A dispensing system includes a device having a body extending along a longitudinal axis between opposite proximal and distal ends. The body includes a proximal chamber, a distal chamber and a wall between the chambers. The body includes a first port in communication with the proximal chamber and a second port in communication with the distal chamber. A shaft is movably positioned within the body. The shaft extending through the wall and comprising a proximal plunger positioned within the proximal chamber and a distal plunger positioned within the distal chamber. Wherein pressure introduced through an opening in the proximal end moves the shaft such that the proximal plunger moves a material within the proximal chamber out of the first port and the distal plunger moves a material within the distal chamber out of the second port. Kits and methods of use are disclosed.

A delivery system is provided that includes a device having a body extending along a longitudinal axis between proximal and distal ends. The body includes a proximal chamber, a distal chamber and a wall between the chambers. The body includes a first port in communication with the proximal chamber and a second port in communication with the distal chamber. A shaft is movably positioned within the body. The shaft extends through the wall and includes a proximal plunger positioned within the proximal chamber and a distal plunger positioned within the distal chamber. Pressure introduced through an opening in the proximal end moves the shaft such that the proximal plunger moves a fluid within the proximal chamber out of the first port and the distal plunger moves a fluid within the distal chamber out of the second port to simultaneously actuate a bone filler dispenser. Systems and methods are also provided.

Injectable, ready-to-use two-paste cement-forming compositions comprise a first paste and a second paste. The first paste comprises a non-aqueous oil-based suspension of monocalcium phosphate monohydrate (MCPM) powder, at least one surfactant effective to improve compatibility of the oil and the MCPM, and an organic acid, with an oil to MCMP powder weight ratio of about 0.2 to about 0.5. The second paste comprises an aqueous suspension of β-tricalcium phosphate (β-TCP) powder and a gel-forming polymer, with a water to β-TCP powder weight ratio of about 0.3 to about 0.5. The molar ratio of β-TCP powder to MCPM powder is greater than 1. An article of manufacture comprises a first compartment in which the first paste is contained, and a second compartment in which the second paste is contained. The compositions are useful for bone repair or replacement.

One aspect relates to a device for providing a bone cement from two starting components, having a hollow cylinder-shaped first container, in which a monomer liquid as first starting component can be stored, a hollow cylinder-shaped second container comprising a container wall, a first internal space, and a second internal space, whereby a bone cement powder as second starting component can be stored in the first internal space, and whereby the monomer liquid can be conveyed into the second internal space, a fluid-conducting conveying means arranged between the first internal space and the second internal space, whereby the first container and the second container are axially connected to each other.

Storage and mixing systems and methods for pasty multicomponent polymethylmethacrylate bone cements, the systems and methods comprise a first tubular cartridge with a first cylindrical internal space containing a first starting component, a first dispensing plunger, a second tubular cartridge that is arranged within the first tubular cartridge. The external wall of the second cartridge touches against the internal wall of the first cartridge and is attached to the internal wall of the first cartridge, whereby the second cartridge contains a second starting component and has a second dispensing plunger arranged in it, whereby a pressing device with a clamping edge for compressing the second cartridge that can be propelled axially in the internal space of the first cartridge is arranged, as seen from the cartridge head, behind the first dispensing plunger and the second dispensing plunger. The pressing device can be propelled appropriately in the direction of the cartridge head such that the second cartridge is being progressively compressed axially during the motion of the pressing device such that, in the process, the first dispensing plunger and the second dispensing plunger are propelled in the direction of the cartridge head.

The present disclosure relates to methods and compositions for the treatment of degenerate bone in a patient. In some embodiments, the methods and compositions disclosed herein are useful in the treatment, prevention, or in delaying the progression of a bone disease linked to bone degeneration, such as osteoarthritis (“OA”), rheumatoid arthritis, and avascular necrosis.

A device mixes bone cement and stores parent components of the bone cement. The device has a cartridge comprising an interior, that is closed on one side by a movable delivery plunger, a receptacle comprising side walls for receiving a monomer liquid container that are closed at least in some regions. The receptacle has at least one deformable closed side wall, a screen and/or a filter arranged below the receptacle so that the contents of the opened monomer liquid container flow through the screen and/or the filter. The device further has a connecting line through which the monomer liquid is to be routed into the interior of the cartridge, a hollow cylinder which is connected to the connecting line and which is connected to the receptacle by way of a fluid connection so that the hollow cylinder is arranged in a fluid line between the receptacle and the interior of the cartridge. A pump plunger is arranged in the hollow cylinder, which is axially displaceable in the hollow cylinder, and an opening device, which is movably mounted against the deformable side wall of the receptacle. The opening device extends into the hollow cylinder, wherein, by pressing the pump plunger into the hollow cylinder, the opening device is to be pressed against the deformable side wall of the receptacle so that the deformable side wall deforms such that a monomer liquid container located in the receptacle is to be opened by the pressure of the opening device.

Methods of filling bone cavities are provided. The methods use a bone cement mixing and delivery device that includes a shaft extending along an axis from a first end to a second end and including a passageway. The first end includes an adapter having a first opening that is in communication with the passageway. The second end includes a second opening that is in communication with the passageway. The shaft includes a mixing portion between the first and second ends. A connector includes a central portion that that is coupled to the adapter. The central portion includes a channel that is in communication with the first opening. The connector includes first and second ports that extend from the central portion. The first port includes a first lumen that is in communication with the channel. The second port includes a second lumen that is in communication with the channel.

A bone cement mixing and delivery device includes a shaft extending along an axis from a first end to a second end and including a passageway. The first end includes an adapter having a first opening that is in communication with the passageway. The second end includes a second opening that is in communication with the passageway. The shaft includes a mixing portion between the first and second ends. A connector includes a central portion that that is coupled to the adapter. The central portion includes a channel that is in communication with the first opening. The connector includes first and second ports that extend from the central portion. The first port includes a first lumen that is in communication with the channel The second port includes a second lumen that is in communication with the channel. Methods of use are disclosed.

A surgical instrument includes a body having an actuator and being connectable with a pressurized fluid source. A first member is connected with the body and the fluid source. The first member is configured for connection with an implant disposable between a contracted configuration and an expanded configuration. A second member defines a cavity configured for disposal of the first member and the expandable implant. The second member is connected with the actuator for selective translation relative to the first member to position the implant in the contracted configuration. Systems, implants and methods are disclosed.