A bone preparation system kit includes a hand piece, tubing coupled to an input of the hand piece, and a nozzle with a nozzle tip coupled to an output port of the hand piece. The hand piece includes an internal passageway extending there through from the inlet port to the outlet port for forming a flow path and further includes a valve stem supported therein for movement across the internal passageway for opening and closing the internal passageway wherein flow along the flow path is blocked by the valve stem. The hand piece also includes a trigger configured to move the valve stem to thereby control the flow of fluid through the hand piece. The hand piece, nozzle, and tubing are sterilized and enclosed in a package, such as plastic or metal foil package, including a plastic or metal foil pouch, which is configured to maintain the sterilization of said bone preparation system.

A method for promoting spine fusion inside intersomatic cages, comprising placing a fusion cage between two vertebral bodies, and injecting a bone cement paste inside said fusion cage, said bone cement paste containing a powder component comprising α-tricalcium phosphate (α-TCP) particles having an average size greater than or equal to 9 μm, and a liquid component comprising blood.

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.

An orthopaedic prosthesis including a tibial tray is disclosed. The tibial tray includes a distal pocket and a plurality of inner pockets. Each inner pocket includes a channel sized to receive bone cement. The tibial tray includes distal-facing surfaces that have a surface roughness (Ra) equal to about 5.0 microns.

Implementations described herein include a hone cement mixing and delivery device including a cylindrical container defines a chamber and has an injection passage disposed at the distal end thereof. A plug can be removably disposable in the injection passage. The mixing screw is rotatably disposable in the chamber and has a screw thread extending along an outer surface of the mixing screw as well as a return passage extending through the mixing screw from the proximal end to the distal end thereof. In a mixing mode of the device, a mixing rod engages and rotates the mixing screw about the longitudinal axis of the cylindrical container causing material disposed in the chamber to be moved distally and return to the proximal end of the chamber through the return passage of the mixing screw. In an injection mode of the device, the plug can be removed from the injection passage and an injection rod occludes the return passage of the mixing screw. The injection rod engages and rotates the mixing screw about the longitudinal axis moving material disposed in the chamber through the injection passage.

The invention comprises a system which determines the cure status of bone cement which is then used in making surgical decisions on the cement use and further comprises a system for aiding in securing an implant to a bone using a cured grout or bone cement. The system includes a device which comprises a frequency sensor joined to a circuit to monitor one or more frequency signals, and to an indicator that emits a signal in response to a current emitted to the circuit by the system while monitoring the state of cure. The invention also relates to surgical methods using the system.

A system including a flow diverter for delivering bone cement. A cannula coupler is coupled to the flow diverter and configured to be coupled to a delivery cannula. A drool accumulator is coupled to the flow diverter. A user input mechanism is coupled to the flow diverter and configured to actuate a valve and establish fluid communication between the cement reservoir and one of the cannula coupler and the drool accumulator. The fluid communication may be interrupted between the cement reservoir and the other one of the cannula coupler and the drool accumulator. A cement delivery input mechanism may be coupled to the cement reservoir and configured to be actuated to direct the bone cement from the cement reservoir towards the flow diverter. An actuator may be coupled to the drool accumulator and configured to direct the bone cement received in the drool volume towards the flow diverter.

The invention provides a system for the preshearing based control of the flow and deformation behavior, i.e., the setting kinetics, and the time dependent shear viscosity, elasticity of aqueous cementitious suspensions that can be used for bone repair and regeneration. The dynamic cement microstructure is tailored to the demands of the surgical tasks (faster/slower setting) or additive manufacturing tasks (lower/higher viscosity) by application of various preshearing conditions. Since the relationships between the preshearing and pressurization conditions and the setting kinetics and the time dependent changes in elasticity and viscosity are complex, a priori characterization of viscoelastic properties using the advanced rheological characterization technique of small-amplitude oscillatory rheometry is needed to enable such tailoring. The preshearing system is intended to give control on the injectability and setting time of any calcium phosphate cement formulation to the surgeon during an orthopedic surgery where a batch of bone cement is processed. Other possible utilizations of the system include controlling the setting kinetics, shear viscosity and facilitating the resultant flow stability of cementitious ceramic suspensions processed in direct ink writing assemblies for additive manufacturing of cement constructs, in injection systems for oil wells, restoration and fracking.

Embodiments may include an attachable fastener, which may include a bondable material that may be secured to the end of an end effector. Vibration may be tuned to occur at a distal end of the fastener. Accordingly, the fastener may be used to generate heat at a distal point of contact. If the contact surface contains bondable material, that material may be softened. If the fastener includes bondable material at the point of contact, that material may also be softened by heat produced by vibration at the contact area. A hard implant or another polymeric material may function as the anvil.

A revision knee system has a unique polymeric tibial bearing monobloc defining both a superior condylar articular bearing surface and an inferior tibial bearing face. The inferior tibial bearing face bears directly on tibial cut surface so as to withstand compressive loading force applied to the superior condylar articular bearing surface thereof. The bearing component comprises a polymeric keel extending from the inferior bearing face which engages a higher strength metallic stem inferiorly with respect to the inferior bearing face and which may be configured to engage the stem in a structurally resilient manner despite the lower material strength of polymer as compared to metal.