摘要:
A device for trimming an osteochondral plug graft to an implantable configuration, includes a blade assembly terminating in a configured leading cutting blade and a plug graft housing comprising a substantially longitudinal holding sleeve having a bore and oriented complementarily to the longitudinal structure of the blade assembly to receive the longitudinal structure within the sleeve bore with the assembly cutting blade in close tolerance along an inner bore surface of the longitudinal housing structure.
摘要:
A method is disclosed and can include engaging a harvest guide with bony tissue and placing a cutting device within the harvest guide. The harvest guide can maintain the cutting device substantially perpendicular to a tangent through a point on the bony tissue aligned with the cutting device. The cutting device can be an osteochondral chisel, a trephine, or a combination thereof.
摘要:
Embodiments for a spinal implant having elements that are accessible by a surgical approach and releasably engagable by a surgical tool for improved revision of the spinal implant about a patient's spine.
摘要:
A system for anchoring at least a portion of material to a vertebral body is disclosed. The anchoring system comprises a base configured to affix to the vertebral body, configured to receive the at least a portion of material, and configured to receive a fastener so as to apply pressure to the at least a portion of material so as to anchor the at least a portion of material to the base. Another system further comprises an anchoring mechanism configured to engage with the base and configured to anchor the at least a portion of material, wherein the anchoring mechanism comprises at least one elastic element configured to engage with a fastener and configured to apply pressure to the at least a portion of material so as to anchor the at least a portion of material to the base.
摘要:
Systems and methods of shaping surfaces of vertebral bodies include a reference guide instrument that can be positioned relative to a disc space between vertebral bodies and referenced to the caudally located endplate of the disc space. The reference guide instrument can then be employed to guide preparation instruments to the vertebral bodies in an orientation and spacing referenced to the caudal endplate of the subject disc space to shape vertebral surfaces to receive an implant.
摘要:
A device for trimming an osteochondral plug graft to an implantable configuration, includes a blade assembly terminating in a configured leading cutting blade and a plug graft housing comprising a substantially longitudinal holding sleeve having a bore and oriented complementarily to the longitudinal structure of the blade assembly to receive the longitudinal structure within the sleeve bore with the assembly cutting blade in close tolerance along an inner bore surface of the longitudinal housing structure.
摘要:
Apparatus for applying sustained tension on tether in treatment site includes a positioning mechanism, gripping mechanism and pressurized fluid actuated mechanism. The positioning mechanism is operable to position the pressurized fluid actuated mechanism at a fixed distance relative to treatment site, and to engage a target at treatment site and secure the tether proximate to the target. The gripping mechanism is operable to selectively grip the tether and maintain tether when tether is held in tension. The pressurized fluid actuated mechanism is selectively operable to apply desired pulling force on gripping mechanism directed away from treatment site so as to transmit and apply in a sustained manner the desired pulling force on the tether independently from the tether displacement and place it under desired level of tension while the tether is being secured.
摘要:
An apparatus for attachment to a vertebral body for correcting spinal deformities. The apparatus has a plate member having an upper surface and a lower surface. The upper surface having at least one receiving member defining a channel for receiving a flexible connection member. The at least one receiving member having a proximal portion and a distal portion. The proximal and distal portions interfacing along a frangible connection such that the at least one receiving member extends axially from the upper surface a first distance when the frangible connection is unbroken and the at least one receiving member extends axially from the upper surface a second distance when the frangible connection is broken. The second distance is less than the first distance.
摘要:
An incontinence management device comprises a head having a first state and a second state. In the first state, the head is sized for insertion within a predetermined body orifice or cavity. In the second state, the head is sized to substantially seal the predetermined body orifice or cavity. In an aspect of use in an anal cavity, the device is configured so that the head forms a seal above the dentate line within the anal cavity. Further, in some aspects, the head substantially comprises a resorbable material. Additionally, in other aspects, the device further comprises a base, which limits insertion of the device within the body orifice, and an activator mechanism in communication with the head and movable relative to the base between a first position and a second position. The movement of the activator mechanism between the first position and the second position correspondingly causes the head to change between the first state and the second state or vice versa.
摘要:
A surgical instrument and method are provided for positioning an osteochondral plug within a bone defect site. The instrument includes an elongate shaft, a ribbon, an elongate sleeve and a locking mechanism. The shaft has proximal and distal ends, with the distal end being shaped to contact the osteochondral plug. The ribbon extends along two sides of the shaft and around the distal end, forming a loop that is used to secure the osteochondral plug to the distal end. The sleeve is movably mounted to the shaft for reciprocating relative thereto between retracted and extended positions. The sleeve includes a slot that allows for visualization and cutting of the ribbon. The locking mechanism locks the ribbon in place and thereby controls the size and tension of the loop that surrounds the osteochondral plug, securing it to the distal end of the shaft.