摘要:
A modular knee prosthesis system comprises a distal femoral articulation component, a distal augment, a posterior augment and a first connector for securing at least one of the augments to the distal femoral articulation component through a bore in the augment and an opening in the distal femoral articulation component. The distal femoral articulation component has a distal bone-facing surface, a posterior bone-facing surface and an opening. The openings into the bores of the augments are in the medial or lateral side surface of the augment. Both augments can be mounted and removed from the distal femoral articulation component from either the medial or lateral side.
摘要:
A method of manufacturing an intervertebral disc prosthesis for insertion into an intervertebral disc compartment between two vertebra includes: a) biometrically determining the shape of a first dome formed within an apophyseal ring of the first vertebra; and b) providing a first constituent element which is provided on one side with a first joint member and has on the other side a first abutment face which abuts against the first vertebra when the intervertebral disc prosthesis is inserted into the intervertebral disc compartment. The first abutment face has a shape that has no rotational symmetry and that has a vertex configured such that the first constituent element can rotate within the first dome by at least 10° when the vertex of the first abutment face contacts a vertex of the dome.
摘要:
A stemless humeral component for replacing the humeral head of a patient's humerus includes a support flange having a number of cantilevered legs extending distally away from a bottom surface thereof. Instruments and methods for surgically installing the stemless humeral component are also disclosed.
摘要:
Instrumentation for implanting an artificial intervertebral disc includes static trials and a dynamic trial for determining the appropriate size of disc to be implanted, static trial holders for manipulating the static trials, inserter/impactors for inserting and removing the static trials and for inserting the artificial intervertebral discs, repositioners/extractors for repositioning and extracting the static trials or the artificial intervertebral discs, and a leveler for setting the proper position of the artificial intervertebral disc. Methods for using the same are also disclosed. Features for artificial intervertebral discs and intervertebral spacer devices useful for manipulation by the instrumentation are also disclosed.
摘要:
Instruments and methods are provided for re-positioning and extracting spinal implants in a space between vertebrae. The instruments can include rotater instruments, hook instruments, and extractor instruments engageable to the implant. The extractor instruments can include a shaft assembly, an actuator assembly at a proximal end of said shaft assembly, and an engaging assembly at a distal end of the shaft assembly. The engaging assembly includes a support member fixedly coupled with and extending distally from the shaft assembly and a clamping member coupled with at least one of the shaft assembly and the support member. The actuator assembly is operably linked to the clamping member with the shaft assembly to move the clamping member toward the support member with the actuator assembly.
摘要:
A hand manipulated endoscopic medical device includes a body having a proximal end, which is hand manipulated, a distal end which includes a manipulator, a light emitting device at the distal end, an imaging device at the distal end. A tool for extracting an artificial lumbar disc from between a pair of vertebral plates includes a handle, a member for transmitting force, and a sharpened end, specially configured to be placed between the artificial disc and the vertebral plate. A tool for implanting or explanting a ball to or from an artificial lumbar disc includes a pinion shaft and a pinion shaft enclosure, with a tightening knob at the proximal end of the shaft enclosure and coupled to the pinion shaft, a pinion at the distal end of the pinion shaft, a grappling device at the pinion, and a pair of semi-circular rings.
摘要:
Systems, devices and methods relating to a spinal implant for placement in a disc space of a spine are described. A spinal implant (1) can include a plurality of wedge members including a leading wedge (22), a trailing wedge (28), and one or more intermediary wedges (26) therebetween. The spinal implant (1) can be configured to have a first linear configuration in which the plurality of wedge members are in a linearly expanded form and a second circular configuration in which the plurality of wedge members are positioned circumferentially relative to a center axis. In its first configuration, the spinal implant (1) can be delivered to a disc space, whereby it can assume its second configuration within the disc space, thereby forming a replacement nucleus. The spinal implant (1) can be kept in its first configuration by a rod member (41) received as through the plurality of wedge members. The wedge members can be slidably removed off of the rod member (41) and can assume the second configuration.
摘要:
Instrumentation for implanting an artificial intervertebral disc includes static trials and a dynamic trial for determining the appropriate size of disc to be implanted, static trial holders for manipulating the static trials, inserter/impactors for inserting and removing the static trials and for inserting the artificial intervertebral discs, repositioners/extractors for repositioning and extracting the static trials or the artificial intervertebral discs, and a leveler for setting the proper position of the artificial intervertebral disc. Methods for using the same are also disclosed. Features for artificial intervertebral discs and intervertebral spacer devices useful for manipulation by the instrumentation are also disclosed.
摘要:
A method of removing an intervertebral disc prosthesis from an intervertebral disc space includes the steps of: a) providing a surgical extractor with two legs; b) individually inserting the legs, while the legs are completely detached from each other, into the intervertebral disc space; c) rotating the legs so that they take up a locking position in which a pulling force can be applied by the legs to the intervertebral disc prosthesis; d) connecting the legs to an extraction element; and e) pulling at the extraction element so that the legs apply a pulling force to the intervertebral disc prosthesis.
摘要:
Anchor removal instruments and methods for using the instruments are provided. In some embodiments, an intervertebral implant anchor extractor tool comprises a support, a support retainer configured to hold the support fixed with respect to the implant, an extractor having an anchor retainer, and an extractor guide. An embodiment of a method of using this implant anchor extractor tool comprises the steps of obtaining access to an anchor, grasping the anchor, and applying a withdrawal force on the anchor while applying a countervailing force against the implant or a vertebral structure.