Abstract: Variable angle holes in bone plates structured to facilitate the formation of axial compression or tension of a bone, or which can assist in bone distraction. The variable angle hole can extend about a central axis and includes an inwardly extending wedge wall. The variable angle hole can be sized to receive insertion of a fixation element at a location at which a central longitudinal axis of the fixation element is axially offset from the central axis of the variable angle hole by an offset distance at least when the fixation element is initially driven into bone at least in a transverse direction. The wedge wall can be configured to be engaged by a portion of the fixation element in a manner that axially displaces at least one of the bone plate, the fixation element, and/or bone(s) in a direction that can generally reduce or increase the offset distance.

Abstract: The disclosure relates to medical devices and methods of manufacturing medical devices. An orthopedic screw includes an inner core member having a head having a first outer diameter, a tip having a second outer diameter, and a body extending between the head and the tip and having a third outer diameter that is less than the first outer diameter and the second outer diameter. An outer body member is disposed circumferentially around the body of the inner core member and defines an outer body member external thread. The tip of the inner core member can define an inner core member external thread that forms an interrupted thread with the outer body member external thread.

Abstract: A device including a first plate configured to interface with a first bone structure of a joint; a second plate configured to interface with a second bone structure of the joint opposite the first bone structure; and at least one mechanical actuation mechanism disposed between the first plate and the second plate and configured to apply a distraction force along an axis between the first plate and the second plate so as to urge the first plate and the second plate away from one another, wherein the device is configured so as to have a range of motion ranging from a minimum distance between the first plate and the second plate to a maximum distance between the first plate and the second plate, and wherein the mechanical actuation mechanism is configured such that the distraction force is substantially constant distraction force across the range of motion.

Abstract: A control member for mounting to an end of an access tube includes a body that defines a proximal end and a distal end spaced from each other along a central axis. The control member defines a bore extending between the proximal and distal ends along the central axis, a handle portion that extends to the proximal end, and a mounting formation that extends to the distal end. The mounting formation includes an insertion portion that is insertable within the access tube and a lip that is opposed to the insertion portion so as to define a receptacle configured to receive an end portion of the access tube.

Abstract: A device including a first plate configured to interface with a first bone structure of a joint; a second plate configured to interface with a second bone structure of the joint opposite the first bone structure; and at least one mechanical actuation mechanism disposed between the first plate and the second plate and configured to apply a distraction force along an axis between the first plate and the second plate so as to urge the first plate and the second plate away from one another, wherein the device is configured so as to have a range of motion ranging from a minimum distance between the first plate and the second plate to a maximum distance between the first plate and the second plate, and wherein the mechanical actuation mechanism is configured such that the distraction force is substantially constant distraction force across the range of motion.

Abstract: A trocar assembly can include a cannula, a seal cartridge, and an obturator. The seal cartridge is configured to be releasably coupled to the cannula and to be disposed at least partially within the cannula in a coupled configuration of the seal cartridge. The obturator is configured to directly latch to the cannula and to extends through the cannula and the seal cartridge in a coupled configuration of the obturator.

Abstract: A vaginal speculum may include a vaginal assembly with at least two longitudinal separating elements connected at a distal end for insertion into the vagina of a subject. The vaginal speculum is configured for holding the vaginal walls of the subject apart, thereby permitting examination and/or suturing of at least the posterior part of the vaginal tissue. A set of vaginal specula may be provided in predefined sizes such that the specula suitably fit a range of anatomies. A method is described for providing an unobstructed view of at least the posterior part of the vaginal wall during suturing of a subject after the subject has given birth.

Abstract: A tulip rasp comprising a body, a handle adjacent a proximal end of the body, a head adjacent a distal end of the body, the head having at least one extension, each of which has a cutting edge, and a receiving space defined by the at least one extension.

Abstract: A drill guide handle configured to engage a variable angle drill guide, including: a handle grip; a first cannula extending from a proximal end of the drill guide handle to a distal end of the drill guide handle, wherein the first cannula is configured to provide a zero degree insertion angle for a drill bit; and a body including: a first tab and a second tab wherein the first and second tabs include a first and second tab protrusion, respectively, wherein each of the first tab and the second is configured to flex so that the first and second tab protrusions engage a horizontal groove on a variable angle drill guide; and a body protrusion on an inner surface of the body, wherein the body protrusion is configured to engage a vertical grove on the variable angle drill guide.

Abstract: A method of using a combination device includes accessing a glenoid of a shoulder and coupling a power extension and the combination device, the power extension configured to couple with a power tool. The method further includes reaming a portion of the accessed glenoid using the coupled power extension and combination device and then decoupling the power extension and the combination device. Next, a manual extension and the combination device are coupled and the coupled manual extension is used to align a first drill guide of the combination device with a desired trajectory of a first fixation peg of a glenoid component with the combination device positioned against the reamed portion of the accessed glenoid. A drill bit is guided with the aligned first drill guide to bore a first fixation peg bore in the glenoid.

Abstract: A dynamic bone anchor includes an anchor member having a tubular body with a first end and a second end, the anchor member defining an anchor axis including a plurality of barb elements, and being made at least partially of a nickel-titanium (Ni—Ti) based shape memory alloy. The dynamic bone anchor also including a core member configured to be inserted from the first end through the second end such that a first portion of the core number extends out from the first end, and a second portion of the core number extends out from the second end. The anchor member and the core member are configured such that when assembled, the first portion of the core member is spaced apart from the anchor member and movable with respect to it, and the second portion of the core member is fixed to and movable together with the anchor member.

Abstract: A surgical sagittal saw cartridge that includes a guide bar formed from an inner plate and opposed outer plates, the inner plate defining a head. The cartridge has a blade that is disposed against the head of the inner plate. The inner plate may comprise an inner tine and/or two opposed outer tines. The inner tine may be formed to define the head against which the blade is disposed. The outer tines may extend distally so as to define a space between the outer tines in which the blade is seated.

Abstract: A fastener with improved threading for resisting multi-axial forces and off-axis loading scenarios is provided. The fastener may include a shaft and a plurality of helical threads disposed about the shaft. The plurality of helical threads may include a first helical thread and a second helical thread adjacent the first helical thread. The first helical thread may include a first concave undercut surface and a first convex undercut surface. The second helical thread may include a second concave undercut surface and a second convex undercut surface. When the fastener is viewed in section along a plane intersecting a longitudinal axis of the shaft, the first concave undercut surface and the second convex undercut surface may be oriented toward the proximal end of the shaft, and the first convex undercut surface and the second concave undercut surface may be oriented toward the distal end of the shaft.

Abstract: An orthopedic implant system is disclosed comprising a staple and a coupling device configured to position tines on the staple relative to a bone to secure an orthopedic implant device to the bone. The orthopedic implant system may comprise the orthopedic implant device also having a wedge and a plate having an external surface configuration. The coupling device may couple the wedge, the plate and the staple whereby when the orthopedic implant is secured in a vertebral body, the external surface configuration of the plate alters the relative orientation of a superior endplate surface plane and an inferior endplate surface plane of the vertebral body and alters the alignment of the spine. In some embodiments, plate tines and staple tines are configured to engage the vertebral body. In some embodiments, the implant device may be used as an arthrodesis device, an intravertebral device or an intervertebral implant device.

Abstract: In one aspect, a bone plate system is provided that includes a bone plate body having a throughbore and a bone screw. The bone plate system includes a slider slidably connected to the bone plate body to slide between a clearance position wherein the slider permits a bone screw head portion to be advanced into the throughbore and seated against the bone plate body and an interference position wherein the slider inhibits bone screw back out from the throughbore. The bone plate system includes a resilient pin and the slider has a surface configured to deflect the resilient pin as the bone screw head portion shifts the slider from the interference position toward the clearance position. The deflected resilient pin urges the slider from the clearance position toward the interference position upon the bone anchor head portion seating against the bone plate body in the throughbore.

Abstract: A vaginal speculum and system include a plurality of pivoting blades coupled to a housing having an aperture. The plurality of pivoting blades is coupled to a cam plate, and upon rotation of the cam plate, the plurality of pivoting blades are configured to go from a collapsed state to an expanded state. The system further includes an insert having a vaginal seal at a distal end and a plurality of ports at a proximal end. The vaginal speculum and system are configured for use in medical diagnostic and treatment procedures by opening the vagina of a patient in multiple directions for mitigating potential obstruction of view such that a practitioner may fully visualize the cervix and properly inspect and diagnose cervical conditions or the absence thereof.

Abstract: An instrument for drilling a hole for a bone screw comprises a shaft having a primary drill fluted portion, a shank, and a middle portion there between. Part of an outer surface of the shaft's middle portion is non-curved. A sleeve surrounds the shaft. The sleeve has an inner surface that is complementary to the outer surface of the shaft's middle portion such that the sleeve slides with respect to the shaft. The sleeve's inner surface contacts the outer surface of the shaft's middle portion at the non-curved part such that the shaft can transmit torque to the sleeve. A countersink drill bit is provided at an end of the sleeve proximate the shaft's primary drill fluted portion. A locking mechanism selectively holds the sleeve in a fixed position with respect to the shaft, locating the countersink drill bit at a selected position with respect to the shaft's drilling end.

Abstract: A system can form a pilot hole to secure a securable element, such as an acetabular cup. A saddle can removably attach to the securable element. The saddle can confine a translator and allow the translator to move along a translator axis between a first translator position and a second translator position. A punch element can be movably coupled to the saddle and the translator such that when the saddle is removably attached to the securable element, moving the translator from the first translator position toward the second translator position can advance a tip of the punch element from the saddle through the securable element along a punch axis that is angled with respect to the translator axis. An impaction stem can be coupled to the translator by a joint, such as a ball-and-socket joint, and can impart motion to the translator.

Abstract: A system for performing surgical repair of the spine includes a distractor and a permanently implanted bone plate system. A surgical repair methodology is also disclosed that employs an implanted bone plate system with a substantially void internal volume which is attached to adjacent vertebrae subsequent to the distraction and adjustment of curvature of the vertebrae and prior to the excision of disc and/or end plate tissue through the bone plate. The device further facilitates the subsequent delivery of an interbody repair device for the purpose of either fusion or dynamic stabilization, such as by disc arthroplasty. The plate may be permanently implanted, such as when a fusion between the attached vertebral bodies is desired, but it need not be permanently implanted.

Abstract: A surgical kit for performing a bone surgery, the surgical kit comprising an anchor module configured to be secured to a patient's bone with a removable module interface extending outwardly from an operative side of the anchor module; a cutting module configured to be superposable against the patient's bone, the cutting module having a slot extending therethrough along a plane and opening on a cutting module bone interface side and a cutting module operative side, wherein a bone-contacting surface of the anchor module is configured to contact the patient's bone on both sides of the plane; the cutting module being spaced from the anchor module by an open space, with and first and second connecting members connecting the cutting module to the anchor module.