The present invention concerns composite biomaterials comprising ceramic and a biodegradable polymer gel, with improved bioactivity, their process of preparation and their use for orthopedics, dentistry or reconstructive surgery, in particular for use as a bone filler.

Implanted hydraulic devices can be repaired and/or stabilized using a method wherein a fluid comprising a curable or solidifying component is introduced into said device and cured or solidified in said device. Embodiments of this method, as well as compositions and kits are disclosed.

Refrigerated hydraulic cement compositions comprise a mixture of (a) -tricalcium phosphate powder, (b) monocalcium phosphate comprising monocalcium phosphate anhydrous (MCPA), monocalcium phosphate monohydrate (MCPM), or a combination thereof, wherein a 0.1 g/ml saturated aqueous solution of the monocalcium phosphate has a pH less than 3.0, (c) non-aqueous water-miscible liquid, and (d) an aqueous hydrating liquid. The aqueous hydrating liquid is included in an amount of about 1-50 volume percent, based on the combined volume of the non-aqueous water-miscible liquid and the aqueous hydration liquid, and the refrigerated hydraulic cement composition is storage stable for greater than one day, without setting. Methods of forming hardened cements in vivo and/or for forming implants for use in vivo employ the hydraulic cement compositions.

An improved handheld instrument assembly for penetrating into a patient's spine, the instrument assembly has a needle, an outer sleeve, and a removable handle. The needle has a shaft with a bone penetrating tip at a distal end and an enlarged head rotationally fixed to the needle shaft at a proximal end. The outer sleeve is for receiving the needle. The removable handle is configured to removably attach to and engage the handle attachment from the distal side or the proximal side at the discretion of a surgeon. The removable handle has a T shaped body. The removable handle has a slotted opening on a frontal side, the slotted opening being sized to pass over the outer sleeve between the distal end and the handle attachment when the needle is inserted into the patient.

A bone graft delivery system can include an elongate tube, a handle having a trigger, and a tip. The trigger is actuated to deliver bone graft material through the tube. The tip has one or more openings to deliver the bone graft material to a desired location and includes a surface suitable to act as a rasp for decorticating bone. A method for delivering bone graft material to a desired surgical location includes providing a bone graft delivery device, positioning the device adjacent the surgical location, decorticating bone, and delivering bone graft material to the surgical location.

A robotic system for performing an arthroplasty procedure of a patient is provided. The robotic system includes a robotic mechanism including an adaptive arm, an oscillating saw coupled to the robotic mechanism and configured to resect a portion of a bone of the patient. The robotic mechanism is configured to control movement of the saw during the resection. The system also includes a computer coupled to the robotic mechanism which is configured to control the robotic mechanism. The robotic mechanism is configured to position a prosthetic implant relative to the bone. The system also includes an electric motor coupled to the robotic mechanism and the computer. The electric motor is configured to facilitate movement of the robotic mechanism. The system also includes a position sensor configured to provide movement information of the prosthetic implant relative to the bone. The system also includes an adaptive arm interface coupled to the adaptive arm and the computer wherein the adaptive arm interface is configured to operate the computer.

The invention relates to a glenoid (shoulder socket) implant prosthesis, a humeral implant prosthesis, devices for implanting glenoid and humeral implant prostheses, and less invasive methods of their use for the treatment of an injured or damaged shoulder.

Reduced bone fracture fixation devices and methods for using the same are provided. Aspects of the reduced bone fracture fixation devices include a body dimensioned to be positioned in a reduced bone fracture, wherein the body has a wedge shape configuration sufficient to exert a force on bone of the reduced bone fracture and maintain reduction of the reduced bone fracture. The devices, kits and methods of the invention find use in a variety of applications, such as in applications in which it is desired to repair a reduced bone fracture.

The risk of bone cement extravasation can be reduced by delivering a calcium-dependent polymerizing sealant into a bone structure prior to delivery of bone cement into that structure. The polymerization of the sealant in response to the calcium within the bone structure can fill cracks and any other potential cement leakage paths, thereby minimizing the potential for subsequent extravasation. The benefits of the use of a calcium-dependent polymerizing sealant can be provided in any procedure involving the use of bone cement, such as spinal fixation, vertebroplasty, and kyphoplasty, among others.

Devices and methods provide for measuring applied pressure on an article, such as a patella construct during a surgical procedure. Embodiments include a clamp having an upper frame arm, a lower frame arm and a clamp assembly, and further include a clamp with a knob assembly and a pressure monitor assembly. Differently sized bushing adapters can be interchangeably employed with a clamp stem to adapt to the relative sizes of objects being clamped.