A coupling device is for connecting prosthesis components by a self-locking press fit on an end, formed as a cone, of a first prosthesis component that is inserted in bone tissue. The coupling device has an outer coupling body with a socket having a conically tapering inner wall, and an expansion sleeve having a lateral surface forming a male taper and an operative forming a female tape. The expansion sleeve is mounted in the socket so as to be rotatable about the longitudinal axis thereof, and receives the cone. The expansion sleeve is expandable radially outwardly to form the self-locking press fit, such that the expansion sleeve widens radially when the cone is inserted into the expansion sleeve. As a result, the self-locking press fit between the cone of the first prosthesis component and the coupling device is established.

A cutting device is provided that includes an expandable tube having a base and a hollow interior for receiving the implant therein. The expandable tube includes cutting segments extending from the base and terminating to form a distal end of the expandable tube. At least one of the cutting segments has a cutting end with cutting teeth at the distal end of the expandable tube. Spring shaped sections are provided that extend the cutting segments. A method for removing an implant from a target bone is also provided based on the cutting device. A system for removing material directly surrounding an outer surface of an implant in an intramedullary canal of a target bone is also provided based on the cutting device and a sheath. A retractable opening is formed of leaflets at a distal end of the sheath, and a proximal end opposite the distal end.

A femoral hip joint spacer. The spacer has a prosthesis body with a ball head, a neck, a stem and an anchoring sleeve which encloses the stem on a proximal side of the stem with a circumferential fastening area, irrigation liquid inlet and outlet openings in the body surface, at least one irrigation liquid discharge opening on a distal side of the stem and at least one irrigation liquid intake opening on the ball head or on the neck. The discharge opening is connected in a liquid-permeable manner to the inlet opening but not to the outlet opening and the intake opening is connected inside the prothesis body in a liquid-permeable manner to the outlet opening but not to the inlet opening. A cavity open on two sides is formed inside the anchoring sleeve and connects a proximal side to a distal side of the sleeve in a liquid-permeable manner.

A modular reverse shoulder prosthesis according to embodiments of the present invention includes a stem having a proximal taper and a primary stem axis, the proximal taper extending from the stem about a metaphyseal axis, the metaphyseal axis at an angle with respect to the primary stem axis, a metaphysis having a proximal end, a distal end, a first aperture in the distal end configured to be placed over the proximal taper, and a second aperture in the proximal end having an insert axis that is eccentrically offset from the metaphyseal axis, the metaphysis configured for attachment to the stem at any rotational position of the metaphysis about the metaphyseal axis, and a reverse insert, the reverse insert having a proximal end and a distal end, wherein the proximal end comprises a concave cup formed about a cup axis and configured to receive a glenosphere, and wherein the distal end comprises a locking protrusion, wherein the locking protrusion has an outer surface with a cross-sectional shape that is rotationally symmetrical about the insert axis with respect to a corresponding inner surface of the second aperture, wherein the rotational symmetry has an order of six, seven, eight, nine, or ten.

A hand manipulated endoscopic medical device is disclosed. The medical device includes a body having a proximal end, which is hand manipulated, and a distal end which includes a manipulator. A light emitting device is centrally disposed at the distal end. An imaging device is centrally disposed at the distal end for imaging at least a portion of the region illuminated by the light emitting device. Also disclosed is a tool for extracting an artificial lumbar disc from between a pair of vertebral plates. The extraction tool includes a handle, a member for transmitting force, and a sharpened end, specially configured to be placed between the artificial disc and the vertebral plate. Further disclosed is a tool for implanting or explanting a ball to or from an artificial lumbar disc. The implanter/explanter includes a pinion shaft and a pinion shaft enclosure. A tightening knob is disposed at the proximal end of the shaft enclosure and coupled to the pinion shaft. A pinion is disposed at the distal end of the pinion shaft. A grappling device is disposed at the pinion, and it includes a pair of semi-circular rings. When the pinion is rotated, the semi-circular rings move relative to one another and are capable of grasping or releasing the ball.

A periprosthetic fracture repair solution that provides a variety of fracture fixation options should a fracture occur after total hip, knee, or especially a total shoulder arthroplasty, and provides associated methods and apparatus for application of provided fixation. The ability to pre-engineer fracture fixation contingent solutions into humeral components provides for a distinct clinical advantage in the planning and execution for periprosthetic fracture fixation. Said methods and apparatus include targeting devices which allow for intimate association of fixed angle locking screws in pre-drilled holes in an existing prosthetic or other components including additional fixation components. Such apparatus and methods further include the use of alignment devices and other components to allow for ease of repair of periprosthetic fractures utilizing the pre-engineered solutions. Such targeting devices are required in specific circumstances as the prosthetics may prevent x-ray imaging and consequently free hand alignment.

A distal femoral joint replacement system includes a femoral component having condylar articular surfaces, a stem extending from the femoral component, and a void filler for filling a bone void within a femur. The void filler includes a body and a plurality of legs extending from the body. The body has a sidewall defining an opening for receipt of the stem which extends along a length of the body and extends through the sidewall so as to form a side-slot in the sidewall that extends along an entire length of the sidewall. The plurality of legs each have a first end connected to the body and a second end remote from the body. The legs each have an outer surface that tapers between the first and second ends and is configured to register with a corresponding inner surface of a bone void when implanted in an end of the femur.

In one aspect, a provisional tibial prosthesis system is shown and described. The provisional tibial prosthesis system optionally includes any one or combination of: a tibial component, a base component and a shim. The tibial component can have a rail that defines a pocket and a distal surface configured to seat on a resected proximal surface of a tibia. The base component can be configured to seat within the pocket of the tibial component when positioned thereon. When so positioned with the pocket, the base component can have a substantially flat proximal surface and a substantially flat distal surface. The shim can have a feature configured to couple with a second feature of the base component when disposed thereon. The shim can have a substantially flat proximal surface.

The present invention provides cervical implant (30) comprising an upper surface (38), a lower surface (40), a posterior portion (34) and an anterior portion (36) and including a perimeter (42) and one or more apertures (44,46) within said anterior portion for receiving securing means, said apertures having respective longitudinal axes M1, M2, characterised in that said axes extend in a direction substantially through said anterior portion (36) and converge at a point in a plane outside of said perimeter (42).

A prosthetic glenoid component (10) comprising a concave external bearing surface (12), a glenoid-contacting surface (14) opposite to the bearing surface, and a plurality of fixation elements (16) protruding from said glenoid-contacting surface (14) oppositely to said bearing surface (12) for location into a peripheral portion (104b) of a glenoid cavity (104) to secure the component to the scapula (102), wherein a central portion (15) of the glenoid-contacting surface (14) is free of fixation elements so as to preserve the integrity of the glenoid vault.