Abstract: A scleral depressor assembly includes a scleral depressor, an optical fiber, and a reflector. The scleral depressor includes an elongate body and a head disposed at a distal end of the elongate body. The scleral depressor defines an internal lumen extending through the elongate body and terminating within the head. The optical fiber is disposed within the lumen and includes a distal end positioned within the head. The optical fiber distal end includes a beveled end face that is obliquely oriented with respect to a central axis of the internal lumen. The reflector is disposed at the distal end of the optical fiber and is configured to reflect light emitted from the optical fiber distal end along a light path out of the scleral depressor head in a direction that is approximately orthogonal to the central axis of the internal lumen.

Abstract: An intervertebral implant may include an anterior plate forming a first monolithic structure defining a first end of the implant, and including at least two screw holes each configured to receive a bone screw; and a plurality of coils extending from the anterior plate about a periphery of the implant. The screw holes may be angled such that, when the implant is inserted between two adjacent vertebrae, bone screws are guided into the adjacent vertebrae.

Abstract: The disclosure relates to medical devices and methods of manufacturing medical devices. An intramedullary rod includes a head member, a shaft member partially disposed within a distal recess of the head member, and an outer body member disposed circumferentially around the shaft member and a portion of the head member. Medical device systems and methods of manufacturing medical devices are also described.

Abstract: A connecting rod for an external fixation device includes a first joint having a first rotatable member housing, a first rotatable member disposed within the first rotatable member housing, and a first connecting member. The first rotatable member has a first bore. The first connecting member includes a first connecting member insert having a stem partially disposed within the first bore of the first rotatable member. The first connecting member insert includes a second bore. The second bore is operable to receive a connecting element from a first external fixation ring.

Abstract: Vertebral retaining devices and instruments are provided. A retaining device may include a first monolithic body having a first handle and first jaw pivotably coupled to a second monolithic body having a second handle and a second jaw. The first body and the second body may be pivotably coupled to one another at an intermediate region between the respective handles and jaws. In some aspects, the first and second bodies may be polymeric. The first jaw and second jaw may be shaped to provide an access region between the first jaw and the second jaw when the retaining device is coupled to bone fasteners attached to the vertebrae. The retaining device may include a locking assembly coupled to the first handle and the second handle, and configured to retain the first jaw and the second jaw in a spaced relationship relative to one another.

Abstract: A bone fastener includes a head including a first receiver defining an implant cavity and a distal portion defining a plurality of adjacent grooves. The head further includes a second receiver defining an implant cavity. A first resilient member is configured for disposal within the plurality of adjacent grooves and a second resilient member is configured for disposal within the plurality of adjacent grooves. A shaft is aligned with the first receiver and is configured to engage tissue. Systems, surgical instruments, spinal constructs, implants and methods are disclosed.

Abstract: A spinal adjustment system including at least one thermally actuated pump element.

Abstract: A spatial series-parallel pelvic fracture reduction robot includes a base support, a mobile platform module, an arc-shaped guide rail platform module, a robot module, and a pelvic external fixator which are connected in sequence. The mobile platform module is fixedly connected on an upper part of the base support and is used for driving the arc-shaped guide rail platform module to linearly translate up and down and left and right; a connecting sliding block of the arc-shaped guide rail platform module is connected to the robot module and used for enabling the robot module to move along an arc-shaped guide rail; the robot module includes a robot and a clamping mechanism, the robot is used for adjusting a spatial pose of the clamping mechanism, and the clamping mechanism is used for fixing bone needles; the pelvic external fixator is used for firmly fixing the pelvis.

Abstract: Various devices are provided for allowing multiple surgical instruments to be inserted through a single surgical access device at variable angles of insertion, allowing for ease of manipulation within a patient's body while maintaining insufflation. Safety shields and release mechanisms are also provided for use with various surgical access devices.

Abstract: A robotic rod bender is disclosed. The robotic rod bender includes an autoclavable top assembly that includes a rod feeding subassembly, a brake subassembly, and a bending subassembly. The rod bending subassembly, the bending subassembly, and the brake assembly are disposed on a top plate. The robotic rod bender also includes a motor housing that includes one or more motors, a spline shaft, and a linear actuated elevator assembly. The linear actuated elevator assembly includes a linear actuator, a movable plate, and a mid-plate. The spine shaft extends from the moveable plate. The autoclavable top assembly is removably disposed atop the mid-plate.

Abstract: A claw-shaped pedicle screw fastener for osteoporosis includes an inner screw plug and an outer screw; the outer screw includes an outer nut and an outer screw stem, a through hole is defined in and penetrates through the outer nut and the outer screw stem, the outer screw stem has a thread segment, a claw-shaped segment, and a conical segment that are provided on outside of the outer screw stem; the claw-shaped segment is made of deformable metal; the inner screw plug includes an inner nut and an inner screw stem, the inner screw stem is inserted into the through hole, and the inner screw stem is threadedly connected to the first inner thread and the second inner thread; the inner screw stem and the second inner thread are reverse thread screws relative to each other.

Abstract: A bone hook apparatus is provided that includes a base, a rod receptacle disposed on a proximal side of the base, a first hook distally extending from the base and oriented in a first direction, and a second hook distally extending from the base and oriented in a second direction opposing the first direction, the first hook and second hook together configured to receive the bone. Kits and spinal constructs employing the bone hook apparatus are also described.

Abstract: A bone anchor insertion device for delivering one or more bone anchor components into bone is provided. The insertion device improves surgical control in bone anchor location, placement and insertion into target bone. The bone anchor insertion device also improves efficiency in placing the bone anchor. The surgical instrument provides improved control of stylet location and orientation, including directional control for precise bone anchor component insertion. Methods to use the bone anchor insertion device in surgical procedures are also provided.

Abstract: A surgical instrument includes a first member and an actuator disposed with the first member. An assembly is provided that includes a second member engageable with a bone fastener receiver. A third member is rotatable relative to the second member and threadably engageable with the bone fastener receiver to capture the bone fastener receiver. Systems, spinal constructs, implants and methods are disclosed.

Abstract: A wearable robot for integrated fracture reduction and rehabilitation, comprising a proximal ring, a distal ring, six driving branch chains, motor driving device and manual driving device; the six driving branch chains are divided into two groups, each of them comprises a platform connecting sleeve, a sliding bearing, a bearing locking nut, a proximal Hooke hinge, an intermediate prismatic pair, a sleeve, a force sensor, and a distal Hooke hinge; one end of the driving branch chain is connected with the proximal ring by a connecting sleeve fastener, and the other end is connected with the distal ring by nut, each driving branch chain is connected with the driving devices via D-shaped shaft sleeve. The wearable robot has electric-manual dual model driving, and the branch chain can be quickly replaced during and after the operation.

Abstract: Methods and apparatus for accessing and repairing a vertebral disc include a pad with a central cut-out mounted to the skin of a patient or, alternatively, a pedicle-mounted support. An incision is made and then a corridor is created using an elongated guide and a series of dilating tubes. An access to the disc space is created through the superior articular process and the facet joint using the corridor defined by the dilating tubes. Nucleus material is removed from the disc space and the vertebral endplates are prepared. The disc space may be sized to select a suitable implant, which is advanced through the corridor and into the disc space following discectomy and endplate preparation. Bone graft material may be inserted into the disc space following installation of the implant and then posterior rigid fixation may be achieved using percutaneous pedicle screws, followed by closure of the site.

Abstract: A spinal procedure includes attaching a first reduction instrument to a first guide assembly and a second guide assembly. The first reduction instrument includes a fixed attachment assembly and a translating attachment assembly that cooperatively interfaces the fixed attachment assembly. The first guide assembly is attached to a first pedicle and the second guide assembly is attached to a second pedicle. The first reduction instrument is moved to reduce an orientation of the spine, while imaging a reduction of the orientation of the spine. An angle and position of the first reduction instrument is locked upon achieving a desired reduction. The spine may then be fused.

Abstract: An external fixation strut and corresponding systems and methods of use with a bone alignment device are disclosed. The external fixation strut may provide an enhanced range of adjustable lengths and may be connected to a bone alignment device, thereby enabling the bone alignment device to be used over a larger workable range. As a result, comfort of a patient may be improved as the need to switch out the external fixation strut may be prevented. The external fixation strut may also include a single measurement scale that may be easily viewed and used to adjust the length of the external fixation strut, thereby ensuring more accurate length adjustments.

Abstract: A system and method for the minimally invasive insertion of an intervertebral rod into the vertebrae of a subject, according to a preoperative surgical plan also defining positions for the insertion of rod clamping screws into the vertebrae. The rod shape for connecting the heads of the screws is calculated, and a path planning algorithm used to determine whether the distal end of the rod can be threaded through the screw heads by longitudinal and rotational manipulation of the proximal end of the rod. If so, instructions are provided for forming that rod shape and for the robotic insertion of the screw holes and the rod. If not, either or both of the screw positions and the rod shape are adjusted, to moderate the bends in the rods, until insertion becomes possible. The insertion can be performed robotically, or, if a navigation tracking system is added, manually.

Abstract: A plate and an installation tool are provided for preventing a spinal facet joint implant from expulsing from its implant location between a superior and an inferior vertebra. A k-wire is used in cooperation with the plate and installation tool to guide them to the desired location. The plate includes a central threaded bore situated between one or two superior bone screw or bone connection barb bores and one or two inferior bone screw or bone connection barb bores. The installation tool includes a threaded plug at one end for receipt by the plate's central threaded bore for releasably holding the plate during installation. The installation tool has a superior structure and an inferior structure that can be a cannula or tang depending on the plate's form.