3680 results about "Orthopedic department" patented technology

A tool set for implanting a rod in a human spine in conjunction with bone screws. The tool set includes a pair of end guide tools that receive opposite ends of the rod in channels and under manipulation by a surgeon facilitate transport of the rod toward the bone screws attached to the guide tools. Intermediate guide tools having guiding pass through slots are utilized to guide intermediate locations along the rod toward associated bone screws. An attachment structure operably connects the guide tools to the bone screws. The guide tools each include a lower guide and advancement structure to allow a closure top with mating structure to be rotated and driven downward against the rod and to cooperate with similar structure in the bone screw to seat and lock the rod therein. A method utilizing the tool set allows a surgeon to percutaneously implant the rod in the patient.

Disclosed herein are devices, systems and methods for the automated design and manufacture of patient-specific / patient-matched orthopedic implants. While the embodiments described herein specifically pertain to unicompartmental resurfacing implants for the knee, the principles described are applicable to other types of knee implants (including, without limitation, other resurfacing implants and joint replacement implants) as well as implants for other joints and other patient-specific orthopedic applications.

A screw and coupling element assembly for use with an orthopedic rod implantation apparatus includes a screw with a head and a shaft extending from the head, a coupling element with a seat within which the head is seatable such that the shaft protrudes from the coupling element, and a locking element mateable with the coupling element and when mated is selectively movable through a plurality of positions including unlocked and locked positions. When in the unlocked position, the locking element presents a rod-receiving channel and the head is movable in the seat such that the shaft is directable in a plurality of angles relative to the coupling element. When in the locked position, a rod disposed within the rod-receiving channel is fixed relative to the coupling element and the head is immovable in the seat such that the shaft is fixed at an angle relative to the coupling element.

A tool set for implanting a rod in a human spine in conjunction with bone screws. The tool set includes a pair of end guide tools that receive opposite ends of the rod in channels and under manipulation by a surgeon facilitate transport of the rod toward the bone screws attached to the guide tools. Intermediate guide tools having guiding pass through slots are utilized to guide intermediate locations along the rod toward associated bone screws. An attachment structure operably connects the guide tools to the bone screws. The guide tools each include a lower guide and advancement structure to allow a closure top with mating structure to be rotated and driven downward against the rod and to cooperate with similar structure in the bone screw to seat and lock the rod therein. A method utilizing the tool set allows a surgeon to percutaneously implant the rod in the patient.

Apparatus and methods for making intraoperative orthopedic measurements are provided. Using telemetry devices attached to a patient, relative measurements of the positions and orientations of the patient's bones may be determined. Using the relative measurements of the positions and orientations of the patient's bones, a differential measurement may be determined in connection with the orthopedic medical procedure.

Disclosed are systems, devices and methods for optimizing the manufacture and / or production of patient-specific orthopedic implants. The methods include obtaining image data of a patient, selecting a blank implant to be optimized for the patient, and modifying the blank implant utilizing techniques disclosed herein to alter specific features of the implant to conform to the patient's anatomy.

An injectable and moldable putty comprising biodegradable calcium-based compounds including calcium sulfate, hydroxyapatite, and tricalcium phosphate is invented. The putty hardens into a solid body when mixed with water, saline, serum, or other neutral aqueous solutions. The hardening time of the putty can be tailored in order to meet the specific requirements of various dental or orthopedic applications. The pH of the putty is neutral during and after mixing. The invented putty may be used as bone graft, bone implant, or implantable drug delivery device.

The dilation introducer has a locked assembled configuration for placement of the dilation introducer against a patient's tissue to be treated, and an unlocked, collapsed configuration for dilating the patient's soft tissue down to tissue to be treated. Dilator tubes are successively released and advanced to progressively expand the patient's soft tissue down to the bone tissue to be treated. The dilator tubes and a guide insert may include spikes for engaging bone tissue. The dilation introducer may include a light emitter disposed in a dilator tube. A telescoping expander sleeve is also provided.

A minimally invasive orthopedic bone attachment system comprising a pedicle screw and guide support sleeve for insertion of the screw. The pedicle screw is a self-boring, self-tapping integral screw having a distal sharply pointed end for guiding the insertion of the screw as well as forming a borehole for the self-tapping threads of the screw. The proximal end of the screw provides a cylindrical extension which can include a recess for receiving a rotational drive tool or wrench. The length of the threads and the type of threads provided in the screw are designed for the type of orthopedic surgery that is intended. A relatively thin hollow support sleeve including an internal threaded section in the distal end is provided to match the threads and the length of the threaded portion of the pedicle screw. The proximal end of the sleeve includes a central passageway having an internal diameter that can receive the extension portion of the screw and also guide and receive a drive device for the screw. A retainer clip associated with circumferential slots spacedly indexed along the longitudinal surface of the drive device can be used to limit the depth of the screw upon insertion as well as to lock the drive device as an assembly with the screw and sleeve to form the attachment system. A small diameter passageway can be provided along the longitudinal axis of the assembly extending from the proximal end of the drive device through the screw to exit through the pointed distal end of the screw. A thin rigid rod having a point at the distal end is slidably positioned within the narrow passageway. The proximal end of the road includes a cap. A flange surface on the under portion of the cap limits the travel of the rod through the assembly. The length of the rod is determined so that it equals the length of the assembly plus an additional dimension corresponding to the anticipated installed depth of the screw. Prior to insertion of the screw, the rod is driven into the bone through the assembly. The location of the rod is ascertained by an image guidance system to determine the correct final projected location of the screw upon installation.

The present invention relates to trans-capsularly administering into a diseased joint a high specificity antagonist selected from the group consisting of: i) an inhibitor of a pro-inflammatory interleukin; ii) an inhibitor of TNF-α synthesis; iii) an inhibitor of membrane-bound TNF-α; iv) an inhibitor of a natural receptor of TNF-α; v) an inhibitor of NO synthase, vi) an inhibitor of PLA2 enzyme; vii) an anti-proliferative agent; viii) an anti-oxidant; ix) an apoptosis inhibitor selected from the group consisting of EPO mimetic peptides, EPO mimetibodies, IGF-I, IGF-II, and caspase inhibitors, and x) an inhibitor of MMPs; and xi) an inhibitor of p38 kinase.

An orthopedic bone plate system having a bone plate for placement adjacent one or more vertebral bodies. The system further includes a locking element including a compression member and a fixation member wherein the compression member includes an aperture and at least one deformable portion. A bone fastener is also included in the present system which includes a bone engaging portion and a stem portion. The stem is capable of being slidably received within the aperture of the compression member while the locking member is capable of being received within an aperture of the bone plate. As the compression member is brought into proximity of a vertebral body along the longitudinal axis of the bone fastener, an increasing force is exerted against the fixation member and translated to the bone plate. The resultant force is translated back through the fixation member to the compression member which causes the deformable portion of the compression member to clamp the bone fastener relative to the bone plate.

System, including methods and apparatus, for treating orthopedic conditions using a rod member structured for placement in a medullary canal of a bone and including at least one locking aperture with an internal thread structure. In some embodiments, the internal thread structure may include two or more thread leads disposed adjacent the same end of the locking aperture, two or more interspersed internal threads, and / or a thread depth substantially less than that of a corresponding threaded fastener for the locking aperture.

A tool set for implanting a rod in a human spine in conjunction with bone screws. The tool set includes a pair of end guide tools that receive opposite ends of the rod in channels and under manipulation by a surgeon facilitate transport of the rod toward the bone screws attached to the guide tools. Intermediate guide tools having guiding pass through slots are utilized to guide intermediate locations along the rod toward associated bone screws. An attachment structure operably connects the guide tools to the bone screws. The guide tools each include a lower guide and advancement structure to allow a closure top with mating structure to be rotated and driven downward against the rod and to cooperate with similar structure in the bone screw to seat and lock the rod therein. A method utilizing the tool set allows a surgeon to percutaneously implant the rod in the patient.

An orthopedic splint for a patient having a limb including an upper limb, a lower limb, and a joint therebetween, and being useful for therapeutically stretching the soft tissue of the limb. The orthopedic splint includes a flexible support member having a distal end and a proximal end thereof. A first contact pad is rotatably attached to the proximal end of said flexible support member and is disposed for distributing load to the underside of the upper limb. A second support pad attached to the distal end of said flexible support member is disposed for distributing load to the underside of the lower limb; and, a third support pad is attached to a fulcrum disposed near the center of the flexible support member and being disposed for distributing load to the topside of the upper limb and in close proximity to said joint. Accordingly, the orthopedic splint provides therapeutic traction to the limb while placing the limb in a self-aligning suspension sling arrangement.

Systems and methods are disclosed to enhance bone growth by stimulating bone sites for bone regrowth, fusion, or grafts. The invention uses electrical stimulation of the bone site, where vibrational energy from a source is received by an implanted device and converted to electrical energy and the converted electrical energy is used by implanted electrodes to stimulate the bone site. The vibrational energy is generated by a controller-transmitter, which could be located either externally or implanted. The vibrational energy is received by a receiver-transmitter, which could be incorporated into an orthopedic device, such as pin, cage, plate or prosthetic joint used for bone healing.

A surgical angulation measurement instrument of the instant invention includes a positioning measurer and a positioning reader linked to the positioning measurer. The positioning measurer detachably couples with a tool which is used to implant the pedicle screw. In response to the orientation of the tool, the orientation of the pedicle screw is measured by the positioning measurer with respect to a pedicle axis of screw placement. The positioning reader indicates the orientation of the pedicle screw and notifies the orientation of the pedicle screw being aligned with the pedicle axis of screw placement.

Embodiments of the present application relate generally to provisional orthopedic components, and specifically, to a trial system including a cam module (10) and a trial femoral component (100) that can be used during joint replacement surgery. The systems and methods described help a surgeon prepare a patient's bone to receive a permanent implant by providing a system that can be used to guide preparatory box cuts, and that can then be completed with a cam module (10)—without removal from the patient's bone—so that the same component can be used for the trialing process.

An orthopedic implant with a diffusion-hardened surface on non-load bearing areas of the implant for interaction with non-load bearing surfaces of a polymeric bio-compatible material, such as UHMWPE. The orthopedic implant is a posterior stabilized knee prosthetic and system where a coating of oxidized zirconium is formed in the cam of the femoral prosthetic for interaction with the central post of a polymeric tibial insert. The diffusion-hardened surface of the orthopedic implant provides a strengthened cam and reduction in wear in the central post of the polymeric tibial insert.

A prosthesis includes: a body including a first major surface for engaging an endplate of a first vertebral bone of a spine, a second major surface for engaging an endplate of an adjacent, second vertebral bone of the spine; at least one aperture extending from within the body and opening at the first major surface; at least one anchoring element disposed within the aperture and including a shaft having proximal and distal ends; and a drive mechanism engaging the proximal end of the at least one anchoring element and operating to push the at least one anchoring element out through the at least one aperture and into the first vertebral bone, without rotating the at least one anchoring element about an axis thereof.

Methods, systems, and devices according to this invention provide drill guides for optimal placement of fixation elements, such as half pins, into a patient's bone. According to one embodiment, a collar frame (202) with a collar adapted (204) to receive a bar (270) of an orthopedic external fixation system such that the collar may be moved linearly or rotationally about the bar is coupled to a guide frame (224) including a bore (232) through which a fixation element (266) of the external fixation system may be inserted. The coupling between the collar frame and the guide frame allows for them to rotate about at least one axis relative to each other. In one embodiment, the collar frame and the guide frame may rotate about three axes relative to each other.

Methods and apparatus for orthopedic replacement of the hip through three incisions with a modular prosthetic system assembled in vivo while substantially preserving muscles and soft tissues around the hip joint resulting in reduced healing time and decreased risk of dislocation. A prosthetic femoral stem is inserted into the femur. A prosthetic femoral neck is inserted from a point along the side of the patient's body and into the side of the femur and through a lateral bore in the prosthetic femoral stem to join the prosthetic femoral head. The methods and apparatus include structures and techniques for fixing or enhancing interconnection of implant components, such as by increasing the interconnection in an interference fit with one or more tapers, threads, and / or cooling of components prior to assembly.

Measurements for corrective footwear, orthopedics, and orthotics have traditionally been obtained through three-dimensional casts of a foot. Digital technology opens an avenue of utilizing a digital image in place of the cast. Using a single or dual flatbed scanner and a computer, all the data required to construct a corrective device may be obtained from a scan or scans of the foot. Observed features and color variations, as well as physical measurements are used to overcome imperfections of a patient's foot.

An orthopedic bone bridge, suitable for internally fixating and stabilizing fractured bones. The bone bridge includes: first and second bone plates for attachment to bone fragments by bone screws or the like on opposite sides of a bone fracture, a pair elongate parallel hollow legs on which the plates are mounted and the second plate is slidably engaged and is moveable with respect to the first plate, and an elastic cable or microcable attached to the first plate and extending down through the legs and around said second plate. The elastic cable is configured to provide a controlled tensile force between the plates when they are pulled into a longitudinally spaced apart position with the bone bridge then applying a correspondingly compressive force onto the bone fracture when the plates are secured to bone fragments on opposite sides of a bone fracture.

The present invention generally provides a cannula system that is readily maneuverable in an operating room setting, can be used to expose different instrumentalities to a target site, and has directional capabilities to allow the user to treat multiple quadrants or areas of a target site. The present invention provides cannula systems including these different instrumentalities as well as methods of operating these cannula systems and methods of treating orthopedic conditions using these cannula systems.

Compositions including a surface or film comprising nanofibers, nanotubes or microwells comprising a bioactive agent for elution to the surrounding tissue upon placement of the composition in a subject are disclosed The compositions are useful in medical implants and methods of treating a patient in need of an implant, including orthopedic implants, dental implants, cardiovascular implants, neurological implants, neurovascular implants, gastrointestinal implants, muscular implants, and ocular implants.

A prosthetic hip installation system comprising a reamer, an impactor, a tracking element, and a remote system. The tracking element can be integrated into the reamer or impactor for providing tracking data on the position or orientation. Alternatively, the tracking element can be housed in a separate module that can be coupled to either the reamer or impactor. The tracking element will couple to a predetermined location. Points in 3D space can be registered to provide a frame of reference for the tracking element or when the tracking element is moved from tool to tool. The tracking element sends data from the reamer or impactor wirelessly. The remote system receives the tracking data and can further process the data. A display on the remote system can support placement and orientation of the tool to aid in the installation of the prosthetic component.

Compositions for use in treating and repairing orthopedic defects are provided. The compositions are especially useful for performing percutaneous vertebroplasty, percutaneous kyphoplasty and other procedures. When cured, the compositions are relatively solid but compressible, and prior to curing are viscous liquids with a low enough viscosity to fill voids in cavities such as voids within fractured vertebrae. Optionally, the properties of a composition according to the invention can be adjusted taking into account the hardness and density of the orthopedic structure to be repaired. Also disclosed are devices and methods for using the compositions, and a kit containing components for forming and utilizing the composition.

The invention relates to leg exercise equipment, and in particular to leg exercise equipment for rehabilitation of a patient of orthopedics department. The invention aims at solving the technical problem of providing the leg exercise equipment for rehabilitation of the patient of orthopedics department, which is relatively convenient to adjust, relatively low in exercise difficulty and capable ofimplementing massaging. In order to solve the technical problem, the leg exercise equipment for rehabilitation of the patient of orthopedics department provided by the invention comprises a base plateand the like, wherein a vertical plate is arranged at the left side of the top of the base plate; a lifting mechanism is arranged at the top of the vertical plate; a seat plate is arranged at the topof the lifting mechanism; and a leg exercise mechanism is arranged at the right side of the top of the base plate. According to the leg exercise equipment provided by the invention, the height of theseat plate can be adjusted via the lifting mechanism; leg exercise can be implemented via the leg exercise mechanism; patient's calves can be massaged via the calf massaging mechanism; and back massaging can be implemented via a back massaging mechanism; therefore, effects of guaranteeing relatively convenient adjusting and relatively low exercise difficulty and implementing massaging can be achieved.

Composite orthopedic devices that facilitate spine stabilization, such as: bone screws, rods, plates, interbodies, and corpectomy cages are disclosed. They are designed to provide both strength and load carrying capabilities, while increasing bio-integration of the devices with the surrounding bone tissue. They are constructed of composite layers of allograft and / or autograft bone and a structural material, such as titanium alloy or carbon / graphite fiber composite. Cannulations within the device are loaded with a mixture of stem cells, particles of allograft and / or autograft bone, and bone growth factors, such as BMP-2. The cannulations are connected to the surface of the device via multiple fenestrations that provide pathways to supply the bone / stem cell mixture to the surface, allowing living bone tissue to grow and insure bio-integration. The devices can also have radiofrequency (RF) stimulation implantation within the structure of the implanted device, capable of responding to external RF stimulation of enhanced bone growth.

An orthopedic bone plate, suitable for internally fixating and stabilizing fractured bones, includes: an elongated structure, capable of contraction in a longitudinal direction and having at least two ends, the structure having at least two fixation points adapted to be fixated to a fractured bone with the fixation points on opposing sides of a fracture. An elastic, polymer cable is longitudinally stretched and coupled in tension to the elongated structure, capable of causing the structure to contract in the longitudinal direction.