US Pat. No. 9,050,197

KNEE SIZING AND BALANCING INSTRUMENT

Biomet Manufacturing, LLC...

1. An orthopedic instrument for knee arthroplasty comprising:
an anterior-posterior femoral sizer assembly having a stylus, a sizer body including medial and lateral posterior feet extending
substantially perpendicularly from the sizer body, and a sizer slider slidable relative to the sizer body along a medial-lateral
direction relative to a patient's knee;

a tensor assembly including a tensor frame having a central portion, medial and lateral wings extending at an angle from the
central portion, and medial and lateral posterior feet extending in a plane that is substantially perpendicular to the central
portion and the medial and lateral wings; and

a rotation mechanism including a portion coupled to the tensor frame of the tensor assembly and a portion coupled to the sizer
body, the rotation mechanism configured to rotate the medial and lateral posterior feet of the sizer body relative to the
tensor frame toward a lateral side of the patient's knee;

wherein the rotation mechanism includes a plate supporting a pivot bolt, the pivot bolt passing through the sizer body and
through the central portion of the tensor frame of the tensor assembly, the pivot bolt configured to rotate the sizer body
relative to the tensor frame.

US Pat. No. 9,066,734

PATIENT-SPECIFIC SACROILIAC GUIDES AND ASSOCIATED METHODS

Biomet Manufacturing, LLC...

15. An orthopedic device comprising:
a first patient-specific alignment guide including a first patient-specific portion having a patient-specific surface preoperatively
configured as a negative of a portion of a first iliac crest of a pelvis of a specific patient to mate to the first iliac
crest only in one position, a first guiding element having a through opening and a preoperatively configured orientation and
location relative to the first patient-specific portion for preparing a bore in a first iliac wing of the patient to direct
a bone screw at the preoperatively configured orientation and location for sacroiliac fixation, and a first fixation guiding
element to secure the first patient-specific alignment guide to the first iliac crest,

a second patient-specific alignment guide including a second patient-specific portion having a patient-specific surface preoperatively
configured as a negative of a portion of a second iliac crest of the pelvis of the specific patient to mate to the second
iliac crest only in one position, a second guiding element having a through opening and a preoperatively configured orientation
and location relative to the second patient-specific portion for preparing a bore in a second iliac wing of the patient to
direct a bone screw at the preoperatively configured orientation and location for sacroiliac fixation, and a second fixation
guiding element to secure the second patient-specific alignment guide to the second iliac crest;

an arcuate elongated bridge coupling the first and second patient-specific alignment guides, the bridge configured to span
a posterior contour of the pelvis of the patient between the first and second iliac crests without engaging a boney structure,
thereby providing a handle for facilitating placement of the device on the pelvis; and

a first arm and a second arm extending from the corresponding first and second patient-specific portions or from the arcuate
elongated bridge, the first arm and the second arm supporting corresponding first and second sacral guiding elements.

US Pat. No. 9,566,172

METHOD AND APPARATUS FOR DETERMINING A LOCATION

Biomet Manufacturing, LLC...

1. A method for determining a native head center of a femur and reestablishing the native head center of the femur with a
head of an implanted prosthesis comprising: positioning a template comprising a first member that is both operably connected
to and movable relative to a second member on an surface of a femur, wherein the femur has a shaft and a native head with
a center of rotation, wherein the second member includes a target portion configured to be positioned to identify a center
of the native femoral head; marking the position of the template on the femur by placing a mark on the femur using a marking
feature associated with the first member of the template; centering the target portion of the second member near the native
head center of the femur by moving the second member relative to the first member; removing the template and resecting the
native head of the femur, wherein the native head center of the femur can be reestablished by positioning the template on
the marked surface of the femur and aligning the mark on the femur with the marking feature associated with the first member
of the template; and guiding a resection of the native femoral head with a cut guide defined by the template.

US Pat. No. 9,241,803

SHOULDER PROSTHESIS

Biomet Manufacturing, LLC...

1. A prosthesis comprising:
a stem including a proximal face, a longitudinal axis, and a bore extending from the proximal face and into an interior of
the stem, the bore having a central axis that is angled relative to the longitudinal axis and offset from a center axis of
the proximal face;

a ball stud having a cylindrical shaft and a ball end, the cylindrical shaft received in the bore of the stem;
an adaptor including a tapered outer surface and a ball socket rotatably receiving the ball end of the stud; and
a head rotatably supported by the adaptor and including a semispherical articulating surface and a female taper rotatably
receiving the tapered outer surface of the adaptor.

US Pat. No. 9,125,702

ACETABULAR DRILL PIN

Biomet Manufacturing, LLC...

1. A method for positioning an acetabular cup during a hip procedure, the method comprising the steps of: placing a first
acetabular guide within an acetabulum; securing a drill sleeve to the first acetabular guide; providing two acetabular drill
pins each comprising: an elongated shaft having a proximal end and a distal end opposite thereof along a longitudinal axis
of the shaft; two depth markings positioned along the shaft a pre-defined distance from the distal end; and a fluted portion
proximate the distal end of the shaft, the fluted portion being disposed between a shoulder and a flat-bottom milling tip
configured to penetrate a peri-acetabular area of a pelvis; individually inserting the two acetabular drill pins into the
peri-acetabular area of the pelvis through the drill sleeve; removing the drill sleeve and the first acetabular guide from
the acetabulum while leaving the two acetabular drill pins inserted into the peri-acetabular area of the pelvis; advancing
a second acetabular guide over the two acetabular drill pins; inserting an alignment pin into the second acetabular guide;
and placing an acetabular cup into the acetabulum by positioning the long axis of a cup inserter substantially parallel to
the alignment pin as the cup is placed into the acetabulum, wherein the step of individually inserting the two acetabular
drill pins into the peri-acetabular area of the pelvis through the drill sleeve comprises drilling each of the acetabular
drill pins into the peri-acetabular area of the pelvis until a top surface of the drill sleeve is positioned about half-way
between the two depth markings of each acetabular drill pin.

US Pat. No. 9,421,051

IMPLANT FIXATION ASSEMBLY

Biomet Manufacturing, LLC...

1. An implant fixation assembly for securing an implant to a bone, the implant fixation assembly comprising:
a first member having a bone-engagement surface;
a stem extending from the first member for insertion into a bore formed in the bone;
a helical spring configured to bias a distal portion of the stem toward the bone engagement surface;
a rotatable member configured to pre-tension the helical spring; and
an elongated flexible member construct configured to pass longitudinally through the stem and the bore of the bone to thereby
anchor a distal end of the stem relative to the bone.

US Pat. No. 9,375,316

METHOD AND APPARATUS FOR ACETABULAR RECONSTRUCTION

BIOMET MANUFACTURING, LLC...

1. An acetabular prosthesis system to replace at least a portion of an acetabulum of an anatomy, the system comprising:
a trial cup configured to be removably positioned relative to a first portion of the anatomy;
a trial cement mantle member configured to be removably positioned in a selected first position relative to the positioned
trial cup;

a trial liner configured to be removably positioned at variable positions relative to the trial cement mantle member, the
trial liner having an exterior convex surface, an interior concave surface opposite the exterior convex surface, a bottom
edge defining a planar surface, and an elongated slot extending from the exterior convex surface to the interior concave surface,
wherein the planar surface extends along a first reference plane, and wherein the elongated slot extends along a second reference
plane generally perpendicular to the first reference plane; and

a trial liner fixation member configured to removably secure the trial liner to the trial cement mantle member at each of
the variable positions, the trial liner fixation member having a first portion extendable through the elongated slot of the
trial liner,

wherein the trial cement mantle member is positionable between the trial liner and the trial cup to replicate a cement mantle
portion positionable between an implantable cup and an implantable liner,

wherein the trial liner is configured to be positioned at variable positions relative to the trial cement mantle member, and
wherein the enlongated slot facilitates a range of motion of the trial liner relative to the trial cement mantle member.

US Pat. No. 9,320,527

QUICK-CONNECT ANTI-ROTATION PEG/DRILL BIT COMPONENT

Biomet Manufacturing, LLc...

1. A method of drilling a glenoid cavity with a drill guide, the method comprising the steps of:
advancing a drill guide over an alignment pin extending from the glenoid cavity, the alignment pin having a longitudinal axis;
adjoining a first drive shank section to a second drive shank section at a collar;
associating a first drill bit to a shank opening in the second drive shank section;
coupling a drive attachment defined by the first drive shank section to a chuck of a drill;
using the drill to create a first hole in the glenoid cavity through a first guide hole of the drill guide by rotatably activating
the first drill bit;

disassociating the drill from the first drill bit while the first drill bit is still inserted into the glenoid cavity through
the drill guide;

substantially preventing the drill guide from rotating with respect to the longitudinal axis of the alignment pin with the
first drill bit; and

using the drill to create a second hole in the glenoid cavity through a second guide hole of the drill guide by rotatably
activating a second drill bit.

US Pat. No. 9,314,344

EXTENDED ARTICULAR SURFACE RESURFACING HEAD

Biomet Manufacturing, LLC...

1. A modular humeral head resurfacing implant comprising:
a head including:
an exterior hemispherical articulating surface defining a terminating rim;
an interior concave surface opposite to the exterior articulating surface; and
a first coupling mechanism proximate to the terminating rim, the first coupling mechanism comprising an annular groove;
an anchoring stem coupled to the interior concave surface and extending along a stem axis that extends through an axial center
of the head;

a ring lock; and
a modular extended articulation flange axially protruding from only a portion of the terminating rim of the head when fastened
thereto and operable to articulate with at least one element of a coracoacromial arch and including:

a second coupling mechanism configured to cooperate with the first coupling mechanism, the second coupling mechanism comprising
an annular ring integral with the articulation flange and an annular recess formed in the annular ring, the second coupling
mechanism being attached with said ring lock to the first coupling mechanism, thereby fastening the articulation flange to
the head;

an outer articulating surface that is curved along substantially its entire length and is substantially flush and congruent
with the exterior hemispherical articulating surface when the articulation flange is fastened to the head; and

a curved inner surface that is substantially congruent with the interior concave surface of the head when the articulation
flange is fastened to the head, wherein the extended articulation flange is located in a lateral region of the head and extends
generally parallel to the stem axis;

wherein the ring lock cooperates with both the annular groove and the annular recess when the articulation flange is fastened
to the head.

US Pat. No. 9,295,497

PATIENT-SPECIFIC SACROILIAC AND PEDICLE GUIDES

BIOMET MANUFACTURING, LLC...

1. An orthopedic device comprising:
a patient-specific alignment guide configured for a first vertebra of a spinal column of a specific patient, the alignment
guide including a U-shaped guide body having first and second legs joined at a distal portion, the distal portion having a
patient-specific surface preoperatively configured to mate with a corresponding surface of a spinous process of the first
vertebra, the first and second legs having corresponding first and second hooks configured to mate with corresponding portions
of first and second transverse processes of the first vertebra,

wherein the first and second legs define an opening configured to provide clearance for a spinous process of a second vertebra
that is adjacent and superior to the first vertebra, the opening being on an opposite side of the distal portion as the patient-specific
surface preoperatively configured to mate with the corresponding surface of the spinous process of the first vertebra; and

a bridge separate from the distal portion, wherein the bridge traverses the opening and connects the first and second legs
at a location spaced from the distal portion.

US Pat. No. 9,168,032

LIGAMENT BALANCER AND DRILL GUIDE

BIOMET MANUFACTURING, LLC...

1. A ligament balancer for a knee, comprising:
a first guide portion defining a first guide hole extending there through; and
a second guide portion defining a second guide hole extending there through, the first and second guide portions being moveable
with respect to each other along a movement axis of the balancer, the first and second guide holes being aligned along an
alignment axis that is substantially parallel to the movement axis of the balancer;

a mounting member extending between the first guide portion and the second guide portion;
an intramedullary rod extending from the second guide portion, the intramedullary rod and the mounting member are spaced apart
in a direction perpendicular to the alignment axis;

wherein the balancer being adapted such that, in use, the movement axis is substantially parallel to an anterior/posterior
axis of a distal femoral surface;

wherein the first and second guide holes extend along axes that are transverse to the alignment axis; and
wherein the intramedullary rod is rigidly connected to the second guide portion, the second guide hole extending through the
second guide portion being spaced away from the intramedullary rod in a direction that is substantially perpendicular to the
movement axis of the balancer.

US Pat. No. 9,138,273

GUIDE ASSEMBLY FOR LATERAL IMPLANTS AND ASSOCIATED METHODS

Biomet Manufacturing, LLC...

1. A method for positioning a femoral body implant, comprising:
providing a guide assembly having an outrigger with an arm portion, a leg portion, a support pad coupled to the leg portion,
and an alignment tube extending from the leg portion;

coupling a medial end of the outrigger arm portion to a proximal femoral body implanted in a femur such that the alignment
tube is coaxial with a lateral bore in the proximal femoral body implant;

positioning an implantable support plate adjacent to at least a portion of a lateral side of the femur;
advancing an alignment sleeve against the support plate and tightening to a desired compression;
forming a bore in the femur coaxial with the lateral bore of the proximal femoral body implant by advancing a drill through
the alignment tube until a stop member engages a first end of the alignment tube;

engaging the support pad against a side of the support plate opposite the femur by moving a clamp member to a release position
and advancing the support pad relative to the leg portion and into engagement with the support plate; and

inserting a lateral fastener with a selected length through the support pad and implantable support plate and into threaded
engagement with the lateral bore of the proximal femoral body implant.

US Pat. No. 9,060,786

X-RAY BASED CUT BLOCK POSITIONING JIG

Biomet Manufacturing, LLC...

18. A cut block positioning jig comprising: a base including a first portion and a second portion angled relative to the first
portion, the first portion including a first bone-facing surface and the second portion including a second bone-facing surface;
first alignment members mounted to the first portion and movable to selectively position first bone engagement surfaces thereof
at any one of a plurality of different distances from the first bone-facing surface to arrange the jig at a predetermined
position relative to the bone, each first alignment member including a first guide member defined by a through bore in each
first alignment member; and second alignment members mounted to the second portion and movable to selectively position second
bone engagement surfaces thereof at any one of a plurality of different distances from the second bone-facing surface to arrange
the jig at the predetermined position relative to the bone, each second alignment member including a second guide member defined
by a through bore in each second alignment member; wherein one of the first portion and the second portion defines a cutting
slot configured to direct a cutting instrument to bone and the predetermined position is patient-specific and determined based
on x-ray of a specific patient.

US Pat. No. 9,439,780

ACETABULAR CUP INSERTER HANDLE

Biomet Manufacturing, LLC...

1. A system for positioning an acetabular prosthesis into a subject, the system comprising:
a graspable portion extending from a first end to a second end;
a moveable projection extending from the graspable portion;
a biasing member contacting a first wall of the graspable portion and a second wall of the moveable projection and biasing
the moveable projection in a longitudinal direction to a first biased position;

a biasing rod interconnected with the moveable projection at a first end portion and moveable into a rod biasing position
when the moveable projection is biased into the first biased position, the biasing member and biasing rod centered around
a common longitudinal axis, wherein a second end portion of the biasing rod is tapered and a tip of the biasing rod has a
smaller diameter than a body of the biasing rod;

a tube extending from the second end of the graspable portion, the biasing rod moveable within the tube; and
at least one holding finger connected to the tube and moveable from a second biased position to an unbiased position;
wherein moving the biasing rod into the rod biasing position biases the at least one holding finger into the second biased
position such that the at least one holding finger is biased away from the common longitudinal axis of the biasing rod;

wherein the biasing rod engages an internal surface of the at least one holding finger.

US Pat. No. 9,393,045

CLAMPING ASSEMBLY FOR EXTERNAL FIXATION SYSTEM

Biomet Manufacturing, LLC...

1. A clamping assembly for an external fixation system, comprising:
a C-shaped clamp body defining an opening for receiving a bone fixation member and including opposite first and second ends;
a pivotably rotatable locking arm including first and second ends, wherein the first end of the locking arm is rotatably coupled
with the clamp body at or near the first end of the clamp body, the locking arm being configured such that the second end
of the locking arm is capable of fitting into a recess in the second end of the clamp body in order to provisionally hold
the bone fixation member inside the opening of the clamp body; and

a cam arm including first and second ends, wherein the first end of the cam arm is rotatably coupled to the locking arm at
the second end of the locking arm, the cam arm being pivotably rotatable towards the clamp body to definitively hold the bone
fixation member inside the opening of the clamp body.

US Pat. No. 9,289,299

METHOD AND APPARATUS FOR AUGUMENTING BONE DEFECTS

BIOMET MANUFACTURING, LLC...

1. A bone augment for repairing a bone defect present in a single bone comprising:
a bone-engaging body defining a plurality of pores, the body configured to be intraoperatively shaped to correspond to the
bone defect present in the single bone; and

a polymeric reinforcement member having an inner surface and an outer surface, the inner surface having a first part and a
second part, wherein the first part of the inner surface of the polymeric reinforcement member is mounted on an exterior surface
of the bone-engaging body, the second part of the inner surface of the reinforcement member is configured to be in contact
with an outer bone surface proximate to the bone defect, and the reinforcement member is configured to be intraoperatively
deformed to correspond to the bone defect present in the single bone and the outer bone surface proximate to the bone defect;

wherein:
the first part of the inner surface of the polymeric reinforcement member is molded to the exterior surface such that portions
of the reinforcement member are mechanically interlocked with the pores; and

the body includes a density that approximates a density of cancellous bone and the polymeric reinforcement member includes
a density that approximates a density of cortical bone.

US Pat. No. 9,211,190

FLEX ANCHOR FOR ATTACHING A PROSTHESIS TO BONE

Biomet Manufacturing, LLC...

1. A method of affixing an implant to a bone structure, the method comprising:
receiving an anchor adapted to compressively couple a tibial tray to a tibia bone such that the tibial tray is compressed
against the tibia bone, the anchor comprising a flexible blade member protruding from a longitudinally extending base;

deforming the flexible blade member;
inserting the anchor into the tibia bone while the flexible blade member remains in a deformed state; and
coupling the tibial tray to the anchor with the flexible blade member in the deformed state.

US Pat. No. 9,204,977

PATIENT-SPECIFIC ACETABULAR GUIDE FOR ANTERIOR APPROACH

Biomet Manufacturing, LLC...

1. An acetabular guide system for placing a guide pin near an acetabulum, comprising:
an exterior curved surface of an acetabular guide configured with a geometry to substantially match the acetabulum of a specific
patient based on a geometry of the acetabulum of the specific patient;

a central post extending from an interior surface of the acetabular guide;
a pin guide defining a tapered guide bore having an internal tapered surface extending from the exterior curved surface; and
a pin guide insert having an external tapered surface and defining an insert bore;
wherein the pin guide insert is configured to be placed in the tapered guide bore in a pre-selected location relative to the
pin guide;

wherein the central post and the insert bore are on a guide line when the exterior curved surface is engaged in the acetabulum
and the pin guide insert is placed in the tapered guide bore; and

wherein the guide line is configured to be aligned with an inferior ischial spine of the specific patient due to the geometry
of the exterior curved surface.

US Pat. No. 9,351,834

NEGATIVE-POSITIVE PRESSURIZABLE IMPLANT

Biomet Manufacturing, LLC...

1. A pressurizable implant, comprising:
a body shaped as a cylinder and defining a longitudinal axis; and
a plurality of porous arms extending from and interconnected to the body at a single location along the longitudinal axis,
the plurality of porous arms being configured to accommodate a pressure gradient that is created by a device removably connectable
to the body, wherein at least one of the plurality of porous arms includes a biological surface coating disposed upon a surface
thereof, the biological surface coating configured to promote the fixation of the pressurizable implant through enhancement
of bony ingrowth.

US Pat. No. 9,345,581

METHOD OF USING A MODULAR GLENOID PROSTHESIS

BIOMET MANUFACTURING, LLC...

1. A method of using a modular glenoid prosthesis to replace a portion of an anatomy, the method comprising:
coupling a platform to a glenoid cavity, the platform having a coupling portion that defines a plurality of bores and a central
bore that includes a tapered region;

inserting a tapered plug into the central bore, the tapered plug being separate from a glenoid component; and
coupling the glenoid component to the platform, the glenoid component having a plurality of pegs structured to be received
within the plurality of bores and an augment molded into the glenoid component that extends below a surface of the platform.

US Pat. No. 9,326,865

SHOULDER PROSTHESIS

Biomet Manufacturing, LLC...

1. A prosthesis comprising:
a central body having an outer surface and a longitudinal axis extending between a first end having an opening operable to
receive an installation tool and a second end spaced apart from said first end, said outer surface extending between and connecting
said first end and said second end and defining the length of said central body; and

a plurality of arms each attached to said outer surface of said central body and having an outer shape defined by a porous
coating independent from a shape of said central body, said porous coating completely covering said outer surface of said
central body between said first end and said second end,

wherein said central body includes projections extending from said outer surface and into respective ones of said plurality
of arms, said porous coating covering said projections and defining said outer shape of said plurality of arms independent
from a shape of said projections,

wherein said plurality of arms each include a first surface, a second surface, and a third surface that are each formed at
an obtuse angle relative to one another to define said outer shape of said plurality of arms,

wherein said projections each include a fourth surface, a fifth surface, and a sixth surface that are each formed at an obtuse
angle relative to one another and respectively oppose said first surface, said second surface, and said third surface of said
plurality of arms.

US Pat. No. 9,283,083

SHOULDER IMPLANT ASSEMBLY

Biomet Manufacturing, LLC...

1. An assembly of implant components for a shoulder joint having a humerus and a glenoid, the assembly comprising:
a head having a convex surface;
a cup configured to articulate with the convex surface of the head;
a humeral stem; and
a glenoid adaptor configured to connect the head to the glenoid when the cup is connected to the humeral stem, and the glenoid
adaptor further configured to connect the cup to the glenoid when the head is connected to the humeral stem, said glenoid
adaptor having a coupling peg defining a non-threaded through bore, said non-threaded through bore defining a coupling taper
and a central screw bearing surface,

wherein the head is configured to be interchangeably coupled to the humeral stem and the glenoid adaptor, in the alternative.

US Pat. No. 9,149,363

MODULAR PROXIMAL INTERPHALANGEAL JOINT

Biomet Manufacturing, LLC...

1. A method for replacing a proximal interphalangeal joint with a modular implant assembly comprising:
during a first surgical procedure, implanting a first stem component of the implant assembly having a first articulation component
removably attached thereto in a proximal phalanx bone and implanting a second stem component of the implant assembly that
is the same as the first stem component and has a second articulation component removably attached thereto in a middle phalanx
bone, wherein the first articulation component and the second articulation component cooperate to provide the implant assembly
with a first degree of articulation constraint;

during a second surgical procedure performed after the first surgical procedure, removing the first articulation component
from cooperation with the first stem component and removing the second articulation component from cooperation with the second
stem component; and

further during the second surgical procedure attaching a third articulation component of the implant assembly to the first
stem component and attaching a fourth articulation component of the implant assembly to the second stem component, wherein
the third articulation component and the fourth articulation component cooperate to provide the implant assembly with a second
degree of articulation constraint that is different than the first degree of articulation constraint;

wherein the second surgical procedure is performed without removing the first stem component from the first bone and without
removing the second stem component from the second bone.

US Pat. No. 9,433,406

CLAMP RING

Biomet Manufacturing, LLC...

1. A clamp ring, comprising:
a generally arced portion arced within a plane,
said generally arced portion having a top half and a bottom half disposed on opposite sides of the plane,
the top half and bottom half each having a guide channel formed therein,
said top half and said bottom half each having an exterior portion and an interior portion defining boundaries of said guide
channels,

said interior portions together having a partially circular cross section with a number of interior reliefs formed therein
and said exterior portions together having a partially circular cross section with a number of exterior reliefs formed therein
that is greater than zero and one of equal to and greater than said number of interior reliefs formed in said interior portions.

US Pat. No. 9,386,993

PATIENT-SPECIFIC FEMOROACETABULAR IMPINGEMENT INSTRUMENTS AND METHODS

BIOMET MANUFACTURING, LLC...

1. A system to resect a selected portion of an anatomy to improve a range of motion of a femur relative to a pelvis in a specific
patient, comprising:
a femoral neck resection guide including:
a reamer cap comprising a bone contacting surface that mates with a surface of the femur and a dome-shaped exterior surface
opposite the bone contacting surface such that the bone contacting surface is disposed at least partially within the reamer
cap;

a pin extending from the exterior surface;
a guide surface defined by at least a portion of the exterior surface; and
a guide arm moveably connected to the pin including a guide arm surface configured to contact the guide surface during movement
of the guide arm relative to the exterior surface;

wherein the guide arm includes a mill passage to engage a mill instrument that is configured to resect the selected portion
of the femur.

US Pat. No. 9,351,743

PATIENT-SPECIFIC GLENOID GUIDES

BIOMET MANUFACTURING, LLC...

1. An orthopedic device for a shoulder joint of a patient comprising:
a glenoid guide having an upper surface and a lower surface, wherein the lower surface is a patient-specific surface configured
as a negative surface of a glenoid face based on a three-dimensional image of a shoulder joint of a patient reconstructed
preoperatively from image scans of the shoulder joint of the patient, the glenoid guide including an anatomic tubular drill
guide extending from the upper surface along an anatomic alignment axis configured preoperatively with a patient-specific
orientation for guiding a glenoid implant into the glenoid face for anatomic shoulder arthroplasty, the glenoid guide including
a reverse tubular drill guide extending from the upper surface along a reverse alignment axis configured preoperatively with
a patient-specific orientation for guiding a glenoid baseplate into the glenoid face for reverse shoulder arthroplasty, wherein
the reverse alignment axis is tilted inferiorly relative to the anatomic alignment axis.

US Pat. No. 9,326,862

VARIABLE PROSTHESIS

BIOMET MANUFACTURING, LLC...

1. A prosthesis system comprising:
a head having an articulating surface, a head female taper formed into the head, wherein a head center axis of the head is
offset a first radial distance from a head taper center axis of the head female taper;

an adapter having a first side, an opposed second side, an outer surface defining an adapter male taper, an adapter female
taper formed into the adapter through the first side, and a stem facing taper surface, wherein an adapter center axis of the
adapter is offset a second radial distance from an adapter female taper axis; and

a stem having a body and a neck, wherein the neck has an outer surface that defines a neck male taper,
wherein the head, the adapter, and the neck are selectively connected to form a selected head offset relative to the stem,
and

wherein the stem facing taper surface of the adapter is configured to provide clearance between the adapter and the stem.

US Pat. No. 9,301,674

SELF-RETAINING RETRACTOR

BIOMET MANUFACTURING, LLC...

1. A tissue retractor comprising:
a pair of arms pivotally coupled to each other and each having a finger grip portion on a first end and a working portion
arranged on an opposite second end, wherein each of the second ends comprises an elongated shaft having a longitudinal axis
extending axially therethrough; and

a pair of paddles each having a planar engagement body and a mounting portion pivotally coupled to a corresponding elongated
shaft, the paddles being selectively rotatable about the respective longitudinal axes,

wherein the paddles are coupled to the corresponding elongated shafts such that the paddles are rotationally unbiased relative
to the elongated shafts,

wherein an angle between the respective longitudinal axes changes as the arms pivot relative to each other,
wherein rotation of the paddles around the respective longitudinal axes is limited to a predetermined range that is less than
360 degrees, and

wherein each of the paddles includes a mounting hub, each mounting hub includes one of a slot or a pin and each of the elongated
shafts includes the other of the slot or the pin, each slot includes terminal ends, and the pins are configured to ride along
the corresponding slots and engage the terminal ends, thereby limiting pivoting motion of the paddles relative to the elongated
shafts.

US Pat. No. 9,289,253

PATIENT-SPECIFIC SHOULDER GUIDE

Biomet Manufacturing, LLC...

1. An orthopedic device for a shoulder joint comprising:
a patient-specific alignment guide including:
a cap comprising a hemispherically-shaped shell, the shell having an exterior surface and a customized interior surface configured
to be complementary and match at a selected particular position on a humeral head of a specific patient, and the shell including
a peripheral edge that terminates at a portion of an anatomic neck of the humeral head, a periphery of the cap being configured
to surround an anatomic neck of the humeral head;

an elongated tubular element extending from the cap and defining a longitudinal guiding bore configured for guiding an alignment
pin at a patient-specific position and an orientation determined in the pre-operative plan;

a tab extending away from the periphery of the cap, the tab configured and sized and shaped to be received at least partially
in a bicipital groove of the humeral head to orient the cap relative to the humeral head when the orientation feature is aligned
with the bicipital groove; and

a resection formation provided at the periphery of the cap, the resection formation being configured for guiding a resection
of the anatomic neck of the humeral head.

US Pat. No. 9,468,529

BEARING FIXATION

Biomet Manufacturing, LLC...

1. A method for providing an acetabular prosthesis including a bearing liner within a shell, comprising:
moving the bearing liner into a concave interior of the shell, wherein the shell has an exterior surface configured to engage
an anatomy and the bearing liner has an exterior wall surface configured to be received within the concave interior of the
shell, the exterior wall surface extending from a rim of the bearing liner towards an apex of the bearing liner along a substantially
continuous curve;

engaging an axial fixation projection that extends from the substantially continuous curve of the exterior surface at least
on the concave interior of the shell;

deforming the axial fixation projection from a first configuration to a second seated configuration; and
seating the axial fixation projection within a groove formed through the concave interior of the shell to implant the bearing
liner within the shell, wherein the second seated configuration is achieved at least at seating the axial fixation projection
within the groove;

wherein deforming the axial fixation projection includes substantially permanently moving a material forming the axial fixation
projection to bias the volume of material between a mid-line and a rim of the bearing liner.

US Pat. No. 9,439,784

MODULAR RADIAL HEAD PROSTHESIS

Biomet Manufacturing, LLC...

1. A method for assembling a prosthesis system for replacement of a head portion of a proximal radius, the method comprising:
coupling an articulation component to a head component via a first locking portion of said articulation component and a second
locking portion of said head component;

inserting a connection portion of said articulation component into a first bore of said head component;
aligning a first locking channel located on said connection portion of said articulation component with a second locking channel
within the first bore of said head component; and

coupling a stem to said articulation component and said head component by inserting a third locking portion of said stem into
said first locking channel and said second locking channel, wherein coupling said stem to said articulation component and
said head component includes aligning a first bore of said third locking portion with a second bore of said head component
which is different from the first bore of said head component.

US Pat. No. 9,439,696

IMPLANT TO STRESS BONE TO ALTER MORPHOLOGY

BIOMET MANUFACTURING, LLC...

1. A method of altering morphology of an unbroken long bone, the method comprising:
coupling a first bone attachment end of a longitudinal plate to a first portion of the unbroken long bone;
advancing a securing member through an opening in the longitudinal plate and partially into the unbroken long bone; and
continuing the advancing of the securing member into the unbroken long bone such that a portion of the securing member slidably
engages the longitudinal plate causing the longitudinal plate to the in tension between the first bone attachment end and
the opening while concurrently causing a portion of the unbroken long bone to be in compression to change an angle of a longitudinal
axis of the unbroken long bone.

US Pat. No. 9,364,334

SHOULDER PROSTHESIS

BIOMET MANUFACTURING, LLC...

1. A prosthesis comprising:
a central body having an outer surface and a longitudinal axis extending between a first end having an opening operable to
receive an installation tool and a second end spaced apart from said first end, said outer surface extending between and connecting
said first end and said second end and defining the length of said central body;

a plurality of arms each attached to said outer surface of said central body and having an outer shape defined by a porous
coating independent from a shape of said central body, said porous coating completely covering said outer surface of said
central body between said first end and said second end; and

projections extending from said outer surface of said central body and into respective ones of said plurality of arms, said
porous coating covering said projections and defining said outer shape of said plurality of arms independent from a shape
of said projections, said porous coating extending through said projections.

US Pat. No. 9,351,836

LONG BONE RESURFACING BONE LOCK

Biomet Manufacturing, LLC...

1. A locking implant for a long bone, the locking implant comprising:
a head portion;
a stem portion extending from the head portion; and
an anchor disposed at an end of the stem portion for sliding engagement within an aperture defined in a resected long bone;
wherein the anchor defines at least one locking feature configured to engage an interior of the resected long bone upon rotation
of the implant, thereby locking the head portion to the long bone, the locking feature of the anchor radially extending from
the stem portion in two opposing directions.

US Pat. No. 9,345,494

ORTHOPAEDIC TOOL HANDLE AND METHOD OF MANUFACTURING SAME

Biomet Manufacturing, LLC...

1. A handle for a tool, comprising:
an exterior profile extending along a longitudinal direction, the exterior profile defined by:
a first three-dimensional shape having a first exterior surface of revolution about only a first axis of rotation, and a second
three-dimensional shape having a second exterior surface of revolution about only a second axis of rotation,

said second axis of rotation being offset from said first axis of rotation,
said first and second exterior surfaces of revolution each having a concave portion, a convex portion, and an inflection point
between the concave portion and the convex portion,

said inflection point of the second exterior surface of revolution being longitudinally offset from said inflection point
of the first exterior surface of revolution,

whereby said first three-dimensional shape and said second three-dimensional shape intersect to define a volume of intersection,
said exterior profile being defined only by said volume of intersection.

US Pat. No. 9,320,551

LOCKABLE INTRAMEDULLARY FIXATION DEVICE

BIOMET MANUFACTURING, LLC...

1. An orthopedic device comprising:
an intramedullary implant defining a longitudinal bore;
first and second fasteners, each fastener including a threaded shaft and a substantially cylindrical unthreaded sleeve;
a cannulated movable member receivable within the longitudinal bore and telescopically movable relative to the longitudinal
bore, the movable member defining first and second guiding bores for respectively receiving the first and second fasteners,
each of the first and second guiding bores at an angle relative to the longitudinal bore, each of the first and second guiding
bores including a pair of opposing deformable elongated strips formed on walls of each of the first and second guiding bores
of the movable member and engageable with the respective unthreaded sleeve, the movable member movable between a fastener
engagement position and a fastener disengagement position,

wherein the first guiding bore extends along a first axis, and the pair of opposing deformable elongated strips formed on
the wall of the first guiding bore extend in a direction substantially parallel to the first axis.

US Pat. No. 9,232,946

BONE PLATE POSITIONING SCAFFOLD

Biomet Manufacturing Corp...

1. A device to maintain temporary engagement with a bone plate and a bone, the device comprising:
a first biased appendage positioned opposite a second biased appendage, the first and second biased appendages including an
arcuate vertical profile that partially defines an interior region;

a platform concurrently coupled to the first and second biased appendages, the platform also partially defining the interior
region, the platform including a through hole open to the interior region;

a first tab extending from at least one of the first biased appendage, the second biased appendage, and the platform, the
first tab extending into the interior region and adapted to engage a bone plate;

a first arcuate flange mounted to a distal portion of the platform; and
a second arcuate flange mounted to a proximal portion of the platform.

US Pat. No. 9,173,661

PATIENT SPECIFIC ALIGNMENT GUIDE WITH CUTTING SURFACE AND LASER INDICATOR

Biomet Manufacturing, LLC...

1. A method of guiding an instrument relative to an anatomical feature of a patient comprising:
nesting a patient-specific guide that includes a first portion having a first patient-specific inner surface and a second
portion having a second patient-specific inner surface on an unresected surface of the anatomical feature, wherein the first
and second inner surfaces are patient-specific according to image scans of the corresponding unresected surface of the specific
patient, the first portion having a first mateable surface and the second portion having a second mateable surface, the first
portion directly connected to and removeably separable from the second portion via the corresponding first and second mateable
surfaces;

securing the guide including the first portion and the second portion to the anatomical feature by fixedly coupling only the
first portion to the anatomical feature;

removing the second portion from the secured guide by de-coupling the second portion from the fixed first portion;
leaving the first portion secured to the anatomical feature;
removably supporting a cutting guide on an outer guide surface of the fixed first portion to align the cutting guide relative
to the anatomical feature; and

guiding a cutting tool for cutting the anatomical feature with a cutting surface on the cutting guide.

US Pat. No. 9,271,744

PATIENT-SPECIFIC GUIDE FOR PARTIAL ACETABULAR SOCKET REPLACEMENT

Biomet Manufacturing, LLC...

1. A method for a partial socket replacement comprising:
mounting a patient-specific acetabular guide on an acetabulum of a patient, wherein the acetabular guide is configured to
mate to the patient's acetabulum in only one position;

guiding a cutting tool through a patient-specific bore of the acetabular guide, wherein the patient-specific bore of the acetabular
guide is configured to overlay a defect in the acetabulum of the patient;

removing damaged tissue of the defect;
forming a patient-specific implantation slot by removing the damaged tissue,
engaging a patient-specific inverse acetabular guide to allograft tissue;
guiding a cutting tool along a guiding slot of the patient-specific inverse acetabular guide, the guiding slot configured
during the preoperative plan to mate with a wall of the patient-specific implantation slot; and

extracting a patient-specific partial acetabular implant from the allograft tissue; and
implanting the patient-specific partial acetabular implant in the patient-specific slot, wherein the implant is the allograft
tissue implant.

US Pat. No. 9,237,950

IMPLANT WITH PATIENT-SPECIFIC POROUS STRUCTURE

BIOMET MANUFACTURING, LLC...

1. A method of manufacturing a joint implant for a joint of a specific patient comprising:
obtaining a three-dimensional image of a bone of the joint of the specific patient from medical imaging scans of the bone
of the patient;

determining on the three-dimensional image a resection plane for contacting a corresponding planar surface of the joint implant
for the specific patient;

determining a three-dimensional image of a porous structure of a bone layer along the resection plane from the medical imaging
scans of the patient; and

manufacturing the joint implant with a layer of a patient-specific porous construct attached to the planar surface of the
joint implant, the layer of the patient-specific porous construct being an inverse of the porous structure of the bone layer
of the specific patient, such that the patient-specific porous construct mirrors the porous structure of the bone layer along
the resection plane.

US Pat. No. 9,433,407

METHOD OF IMPLANTING A BONE FIXATION ASSEMBLY

Biomet Manufacturing, LLC...

1. A method of implanting a bone fixation assembly, the method comprising:
positioning a portion of a suture through an eyelet in a suture engaging member to form first and second suture strands extending
from opposite sides of the eyelet, the suture engaging member being elongated along a longitudinal direction;

advancing the suture engaging member in a longitudinal orientation through a bone plate aperture in a bone plate, through
a clavicle hole in a clavicle, and through a coracoid process hole in a coracoid process, so that the first and second suture
strands extend from the eyelet sequentially through the coracoid process hole, the clavicle hole, and the bone plate aperture;

advancing a suture button over the first and second suture strands into the bone plate aperture;
securing the suture button to the bone plate by engaging retaining ribs formed on a circumferential surface of the suture
button with one or more threads formed in the bone plate at the bone plate aperture;

pulling on the first and second suture strands to:
pivot the suture engaging member away from the longitudinal orientation so that the suture engaging member has an outer profile
unsuitable for entering the coracoid process hole, and

produce tension between the suture engaging member and the bone plate; and
tying the first and second suture strands together to maintain the tension.

US Pat. No. 9,345,548

PATIENT-SPECIFIC PRE-OPERATIVE PLANNING

BIOMET MANUFACTURING, LLC...

1. A method for pre-operative orthopedic planning comprising:
creating a diseased bone database;
obtaining image-free personal data of a patient including age, gender, weight and height of the patient;
selecting a best-fit bone model from the diseased bone database based on the obtained image-free personal data of the patient;
transforming the best-fit bone model to a customized bone model matching the obtained image-free personal data of the patient
using morphing software;

preparing a pre-operative surgical plan based on the customized bone model without obtaining image data of the patient; and
physically manufacturing a customized physical alignment guide based on the customized bone model.

US Pat. No. 9,278,005

REVERSE SHOULDER PROSTHETIC

BIOMET MANUFACTURING, LLC...

1. A method of implanting a shoulder prosthetic comprising:
implanting a glenoid tray into a resected glenoid;
engaging a planar surface of a bearing coupling member with a bearing mount surface of the glenoid tray;
fixing the bearing coupling member to the glenoid tray using a fastener;
restricting relative rotation between the glenoid tray and the bearing coupling member with a bushing member disposed about
the bearing coupling member, the bushing member having a plurality of planar bore surfaces engaging corresponding planar surfaces
of the bearing coupling member;

inserting a locking member of a coupling flange of the bearing coupling member into an interior coupling bore of the glenoid
tray;

engaging the locking member with a locking surface formed between first and second portions of the interior coupling bore;
and

mating a coupling surface of the bearing coupling member with a corresponding surface on a bearing member.

US Pat. No. 9,414,925

METHOD OF IMPLANTING A KNEE PROSTHESIS ASSEMBLY WITH A LIGAMENT LINK

Biomet Manufacturing, LLC...

1. A method of implanting a prosthetic knee joint assembly comprising:
operably coupling a monolithic femoral condylar component of the knee joint assembly to a femur of a patient and operably
coupling a monolithic tibial tray component of the knee joint assembly to a tibia of the patient, wherein the tibial tray
component has a first adjustable loop of a ligament link directly attached to it;

coupling a second adjustable loop of the ligament link to the femur via piercing a ligament of the femur; and
selectively adjusting the size of the adjustable loops;
wherein the ligament link extends from a first end to a second end, the ligament link having an outer wall defining an interior
longitudinal passage portion, the ligament link also having a first aperture passing through the outer wall and disposed between
the first and second ends, the ligament link additionally having a second aperture passing through the outer wall and disposed
between the first and second ends, the first end extending through the first and second apertures and the longitudinal passage
portion to define the first adjustable loop, the second end extending through the first and second apertures and the longitudinal
passage portion to define the second adjustable loop.

US Pat. No. 9,370,428

METHOD AND APPARATUS FOR PERFORMING A LESS INVASIVE SHOULDER PROCEDURE

BIOMET MANUFACTURING, LLC...

1. A method for performing an arthroplasty on at least one of a glenoid or a humerus of a glenohumeral joint comprising:
forming an entry incision in soft tissue superior and lateral to the glenohumeral joint;
forming a passage from the entry incision to the glenohumeral joint;
inserting a cutting instrument through the passage and cutting a natural humeral head of the humerus to prepare the humerus
to receive an implant including a stem while the humeral head has no dislocation at all with respect to the glenoid and remains
in its anatomical position;

inserting the implant through the passage, and securing the implant relative to the humerus with the implant oriented such
that a longitudinal axis of the stem extends substantially parallel to a longitudinal axis of the humerus; and

maintaining both a subscapularis muscle and a supraspinatus muscle associated with the glenohumeral joint intact and completely
connected to surrounding bone during an entirety of the arthroplasty.

US Pat. No. 9,339,276

PERIPHERAL PEG DRILL COMPONENT

Biomet Manufacturing, LLC...

1. A method for simultaneously drilling at least two peripheral peg holes in a bony surface, the method comprising:
providing a peripheral peg drill component including a housing with a first side, a second side opposite the first side and
at least two drill bits extending from the second side of the housing;

advancing the peripheral peg drill component over an alignment pin extending from a bony surface until each of the at least
two drill bits engage the bony surface;

actuating a belt circumferentially surrounding a series of pulleys to cause the at least two drill bits to rotate; and
simultaneously penetrating the bony surface with the at least two drill bits as they rotate.

US Pat. No. 9,220,572

METHOD FOR IMPLANTING A HIP PROSTHESIS AND RELATED SYSTEM

Biomet Manufacturing, LLC...

1. A method of implanting a hip joint prosthesis into a patient, the method comprising:
obtaining image data of hip joint anatomy of the patient;
determining physical activities the patient desires to participate in subsequent to implanting the hip joint prosthesis;
determining a size and an initial placement of the hip joint prosthesis based on the image data;
determining a desired range of motion of the hip joint prosthesis based on the determined physical activities;
creating a plan comprising a desired implanted location of the hip joint prosthesis and based on the desired range of motion;
incorporating the plan onto a guide, the guide including eyewear worn by a surgeon;
projecting a hologram of the hip joint anatomy of the patient onto the eyewear to be viewable by the surgeon;
displaying an implantation template onto the eyewear, the implantation template including (i) a first vector indicative of
the desired implanted location of an acetabular cup of the hip joint prosthesis, and (ii) a second vector indicative of the
desired implanted location of a femoral stem of the hip joint prosthesis; and

executing the plan with the guide thereby implanting the hip joint prosthesis into the patient at the desired implanted location.

US Pat. No. 9,480,490

PATIENT-SPECIFIC GUIDES

Biomet Manufacturing, LLC...

1. A device for an orthopedic knee procedure comprising;
a tibial drill guide having a body portion and first and second posts fixed to the body portion, the first and the second
posts extending away from a same side of the body portion, the first and the second posts defining first and second internal
through bores, the first post having a longitudinal length from the body portion that is shorter than a longitudinal length
of the second post from the body portion; and

a patient-specific tibial alignment guide, the alignment guide including:
a body with an inner anatomy-engaging surface constructed as a mirror to a corresponding tibial joint surface so as to conform
and mate with the corresponding tibial joint surface; and

first and second guiding receptacles defining first and second inner channels sized and shaped to receive the first and the
second posts of the tibial drill guide, the first and the second guiding receptacles extending from an external surface of
the body opposite to the inner anatomy-engaging surface and away from the body of the alignment guide to respective free ends,
and the first receptacle being shorter in length than the second receptacle when measured from the external surface of the
body to the respective free ends away from the body of the alignment guide, such that when the alignment guide is mounted
on the tibial joint surface and the drill guide is mounted on the alignment guide, the first receptacle and the first post
define a clearance gap between the tibia and the device for a patellar tendon.

US Pat. No. 9,445,904

MULTIPLE BEARING ACETABULAR PROSTHESIS

Biomet Manufacturing, LLC...

1. An acetabular prosthesis assembly comprising:
an acetabular cup having an outer bone engaging surface, an inner liner engaging surface, and a cup upper rim extending between
the outer bone engaging surface and the inner liner engaging surface, wherein a cup connection portion is formed at an upper
rim, the cup connection portion including a groove extending radially in the upper rim from the outer bone engaging surface
to the inner liner engaging surface; and

a first liner having an outer cup engaging surface, a liner upper rim, and a liner connection portion that includes a finger
that extends near the liner upper rim and away from the outer cup engaging surface, wherein the finger is received in a cutout
of the groove of the cup connection portion of the acetabular cup in an assembled position,

wherein the finger includes first and second protrusions extending from opposing sides of the finger and the finger is symmetrical
about an axis extending through the finger and generally perpendicular to the liner upper rim,

wherein the first and second protrusions are compressible as the first liner is moved into the assembled position, relative
to the acetabular cup, and expandable into the cutout of the groove once the first liner is in the assembled position,

wherein the groove includes a ramp surface extending from the cup upper rim and angling towards the cutout within the groove,
and

wherein the ramp surface is configured to compress the protrusion as the first liner is moved into the assembled position.

US Pat. No. 9,241,811

METHOD AND APPARATUS FOR IMPLANTING A PROSTHESIS

Biomet Manufacturing, LLC...

1. A system to implant a prosthesis into a subject, comprising:
a handle member extending from a handle first end to a handle second end and defining a bore through at least a portion of
the handle member, and defining a longitudinal axis along the bore of the handle;

a threaded member configured to pass coaxially into the through bore, the threaded member extending from a member first end
to a member second end, the threaded member having threads formed at the member first end to threadably engage the prosthesis
and a slotted region at the member second end, the slotted region including a slot formed in an outer surface of the threaded
member which does not extend into the threads, the slotted region for coupling the threaded member to the handle member; and

a projection extending into the bore formed in the handle member configured to engage the slot to hold the threaded member
in the handle member;

wherein the threaded member slotted region slot includes a first slot portion shaped to engage with the projection to hold
the threaded member in the handle member at a position substantially axially fixed on the longitudinal axis, and wherein the
threaded member includes a second slot portion adjacent to but separated from the first slot portion wherein the second slot
portion includes an uninterrupted area configured to allow axial advancement of the threaded member along the longitudinal
axis to engage the threads with the prosthesis when the threaded member is coupled to the handle member, and wherein the first
slot portion is configured to limit a rotation of the threaded member within the handle about the longitudinal axis when the
threaded member is coupled to the handle member.

US Pat. No. 9,084,618

DRILL GUIDES FOR CONFIRMING ALIGNMENT OF PATIENT-SPECIFIC ALIGNMENT GUIDES

Biomet Manufacturing, LLC...

1. An orthopedic device comprising:
a drill guide configured to be mounted on a patient-specific alignment guide for intraoperatively confirming alignment of
the patient-specific alignment guide relative to a bone, the patient-specific alignment guide including a first referencing
hole and a second referencing hole, the drill guide including:

a main body with a first coupling member and a second coupling member, the first and second coupling members configured to
be received within the first and second referencing holes, respectively, the first and second coupling members including corresponding
first and second drill openings configured to align with the first and second referencing holes, respectively, for guiding
a drilling tool toward the bone to drill corresponding holes in the bone, the main body further including an alignment confirmation
feature configured for confirming alignment of the patient-specific alignment guide relative to the bone before drilling holes
in the bone,

wherein the alignment confirmation feature includes an alignment opening configured to receive a rod, and the alignment opening
is configured to allow the rod to at least axially slide and pivot within the alignment opening.

US Pat. No. 9,393,059

PROXIMAL HUMERAL HEAD

BIOMET MANUFACTURING, LLC...

1. A method of repairing a fracture in a proximal humerus, comprising:
fixing a first plate to the proximal humerus such that a fractured portion of the proximal humerus is anatomically aligned
and accessible through a window formed in the first plate;

engaging a guide with a coupler formed on the first plate;
removing a lateral cortex of the proximal humerus using a cutting tool inserted through a hole in the guide and dilating a
void in a cancellous portion of the proximal humerus; and

filling the void by delivering a solid bone graft sized and shaped to fill the void through the hole in the guide.

US Pat. No. 9,351,838

DEFORMABLE PROSTHESIS

Biomet Manufacturing, LLC...

1. A prosthesis system for placement in a subject, comprising:
an acetabular shell having a first wall including an acetabular liner receiving cavity and an upper rim surface, the acetabular
shell further defining a central axis and an apex spaced apart from the upper rim surface relative to the central axis; and

an acetabular liner, wherein the acetabular shell is configured to at least partially receive the member acetabular liner
in the acetabular liner receiving cavity; and

wherein the first wall of the acetabular shell includes an acetabular liner fixation portion;
wherein the acetabular liner fixation portion is configured to deform to contact the acetabular liner and engage the acetabular
liner at a selected position relative to the acetabular shell, and

wherein the acetabular liner fixation portion of the first wall of the acetabular shell is one of a plurality of acetabular
liner fixation portions spaced apart relative to the acetabular shell and spaced apart relative to one another circumferentially
along the first wall;

wherein the acetabular shell has a second wall spaced apart from the first wall; and
wherein the second wall and the first wall at least in part define an enclosed void defined by the acetabular shell.

US Pat. No. 9,351,839

ACETABULAR CUP FIXATION

BIOMET MANUFACTURING, LLC...

1. A locking system, comprising:
an acetabular cup having a wall with an inner surface and an outer surface, the acetabular cup including a fixation opening
with a curved surface through the wall;

an insert configured to be received in the fixation opening, the insert includes a through bore and a plurality of expansion
members disposed at an outer surface of the insert, the through bore including a first wall portion configured to be positioned
adjacent to the inner surface and a second wall portion configured to be positioned adjacent to the outer surface, wherein
the first wall portion is internally threaded and the second wall portion is unthreaded; and

a fixation fastener including a head and a shaft with a bone-anchoring portion, the fastener insertable through the through
bore, the head including a first head portion engageable with the first wall portion and a second head portion engageable
with the second wall portion.

US Pat. No. 9,314,342

KNEE REPLACEMENT SYSTEM AND METHOD FOR ENABLING NATURAL KNEE MOVEMENT

Biomet Manufacturing, LLC...

1. A method of implanting a knee replacement system in a leg with a femur and a tibia of a patient, comprising the steps of:
implanting a femoral component onto a condyle of the femur in the leg;
placing a trial tibial component on a tibial plateau of the tibia in the patient;
adjusting the tension of a posterior cruciate ligament;
adjusting the tension of an anterior cruciate ligament;
adjusting the posterior position of the trial tibial component;
simulating knee condition at toe off onset during walking, the toe off onset knee condition comprising nearly full leg extension
with posterior displacement and internal rotation of the tibia;

adjusting the anterior position of the trial tibial component such that the posterior cruciate ligament in the leg resists
the toe off knee condition;

marking a position of the trial tibial component at the adjusted posterior and anterior positions; and
implanting a tibial component onto the tibial plateau in the patient in the marked position that articulates with the femoral
component.

US Pat. No. 9,339,318

METHOD AND APPARATUS FOR PREPARING A PROXIMAL FEMUR

BIOMET MANUFACTURING, LLC...

1. A system for preparing a proximal femoral implant for a proximal femoral prosthesis, the system comprising:
a member configured to be placed in a proximal femur, the member having a femur cutting surface for preparing the proximal
femur, the member having a plurality of notches formed into the member; and

a shelf body configured to selectively engage at least one notch of the plurality of notches formed into the member to estimate
a location of a calcar shelf during trialing and preparing the proximal femur;

wherein the shelf body is configured to removably engage the member;
wherein the shelf body is about a U-shape that comprises a first finger, a second finger, and a central connecting portion;
wherein each of the first finger and the second finger both taper away from the central connecting portion; and
wherein the central connecting portion is configured to extend beyond a femoral ledge of the femur when the shelf body is
engaged with the at least one notch in the member.

US Pat. No. 9,113,923

DISTAL FEMORAL CUTTING GUIDE

Biomet Manufacturing, LLC...

1. A method of positioning a femoral cutting guide on a distal end of a femur that establishes at least a first reference
plane to perform a distal femoral planar cut, the method comprising:
inserting a mounting member into an intramedullary canal of the femur;
coupling a bridge member to the mounting member, the bridge member having a bridge channel;
placing a cutting guide member over a portion of the distal femur, the cutting guide member having a first channel that establishes
the first reference plane;

inserting a wall of the bridge channel into the first channel of the cutting guide member; and
overcoming a sliding resistance generated by a mounting mechanism between the bridge member and the cutting guide member by
positioning the cutting guide member relative to the femur, wherein the sliding resistance is provided by hook and loop fasteners.

US Pat. No. 9,107,718

BONE PLATE

Biomet Manufacturing, LLC...

4. A composite bone plate comprising:
a rigid frame that defines an internal opening and the outline of a bone plate; and
a deformable material including an outer circumferential surface mounted to the rigid frame by one of a compressed outer circumferential
surface and an expanded rigid frame, the deformable material at least partially spanning the internal opening, and including
at least one through opening that is concurrently circumscribed by the rigid frame, the at least one through opening defining
a first axis for receiving a fastening device, wherein the shape of the at least one through opening is capable of being structurally
deformed by the fastening device without structurally deforming the rigid frame such that the fastening device is capable
of being lockably threaded to the bone plate at a plurality of different angular orientations off-axis from the first axis,
wherein the deformable material includes a plurality of through openings, at least one of the plurality of through openings
having a non-uniform circular vertical cross-section.

US Pat. No. 9,084,680

MULTIPLE BEARING HUMERAL PROSTHESIS

Biomet Manufacturing, LLC...

1. A humeral implant kit, comprising:
a shell having:
a shell wall that extends from a distal apex portion to a distal rim defining a passage operable to receive a bearing, wherein
the shell wall has an internal shell wall surface defining an internal void and an external shell wall surface operable to
engage the humerus;

a coupling stem coupled to the shell;
a snap-ring connection mechanism formed in the shell near the distal rim;
a first bearing defining a concave articulating bearing surface and having a first bearing wall extending from a first bearing
distal rim, the bearing wall defining a second snap-ring connection mechanism;

a second bearing defining a convex articulating bearing surface and having a second bearing wall extending from a second bearing
distal apex, a third snap-ring connection disposed between the convex articulating bearing surface and the second bearing
wall,

wherein the first and second bearings are alternatively attachable to the shell.

US Pat. No. 9,808,347

LINER SYSTEM

Biomet Manufacturing, LLC...

1. A prosthesis comprising:
a shell having a shell inner surface;
a unitary liner disposed within the shell; and
a locking mechanism securing the liner within the shell,
wherein the locking mechanism is configured to be removed when the shell, liner, and a femoral head are implanted, wherein
the shell extends beyond a hemisphere of the shell and the unitary liner extends beyond a hemisphere of the unitary liner,
such that an outer liner surface of the unitary liner engages the entirety of the shell inner surface beyond the hemisphere
of the unitary liner.

US Pat. No. 9,597,097

X-RAY BASED CUTBLOCK POSITIONING JIG

Biomet Manufacturing, LLC...

1. A cut block positioning jig comprising:
a base including a first portion and a second portion angled relative to the first portion, the first portion including a
first bone-facing surface and the second portion including a second bone-facing surface;

a first alignment member mounted to the first portion and movable towards and away from a patient's bone to which the positioning
jig is mounted to arrange the jig at a predetermined position relative to the bone based on x-rays of the patient;

a second alignment member mounted to the second portion and movable towards and away from the bone to arrange the jig at the
predetermined position relative to the bone; and

first and second guide members comprising through bores defined by the first and second alignment members, respectively, the
first and second guide members configured to direct cut block support members to the bone to couple a cut block to the bone
to provide the bone with patient-specific cuts.

US Pat. No. 9,220,599

ACETABULAR CUP HAVING DEFORMATION RESISTANT FEATURES

Biomet Manufacturing, LLC...

1. An acetabular cup component for replacing an articulating portion of an anatomy, comprising:
a bearing liner;
a first shell including:
a hemispherical cup portion forming an interior surface and an outer surface opposite the interior surface, the interior surface
configured to receive the bearing liner along a longitudinal axis of the hemispherical cup portion extending through an apex
of the hemispherical cup portion; and

an end portion longitudinally extending from an end of the hemispherical cup portion opposite the apex, the end portion including
an engagement surface disposed on an outer circumference of the end portion;

a second shell having means for permanently connecting the first shell at the outer surface of the hemispherical cup portion
and circumscribing the hemispherical cup portion, the second shell including a first portion of an exterior surface configured
for contacting an acetabulum; and

a support ring coupled to the end portion via the engagement surface, the support ring including a second portion of the exterior
surface configured for contacting the acetabulum and a rim for engaging the bearing liner, wherein the support ring defines
an annular recess in the exterior surface, and wherein the acetabular cup component further comprises an exterior component
disposed in the annular recess and configured to promote bone in-growth.

US Pat. No. 9,161,761

BI-CRUCIATE KNEE SYSTEM

Biomet Manufacturing, LLC...

1. An instrument set for preparing a proximal tibia during a bi-cruciate retaining procedure, the instrument set comprising:
a tibial resection block configured to be fixed to an anterior portion of the proximal tibia, the tibial resection block defining
a cut guide receiving slot that extends in a medial-lateral direction when the tibial resection block is fixed to the proximal
tibia;

a vertical cut guide having a body, a medial arm and a lateral arm wherein a medial cut slot is defined between the body and
the medial arm and a lateral cut slot is defined between the body and the lateral arm, the cut guide further comprising a
tongue extending therefrom, wherein the tongue is received by and slidably translates in the medial-lateral direction along
the cut guide receiving slot of the tibial resection block; and

a locking arm rotatably coupled to the cut guide at a location between the medial and lateral cut slots, the locking arm movable
between (a) an unlocked position, wherein the tongue of the cut guide is permitted to translate within the cut guide receiving
slot of the tibial resection block thereby moving in the medial-lateral direction and changing locations of the medial and
lateral cut slots relative to the proximal tibia corresponding to respective locations of the vertical medial and lateral
cuts to be prepared forming an anterior cruciate ligament island in the proximal tibia, and (b) a locked position wherein
the locking arm engages the tibial resection block and inhibits (i) movement of the tongue along the cut guide receiving slot
and (ii) movement of the cut guide relative to the tibial resection block.

US Pat. No. 9,820,868

METHOD AND APPARATUS FOR A PIN APPARATUS

Biomet Manufacturing, LLC...

1. An acetabular guide system for placing a guide pin near an acetabulum, comprising:
a patient specific acetabular guide including an interior surface and an exterior surface, the exterior surface being configured
to have a geometry to register within the acetabulum of a specific patient;

an alignment drill insert configured to be received by the patient specific acetabular guide at a first location, the alignment
drill insert having a first longitudinal bore configured to be received concentrically in a guide bore of the patient specific
acetabular guide, the guide bore extending exterior to the interior surface;

an anchored drill insert including at least one anti-withdrawal feature, such that the anchored drill insert is configured
to be fixed to a boney portion exterior to the acetabulum at a second location a predetermined distance from the first location,
the anchored drill insert forming a second longitudinal bore;

an alignment pin configured to be received by the first longitudinal bore; and
a coupler configured to couple the alignment pin to a driver, wherein the coupler is dimensioned to correspond to the predetermined
distance between the first location and the second location, such that the driver can place the anchored drill insert at the
second location based on the first location of the alignment drill insert.

US Pat. No. 9,597,191

HUMERAL TRIAL AND IMPLANT ASSEMBLY AND METHOD OF USE

Biomet Manufacturing, LLC...

1. A humeral trial and implant assembly for total shoulder arthroplasty comprising:
a humeral fixation component including a primary bore, wherein said humeral fixation component is configured for fixation
to a humerus;

an adapter assembly including an adapter, said adapter including an adapter flange and a body portion extending from said
adapter flange, wherein said body portion is received in said primary bore of said humeral fixation component;

a humeral trial presenting a medial humeral trial face that has a bulbous shape and a lateral humeral trial face that defines
a humeral trial cavity, wherein said humeral trial is coupled to said adapter assembly when said humeral trial is in a trialing
configuration;

a humeral implant presenting a medial humeral implant face that has a bulbous shape and a lateral humeral implant face that
defines a humeral implant cavity, wherein said bulbous shape of said medial humeral implant face matches said bulbous shape
of said medial humeral trial face, and wherein said humeral implant is coupled to said adapter assembly when said humeral
implant is in an installed configuration;

said adapter assembly including an adapter plate and an adapter fastener, said adapter plate coupled to said adapter, said
adapter plate abutting said adapter flange, wherein said adapter plate and said adapter are discrete components, wherein said
adapter plate is received in said humeral trial cavity when said humeral trial is in said trialing configuration, and wherein
said adapter plate is received in said humeral implant cavity when said humeral implant is in said installed configuration,
said adapter fastener coupling said adapter plate to said adapter, said adapter fastener including an adapter fastener head
that tightens against said adapter plate and that is covered by said humeral trial when said humeral trial is in said trialing
configuration;

a temporary connection releasably coupling said humeral trial to said adapter assembly that provides separation of said humeral
trial and said adapter assembly without requiring disassembly of said adapter assembly; and

a permanent connection fixedly coupling said humeral implant to said adapter assembly.

US Pat. No. 9,463,030

POSITIONING MULTIPLE IMPLANTS WITH RESPECT TO SINGLE COORDINATE SYSTEM

Biomet Manufacturing, LLC...

1. A method for preparing a femur and a tibia to receive implants comprising:
mapping location of a femoral guide to a leg mechanical axis using a femoral position sensor mounted to at least one of the
femoral guide or another femoral surgical device during preparation of the femur to receive a femoral implant;

determining a tibial mechanical axis; and
mapping location of a tibial guide to the leg mechanical axis and the tibial mechanical axis using a tibial position sensor
mounted to at least one of the tibial guide or another tibial surgical device during preparation of the tibia to receive a
tibial implant.

US Pat. No. 9,421,104

ANTIOXIDANT DOPING OF CROSSLINKED POLYMERS TO FORM NON-ELUTING BEARING COMPONENTS

Biomet Manufacturing, LLC...

1. A non-eluting antioxidant doped UHMWPE bearing component manufactured by a process comprising steps of:
(a) providing a UHMWPE preform;
(b) irradiating the preform at a dose of 5 to 20 MRad of gamma irradiation;
(c) after the irradiating, doping the preform by exposure to an antioxidant composition comprising ?-tocopherol at a temperature
greater than 30° C. and below the crystalline melting point of the UHMWPE preform, and then removing the doped UHMWPE preform
from exposure to the antioxidant composition;

(d) annealing the doped preform at a temperature greater than 30° C. and below the melting point of the doped preform;
(e) machining the preform to the shape of the bearing component, wherein from 1 to 15 mm of material is removed from the preform
to make the component; and

(f) packaging and sterilizing the bearing component, wherein the vitamin E index throughout the bearing component is 0.01
or greater, and 0.2 or less, wherein the vitamin E index is determined from a Fourier transform infrared spectrum of the bearing
component as the ratio of the area of the ?-tocopherol peak at 1245-1275 cm?1 to the area of the polyethylene peak at 1850-1985 cm?1.

US Pat. No. 9,408,613

GLENOID REAMER

Biomet Manufacturing, LLC...

1. A bone reamer comprising:
a glenoid face reamer portion;
a post cutting portion extending from the glenoid face reamer portion along a first axis of an elongated body, the post cutting
portion including a first stepped cutting portion and a second stepped cutting portion, the second stepped cutting portion
extending from the first stepped cutting portion along the first axis; and

a boss cutting portion formed between the glenoid face reamer portion and the post cutting portion, the boss cutting portion
having a curved profile along a cutting surface, wherein the glenoid face reamer portion, the post cutting portion and the
boss cutting portion are all formed as a unitary component and configured to concurrently ream a glenoid and create a resultant
space for accepting a corresponding platform, a post and a boss of a glenoid component,

wherein the post cutting portion and the boss cutting portion each includes an X-shaped construct.

US Pat. No. 9,314,287

ASSEMBLY TOOL FOR MODULAR IMPLANT AND ASSOCIATED METHOD

BIOMET MANUFACTURING, LLC...

1. A method for implanting a modular implant having a proximal implant and a distal implant into an anatomic site, the method
comprising:
engaging a distal portion of a first coupler to the proximal implant;
releasably connecting a handle member to the first coupler;
passing a second coupler through the handle member and the first coupler;
engaging a distal portion of the second coupler through the proximal implant to the distal implant;
engaging a compression member to a proximal portion of the second coupler extending through the handle member;
rotating the compression member to hold corresponding tapers of the proximal and distal implants separated by a selected separation
distance;

impacting the proximal and distal implants to an anatomic depth by impacting the compression member while holding the tapers
separated by the separation distance; and

rotating the compression member to reduce the separation distance and fully lock the corresponding tapers of the proximal
and distal implants without removing the compression member.

US Pat. No. 9,254,194

TRANSDERMAL INTRAOSSEOUS DEVICE

BIOMET MANUFACTURING, LLC...

1. A method for forming a controlled roughness gradient transition between an external prosthetic device for a bone of a patient
and the corresponding dermis of the patient, the method comprising:
positioning a porous metal dome-shaped structure around a metal dome-shaped portion of a transdermal adapter;
roughening a first portion of an external shaft extending from the dome-shaped portion of the transdermal adapter by blasting
to a first roughness, the first portion extending above the porous metal dome-shaped structure along a longitudinal axis of
the external shaft, the first portion is adjacent the porous metal dome-shaped structure; and

roughening a second portion of the external shaft by a combination of blasting and acid etching to a second roughness, the
second portion extending above the first portion along the longitudinal axis of the external shaft, both the first portion
and the second portion are between a sidewall of the external shaft and the porous metal dome-shaped structure such that the
second porous portion abuts the sidewall;

wherein the porous metal dome-shaped portion and the first and second portions of the external shaft are configured to directly
contact the dermis for infection control; and

wherein the first and the second portions provide a gradual transition from a polished portion of the external shaft to a
rough surface of the porous metal dome-shaped structure through the first and the second portions of the external shaft.

US Pat. No. 9,561,040

PATIENT-SPECIFIC GLENOID DEPTH CONTROL

Biomet Manufacturing, LLC...

1. A system for reaming a bone, comprising:
a patient-specific guiding wire configured to be attached to the bone;
a tubular depth guide configured to cover at least a portion of the patient-specific guiding wire, the tubular depth guide
including a first end configured to abut the bone, and a second end opposite the first end;

a reaming device including an elongate recess therein that extends between a reaming tool of the reaming device and an interior
of a handle of the reaming device,

wherein the elongate recess is configured to receive each of the guiding wire and depth guide therein,
the elongate recess includes a reduced diameter section that defines a shoulder, and
the shoulder is designed to abut the second end of the tubular depth guide to control a depth to which the bone is reamed.

US Pat. No. 9,393,028

DEVICE FOR THE RESECTION OF BONES, METHOD FOR PRODUCING SUCH A DEVICE, ENDOPROSTHESIS SUITED FOR THIS PURPOSE AND METHOD FOR PRODUCING SUCH AN ENDOPROSTHESIS

Biomet Manufacturing, LLC...

12. A device for preparing a bone for an implant, comprising:
a support portion including a plurality of elongate elements shaped as a reproduction according to corresponding elongate
surface structures of the bone from a three-dimensional image of the bone, the plurality of elongate elements arranged to
form cavities that can engage anatomy of the bone and that can be flexed;

a first tool guide portion including a first coronary tool guide and a second coronary tool guide, the first and second coronary
tool guides parallel to each other and configured to cut a coronary area of the bone;

a second tool guide portion including a first canthomeatal tool guide and a second canthomeatal tool, the first and second
canthomeatal tool guides acutely angled with respect to each other; and

a third tool guide portion that is perpendicular to the first tool guide.

US Pat. No. 9,173,666

PATIENT-SPECIFIC-BONE-CUTTING GUIDANCE INSTRUMENTS AND METHODS

Biomet Manufacturing, LLC...

18. A method for cutting or resurfacing an outer bone surface of a bone of a patient, comprising:
mating a patient-specific surface of a patient-specific alignment guide on the outer bone surface, the patient-specific surface
preoperatively configured as a negative surface of the outer bone surface;

inserting a reference pin into the bone through a guiding aperture of the patient-specific alignment guide;
removing the patient-specific alignment guide without removing the reference pin;
coupling a guiding member to the reference pin;
coupling a guide tube carrying a cutting effector over the guiding member to position the cutting effector at a preoperatively
determined patient-specific position; and

operating the cutting effector to resurface the outer bone surface,
wherein operating the cutting effector further includes operating the cutting effector having a patient-specific cutting surface
to form a patient-specific cutting surface mirroring the outer bone surface to remove cartilage.

US Pat. No. 9,849,214

POROUS ORTHOPEDIC MATERIALS COATED WITH DEMINERALIZED BONE MATRIX

Biomet Manufacturing, LLC...

1. A biomaterial comprising:
a porous biocompatible structure comprising interconnected pores, wherein the pores comprise interior walls and are interconnected
by passageways;

an aqueous demineralized bone extract coating comprising growth factors, proteins or a combination thereof, wherein the aqueous
demineralized bone extract coating is formed by dissolving soluble demineralized bone matrix in an aqueous solution comprising
at least one of a weak acid or guanidine hydrochloride; and

a demineralized bone gelatin coating comprising a demineralized bone matrix gelatin comprising demineralized bone matrix suspended
in an aqueous saline solution, wherein the aqueous saline solution is heated to dissolve the demineralized bone matrix to
form the demineralized bone matrix gelatin;

wherein the demineralized bone extract coating and the demineralized bone gelatin coating cover the interior walls and passageways.

US Pat. No. 9,687,260

METHOD AND APPARATUS FOR ORTHOPEDIC FIXATION

Biomet Manufacturing, LLC...

1. A method of using a dual guidewire system in an anatomy comprising:
inserting a first guide wire into the anatomy with a first guide instrument, further comprising the steps of:
coupling a first guide instrument to an intramedullary nail, the first guide instrument having a first aperture and a second
aperture disposed therein;

inserting a first cannulated instrument through the first aperture disposed in the first guide instrument and a soft tissue
of the anatomy, the first cannulated instrument comprising a trocar and at least two soft tissue sleeves, wherein one or more
of the at least two soft tissue sleeves has a stop contacting the first guide instrument;

penetrating the soft tissue with the trocar;
sliding a first one of the at least two soft tissue sleeves over the trocar to create a first passageway through the soft
tissue;

sliding a second one of the at least two soft tissue sleeves over the first one of the at least two soft tissue sleeves to
enlarge the first passageway; and

driving the first guide wire through the first cannulated instrument to couple the first guide wire to bony tissue; and
using the first guide instrument to insert a second guide wire into the anatomy adjacent and parallel to the first guide wire
without the first guide instrument contacting the first guide wire during the insertion of the second guide wire, further
comprising the steps of:

inserting a second cannulated instrument through the second aperture disposed in the first guide instrument and a soft tissue,
the second cannulated instrument comprising a trocar and at least two soft tissue sleeves; and

driving the second guide wire through the second cannulated instrument to couple the second guide wire to bony tissue.

US Pat. No. 9,687,287

IMPACT LOAD-LIMITING SURGICAL IMPACTOR

Biomet Manufacturing, LLC...

1. A surgical impactor, comprising:
an impact head having an impact surface;
an impacting portion connected to said impact head; and
a load-transmitting stem connecting said impacting portion to said impact head, said load-transmitting stem defining a stem
axis and including at least one load-limiting resistor configured to lock to said impact head and unlock from said impact
head when an overload force is applied to said impact surface;

wherein said load-transmitting stem includes a bore formed in a direction of said stem axis and said impact head includes
an elongated portion, said bore being configured to allow movement of said elongated portion through said load-transmitting
stem when said overload force is applied to said impact surface.

US Pat. No. 9,579,208

MODULAR RADIAL HEAD PROSTHESIS

Biomet Manufacturing, LLC...

1. A method for implanting a prosthesis system for replacement of a head portion of a proximal radius, comprising:
determining a distance between a proximal radius and a humerus;
selecting one of a first head component or a second head component based on the determination, the first and second head components
having unique heights;

connecting the selected first or second head component to an articulation component by inserting a male insertion member formed
on one of the articulation component and the selected head component into a female receiving member formed on the other of
the articulation component and the selected head component; and

connecting a stem component to the selected first or second head component by slidably advancing a T-shaped protrusion formed
on the stem component into a complementary shaped female slot formed on the male insertion member and aligning the complementary
shaped female slot with another complementary shaped female slot formed on the head component.

US Pat. No. 9,517,145

GUIDE ALIGNMENT SYSTEM AND METHOD

Biomet Manufacturing, LLC...

1. A method of placing a guide pin near an acetabulum with an acetabular guide system, comprising:
coupling an inserter to a patient specific acetabular guide via a keyed post, wherein the keyed post is fixed relative to
the patient specific acetabular guide;

moving the patient specific acetabular guide into the acetabulum;
rotating the patient specific acetabular guide relative to the acetabulum with the coupled inserter; and
determining an alignment of the coupled patient specific acetabular guide with the inserter, including viewing an alignment
jig,

wherein the alignment jig is associated with the inserter and extends from a shaft of the inserter.

US Pat. No. 9,480,580

PATIENT-SPECIFIC ACETABULAR ALIGNMENT GUIDES

Biomet Manufacturing, LLC...

1. A method for inserting an acetabular implant into an acetabulum of a patient, the method comprising:
engaging a patient-specific surface of an acetabular alignment guide to a complementary rim surface and periacetabular area
of a pelvis outside the acetabulum of the patient;

wherein the patient-specific surface of the acetabular alignment guide includes a three-dimensional anatomic engagement surface
configured to conform and match to a three-dimensional bone surface of the rim and the periacetabular area of the pelvis of
the patient;

inserting a plurality of alignment pins through corresponding alignment apertures of the acetabular alignment guide and into
the periacetabular area of the pelvis outside the acetabulum of the patient;

removing the acetabular alignment guide without removing the alignment pins from the periacetabular area of the pelvis of
the patient;

guiding a first alignment adapter coupled to an acetabular inserter over the alignment pins; and
implanting the acetabular implant in the acetabulum with the acetabular inserter, the acetabular inserter holding the acetabular
implant.

US Pat. No. 9,463,032

METHOD AND APPARATUS FOR PERFORMING KNEE ARTHROPLASTY

Biomet Manufacturing, LLC...

11. A method for preparing a femur and a tibia for receipt of a partial knee prosthesis, the method comprising:
coupling a femoral drill guide to an intramedullary rod inserted within the femur;
positioning a femoral engagement member of a femoral drill guide proximate to the femur;
positioning a tibial engagement member of the femoral drill guide proximate to the tibia;
moving at least one of the femoral engagement member or the tibial engagement member against the femur or tibia respectively
to widen a joint space defined between the femur and the tibia;

coupling a tibial cut guide to the femoral drill guide;
performing a first cut on the tibia while referencing a terminal cutting surface on the femoral drill guide; and
performing a second cut on the tibia while referencing the tibial cut guide.

US Pat. No. 9,408,704

REVISION KNEE TIBIAL LOCKING MECHANISM

Biomet Manufacturing, LLC...

1. A tibial prosthesis assembly comprising:
a tibial component including an inferior bone engaging surface, a superior surface, a side surface joining the inferior bone
engaging surface and the superior surface to define a perimeter, a first stem extending from the inferior bone engaging surface,
and a first retention feature including a receptacle defined by the tibial component and extending into the first stem, the
receptacle including a plurality of first splines extending into the first stem and arranged directly adjacent to one another
about an entirety of the receptacle; and

a tibial insert including an inferior tibial component engaging surface, a superior bearing surface, an outer portion joining
the inferior tibial component engaging surface and the superior bearing surface, a second stem extending from the inferior
tibial component engaging surface, and a second retaining feature including a plurality of second splines directly adjacent
to one another and extending along a length of the second stem about an entirety of an outer surface of the second stem;

wherein the plurality of second splines are configured to indexably mate with the plurality of first splines;
wherein the first and the second retaining features cooperate to mate the tibial insert with the tibial component at one of
a plurality of fixed rotational orientations relative to the tibial component; and

wherein the plurality of fixed rotational orientations includes multiple orientations where the outer portion remains fully
within the perimeter.

US Pat. No. 9,848,990

SPRING BASE GLENOSPHERE

Biomet Manufacturing, LLC...

1. A shoulder prosthetic comprising:
a shoulder bearing having an articular surface and a glenoid component interface surface;
a glenoid component having a mounting surface arranged to face a glenoid of a patient and an opposing bearing interface surface,
a body of the glenoid component separating the bearing interface surface from contact with the patient's glenoid, wherein
a stem extends from the mounting surface in a direction away from the bearing interface surface; and

a spring disposed between the bearing interface surface of the glenoid component and the glenoid component interface surface
of the shoulder bearing, wherein after implantation of the shoulder prosthetic, the spring member movably couples the shoulder
bearing to the glenoid component and absorbs impact forces applied onto the shoulder bearing.

US Pat. No. 9,668,747

PATIENT-SPECIFIC-BONE-CUTTING GUIDANCE INSTRUMENTS AND METHODS

Biomet Manufacturing, LLC...

1. A patient-specific alignment guide system for cutting or resurfacing an outer bone surface of a bone of a patient, the
alignment guide system comprising:
a patient-specific alignment guide having an engagement surface mirroring the outer bone surface;
a first guiding formation connected to the alignment guide on a non-engaging surface to direct a reference pin into the bone
at a desired location;

a reference pin configured to extend through the first guiding formation; and
a cutting effector system comprising:
a vibratory cutting tool having a patient-specific cutting support surface mirroring the outer bone surface and a patient-specific
cutting surface including grinding elements;

a guide member for coupling to the reference pin, the guide member comprising an angled guiding shaft having a distal portion
angled with respect to a proximal portion; and

a guide connecting the vibratory cutting tool and the guide member, the guide comprising:
a guide tube slidably engaged with the proximal portion of the angled guiding shaft; and
a connector extending from the guide tube and connected to the vibratory cutting tool:
wherein the angled guiding shaft and the connector are sized and shaped so that the guide tube can be translated on the proximal
portion of the angled guiding shaft so that the patient-specific cutting surface can engage the outer bone surface that is
mirrored by the patient-specific cutting support surface; and

wherein the guide is translatable on the guide member to bring the cutting surface into engagement with the outer bone surface.

US Pat. No. 9,592,061

MODULAR REAMER DRILL TIP CONNECTOR ASSEMBLY

Biomet Manufacturing, LLC...

1. A reamer assembly comprising:
a modular drill tip having a cutting edge proximate a first end, a pair of flexible arms each including a planar surface extending
from and proximate to a second end, the pair of flexible arms extending from the second end at a first flaring angle outward
from a longitudinal axis such that a distal end of each flexible arms is s aced a first distance from the longitudinal axis
and a proximal end of each flexible arms is spaced a second distance from the longitudinal axis, the first distance being
greater than the second distance, and a first through-hole positioned between the first and second ends along the longitudinal
axis, wherein the first through-hole is configured to receive a guide wire during a reaming process; and

a reamer shaft having a pair of outer walls each including a planar surface that extends from a base portion of the reamer
shaft at a second flaring angle and a receiving end, the planar surfaces of the pair of outer walls contacting the planar
surfaces of the pair of flexible arms when the modular drill tip is connected to the reamer shaft, the reamer shaft having
a second through-hole that is configured to receive the guide wire during the reaming process, wherein the first and second
through-holes together create a common through-hole that is positioned along the longitudinal axis.

US Pat. No. 9,504,581

EXTENDED ARTICULAR SURFACE RESURFACING HEAD

Biomet Manufacturing, LLC...

1. A humeral head resurfacing implant comprising:
a monolithic body, comprising:
a humeral head comprising a substantially hemispherical exterior articulating surface, an opposing interior concave surface,
and a terminating rim extending between the exterior articulating surface and the interior concave surface at a distal end
of the head at a hemispherical equator of the humeral head;

an anchoring stem coupled to and extending distally away from the interior concave surface along an anchoring stem axis that
extends through an axial center of the head; and

an extended articulating surface member defining a flange extending distally from only a portion of the terminating rim along
an axis substantially parallel to the anchoring stem axis, wherein the extended articulating surface member comprises an outer
surface extending from the corresponding portion of an exterior perimeter of the terminating rim, the outer surface of the
extended articulating surface member is curved along substantially its entire length, wherein the extended articulating surface
member further comprises an inner surface having two substantially flat planar bone engaging surfaces that intersect to form
a substantially “V” shaped inner surface extending generally parallel to the anchoring stem along at least a portion of a
length of the flange,

wherein the outer surface of the extended articulating surface member defines a coracoacromial arch engaging surface;
wherein at least a portion of the extended articulating surface member protrudes towards the anchoring stem past an interior
perimeter of the terminating rim; and

wherein, upon implantation, the extended articulating surface member is configured to articulate with at least one element
of a coracoacromial arch.

US Pat. No. 9,439,659

PATIENT-SPECIFIC SACROILIAC GUIDES AND ASSOCIATED METHODS

Biomet Manufacturing, LLC...

1. An orthopedic device comprising:
a patient-specific alignment guide including:
first and second patient-specific portions, each portion having a patient-specific surface preoperatively configured to mate
as a negative of a respective portion of an iliac crest of a pelvis of a specific patient and mate to the respective portion
of the iliac crest only in one position;

first and second iliac guiding elements connected to the first and second patient-specific portions, respectively, at first
releasable connections such that the entire first and second iliac guiding elements can be detached from the first and second
patient-specific portions, each iliac guiding element having a through opening and a preoperatively configured orientation
and location relative to the respective first or second patient-specific portion for drilling a bone bore in the bone of the
patient from the iliac crest of the patient into an iliac wing of the patient to direct a bone screw at the preoperatively
configured orientation and location for sacroiliac fixation; and

a bridge connected to both of the first and second patient-specific portions at second releasable connections.

US Pat. No. 9,415,137

DIRECTIONAL POROUS COATING

Biomet Manufacturing, LLC...

1. A method of forming a prosthesis having a lattice structure formed thereon, comprising:
forming the lattice structure including a plurality of intersecting struts by sequentially sintering a sintering layer of
material to a base layer;

forming a plurality of substantially uniformly oriented strut ends of the lattice structure at a surface of the prosthesis,
wherein the strut ends are angled relative to a remainder of a length of a strut of the lattice structure, wherein the plurality
of substantially uniformly oriented struts ends form a plurality of micro-barbs, and wherein the surface of each micro-barb
of the plurality of micro-barbs is angled in substantially the same orientation relative to a surface of the prosthesis; and

forming at least one macro-barb having a broad end substantially on an exterior surface of the prosthesis and a narrow end
extending a distance above the exterior surface, wherein the at least one macro-barb includes a dimension greater than one
of the strut ends.

US Pat. No. 9,381,096

METHOD AND APPARATUS TO IDENTIFY COORDINATED COMPONENTS

Biomet Manufacturing, LLC...

1. A prosthetic assembly system, comprising:
a prosthetic member configured to be implanted in a natural anatomy to replace a portion of the natural anatomy being provided
with a first identification feature, wherein the first identification feature is one of a color and an alphanumeric marking,
the prosthetic member includes a second identification feature, wherein the second identification feature is one of a color
and an alphanumeric marking, wherein the second identification feature is different than the first identification feature;

a first instrument operable to assist in implantation of the prosthetic member in a selected portion of the natural anatomy
provided with the first identification feature;

a second prosthetic member including both the first identification feature and the second identification feature;
a third prosthetic member configured to be implanted in the natural anatomy to replace the portion of the natural anatomy
being provided with a third identification feature different from the first identification feature and to distinguish the
first prosthetic member from the third prosthetic member; and

a second instrument operable to assist in implantation of the third prosthetic member in a selected portion of the natural
anatomy provided with the third identification feature;

wherein the first identification feature is configured to identify a matching coordination of the prosthetic member and the
first instrument for performing a procedure and the third identification feature is configured to identify a matching coordination
of the third prosthetic member and the second instrument for performing a procedure.

US Pat. No. 9,345,580

PROSTHETIC HAVING A MODULAR SOFT TISSUE FIXATION MECHANISM

BIOMET MANUFACTURING, LLC...

1. A method for implanting an orthopedic prosthetic comprising:
selecting an appropriately sized prosthetic;
determining if soft tissue fixation to the prosthetic is necessary;
attaching a soft tissue attachment pad to the prosthetic such that a plate of the soft tissue attachment pad faces a surface
of the prosthetic and a separate porous metal pad attached to the plate faces away from the surface of the prosthetic, wherein
the plate of the soft tissue attachment pad defines a notched recess disposed between opposing proximal and distal flanges
and configured to accept the porous metal pad;

implanting said prosthetic; and
coupling soft tissue to the porous metal pad.

US Pat. No. 9,333,084

MODULAR PROSTHESIS AND USE THEREOF FOR REPLACING A RADIAL HEAD

Biomet Manufacturing, LLC...

1. A tool for coupling a first prosthetic to a second prosthetic, the tool comprising:
a first arm defining a first longitudinal axis and having a first concave bearing surface configured to apply a first force
to the first prosthetic in a first direction parallel to the first longitudinal axis;

a second arm defining a second longitudinal axis, the first arm and the second arm being generally parallel to one another,
the first arm being translatable with respect to the second arm;

a hook shaped member defining a second concave bearing surface configured to apply a second force to the second prosthetic
in a second direction parallel to the second longitudinal axis and opposite the first direction, the hook shaped member extending
from a distal end of the second arm and disposed in a plane extending substantially parallel to the first and second longitudinal
axes, the second bearing surface offset from the first bearing surface in a direction extending transverse to the first and
second longitudinal axes; and

a translation force mechanism for applying the first force to the first arm and the second force to the second arm so as to
cause generally parallel translation of the first arm and second arm to couple the first prosthetic to the second prosthetic.

US Pat. No. 9,241,745

PATIENT-SPECIFIC FEMORAL VERSION GUIDE

BIOMET MANUFACTURING, LLC...

8. An orthopedic device comprising:
a patient-specific guide having a three-dimensional contact surface preoperatively configured from medical scans of a specific
patient as a negative surface of a medial portion of a proximal femoral bone of the patient according to a preoperative surgical
plan for the patient, the medial portion including a lesser trochanter, the patient specific guide having a proximal planar
surface configured for guiding a resection of a femoral neck of the patient and a scale on the planar surface, the scale configured
for indicating a preoperatively planned femoral version of a femoral stem implant and deviations therefrom;

a broach for a femoral stem implant, the broach having a proximal post; and
a version assembly having a body with an inner bore receiving the post of the broach and a pointer element attached to the
body and rotatable with the broach, the pointer element indicating on the scale a femoral version determined by the broach.

US Pat. No. 9,149,310

BONE PLATE HAVING COMBINATION LOCKING AND COMPRESSION SCREW HOLES

Biomet Manufacturing, LLC...

1. A bone plate including a length and having a first side and a second side, the bone plate comprising:
a top surface extending between the first side and the second side;
a bottom surface extending between the first side and the second side;
a plurality of holes including three different forms of holes, wherein each of the three different forms of holes extends
from the top surface to the bottom surface, the plurality of holes being distributed in spaced-apart fashion along the length,
the three different forms of holes including (i) a hybrid screw hole configured to accept both a locking screw and a compression
screw, (ii) a threaded first form hole configured to accept a locking screw, wherein the first form hole is configured to
taper from the top surface to the bottom surface so that an area of a threaded horizontal, circular cross-section decreases
at some point between the top surface and the bottom surface and (iii) a second form hole having an elongated shape with a
non-circular cross-section and a circumferential flange recessed in between the top surface and the bottom surface, the second
form hole configured to accept a compression screw, wherein each of the three different forms of holes does not share a common
center with another of the three different forms of holes;

wherein the elongated shape of the second form hole includes a longitudinal dimension arranged along a length of the bone
plate and a widthwise dimension less than the longitudinal dimension, wherein the longitudinal dimension includes a length
sufficient to locate a compression screw in a number of longitudinal positions but the widthwise dimension is insufficient
to locate a compression screw in a number of positions substantially normal to the longitudinal position;

wherein the hybrid screw hole includes a top opening at the top surface and a bottom opening at the bottom surface, the top
opening defining a first cross-section having a circular shape at the top surface of the bone plate and including a widthwise
dimension and a lengthwise dimension normal to the widthwise dimension, and the bottom opening defining a second cross-section
having an oblong shape at the bottom surface of the bone plate; and

wherein an interior wall of the bone plate extends between the top opening and the bottom opening of the hybrid screw hole,
the interior wall having a threaded first portion proximate the top opening and an unthreaded second portion extending from
the bottom opening.

US Pat. No. 10,071,511

METHOD AND DEVICE FOR PRODUCING TEMPORARY KNEE JOINT SPACERS WITH STEMS OF VARIOUS SIZES

Biomet Manufacturing, LLC...

1. A cement mold assembly configured to form a temporary tibial knee implant for use in delivering antibiotics to an infected site, the cement mold assembly comprising:a first mold having a closed end and an inner wall extending from the closed end with the inner wall defining an open end of the first mold;
a second mold receivable by the inner wall though the open end, and the second mold having a footprint complementary to and slidable along the inner wall;
cooperatively engaging teeth operating to selectively and progressively index the first mold relative to the second mold while the second mold is being received by the first mold to permit any one of a plurality of tibial platform thicknesses to be selected;
wherein the first mold cooperates with the second mold to form a cavity defining the temporary tibial knee implant including a stem portion formed by a stem forming cavity and a platform portion formed by a platform tray forming cavity having a selected thickness that corresponds to any one of the plurality of platform thicknesses that is selected.

US Pat. No. 9,700,329

PATIENT-SPECIFIC ORTHOPEDIC INSTRUMENTS

Biomet Manufacturing, LLC...

1. A tibial alignment guide for preparing a tibia of a patient for resection during joint arthroplasty, the tibial alignment
guide comprising: a first portion engageable with a proximal surface of the tibia, the first portion defining first and second
proximal guiding bores and an opening between the first and second proximal guiding bores; a second portion engageable with
an anterior surface of the tibia, the second portion defining first and second anterior guiding bores; and a plurality of
alignment pins receivable through respective proximal and anterior guiding bores for attaching the alignment guide to the
tibia, wherein the alignment pins are configured to be resorbable in vivo and are configured to be divided into one or more
portions with at least one of the one or more portions retained within the tibia of after the resection, wherein the plurality
of alignment pins are cannulated and configured to receive pins of a cutting block.

US Pat. No. 9,554,910

PATIENT-SPECIFIC GLENOID GUIDE AND IMPLANTS

Biomet Manufacturing, LLC...

1. A method for forming a mold for use in repairing a defect in a bone, the defect having a surface that defines a volume
within the bone, the method comprising:
receiving imaging data obtained using a medical imaging technique, the imaging data representing the bone and a defect in
the bone, the defect including a cavity in the bone;

creating a three-dimensional (3D) model of a mold for an implant based on the imaging data, the mold including a cavity that
replicates the volume and shape of the cavity of the defect, the mold further including a first portion having a first surface
that matches the surface of the defect defining the volume, and a second portion having a second surface for defining a portion
of an articular surface at the location of the defect;

forming the mold based on the 3D model; and
creating a 3D model of a guide based on the imaging data, the guide being configured to position a cutting tool relative to
the bone as the cutting tool is used to create a void in the bone, the guide includes a nesting surface configured to engage
the surface of the defect defining the volume to position the guide relative to the bone.

US Pat. No. 9,480,570

POROUS METAL GLENOID AND ASSOCIATED METHOD FOR MOLDING THE SAME

Biomet Manufacturing, LLC...

1. A porous metal glenoid component, comprising:
a thin solid nonporous layer having a first side and a second side, wherein the first side and the second side terminate at
edges thereof to define a first boundary, the first side having a concave center portion surrounded by a first planar portion
extending from the concave center portion to the first boundary and the second side having a convex center portion surrounded
by a second planar portion extending from the convex center portion to the first boundary;

a first metallic construct formed on the first side of the nonporous layer within the concave center portion, the first metallic
construct being coated with a plasma spray, hydroxy apatite or a porous coating;

a polymeric body fabricated onto the first metallic construct, the polymeric body having an articulating surface configured
to engage a humeral component to permit rotational and translational movement therewith and an outer surface extending from
the articulating surface to the first metallic surface, the outer surface defining a second boundary, wherein the first boundary
extends past the second boundary, the first planar portion and the second planar portion defining an extending portion of
the thin solid nonporous layer which extends laterally beyond the polymeric body; and

a second metallic construct formed on the second side of the nonporous layer on the convex center portion, the second metallic
construct being coated with a plasma spray, hydroxy apatite or a porous coating and configured to interface with a glenoid
cavity, wherein the extending portion defines a support portion of the thin solid nonporous layer which extends laterally
from the first metallic construct and the second metallic construct, the support portion having exposed first and second sides
configured to be received by a molding tool.

US Pat. No. 9,198,677

QUICK-CONNECT DRILL GUIDE

Biomet Manufacturing, LLC...

1. A drill guide assembly, comprising:
a drill guide including:
a body having a proximal end, a distal end and defining a guide passage therebetween, the distal end having a bone plate engaging
portion;

a quick-connect coupling arrangement associated with the bone plate engaging portion, the quick-connect coupling arrangement
including first and second lobes projecting radially outward from an outer surface of the bone plate engaging portion so as
to form an oblong shaped distal end of the body; and

a bone plate having a bone-engaging surface and a plurality of bone screw through-holes, each bone screw through-hole configured
to receive a bone screw, each bone screw through-hole including a circular, continuously threaded upper portion and a drill
guide-engaging lower portion, the drill guide-engaging lower portion disposed between the threaded upper portion and the bone-engaging
surface of the bone plate, the drill guide-engaging lower portion having a circular perimeter sidewall with opposed first
and second cut-outs formed in the sidewall that are sized and shaped to correspond to the first and second lobes, such that
the first and second cut-outs of the drill guide-engaging lower portion form an oblong shaped aperture;

wherein the bone plate engaging portion and the first and second lobes are configured to be slidably received in each of the
plurality of bone screw through-holes so as to removably couple the drill guide to the bone plate in a predetermined orientation
relative to the plurality of bone screw through-holes.

US Pat. No. 9,119,643

METHOD AND APPARATUS FOR PERFORMING A LESS INVASIVE SHOULDER PROCEDURE

Biomet Manufacturing, LLC...

1. A humeral head resection guide, comprising:
a resection guide member defining a guide surface;
a first positioning member interconnected with said resection guide member;
a second positioning member interconnected with said first positioning member, said second positioning member including a
rod attachment portion having a first plurality of version bores extending in a first direction, the rod attachment portion
configured to receive a rod extending in a second direction transverse to the first direction, at least two of the first plurality
of version bores defining a first line extending at an angle transverse to the second direction.

US Pat. No. 9,113,971

FEMORAL ACETABULAR IMPINGEMENT GUIDE

Biomet Manufacturing, LLC...

1. An orthopedic device for correcting a femoral bone abnormality comprising:
a patient-specific three-dimensional shell having an outer surface and an inner bone engagement surface, the inner bone engagement
surface being customized in a pre-operating planning stage by computer imaging as a negative mold of a femoral head of a proximal
femur of a patient such that the inner bone engagement surface mates with a corresponding outer surface of the femoral head
in only one nesting position; and

a patient-specific abnormality removal window defined by the shell, the abnormality removal window having a patient-specific
inner boundary customized during the pre-operative stage to circumscribe an outer perimeter of an abnormality portion when
the shell is fitted on the femoral head of the patient and such that the abnormality portion of the proximal femur of the
patient protrudes and is accessible through the abnormality removal window by a bone removal tool, the inner boundary of the
abnormality removal window configured to guide the removal tool for removing the abnormality portion of the proximal femur
of the patient.

US Pat. No. 9,078,770

METHOD AND APPARATUS FOR IMPLANTING A MODULAR FEMORAL HIP

Biomet Manufacturing, LLC...

11. A method of implanting a prosthetic component, comprising:
attaching a guide rod to a prosthetic component;
removably coupling the guide rod to a shaft extending from a handle;
positioning the prosthetic component in an anatomical feature;
impacting an impaction portion of the handle;
uncoupling the guide rod from the shaft by progressively disengaging, by an inner tapered surface of a sleeve at least one
ball bearing from the guide rod when the sleeve is axially moved toward the handle;

maintaining the guide rod attached to the prosthetic component; and
positioning a reamer over the guide rod for creating a reamed opening in the anatomical feature.

US Pat. No. 9,839,433

DEVICE FOR THE RESECTION OF BONES, METHOD FOR PRODUCING SUCH A DEVICE, ENDOPROSTHESIS SUITED FOR THIS PURPOSE AND METHOD FOR PRODUCING SUCH AN ENDOPROSTHESIS

Biomet Manufacturing, LLC...

12. A device for preparing a bone for an implant, comprising:
a support portion including a plurality of elongate elements shaped as a reproduction according to corresponding elongate
surface structures of the bone from a three-dimensional image of the bone;

a first tool guide portion including a first sagittal tool guide and a second sagittal tool guide, the first and second sagittal
tool guides parallel to each other and configured to cut a sagittal area of the bone;

a second tool guide portion including a coronary tool guide, the coronary tool guide being substantially perpendicular to
the first and second sagittal tool guides; and

a third tool guide portion including a transverse tool guide, the traverse tool guide being substantially perpendicular to
the first tool guide portion and the second tool guide portion.

US Pat. No. 9,763,799

REVERSE SHOULDER PROSTHETIC

Biomet Manufacturing, LLC...

1. A method of implanting a shoulder prosthetic, the method corn prising:
implanting a glenoid tray into a resected glenoid;
engaging a bearing coupling member with a bearing mount surface of the glenoid tray;
restricting relative rotation between the glenoid tray and the bearing coupling member with a bushing member disposed about
the bearing coupling member;

inserting a locking member into an interior coupling bore of the glenoid tray, the locking member being in a first position
inside the interior coupling bore in which the beating coupling member is not locked to the glenoid tray, the locking member
including a flange;

moving the locking member in the interior coupling bore to a second position such that the flange engages a portion of the
glenoid tray to lock the bearing coupling member to the glenoid tray;

mating the bearing coupling member with a first bearing member having an articulation surface; and
mating the first bearing member with a second beating member having an articulation surface, such that the first bearing member
can articulate relative to the second bearing member by way of engagement of the articulation surfaces.

US Pat. No. 9,700,325

MULTI-POINT FIT FOR PATIENT SPECIFIC GUIDE

Biomet Manufacturing, LLC...

1. A method of customizing a bone preparation guide to correspond to a specific bone geometry of each one of a plurality of
different patients, the method comprising:
analyzing a first patient's specific bone geometry;
developing a first pre-operative plan based on the first patient's specific bone geometry, a first patient-specific surface
of a first patient-specific guide insert is designed based on the first pre-operative plan;

coupling the first patient-specific guide insert to a guide body, the guide body including a plurality of bone locators connected
thereto that are configured to be positioned by the first patient-specific surface of the guide insert to define a first patient-specific
bone engaging surface of the guide corresponding to the first patient's specific bone geometry;

positioning the guide body against the first patient's bone at a predetermined location corresponding to the first patient-specific
bone engaging surface defined by the plurality of bone locators as positioned by the first guide insert; and

guiding at least one of a first cutting instrument or a first guide to the first patient's bone using the guide.

US Pat. No. 9,498,230

MODULAR REAMING SYSTEM FOR FEMORAL REVISION

Biomet Manufacturing, LLC...

1. A method of reaming a femur comprising:
selecting a distal prosthetic member from a plurality of distal prosthetic members;
selecting a proximal prosthetic member from a plurality of proximal prosthetic members;
providing or obtaining a modular reaming system comprising a plurality of distal reamers and a plurality of proximal reamers;
selecting a distal reamer from the plurality of distal reamers based on one or both of a size and geometry of the selected
distal prosthetic member to be implanted in the femur;

selecting a proximal reamer from the plurality of proximal reamers based on one or both of a size and geometry of the selected
proximal prosthetic member to be implanted in the femur;

removably coupling the selected proximal reamer to a shaft fixed to the selected distal reamer and retaining the selected
proximal reamer against rotation relative to the selected distal reamer; and

rotating the shaft in a single direction to substantially simultaneously ream a proximal pocket in the femur with the selected
proximal reamer and a distal pocket in the femur with the selected distal reamer.

US Pat. No. 9,468,538

METHOD AND APPARATUS FOR ALIGNING AND SECURING AN IMPLANT RELATIVE TO A PATIENT

Biomet Manufacturing, LLC...

1. A surgical apparatus comprising:
an impactor tool having an elongated shaft defining a load axis, a head at a first end, and a second end configured to removably
couple to a prosthetic;

an orientation sensor configured to detect an actual orientation of the impactor tool;
an orientation feedback device configured to selectively provide an orientation feedback signal;
a controller configured to cause the orientation feedback device to provide the orientation feedback signal when the actual
orientation of the impactor tool detected by the orientation sensor is substantially equal to a predetermined target orientation
of the impactor tool associated with a desired implanted orientation of the prosthetic relative to the patient's anatomy:

an impact sensor configured to detect an actual effect of impacting the impactor tool; and
an impact feedback device configured to selectively provide an impact feedback signal;
wherein the controller is configured to cause the impact feedback device to provide the impact feedback signal when the actual
effect of impacting the impactor tool detected by the impact sensor substantially meets or exceeds a target effect.

US Pat. No. 9,456,905

CONTINUOUS PHASE COMPOSITE FOR MUSCULOSKELETAL REPAIR

Biomet Manufacturing, LLC...

1. A resorbable implant, comprising:
a single member comprising a continuous formation, comprising a plurality of continuous channels forming a first and second
sub-plurality of a plurality of pores of a porous first material resorbable into an anatomy at a first rate to allow bone
ingrowth; and

a second material that is a resorbable polymer for resorbing into an anatomy at a second rate less than the first rate to
support the bone ingrowth such that the resorbable polymer defines a support for the bone ingrowth to maintain a selected
strength of the member for a predetermined time period; wherein the first material and the second material are distinct and
separately combined into the single member by positioning the second material within a structure of the formation of the first
material, so as to substantially fill at least the first sub-plurality of the plurality of pores of the porous material.

US Pat. No. 9,445,903

MULTI-BEARING ACETABULAR PROSTHESIS

Biomet Manufacturing, LLC...

1. An acetabular implant assembly for positioning in an anatomy, comprising:
a shell with a shell wall extending from a proximal apex portion to a distal rim, the distal rim defining a first passage
operable to receive a liner, wherein the shell has an internal wall surface defining an internal void and an external wall
surface;

a first connection portion formed in the shell by the internal wall near the distal rim;
a second connection portion formed in a bore defined by a bore wall that extends through the shell wall from the internal
wall surface to the external wall surface near the proximal apex portion;

a curved wall portion defined by the shell wall extending between the first connection portion and the second connection portion;
wherein the distal rim of the shell defines a rim plane and a central line extending substantially normal to the rim plane
extends through the proximal apex portion;

wherein the first connection portion and the second connection portion are separated completely by a division line transverse
to the central line defined in the shell;

a first liner having a first liner distal rim, a first liner proximal apex, a first liner connection portion formed by an
exterior of the first liner configured to engage the first connection portion near the first liner distal rim, and an alignment
nipple disposed at the first liner proximal apex that is aligned with and received by the bore extending through the shell
wall, the alignment nipple having a smooth exterior such that the alignment nipple is not retained by the second connection
portion formed in the bore; and

a second liner defining a second liner distal rim, a second liner proximal apex, and a second liner connection portion configured
to engage the second connection portion near the second liner proximal apex, wherein the second liner connection portion includes
a locking nipple extending along a nipple axis from an outer surface of the second liner and an extending portion that extends
substantially transverse to the nipple axis,

wherein the extending portion is configured to pass, engage, and be retained by the second connection portion, and
wherein the first liner is formed of a first material that is more rigid than a second material that forms the second liner.

US Pat. No. 9,408,616

HUMERAL CUT GUIDE

Biomet Manufacturing, LLC...

1. A humeral cut guide system for resectioning or resurfacing a humeral head, comprising:
a primary cut guide member configured to be removably coupled to the humeral head, the primary cut guide member including
a patient-specific bone-engaging surface, a primary elongate slot that defines a primary cutting plane, and including a pair
of cylindrical apertures configured to receive a pair of guide pins; and

a secondary cut guide member including a pair of through-holes configured to mate with the pair of guide pins, the secondary
cut guide member including a secondary elongate slot that defines a secondary cutting plane.

US Pat. No. 9,408,702

PIVOTING TIBIAL TRAY

Biomet Manufacturing, LLC...

1. A tibial implant for use with a resected tibia comprising:
a medial tray portion having a first inferior bone engaging side adapted to engage a portion of the resected tibia and a first
superior bearing engaging side;

a lateral tray portion having a second inferior bone engaging side adapted to engage a portion of the resected tibia and a
second superior bearing engaging side;

a connection portion disposed between the medial tray portion and the lateral tray portion, the connection portion configured
to be implanted in the resected tibia;

a linkage that couples the medial tray portion and the lateral tray portion to the connection portion such that the medial
tray portion and the lateral tray portion are pivotable relative to each other to position the medial tray portion and the
lateral tray portion at different angles with respect to each other;

a first pivot axle included with the linkage, the first pivot axle is removably coupled to each one of the medial tray portion
and the connection portion; and

a second pivot axle included with the linkage, the second pivot axle is removably coupled to each one of the lateral tray
portion and the connection portion;

wherein the first and second pivot axles are co-linear and configured to move independently of one another.

US Pat. No. 9,301,812

METHODS FOR PATIENT-SPECIFIC SHOULDER ARTHROPLASTY

BIOMET MANUFACTURING, LLC...

1. A method of determining a desired implantation position of a glenoid implant comprising:
identifying a center point of a glenoid fossa on a virtual model of a patient's scapula using software run by a processor,
the software identifying the center point using a best fit circle referenced off of three equally spaced points at the glenoid
fossa, the three equally spaced points located at three of the following: an anterior rim, a posterior rim, a superior rim,
and an inferior rim, wherein at least the center point is visually displayed on the virtual model and the virtual model is
created from an anatomical image of a patient's scapula;

determining the desired implantation position of the glenoid implant as a line that passes through both the center point and
a medial point of the virtual model of the patient's scapula identified using the software; and

selecting an orientation of a virtual alignment pin using the software and visually displaying the orientation of the virtual
alignment pin on the virtual model at an angle from the determined desired implantation position;

inserting a surgical alignment pin into the patient's scapula, the surgical alignment pin positioned according to an orientation
assigned virtually using the software and corresponding to the orientation assigned to the virtual alignment pin.

US Pat. No. 9,173,690

ORTHOPEDIC PLATE ASSEMBLY FOR A DISTAL RADIUS HAVING RE-CONTOURING FEATURES AND METHOD FOR USING SAME

Biomet Manufacturing, LLC...

1. A method for supporting a fractured radius using an orthopedic plate assembly, the method comprising:
attaching a first plate having a Y-shape, the first plate having a body, a first arm cantileverly extending from an end of
the body to a first end and a second arm cantileverly extending from the end of the body to a second end to the radius;

positioning a second plate across a triangularly shaped aperture extending through the first plate and defined by the first
arm and the second arm and over the first plate at one of a plurality of predetermined positions between the end of the body
and the first and second ends of the first and second arms respectively;

attaching the second plate at a selected one of the predetermined positions; and
attaching the second plate to at least one of the first plate and the radius.

US Pat. No. 9,072,556

CLAVICLE BENDING TEMPLATES

Biomet Manufacturing, LLC...

1. A method for conforming a plate for implantation against a clavicle, the method comprising:
selecting a corresponding bone template from a series of bone templates based on a geometry of the clavicle, the series of
bone templates having corresponding distinct three-dimensional shapes that replicate portions of various clavicles, wherein
each bone template of the series of bone templates has a plate engaging surface;

selecting a bone plate;
placing the bone plate against the plate engaging surface of the selected bone template;
structurally modifying the bone plate by deflecting the bone plate against the plate engaging surface of the selected bone
template; and

autoclaving a base that is collectively formed with the series of bone templates as a unitary piece.

US Pat. No. 10,070,875

FEMORAL ACETABULAR IMPINGEMENT GUIDE

Biomet Manufacturing, LLC...

1. An orthopedic device for correcting a bone abnormality comprising:a patient-specific three-dimensional shell having an outer surface and an inner bone engagement surface customized in a pre-operating planning stage by computer imaging to closely mate and conform to a bone of a patient in only one position, wherein the entirety of the inner surface is configured to contact the bone; and
a patient-specific guiding feature configured to receive a removal tool such that the removal tool extends through an aperture defined by the inner surface, wherein the patient-specific guiding feature is pre-operatively planned relative to the shell such that when the shell is fitted over the bone, the guiding feature is configured to guide the removal tool for removing an abnormality portion of the bone of the patient.

US Pat. No. 9,872,775

APPARATUS FOR TRIALING A MODULAR HUMERAL HEAD

Biomet Manufacturing, LLC...

1. An adjustable prosthesis comprising:
a stem having a proximal face;
a humeral head having an articulation surface and a bottom face opposite the articulation surface, the bottom face defining
an elongated aperture having first and second ends defining a generally flat interface surface; and

an adapter interposed between the proximal face and the bottom face, the adapter defining a cylindrical coupling tapered portion
having a centerline which is generally perpendicular to the interface surface, the adapter having a generally planar bearing
surface configured to engage the interface surface so as to allow continuous linear movement of the generally planar bearing
surface with respect to the interface surface and of the humeral head with respect to the adapter from a first position to
a second position in a direction perpendicular to the centerline and within the elongated aperture, the adapter and elongated
aperture defining a variable sized cavity therebetween when the generally planar bearing surface is engaged with the interface
surface.

US Pat. No. 9,744,046

LOCKING SCREW ASSEMBLY

Biomet Manufacturing, LLC...

1. An acetabular implant, comprising:
an acetabular cup having an interior surface and an exterior surface, and an elongated aperture defined by a first longitudinal
sidewall that connects the interior surface and the exterior surface;

an insert engageable with the elongated aperture, the insert including a first insert sidewall that is sloped to correspond
to a slope of the first longitudinal sidewall, wherein the elongated aperture is elongated relative to a length of the insert
such that the insert is configured to be movable along a length of the elongated aperture; and

a fastener that secures the insert to the acetabular cup, and is configured to directly secure the implant to an acetabulum
of a patient.

US Pat. No. 9,730,616

MECHANICAL AXIS ALIGNMENT USING MRI IMAGING

Biomet Manufacturing, LLC...

1. A method of imaging a knee joint of a leg before surgery comprising:
locating an approximate center of a femoral head of the leg;
locating an approximate center of an ankle joint of the leg;
locating an approximate center of a knee joint of the leg;
positioning a pivotal coupling member over the approximate center of the knee joint of the leg, the pivotal coupling member
pivotally coupling a first and a second member of a reference tool;

pivoting the first member of the reference tool relative to the second member to position the first member over the approximate
center of the femoral head;

pivoting the second member of the reference tool relative to the first member to position the second member over the approximate
center of the ankle joint; and

imaging the knee joint to produce an image of the knee joint and at least a portion of the first and second members, the at
least a portion of the first member indicating a mechanical axis of the leg in the image, and the at least a portion of the
second member indicating a tibial axis of the leg in the image, and wherein the image includes the knee joint and excludes
the femoral head and the ankle joint.

US Pat. No. 9,763,680

INTERCHANGEABLE DRILL BITS FOR DRILL ASSEMBLY

Biomet Manufacturing, LLC...

1. A drill bit, comprising:
a cutting portion having an edge for penetrating bone;
a resilient tine configured to be inserted into a drill housing, the resilient tine including a tab having an abutment surface,
the abutment surface configured to establish a snap-fit connection with a drill gear within the drill housing, the abutment
surface being disengageable from the drill gear to remove the drill bit from the drill housing;

a first tang parallel to the resilient tine, the first tang positioned such that the resilient tine moves out of parallel
alignment during insertion or removal of the drill bit; and

a pair of tangs at least partially encasing the resilient tine, the pair of tangs including the first tang;
wherein the pair of tangs is connected by a strengthening bridge.

US Pat. No. 9,566,162

ADJUSTABLE HUMERAL TRAY FOR SHOULDER ARTHROPLASTY

Biomet Manufacturing, LLC...

1. An adjustable humeral implant comprising:
a humeral tray having a humeral coupler receiving portion and first and second apertures in communication with the humeral
coupler receiving portion;

a humeral coupler having a humeral tray mating portion and a stem portion extending from the humeral tray mating portion along
a first axis, the humeral tray mating portion translatable within the humeral coupler receiving portion in a direction transverse
to the first axis;

an adjustment member slidably received by an inferior edge of the humeral tray mating portion and within the first aperture;
and

a lock member slidably received by a superior edge of the humeral tray mating portion and within the second aperture.

US Pat. No. 9,498,339

DEFORMING IMPLANT-BONE INTERFACE

Biomet Manufacturing, LLC...

1. A prosthesis for placement in an anatomy, comprising:
an interior wall having an interior wall outer surface and an interior wall inner surface;
an exterior wall having an exterior wall outer surface and an exterior wall inner surface, wherein at least a portion of the
interior wall inner surface faces at least a portion of the exterior wall inner surface;

a connecting wall connecting the interior wall and the exterior wall, wherein the connecting wall is rigid relative to at
least the exterior wall, wherein:

the interior wall is spaced apart from the exterior wall to define a void between the interior wall inner surface and the
exterior wall inner surface;

the interior wall is rigid relative to the exterior wall;
the exterior wall is configured to deform into the void when forced against a non-smooth anatomical surface, forming a deformed
exterior wall, such that the exterior wall outer surface of the deformed exterior wall comprises a non-smooth surface; and

a strengthening material operable to be placed within the void defined by the interior wall and the deformed exterior wall.

US Pat. No. 9,474,552

RATCHETING STRUT

Biomet Manufacturing, LLC...

1. A method of adjusting a fracture fixation device, the method comprising:
providing a ratcheting strut including a ratchet box, a first tube sized to extend at least partially into a passage of the
ratchet box, the first tube including a first portion having a substantially cylindrical exterior surface and second portion
having first and second planar surfaces substantially parallel to one another and defined along the first tube, such that
the first portion is configured to restrict longitudinal movement of the first tube, and a second tube mounted to the ratchet
box in a co-axial manner to the first tube, the first tube being repositionable with respect to the second tube in predetermined
increments along a longitudinal axis;

actuating a lever of the ratchet box to cause a first set of teeth on the first tube to disengage from a second set of teeth
on the lever;

moving the first tube from a first position to a second position along the longitudinal axis as the lever is actuated; and
releasing the lever to cause the first set of teeth to reengage the second set of teeth once the first tube is in the second
position.

US Pat. No. 9,339,296

JOINT DISTRACTION SYSTEM

Biomet Manufacturing, LLC...

1. An external fixation device for adjusting a load occurring at a joint connecting a first bone to a second bone, the device
comprising:
a first bone clamp configured to be attached to the first bone;
a second bone clamp configured to be attached to the second bone; and
a pivot assembly including a hinge having a pivot axis and defining an aperture, the aperture sized and shaped to receive
a locating member configured to locate the pivot assembly adjacent the joint, the pivot assembly disposed between and operatively
connected to the first bone clamp and to the second bone clamp, the pivot assembly defining a longitudinal axis and including
a first pivot body pivotably coupled to a second pivot body at the hinge, wherein one of the first pivot body and the second
pivot body includes an adjustment mechanism configured to adjust the position of one of the first pivot body and the second
pivot body with respect to the other of the first pivot body and the second pivot body at other than the pivot axis.

US Pat. No. 9,320,553

COMPRESSIVE DISTAL HUMERUS PLATING SYSTEM

BIOMET MANUFACTURING, LLC...

1. A system for compressing a fracture, the system comprising:
a first bone plate having a first proximal end portion and a first distal end portion, the first proximal end portion having
a first surface and a second surface, the second surface having a recess;

a second bone plate spaced apart from the first bone plate, the second bone plate having a second proximal end portion and
a second distal end portion, the second proximal end portion comprising a bore that extends through the second bone plate
having a first plurality of threads, the bore formed so as to be in alignment with the recess of the first bone plate; and

an expansion member comprising a pin having a first end portion with a second plurality of threads and a second end portion,
the second plurality of threads threadably engaged with the first plurality of threads of the bore of the second bone plate
so that the second end portion of the pin contacts the recess of the first bone plate,
wherein movement of the expansion member relative to the second bone plate causes the first distal end portion of the first
bone plate and the second distal end portion of the second bone plate to move toward each other to compress the fracture;
wherein the first bone plate comprises a first pivot bore positioned between the first proximal end portion and the first
distal end portion and the second bone plate comprises a second pivot bore positioned between the second proximal end portion
and the second distal end portion, the second pivot bore aligned with the first pivot bore such that a pivot device can be
positioned through the first pivot bore and the second pivot bore;

wherein the pivot device further comprises:
a first pivot member having a first head and a first shank, the first head received within the first pivot bore and the first
shank having a first plurality of threads; and
a second pivot member having a second head and a second shank, the second head received within the second pivot bore and the
second shank having a counterbore that defines a second plurality of threads; and
wherein the first pivot bore and the second pivot bore each comprise a third plurality of threads, and the pivot device comprises:
a first screw head cap having a fourth plurality of threads and a first bore, the fourth plurality of threads threadably coupable
to the third plurality of threads of the first pivot bore such that that the head of the first pivot member is received within
the first bore of the first screw head cap to retain the first pivot member within the first pivot bore; and

a second screw head cap having a fifth plurality of threads and a second bore, the fifth plurality of threads threadably coupable
to the third plurality of threads of the second pivot bore such that that the head of the second pivot member is received
within the second bore of the second screw head cap to retain the second pivot member within the second pivot bore.

US Pat. No. 9,060,788

PATIENT-SPECIFIC ACETABULAR GUIDE FOR ANTERIOR APPROACH

Biomet Manufacturing, LLC...

1. An orthopedic device for hip joint arthroplasty comprising:
a patient-specific acetabular guide having a dome-shaped body that includes a peripheral annular rim and an outer three-dimensional
surface configured to match an acetabulum of a specific patient's hip joint, wherein the outer three-dimensional surface is
reconstructed from three-dimensional medical images of the specific patient's hip joint according to a preoperative plan for
the specific patient;

a patient-specific registration guide configured to be removably attached to the peripheral rim and having surface that defines
a longitudinal bore defining a patient-specific alignment axis with an alignment orientation configured for guiding an acetabular
implant for the specific patient, the registration guide having a patient-specific undersurface configured to mate with a
corresponding surface of periacetabular surface of the acetabulum of the specific patient according to the preoperative plan
for the specific patient; and

a removable drill insert received in the longitudinal bore of the registration guide, wherein the removable drill insert includes
an insert bore received concentrically within the longitudinal bore for guiding drilling along the alignment axis exterior
to the patient-specific acetabular guide.

US Pat. No. 9,763,654

ADJUSTABLE ORTHOPAEDIC JOINT DISTRACTOR

Biomet Manufacturing, LLC...

1. An orthopaedic joint distractor, comprising:
a stem post defining a pivoting axis;
an actuator configured to cause translational movement of said stem post;
a locking sleeve holding said actuator and said stem post;
a distractor arc held by said locking sleeve orthogonally to said pivoting axis and having a surface; and
a first locking member held by said locking sleeve that is configured to be advanced away from and toward said surface, said
first locking member preventing rotation of said distractor arc about said pivoting axis when engaged with said surface;

wherein said distractor arc has a plurality of visual indicators on said surface that correspond to a plurality of discrete
locking positions of the distractor arc relative to the locking sleeve.

US Pat. No. 9,763,681

ORTHOPAEDIC AIMING DEVICE FOR COMPOUND SCREW TRAJECTORIES

Biomet Manufacturing, LLC...

1. An orthopaedic aiming device system, comprising:
a targeting device, including:
a curved portion with an end, a top surface, a bottom surface, and a first plurality of guide openings disposed therein that
extend from the top surface to the bottom surface, said curved portion defining an arced axis, each of said first plurality
of guide openings defining a guide axis that is perpendicular to the arced axis, wherein at least two first guide openings
have guide axes that intersect to form an acute angle;

a mounting portion connected to said end, said mounting portion having at least one mounting opening formed therethrough that
defines a mounting axis, said mounting axis being approximately orthogonal to at least one point on said arced axis;

at least one mounting pin at least partly disposed through at least one of said at least one mounting opening and said at
least one guide opening, wherein the at least one mounting pin comprises a distancing feature; and

an orthopaedic implant connected to said at least one mounting pin and having a first end, a second end and a plurality of
implant openings, said orthopaedic implant defining a transverse plane and said second end connecting to said at least one
mounting pin at least partly through one of said plurality of implant openings within said transverse plane.

US Pat. No. 9,603,613

PATIENT-SPECIFIC SACROILIAC GUIDES AND ASSOCIATED METHODS

Biomet Manufacturing, LLC...

1. A method for lumbopelvic fixation comprising:
providing a convertible patient-specific alignment guide for a patient's pelvis, the convertible patient-specific alignment
guide including first and second patient-specific portions coupled by a bridge;

intraoperatively selecting one of unilateral fixation, iliac fixation, sacral fixation and bilateral sacroiliac fixation procedure
for the patient; and

reconfiguring the convertible patient-specific alignment guide to a corresponding patient-specific alignment guide for the
selected fixation procedure.

US Pat. No. 9,539,013

PATIENT-SPECIFIC ELBOW GUIDES AND ASSOCIATED METHODS

Biomet Manufacturing, LLC...

1. A medical device for an elbow joint comprising:
a patient-specific alignment guide including a three-dimensional engagement surface customized in a pre-operating planning
stage by computer imaging to closely mate and conform to a corresponding bone portion of a patient's elbow joint, the patient-specific-alignment
guide defining a guiding bore for guiding a pin along a reference axis, wherein the reference axis is an anatomic axis of
rotation of the elbow joint, the patient-specific alignment guide defining a guiding surface for guiding a blade for a bone-cut
along a patient-specific resection plane, wherein the guiding bore and guiding surface are customized for the patient during
a preoperative planning stage.

US Pat. No. 9,474,539

PATIENT-SPECIFIC CONVERTIBLE GUIDES

Biomet Manufacturing, LLC...

1. A method of intraoperatively selecting between a partial knee arthroplasty and total knee arthroplasty comprising:
mounting a patient-specific three-dimensional surface of a convertible patient-specific guide in a unique position mating
to a corresponding surface of a distal femoral bone, the patient-specific guide including an anterior portion and a distal
portion with a patellofemoral guide portion;

selecting intraoperatively one of a total knee arthroplasty and a partial knee arthroplasty;
if total knee arthroplasty is selected, removing first and second covers from corresponding first and second distal guiding
bores and registering first and second distal pins through the first and second distal guiding bores; and

if partial knee arthroplasty is selected, removing the anterior portion along a frangible groove and using the patellofemoral
guide portion.

US Pat. No. 9,463,045

POLYAXIAL PIVOT HOUSING FOR EXTERNAL FIXATION SYSTEM

Biomet Manufacturing, LLC...

1. A polyaxial pivot housing for an external fixation system comprising:
a first plate;
a second plate substantially parallel to the first plate;
a spherical member positioned between the first and second plates, the spherical member having a threaded post that is configured
to attach to a support member of an external fixation frame; and

a pivotably rotatable locking arm, the locking arm being configured to rotate about a longitudinal axis of the spherical member
upon being pulled directionally toward the spherical member in order to orientationally lock the threaded post with respect
to the external fixation frame by compressing the first and second plates against the spherical member.

US Pat. No. 9,445,907

PATIENT-SPECIFIC TOOLS AND IMPLANTS

Biomet Manufacturing, LLC...

1. method of preparing a femoral neck for receiving a femoral neck implant comprising:
obtaining image data of a proximal femoral bone and the femoral neck of a specific patient using a medical imaging modality;
constructing a three-dimensional image model of the proximal femoral bone and neck of the specific patient using the image
data;

identifying a three-dimensional cortical boundary surface at an interface between cortical bone and cancellous bone of the
femoral neck of the specific patient using the three-dimensional image model;

resecting a femoral head from the femoral neck of a patient according to a pre-operative patient-specific plan;
removing only cancellous bone from the femoral neck and proximal femoral bone of the patient using a patient-specific broach
having a three-dimensional cutting surface matching as a negative mold the cortical boundary surface of the femoral neck;

selecting a patient-specific neck implant having a patient-specific length determined from the three-dimensional image model
of the specific patient; and

implanting the patient-specific neck implant having a three-dimensional outer surface matching as a negative mold the cortical
boundary surface of the femoral neck of the patient after the cancellous bone is removed.

US Pat. No. 9,427,241

PERIPHERAL PEG DRILL COMPONENT

Biomet Manufacturing, LLC...

1. A method for simultaneously drilling at least two peripheral peg holes in a bony surface, the method comprising:
providing a peripheral peg drill component including a housing with a first side, a second side opposite the first side and
at least two drill bits extending from the second side of the housing;

releasably coupling the first side of the peripheral peg drill component to a drilling device;
advancing the peripheral peg drill component over an alignment pin extending from a bony surface until each of the at least
two drill bits engage the bony surface;

actuating a driving mechanism of the peripheral peg drill component with the drilling device to cause the at least two drill
bits to rotate; and

simultaneously penetrating the bony surface with the at least two drill bits as they rotate.

US Pat. No. 9,820,776

RATCHETING STRUT

Biomet Manufacturing, LLC...

1. A ratcheting strut comprising:
a ratchet box defining a through passage, the through passage including a pair of diametrically opposed fins projecting from
an interior surface of the ratchet box;

a first tube sized to extend at least partially through the passage, the first tube including teeth configured to engage corresponding
teeth associated with the ratchet box and a pair of planar surfaces sized to rest against the pair of diametrically opposed
fins to limit rotation of the first tube;

a second tube mounted to the ratchet box in parallel with the first tube, the second tube operatively coupled to a second
fixation adapter; and

a threaded rod operatively coupled to a nut and a first fixation adapter, the threaded rod repositionably mounted to the first
tube;

wherein the nut is operatively coupled and repositionable with respect to the first tube.

US Pat. No. 9,757,238

PRE-OPERATIVE PLANNING AND MANUFACTURING METHOD FOR ORTHOPEDIC PROCEDURE

Biomet Manufacturing, LLC...

1. A pre-operative system for planning a method for orthopedic surgery, comprising:
a receiving device configured to receive pre-operative image data of an anatomic joint portion of a patient;
a processor in communication with the receiving device and configured to analyze the pre-operative image data and generate
a three-dimensional digital model of the anatomic joint portion based on the pre-operative image data; and

a display device configured to display the pre-operative image data and the three-dimensional digital model;
wherein the processor is configured to determine whether the pre-operative image data is sufficient to construct the three-dimensional
digital model of the anatomic joint portion, and if pre-operative image data is sufficient to generate the three-dimensional
mode of the anatomic joint portion, the processor is configured to generate a first surgical plan including a patient-specific
alignment guide having a three-dimensional patient-specific surface pre-operatively configured to nest and closely conform
to a corresponding surface of the anatomic joint portion of the patient in only one position relative to the anatomic joint
portion; and

if the processor determines that the pre-operative image data is insufficient to generate the three-dimensional digital mode
of the anatomic joint portion, the processor is configured generate a second surgical plan including a non-patient-specific
surgical implant.

US Pat. No. 9,585,758

KNEE PROSTHESIS SYSTEMS AND METHODS

Biomet Manufacturing, LLC...

1. A method for implanting a knee prosthesis, the method comprising:
providing a knee prosthesis system including a femoral component having a femoral box defining a first pair of passages, a
tibial component having a platform, a first femoral component insert having a first pair of closed walls, a second femoral
component insert having a second pair of walls that define a second pair of passages therethrough, wherein each of the first
femoral component insert and the second femoral component insert comprises a body configured to engage the tibial component
within the femoral box:

intraoperatively removing one of the first and second femoral component inserts from being secured adjacent the femoral box;
and

positioning and securing the other of the first and second femoral component inserts adjacent the femoral box; wherein the
removing and positioning converts the knee prosthesis system between a non-hinged configuration and a hinged configuration.

US Pat. No. 9,498,233

UNIVERSAL ACETABULAR GUIDE AND ASSOCIATED HARDWARE

Biomet Manufacturing, LLC...

1. An acetabular guide system for placing an alignment pin near an acetabulum, comprising:
an acetabular guide, including:
an exterior surface of the acetabular guide configured to have a geometry to substantially engage the acetabulum of a specific
patient, and

a central post extending from an interior surface of the acetabular guide; and
a pin guide, including:
a guide boss engageable with, and rotatable relative to, the central post of the acetabular guide;
a guide body extending from the guide boss operable to move relative to the guide boss;
a first arm extending directly from the guide body; and
a second arm extending directly from the first arm to the guide boss;
wherein the guide body defines a first bore to allow the alignment pin to pass through the guide body and engage a region
near the acetabulum, such that the guide boss is configured to disengage the central post while the pin remains engaged with
the region near the acetabulum.

US Pat. No. 9,498,341

LATENT MOBILE BEARING FOR PROSTHETIC DEVICE

Biomet Manufacturing, LLC...

1. A prosthetic device for an anatomical feature comprising:
a prosthetic member configured to be attached to the anatomical feature;
a bearing having a bearing surface configured to support an articulating surface for articulation thereon; and
a resorbable member sized and shaped to restrict a first degree of freedom of movement between the bearing and the prosthetic
member to a range, and prevent a second degree of freedom of movement between the bearing and the prosthetic member.

US Pat. No. 9,451,973

PATIENT SPECIFIC GLENOID GUIDE

Biomet Manufacturing, LLC...

1. A method of guiding an object toward a glenoid face of a scapula of a patient for implantation of a shoulder prosthetic
device, the method comprising:
nesting a first patient-specific surface of a first patient-specific portion of a guide tool to an acromion remote from the
glenoid face, the nesting occurring only when the first patient-specific surface of the first patient-specific portion is
in a single position relative to the glenoid face;

nesting a second patient-specific surface of a second patient-specific portion of the guide tool to the glenoid face, the
nesting occurring only when the second patient-specific surface of the second patient-specific portion is in a single position
relative to a surface of the portion of the scapula, the second patient-specific portion spaced apart from the first patient-specific
portion with a patient-generic portion therebetween, the guide tool configured such that nesting of the second patient-specific
portion occurs prior to nesting of the first patient-specific portion;

positioning a guide portion of the guide tool on the glenoid face; and
cutting the glenoid face with a patient-specific cutting surface of the guide portion.

US Pat. No. 9,339,278

PATIENT-SPECIFIC ACETABULAR GUIDES AND ASSOCIATED INSTRUMENTS

BIOMET MANUFACTURING, LLC...

1. A method for reaming and preparing an acetabulum of a patient for an acetabular implant, the method comprising:
engaging an acetabular area of the patient with a complementary surface of a patient-specific acetabular guide, the acetabular
guide designed during a preoperative plan from a reconstructed three-dimensional image of the patient's anatomy;

drilling a pilot hole in the acetabulum through a bore of a guiding element of the acetabular guide along a patient-specific
alignment axis determined by the guiding bore;

inserting first and second marker pins into an area outside the acetabulum of the patient through corresponding first and
second marker elements of the acetabular guide;

removing the acetabular guide; without removing the marker pins;
reaming the acetabulum;
sliding a secondary guide over the first and second marker pins; and
inserting an acetabular cup in the reamed acetabulum.

US Pat. No. 10,130,401

GROWTH CONTROL DEVICE

Biomet Manufacturing, LLC...

1. A growth control device comprising:a bone plate having a stepped profile defined by a first level, a second level and an intermediate ramp connecting the first and second levels, the intermediate ramp being angled relative to the first level and the second level such that the first and second levels are vertically displaced from one another in separate first and second planes defined by first and second bone facing surfaces respectively, the first and second planes extending through and parallel to the respective first and second levels, the first and second planes being substantially parallel to one another, the first level including a first threaded hole for receiving a first bone fastener, and the second level including a second threaded hole for receiving a second bone fastener,
wherein outer edges of the first level and the second level each defines first and second notches sized to receive pins defined by first and second legs of a holding device.

US Pat. No. 9,943,346

LOCKABLE INTRAMEDULLARY FIXATION DEVICE

Biomet Manufacturing, LLC...

1. An orthopedic device comprising:an intramedullary implant defining a longitudinal bore along a longitudinal axis and at least one bore formed along an axis for receipt of a fastener;
a fixation device receivable within the longitudinal bore, the fixation device having at least one guiding bore formed along a guiding axis transverse to the longitudinal axis; and
at least one collet received within the at least one guiding bore for positioning the fastener at a variable angle relative to the guiding axis of the fixation device and the axis of the intramedullary implant;
wherein the at least one guiding bore includes a collet retaining feature formed in at least a portion of the circumference of the at least one guiding bore that laterally extends in a direction normal to the guiding axis and couples the at least one collet to the at least one guiding bore for receipt of the fastener; and
wherein advancement of the fixation device in the longitudinal bore deforms the at least one collet to couple the fastener to the intramedullary implant.

US Pat. No. 9,744,047

IMPLANT FIXATION DEVICE

Biomet Manufacturing, LLC...

1. An acetabular cup implant comprising:
a curved outer surface;
a concave surface opposite to the curved outer surface, an axis of the acetabular cup implant extends through an axial center
of the concave surface; and

a retention component configured to compress along the axis and expand from the axis to engage surrounding bone or tissue
at an implantation site to secure the implant at the implantation site.

US Pat. No. 9,743,935

PATIENT-SPECIFIC FEMORAL VERSION GUIDE

Biomet Manufacturing, LLC...

8. An orthopedic assembly comprising:
a patient-specific guide having a three-dimensional contact surface preoperatively configured from medical scans of a specific
patient as a negative surface of a lesser trochanter of a proximal femoral bone of the patient according to a preoperative
surgical plan for the patient, the patient specific guide having a proximal planar surface configured for guiding a resection
of a femoral neck of the patient, the proximal planar surface configured to extend along less than an entirety of the femoral
neck;

a broach for a femoral stem implant, the broach having a proximal post; and
a version assembly having a body with an inner bore receiving the post of the broach.

US Pat. No. 9,687,261

DRILL GUIDES FOR CONFIRMING ALIGNMENT OF PATIENT-SPECIFIC ALIGNMENT GUIDES

Biomet Manufacturing, LLC...

1. An orthopedic method comprising:
intraoperatively nesting a three-dimensional patient-specific surface of a patient-specific alignment guide to a corresponding
surface of a bone, the three-dimensional patient-specific surface being preoperatively configured to align the patient-specific
alignment guide relative to the bone when nested to the corresponding surface in only one position, the patient-specific alignment
guide including a first referencing hole and a second referencing hole;

intraoperatively mounting a drill guide onto the patient-specific alignment guide by inserting first and second coupling members
of the drill guide into the first and second referencing holes, respectively, and aligning corresponding drill openings of
the first and second coupling members with the first and second referencing holes, respectively;

intraoperatively confirming that the patient-specific alignment guide is aligned relative to a mechanical axis of the bone
using an alignment confirmation feature of the drill guide, including passing a rod through an alignment opening of the alignment
confirmation feature confirming that a rod axis of the rod is parallel to the mechanical axis of the bone; and

drilling a hole into the bone through one of the drill openings after confirming that the patient-specific alignment guide
is aligned relative to the mechanical axis of the bone.

US Pat. No. 9,622,883

LONG BONE RESURFACING BONE LOCK

Biomet Manufacturing, LLC...

1. A method of locking an implant to a long bone structure, the method comprising:
excising a defective end of the long bone;
cutting a transverse slot in the long bone distally extending a distance from a resection line;
inserting a stem and anchor portion of the implant through the slot from a side of the long bone;
rotating the implant and locking the anchor to an interior of the long bone.

US Pat. No. 9,586,370

METHOD FOR MAKING ULTRA HIGH MOLECULAR WEIGHT POLYETHYLENE

Biomet Manufacturing, LLC...

11. A process for reducing or eliminating cavitation in a heat-treated UHMWPE product, the method comprising:
heating a consolidated UHMWPE at a temperature of 330° C. or higher while applying transverse pressure on the UHMWPE and simultaneously
leaving an axial direction of the UHMWPE unconstrained, to provide the heat-treated UHMWPE product;

wherein the heat-treated UHMWPE product has less cavitation than a heat-treated UHMWPE product made by a corresponding method
free of the transverse pressure.

US Pat. No. 9,549,768

MEDICAL IMPLANT SYSTEM FOR SECURING BONE FRAGMENTS

Biomet Manufacturing, LLC...

1. A medical implant system for securing bone fragments in position, said implant system comprising:
a bone plate including a groove;
a dynamic connector positioned within said groove of said bone plate, said dynamic connector including:
a tip end having a through-hole;
a tension spring having an end coupled to said tip end; and
a head coupled to an opposing end of said tension spring; and
an elongate flexible member extending through said through-hole of said tip end and secured to said head.

US Pat. No. 9,522,010

PATIENT-SPECIFIC ORTHOPEDIC INSTRUMENTS

Biomet Manufacturing, LLC...

1. A method of preparing a distal femur for a knee joint implant, the method comprising:
mounting a patient-specific bone engagement surface of a femoral alignment guide on a complementary surface of a distal femur
of a patient;

inserting first and second anterior alignment pins into an anterior surface of the distal femur through corresponding first
and second anterior guiding bores of the femoral alignment guide, wherein the first and second anterior alignment pins are
resorbable;

inserting first and second distal alignment pins into a distal surface of the distal femur through corresponding first and
second distal guiding bores of the femoral alignment guide, wherein the first and second distal alignment pins are resorbable;

supporting a distal cutting guide on the first and second anterior alignment pins;
passing a cutting blade through a cutting slot of the cutting guide; and
resecting the distal femur with the cutting blade by cutting through the alignment guide and the first and second distal alignment
pins to form a resected distal surface.

US Pat. No. 9,517,098

BONE FUSION DEVICE

Biomet Manufacturing, LLC...

1. A bone fusion device, comprising:
a first anchor for insertion into a first hole formed in a first phalange;
a second anchor for insertion into a second hole formed in a second phalange; and
a rod including a handle and a distal end, said rod including a breakaway portion between said handle and said distal end
allowing said handle to be manually separated from said distal end, said distal end adapted to couple the first anchor and
the second anchor rigidly to one another to enable fusion of the first phalange to the second phalange after the handle has
been manually separated from the distal end at the breakaway portion.

US Pat. No. 9,402,731

SPRING BASE GLENOSPHERE

Biomet Manufacturing, LLC...

1. A shoulder prosthetic comprising:
a shoulder bearing;
a glenoid coupling member defining: a bearing mounting surface, a glenoid interface surface, and a stem extending from the
glenoid interface surface along a longitudinal axis in a direction away from the bearing mounting surface;

an annular spring member disposed between the shoulder bearing and the glenoid coupling member; and
a bearing coupling member having an interface surface configured to engage the bearing mounting surface on the glenoid coupling
member, the bearing coupling member having a bearing coupling surface configured to mate to a corresponding surface on the
shoulder bearing and extending along the longitudinal axis into the stem,

wherein after implantation of the shoulder prosthetic, the annular spring member movably couples the shoulder bearing to the
glenoid coupling member along the longitudinal axis and absorbs impacts applied onto the shoulder bearing.

US Pat. No. 9,398,959

VARIABLE ANGLE HUMERAL COMPONENTS

Biomet Manufacturing, LLC...

1. A variable angle locking system for a humeral head including a head cavity and a humeral stem couplable to the humeral
head, the variable angle locking system comprising
a first washer including an exterior surface and interior threads;
an adaptor including a shelf portion and an elongated second washer, wherein the shelf portion is adapted to be received by
the head cavity of the humeral head, the shelf portion including an interior surface defining a threaded portion and a non-threaded
portion;

a cap having an interior surface and a threaded outer surface configured to engage the threaded portion of the shelf portion,
wherein the interior surface of the cap and the non-threaded portion of the shelf portion cooperatively define a distal cavity
when threaded; and

a screw configured to lock the humeral head with respect to the humeral stem, the screw including an elongated shaft portion
extending from a head portion including threads configured to engage the interior threads of the first washer, wherein the
first washer, a portion of the elongated second washer, and the head portion of the screw are disposed within the distal cavity.

US Pat. No. 10,085,842

METHOD AND APPARATUS FOR WRIST ARTHROPLASTY

Biomet Manufacturing, LLC...

1. A method of implanting a wrist prosthesis in a distal portion of an ulna for articulation at least near a radius and a carpal complex of a wrist joint, comprising:forming an incision near a distal portion of the radius and ulna joint;
resecting a distal portion of the ulna;
positioning a stage member in a fixed position relative to the ulna;
sliding a bearing member perpendicularly relative to a longitudinal length of the stage member to hold the bearing member relative to the stage member and the distal ulna such that an inner end surface of a stage mounting region of the bearing member abuts, in a directional perpendicular to the longitudinal length of the stage member and in the direction the bearing member is being slid, an end surface of a bearing mounting member extending from a surface of the stage member, and wherein the bearing member has an exposed bearing surface facing towards and configured to articulate with a natural distal radius or a distal radial implant;
fixing the bearing member to the bearing mounting member extending from the stage member; and
attaching soft tissue to at least one of the bearing member and the stage member.

US Pat. No. 9,844,439

MULTIPLE BEARING HUMERAL PROSTHESIS

Biomet Manufacturing, LLC...

1. A humeral implant system comprising:
a shell having:
a shell wall that extends from a distal apex portion to a distal rim defining a passage operable to receive a bearing, wherein
the shell wall has an internal shell wall surface defining an internal void having a concave spherical shape and an external
shell wall surface operable to engage the humerus,

a coupling stem configured to be coupled to the shell, and
a snap-ring connection mechanism formed in the shell near the distal rim;
a first bearing defining a concave bearing surface and a first bearing wall extending from a first bearing distal rim, the
first bearing wall defining a second snap-ring connection mechanism and a convex spherical shape complementary to the concave
spherical shape of the internal shell wall surface; and

a second bearing defining a convex articulating bearing surface and a second bearing wall extending from a second bearing
distal apex, the second bearing wall having a convex spherical shape complementary to the concave spherical shape of the internal
shell wall surface, a third snap-ring connection disposed between the convex articulating bearing surface and the second bearing
wall.

US Pat. No. 9,844,440

GLENOID IMPLANT

Biomet Manufacturing, LLC...

1. A glenoid implant comprising:
a body portion; and
a stem portion formed separately from the body portion and attachable to the body portion such that when attached, the stem
portion extends from the body portion along a longitudinal axis,

the body portion having an articular side and a bone-engaging side opposite the articular side,
at least a portion of the bone-engaging side disposed at a non-parallel angle relative to at least a peripheral edge of the
articular side,

the bone-engaging side including a bone-engaging surface that is convex at each location on the bone-engaging surface,
the bone-engaging surface extending fully around a periphery of the bone-engaging side,
the bone-engaging surface including a first portion and a second portion,
the first portion having a first peripheral edge disposed at a first angle ?1 relative to at least the peripheral edge of the articular side,

the second portion having a second peripheral edge disposed at a second, different angle ?2 relative to at least the peripheral edge of the articular side,

the body portion including a plurality of apertures extending through the body portion between the articular side and the
bone-engaging side,

the stem portion including a concavely radiused surface adjacent the bone-engaging side and encircling the stem portion, the
concavely radiused surface extending radially outward and intersecting at least one of the apertures.

US Pat. No. 9,827,106

IMPLANT WITH PATIENT-SPECIFIC POROUS STRUCTURE

Biomet Manufacturing, LLC...

1. An orthopedic implant manufactured for a specific patient comprising:
a femoral knee implant core having an interior multiplanar surface including a plurality of planar surfaces configured to
correspond to a plurality of corresponding resection planes of a distal femoral bone of the specific patient; and

a patient-specific porous construct including a plurality of layers attached to corresponding planar surfaces of the femoral
knee implant, each layer constructed to replicate a three-dimensional porous structure of a bone layer along a corresponding
resection plane of femoral bone, the porous structure determined from medical imaging scans of the un-resected femoral bone;

wherein the patient-specific porous construct three-dimensionally varies throughout each layer in a patient-specific manner
according to the three-dimensional porous structure of the bone layer.

US Pat. No. 9,820,853

ACETABULAR CUP SYSTEM

Biomet Manufacturing, LLC...

1. A system for replacing a hip joint, the system comprising:
a first femoral hip prosthesis including a first femoral head shaped to have a first femoral head outer diameter;
a first bearing shaped to have:
a first bearing inner diameter the same as the first femoral head outer diameter, and a first bearing outer diameter;
a first acetabular cup configured to cooperate with the first bearing and the first femoral head, the first acetabular cup
being formed of a first material and shaped to have:

an inner diameter the same as the first bearing outer diameter; and
a first outer diameter; and
a second acetabular cup configured to cooperate with the first bearing and the first femoral head, the second acetabular cup
being formed of a second material having a lower stiffness per unit thickness than the first material, and shaped to have:

an inner diameter the same as the first bearing outer diameter; and
a second outer diameter greater than the first outer diameter, the second outer diameter being selected so that the second
acetabular cup has a stiffness that matches a stiffness of the first acetabular cup.

US Pat. No. 9,610,164

STIFFENING STRUCTURE IN A PROSTHETIC MEMBER

Biomet Manufacturing, LLC...

1. A prosthesis system, comprising:
a solid section having an internal surface and a solid external surface;
a support member formed with and extending from the solid external surface, the support member including at least one sidewall
extending from the solid external surface, the support member comprising a plurality of strips forming a lattice;

a porous section formed with the solid section and on the solid external surface and the support member;
wherein a porous external surface of the porous section is substantially equal in distance from the internal surface at a
first point over the support member and at a second point over the external surface.

US Pat. No. 9,456,900

METHOD AND APPARATUS FOR HARVESTING CARTILAGE FOR TREATMENT OF A CARTILAGE DEFECT

Biomet Manufacturing, LLC...

1. A method for treating a cartilage defect, comprising:
identifying an area of excessive boney growth in a patient, the excessive boney growth area being covered with articular cartilage;
determining whether the excessive boney growth area is suitable for harvesting;
harvesting a portion of the articular cartilage from the excessive boney growth area;
identifying an area of cartilage damage in the patient; and
implanting the portion of the articular cartilage into the area of cartilage damage.

US Pat. No. 10,022,166

METHOD AND APPARATUSES FOR ANGULAR AND ROTATIONAL CORRECTION OF THE FEMUR

Biomet Sports Medicine, L...

1. An apparatus for changing an orientation of a first portion of a femur relative to a second portion of the femur, the apparatus comprising:a single piece intramedullary nail insertable into an intramedullary canal of both the first portion of the femur and the second portion of the femur, the intramedullary nail having a first section disposed between a proximal end and a distal end thereof, the first section having at least one surface that is angled relative to a longitudinal axis of the intramedullary nail; and
a jig coupled to and rotatable about the intramedullary nail to change a rotational position of the first portion of the femur relative to the second portion of the femur, wherein the proximal end, the distal end and the first section of the intramedullary nail all share the longitudinal axis in common both before the rotational position of the first portion of the femur is changed relative to the second portion of the femur and after the rotational position of the first portion of the femur is changed relative to the second portion of the femur to achieve a desired position.

US Pat. No. 9,861,387

PATIENT-SPECIFIC KNEE ALIGNMENT GUIDE AND ASSOCIATED METHOD

Biomet Manufacturing, LLC...

1. A method of preparing a knee joint for a prosthesis in a patient, the method comprising:
mating a patient-specific three-dimensional curved inner surface of a femoral alignment guide onto a corresponding three-dimensional
femoral joint surface of a patient, the patient-specific three-dimensional curved inner surface preoperatively configured
from medical scans of the knee joint of the patient;

drilling first and second guiding holes into an anterior portion of the femoral joint surface through corresponding first
and second guiding apertures of the femoral alignment guide, the first and second guiding apertures being preoperatively configured
for locating a femoral resection of the patient according to the medical scans of the patient and a preoperative surgical
plan for the patient;

inserting first and second guiding pins through the corresponding first and second guiding apertures and the first and second
guiding holes, wherein each of the first and second guiding apertures have an open perimeter only partially surrounded by
the femoral alignment guide so as to form an open portion;

drilling third and fourth guiding holes into a distal portion of the femoral joint surface through corresponding third and
fourth guiding apertures of the femoral alignment guide;

inserting fasteners through the third and fourth guiding apertures of the femoral alignment guide and into the third and fourth
guiding holes to secure the femoral alignment guide to the femoral joint surface; and

removing the femoral alignment guide without removing the first and second guiding pins by allowing the first and second guiding
pins to exit through the open portions of the first and second guiding apertures of the femoral alignment guide without removing
the first and second guiding pins from the first and second guiding holes.

US Pat. No. 9,844,451

MODULAR TRANSDERMAL COMPRESS DEVICE

Biomet Manufacturing, LLC...

1. A modular transdermal assembly configured to couple an external prosthetic device to a bone stump comprising:
a modular transdermal portion including an interface portion configured to couple with the external prosthetic device, the
modular transdermal portion having an outer tapered surface; and

a bone fixator configured to be secured to the bone stump and couple with the modular transdermal portion to retain the modular
transdermal portion relative to the bone stump; and

a modular skin integration component configured to couple with the modular transdermal portion, the modular skin integration
component having an annular shape defining a center bore, wherein the center bore includes an inner tapered surface sized
and shaped to interface with the outer tapered surface of the modular transdermal portion;

wherein the modular transdermal portion is selected from a plurality of modular transdermal portions having different lengths
to have a desired length based on a distance between a distal end of the bone stump and a distal portion of skin opposite
to the distal end of the bone stump.

US Pat. No. 9,743,940

PATIENT-SPECIFIC PARTIAL KNEE GUIDES AND OTHER INSTRUMENTS

Biomet Manufacturing, LLC...

1. A surgical system for unicompartmental knee arthroplasty comprising:
a patient-specific unicompartmental tibial guide having a patient-specific body with an inner surface preoperatively configured
to nestingly conform and mate in only one position with an anterior portion and a proximal portion of a tibial bone of a specific
patient, the tibial guide including a proximal-distal resection channel having a first width formed between first and second
flanges of the tibial guide, the proximal-distal resection channel being open in a proximal-distal direction; and

a cutting insert having a first plate receivable in the proximal-distal resection channel to occupy a portion of the first
width of the resection channel to form a second width smaller than the first width.

US Pat. No. 9,763,793

KNEE JOINT PROSTHESIS SYSTEM AND METHOD FOR IMPLANTATION

Biomet Manufacturing, LLC...

1. A method for preparing at least a first bone for receiving a prosthesis, the method comprising:
coupling a revision alignment member to a template;
positioning an offset alignment bushing relative to the revision alignment member;
positioning the offset alignment bushing at the first bone such that an intramedullary (lM) member seated in the first bone
extends through a passage defined by the offset alignment bushing;

securing the template to the first bone;
replacing the offset alignment bushing with a first bone cutting bushing;
cutting the first bone using the first bone cutting bushing as a guide;
replacing the first bone cutting bushing with an offset second bone cutting bushing;
providing the offset second bone cutting bushing with a rotational orientation corresponding to a rotational orientation of
the offset alignment bushing; and

cutting the first bone using the offset second bone cutting bushing as a guide to prepare the bone to receive the prosthesis
with an offset adapter.

US Pat. No. 9,763,806

METHOD AND APPARATUS FOR IMPLANTING A PROSTHESIS

Biomet Manufacturing, LLC...

1. A system to position an acetabular cup prosthesis in a subject, comprising:
a rod extending from a first threaded end of the rod to a second end of the rod;
a handle member distinct from the rod and extending from a first end of the handle member to a second end of the handle member
and defining an internal bore configured to receive at least a portion of the rod, wherein an outer wall of handle member
at the first end of the handle member defines a keyed configuration;

a connection mechanism to interconnect the rod within the bore of the handle member, the connection mechanism including a
locking sleeve and a bearing member configured to be urged into contact with the rod by the locking sleeve for locking the
rod axially within the bore of the handle member; and

an acetabular cup prosthesis threaded onto the first threaded end of the rod to axially fix the acetabular cup prosthesis
relative to the rod, wherein the acetabular cup prosthesis includes a keyed depression that is configured to receive the keyed
configuration at the first end of the handle member for rotationally fixing the acetabular cup prosthesis relative to the
handle member when the keyed configuration is received in the keyed depression,

wherein the rod is configured to be moved within the bore of the handle member to move the first threaded end of the rod from
a first pre-selected axial position relative to the handle member to at least a second pre-selected axial position relative
to the handle member, wherein the rod is movable back and forth between the first pre-selected axial position and the second
pre-selected axial position, wherein the first pre-selected axial position is at a different axial position relative to the
handle member than the second pre-selected axial position, and wherein the rod is lockable within the bore of the handle member
when the first threaded end of the rod is at the first pre-selected axial position and when the first threaded end of the
rod is at the second pre-selected axial position,

wherein, when the first threaded end of the rod is in the second pre-selected axial position relative to the handle member,
the keyed configuration at the first end of the handle member is received in the keyed depression of the acetabular cup prosthesis
to rotationally fix the acetabular cup prosthesis relative to the handle member.

US Pat. No. 9,750,514

X-RAY BASED CUTBLOCK POSITIONING JIG

Biomet Manufacturing, LLC...

8. A method for preparing a knee joint of a patient to receive an implant comprising:
identifying an anterior cortex of a diaphysis of a patient's femur based on an x-ray of the patient;
determining one or more of a proper flexion/extension gap, varus/valgus alignment, and a tibial slope of rotation of the knee
joint based on the x-ray of the patient;

determining knee bone cuts in the knee bone for positioning the implant in a patient-specific orientation based on one or
more of a location of the anterior cortex, the flexion/extension gap, the varus/valgus alignment, and the tibial slope of
rotation of the knee joint; and

arranging a positioning guide on the knee bone at a predetermined position therefrom by setting one or more alignment members
of the guide to a predetermined setting as determined by a preoperative plan for use of the positioning guide, the positioning
guide is configured to direct one or more fixation members to the knee bone sufficient to mount a cut block to the knee bone
in a position suitable to guide a cutting device to the knee bone to make one or more desired knee bone cuts.

US Pat. No. 9,717,510

PATIENT-SPECIFIC NUMERICALLY CONTROLLED INSTRUMENT

Biomet Manufacturing, LLC...

1. A method for preparing a bone of a joint of a patient comprising:
mounting a patient specific reference guide on a bone of a joint of a patient, the patient specific reference guide having
a three-dimensional inner surface preoperatively configured to mate and closely nest to a corresponding surface of the bone
only in one position, wherein mounting the patient specific reference guide on a bone of a joint of a patient includes mounting
the reference guide on a femoral head surface of the patient, and wherein the reference guide is configured for mating with
the femoral head surface of the patient;

coupling a housing of a numerically-controlled instrument to a connecting portion coupled to an outer surface of the reference
guide;

automatically registering the numerically controlled instrument to the bone by coupling the housing to the reference guide
and without intraoperative computer-aided navigation;

coupling a cutting tool to the housing;
guiding the cutting tool along a patient-specific tool path using the numerically-controlled instrument while the housing
is mounted to the reference guide, the patient-specific tool path determined preoperatively and stored in the numerically-controlled
instrument; and

preparing a portion of the bone using the cutting tool.

US Pat. No. 9,700,422

SHOULDER PROSTHETIC

Biomet Manufacturing, LLC...

1. A shoulder implant assembly comprising:
a humeral stem configured to be inserted into a humerus bone;
a polymeric head including:
a metal substrate having a knurled surface;
a convex outer surface surrounding the knurled surface;
a female taper; and
a generally planar base having the female taper extending therefrom;
a cup having a concave surface configured to articulate with the polymeric head; and
a taper adaptor configured to mate with the female taper of the polymeric head, the taper adaptor configured to connect the
polymeric head to the stem when the cup is connected to a glenoid, and the taper adaptor configured to connect the polymeric
head to the glenoid when the cup is connected to the humeral stem.

US Pat. No. 9,693,881

KNEE SIZING AND BALANCING INSTRUMENT

Biomet Manufacturing, LLC...

1. An orthopedic instrument for knee arthroplasty comprising:
an anterior-posterior sizer assembly having a stylus, a sizer body including medial and lateral posterior feet extending substantially
perpendicularly from the sizer body, and a sizer slider slidable relative to the sizer body along a medial-lateral direction
relative to a patient's knee, the sizer body having a channel therethrough;

a tensor assembly including a tensor frame having a central portion, medial and lateral wings extending at an angle from the
central portion, a tab extending from the central portion between the medial and lateral wings and having an elongated aperture,
and medial and lateral posterior feet extending substantially perpendicularly to the central portion;

a knob rotatably coupled to the tensor assembly, the knob having a cam groove on a side facing the sizer body; and
a cam slider slidably supported in the channel of the sizer body in a medial-lateral direction, the cam slider including a
first post guidable by the cam groove of the knob and a second post movably received in the elongated aperture of the tensor
frame, such that rotating the knob rotates the sizer body relative to the tensor frame and changes a relative gap between
the corresponding posterior feet of the sizer body and the tensor frame.

US Pat. No. 9,642,710

HUMERAL IMPLANT HAVING A FLOATING BEARING

Biomet Manufacturing, LLC...

1. An implant comprising:
a fixed bearing defining a first spherical articulating surface and a stop;
a floating bearing having a second spherical articulating surface and a planar articulating bearing surface, the stop of the
fixed bearing arranged to limit a range of motion of the first spherical articulating surface relative to the second spherical
articulating surface; and

a coupling member defining a bearing surface that translates relative to the planar articulating bearing surface, wherein
the bearing surface is configured to be slidably coupled to the planar articulating bearing surface such that, upon implantation,
the floating bearing is translatable between a first position to a second position.

US Pat. No. 9,662,127

PATIENT-SPECIFIC ACETABULAR GUIDES AND ASSOCIATED INSTRUMENTS

Biomet Manufacturing, LLC...

1. A surgical system for preparing a surface of a joint to receive an implant, the surgical system comprising:
a guide for a hip joint surface of a patient, the guide configured to engage the hip joint surface of the joint and having
a guiding element oriented along an alignment axis;

a guiding tool having a shaft couplable to the guiding element of the guide such that the shaft of the guiding tool is oriented
along the alignment axis; and

a three-dimensional orientation device having a transparent outer surface and an inner bubble viewable through the outer surface,
the orientation device removably couplable to the shaft of the guiding tool and intra-operatively calibrated by marking with
a mark on the outer surface a position of the bubble to indicate an orientation of the alignment axis, such that, after calibration,
the orientation device can be removably coupled to a shaft of a surgical instrument to align the shaft along the alignment
axis by changing the orientation of the shaft of the surgical instrument to center the bubble around the mark.

US Pat. No. 9,662,216

PATIENT-SPECIFIC HIP JOINT DEVICES

Biomet Manufacturing, LLC...

1. An implant for a femoral head, the implant comprising:
a shell, having, a first surface configured to replace a defective area of a bone defect of a portion of an articulation surface
of the femoral head, the first surface being patient-specific to the portion of the articulation surface of the femoral head
and configured to conform with the patient's acetabulum for partial articulation thereon, wherein the patient-specific first
surface is a three-dimensionally curved articulation surface that is configured to replace the defective area of the femoral
head with a continuation of a healthy bone surface;

a patient-specific periphery mateable with a periphery of the bone defect, such that the first surface is configured to be
continuous at the periphery of the bone defect to a remaining healthy surface of the articulation surface of the femoral head
and the implant is configured to replace and correct the bone defect to allow for full articulation with the patient's acetabulum;
and

a second surface opposite the first surface and configured to engage bone underlying the bone defect.

US Pat. No. 9,615,930

VARIABLE ANGLE REVERSE HUMERAL TRAY

Biomet Manufacturing, LLC...

1. A partial reverse shoulder prosthesis comprising:
a humeral stem; and
a variable angle tray adapted to be coupled to the humeral stem, the variable angle tray comprising:
a plate including a through hole at least partially defined by a wall that at least partially defines an internal cavity,
the through hole including at least two cutouts oriented horizontally across from one another; and

a variable angle stem occupying at least a portion of the internal cavity, the variable angle stem being selectively axially
repostionable with respect to the plate to change the axial position of the variable angle stem with respect to the plate,
the variable angle stem comprising:

a first washer including threads at least partially defining a first opening and being insertable into the internal cavity;
a post at least partially occupying the internal cavity, the post including a tapered crown and an appendage axially extending
from the plate, where the appendage is sized to be received by the humeral stem via a friction fit; and

a pin including a threaded head and a longitudinal shaft extending from the threaded head, the pin being insertable into the
first opening, where the threaded head is sized to engage the threads of at least one of the first washer and the post;

wherein the wall is sized to retain the first washer and at least a portion of the post within the through hole.

US Pat. No. 9,615,942

METHOD AND APPARATUS FOR TRIALING AND IMPLANTING A MODULAR FEMORAL HIP

BIOMET MANUFACTURING, LLC...

1. A modular femoral hip implant trialing system comprising:
a proximal alignment jig portion including a support device operable to support a proximal body having a distal stem mounted
thereto, the proximal alignment jig portion including a mounting knob configured to directly engage the proximal body to retain
the proximal body relative to the proximal alignment jig portion;

a distal alignment jig portion including an alignment guide configured to be positioned beneath and in direct contact with
a distal tip of the distal stem when the mounting knob is engaged with the proximal body, so as to identify a first orientation
of the distal stem relative to the proximal body, the orientation identified by relative positions of the distal tip relative
to features of the alignment guide, wherein the alignment guide is axially aligned with the support device; and

a support base connecting the proximal alignment jig portion to the distal alignment jig portion.

US Pat. No. 9,597,201

PATIENT-SPECIFIC ACETABULAR GUIDE FOR ANTERIOR APPROACH

Biomet Manufacturing, LLC...

1. An acetabular guide system, comprising:
an acetabular guide, including:
an exterior surface configured to have a geometry to substantially engage the acetabulum of a specific patient;
a central post extending from an interior surface of the acetabular guide;
a second post extending from the interior surface of the acetabular guide substantially parallel to but offset relative to
the central post along a radial direction; and

a guide inserter having an elongated shaft defining an internal bore; wherein the internal bore of the elongated shaft is
configured to engage an exterior surface of the central post to move the acetabular guide into the acetabulum.

US Pat. No. 9,572,686

CARTILAGE REPAIR SYSTEM WITH FLEXIBLE TREPHINE

Biomet Manufacturing, LLC...

1. A system for repairing cartilage comprising:
a flexible trephine having a passage extending along a longitudinal axis of the trephine, a distal end, and a proximal end,
the distal end including a cutting member operable to cut a cartilage plug from a donor site, the passage operable to receive
the cartilage plug, the trephine being flexible to selectively move between a first position at the donor site in which the
longitudinal axis is substantially linear and a second position at an implant site in which the longitudinal axis is nonlinear;

a first guide tool that is removably coupled to the trephine, the first guide tool operable to selectively move a distal end
of the trephine between the first and second positions;

a second guide tool including a rigid cannulated tube with a non-linear longitudinal axis, the trephine capable of being removably
received within the tube to guide the trephine along the non-linear longitudinal axis as the distal end of the trephine advances
in the tube from the first position to the second position; and

an ejector tool that ejects the cartilage plug from the passage toward a defect site.

US Pat. No. 9,510,950

MODULAR LATERAL HIP AUGUMENTS

Biomet Manufacturing, LLC...

1. A femoral implant for a hip, comprising:
a proximal femoral body implant comprising:
a proximal femoral body portion including a lateral side and a medial side;
a distal stem coupled to the proximal femoral body portion; and
a femoral head coupled to a neck portion of the proximal femoral body portion;
a lateral plate coupled to the lateral side of the proximal femoral body portion, the lateral plate comprising:
a proximal end, a distal end, a lateral surface and a medial surface opposite the lateral surface, wherein the medial surface
is configured to be positioned adjacent to at least the lateral side of the proximal femoral body implant;

a projection extending from the medial surface and having a shape adapted to mate with a complementary shaped recess formed
in the lateral side of the proximal femoral body implant;

an aperture positioned in the lateral plate and extending through the projection such that the aperture is adapted to be coaxially
aligned with a lateral bore formed in the proximal femoral body implant;

one or more threaded bores extending from the lateral surface, each of the threaded bores being configured to receive a plate
fastener for securing soft tissue to the lateral surface;

one or more plate fasteners for securing soft tissue to the lateral surface when fastened to said one or more threaded bores;
and

one or more washers for use with the one or more plate fasteners; and
an implant fastener received through the aperture and adapted to be threadably secured to the lateral bore of the proximal
femoral body implant,

wherein at least one of the medial and lateral surfaces of the lateral plate defines a soft tissue attachment surface,
wherein the proximal end of the lateral plate extends beyond a proximal end of the proximal femoral body implant, and
wherein the projection includes a tapered cylindrical portion and the recess in the proximal femoral body implant includes
a complementary shaped tapered counterbore adapted to receive the tapered cylindrical portion in a press fit configuration.