Abstract: Instrumentation for implanting an intervertebral disc replacement device includes an insertion handle comprising a shaft having a proximal end and a distal end and an engagement member disposed at the distal end of the shaft and operable to detachably engage an insertion plate that maintains first and second members of an intervertebral disc replacement device in registration with one another for substantially simultaneous insertion into an intervertebral disc space of a spinal column.

Abstract: Instrumentation for implanting an artificial intervertebral disc includes a leveler for setting the proper position of the artificial intervertebral disc, the leveler including at least two tines extending parallel to one another from the leveler shaft distal end, wherein the tines are spaced and sized to be insertable and fittable between baseplates of the disc and to substantially fill at least a height of a separation space volume between the baseplates, and to straddle a central coupling of the baseplates during the insertion and when so fitted, such that when the baseplates are substantially non-parallel to one another in the intervertebral space, insertion of the tines into the intervertebral space between the baseplates and straddling the central coupling forces the baseplates into a substantially parallel orientation relative to one another.

Abstract: A method of replacing at least a portion of an intervertebral disc of an intervertebral disc space of a spinal column, the intervertebral disc space defined at least by respective endplates of first and second adjacent vertebral bones, the method comprising the steps of inserting at least one intervertebral disc replacement trial into the intervertebral disc space to distract same in a direction along a longitudinal axis of the spinal column and simultaneously inserting first and second members of an intervertebral disc replacement device into an intervertebral disc space of the spinal column. The method also comprising maintaining first and second articulation surfaces of the respective first and second members of an intervertebral disc replacement device as a single assembly by way of an insertion plate. This may include the use of an insertion handle that is adapted to detachably engage the insertion plate.

Abstract: Instrumentation for implanting an artificial intervertebral disc includes static trials and a dynamic trial for determining the appropriate size of disc to be implanted, static trial holders for manipulating the static trials, inserter/impactors for inserting and removing the static trials and for inserting the artificial intervertebral discs, repositioners/extractors for repositioning and extracting the static trials or the artificial intervertebral discs, and a leveler for setting the proper position of the artificial intervertebral disc. Methods for using the same are also disclosed. Features for artificial intervertebral discs and intervertebral spacer devices useful for manipulation by the instrumentation are also disclosed.

Abstract: Instruments and methods for distracting an intervertebral space and inserting and impacting artificial intervertebral discs. A wedge distractor employing opposing ramps through which an inserter/impactor holding an artificial intervertebral disc is admitted, the passage of which through the distractor results in distraction of the intervertebral space simultaneous with insertion of the artificial intervertebral disc. A method of distracting an intervertebral space comprising the steps of inserting a distractor having opposing ramped surfaces into an intervertebral space and inserting an inserter/impactor holding an artificial intervertebral disc between the opposing ramped surfaces of the distractor to insert/impact the artificial intervertebral disc in the intervertebral space. A system for distracting an intervertebral space employing a wedge distractor, inserter/impactor and artificial intervertebral implant.

Abstract: Instrumentation for implanting an artificial intervertebral disc includes a static trial holder for manipulating static trials, the static trial holder including an extension having a longitudinal axis, at least two prongs coupled to a fulcrum located at a distal extension end of the extension, each of the prongs having a prong extension, the prong extensions together defining a contractable and expandable holding enclosure for holding the static trial; and a sleeve that surrounds the distal extension and that is collinear with the extension longitudinal axis, and that is rotatable about the extension longitudinal axis; wherein rotation of the sleeve about the extension longitudinal axis brings an inner surface of the sleeve to bear on at least one of the prongs to move the holding enclosure to a contracted state in which the static trial cannot be removed from the holding enclosure.

Abstract: Instrumentation for implanting an intervertebral disc replacement device includes an insertion plate, comprising a base, a first mounting element of the base operable to engage a first member of an intervertebral disc replacement device and a first intermediate mounting element of the base operable to engage a first intermediate member of the intervertebral disc replacement device, wherein the first and first intermediate mounting elements are offset with respect to one another relative to a longitudinally directed axis of the base running substantially parallel to a longitudinal axis of a spinal column, and the first and first intermediate mounting elements cooperate to engage and orient the first and first intermediate members of the intervertebral disc replacement device for simultaneous insertion into an intervertebral disc space of the spinal column.

Abstract: A dynamic distractor is described for distracting an intervertebral space and determining a size of an artificial intervertebral disc to be implanted in the intervertebral space.

Abstract: A testing apparatus for a joint includes a support structure for engaging a first part a joint, an adapter for engaging a second part of the joint, a load assembly coupled with the adapter for applying a load onto the adapter and a drive assembly coupled with the adapter. Operation of the drive assembly causes angulation and rotation of the adapter relative to the support structure, which in turn causes angulation and rotation of the first and second parts of the joint relative to one another.

Abstract: A stabilization rod engaging apparatus for implantation in a patient includes: a first pivot element including at least one first aperture, a first engagement element, and a first locking element; a second pivot element including at least one second aperture, a second engagement element, and a second locking element, wherein: the first and second apertures are sized, shaped and disposed in substantial axial alignment such that they are operable to receive the stabilization rod therethrough, and displacement of the first and second locking elements relative to one another urges the first and second apertures to misalign and thereby clamp the stabilization rod.

Abstract: A cervical intervertebral stabilizer for a cervical region of a spine includes: a first surface operable to engage an endplate of a first vertebral bone of a spine; a second surface spaced apart from the first surface and operable to engage an endplate of an adjacent second vertebral bone of the spine; a spring element including at least one of: (i) a helical wound spring; and (ii) a hollow body having at least one slit forming a plurality of annular circumferential helical coils, the spring element being disposed between the first and second surfaces and being operable to provide reactive force in response to compression loads from the first and second vertebral bones, wherein at least some diameters of respective turns of the helical coils differ.

Abstract: An intervertebral stabilizer includes: a first surface operable to engage an endplate of a first vertebral bone of a spine; a second surface spaced apart from the first surface and operable to engage an endplate of an adjacent second vertebral bone of the spine; a spring element between the first and second surfaces and operable to provide reactive force in response to compression loads from the first and second vertebral bones, wherein a cross-sectional profile taken through the surfaces is hourglass shaped.

Abstract: An intervertebral stabilizer includes: a first surface operable to engage an endplate of a first vertebral bone of a spine; a second surface spaced apart from the first surface and operable to engage an endplate of an adjacent second vertebral bone of the spine; a spring element between the first and second surfaces and operable to provide reactive force in response to compression loads from the first and second vertebral bones, wherein a cross-sectional profile taken through the surfaces is hourglass shaped.

Abstract: A posterior intervertebral stabilizer includes: a first stabilizing element having: (i) a first surface operable to engage an endplate of a first vertebral bone of a spine, and (ii) a second surface spaced apart from the first surface and operable to engage an endplate of an adjacent second vertebral bone of the spine; a second stabilizing element having: (i) a first surface operable to engage an endplate of the first vertebral bone of the spine, and (ii) a second surface spaced apart from the first surface and operable to engage an endplate of the adjacent second vertebral bone of the spine; and respective spring elements, each including helical coils, disposed between the respective first and second surfaces of the first and second stabilizing elements, each operable to provide a reactive force in response to compression loads from the first and second vertebral bones, wherein at least some diameters of respective turns of the respective helical coils differ.

Abstract: Instruments and methods for distracting an intervertebral space and inserting and impacting artificial intervertebral discs. A wedge distractor employing opposing ramps through which an inserter/impactor holding an artificial intervertebral disc is admitted, the passage of which through the distractor results in distraction of the intervertebral space simultaneous with insertion of the artificial intervertebral disc. A method of distracting an intervertebral space comprising the steps of inserting a distractor having opposing ramped surfaces into an intervertebral space and inserting an inserter/impactor holding an artificial intervertebral disc between the opposing ramped surfaces of the distractor to insert/impact the artificial intervertebral disc in the intervertebral space. A system for distracting an intervertebral space employing a wedge distractor, inserter/impactor and artificial intervertebral implant.

Abstract: A lumbar intervertebral stabilizer for a lumbar region of a spine includes: a first surface operable to engage an endplate of a first vertebral bone of a spine; a second surface spaced apart from the first surface and operable to engage an endplate of an adjacent second vertebral bone of the spine; a spring element including at least one of: (i) a helical wound spring; and (ii) a hollow body having at least one slit forming a plurality of annular circumferential helical coils, the spring element being disposed between the first and second surfaces and being operable to provide reactive force in response to compression loads from the first and second vertebral bones, wherein at least some diameters of respective turns of the helical coils differ.

Abstract: A stabilization element for implantation in a patient includes: a spring element including a plurality of helical coils terminating at first and second ends; and at least one sleeve including at least one bore sized and shaped to slide or thread onto the helical coils of the spring element, the at least one sleeve being operable to engage a tulip of a bone anchor.

Abstract: A skeletal fixation apparatus includes: a plate having first and second spaced apart surfaces and a plurality of apertures extending through the surfaces of the plate, each aperture for receiving a respective fixation element for coupling the plate to one or more bones of a patient; and at least one retention element having an elongate member coupled to the plate at first and second ends thereof, wherein the first end of the elongate member is fixed in position and the second end of the elongate member is operable to rotate about the first end such that: (i) at least a portion of the elongate member overlies at least a portion of a first of the apertures when the second end is in at least one first rotational position to retain a first fixation element in the first aperture, and (ii) the elongate member does not substantially overlie the first aperture when the second end is in at least one second rotational position to permit the first fixation element to enter or exit the first aperture.

Abstract: Instrumentation for implanting an artificial intervertebral disc includes static trials and a dynamic trial for determining the appropriate size of disc to be implanted, static trial holders for manipulating the static trials, inserter/impactors for inserting and removing the static trials and for inserting the artificial intervertebral discs, repositioners/extractors for repositioning and extracting the static trials or the artificial intervertebral discs, and a leveler for setting the proper position of the artificial intervertebral disc. Methods for using the same are also disclosed. Features for artificial intervertebral discs and intervertebral spacer devices useful for manipulation by the instrumentation are also disclosed.

Abstract: Various embodiments of the present invention relate to devices for dental surgery and more specifically to dental implant and abutment mating system comprising a dental implant secured in the mouth of a patient and an abutment secured to the dental implant, wherein the dental implant and abutment comprise anti-rotational and taper locking elements.