Abstract: Disclosed are medical articles and processes for forming the medical articles. The medical articles may take the form of a sponge having a three-dimensional shape comprising a reservoir. In an embodiment, the sponge is formed by placing a collagen slurry, optionally further comprising a mineral, in a mold and lyophilizing the slurry. In an embodiment, an improved molding process for such medical articles comprises forcing a slurry through a mold comprising the shape of a tube having an obstruction connected to the sidewall of the tube via an arm extending from the sidewall to the obstruction.

Abstract: A surgical system for preparing the sacroiliac (SI) joint for a fusion, comprising a sliding joint finder and a working cannula. The working cannula comprises a body having a central axis that runs the length of the body. The body of the working cannula comprises a distal end, a proximal end and a central cavity that is positioned along the central axis of the working cannula and has suitable dimensions for sliding the working cannula over the sliding joint finder and the working cannula further comprises two protrusions extending proximally. In addition, the two protrusions have uneven lengths such that when the working cannula is inserted, the longer of the two protrusions engages the SI joint at a superior end of the SI joint and the shorter of the two protrusions engages the SI joint at an inferior end of the SI joint.

Abstract: A system for preparing the sacroiliac (SI) joint for an SI joint fusion, and optionally delivering an implant to the SI joint, is described herein. The implant is inserted via an inferior inlet approach. A sliding joint finder is inserted into the joint, followed by insertion of a working cannula. The working cannula is operatively coupled to the sliding joint finder, in that it is configured to fit over the sliding joint finder, allowing subsequent removal of the sliding joint finder, and providing a hollow cavity for joint fusion preparation, decortication and insertion of an implant. This system and method provides a less invasive and safer approach for fixing an SI joint or delivering an implant to the SI joint than currently available methods.