摘要:
A compacting broach comprises an elongate body and a distal tip at a forward end of the body. The body plurality of corner edges corresponding to the corner edges of a prosthetic component, cutting teeth along the corner edges and side walls between the cutting teeth of adjacent corner edges. The side walls extend inwardly from the cutting teeth of adjacent corner edges and compact cancellous bone as the cutting teeth penetrate cortical bone during advancement of the broach in the intramedullary canal. The distal tip comprises a plurality of fins radial to a central longitudinal axis of the broach and extending longitudinally, distally from the body. The fins contact the side of the canal at locations about a central axis of the canal to center the broach in the canal prior to the cutting teeth engaging cortical bone as the broach is advanced therein.
摘要:
An intervertebral implant for fusing vertebrae is disclosed. The implant has a body with curved, substantially parallel posterior and anterior faces separated by two narrow implant ends, superior and inferior faces having a plurality of undulating surfaces for contacting upper and lower vertebral endplates, and at least one depression at a first end for engagement by an insertion tool. The arcuate implant configuration facilitates insertion of the implant from a transforaminal approach into a symmetric position about the midline of the spine so that a single implant provides balanced support to the spinal column. The implant may be formed of a plurality of interconnecting bodies assembled to form a single unit. An implantation kit and method are also disclosed.
摘要:
This invention provides for a tool that produces, and directly and accurately measures, an axial force used to assemble two members of a modular implant, specifically, a modular hip implant.
摘要:
A tool for deploying an expandable structure into interior body regions provides a catheter body having an interior lumen. The catheter body carries an expandable structure. A stylet is sized configured for passage through the lumen and adapted to straighten the expandable structure during deployment into an interior body region.
摘要:
An intramedullary fixation device for use in securing a trial in the medullary canal of a bone to determine the offset and orientation of a prosthetic implant for replacement of a joint articulating surface of the bone is disclosed. The fixation device comprises a body for receiving a trial and a fixation portion for engaging the trial. A system for use in surgical repair of a joint comprising a selection of prosthetic implants of various sizes, a selection of trials of various sizes corresponding to the sizes of the implants, a selection of fixation devices of various sizes corresponding to the sizes of the trials, a trial fixation device driver for inserting the fixation device and attached trial into the canal of a bone, and a trial device extractor for removing the fixation device from the resected bone is disclosed. Methods of using the fixation device and system of the invention are disclosed.
摘要:
An intervertebral disc prosthesis designed to be substituted for fibrocartilaginous discs ensures a connection between the vertebra of the vertebra column or the end of the latter. The prosthesis includes a pair of plates spaced from each other by a nucleus. The prosthesis has increased stability by providing the nucleus with a translation or rotation stop, or by inducing an angular correction between its plates contacting vertebra, or a combination of these characteristics. The stop includes parts external to the nucleus and contact surfaces perpendicular to their contact directions.
摘要:
Instruments and methods for distracting an intervertebral space and inserting and impacting artificial intervertebral discs. A wedge distractor employing opposing ramps through which an inserter/impactor holding an artificial intervertebral disc is admitted, the passage of which through the distractor results in distraction of the intervertebral space simultaneous with insertion of the artificial intervertebral disc. A method of distracting an intervertebral space comprising the steps of inserting a distractor having opposing ramped surfaces into an intervertebral space and inserting an inserter/impactor holding an artificial intervertebral disc between the opposing ramped surfaces of the distractor to insert/impact the artificial intervertebral disc in the intervertebral space. A system for distracting an intervertebral space employing a wedge distractor, inserter/impactor and artificial intervertebral implant.
摘要:
The invention relates to a device for intraoperative navigation and placing of a medical implant, in particular, a prosthesis, using a mobile medical imaging device A) a position determination device (15) for the spatial position measurement of the reference elements (1) relative to a spatially-fixed coordinate system (13); B) a mobile medical imaging device (3), comprising a radiation source (10) and a receiver unit (11), C) a computer (6) connected to the position determination device (15) and comprising a screen (7) whereby D) radiation source (10) and receiver unit (11) are connected to an imaging unit (18), which may be displaced about the room in a manner as to be fixed relative to each other and E) a reference element (1) is fixed to each of the imaging device (18), the bones (2) for treatment, and the surgical instrument (14).
摘要:
A method of replacing at least a portion of an intervertebral disc of an intervertebral disc space of a spinal column, the intervertebral disc space defined at least by respective endplates of first and second adjacent vertebral bones, the method comprising the steps of inserting at least one intervertebral disc replacement trial into the intervertebral disc space to distract same in a direction along a longitudinal axis of the spinal column and simultaneously inserting first and second members of an intervertebral disc replacement device into an intervertebral disc space of the spinal column. The method also comprising maintaining first and second members of an intervertebral disc replacement device as a single assembly by way of an insertion plate, using an insertion handle that is adapted to detachably engage the insertion plate in order to manipulate the first and second members as a single unit such that they may be at least one of inserted into and moved within the intervertebral disc space without substantially changing their orientation with respect to one another and manipulating an actuator of the insertion handle to cause detachment of the insertion plate from the insertion handle.
摘要:
Instrumentation for implanting an artificial intervertebral disc includes a leveler for setting the proper position of the artificial intervertebral disc, the leveler including at least two tines extending parallel to one another from the leveler shaft distal end, wherein the tines are spaced and sized to be insertable and fittable between baseplates of the disc and to substantially fill at least a height of a separation space volume between the baseplates, and to straddle a central coupling of the baseplates during the insertion and when so fitted, such that when the baseplates are substantially non-parallel to one another in the intervertebral space, insertion of the tines into the intervertebral space between the baseplates and straddling the central coupling forces the baseplates into a substantially parallel orientation relative to one another.