Patent application number | Description | Published |
20080215058 | Spine distraction implant and method - A spine distraction implant alleviates pain associated with spinal stenosis and facet arthropathy by expanding the volume in the spine canal and/or neural foramen. The implant provides a spinal extension stop while allowing freedom of spinal flexion. | 09-04-2008 |
20080221626 | Force limiting persuader-reducer - An apparatus and method for advancement of a spinal rod in a spinal implant, wherein the apparatus includes a body and a handle attached to the body. A shaft is slidably attached to the body, the shaft is coupled to the handle and has a first end adapted to engage the spinal rod. At least one retractor blade is attached to the body and the spinal implant. The operation of the handle results in the shaft persuading the spinal rod in the spinal implant. The force exerted by the shaft on the spinal rod is limited to a pre-selected force. The apparatus can also be operated in a non-limiting mode when a reduction retractor blade is used. | 09-11-2008 |
20080255563 | INSTRUMENTATION AND METHOD FOR PROVIDING SURGICAL ACCESS TO A SPINE - A system for accessing a spine from a curved postero-lateral approach may include a curved cannula positioned along a curved path from an opening in the skin to a location proximate the spine. A targeting post may be inserted adjacent the spine to determine the location. A peritoneal retractor and a guide member may be first inserted to establish the path between the tissues and fascia, and one or more intermediate cannulas may be temporarily inserted over the guide member to dilate the tissues prior to insertion of the main cannula. An interbody device may be implanted in an intervertebral space through the cannula. An endoscope may be inserted through the targeting post or the cannula. The system may include instruments with shafts which are flexible or are curved to match the curve of the curved cannula, including a rongeur, curette, rasp, distractor, trial implant, probe, tamp, and implant inserter. | 10-16-2008 |
20080255668 | INTERSPINOUS PROCESS SPACERS - Interspinous implants including a spacer configured to fit between first and second adjacent spinous processes of a human spine, to maintain a minimum separation between the spinous processes. An implant also includes a fixation portion coupled to the spacer, in which the fixation portion engages at least one spinous process to hold the spacer in a stable position relative to the spinous process. An implant may be monolithic, non-fillable, and may be inserted between the spinous process from a lateral approach. The fixation portion may be configured as a bracket which can substantially encircle the spinous process, or as flanges which engage lateral sides of the spinous process(es). The spacer may be resilient, and may be expandable along the anterior/posterior direction between the spinous processes. An implant may provide resilient resistance during extension, and/or a uniform extension stop between the spinous processes. | 10-16-2008 |
20080255669 | INTERSPINOUS PROCESS SPACERS - Interspinous implants including a spacer configured to fit between first and second adjacent spinous processes of a human spine, to maintain a minimum separation between the spinous processes. An implant also includes a fixation portion coupled to the spacer, in which the fixation portion engages at least one spinous process to hold the spacer in a stable position relative to the spinous process. An implant may be monolithic, non-fillable, and may be inserted between the spinous process from a lateral approach. The fixation portion may be configured as a bracket which can substantially encircle the spinous process, or as flanges which engage lateral sides of the spinous process(es). The spacer may be resilient, and may be expandable along the anterior/posterior direction between the spinous processes. An implant may provide resilient resistance during extension, and/or a uniform extension stop between the spinous processes. | 10-16-2008 |
20080288075 | SPINE DISTRACTION IMPLANT AND METHOD - A spine distraction implant alleviates pain associated with spinal stenosis and facet arthropathy by expanding the volume in the spine canal and/or neural foramen. The implant provides a spinal extension stop while allowing freedom of spinal flexion. | 11-20-2008 |
20080306481 | SYSTEM AND METHOD FOR PROVIDING SURGICAL ACCESS TO A SPINE - A system for accessing a spine from a curved postero-lateral approach may include a curved cannula positioned along a curved path from an opening in the skin to a location proximate the spine. A guide member may be first inserted to establish the path between the tissues and fascia, and one or more intermediate cannulas may be temporarily inserted over the guide member to dilate the tissues prior to insertion of the main cannula. An interbody device may be implanted in an intervertebral space through the cannula. The system may include a guide bar removably coupled to a targeting post. The targeting post may be inserted adjacent the spine to provide a target, and the guide bar may be removably attached to the guide member, to guide it along the path to the target location. An external support arm may be secured to any other component of the system. | 12-11-2008 |
20090012568 | SYSTEM AND METHOD FOR PROVIDING SURGICAL ACCESS TO A SPINE - A system for accessing a spine from a curved postero-lateral approach may include a curved cannula positioned along a curved path from an opening in the skin to a location proximate the spine. A guide member may be first inserted to establish the path between the tissues and fascia, and one or more intermediate cannulas may be temporarily inserted over the guide member to dilate the tissues prior to insertion of the main cannula. An interbody device may be implanted in an intervertebral space through the cannula. The system may include a guide bar removably coupled to a targeting post. The targeting post may be inserted adjacent the spine to provide a target, and the guide bar may be removably attached to the guide member, to guide it along the path to the target location. An external support arm may be secured to any other component of the system. | 01-08-2009 |
20090024134 | SURGICAL MEASUREMENT AND RESECTION FRAMEWORK - A frame is attachable to first and second bone portions of a patient to facilitate measurement and resection of one or more bony landmarks. The frame has two anchoring features, each of which has a semispherical surface that permits rotational adjustment of the frame against the bone portions until the frame is secured. A bridging structure couples the anchoring features together such that the anchoring features are lockably movable with respect to each other. The bridging structure may have three linear sliders that provide the relative motion. A locking mechanism exerts pressure on all three sliders to lock them in place. An external anchoring feature enables attachment of the frame to a stationary reference to stabilize the frame. The frame also has registration features that permit attachment of measurement or resection tools to the frame. The frame is particularly useful for measuring and resecting spinal facets for facet replacement. | 01-22-2009 |
20090024135 | SURGICAL MEASUREMENT SYSTEMS AND METHODS - A measurement tool is designed to measure the relative displacements between two bony landmarks of a spine, such as pedicles and facet surfaces. The measurement tool may have a registration interface designed to be registered to a first bony landmark, and a contact feature shaped to contact a second bony landmark. The registration interface may be registered to a frame rigidly coupled relative to the first bony landmark. The measurement tool also has a displacement structure that permits motion of the contact feature relative to the registration interface along multiple dimensions. The displacement structure may have two or three sliding joints that enable relative translation along orthogonal axes. Each sliding joint may have a rod with a plurality of markings that can easily be read to acquire measurements from the displacement structure. | 01-22-2009 |
20090024167 | SPINAL FACET IMPLANTS WITH MATING ARTICULATING BEARING SURFACE AND METHODS OF USE - Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra. | 01-22-2009 |
20090024168 | LINKED BILATERAL SPINAL FACET IMPLANTS AND METHODS OF USE - Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra. | 01-22-2009 |
20090030459 | SPINAL FACET IMPLANT WITH SPHERICAL IMPLANT APPOSITION SURFACE AND BONE BED AND METHODS OF USE - Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra. | 01-29-2009 |
20090030460 | LINKED BILATERAL SPINAL FACET IMPLANTS AND METHODS OF USE - Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra. | 01-29-2009 |
20090030461 | Spinal Facet Joint Implant - Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra. | 01-29-2009 |
20090082871 | METHOD AND APPARATUS FOR SPINE JOINT REPLACEMENT - A prosthesis for the replacement of the cartilaginous structures of a spine motion segment is described. The prosthesis comprises an intervertebral disc prosthesis in combination with a facet joint prosthesis. | 03-26-2009 |
20090088802 | PROSTHESIS FOR THE REPLACEMENT OF A POSTERIOR ELEMENT OF A VERTEBRA - A prosthetic replacement for a posterior element of a vertebra comprising portions that replace the natural lamina and the four natural facets. The prosthetic replacement may also include portions that replace one or more of the natural spinous process and the two natural transverse processes. If desired, the prosthesis replacement may also replace the natural pedicles. A method for replacing a posterior element of a vertebra is also provided. | 04-02-2009 |
20090099605 | Rod contouring apparatus for percutaneous pedicle screw extension - Anatomic points within the body are projected outside the body through the use of extenders ( | 04-16-2009 |
20090099607 | Apparatus and method for dynamic vertebral stabilization - A posterior vertebral stabilizer has a resilient member such as a linear spring, which operates in tension and compression. The resilient member may be kept straight by a stabilization rod extending through the spring, or by a telescoping assembly that encases the resilient member. The ends of the stabilizer are attachable to pedicles of adjacent vertebrae so that the stabilizer adds stiffness to control flexion and extension of the vertebrae. Two such stabilizers may be used, and may be connected together by a crosslink designed to limit relative rotation of the stabilizers. Thus, the stabilizers may restrict axial rotation and lateral bending between the vertebrae, while permitting stiffened flexion and extension. Such stabilizers help provide the stiffness of a healthy intervertebral disc. In the event that fusion of the joint becomes necessary, a set screw or other component may be used to further restrict flexion and extension. | 04-16-2009 |
20090157049 | Catheter Assemblies for Controlled Movement of Fluid - A catheter assembly for infusion or aspiration of an internal body site includes a catheter comprised of a tubular sidewall extending between a proximal end and an opposing distal end, the sidewall bounding a lumen. At least one port is formed on the catheter so as to communicate with the lumen. At least one filament extends outwardly from the first catheter. The filament is configured to form a fluid pathway within a body of a patient for fluid entering or exiting the at least one port of the catheter when the catheter is implanted within the body of the patient. | 06-18-2009 |
20090216234 | Spinal Access Systems and Methods - A system for accessing a spine from a curved postero-lateral approach may include a curved cannula positioned along a curved path from an opening in the skin to a location proximate the spine. The location may be at the L4-L5 vertebral level, and the curved path may lie in a plane oblique to the transverse, coronal and sagittal planes of the spine, and avoid the iliac crest. A targeting post may be inserted adjacent the spine to determine the location, and a guide member may be inserted to establish the curved path. A micrometer assembly may adjust a cephalad-caudal displacement between the post and the guide member. One or more intermediate cannulas may be inserted over the guide member to dilate tissues prior to insertion of the main cannula. An interbody device may be implanted into an intervertebral space through the cannula. | 08-27-2009 |
20090216335 | Femoral Hip Prosthesis and Method of Implantation - Implants and methods are presented for surgically repairing a hip joint with a proximal femoral prosthesis that comprises femoral head component and a femoral stem component. The femoral stem component comprises a neck portion, a flange portion, a transitional body region and an elongated stem. The femur is prepared for implantation of the femoral hip prosthesis by resecting the proximal femur and reaming a symmetric intramedullary cavity in the femur. The femoral hip prosthesis is then inserted the on the resected femur and in the intramedullary cavity. The femoral hip prosthesis elastically deforms when loaded during use to apply dynamic compressive loads and displacement to the calcar region of the resected proximal femur. | 08-27-2009 |
20090312792 | SOFT TISSUE REPAIR SYSTEM - A suture anchor delivery system includes a handle having a needle extending therefrom. A suture anchor assembly is slidably received on the needle. The suture anchor assembly includes a proximal anchor, a distal anchor, and a suture extending therebetween. The suture is secured to the proximal anchor by forming a loop in the suture and passing the loop at least partially through a passageway in the proximal anchor. One end of the suture is then secured to the distal anchor. The other end of the suture is passed through the loop and terminates in a free end to selectively lock the suture against the proximal anchor. A retraction line is passed through the loop to allow a surgeon to selectively adjust the length of the suture between the two anchors and/or to selectively unlock the suture from the proximal anchor. | 12-17-2009 |
20090318968 | SYSTEMS AND METHODS FOR POSTERIOR DYNAMIC STABILIZATION - A system for providing dynamic stabilization and balance control at a vertebral motion segment has first and second bridge elements and at least one bias element. The bridge elements anchor to adjacent vertebrae with polyaxially adjustable anchoring members, and the bias elements attach to each bridge element to span between them. Each bias element has two fixation portions and a bias body extending between the fixation portions. Each bias element may comprise an elastically deformable material to provide dynamic stabilization with motion, or may comprise rigid material to provide rigid stabilization, and both bias element types may be included in one system. The bias elements are attachable to the bridge elements at discrete attachment locations, or at non-discrete attachment locations. Alternate embodiments may include three or more bridge elements on adjacent vertebrae, and multiple bias elements. A tensioning tool may provide adjustable tension to an elastically deformable bias element. | 12-24-2009 |
20100010497 | SYSTEM AND METHOD FOR MENISCAL REPAIR THROUGH A MENISCAL CAPSULAR TUNNEL - A system for open or arthroscopic surgical repair of torn or damaged meniscal tissue has a repair member and an instrument. The repair member is a suture, flexible or rigid implant. The instrument has at a portion that is shaped to slide within a meniscal capsular tunnel. The meniscal capsular tunnel is an opening in the knee soft tissue passing from the anterior side of the knee adjacent to the mensical tissue to the posterior side of the knee in both the medial and lateral directions. The instrument interacts with the repair member to either insert it into the meniscus from the posterior side, or to facilitate securing of the repair member so that the repair member holds the meniscal tissue together on either side of a meniscal tear to foster healing of the damaged tissue. | 01-14-2010 |
20100010544 | APPARATUS AND METHOD FOR DYNAMIC VERTEBRAL STABILIZATION - A posterior vertebral stabilizer has a resilient member such as a linear spring, which operates in tension and compression. The resilient member may be kept straight by a stabilization rod extending through the spring, or by a telescoping assembly that encases the resilient member. The ends of the stabilizer are attachable to pedicles of adjacent vertebrae so that the stabilizer adds stiffness to control flexion and extension of the vertebrae. Two such stabilizers may be used, and may be connected together by a crosslink designed to limit relative rotation of the stabilizers. Thus, the stabilizers may restrict axial rotation and lateral bending between the vertebrae, while permitting stiffened flexion and extension. Such stabilizers help provide the stiffness of a healthy intervertebral disc. In the event that fusion of the joint becomes necessary, a set screw or other component may be used to further restrict flexion and extension. | 01-14-2010 |
20100030065 | SURGICAL ACCESS WITH TARGET VISUALIZATION - Accessing a spine from a curved postero-lateral approach may include a curved cannula positioned along a curved path from an opening in the skin to a location proximate to the spine. Positioning of the distal end of a radiolucent curved access cannula may be assisted by use of one or more radio-opaque markers. Markers may be positioned to form a cross hair image in fluoroscopy to assist in cannula placement. Radio-opaque inserts placed in and extended beyond the curved access cannula may have radiolucent windows to allow viewing of the cannula's radio-opaque markers. An appropriately placed curved access cannula may be clamped to prevent subsequent movement. Appropriate tools may be introduced through the curved access cannula and the distal radio-opaque tool heads may be viewed relative to the radio-opaque markers. The curved access cannula may be attached to the spine through one or more screws. | 02-04-2010 |
20100042153 | Apparatus And Method For Dynamic Vertebral Stabilization - A posterior vertebral stabilizer has a resilient member such as a linear spring, which operates in tension and compression. The resilient member may be kept straight by a stabilization rod extending through the spring, or by a telescoping assembly that encases the resilient member. The ends of the stabilizer are attachable to pedicles of adjacent vertebrae so that the stabilizer adds stiffness to control flexion and extension of the vertebrae. Two such stabilizers may be used, and may be connected together by a crosslink designed to limit relative rotation of the stabilizers. Thus, the stabilizers may restrict axial rotation and lateral bending between the vertebrae, while permitting stiffened flexion and extension. Such stabilizers help provide the stiffness of a healthy intervertebral disc. In the event that fusion of the joint becomes necessary, a set screw or other component may be used to further restrict flexion and extension. | 02-18-2010 |
20100042217 | SPINE DISTRACTION IMPLANT AND METHOD - A spine distraction implant alleviates pain associated with spinal stenosis and facet arthropathy by expanding the volume in the spine canal and/or neural foramen. The implant provides a spinal extension stop while allowing freedom of spinal flexion. | 02-18-2010 |
20100057129 | MULTIPLE FACET JOINT REPLACEMENT - A prosthesis for the replacement of multiple diseased or traumatized spinal facets comprises a portion that replaces at least a bony portion of the facets to be replaced and where the prosthesis attaches to the vertebra in a manner that does not require attachment to, or abutment against, the lamina. Multiple configurations of the prosthesis provide for replacement of the two inferior facets, the two superior facets, a superior and inferior facet, or all four facets. A method of installing the prosthesis is provided that is comprised of the steps of resecting at least a portion of the facets that carry the diseased or traumatized spinal facets and attaching the prosthesis in a manner that does not require attachment or abutment against the lamina. | 03-04-2010 |
20100069926 | LINE LOCK GRAFT RETENTION SYSTEM AND METHOD - A system for restoring articular cartilage has a cover, an anchor, and a tether that cooperate to retain graft tissue with respect to a graft site. The cover is attached to the anchor via the tether. The tether passes through a tunnel through a bone to which the articular cartilage is attached. The tunnel may be blind or may extend through the bone. The anchor is retained within the tunnel such that tension in the tether keeps the cover in place over the tissue graft. The anchor may receive the tether such that the tether can only pass through the anchor along one direction. Thus, tension applied to the tether between the anchor and the tissue graft is automatically maintained by the anchor. After passing through the anchor, the tether may exit the tunnel through the graft site, or through the opposite side of the bone. | 03-18-2010 |
20100082108 | SPINE DISTRACTION IMPLANT AND METHOD - A spine distraction implant alleviates pain associated with spinal stenosis and facet arthropathy by expanding the volume in the spine canal and/or neural foramen. The implant provides a spinal extension stop while allowing freedom of spinal flexion. | 04-01-2010 |
20100145389 | ROD INSERTER AND ROD WITH REDUCED DIAMETER END - A pedicle screw assembly including a bone fastener having a lower end for engaging bone and an upper end remote from the lower end; a head having a rod-receiving channel attached to the upper end of said bone fastener; a spinal rod insertable into the rod-receiving channel of said head, said spinal rod having an outer surface extending between first and second ends thereof, wherein at least one of the first and second ends has a reduced diameter section. A spinal rod having an outer surface extending between a first end and a second end thereof; wherein the outer surface of said spinal rod has a reduced diameter section at least one of the first and second ends. | 06-10-2010 |
20100145393 | MEDICAL AND DENTAL POROUS IMPLANTS - A porous PEEK implant system which may provide tissue ingrowth throughout the body of the implant. The implant may comprise a solid or porous PEEK core. The porous PEEK implants may be of general shape and size but provide the structure necessary to carry out the function of the implant. The porous PEEK implant pores may be seeded with agents to encourage tissue ingrowth as well as other agents such as antibiotics, anesthetics, analgesics and the like. | 06-10-2010 |
20100160963 | System and Method for Anchoring Suture to Bone - A system for attaching soft tissue to bone includes an anchor, a suture, and a tissue retainer. The anchor may have a threaded tip that engages the bone, and a suture retention portion with passageways arranged such that each of first and second anchor portions of the suture can be drawn through the passageways along only a single direction. The tissue retainer has passageways through which the suture can freely move in either direction. Thus, the anchor and the tissue retainer may be attached to bone and tissue, respectively, and the suture may be drawn to substantially irreversibly draw the bone and tissue together. In alternative embodiments, an anchor may receive only one portion of suture and/or one suture end may be affixed to the anchor. The anchor may alternatively permit free motion of the suture, while the tissue retainer permits passage of the suture along only one direction. | 06-24-2010 |
20100191285 | Compact Line Locks and Methods - A line lock includes a body at least partially bounding two passageways that cooperate to receive a locking portion of a line such as a suture in such a manner that the locking portion can only be drawn through the passageways along one direction. A second suture locking portion may also received by the passageways, or by one of the two passageways in combination with a third passageway. The body may have an elongated, compact shape that is easily implantable in the body. | 07-29-2010 |
20100210917 | MEANS OF DIRECT VISUALIZATION THROUGH A CURVED APPROACH PATH - A coupled pair of retractors which are coupled at the distal end to allow the handles at the proximal end to be urged apart to increase the distance between handles to allow for direct line of sight to the surgical site while also allowing the use of curved tools and curved access to the surgical site. A cannula with a cross section taken perpendicular to a straight portion of the cannula that increases between the proximal end of the cannula and the distal end of the cannula allows for direct line of sight to the surgical site while also allowing the use of curved tools and curved access to the surgical site. These tools may be used in a postero-lateral approach from an incision in the back to a target position adjacent to the spine. | 08-19-2010 |
20100305585 | LINE LOCK THREADING SYSTEMS AND METHODS - A line lock includes a body at least partially bounding a plurality of passageways such that a suture can only be drawn through the passageways along one direction. The suture may be inserted through the passageways through the use of a cartridge designed to contain the line lock. Threaders may pass through the line lock within the cartridge. Each threader may have a leading end and a trailing end that can be coupled to a suture end. Thus, two suture ends may be drawn through the passageways by coupling them to the threaders and drawing the leading ends of the threaders to cause the suture ends to pass through the passageways according to the desired pattern. The cartridge may then be opened to permit easy removal of the suture and the line lock. | 12-02-2010 |
20100318126 | LINE LOCK THREADING SYSTEMS AND METHODS - A line lock includes a body at least partially bounding a plurality of passageways such that a suture can only be drawn through the passageways along one direction. The suture may be inserted through the passageways through the use of a cartridge designed to contain the line lock. Threaders may pass through the line lock within the cartridge. Each threader may have a leading end and a trailing end that can be coupled to a suture end. Thus, two suture ends may be drawn through the passageways by coupling them to the threaders and drawing the leading ends of the threaders to cause the suture ends to pass through the passageways according to the desired pattern. The cartridge may then be opened to permit easy removal of the suture and the line lock. | 12-16-2010 |
20110004319 | Femoral Hip Prosthesis and Method of Implantation - Implants and methods are presented for surgically repairing a hip joint with a proximal femoral prosthesis that comprises femoral head component and a femoral stem component. The femoral stem component comprises a neck portion, a flange portion, a transitional body region and an elongated stem. The femur is prepared for implantation of the femoral hip prosthesis by resecting the proximal femur and reaming a symmetric intramedullary cavity in the femur. The femoral hip prosthesis is then inserted the on the resected femur and in the intramedullary cavity. The femoral hip prosthesis elastically deforms when loaded during use to apply dynamic compressive loads and displacement to the calcar region of the resected proximal femur. | 01-06-2011 |
20110208246 | Spinal Facet Implant with Spherical Implant Apposition Surface and Bone Bed and Methods of Use - Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra. | 08-25-2011 |
20110264143 | Polyaxial Orthopedic Fastening Apparatus - An orthopedic fastener is designed to attach an implant to bone in such a manner that, until the fastener is tightened, the implant may be rotationally adjusted against the bone. The implant may have a semispherical bone apposition surface that permits polyaxial rotation of the implant against the bone. The orthopedic fastener has an interpositional member and a compression member. The interpositional member may be a split ring with a conical exterior surface that mates with a conical surface of the implant. The compressing member has a threaded bore that engages a proximal end of a fixation member implanted in the bone such that, in response to rotation of the compression member, the interpositional member is sandwiched securely between the implant and the compression member. The conical surface of the implant compresses the interpositional member about a semispherical surface of the compression member, thereby restricting rotation of the implant. | 10-27-2011 |
20120010660 | SYSTEM AND METHOD FOR SEGMENTALLY MODULAR SPINAL PLATING - A modular implant for stabilizing the relative motion of spinal vertebrae comprises at least two pairs of plates which connect to two adjacent spinous processes, a spacer configured to be positioned between the spinous processes, and a fastener which pivotably connects to the plates and the spacer. The spacer is interchangeable and may comprise a variety of materials, each providing a different level of elasticity to the spinous processes. Relative motion between vertebrae can also be controlled by varying the surface configuration of the plates and by varying threading of the fastener. Several implants may be linked to provide stabilization across multiple vertebral levels, and the relative motion provided at each vertebral level may differ. A method for revising the implant is provided which comprises accessing the implant and replacing the spacer. | 01-12-2012 |
20120022537 | SYSTEM AND METHOD FOR PROVIDING SURGICAL ACCESS TO A SPINE - A system for accessing a spine from a curved postero-lateral approach may include a curved cannula positioned along a curved path from an opening in the skin to a location proximate the spine. A guide member may he first inserted to establish the path between the tissues and fascia, and one or more intermediate cannulas may be temporarily inserted over the guide member to dilate the tissues prior to insertion of the main cannula. An interbody device may be implanted in an intervertebral space through the cannula. The system may include a guide bar removably coupled to a targeting post. The targeting post may be inserted adjacent the spine to provide a target, and the guide bar may be removably attached to the guide member, to guide it along the path to the target location. An external support arm may be secured to any other component of the system. | 01-26-2012 |
20120035658 | Multiple Facet Joint Replacement - A prosthesis for the replacement of multiple diseased or traumatized spinal facets comprises a portion that replaces at least a bony portion of the facets to be replaced and where the prosthesis attaches to the vertebra in a manner that does not require attachment to, or abutment against, the lamina. Multiple configurations of the prosthesis provide for replacement of the two inferior facets, the two superior facets, a superior and inferior facet, or all four facets. A method of installing the prosthesis is provided that is comprised of the steps of resecting at least a portion of the facets that carry the diseased or traumatized spinal facets and attaching the prosthesis in a manner that does not require attachment or abutment against the lamina. | 02-09-2012 |
20120035728 | Prothesis For the Replacement of a Posterior Element of a Vertebra - Prosthetic replacement for a posterior element of a vertebra comprising portions that replace the natural lamina and the four natural facets. The prosthetic replacement may also include portions that replace one or more of the natural spinous process and the two natural transverse processes. If desired, the prosthesis replacement may also replace the natural pedicles. A method for replacing a posterior element of a vertebra is also provided. | 02-09-2012 |
20120059476 | Method and Apparatus For Spine Joint Replacement - A prosthesis for the replacement of the cartilaginous structures of a spine motion segment is described. The prosthesis comprises an intervertebral disc prosthesis in combination with a facet joint prosthesis. | 03-08-2012 |
20120071929 | Linked Bilateral Spinal Facet Implants and Methods of Use - Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra. | 03-22-2012 |
20120071930 | Linked Bilateral Spinal Facet Implants and Methods of Use - Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra. | 03-22-2012 |
20120116461 | SYSTEM AND METHOD FOR DYNAMIC VERTEBRAL STABILIZATION - An intervertebral stabilization device and method is disclosed. The device preferably includes a planar spring enclosed within a housing. The housing is joined to an articulation component at either end, and the articulation components have couplings connectable to anchoring components which are securable to adjacent vertebrae. The planar spring can flex and retract providing relative motion between the adjacent vertebrae. The articulation components are ball and socket joints which allow the entire assembly to flexibly follow the curvature of the spine. A fusion rod with articulation components and couplings at either end may be substituted for the spring device. The couplings enable interchangeability between a fusion rod assembly and spring assembly, so that dynamic stabilization can occur at one vertebral level and fusion at the adjacent vertebral level. An overhung spring assembly with a sideways displaced housing which allows for a shorter pedicle to pedicle displacement is also disclosed. | 05-10-2012 |
20120123479 | SYSTEM AND METHOD FOR DYNAMIC VERTEBRAL STABILIZATION - An intervertebral stabilization device and method is disclosed. The device preferably includes a planar spring enclosed within a housing. The housing is joined to an articulation component at either end, and the articulation components have couplings connectable to anchoring components which are securable to adjacent vertebrae. The planar spring can flex and retract providing relative motion between the adjacent vertebrae. The articulation components are ball and socket joints which allow the entire assembly to flexibly follow the curvature of the spine. A fusion rod with articulation components and couplings at either end may be substituted for the spring device. The couplings enable interchangeability between a fusion rod assembly and spring assembly, so that dynamic stabilization can occur at one vertebral level and fusion at the adjacent vertebral level. An overhung spring assembly with a sideways displaced housing which allows for a shorter pedicle to pedicle displacement is also disclosed. | 05-17-2012 |
20120197302 | SYSTEM AND METHOD FOR ORTHOPEDIC IMPLANT CONFIGURATION - Anatomic points within the body are projected outside the body through the use of extenders. The projected points may then be used for measurement, or to facilitate the selection or configuration of an implant that is to be positioned proximate the anatomic points. Such an implant may be a rod for a posterior spinal fusion system. Pedicle screws may be implanted into pedicles of the spine, and may then serve as anchors for the extenders. The extenders may have rod interfaces that receive the rod in a manner that mimics the geometry of the pedicle screws so that the selected or configured contoured rod will properly fit into engagement with the pedicle screws. | 08-02-2012 |
20120209164 | Methods of replacing a gastrointestinal bypass sleeve for therapy adjustment - Methods are disclosed for replaceable attachment of an endoluminal gastrointestinal device, such as an artificial stoma device, a gastrointestinal bypass sleeve device or an attachment cuff, within a patient's digestive tract for treatment of obesity. | 08-16-2012 |
20120323277 | Spinal Facet Implants with Mating Articulating Bearing Surface and Methods of Use - Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra. | 12-20-2012 |
20130012949 | OSTEOTOMY GUIDE AND METHOD - A guide and method useful in cutting and rejoining bones is presented. The guide is particularly useful in performing an osteotomy of a long bone adjacent a joint such as a hand or foot. | 01-10-2013 |
20130012952 | ORTHOPEDIC GUIDE AND METHOD - A guide and method for cutting bones adjacent a joint at locations referenced to the joint anatomy is presented. | 01-10-2013 |
20130012965 | SUTURE PASSER AND METHOD - Instruments and techniques to pass a suture are presented. The instruments and techniques are particularly useful where access to confined spaces and the ability to pass a suture through difficult to penetrate materials are needed. The instruments and techniques are particularly useful in surgery of the hands and feet. | 01-10-2013 |
20130023988 | SOFT TISSUE REPAIR - Methods and instruments for repairing soft tissues of a skeletal joint such as for example of the foot or hand are presented. | 01-24-2013 |
20130041466 | SOFT TISSUE RECONSTRUCTION - Methods and instruments for reconstructing soft tissues of a skeletal joint such as for example of the foot or hand are presented. | 02-14-2013 |
20130123809 | TRANSOSSEOUS ATTACHMENT INSTRUMENTS - Techniques and instruments for surgical transosseous attachment to a bone include a guide able to guide the formation of intersecting bone tunnels and a retriever able to retrieve a suture through the bone tunnels. | 05-16-2013 |
20130123840 | TRANSOSSEOUS ATTACHMENT - Techniques and instruments for surgical transosseous attachment to a bone include a guide able to guide the formation of intersecting bone tunnels and a retriever able to retrieve a suture through the bone tunnels. | 05-16-2013 |
20130123842 | SUTURE ANCHOR - Suture anchors are disclosed having suture locking features able to lock multiple suture ends extending from a body tissue, such as from a bone tunnel, with a single device. | 05-16-2013 |
20130123843 | METHOD OF ANCHORING A SUTURE - Suture anchors and associated methods are disclosed having suture locking features able to lock multiple suture ends extending from a body tissue, such as from a bone tunnel, with a single device. | 05-16-2013 |
20130158570 | SUTURE PASSER AND METHOD - Instruments and techniques to pass a suture are presented. The instruments and techniques are particularly useful where access to confined spaces and the ability to pass a suture through difficult to penetrate materials are needed. The instruments and techniques are particularly useful in surgery of the hands and feet. | 06-20-2013 |
20130165973 | COMPACT LINE LOCKS AND METHODS - A line lock includes a body at least partially bounding two passageways that cooperate to receive a locking portion of a line such as a suture in such a manner that the locking portion can only be drawn through the passageways along one direction. A second suture locking portion may also be received by the passageways, or by one of the two passageways in combination with a third passageway. The body may have an elongated, compact shape that is easily implantable in the body. | 06-27-2013 |
20130178900 | Porous Implants - A porous PEEK implant system which may provide tissue ingrowth throughout the body of the implant. The implant may comprise a solid or porous PEEK core. The porous PEEK implants may be of general shape and size but provide the structure necessary to carry out the function of the implant. The porous PEEK implant pores may be seeded with agents to encourage tissue ingrowth as well as other agents such as antibiotics, anesthetics, analgesics and the like. | 07-11-2013 |
20130178938 | SOFT TISSUE REPAIR - Methods and instruments for repairing soft tissues of a skeletal joint such as for example of the foot or hand are presented. | 07-11-2013 |
20130231669 | ORTHOPEDIC SUTURE PASSER AND METHOD - Instruments and techniques to pass a suture are presented. In one illustrative example, a suture passer includes a guide operable to guide the formation of a tunnel in a bone and guide passage of a suture through the tunnel so formed. | 09-05-2013 |
20130245686 | COMPACT LINE LOCKS AND METHODS - A line lock includes a body at least partially bounding two passageways that cooperate to receive a locking portion of a line such as a suture in such a manner that the locking portion can only be drawn through the passageways along one direction. A second suture locking portion may also be received by the passageways, or by one of the two passageways in combination with a third passageway. The body may have an elongated, compact shape that is easily implantable in the body. | 09-19-2013 |
20140025118 | ROD CONTOURING APPARATUS FOR PERCUTANEOUS PEDICLE SCREW EXTENSION - Anatomic points within the body are projected outside the body through the use of extenders ( | 01-23-2014 |
20140031871 | ROD CONTOURING METHOD FOR PERCUTANEOUS PEDICLE SCREW EXTENSION - Anatomic points within the body are projected outside the body through the use of extenders ( | 01-30-2014 |
20140058447 | Spinal Facet Implants with Mating Articulating Bearing Surface and Methods of Use - Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra. | 02-27-2014 |
20140058449 | Linked Bilateral Spinal Facet Implants and Methods of Use - Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra. | 02-27-2014 |
20140094861 | SURGICAL LOCATOR - A surgical locator and associated methods are presented. The surgical locator includes a shaft insertable into a surgical passage to maintain access to and indicate orientation of the surgical passage. | 04-03-2014 |
20140094911 | FIXATION IMPLANT AND METHOD - A fixation implant and associated methods are presented. The fixation implant includes first and second ends, each of which is separable from the implant body and useable to fix a material relative to a bone. | 04-03-2014 |
20140100614 | SYSTEM AND METHOD FOR DYNAMIC VERTEBRAL STABILIZATION - An intervertebral stabilization device and method is disclosed. The device preferably includes a planar spring enclosed within a housing. The housing is joined to an articulation component at either end, and the articulation components have couplings connectable to anchoring components which are securable to adjacent vertebrae. The planar spring can flex and retract providing relative motion between the adjacent vertebrae. The articulation components are ball and socket joints which allow the entire assembly to flexibly follow the curvature of the spine. A fusion rod with articulation components and couplings at either end may be substituted for the spring device. The couplings enable interchangeability between a fusion rod assembly and spring assembly, so that dynamic stabilization can occur at one vertebral level and fusion at the adjacent vertebral level. An overhung spring assembly with a sideways displaced housing which allows for a shorter pedicle to pedicle displacement is also disclosed. | 04-10-2014 |
20140107712 | FUSION IMPLANT - Implants, instruments, and methods are presented for fixing adjacent bone portions to promote fusion of the bone portions. | 04-17-2014 |
20140107782 | Facet Joint Replacement - A prosthesis for the replacement of a diseased or traumatized facet of a mammalian vertebra includes a surface that articulates with another prosthetic facet or a natural facet, a portion that replaces at least a bony portion of the diseased or traumatized spine facet which is to be replaced, and an element to attach the prosthesis to the vertebra in a manner that does not require attachment to or abutment against the posterior arch. A method of installing the prosthesis includes the steps of resecting at least a portion of a facet and attaching the prosthesis in a manner that does not require attachment or abutment against the posterior arch. | 04-17-2014 |
20140135837 | MODULAR PERCUTANEOUS SPINAL FUSION - A posterior spinal fusion system may include pedicle screws and one or more segments designed to be attached to the implanted pedicle screws via nuts to fuse spinal motion segments in a modular fashion. The pedicle screws may have semispherical receiving surfaces, and each segment may have mounting portions at both ends, with corresponding semispherical engagement surfaces. The nuts may also have semispherical surfaces. The semispherical surfaces permit polyaxial adjustment of the relative orientations of the segments and pedicle screws. Each mounting portion may have a passageway therethrough to receive the proximal end of the corresponding pedicle screw; each passageway may intersect the edge of the corresponding engagement surface to facilitate percutaneous placement. Such placement may be carried out through cannulae to provide a minimally invasive (MIS) implantation procedure. | 05-15-2014 |
20140222078 | ROD INSERTER AND ROD WITH REDUCED DIAMETER END - A pedicle screw assembly including a bone fastener having a lower end for engaging bone and an upper end remote from the lower end; a head having a rod-receiving channel attached to the upper end of said bone fastener; a spinal rod insertable into the rod-receiving channel of said head, said spinal rod having an outer surface extending between first and second ends thereof, wherein at least one of the first and second ends has a reduced diameter section. A spinal rod having an outer surface extending between a first end and a second end thereof; wherein the outer surface of said spinal rod has a reduced diameter section at at least one of the first and second ends. | 08-07-2014 |
20150057706 | SUTURE ANCHOR AND METHOD - Suture anchors and associated methods are disclosed having suture securing features able to lock suture ends extending from a body tissue, such as from a bone tunnel. | 02-26-2015 |