Abstract: A method of treating a spine includes implanting at least a portion of a spinal construct in a patient. The method further includes attaching one or more smart implants to the spinal construct. Each of the one or more smart implants includes (a) an attachment portion configured to attach the smart implant to the spinal construct, and (b) at least one sensor configured to measure an aspect of the spinal construct when the smart implant is attached to the spinal construct. The method further includes receiving, from the one or more smart implants, sensor information related to the aspect of the spinal construct and performing at least one intra-operational adjustment to the spinal construct based on the received sensor information.

Abstract: A spinal implant includes an attachment portion having an opening configured to capture a longitudinal member therein, wherein the attachment portion is the only attachment means of the spinal implant. The spinal implant further includes a housing integrally connected to the attachment portion and defining a sealed cavity for supporting a microelectronics assembly and a power source therein. The spinal implant further includes at least one antenna in electrical communication with the microelectronics assembly and at least one sensor in electrical communication with the microelectronics assembly, wherein the microelectronics assembly is configured to transmit information received from the at least one sensor to an external device using the at least one antenna.

Abstract: In some embodiments, a bone implant for percutaneous use is provided. The bone implant comprises a head, a body adjacent to the head and a tip opposite the head. At least the head, body or tip is configured to contact bone. An expandable member contacts at least one of the head, tip or body and is movable from an unexpanded configuration to an expanded configuration when deployed at a bone implant site. In some embodiments, a system for percutaneous bone harvesting is provided.

Abstract: A surgical instrument adaptor comprises a member including a first mating surface that is removably attachable with a surgical instrument and a second mating surface that is connectable with an actuator. An image guide is attachable with the member and oriented relative to a sensor to communicate a signal representative of a position of the surgical instrument. Systems, surgical instruments, spinal implants and methods are disclosed.

Abstract: A re-registration method includes receiving a first image depicting a reference frame attached to a patient and oriented in a first pose relative to the patient, the first image obtained by an imaging device mounted to a movable support that has been locked in a selected pose; receiving a second image depicting the reference frame oriented in a second pose relative to the patient, the second image obtained by the imaging device with the movable support locked in the selected pose; and updating a registration between the reference frame and the patient to reflect that the reference frame has been moved from the first pose to the second pose.

Abstract: An implant system is disclosed. The system may include an implant receiver having a base and a first arm and a second arm extending from the base in a longitudinal direction towards an open end. The first arm and second arm may define a receiving cavity therebetween. The first and second arm may each include an outside thread pattern for rotatably supporting a nut movable in the longitudinal direction and an inside thread pattern for rotatably supporting a set screw movable in the longitudinal direction. A rod may be selectively positioned within the receiving cavity at an intermediate elevation between the base and the open end and the rod may be supported by the nut. The set screw may be tightened against the rod thereby locking the rod and nut at the intermediate elevation. In some embodiments, the first and second arms may include a plurality of breakoff locations.

Abstract: A spinal implant template includes a shaft extending along an axis between a proximal end and a distal end. An engagement portion is configured for insertion between vertebrae of a patient. The engagement portion includes a rod extending from the distal end at an acute angle relative to the longitudinal axis to facilitate ease of entry around a spinal cord of the patient. Systems, surgical instruments, spinal implants and methods are disclosed.

Abstract: An image guide includes a member having a first surface and a second surface. The member defines a plane. The member is oriented relative to a sensor to communicate a signal representative of a position of a surgical instrument. At least one marker is connectable with the member and extends relative to the plane from the first surface and the second surface for detectable alignment with the sensor. In some embodiments, surgical systems, surgical instruments, implants and methods are disclosed.

Abstract: An additive-manufacturing system for printing spinal implants in-situ, within a patient, is disclosed. The system may include a robotic subsystem having scanning and imaging equipment and an armature including at least one dispensing nozzle and a controller apparatus having a processor and a non-transitory computer-readable medium. The controller may control the scanning and imaging equipment to determine a target alignment of a patients spine, develop an in-situ-printing plan including an in-situ material selection plan based on the target alignment of the patients spine, an interbody access space, and a disc space between adjacent vertebra of the patients spine, and execute the in-situ-printing plan. The controller may further control the armature to dispense at least one material chosen from a rigid material and a pliable material to form at least one motion-sparing implant.

Abstract: A surgical instrument comprises a tubular member including a tissue engaging element. A shaft is disposable with and movable relative to the tubular member. The shaft includes a tissue gathering element. An image guide is connected with the tubular member and oriented relative to a sensor for registration of anatomical image data and positional tracking of the anatomy during the procedure. In some embodiments, systems, spinal constructs, implants and methods are disclosed.

Abstract: A surgical instrument comprises a member defining a longitudinal axis and is connectable with a spinal implant. The member is connected to a handle disposed transverse relative to the axis and rotatable about the axis. An image guide is connected with the member and oriented relative to a sensor to communicate a signal representative of a position of the spinal implant. Systems, implants, spinal constructs and methods are disclosed.

Abstract: A surgical instrument adaptor comprises a member including a first mating surface that is removably attachable with a surgical instrument and a second mating surface that is connectable with an actuator. An image guide is attachable with the member and oriented relative to a sensor to communicate a signal representative of a position of the surgical instrument. Systems, surgical instruments, spinal implants and methods are disclosed.

Abstract: A spinal implant template includes a shaft extending along an axis between a proximal end and a distal end. An engagement portion is configured for insertion between vertebrae of a patient. The engagement portion includes a rod extending from the distal end at an acute angle relative to the longitudinal axis to facilitate ease of entry around a spinal cord of the patient. Systems, surgical instruments, spinal implants and methods are disclosed.

Abstract: A surgical instrument adaptor comprises a member including a first mating surface that is removably attachable with a surgical instrument and a second mating surface that is connectable with an actuator. An image guide is attachable with the member and oriented relative to a sensor to communicate a signal representative of a position of the surgical instrument. Systems, surgical instruments, spinal implants and methods are disclosed.

Abstract: A surgical instrument adaptor comprises a member including a first mating surface that is removably attachable with a surgical instrument and a second mating surface that is connectable with an actuator. An image guide is attachable with the member and oriented relative to a sensor to communicate a signal representative of a position of the surgical instrument. Systems, surgical instruments, spinal implants and methods are disclosed.

Abstract: A forming apparatus and method for forming a workpiece used a medical procedure is provided. A controllable bending machine for bending the workpiece is provided. A template is manually formable. The template has a shape sensor so as to sense a shape of the template. A controller receives template shape data from the shape sensor and operates the bending machine in accordance with the template shape data. The bending of the workpiece includes a spring back compensating operation which performs a first bending operation on the workpiece in accordance with the template shape data, acquires workpiece shape data from one of the shape sensor re-disposed associated with the workpiece, or another shape sensor associated with the workpiece, and performs a second bending operation compensating for spring back. A method employs the template for workpiece measurements and the forming apparatus using the measurements for forming the workpiece.

Abstract: A surgical instrument comprises a member configured for connection to an image guide defining an axis and being oriented relative to a sensor to communicate a signal representative of a position of the member. A stabilizer is aligned with the axis and configured to resist and/or prevent movement of the image guide from the orientation. Systems and methods are disclosed.

Abstract: An image guide includes a member having a first surface and a second surface. The member defines a plane. The member is oriented relative to a sensor to communicate a signal representative of a position of a surgical instrument. At least one marker is connectable with the member and extends relative to the plane from the first surface and the second surface for detectable alignment with the sensor. In some embodiments, surgical systems, surgical instruments, implants and methods are disclosed.

Abstract: Annuloplasty device for implantation adjacent an annulus of a tricuspid valve, the annulus comprising anterior, posterior and septal aspects adjacent anterior, posterior and septal leaflets, respectively, of the tricuspid valve, the device comprising: a ring body comprising: an anterior portion, a posterior portion and a septal portion shaped to conform to, and for implantation adjacent, the anterior, posterior and septal aspects of the annulus, respectively; and first and second end portions that are more flexible than a remainder of the ring body to provide a gradual transition from the remainder of the ring body to tissue of the tricuspid valve annulus; wherein the ring body is curvilinear, with substantially no flat portions, and forming a shape. Related devices, kits and sizer devices.

Abstract: A surgical instrument comprises a member defining a longitudinal axis and is connectable with a spinal implant. The member is connected to a handle disposed transverse relative to the axis and rotatable about the axis. An image guide is connected with the member and oriented relative to a sensor to communicate a signal representative of a position of the spinal implant. Systems, implants, spinal constructs and methods are disclosed.