Kinamed, Inc.

Techmedica, Inc.

Other

Advanced Biomedical Devices Inc.

Clyde Ronald Pratt

Roger G Carignan

Robert Arthur Bruce

Vineet Kumar Sarin

William Ralph Pratt

Richard Lee Kendall

Mark Edward Apgar

Adam Lee Nelson

Robert Schindler

David M Martinez

Michael L Schiffman

Jesse Kramer

Stanley H Nahigian

Albert Burdulis

Stephen F Howard

Charles M Raggio

Chuck P Woznick

William R Pratt

Richard L Kendall

Mark E Apgar

Roger C Carignan

Vineet Kumar Apt 236 Sarin

A sternotomy closure technique is suitably carried out with a cerclage mechanism, which is capable of maintaining proper bony compression (within a desired range) across the sternum cut, in spite of a range of external forces and significant lateral distraction due to these external forces. The sternum fragments are aligned in apposition disposed around a longitudinal seam and secured with a resilient element. The resilient element is tensioned to a desired tension to compress the sternum to a desired compression range. The resilient element is then elongated and contracted while accepting multiple cycles of physiological distracting forces across the sternum while maintaining contact pressure across the longitudinal seam within a desired range for a length of time sufficient for bony healing. The resilient element is preferably a polymer cable comprising an elongated elastic polymeric core coaxially surrounded by a sheath woven from ultra-high molecular weight polyethylene strands.

Sternotomy closure technique using polymeric cable

A sternotomy closure technique is suitably carried out with a cerclage mechanism which is capable of maintaining proper bony compression (within a desired range) across the sternum cut, in spite of a range of external forces and significant lateral distraction due to these external forces. The sternum fragments are aligned in apposition disposed around a longitudinal seam and secured with a resilient element. The resilient element is tensioned to a desired tension to compress the sternum to a desired compression range. The resilient element is then elongated and contracted while accepting multiple cycles of physiological distracting forces across the sternum while maintaining contact pressure across the longitudinal seam within a desired range for a length of time sufficient for bony healing. The resilient element is preferably a polymer cable comprising an elongated elastic polymeric core coaxially surrounded by a sheath woven from ultra-high molecular weight polyethylene strands.

A self-locking cable gripper includes a housing having a void which tapers between openings at the housing's top and bottom. A collapsible member having a central passage is adjacent the bottom opening. A pair of half jaws are between the collapsible member and the top opening, sized such that they move towards each other as the jaws are moved toward the bottom opening due to the taper of the void. The top and bottom openings, central passage, and inner surfaces of the jaws define a channel capable of receiving a cable passed through the housing from its bottom to its top opening. When the cable is pulled in the direction opposite that with which it was installed, the half jaws are drawn toward the housing's bottom opening such that their inner surfaces are urged towards each other, thereby locking the cable in place while it is under tension.

Self-locking cable gripper

A replacement device for resurfacing a joint surface of a femur and a method of making and installing such a device is provided. The custom replacement device is designed to substantially fit the trochlear groove surface, of an individual femur, thereby creating a 'customized' replacement device for that individual femur and maintaining the original kinematics of the joint. The top surface is designed so as to maintain centrally directed tracking of the patella perpendicular to the plane established by the distal end of the femoral condyles and aligned with the center of the femoral head.

Marking template for installing a custom replacement device for resurfacing a femur and associated installation method

A cable tensioning system includes a reaction frame which contains a sliding platform arranged to move linearly within the frame, and a clam-type cleat attached to the sliding platform. The cleat features one or more grooves, each of which comprises two arrays of opposing ridges that converge to form a V-shape groove adapted to receive a length of cable. The ridges of each groove are tilted relative to an axis perpendicular to the groove's longitudinal axis, such that the cable is progressively captured between the ridges of the opposing arrays as it settles into the crotch of the groove when moved in a first direction, and can be disengaged from the cleat by relaxing the axial force on the cable and moving it in the opposite direction. A linear actuator mechanism may be coupled to the sliding platform to move the platform with respect to the reaction frame.

Surgical cable tensioning system

A replacement device for resurfacing a joint surface of a femur and a method of making and installing such a device is provided. The custom replacement device is designed to substantially fit the trochlear groove surface, of an individual femur. Thereby creating a 'customized' replacement device for that individual femur and maintaining the original kinematics of the joint. The replacement device may be defined by four boundary points, and a first and a second surface. The first of four points is 3 to 5 mm from the point of attachment of the anterior cruciate ligament to the femur. The second point is near the bottom edge of the end of the natural articulatar cartilage. The third point is at the top ridge of the right condyle and the fourth point at the top ridge of the left condyle of the femur. The top surface is designed so as to maintain centrally directed tracking of the patella perpendicular to the plane established by the distal end of the femoral condyles and aligned with the center of the femoral head.

A modular system facilitates packaging, marking, handling, sterilizing, tracking, tagging and storing small components such as surgical screws. A small, suitably cylindrical or similar cell receives a screw or other component and seats the component in a predetermined orientation. A complementary cap is adapted to engage the cell from above, closing the top and retaining the component in the cell. The cap is also adapted for use as a tool for handling the cell and the component contained therein. A coupling between the cell and the cap allows the cap to be snapped securely on the cell under manual pressure; the coupling is further adapted to release on application of sufficient bending moment across the co-axis of the cell and cap.

Surgical screw carrier and method compatible with sterilization

The invention includes both a method for acquiring the position of a patient's anterior pelvic plane, and a patient positioner or holder (apparatus) for securing a patient and acquiring the position of the patient's anterior pelvic plane. The method and apparatus facilitate definition of the anterior pelvic plane (APP) in the context of computer assisted hip surgery.

Pelvic plane locator and patient positioner

The invention includes a method of determining a surgical patient's pelvic position and inputting that position into a computer via a tracking system, suitable for use in navigating partial or total hip replacement surgery. The patient is first aligned with anatomical reference points in relation to corresponding locating features on a patient positioner. The positions of index features on the patient positioner are then acquired via a tracking system. Based on the positions of the index features and their known relationship to the locating features, the locations of the anatomical reference features are calculated and a pelvic plane is defined therefrom. The invention also includes a surgical tool for mounting a trackable target to a human bone, suitable for fixation to a human femur. This tool includes a removable bone clamp and a releasable coupling member, integrated with said removable bone clamp.

Non-imaging tracking tools and method for hip replacement surgery

A surgical tool for mounting a trackable target to a human bone, suitable for fixation to a human femur. The tool includes a removable bone clamp and a releasable coupling member which is integrated with the removable bone clamp. The releasable coupling member is arranged to mate with a compatible coupling member mounted on the trackable target to establish a predetermined spatial relationship between the bone clamp and trackable target. The releasable and compatible coupling members form a releasable connection which is mechanically constrained to re-engage only in a re-engaged position that accurately recaptures the predetermined spatial relationship.

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Somis, CA, United States of America

Clyde Ronald Pratt