Abstract: An expandable bi-dimensional intervertebral implant for an intervertebral fusion is provided. The implant includes a first hinge arm, a second hinge arm connected to the first hinge arm, and a translation member movable relative to the first hinge arm and the second hinge arm between an initial position and an engaged position. The second hinge arm is movable between a primary position and a secondary position relative to the first hinge arm. In the engaged position, the translation member biases the first hinge arm to move from a first position to a second position and biases the second hinge arm to move between a first position and a second position.

Abstract: An expandable intervertebral implant for an intervertebral fusion is provided. The implant includes a first endplate, a second endplate, a translation member and an auger mounted to the translation member and extending through the second endplate. The first endplate includes a sloped anterior face and a sloped posterior face. The second endplate includes a posteriorly facing sloped surface for matingly engaging the sloped anterior face of the first endplate. The translation member includes an anteriorly facing sloped surface for matingly engaging the sloped posterior face of the first endplate.

Abstract: An expandable intervertebral implant for an intervertebral fusion is provided. The implant includes a first endplate, a second endplate, a translation member and an auger mounted to the translation member and extending through the second endplate. The first endplate includes a sloped anterior face and a sloped posterior face. The second endplate includes a posteriorly facing sloped surface for matingly engaging the sloped anterior face of the first endplate. The translation member includes an anteriorly facing sloped surface for matingly engaging the sloped posterior face of the first endplate.

Abstract: Apparatus and systems relating to spinal implants and instruments for installing such implants. In some embodiments, the system may comprise a spinal implant, an inserter, an intermediary piece, and/or an installation rod. The spinal implant may comprise an at least partially threaded opening configured to receive the installation rod. The opening may be positioned within a fixed wall of the spinal implant, and the opening may comprise a peripheral edge defined by the wall of the spinal implant.

Abstract: Spinal fixation system connectors comprising spring cage elements. In some embodiments, an engagement member, such as a bone screw, may be configured to be coupled with and received within a connector body. A spring cage structure may also be configured to be coupled with the connector body. The spring cage structure may comprise a spring configured to be positioned in a relaxed configuration and a flexed configuration, such that the spring defines an opening having a first size in the relaxed configuration and a second, larger size in the flexed configuration to allow the opening to receive and engage a head of the engagement member within the connector body.

Abstract: Biomedical implants comprising portions made of disparate materials, such as intervertebral implants and related methods and instruments. In some embodiments, the implant may comprise a base portion comprising a first material and a secondary fastener portion comprising a second material having distinct physical properties relative to the first material. The secondary portion may wholly define a front end wall surface of the implant, and the base portion and the secondary portion may collectively define at least one of an upper surface and a lower surface of the implant.

Abstract: Methods for improving the antibacterial, osteoconductive, and/or osteoinductive characteristics of silicon nitride and/or other ceramic materials, particularly to make them more suitable for use in manufacturing biomedical implants. In some embodiments and implementations, the surface chemistry and/or morphology of a silicon nitride bioceramic may be modulated significantly through thermal, chemical, and/or mechanical treatments to achieve such advantageous results. A portion of the resulting material, such as a glaze or upper layer of the material, may be separately produced as a powder or frit, for example, and used in manufacturing biomedical implants and/or other products, such as by using such portion of the material as a coating or filler. In other embodiments the surface material may be separately manufactured as a silicon oxynitride monolith.

Abstract: Embodiments of apparatus, systems, and methods relating to spinal implants. In some embodiments, the spinal implant may comprise a first sidewall, a second sidewall opposite from the first sidewall, a pair of opposed frictional surfaces each comprising a plurality of raised structures, a first end wall joining the pair of opposed sidewall surfaces, and a second end wall joining the first sidewall and the second sidewall. The second end wall may comprise a recess formed by a first wall portion and a second wall portion arranged at an angle to one another to form a fish-tailed structure configured to be engaged with an inserter instrument. The interface between the recess and the inserter instrument may be configured to at least substantially eliminate any point or line contacts between the inserter instrument and the spinal implant during a flip maneuver of the spinal implant within an intervertebral space of a patient.

Abstract: Ceramic implants, such as spinal implants, may comprise a dense shell and a porous core. In some implementations, methods for manufacturing the implants may comprise one or more stages at which the core material abuts the shell so as to form a mechanical attachment therewith while both the core and the shell are in a green state. The core and the shell may be fired together, and the resultant implant may, in some embodiments, comprise a unitary piece of ceramic material. Some embodiments may comprise silicon nitride ceramic materials.

Abstract: Apparatus, methods, and systems relating to spinal implants and instruments for installing such implants. In some embodiments, a spinal implant may comprise an opening configured to receive an installation rod for installing the spinal implant within an intervertebral space of a patient. The opening may be positioned within a wall of the spinal implant, and may comprise a peripheral edge defined by the wall of the spinal implant. An installation rod may be provided that may be configured to be positioned within the opening of the spinal implant, and may comprise an engagement section configured to engage a portion of the spinal implant defining the opening at a location spaced apart from the peripheral edge such that the highest forces applied to the spinal implant in coupling the spinal implant with the installation rod during installation are not applied to the portion of the opening defined by the peripheral edge.

Abstract: Ceramic orthopedic implants may have one or more dense inner layers and one or more porous outer layers. Methods for manufacturing the implants may include one or more stages during which the dense inner layer(s) are partially compressed. At least one porous outer layer may include coating particles that are present at a surface of one or more inner layer(s) while pressure is applied to attach the coating particles to the inner layer(s) and to further compress one or more of the inner layer(s). Various layers may be formed until an implant, or other device, is formed having the desired density gradient and/or other properties, as disclosed herein.

Abstract: Methods for forming an insert, such as a threaded or threadable insert, within a cavity in an implant, such as a spinal spacer. In some implementations, an implant body comprising a first, non-threadable, may be provided. A cavity may be formed in the implant body, after which an insert may be positioned within the cavity. Preferably, the insert comprises a second material distinct from the first material, wherein the second material has physical properties distinct from the first material. A female thread may then be formed within the insert, which may allow for threading an otherwise unthreadable, or relatively unthreadable, material.

Abstract: Systems and methods for forming an insert, such as a threaded or threadable insert, within a cavity in an implant, such as a spinal spacer. According to various embodiments, a spinal interbody spacer may include a proximal end and a distal end. The interbody spacer may be manufactured using a non-threadable material, or at least a material that is difficult to thread, such as a ceramic, a glass, or a porous material. Some embodiments may comprise a silicon nitride ceramic material. A cavity may be formed in the interbody spacer, such as in the proximal end. A material having desired properties lacking in the spacer, such as a threadable insert within a non-threadable spacer, may be inserted into the cavity. The threadable material may then be threaded in order to form a female-threaded insert within the otherwise non-threadable interbody spacer.

Abstract: Methods for threading ceramic materials, such as ceramic materials used for spinal implants or other biomedical implants. In some implementations, an expected rate of shrinkage of the block upon undergoing a firing process may be determined. A scaling factor may then be applied using the expected rate of shrinkage to select a tap having a size larger than a desired thread size. A green block may then be tapped with the selected tap to form a threaded opening in the green block. The block may be machined in order to remove cracks caused by the tapping process and/or to form the block into a desired shape/size. The green block may then be fired, which may result in a reduction of a size of the block and a size of the threaded opening.

Abstract: Ceramic materials comprising charge-compensating dopants and related methods. In some embodiments, the materials may comprise dopants such as Y2O3, Gd2O3, Nb2O5, and/or Ta2O5. Some embodiments may comprise a molar concentration of Y2O3 and/or Gd2O3 that is at least approximately equal to the molar concentration of Nb2O5 and/or Ta2O5. Certain embodiments and implementations may comprise particular, unique concentrations or concentration ranges of various compounds/materials in order to improve performance for use of such ceramic materials as biomedical implants.

Abstract: Embodiments of apparatus, systems, and methods relating to biomedical implants and other devices made up of unique and improved alumina-zirconia ceramic materials. In an example of a method according to an implementation of the invention, a slurry is prepared, compressed, and fired to obtain a fired ceramic piece comprising at least aluminum oxide, zirconium dioxide, yttrium oxide, cerium oxide, strontium oxide, magnesium oxide, titanium dioxide, and calcium oxide. Some embodiments and implementations may comprise selected concentrations of one or more such compounds to yield certain preferred results.

Abstract: Methods, apparatus, and systems for improving the performance of articulating prostheses. Some embodiments may comprise a first component comprising a first articulating surface and a second component comprising a second articulating surface configured for articulating with the first articulating surface. One or both of the first and second components may comprise a silicon nitride ceramic material. One or both of the first and second articulating surfaces may comprise a coating that is configured to accomplish at least one of increasing the hardness of the first articulating interface surface, reducing the coefficient of friction between the first and second articulating surfaces, decreasing the effects of wearing between the first and second articulating surfaces, and decreasing the intensity of audible noises produced by the endoprosthesis resulting from articulation between the first and second articulating surfaces during use.

Abstract: Ceramic materials comprising charge-compensating dopants and related methods. In some embodiments, the materials may comprise dopants such as Y2O3, Gd2O3, Nb2O5, and/or Ta2O5. Some embodiments may comprise a molar concentration of Y2O3 and/or Gd2O3 that is at least approximately equal to the molar concentration of Nb2O5 and/or Ta2O5. Certain embodiments and implementations may comprise particular, unique concentrations or concentration ranges of various compounds/materials in order to improve performance for use of such ceramic materials as biomedical implants.

Abstract: Ceramic implants, such as spinal implants, may comprise a dense shell and a porous core. In some implementations, methods for manufacturing the implants may comprise one or more stages at which the core material abuts the shell so as to form a mechanical attachment therewith while both the core and the shell are in a green state. The core and the shell may be fired together, and the resultant implant may, in some embodiments, comprise a unitary piece of ceramic material. Some embodiments may comprise silicon nitride ceramic materials.

Abstract: Ceramic orthopedic implants may have one or more dense inner layers and one or more porous outer layers. Methods for manufacturing the implants may include one or more stages during which the dense inner layer(s) are partially compressed. At least one porous outer layer may include coating particles that are present at a surface of one or more inner layer(s) while pressure is applied to attach the coating particles to the inner layer(s) and to further compress one or more of the inner layer(s). Various layers may be formed until an implant, or other device, is formed having the desired density gradient and/or other properties, as disclosed herein.