A method of making an implantable device includes directing a projection of laser energy having a plurality of adjacent energy pixels on a build surface atop a bed of powder, thereby forming a layer of the implantable device. The directing step is repeated a plurality of times, in a layer-by-layer manner, such that a totality of the formed layers define at least a portion of the implantable device.

A prosthetic disc can take the form of a sensing artificial disc that includes a resilient core and at least one sensor configured to sense one or more conditions within and/or experienced by the disc. The sensing artificial disc can serve as a replacement to a failed or injured disc between two vertebrae of a spine. The sensing artificial disc can include at least one element configured to change a condition or property of the resilient core in response to a condition sensed by the at least one sensor. A prosthetic disc can include therapeutic system configured to deliver medication to the body, which can include a reservoir of medication.

A motion preserving spinal implant is presented for use in placement between intervertebral space for total replacement of a degenerated spinal disc. The motion preserving spinal implant has a pair of end plates sandwiched around an inner core and an outer core, with the inner core being concentrically positioned within the outer core. The outer core encapsulates the inner core and provides adequate sealing of the inner core while maintaining flexibility and elasticity to advantageously support physiological movements. The inner core is constructed of an elastomeric material and acts as a solid diaphragm in order to resist and withstand localized compression and other forces. The end plates provide anchoring and fusion with adjoining vertebra and hold the inner and outer cores in place. The motion preserving spinal implant restores the normal height and natural function of the degenerated spinal disc and preserves the natural motion of the spine.

An expandable intervertebral total disc replacement implant, including an inferior component, including a first core including a first outer surface and a first inner surface, and a first arm telescopingly engaged with the first core, a superior component, including a second core including a second outer surface and a second inner surface, and a second arm telescopingly engaged with the second core, and an expansion mechanism connected to the first core, the second core, and at least one of the first arm and the second arm.

A femoral prosthesis system for an orthopaedic hip implant and method of use is disclosed. The prosthesis system includes a femoral stem component that includes a core body and a casing that encases the core body. The casing can be additively manufactured such that the core body defines a predetermined orientation in the core body among a plurality of permissible predetermined orientations. The femoral stem component can further include a neck and a trunnion that extends from the neck. The neck can extend out with respect to the core body at a predetermined angle within a range of permissible predetermined angles.

A spinal implant for insertion into and positioning in an intervertebral space is provided. The insert comprises a compressible support configured to change the height of the insert, wherein the insert comprises a first portion having a first surface and a compressible support adjacent to the first surface; and a second portion having a second surface and a second compressible support adjacent to the second surface. A method for fusing two adjacent vertebrae utilizing the spinal implant including the bone insert is also provided.

Systems and methods are provided for implant design and manufacturing to optimize the bone-implant interface. The implant design and methodology may include accounting for the anatomy of a bone of a subject to address optimize the bone-implant interface considerations for the subject. Implants or components may be asymmetrically designed to better match the associated anatomy as well as optimize the bone-implant interface, such as by quantifying bone density and matching material properties of the implant or coatings of the implant. Information derived from the methodology can be used to guide the design of the implant resulting in an asymmetric design that optimizes the bone-implant interface.

The methods disclosed herein of generating three-dimensional lattice structures and reducing stress shielding have applications including use in medical implants. One method of generating a three-dimensional lattice structure can be used to generate a structure lattice and/or a lattice scaffold to support bone or tissue growth. One method of reducing stress shielding includes generating a structural lattice to provide sole mechanical spacing across an area for desired bone or tissue growth. Some examples can use a repeating modified rhombic dodecahedron or radial dodeca-rhombus unit cell. Some methods are also capable of providing a lattice structure with anisotropic properties to better suit the lattice for its intended purpose.

A method and apparatus are provided for making a temporary hip joint prosthesis. The method includes horizontally positioning each half of a two-part mold having a respective impression of a front side and a backside of a hip joint prosthesis. The method includes level filling the selected impressions with a bone cement mixture. The method includes rotating one half of the two-part mold to align the front side and back side of the hip joint prosthesis. The method includes maintaining the two halves of the two-part mold in contact as portions of the bone cement mixture in each half adhere together and cures. The method includes removing a hip joint prosthesis from the two-part mold.

Provided herein are compositions and medical devices, and in particular, biodegradable scaffolds capable of repairing and replacing cartilagenous meniscuses. Also provided herein are methods of using scaffolds for treating degenerative tissue disorders. In certain embodiments, such scaffolds can promote tissue regeneration of a temporal mandibular joint (TMJ) meniscus.