摘要:
An implant for insertion between vertebral members in which an inner member, intermediate member, and outer member are concentrically disposed. The inner and outer members may comprise end plates to contact the vertebral members. The outer member may include a tapered interior wall. A locking element is movably contained within an opening that extends through a sidewall of the intermediate member. The intermediate member is displaceable longitudinally in first and second directions relative to the outer member. Displacement of the intermediate member in the first direction tends to force the locking element laterally into contact with the inner and outer members. A biasing member may urge the intermediate member in the first direction. Displacement of the intermediate member in the second direction allows the locking element to be laterally displaced out of contact with the inner member.
摘要:
A surgical instrument and method for forming a passage in bone having an enlarged cross-sectional portion is provided. The instrument includes an elongate member and a cutting element engaged thereto and transitionable between a retracted configuration for extending through a first portion of the passage and an expanded configuration for forming a second portion of the passage having an enlarged cross-section. In one embodiment, the cutting element is transitioned between the retracted and expanded configurations by axially displacing the cutting element relative to the elongate member. In another embodiment, the elongate member includes a tapping thread configured to cut threads along the first portion of the passage, and the cutting element is a blade configured to form the enlarged cross-section when transitioned to the expanded configuration. In another embodiment, the cutting element is arranged in an axial orientation when in the retracted configuration and an angular orientation when in the expanded configuration.
摘要:
Devices and methods to grasp a medical element. The device may include a first member, a second member that fits within the first member, and a locking element. The first and second members may move relative to one another to move the locking element between locked and unlocked positions. In an unlocked position, the device may move along the element. In the locked position, the device may lock to the element and motion is prevented. In one application, the device can be placed in the locked position to maintain a desired amount of tension on the element.
摘要:
System and methods are provided that include a plate member engageable to the spinal column with an anchor assembly. The anchor assembly includes a coupling member having a post extending through at least one opening of the plate member and an anchor member pivotally captured in a receiver member of the coupling member below a lower surface of the plate member. A locking member secures the plate member to the coupling member.
摘要:
The present application discloses various embodiments of surgical fasteners that combine mechanical and osteogenic means of fixation to maximize in vivo stability and long-term performance. The fastener generally includes a head and a shaft. The fastener is fenestrated and includes a channel that leads into one or more openings along the shaft. Bone void filling materials is delivered through the channel to the shaft to improve anchoring. In one embodiment, the osteogenic means comprise a coating applied to the fastener to improve bony apposition. The fastener with combined mechanical and osteogenic means provides initial, immediate anchoring and long term anchoring.
摘要:
A device for supporting and/or assisting in bone fusion, particularly in the spine, is described. A plate member is provided, along with two or more attachment members that are anchorable to bones. In one embodiment, the plate member has a slot near one end and an aperture at another end. The attachment members include threaded posts for connection to the plate member via the latter's slot(s) and aperture(s). Alternatively, attachment members need not have a threaded post, and attachment members may be connected to the plate member via a bone bolt or similar fixation member. The slot(s) allow a single plate member to be used for a variety of operative situations and anatomies. A device for repositioning bones and a method for using the disclosed devices is also described.
摘要:
An implantable femoral fixation device adapted to be received the femoral neck and femoral head configured to support at least a portion of the inner surface of the cortical bone of the femur. In various embodiments the femoral fixation device is transformable between a first radially reduced configuration and a second, radially expanded configuration, is attached to an anchor, and/or is configured to be encased in fixation media. In one embodiment the anchor is a segmented intramedullary structure disposed in the intramedullary canal configurable between a relatively flexible, bent configuration for implantation or extraction and a relatively rigid, straightened configuration for bone treatment.
摘要:
An orthopedic medical apparatus and methods are disclosed, among which are a cylindrical orthopedic plate and clamps and fixation members for attaching the plate to tissue such as bone tissue. In one embodiment, the plate includes sides and ends that are cylindrical, and the clamps are adapted to fit thereto. Additional apparatus in the form of a lateral connecting member and a connecting plate usable with the orthopedic plate are also disclosed. Methods for using the disclosed apparatus are also described.
摘要:
An orthopedic medical apparatus and methods are disclosed, among which are a cylindrical orthopedic plate and clamps and fixation members for attaching the plate to tissue such as bone tissue. In one embodiment, the plate includes sides and ends that are cylindrical, and the clamps are adapted to fit thereto. Additional apparatus in the form of a lateral connecting member and a connecting plate usable with the orthopedic plate are also disclosed. Methods for using the disclosed apparatus are also described.
摘要:
System and methods are provided that include a plate member engageable to the spinal column with an anchor assembly. The anchor assembly includes a coupling member having a post extending through at least one opening of the plate member and an anchor member pivotally captured in a receiver member of the coupling member below a lower surface of the plate member. A locking member secures the plate member to the coupling member.