A method for providing a tool system for removing prosthetic cement from a bone of a patient undergoing a joint prosthesis replacement operation includes scanning the patient in the area of the joint prosthesis to obtain a profile of a line of intersection of a prosthetic cement/bone interface at its intersection with a longitudinally pre-selected plane; providing a guide member shaped as a stem of the prosthesis in a prosthetic cavity located in said prosthetic cement; and providing a cutting tool for forming a running cut through the prosthetic cement along the line of intersection. A stem of the cutting tool includes two protrusions along the length thereof. A guide member includes two grooves which each engage one of said protrusions. Grooves are profiled so the outer end of the stem is forced to follow a path corresponding to the profile of the line of intersection of the cement/bone interface.

A system for driving an ultrasonic device for bone cement removal and/or osteotomy operations comprises a control unit, a memory unit, and a connector for connecting together the control unit and a handset of the ultrasonic device. The control unit is configured to send a signal to the handset, receive from the handset a response to the signal sent, and check an operating condition of the ultrasonic device based on this response. Related device, method and computer program are also disclosed.

Pedicle bone anchor implants, assemblies, and methods thereof. The implant may include an expandable anchor having a body with expandable sections separated by one or more expansion joints, a plurality of expandable teeth, or an expandable head. The expandable anchor has a collapsed configuration and an expanded configuration, thereby creating a press-fit in adjacent bone.

Systems and methods for treating a vertebral body. An intravertebral implant includes an anterior end element and a plate comprising a planar bearing surface. The plate may be exactly two plates movable in only a cranio-caudal expansion plane. A pedicle fixation is coupled to the intravertebral implant and includes a hollow sleeve. The pedicle fixation is configured to be secured to the pedicle to control an insertion depth of the intravertebral implant within the vertebral body. A central traction member is movably disposed within the hollow sleeve of the pedicle fixation to deploy the planar bearing surface(s). The central traction member may be rotatable within the hollow sleeve. An expansion instrument may move the central traction member relative to the pedicle fixation. The intravertebral implant may be locked relative to the pedicle fixation in six degrees of freedom.

A method for providing a tool system for removing prosthetic cement from a bone of a patient undergoing a joint prosthesis replacement operation, comprising the steps of: scanning the patient in the area of the joint prosthesis so as to obtain at least one profile of a line of intersection of a prosthetic cement/bone interface at its intersection with a generally longitudinally pre-selected plane; providing a guide member substantially shaped as a stem of the prosthesis in a prosthetic cavity located in said prosthetic cement; providing a cutting tool for forming a running cut substantially completely through the prosthetic cement along the line of intersection; wherein a stem of the cutting tool comprises two laterally extending protrusions, which protrusions are located along the length of the stem at a mutual distance apart; and wherein the guide member is provided with two longitudinally running grooves which each engage one of said protrusions of the cutting tool, wherein the grooves are profiled such that the outer end of the stem at which a cutting element is arranged to cut the prosthetic cement, when inserted into the prosthetic cavity and being moved to at least substantially to the bottom end thereof, is forced to follow a path corresponding to the profile of the line of intersection of the cement/bone interface.

Devices and methods for the removal of bone implant tips from within a bony structure in a body. The device or method includes a shaft with an internal grasping feature capable of being inserted while remaining in an un-expanded, un-deployed state. This permits a surgeon or operator to insert the device while in a small profile state, avoiding or reducing damage to adjacent bone tissue during insertion. Upon insertion of the shaft to the proper position within a patient's bone, the grasping feature may then be expanded or deployed from the distal end of the shaft by a surgeon or operator using an actuator in a handle attached to the proximal end of the shaft. Following deployment, the grasping feature may be used to manipulate and/or remove a bone implant tip from a patient's bone tissue. Embodiments of the grasping feature include one or more hooks, wires, articulating fingers, and/or net-based designs formed of metal, polymer, composite, or a combination thereof. The grasping feature may also include an adhesive-based design formed of bone cement, protein-based glue, or other adhesive material with the purpose of grasping or manipulating a bone implant tip within bone tissue.

The present disclosure provides a system for injecting a drug eluting construct in a patient. The construct includes multiple cellular based microcaspules, wherein the multiple cellular based microcapsules create at least one of a plurality of layers or sections of microcapsules joined together to comprise an implant. There is a medicinal agent within the microcapsules. A syringe and needle inject the implant constructed of microcapsules into the patient at least one of during and after a surgical procedure. The medicinal agent controllably releases into the patient both immediately and at a delayed time.

A portable and passive safety intraosseous device to allow for direct introduction of medications, etc., within the intermedullary space of a subject patient's bone or, if needed, the removal of certain substances from such a subject patient's bone. Such a device permits direct drilling and placement of a cannula within the subject bone with access external to the subject patient's skin, permitting, as well, connection of a tube for such introduction/removal purposes. The ability to provide a passive safety unit allows for facilitated utilization in, for instance, emergency situations with the entire device provided for utilization thereof. The device includes a drilling component with a permanently attached stylet and a removable cannula, a power supply for a single drilling operation, a mechanism to draw the stylet back into the drill component after use and disengagement from the cannula, and an automatic closure that activates with the separation of the cannula.

Modular extractor device for removing bone cement from a bone cavity (C), including an elongated body with an axis of symmetry (X-X), a proximal end, arranged during use at the opening of the bone cavity (C), and a distal end, arranged during use at the innermost part of the bone cavity (C). The elongated body is partially hollow and is adapted to be inserted in said bone cavity (C) filled with bone cement. The elongated body includes a plurality of rigid elements coaxial to the axis (X-X) of said elongated body, partially hollow and anchored together. At least two adjacent rigid elements include a first main section, a second main section and a flange. A main section of at least one rigid element is inserted and held in position in a main section of the other rigid element of the at least two rigid elements.

This invention comprises a novel approach for the refixation of a loosened implant to bone, wherein the novel approach comprises providing access to a boundary region between the implant and the bone; removing abnormal interface tissue, wear debris and/or bone cement debris from the boundary region; and inserting bone fixation material into the boundary region so that the bone fixation material engages the implant and the bone and thereby effects refixation of the loosened implant to the bone.