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Inventing in Orthopaedics: From Idea to Marketed Device
Peter M. Bonutti, MD1; Thorsten M. Seyler, MD2; Paul D. Bianco, PhD, JD3; Slif D. Ulrich, MD2; Michael A. Mont, MD2
1 Bonutti Clinic, P.O. Box 1387, 1303 Evergreen Avenue, Effingham, IL 62401
2 Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, 2401 West Belvedere Avenue, Baltimore, MD 21215. E-mail address for M.A. Mont: mmont@lifebridgehealth.org
3 Fleit, Kain, Gibbons, Gutman, Bongini and Bianco, P.L., 21355 East Dixie Highway, Suite 115, Miami, FL 33180
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Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, division, center, clinical practice, or other charitable or nonprofit organization with which the authors, or a member of their immediate families, are affiliated or associated.

The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2008 Jun 01;90(6):1385-1392. doi: 10.2106/JBJS.G.01407
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Over the past several decades, the field of orthopaedics has been transformed by new devices, surgical techniques, and treatment modalities. Many of these advancements began with an idea often originating from an orthopaedic surgeon. The subspecialties of total joint arthroplasty and spine surgery have many examples of strong collaborations between surgeons and industry. The development of new total joint replacements as well as techniques for spinal fusion and disc replacements that have occurred over the past twenty years have often been the result of implants that were developed by a single surgeon and then were sold to companies. Major advances in these areas have also occurred when companies have worked with surgeon design teams, sometimes as consultants, to optimize an idea, design, instrumentation, or technique, as well as to refine these ideas in an iterative manner to improve the overall clinical results.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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