An apparatus including a sterilizable tray having a base and at least one fixture connected to the tray adapted for removably securing an implant insertion device to the tray. The tray can be free of a first wall portion for permitting the proximal end of an implantable device to axially align with the end of the implant insertion device for coupling to the implant insertion device and can be free of a second wall portion for permitting a tool to axially align with the end of the implant insertion device so as to threadedly couple the implant insertion device to the implantable device. Related methods and apparatus are provided.

In one embodiment, a strike instrument that couples to an insertion handle of an intramedullary nail has a shaft that extends along a shaft axis, and an abutment that extends outward relative to the shaft. The abutment is rotationally fixed to the shaft such that the shaft can rotate the abutment between a first orientation, where the abutment can be removed or inserted into the insertion handle, and a second orientation, where the abutment forms an interference with the insertion handle that prevents the abutment from being removed from the handle. The strike instrument includes a strike surface that can transfer an impaction force to the insertion handle, and a lock that engages the insertion handle so as to prevent the abutment from rotating from the second orientation to the first orientation after the abutment is rotated within the insertion handle from the first orientation to the second orientation.

A driver for engaging an endcap of an intramedullary nail. The driver includes a handle extending along a longitudinal axis of the driver from a proximal end to a distal end. The handle having a handle channel extending longitudinally therethrough. The driver also includes a shaft extending through the handle channel from a proximal end to a distal end along the longitudinal axis. The shaft having a shaft channel extending longitudinally therethrough. The distal end of the shaft extends distally from the handle. The distal end of the shaft forms a driving element to be inserted into a head portion of the endcap. The driver further includes a retention pin slidably received in the shaft channel. The retention pin extends also extends along the longitudinal axis. The distal end of the retention pin is configured to reversibly lock the shaft to the head portion of the endcap.

An implant driver for engaging an orthopedic implant for selective advancement and retraction of the implant. The implant driver includes a first jaw assembly comprising a helical cam surface corresponding with a first direction of rotation. The first jaw assembly is operative to engage, in response to rotation in the first direction, the implant using spherical jaw members disposed in constrictive helical channels. The implant driver includes a second jaw assembly comprising a helical cam surface corresponding with a second direction of rotation. The second jaw assembly is operative to engage, in response to rotation in the second direction, the implant using spherical jaw members disposed in constrictive helical channels. Absent rotation of the first and second jaw assemblies, the spherical jaws may not restrict relative axial movement between the implant and the implant driver to allow for advancement and/or retraction of the instrument relative to the implant.

The invention is defined by the claims set forth herein; however, briefly, the invention herein is an extractor for a human femoral component with a trunnion neck comprising, a plurality of extractor sections, including a first section with a first axis, a second section with a second axis, and a third section with a third axis; a body with a threaded hole defined therein that is provided with a clamping body section and a central body section, a pivoting member with first end, a second end, and a pivot hole defined thereinbetween that includes a clamping structure located at the second end that is shaped to clamp the trunnion neck of the femoral component; and a pivot that secures the pivoting member to the body by extending through the pivot hole defined in the pivoting member and the pivot hole defined in the fulcrum structure of the body.

An intramedullary (IM) nail insertion assembly includes an IM nail extending longitudinally from a proximal end to a distal end. A proximal portion of the IM nail has an internal threading. The IM nail insertion assembly also includes a connecting screw extending longitudinally from a proximal end to a distal end. A distal portion of the connecting screw has an external threading for engaging the internal threading of the IM nail. One of the proximal portion of the IM nail and the distal portion of the connecting screw has a feature to resist a disengagement of the proximal portion from the distal portion.

A device for treating orthopaedic trauma includes a device body having an exterior surface and a cannulation formed therein that extends from one longitudinal end of the device body to an opposite longitudinal end of the device body and at least one porous ingrowth material region associated with the exterior surface of the device body and fluidly coupled to the cannulation. The at least one porous ingrowth material region is configured to deliver a therapeutic agent from the cannulation to a region outside the device body.

An implant and method for fixation of long bones. The implant provides rotational, longitudinal, and bending stability. The implant comprises one or more elongated members that span the intramedullary cavity of a long bone, a distal tip that expands radially relative to the long axis of the implant, and a locking mechanism at the proximal end of the implant.

A positioning and alignment instrument, and methods of use thereof, are provided for facilitating the alignment and insertion of a device, such as a guide wire, into bone. The instrument includes a handheld anchoring component and a rotatable guidance component. During use, the anchoring component is anchored into bone via anchoring protrusions, such that the position and orientation of the anchoring component is fixed relative to the bone. The guidance component, which is mechanically supported by the anchoring component, includes a device guide channel for receiving the device and guiding the device towards an insertion location adjacent to the distal end of the anchoring component. The guidance component is rotatable relative to the anchoring component about a rotation axis that is located adjacent to the distal end of the anchoring component, such that the insertion location remains adjacent to the distal end of the anchoring component under rotation.

Systems and methods are described for the use of external fixators with intraoperative tracking of bone and/or attached devices and display of real-time information to the surgeon, for example for the treatment of bone deformities. Such systems and/or methods may include determining the deformity to be corrected; estimating the appropriate number, shape, and size of base members, transosseous fixations, and connecting elements to be used; suggesting optimal positions of said items relative to the bone segments; and calculating the necessary correction based on the final position of the attached external fixator components relative to the bone segments.