摘要:
A middle expanded, removable disk implant for stabilizing adjacent vertebrae. The implant is detachably mounted to an applicator for insertion into the anatomical region between two adjacent vertebrae from which a portion of the intervertebral disk has been removed, and once inserted, is positioned by anterior-posterior movement in the disk space to the position in which both the expanded, larger diameter middle portion and the smaller diameter end portions of the implant engage the bodies of the adjacent vertebrae. Also provided is a method of lumbar intervertebral disk stabilization using a stabilizer comprised of implant and applicator.
摘要:
Devices intended for deployment into interior body regions employ a catheter tube, which carries an expandable structure. The catheter tube extends along a first axis, while the expanded geometry of the structure is oriented about a second axis, which is not aligned with the first axis. The asymmetry between the two axes permits deployment of the expandable structure in a symmetric fashion with respect to the natural axis of a targeted interior body region, even when the targeted interior body region is either asymmetric in geometry or otherwise requires access along a path that is not aligned with the natural axis. The structure can include spaced apart end regions, which provide a non-conical diameter transition between the diameter of the catheter tube and the larger diameter of the expanded structure. The non-conical diameter transition mitigates the tradeoff, present in conventional structures, between achieving a desired maximum expanded diameter without undesired reduction in the effective length of the structure.
摘要:
A middle expanded, removable disk implant for stabilizing adjacent vertebrae. The implant is substantially rectangular in cross-sectional shape with a minimal height and a width greater than the height. The implant is detachably mounted to an applicator for insertion into the anatomical region between two adjacent vertebrae from which a portion of the intervertebral disk has been removed. Once inserted, the implant is positioned by anterior-posterior movement in the disk space to the position in which both the expanded, larger width middle portion and the smaller diameter end portions of the implant engage the bodies of the adjacent vertebrae and the implant is then rotated to bring the sides of the rectangularly-shaped implant defining the width of the implant, with its larger dimension, into engagement with the bodies of the adjacent vertebrae. A lock is then secured to the implant to prevent further rotation thereof.
摘要:
The invention relates to a spinal disc endoprosthesis. The endoprosthesis has a resilient body formed of one or more materials which may vary in stiffness from a relatively stiff exterior annular gasket portion to a relatively supple central nucleus portion. Concaval-convex elements at least partly surround that nucleus portion so as to retain the nucleus portion and gasket between adjacent vertebral bodies in a patient's spine. Assemblies of endoprosthetic discs, endoprosthetic vertebral bodies, and endoprosthetic longitudinal ligaments may be constructed. To implant this endoprosthesis assembly, information is obtained regarding the size, shape, and nature of a patient's damaged spine. Thereafter, one or more prosthetic vertebral bodies and disc units are constructed in conformity with that information. Finally, the completed and conformed vertebral body and disc assembly is implanted in the patient's spine.
摘要:
A wrist prosthesis having a distal supporting part and a part for proximal support of the prosthesis on both the radius and the ulna. The proximal part of the prosthesis may be a plate configured to be supported on substantially unaltered surfaces of the radial and ulnar epiphyses when the radius and ulna are fused at the radial-ulnar joint. The distal part of the prosthesis may be shaped to be supported by surfaces on at least three of the distal carpal bones. The prosthesis may include an intermediate component having a receptacle portion distally defining a concave bearing surface. The distal part may have a proximal side defining an ellipsoidal convex bearing surface having a generally part-circular cross-section. This invention also provides a method of implanting a wrist prosthesis which is configured to be attached to the distal ends of the radius and ulna which includes the steps of fixably attaching the prosthesis to the ends of the radius and ulna and removing a segment of the ulnar diaphysis to permit supination and pronation.
摘要:
One embodiment of the present disclosure relates to a glenoid implant with a body and a keel. The body includes an articulation surface and a bone facing surface, and the keel has a depth that extends from the bone facing surface to a free end of the keel. The keel has a first length and a first width, both measured in a plane perpendicular to a direction of the depth. The first length is measured perpendicular to the first width and is defined by a first distance from an inferior end of the keel to a superior end of the keel. The first width is measured at a first location adjacent to the inferior end, and the keel has a width dimension along a first portion of the keel from the first location to the superior end that tapers from the first location toward the superior end.
摘要:
A humeral prosthetic head has a non-spherical articulation surface coupled with an intermediate component connecting the head and the humerus, the intermediate component connected to the epiphysis, metaphysis, or diaphysis, or to one or more additional components connected to the humerus. The intermediate portion provides for axial and angular offset of the head with respect to a connection to the humerus, using a curvilinear tapered engagement.
摘要:
A joint prosthesis is provided that includes a proximal implant for attachment to a first portion of skeletal anatomy, the proximal implant including a proximal bone attachment portion and a distal cup portion. The prosthesis also includes a distal implant for attachment to a second portion of skeletal anatomy, the distal implant including a distal bone attachment portion and a proximal cup portion. An inter-joint element is located between the distal cup and the proximal cup. The inter-joint element includes surface portions shaped to complement said cups and is preferably formed as an ovoid. Each of the proximal implant, distal implant and inter-joint element include magnetic regions whereby the inter-joint element is attracted to both the proximal cup portion and to the distal cup portion to thereby provide stability across a large angular motion.
摘要:
A humeral component of a reverse shoulder prosthesis includes a stem part configured for location within the intramedullary cavity of the humerus, the stem part having a stem axis, an epiphyseal part connected to the elongate stem part and having a concave bearing surface defining an epiphyseal axis, and wherein the epiphyseal axis is offset posteriorly relative to the stem axis.