Abstract:
A soft tissue graft suitable for replacing a tendon or ligament is fastened in a bone opening provided in a human or animal patient by press-fitting an end portion of the graft and a fastener into the bone opening such that the graft end portion is pressed against a first portion of the bone wall inside the bone opening. The fastener is anchored in a second portion of the bone wall by liquefying a material having thermoplastic properties by the fastener and making the fastener penetrate into the bone wall. An end portion of the graft is tied to the fastener with the aid of at least one suture extending from the graft end portion. Tying is carried out after anchoring, during anchoring or between anchoring and press-fitting. The tied connection between the fastener and the graft end portion successfully counteracts potential graft slipping.
Abstract:
A spine stabilization device is provided, the spine stabilization device including an interbody spacer shaped to be inserted between a vertebral body of an upper vertebra and a vertebral body of a lower vertebra, and including a top surface oriented towards the lower endplate of the vertebral body of the upper vertebra and a bottom surface oriented towards the upper endplate of the vertebral body of the lower vertebra; and a fixation device to be inserted after placement of the interbody spacer, the fixation device including a support portion securing the interbody spacer against escaping from between the vertebral bodies of the upper and lower vertebra into a ventral direction, the support portion shaped to rest against a portion of an anterior surface of the interbody spacer, and further including an anchor, the anchor including an anchoring material portion that is configured to be inserted, in a liquid state, into cancellous bone tissue of at least one of the vertebral body of the upper vertebra and of the vertebral body of the lower vertebra, to thereby infiltrate the cancellous bone tissue, and to harden thereafter so as to fix the support portion to the vertebral body.
Abstract:
A pedicle anchor device is provided and is equipped for being used like a pedicle screw, i.e. for being implanted in the vertebra from dorsal direction (but generally at an angle to the sagittal plane, slightly inward towards the sagittal plane) through the pedicle so that a distal portion of the device protrudes into the vertebral body. The pedicle anchor device includes a pedicle anchor device body with a head portion, a shaft portion and a longitudinal bore that extends from a proximal end of the pedicle anchor device body and has a hole or a plurality of holes from the longitudinal bore outward, for example radially outward.
Abstract:
A soft tissue graft suitable for replacing a tendon or ligament is fastened in a bone opening provided in a human or animal patient by press-fitting an end portion of the graft and a fastener into the bone opening such that the graft end portion is pressed against a first portion of the bone wall inside the bone opening. The fastener is anchored in a second portion of the bone wall by liquefying a material having thermoplastic properties by the fastener and making the fastener penetrate into the bone wall. An end portion of the graft is tied to the fastener with the aid of at least one suture extending from the graft end portion. Tying is carried out after anchoring, during anchoring or between anchoring and press-fitting. The tied connection between the fastener and the graft end portion successfully counteracts potential graft slipping.
Abstract:
A graft or prosthetic element suitable e.g. for replacing a tendon or ligament is fastened in a bone tunnel or blind opening with the aid of a fastener. In a first step, the graft or prosthetic element is press-fitted in the tunnel or opening by forcing the fastener into the opening or by positioning the fastener in the opening and then expanding it, wherein the fastener is in contact with the graft or prosthetic element and with the bone wall of the tunnel or blind opening. In a second step, the fastener is anchored in the bone wall of the tunnel or blind opening with the aid of a liquefiable material which is liquefied in the vicinity of the bone wall where it is in contact with the fastener and by making the liquefied material penetrate into the bone wall.
Abstract:
An apparatus for automated implantation of an implant or for an automated augmentation process of hard tissue and/or hard tissue replacement material using a sheath element is provided. The apparatus comprises a casing, a converter operable to generate mechanical vibrations the converter inside the casing and displaceable in a longitudinal direction relative to the casing, and a sonotrode coupled to an output location of the converter. A shaft portion with a retention structure is rotationally coupled to the casing and is equipped for cooperating with a rotationally asymmetric element of the sheath element to rotationally couple the casing to the sheath element. An axial coupling is equipped for locking the casing to the sheath element. The shaft portion, the axial coupling and the sonotrode are mutually arranged so that the a distal end of the sonotrode may be introduced into a longitudinal opening of the sheath element.
Abstract:
A lighting reproduction apparatus for illuminating a subject includes a reproduction light optical source that generates reproduction light. The optical source includes a plurality of light emitters, each characterized by an individual color channel. There may be nine different color channels. A driver drives the light emitter color channels with intensity values at which a substantial spectral match is achieved between the reproduction light and the desired illuminant, so that the subject appears to be illuminated by the desired illuminant. These channel intensity values may be determined by solving a minimization equation that minimizes a sum of square residuals of the reproduction light spectra to the desired illuminant spectra. The output reproduction light may be metamerically, matched with the desired illuminant, with respect to a particular camera's spectral response. One or more spectral reflectances of the subject may be measured and incorporated into the optimization process.
Abstract:
A human or animal joint is treated by introduction of a device between the suitably prepared articulating surfaces of the joint, and the device is anchored in both these articular surfaces with a material having thermoplastic properties. For allowing at least limited articulation of the joint after implantation, the device includes two articulating portions, wherein one of the articulating portions is anchored in each articulating surfaces of the joint. On implantation a proximal face of the device is contacted with a vibrating tool and the vibration is transmitted through parts of the device to locations in which the material having thermoplastic properties is near the bone tissue of the articulating surfaces of the joint and in which liquefaction is desired. The liquefied material penetrates the bone tissue and, on re-solidification forms a positive fit connection between the device and the bone tissue.
Abstract:
An anterior cervical includes a plate portion for stabilizing a human or animal spine by being placed ventrally of the spinal column and affixed to two or more different vertebral bodies, and a plurality of fastening portions adapted to be anchored in the different vertebral bodies. At least one of the fastening portions is rigidly connected to the plate portion and includes a sheath element with a longitudinal opening that is accessible from a proximal side and at least one hole that reaches from the longitudinal opening to an outside. The anterior cervical plate further includes a thermoplastic element that may be inserted in the sheath element and that is capable of being liquefied by, for example, mechanical energy acting on the thermoplastic element.
Abstract:
A device for fixing a first and a second tissue part or a tissue part and an implant part to each other is provided, providing a fastener including a thermoplastic material and a fastening instrument. The fastening instrument includes a first instrument component with a first contact surface facing toward a distal side and a second instrument component has a foot with a second contact surface distally of the first contact surface and facing toward a proximal side. The first instrument component and the second instrument component are displaceable with respect to each other, so that the fastener is compressible between the first and second contact surfaces by application of a relative force between the components. The instrument also includes an energy source for coupling mechanical energy into one of the instrument components to soften and/or melt an end portion of the fastener.