493 results about "Orthopedic surgery" patented technology

A dilation introducer for orthopedic surgery is provided for minimally invasive access for insertion of an intervertebral implant. The dilation introducer may be used to provide an access position through Kambin's triangle from a posterolateral approach. A first dilator tube with a first longitudinal axis is provided. A second dilator tube may be introduced over the first, advanced along a second longitudinal axis parallel to but offset from the first. A third dilator tube may be introduced over the second, advanced along a third longitudinal axis parallel to but offset from both the first and the second. An access cannula may be introduced over the third dilator tube. With the first, second, and third dilator tubes removed, surgical instruments may pass through the access cannula to operate on an intervertebral disc and / or insert an intervertebral implant.

An orthopedic screw with an internal bore and mating driver has a bioabsorbable polymer component. To increase the torque tolerance of the screw and to minimize the likelihood of the driver stripping inside the bore of the screw, the screw and driver are heat treated together to shrink fit the screw onto the driver thereby increasing the driver-to-screw contact and distributing the loading force over a greater area to protect against material failure. The heat treatment involves heating the screw to an elevated temperature and holding that temperature for a period to promote stress relaxation and / or crystallization of the material.

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 dilation introducer has a locked assembled configuration for placement of the dilation introducer against a patient's bone tissue to be treated, and an unlocked, collapsed configuration for dilating the patient's soft tissue down to the bone tissue to be treated to a desired degree of dilation to permit minimally invasive surgical procedures on the patient's bone 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. A method for a minimally invasive procedure utilizing the telescoping dilation introducer to insert a bone fixation device into a patient's spine for posterior spine fusion is also provided.

A dilation introducer for orthopedic surgery is provided for minimally invasive access for insertion of an intervertebral implant. The dilation introducer may be used to provide an access position through Kambin's triangle from a posterolateral approach. A first dilator tube with a first longitudinal axis is provided. A second dilator tube may be introduced over the first, advanced along a second longitudinal axis parallel to but offset from the first. A third dilator tube may be introduced over the second, advanced along a third longitudinal axis parallel to but offset from both the first and the second. An access cannula may be introduced over the third dilator tube. With the first, second, and third dilator tubes removed, surgical instruments may pass through the access cannula to operate on an intervertebral disc and / or insert an intervertebral implant.

A dilation introducer for orthopedic surgery is provided for minimally invasive access for insertion of an intervertebral implant. The dilation introducer may be used to provide an access position through Kambin's triangle from a posterolateral approach. A first dilator tube with a first longitudinal axis is provided. An access cannula may be introduced over the first dilator tube. A drill may be inserted through the access cannula and used to perform a foraminoplasty. Surgical instruments may pass through the access cannula to operate on an intervertebral disc and / or insert an intervertebral implant.

A dilation introducer for orthopedic surgery is provided for minimally invasive access for insertion of an intervertebral implant. The dilation introducer may be used to provide an access position through Kambin's triangle from a posterolateral approach. A first dilator tube with a first longitudinal axis is provided. An access cannula may be introduced over the first dilator tube. A drill may be inserted through the access cannula and used to perform a foraminoplasty. Surgical instruments may pass through the access cannula to operate on an intervertebral disc and / or insert an intervertebral implant.

The present invention provides methods and apparatus that permit one to position a cutting jig or other component using a localization device to navigate different degrees of freedom of the component in discrete, sequential steps. For instance, a first mounting pin for a cutting jig that sets one or more, but fewer than all, degrees of freedom of the cutting jig is navigated into position using the localization device. For instance, the first mounting pin might set the height and the slope of the cutting plane of the jig. Next, a marker is mounted on the cutting jig and the cutting jig is slid onto the mounted pin. Then the cutting block is navigated in another degree of freedom, for instance, to set the varus-valgus angle of the cutting plane by rotating the jig about the axis of the pin. A second mounting pin for the jig is affixed to the bone based on that navigation.

Hydrogels intended for orthopedic applications, including repair and regeneration of cartilage, bone, joint surfaces and related tissues, must possess greater strength and toughness than hydrogels used in soft tissue repair. A hydrogel formulation is provided which has high strength, toughness, a suitable mechanical modulus and low equilibrium hydration. It may also have controlled porosity or degradation time. It can be made to polymerize in situ with high (“good” to “excellent”) adherence to target tissue or surfaces. A preferred formulation for forming such gels comprises 40 to 80% by weight of a low-molecular weight polar monomer and 30 to 10% of a hydrophilic macromeric crosslinker.

An orthopedic screw system. The screw system comprises an outer member and an inner screw. The outer member has a longitudinal inner channel that defines an interior sidewall and is provided with screw threads on its exterior and interior sidewalls. An inner screw has threads constructed and arranged to engage with those on the interior sidewall, such that the inner screw may be secured within the inner channel. When secured within the inner channel, at least a portion of the length of the inner screw extends beyond the outer member. Methods of installing the orthopedic screw system into osteoporotic or otherwise weakened bone are also disclosed.

One method of reducing fractures in long bones is to insert an intramedullary screw through the bone canal across the fracture and deploy tangs to increase the purchase of the screw. Compression is then applied along the screw to bring the broken bone together. An improved low cost lag screw has a cannulated shaft with a shaped bore in the leading end. A similarly shaped tang body is movably disposed in the leading end bore. The tang body has several tangs laser welded about the periphery and extending from the tang body. The shaped surfaces of the bore have exit holes and the ends of the tangs are adjacent the holes. An end cap is laser welded to the leading end of the shaft.

Described herein is a device and method used to effectively remove volume inside a patient in various types of surgeries, such as spinal surgeries (e.g. laminotomy), neurosurgeries (various types of craniotomy), ENT surgeries (e.g. tumor removal), and orthopedic surgeries (bone removal). Robotic assistance linked with a navigation system and medical imaging it can shorten surgery time, make the surgery safer and free surgeon from doing repetitive and laborious tasks. In certain embodiments, the disclosed technology includes a surgical instrument holder for use with a robotic surgical system. In certain embodiments, the surgical instrument holder is attached to or is part of an end effector of a robotic arm, and provides a rigid structure that allows for precise removal of a target volume in a patient.

A bone fastener for use in orthopedic surgery for fixing an implant to bone has a threaded or unthreaded shaft configured to engage bone and a head having a thread on an outer surface to engage the implant. The thread on the head of the fastener has a profile in cross section that includes peaks with a curved shape.

A method is provided for a minimally invasive procedure utilizing the telescoping dilation introducer to insert a bone fixation device into a patient's spine for posterior spine fusion. The dilation introducer has a locked assembled configuration for placement of the dilation introducer against a patient's bone tissue to be treated, and an unlocked, collapsed configuration for dilating the patient's soft tissue down to the bone tissue to be treated to a desired degree of dilation to permit minimally invasive surgical procedures on the patient's bone 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.

A surgical access assembly is provided for retaining tissue, membrane, and organs in a retracted position after insertion into an incision on a patient. The assembly includes a hollow surgical access channel of oblong cross-section optionally expandable and contractible in diameter, thereby providing means for distraction of structure affixed to the retractor. The assembly optionally further comprises: gripping means for grasping by a surgeon or device and an introducer of generally oblong cross-section. The introducer, adapted to fit within the access channel, is generally rectangular in cross-section, rounded at the edges, with parallel sides. The distal end of the introducer protrudes from the retractor when inserted therein, and works to delicately push tissue apart. The introducer is placed within the hollow access channel and provides an hollow access channel for access by a surgeon and surgical instruments.

A posterior approach for intervertebral disk replacement is provided. This technique is particularly suited for assembling a multi-piece artificial spinal disk replacement device in situ in order to alleviate discomfort associated with the spinal column.

A dilation introducer for orthopedic surgery is provided for minimally invasive access for insertion of an intervertebral implant. The dilation introducer may be used to provide an access position through Kambin's triangle from a posterolateral approach. A first dilator tube with a first longitudinal axis is provided. An access cannula may be introduced over the first dilator tube. A drill may be inserted through the access cannula and used to perform a foraminoplasty. Surgical instruments may pass through the access cannula to operate on an intervertebral disc and / or insert an intervertebral implant.

An apparatus for stabilizing a joint with low relative motion during orthopedic surgery. The apparatus includes a press-fit fastener body and a coupler. The press-fit fastener body has a proximal end and a distal end and is configured to be press-fit into a tunnel in a first bone member. The coupler is located on or is part of the press-fit fastener body and is configured to receive at least one flexible element trailing from at least one suture anchor. At least a portion of the suture anchors are located within a second bone member.

A bone fastener for use in orthopedic surgery for fixing an implant to bone has a threaded or unthreaded shaft configured to engage bone and a head having a thread on an outer surface to engage the implant. The thread on the head of the fastener has a profile in cross section that includes arcuate peaks with a flat on the outer surface of the peak.

An implant for use in orthopedic surgery for fixation of bone has a shaft region and a head region, both including a plurality of holes for receiving bone fasteners. The head region of the implant has a central screw hole and threaded surrounding screw holes surrounding the central screw hole in a defined configuration.

The present invention provides a handheld robot for orthopedic surgery and a control method thereof. The handheld robot of the present invention includes a main body, a grip, a kinematic mechanism, a tool connector, a tool, a force sensor and a positioning unit. The handheld robot of the present invention combines the position / orientation information of the tool acquired by the positioning unit with the force / torque information acquired by the force sensor, and utilizes the combined information to adjust the position of the tool so as to keep the tool within the range / path of a predetermined operation plan. In this way, the precision of the orthopedic surgery can be enhanced, and the error occurred during the surgery can be minimized.

The present invention describes an intramedullary nail for use in orthopedic surgery for the fixation of bone fractures and fusion sites. The nail employs one or more internal loaded springs, biocompatible elastic or rubber bands, or other mechanism that provides continuous dynamic compression across the healing site throughout the healing process. By altering the size, tension and / or number of the internal compression devices, the amount of compression may be customized on a case-by-case basis. Further, the slots within the nail for its attachment can be utilized to create a torsional force when desired. The nail can have a cross-sectional shape that prevents its rotation. A system and method of use is also described.

Disclosed is a navigation-training model comprises a base, a holding device for securing a surgical practice model bone to the base in a predetermined position, and a support for fixing a patient tracker onto the base at a predetermined orientation. With the fixed relative positions of the support and the holding device, constant orientation of the patient tracker and the surgical practice model bone is achieved each time they are placed on the navigation-training model. A navigation-training apparatus having the navigation-training model is also disclosed, which includes a navigation system and a surgical tool with a tool tracker. Fluoroscopic images of the surgical practice model bone are captured once and uploaded into a computer of the navigation system. The practice of the fluoroscopic images-guided orthopedic surgery can thus be carried out with the fluoroscopic images loaded onto the navigation system without the need for further fluoroscopy. This eliminates X-ray exposure and standardizes the procedures of navigation-training.

A device for use with a surgical navigation system includes a body with an inner and outer wall that is shaped to envelope an extremity of a patient, a tracking device associated with the body in a fixed relation to the outer wall of the body, and a filler that fixably conforms to the space between the inner wall of the body and the extremity. The device can be used in orthopedic surgery.

A dilation introducer for orthopedic surgery is provided for minimally invasive access for insertion of an intervertebral implant. The dilation introducer may be used to provide an access position through Kambin's triangle from a posterolateral approach. A first dilator tube with a first longitudinal axis is provided. A second dilator tube may be introduced over the first, advanced along a second longitudinal axis parallel to but offset from the first. A third dilator tube may be introduced over the second, advanced along a third longitudinal axis parallel to but offset from both the first and the second. An access cannula may be introduced over the third dilator tube. With the first, second, and third dilator tubes removed, surgical instruments may pass through the access cannula to operate on an intervertebral disc and / or insert an intervertebral implant. The access cannula may have a substantially rectangular cross-section.

In the present invention, a biodegradable bone graft is disclosed, which includes: a scaffold made of a biodegradable material; and a collagen-embedding matrix portion which completely encompasses the scaffold. The above-mentioned bone graft can increase the micro-porosity of the scaffold to enable cells to grow adhesively thereon. Compared with the scaffold only, the above-mentioned bone graft has high hydrophilicity. Hence, the bone graft of the present invention can efficiently retain tissue fluid, cell growth factors, blood and / or bone marrow which are mixed with the bone graft beforehand to achieve osteoinduction. Furthermore, the collagen-embedding matrix portion can also serve as a carrier to encompass other bone graft materials and drug molecules. The present invention also relates to a method for manufacturing the above-mentioned bone graft.