw having a curvate head, a two-piece interlocking coupling element which mounts about the curvate head, and a rod receiving cylindrical body member having a tapered socket into which both the screw and the interlocking coupling element are securely nested. The interlocking coupling element includes a socket portion which is slotted and tapered so that when it is radially compressed by being driven downwardly into the tapered socket in the cylindrical body it crush locks to the screw. The securing of the rod in the body member provides the necessary downward force onto the socket portion through a contact force on the top of the cap portion. Prior to the rod being inserted, therefore, the screw head remains polyaxially free with respect to the coupling element and the body. In a preferred embodiment, the cap portion and the socket portion are formed and coupled in such a way that when the cap portion is compressed toward the socket portion, there is an additional inward radial force applied by the cap portion to the socket portion, thereby enhancing the total locking force onto the head of the screw.

The present invention provides methods, techniques, materials and devices and uses thereof for custom-fitting biocompatible implants, prosthetics and interventional tools for use on medical and veterinary applications. The devices produced according to the invention are created using additive manufacturing techniques based on a computer generated model such that every prosthesis or interventional device is personalized for the user having the appropriate metallic alloy composition and virtual validation of functional design for each use.

The present invention disclosed a method of producing a three-dimensional porous tissue in-growth structure. The method includes the steps of depositing a first layer of metal powder and scanning the first layer of metal powder with a laser beam to form a portion of a plurality of predetermined unit cells. Depositing at least one additional layer of metal powder onto a previous layer and repeating the step of scanning a laser beam for at least one of the additional layers in order to continuing forming the predetermined unit cells. The method further includes continuing the depositing and scanning steps to form a medical implant.

A method and system may be used to design and control the manufacture of a surgical guide for implanting a prosthetic component. The system includes a bone surface image generator, a surgical guide image generator, and a surgical guide image converter. The bone surface image generator receives three dimensional bone anatomical data for a patient's bone and generates a bone surface image. The surgical guide image generator generates a surgical guide image from the bone surface image and an image of a prosthesis imposed on the bone surface image. The supporting structure of the generated surgical guide image conforms to the surface features of the three dimensional bone surface image. The surgical guide image is converted by surgical guide image converter into control data for operating a machine to form a surgical guide that corresponds to the surgical guide image.

A load-bearing osteoimplant, methods of making the osteoimplant and method for repairing hard tissue such as bone and teeth employing the osteoimplant are provided. The osteoimplant comprises a shaped, coherent mass of bone particles which may exhibit osteogenic properties. In addition, the osteoimplant may possess one or more optional components which modify its mechanical and / or bioactive properties, e.g., binders, fillers, reinforcing components, etc.

A display and navigation system for use in guiding a medical device to a target in a patient includes a tracking sensor, a tracking device and display. The tracking sensor is associated with the medical device and is used to track the medical device. The tracking device tracks the medical device with the tracking sensor. The display includes indicia illustrating at least five degree of freedom information and indicia of the medical device in relation to the five degree of freedom information.

A system for wirelessly providing data regarding surgical implements such as surgical tools, trial and inserts themselves to a surgical navigation unit. Each implement includes an RFID in which data regarding the implement are stored. The tool used to fit the implement has a first coil positioned to exchange signals with a complementary coil integral with the RFID. The tool also has a prism for receiving a navigation tracker. A second tool coil, in the prism, is connected to the first coil. The second tool coil is also connected to an RFID integral with the tool. The tracker, through the tool coils, reads the data in the implement RFID and the tool RFID. A transmitter in the tracker wirelessly forwards the data to the surgical navigation system. The data are used to facilitate reactive workflow guidance of the procedure and monitor the position of the implement.

A flexible spinal fixation device having a flexible metallic connection unit for non-rigid stabilization of the spinal column. In one embodiment, the fixation device includes at least two securing members configured to be inserted into respective adjacent spinal pedicles, each securing member each including a coupling assembly. The fixation device further includes a flexible metal connection unit configured to be received and secured within the coupling assemblies of each securing member so as to flexibly stabilize the affected area of the spine.

An improved method of performing surgery on a joint in a patient's body, such as a knee, includes making an incision in a knee portion of one leg while a lower portion of the one leg is extending downward from an upper portion of the one leg and while a foot connected with the lower portion of the one leg is below a support surface on which the patient is disposed. The incision is relatively short, for example, between seven and thirteen centimeters. A patella may be offset from its normal position with an inner side of the patella facing inward during cutting of a bone with a cutting tool. During cutting of the bone, one or more guide members having opposite ends which are spaced apart by a distance less than the width of an implant may be utilized to guide movement of a cutting tool.

A medical prosthesis for use within the body which is formed of radiation treated ultra high molecular weight polyethylene having substantially no detectable free radicals, is described. Preferred prostheses exhibit reduced production of particles from the prosthesis during wear of the prosthesis, and are substantially oxidation resistant. Methods of manufacture of such devices and material used therein are also provided.

Shape-memory biodegradable and absorbable materials which make it possible to easily treat vital tissues by suture, anastomosis, ligation, fixation, reconstitution, prosthesis, etc. without causing burn. These materials never induce halation in MRI or CT and never remain in vivo. Such a shape-memory biodegradable and absorbable material is a material made of a molded article of lactic acid-based polymer and can be recovered to the original shape without applying any external force thereto but heating to a definite temperature or above. It is obtained by deforming a molded article (a primary molded article) made of a lactic acid-based polymer and having a definite shape into another molded article (a secondary molded article) having another shape at a temperature higher than the glass transition temperature thereof but lower than the crystallization temperature thereof (or 100.degree. C. when the molded article has no crystallization temperature) and then fixing said molded article to the thus deformed shape by cooling it as such to a temperature lower than the glass transition temperature. When this material is heated to the above-mentioned deformation temperature or above, it is immediately recovered to the original shape. The lactic acid-based polymer is hydrolyzed and absorbed in vivo.

Methods and devices are provided for the explantation of spinal implants. A cutting tool may be extended into the spinal implant. The spinal implant may be cut into pieces and the pieces removed.

A method and system for marking and guiding the insertion of securing members (e.g., pedicle screws) of a spinal fixation device. In one embodiment, the marking and guidance method and system includes the use of a guide tube configured to be inserted into a patient's back until a first end reaches an entry point on or near a vertebral bone of the patient's spinal column, wherein the guide tube includes a hollow cylindrical channel along its longitudinal center axis; a penetrating device configured to be positioned within the cylindrical channel of the guide tube and having a sharp tip configured to protrude outwardly from the first end of the guide tube so as to allow the first end of the guide tube to penetrate through the patient's back muscle and tissue and reach the vertebral bone at the entry point; a marking pin configured to be inserted through the cylindrical channel of the guide tube, after removal of the penetrating device, until a first end of the marking pin having a sharp tip reaches the entry point; and a pushing device configured to be inserted through the cylindrical channel of the guide tube and provide a driving force at a second end of the marking pin, opposite the first end, so as to drive and secure the first end of the marking pin into the vertebral bone, wherein the marking pin identifies the location of the entry point on the vertebral bone for subsequent implantation of a securing member of a spinal fixation device.

A method of forming an implant having a porous tissue ingrowth structure and a bearing support structure. The method includes depositing a first layer of a metal powder onto a substrate, scanning a laser beam over the powder so as to sinter the metal powder at predetermined locations, depositing at least one layer of the metal powder onto the first layer and repeating the scanning of the laser beam.

A dynamic spinal fixation plate assembly includes a spinal plate, a receiving member, and a fastener resulting in a low profile orthopedic device. The plate may comprise a hole for maintaining the receiving member. The relationship between the receiving member and the plate may allow the plate to adjust during graft settling. The receiving member may be locked to the plate utilizing the mechanical or chemical properties of the device, or the receiving member may be configured to move and rotate freely within the plate hole, even after the fastener has been secured to the bone. The receiving member may have a tapered sidewall defining a through hole to matingly engage the fastener, which may also have a tapered portion forming a tapered lock-fit therebetween. The receiving member may comprise a lip for retaining the fastener within said receiving member.

A method is provided for performing a total knee arthroplasty. The method includes making a primary incision near a knee joint of a patient and resecting medial and lateral condyles of the femur of the leg to create at least one femoral cut surface. The resecting step is performed without dislocating the knee joint. The method also includes balancing various ligament tensions to obtain desired tension and moving a femoral component of a total knee implant through the primary incision. The method further includes positioning the femoral component with respect to the at least one femoral cut surface.

Methods and apparatus using a surgical navigation system to position the femoral component of a prosthetic hip during hip joint replacement surgery without separately affixing a marker to the femur. The navigation system acquires the center of rotation of the hip joint as well as at least one point on the femur in the pelvic frame of reference. From these two points, the navigation system calculates the position and length of a first line between the center of rotation of the hip joint and the point on the femur. Optionally, a second point on the femur that is not on the first line is palpated. The system can calculate the position and length of a second line that is perpendicular to the first line and that runs from the first line to the second palpated point on the femur. The prosthetic cup is implanted and its center of rotation is recorded. A tool for forming the bore within which the stem of the femoral implant component will be placed is tracked by the navigation system. While the tool is fixed to the femur, the surgeon re-palpates the same point(s) on the femur that were previously palpated. The navigation system calculates the position and length of a first line between the center of rotation of the prosthetic cup and the re-palpated first point. If a second point on the femur was re-palpated, the navigation system also calculates the position and length of a perpendicular line between the first line and the second point. The surgical navigation system uses this information to calculate and display to the surgeon relevant information about the surgery, such as change in the patient's leg length and / or medialization / lateralization of the joint.

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.

An implant insertion apparatus for guiding surgical instrumentation and facilitating insertion of surgical implants into an intervertebral space includes an adjustable element defining a longitudinal passageway dimensioned to guide the surgical instrumentation inserted through the longitudinal passageway. The adjustable element has an elongate body and an extended body that are movable relative to one another for varying the length of the adjustable element. The apparatus also includes an engaging element insertable into the intervertebral space between adjacent vertebrae. The engaging element is releasably secured to a distal end of the elongate body.