Abstract:
An artificial intervertebral disc having a pair of opposing plate members for seating against opposing vertebral bone surfaces, separated by a ball joint coupling. One plate member has a centrally located ball-shaped protrusion that is rotatably coupled in a central socket in a cone-shaped protrusion on the other plate member. Thereby, the plate members are angulatable with respect to one another. Further, the disc assembly will not come apart under tension loads applied to the plate members, and the location of the ball joint coupling provides the disc assembly with a stationary centroid of motion that is centrally located between the vertebral bone surfaces, both causing the disc assembly to behave similarly in these respects to a healthy natural intervertebral disc.
Abstract:
Longitudinal plates and center plates for a bone plate assembly which comprise one or more protrusions. The bone plate assemblies comprise longitudinal plates and optional center plates with connecting rods and further have observation windows and protrusions. Also, methods for treating broken bones of a patient by applying the longitudinal plates and center plates.
Abstract:
Surgical implants including fasteners and related devices which are partially bioabsorbable. The implants are constructed of a non-bioabsorbable base comprising metals and or high strength plastic materials. The base is partially or completely coated with a bioabsorbable material which can have its own mechanical features, such as the threads on a screw. Attachment elements are provided on the base to enhance the mechanical attachment of the bioabsorbable material to the base. The implants can withstand the torques and stresses encountered during surgery and, following implantation, in the body.
Abstract:
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.
Abstract:
The invention pertains to adjustable bone plates which comprise one or more sets of first members and second members. The first members and second members are releaseably secured to each other by attachment means and locking means, and two or more set of first members and second members are connected by bridging means. The longitudinal and lateral dimensions of the bone plates may be adjustable.
Abstract:
Bioabsorbable drug delivery devices including modular drug delivery devices having shapes and sizes adapted to be inserted within a recess on the surface of an implantable prosthesis are disclosed. The devices may be attached to one another to create custom drug delivery devices having controllable drug release characteristics that depend on the composition of individual modules comprising the device. The modules may be cylinders, disks, tiles or tubes comprised of a bioabsorbable polymer and/or hydrogel and a therapeutic agent. The therapeutic agent(s) may be homogeneously distributed throughout the polymeric body of the device or contained within a cavity within a module comprising the device, or both and may also include timed release and/or other controllable properties. The device(s) may be threaded or attached to a prosthesis by a biodegradable adhesive. The modular devices may also be formed into tapered plugs for insertion into a mating receptacle. In another embodiment, the drug delivery device may be inserted within a mesh bag that may be attached to a soft tissue as, for example, by sutures, for localized controlled dispensation of a therapeutic agent.
Abstract:
A biocompatible surgical fastener, comprising a sleeve and a screw or a pin, which expands when it is implanted in a patient. The sleeve is first implanted in a pre-drilled hole in the operating area of a patient, usually in a bone, cartilage or a bone and cartilage. When a screw or a pin is installed in the sleeve, the sleeve is caused to expand thereby stabilizing the fastener in the operating area. In many embodiments the screw or pin can be removed and reinserted without disturbing the tissue in the operating area. The surgical fastener can be used to repair tissue or to secure other implant devices in a patient.
Abstract:
An intervertebral spacer device includes first and second plate members, each having plate surfaces thereof, the plate members being disposed in a spaced apart relationship such that inner ones of the plate surfaces oppose one another, and external ones of the plate surfaces face in opposite directions. The device includes at least one slotted domed arch strip spring disposed between the inner surfaces of the first and second plate members for counteracting compressive load applied to the external surfaces of the plate members, one of the plate members having a ball-shaped head attached thereto and spaced from the inner surface thereof, and the at least one slotted domed arch strip spring having a central opening including a curvate volume for receiving and holding therein the ball-shaped head.
Abstract:
An intervertebral space distraction and implantable device assembly provides sequentially axially wider spacers that are to be sequentially inserted into and removed from an intervertebral space to widen the space until a desired anatomical spacing of the adjacent vertebral bones is restored. The set of spacers includes a porous spacer that is as wide as the spacer that restores the desired anatomical spacing. The porous spacer can therefore be left implanted in the intervertebral space to promote fusion of the adjacent vertebral bones.
Abstract:
A distraction method including inserting a spacer element into a space between bones to be distracted, removing the spacer element from the space, inserting a wider spacer element into the space, and removing the wider spacer element from the space.