摘要:
Implantable medical devices are provided. In one embodiment, a device includes a body having an external surface defining an outer profile of the device. The body includes a porous matrix including a series of interconnected macropores defined by a plurality of interconnected struts each including a hollow interior. A filler material substantially fills at least a portion of the series of interconnected macropores. The external surface of the body includes a plurality of openings communicating with the hollow interior of at least a portion of the plurality of interconnected struts. In a further aspect of this embodiment, the external surface includes exposed areas of the filler material and porous matrix in addition to the exposed openings. In another aspect, the porous matrix is formed from a bioresorbable ceramic and the filler material is a biologically stable polymeric material. Still, other aspects related to this and other embodiments are also disclosed.
摘要:
Implantable medical devices are provided. In one embodiment, a device includes a body having an external surface defining an outer profile of the device. The body includes a porous matrix including a series of interconnected macropores defined by a plurality of interconnected struts each including a hollow interior. A filler material substantially fills at least a portion of the series of interconnected macropores. The external surface of the body includes a plurality of openings communicating with the hollow interior of at least a portion of the plurality of interconnected struts. In a further aspect of this embodiment, the external surface includes exposed areas of the filler material and porous matrix in addition to the exposed openings. In another aspect, the porous matrix is formed from a bioresorbable ceramic and the filler material is a biologically stable polymeric material. Still, other aspects related to this and other embodiments are also disclosed.
摘要:
An implant with an interference fit fastener for attaching the implant to a bone. The interference fit prevents backout of the fastener after the attachment. The implant may include a passage with a first end and second end. The passage may include a first interference section between the first and second ends. A fastener with an elongated shape may be sized to extend through the passage to attach the implant to the bone. The fastener may include a second interference section. During insertion of the fastener through the passage and into the bone, the second interference section of the fastener may contact against and modify or be modified by the first interference section of the passage. This modification may create the interference fit between the implant and the fastener that prevents backout. The interference sections may remain in contact or may move apart once the fastener is fully attached to the bone.
摘要:
A trackable medical instrument for use in a computer assisted image guided medical and surgical navigation systems that generate images during medical and surgical procedures, includes a guide member having an emitter array for being tracked by the system and a drive shaft contained within the guide member having a proximal and a distal end, the drive shaft being rotatable within the guide member while being fixable axially inside the guide member, the proximal end of the drive shaft having a first connector for interchangeably receiving at least one drive source, and the distal end having a second connector for interchangeably receiving at least one instrument tip.
摘要:
A surgical retractor includes a first member defining a longitudinal axis. The first member includes a blade disposed in spaced apart relation relative to the longitudinal axis and a grip surface. A second member has a blade disposed in spaced apart relation relative to the longitudinal axis and a grip surface. The grip surfaces are configured to be drawn together along the longitudinal axis such that the blades are engageable with tissue and connected with the grip surfaces such that the grip surfaces provide a tactile feedback of the tissue engagement. Systems and methods of use are disclosed.
摘要:
A method and apparatus for determining, calculating, and/or viewing a trajectory. The trajectory can be displayed on a display relative to image data of a patient. A user can use the system to determine relationships between two or more trajectories that have been determined. The relationships can be within two dimensional, three-dimensional, or four dimensional space. The relationships can include distance, angle, etc. The relationships can also be determined between real time trajectories and stored trajectories, or combinations thereof.
摘要:
An implant for a spinal column and a method for inserting the same into a patient is disclosed. The implant includes an elongated body positionable in a spinal disc space. The body comprises a first body member and a second body member that each include at least one wedge extending into an interior cavity. A front bracket is connected with a leading portion of the first and second body members and a rear bracket connected with a trailing portion of said first and second body members. The brackets allow the first and second body members to move between an expanded state and an unexpanded state. An expansion component is positioned within the interior cavity when the implant is in an expanded state and the implant is then positioned in an unexpanded state. The expansion component includes at least one inverted wedge in engagement with the wedge of the first and second body members. The inverted wedge is operable to cause the first and second body members to expand way from one another to the expanded state. A bone graft member is then inserted into the interior cavity defined by the first and second body members.
摘要:
A method and apparatus for determining, calculating, and/or viewing a trajectory. The trajectory can be displayed on a display relative to image data of a patient. A user can use the system to determine relationships between two or more trajectories that have been determined. The relationships can be within two dimensional, three-dimensional, or four dimensional space. The relationships can include distance, angle, etc. The relationships can also be determined between real time trajectories and stored trajectories, or combinations thereof.
摘要:
The present application is directed to implants with inner and outer members positioned in a telescoping arrangement. The members may include helical supports to selectively adjust the height of the implant. The helical supports offer a large contact surface to prevent inadvertent reduction of the length due to application of a compressive force. In some embodiments, the helical support members may be shaped to facilitate movement of the members to increase the height. The shape may further prevent movement that would decrease the height. Some embodiments may also prevent relative rotation of the members. In use, the inner and outer members are moved apart to adjust the height of the implant to space apart the vertebral members. The members may further be constructed to prevent the members from moving together after insertion between the vertebral members.
摘要:
Expandable medical implants for supporting bone structures may include a first member and a second member. The second member may be configured to receive the first member and may be moveable along the longitudinal axis relative to the first member. One of the first and second members may include a plurality of teeth and the other of the first and second members may include at least one tooth. At least a portion of one of the first and second main bodies may be elastically deformable to selectively engage and disengage the at least one tooth and the plurality of teeth. At least one tooth and the plurality of teeth may be shaped to deform the elastically deformable portion when both increasing and when decreasing the overall implant height by moving the second member relative to the first member along the longitudinal axis.