摘要:
An apparatus, method, and system for the deployment of surgical mesh material, which are particularly suited for use in the laparoscopic surgical repair of hernias. Any suitable surgical mesh can be placed between at least two elongate retaining members; wrapped around the elongate retaining members; inserted into a patient; and then deployed using at least two elongate deploying members on either side of the mesh.
摘要:
A bone cement mixing and delivery system including a mixer and a delivery device. The mixer includes a paddle for mixing the components and a piston that pushes the mixed cement into the attached delivery device. The delivery device includes a tube into which the bone cement is forced from the mixer, and a plunger that forces the cement out of the tube during the medical procedure. The tube includes an entry port through which cement is introduced into the tube from the mixer. A one-way valve attached to the tube allows the cement to flow from the mixer through the entry port. After the cement is loaded in the tube, the delivery device is removed from the mixer. The valve blocks flow out of the entry port when the plunger is depressed.
摘要:
A bone cement mixing and delivery system is provided in which separate components of bone cement are mixed together in a mixer to form a bone cement mixture. The mixer includes a mixing paddle and a mixing shaft connected to the mixing paddle. A motor operatively engages the mixing shaft to rotate the mixing shaft and the mixing paddle to mix the components in a mixing chamber. The motor also operatively engages a transfer mechanism. After a predetermined mixing period has elapsed, the motor automatically actuates the transfer mechanism to transfer the mixture to a delivery device. The mixture is then delivered to a target site, such as a vertebral body of a patient or other anatomical site.
摘要:
Methods and instrumentation for implantation of an intervertebral disc prosthesis are provided. A guide tool with sagittal and coronal reference features guides placement of guide pins relative to a sagittal plane and a coronal plane of the vertebrae. A retainer lockable to the guide pins has a ratcheting mechanism providing distraction or compression. A rasp, planer or other tools may be aligned to the retainer and inserted into the intervertebral space to prepare the vertebral endplates. An interoperatively adjustable trial is alignable to the retainer and measures an angularity of the intervertebral space. A prosthesis with keying features may be mounted to a prosthesis inserter with complementary features, held by pivotable arms and compressed between prongs. The inserter may be aligned to the retainer and advanced to implant the prosthesis in the intervertebral space. A prosthesis remover may grip one prosthetic end plate and extract the entire prosthesis.
摘要:
The present invention provides artificial disc prostheses, methods and instrumentation for implantation and revision thereof. Each prosthesis may comprise superior and inferior end plates and a nucleus positioned between articular surfaces of the end plates. The end plates may have planar bone engagement surfaces with a plurality of self-cutting teeth. The articular surfaces of the end plates may be planar or include a flattened portion. The nucleus includes superior and inferior articular surfaces which may comprise flattened portions such that when the articular surfaces of the nucleus and the end plates are placed in cooperation in a preferred orientation, the flattened and/or planar portions are aligned. Each prosthesis may provide flexion/extension, anterior/posterior translation, lateral bending, and/or axial rotation degrees of freedom. One embodiment comprises a prosthesis with a first joint providing flexion/extension and anterior/posterior translation, and a second joint providing lateral bending and axial rotation.
摘要:
Methods and instrumentation for implantation of an intervertebral disc prosthesis are provided. A guide tool with sagittal and coronal reference features guides placement of guide pins relative to a sagittal plane and a coronal plane of the vertebrae. A retainer lockable to the guide pins has a ratcheting mechanism providing distraction or compression. A rasp, planer or other tools may be aligned to the retainer and inserted into the intervertebral space to prepare the vertebral endplates. An interoperatively adjustable trial is alignable to the retainer and measures an angularity of the intervertebral space. A prosthesis with keying features may be mounted to a prosthesis inserter with complementary features, held by pivotable arms and compressed between prongs. The inserter may be aligned to the retainer and advanced to implant the prosthesis in the intervertebral space. A prosthesis remover may grip one prosthetic end plate and extract the entire prosthesis.
摘要:
The present invention provides artificial disc prostheses, methods and instrumentation for implantation and revision thereof. Each prosthesis may comprise superior and inferior end plates and a nucleus positioned between articular surfaces of the end plates. The end plates may have planar bone engagement surfaces with a plurality of self-cutting teeth. The articular surfaces of the end plates may be planar or include a flattened portion. The nucleus includes superior and inferior articular surfaces which may comprise flattened portions such that when the articular surfaces of the nucleus and the end plates are placed in cooperation in a preferred orientation, the flattened and/or planar portions are aligned. Each prosthesis may provide flexion/extension, anterior/posterior translation, lateral bending, and/or axial rotation degrees of freedom. One embodiment comprises a prosthesis with a first joint providing flexion/extension and anterior/posterior translation, and a second joint providing lateral bending and axial rotation.
摘要:
A soft tissue repair device can include a housing having a handle, a deployment system having an actuation member, and an insertion system having an inserter and a slider. The slider can be coupled to the actuation member and movable relative to the inserter between deployed and retracted positions. First and second anchors can be carried on an external surface of the slider such that the anchors are spaced apart and portions of the anchors are coaxial with the slider and each other. A flexible strand can couple the anchors. The insertion system can cooperate with the deployment system to move the slider to the deployed position to deploy the first anchor upon activating the actuation member a first time, and to move the slider to the deployed position from the retracted position to deploy the second anchor upon actuating the actuation member a second time after the first time.
摘要:
A bone cement mixing and delivery system including a mixer, a delivery device, and a flexible extension tube. A connector is attached to a distal end of the flexible tube. The connector includes a housing, a spindle configured with a fitting, and an enlarged knob. The spindle is seated within the housing and is configured to rotate between a closed and open position. In the open position, the spindle allows flow from the delivery device flexible extension tube into a bore of the spindle and into the spindle fitting. A delivery cement cannula is attached to the spindle fitting for allowing cement to travel from the delivery tube into living tissue. The enlarged knob is used to rotate the spindle from an open to a closed state and vice versa.
摘要:
Methods and instrumentation for implantation of an intervertebral disc prosthesis are provided. A guide tool with sagittal and coronal reference features guides placement of guide pins relative to a sagittal plane and a coronal plane of the vertebrae. A retainer lockable to the guide pins has a ratcheting mechanism providing distraction or compression. A rasp, planer or other tools may be aligned to the retainer and inserted into the intervertebral space to prepare the vertebral endplates. An interoperatively adjustable trial is alignable to the retainer and measures an angularity of the intervertebral space. A prosthesis with keying features may be mounted to a prosthesis inserter with complementary features, held by pivotable arms and compressed between prongs. The inserter may be aligned to the retainer and advanced to implant the prosthesis in the intervertebral space. A prosthesis remover may grip one prosthetic end plate and extract the entire prosthesis.