Abstract:
An interference screw is provided by machining a fragment of autograft, allograft or xenograft cortical bone from a donor or from a recipient's amputated bone. The interference screw has a cortical surface into which a self-tapping thread is machined. The interference screw has a machined pointed, rounded or flush end and an opposite machined end which mates with a drive means, and has advantages over conventional interference screws known in the art in that subsequent to implantation, no residual hardware that must later be removed remains at the implant site.
Abstract:
This invention provides a method for manufacture of autograft, allograft and xenograft implants which comprises assembling such implants from smaller pieces of graft materials to form a larger graft implant product.
Abstract:
A novel guide sleeve (100) for use in conjunction with spinal surgery. The guide sleeve had a body extending along a longitudinal axis (102) and including a proximal portion (104) and a distal portion (106). The proximal portion (104) includes a circumferentially uninterrupted side wall (108) forming a first longitudinal passage (110) defining a first transverse cross sectional area (112). The distal portion (106) includes a circumferentially interrupted side wall (120) forming a second longitudinal passage (130) defining a second transverse cross-sectional area (132) that is less than the first transverse cross-sectional area (112). The guide sleeve (100) is positionable adjacent a vertebral body to allow removal of vertebral tissue laterally adjacent the second longitudinal passage (130) by an axially displaceable cutting tool (180) extending through the first longitudinal passage (110). In a further form of the present invention, a protective barrier (160) is attached to the guide sleeve (100) and positioned across a longitudinal opening (134) to separate an inner region of the guide sleeve (100) from the outer surgical environment.
Abstract:
L' invention concerne un composant cotyloïdien de prothèse de hanche, creux et en forme de cupule, dont la partie externe comporte un filetage pour permettre sa fixation dans l' os iliaque, ledit filetage comportant un double filet (20, 21) auto- taraudant interrompu, ledit composant cotyloïdien comportant un pôle supérieur effacé (1), un revêtement favorisant l' ostéo- intégration sur sa face externe (10), une surface interne concave sensiblement hémi-sphérique polie (11), et caractérisé en ce que : (a) le pas des filetages (20, 21) est décroissant du pôle supérieur (1) vers la périphérie équatoriale (3) du composant cotyloïdien, (b) les épaisseurs des filets (20, 21) sont croissantes du pôle supérieur (1) du composant cotyloïdien vers sa périphérie (3), (c) l' arête des filets (20, 21) est coupante du côté du pôle (1) du composant cotyloïdien et arrondie ou sensiblement trapézoïdale du côté de la périphérie équatoriale (3) du composant cotyloïdien.
Abstract:
An implant (10) has one or more surfaces (10a, 10b) with a basic or starting surface structure (1a) derived from mechanical working. A topographic modification of the surface structures is arranged on said surface structure or surface structures. The topographic modification can be formed, for example, by means of shot-peening, etching, plasma spraying, chemical action, etc. The topographically modified surface structures support bone-growth-stimulating agent. In a method for producing the implant, three subsidiary methods are used for carrying out the mechanical working, the topographical modification, and the application of the bone-growth-stimulating agent. An important niche in the demand which exists in the field of implants is thus covered in an advantageous manner.
Abstract:
An interference screw is provided by machining a fragment of autograft, allograft or xenograft cortical bone from a donor or from a recipient's amputated bone. The interference screw has a cortical surface into which a self-tapping thread is machined. The interference screw has a machined pointed, rounded or flush end and an opposite machined end which mates with a drive means, and has advantages over conventional interference screws known in the art in that subsequent to implantation, no residual hardware that must later be removed remains at the implant site.
Abstract:
The present invention relates to tissues, including but not limited to bone and cartilage implants, as carrier matrices for delivery of biologically active nucleic acids to sites where such tissues are to be implanted. Upon implantation, the nucleic acids associated with the implants are taken up by cells within the implant site and are expressed, to produce growth factors, regenerative factors and the like encoded by the nucleic acids. In this manner, for example, where the nucleic acid encodes bone morphogenetic protein or the like, the rate of bone induction, conduction of healing and the rate of cartilage formation or repair is enhanced, without the attendant need to manufacture, purify, isolate and deliver protein or peptide growth factors.
Abstract:
A spine-stabilization implant (30) comprises a one-piece bullet shaped shell with bone tapping screw threads (32) on its outside surface. the screw threads are longitudinally interrupted by several end to end flutes (34) distributed in parallel around the circumference. Bone growth access windows are (36) provided at several locations through the flutes. Such construction gives the spine stabilization implant a hexagonal cross section with a hollow central core (38). A drive tool can be slipped into the back end. After spreading two adjacent vertebrae as much as the interconnecting tissues will allow, a bore is made by a surgeon during an operation into the intervertebral space of a patient's spine, e.g., deep into, the disc. The drive tool is then used to push the spine stabilization implant down the bore, and into the intervertebral space. The tool is then twisted such that the bone tapping screw threads cut into, and lock onto the opposite surfaces of the adjacent vertebrae. The tool is then withdrawn. Morsel bone is packed into the spine stabilization implant to promote new bone growth that will fuse together the opposite surfaces of the adjacent vertebrae.
Abstract:
Spinal spacers (20) are provided for fusion of a motion segment. The spacers include a load bearing member (21) having a wall (22) sized for engagement within a space between adjacent vertebrae to maintain the space and an effective amount of an osteogenic composition (30) to stimulate osteoinduction. The osteogenic composition includes a substantially pure osteogenic factor in a pharmaceutically acceptable carrier. In one embodiment the load bearing member includes a bone graft impregnated in an osteogenic composition. In another embodiment, the osteogenic composition (30) is packed within a chamber (25) defined in the graft. Any suitable configuration of a bone graft is contemplated, including bone dowels, D-shaped spacers and cortical rings.
Abstract:
One embodiment of the invention includes a sinus tarsi implant with an inverted thread profile having a lip or lips at the thread crest. The lips may help hold tissue in-growth and give greater purchase to the implant. The implant may also include voids that traverse threads. The voids may create an open area for soft tissue to grow into. The voids may be relatively small and consequently promote faster tissue in-growth. Thus, the lips and/or voids limit migration. They do this without creating sharp edges or pressure points (or at least limiting such creation) that are typically associated with techniques (e.g., cutting deep negative thread spaces) used to prevent migration. Therefore, the embodiments of the invention limit migration while also limiting patient discomfort. Other embodiments are disclosed.