Abstract: An implant delivery system comprises an elongate tubular member having a lumen, a tubular implant coaxially disposed within the lumen of the elongate tubular member, and a delivery assembly having a distal portion coaxially disposed within tubular implant. The delivery assembly comprises a delivery wire, an engaging bumper fixedly coupled to the delivery wire, a stopper bumper fixedly coupled to the delivery wire, and a floating element slidably coupled around the delivery wire and disposed between the bumpers, thereby limiting linear translation of the floating element therebetween. The floating element has an engaging portion configured to engage the engaging bumper when the delivery wire is axially translated relative to the elongate member in a first direction. The floating element is configured to radially expand outward to frictionally engage the implant when the engaging portion of the floating element engages the engaging bumper.

Abstract: A surgical sagittal saw blade cartridge that includes a guide bar formed from an inner layer and opposed outer plates. The inner layer comprising an outer tine extending distally from the proximal end of the guide bar. An outer surface of the outer tine forms a section of a side surface of the guide bar. A side weld may be formed along the side surface of the guide bar. The cartridge may include a blade coupled to the guide bar, the blade comprising a web disposed between the two outer plates. The blade may include a blade head integral with and located distal to the web, the head formed with teeth located distal to the guide bar, the teeth having a sufficient thickness to form a kerf able to receive the guide bar. A method of forming the cartridge is also contemplated, including welding the inner layer to the outer plates.

Abstract: A cutting assembly configured to be removably coupled to a drive assembly of a surgical instrument. An inner tube is coaxially and rotatably disposed within an outer tube and defines a lumen in communication with a cutting window. A drive hub is coupled to a proximal end of the inner tube to define a suction path through the hub member and the inner tube. A hub member of the drive hub defines a first aperture, and further defines a reduced aperture. A diameter of the lumen of the inner tube is less than the inner diameter of the reduced aperture of the drive hub such that resected tissue moves from smaller to larger cross sectional portions of the suction path at an interface between the drive hub and the inner tube. The drive hub may include a lip disposed within the suction path with the inner tube abutting the lip.

Abstract: A surgical instrument configured to be coupled to an ultrasonic oscillation mechanism for resection of tissue under suction. A tip extends from a shaft and includes teeth formed by slots. Each of the teeth includes a distal end, a distal cutting edge, and a side cutting edge. The distal cutting edge and the side cutting edge are configured to slice the tissue with the tip moving in a first direction of combined longitudinal and torsional vibration and pull the tissue with the tip moving in the second direction opposite the first direction. An intersection of an outer edge, the distal cutting edge, and the side cutting edge defines a sharp cutting point at the distal end. A sloped surface defining the slot maintains coupling of the tip with the tissue with suction during resection of the tissue with the distal cutting edge and the side cutting edge.

Abstract: An external fixation system includes first and second fixation members having first and second pluralities of mounting holes, respectively. The first and second plurality of holes are configured to receive first and second ends of a plurality of struts, each strut having a default or initial mounting position. A simulation of the correction may be performed with the struts in the default positions, but it may be determined that the correction is not achievable. Additional simulations of the correction may be performed with the ends of the struts in different mounting positions to determine if other mounting positions of the struts allow the correction to be completed. During the correction, if one of the struts reaches a maximum length, it may be disconnected and reconnected to a different mounting hole so that, after being reconnected, the strut may be further increased in length to continue the correction.

Abstract: A cranial burr hole plate is provided, the burr hole plate comprising a plate body and a plurality of spikes extending from the plate body. The spikes are configured to engage cranial bone, wherein the burr hole plate is deformable to enable movement of the spikes from a burr hole disengaging configuration to a burr hole engaging configuration upon deformation of the burr hole plate. Also provided is a deformation instrument for moving the spikes of a cranial burr hole plate into the burr hole engaging configuration is provided. Moreover, a cranial burr hole plating system is provided that comprises the cranial burr hole plate and the deformation instrument.

Abstract: An orthopedic locking screw is configured to be retained inside a bore of an orthopedic implant. The orthopedic locking screw includes a shaft extending axially, a casing secured around an outer surface of the shaft, a deformable thread disposed along an outer surface of the casing, and a forward external thread disposed on the shaft. The forward external thread has a pitch that is different from a pitch of the deformable thread of the casing. Further, an orthopedic locking screw is provided, wherein projections and the casing are alternately arranged on the outer surface of the shaft.

Abstract: A vaso-occlusion system for occluding an aneurysm includes a delivery catheter having a delivery lumen extending therethrough, a pusher member at least partially extending through the delivery lumen, and a vaso-occlusive device loaded within the delivery lumen, the vaso-occlusive device comprising an expandable braid formed out of a plurality of elongate braid filaments, the elongate braid elements having respective proximal end portions that are formed into a flexible transition section having a proximal end portion attached to a distal end of the pusher member and/or to an elongate central member coupled to, and extending distally of, the pusher member.

Abstract: A surgical navigation system is provided. The surgical navigation system comprises a camera system comprising at least one camera. The camera system is capable of capturing images of light that is filtered through at least three different polarization angles. The surgical navigation system further comprises a processor having access to three dimensional image data of a surgical object. The processor is configured to determine first surface normals from the three dimensional image data of the surgical object. The processor is further configured to determine second surface normals from at least three images captured by the camera system of the surgical object under different polarization angles. The processor is configured to align the first surface normals with the second surface normals. Furthermore, a method for operating a surgical navigation system is provided.

Abstract: Described herein are systems and methods in which a surgeon can use computer-implemented deformity assessment and correction tools to create 3D models of a bone. To ensure adequate healing, a surgeon may choose to use a prefabricated bone plate, a semi-customized bone plate, or a fully-customized bone plate to hold first and second bone portions in a corrected position. To select the appropriate prefabricated bone plate, the surgeon may identify three landmark locations on the first and second bone portions corresponding to desired fixation hole locations on the bone plate. The surgeon can then use a software application to evaluate multiple bone plate designs in a library and compare the average proximity of the landmark locations to fixation hole locations on each of the bone plate designs. Then, the surgeon can determine which bone plate design best fits the patient anatomy based on his comparison.

Abstract: A surgical system includes an implant having a first attachment mechanism and an insertion instrument having a proximal end, a distal end, and a second attachment mechanism disposed at the distal end for removable connection with the first attachment mechanism. The proximal end of the insertion instrument is pivotable with respect to the implant. The insertion instrument can include an inserter and a guide. A method of using the surgical system is provided.

Abstract: A cutting assembly including a grip. A tube assembly includes an outer tube, and an inner tube configured to be rotated by a motor of a drive assembly. The grip includes a nose portion defining an aperture from which the tube assembly extends distally, and an intermediate portion forming with the nose portion an open area ledge. The open area ledge may be sized to receive a connecting hub configured to be removably coupled to a housing of the drive assembly. A coupling member of the connecting hub may include a flange disposed within the open area ledge. A manually movable member is configured to rotate the outer tube about a longitudinal axis. The manually movable member may be positioned between the nose portion and the flange. The manually movable member may include a gripping surface positioned radially outwardly relative to sides of the nose portion.

Abstract: In one embodiment, an expander set includes a first and second expander. The first expander includes an outer surface having a first engagement feature and a groove and the second expander includes an inside surface having a second engagement feature adapted to engage with the first engagement feature. The inside surface of the second expander is shaped to correspond to a portion of the outer surface of the first expander. Additionally, the groove on the outer surface of the first expander is sized and shaped to accommodate a rod of a retraction system such that when the first expander is advanced within the retraction system, the rod remains within the groove. When the first and second expanders are engaged with one another, they define an oblong cross-section.

Abstract: A cutting assembly for a surgical instrument. A tube assembly includes an outer tube having an outer cutting window, and an inner tube coaxially disposed within and rotatable relative to the outer tube. The inner tube includes an inner cutting window such that the inner and outer cutting windows define a cutting window of the tube assembly. A portion of the inner tube distal a proximal boundary of the cutting window may define a distal region of the inner tube. A projection is within a lumen of the inner tube with at least a portion of the projection disposed within the distal region. The projection may be an insert. The projection occupies a volume of the distal region and/or reduces a cross-sectional area of the lumen distal to the proximal boundary. The projection reduces the size of material removed through the cutting window to reduce clogging of the tube assembly.

Abstract: An irrigation sleeve, for use with a surgical system that comprises an irrigation source and a surgical tool having a tube to support a cutting accessory having a head, in turn comprises a body extending between proximal and distal ends. A first lumen formed in the body receives the tube. The head is adjacent the distal end. A second lumen formed in the body is spaced from the first lumen and comprises proximal and distal regions thereof. The proximal region of the second lumen extends from an inlet for fluid communication with the source, to a transition. The distal region of the second lumen is spaced out of fluid communication with the first lumen and extends from the transition to an outlet to direct fluid adjacent to the head.

Abstract: A spinal implant including porous and solid portions is disclosed. The implant includes porous portions on upper and lower surfaces and in an interior thereof. Methods of manufacturing and implanting such implants are also disclosed.

Abstract: The present disclosure provides a foam nasal dressing for topically administering an active agent to a nasal cavity and for absorbing fluid discharge. The foam nasal dressing comprises a foamed core portion and a foamed shell portion arranged such that the foamed core portion is at least partially disposed within the foamed shell portion. The foamed shell portion has a porosity of greater than 80% and comprises a first phase-separated polymer and FIG. 1A an active agent. The foamed core portion comprises a second phase-separated polymer with the first and second phase-separated polymers being the same or different. The present disclosure also provides a method of forming the foam nasal dressing.

Abstract: An insert for receipt within a plate aperture having an inner wall along the plate aperture includes a body and collar. The body has inner and outer surfaces. The inner surface defines an insert aperture having a longitudinal axis. The collar extends from the outer surface in a first radial direction perpendicular to the longitudinal axis and extends along only a portion of the outer surface in a second radial direction transverse to the first radial direction and the longitudinal axis. The collar defines a first radial distance from the longitudinal axis at a first position of the collar and a second radial distance from the longitudinal axis at a second position of the collar that differs from the first radial distance. A fixation system includes the plate and insert which is receivable within the plate aperture such that the collar contacts and is slideable along the inner wall.

Abstract: A prosthesis for spinal surgery includes a spacer adapted to be secured into the bone and attached to one of a plurality of configuration plates. The configuration plates are interchangeable and each one is configured to utilize a different combination of bone screws, anchors or both. The prosthesis may further include a retaining mechanism to prevent bone screws and/or anchors from backing out.