Abstract: The present disclosure relates, according to some embodiments, to translational pedicle screw systems. A translational pedicle screw system may comprise a bone screw secured within a saddle. Different mechanisms may provide for translational movement of the saddle relative to the bone screw. In some embodiments, a saddle may comprise an elongated distal channel configured to provide a translational motion of a bone screw head disposed therein. In some embodiments, a saddle may comprise a discoidal recess configured to receive a corresponding discoidal section of a bone screw. The discoidal recess and the discoidal section may allow for a rotational offset of the saddle relative to the bone screw. In some embodiments, a proximal portion of a bone screw may comprise an attachment section configured to engage with a removable bone screw head. The removable bone screw head may translate laterally along the attachment section of the bone screw.

Abstract: The present disclosure relates, according to some embodiments, to orthopedic implantable device technology, and more specifically to implantable devices for use in stabilizing the occipitocervical junction and the cervical spine. For example, the disclosure relates to embodiments of an implantable orthopedic assembly generally comprising an occipital plate and one or more repositionable clamping assemblies for securing a stabilizing rod at a nonzero distance from a plate surface. One or more rails may extend laterally from a plate to support a clamping assemblies.

Abstract: The present disclosure relates, in some embodiments, to spinal fixation systems that may comprise a bone screw, a body, and a pressure cap. A bone screw may comprise a head at a proximal end, a bone connection element at a distal end, and an external protrusion on a head of a bone screw. A body may comprise a proximal end, a distal end, a mounting rod receiving channel at a proximal end, and a bone screw head receiving channel at a distal end. A portion of the mounting rod receiving channel may be operable to receive a compression element. A pressure cap may comprise a proximal end, distal end, and an internal recess on a distal end. An internal recess may be configured to mate with an external protrusion of a bone screw so as to limit the movement of a bone screw.

Abstract: Disclosed embodiments relate to a fastener operable to be received into an opening defined in a plate. The fastener may include a modular sleeve having an actuatable mechanism operable to prevent the rotation of the fastener relative to the plate. The modular sleeve may be moved from a non-actuated first position and an actuated second position to actuate the actuatable mechanism. A portion of the modular sleeve may be accessible from a top side of the head of the fastener through a plurality of channels in the head, and the modular sleeve may be accessible through the plurality of channels in the head in order to actuate the modular sleeve.

Abstract: A retractor-distractor system comprising a frame with slidably coupled superior and inferior arms extending therefrom. The superior arm comprises a superior clamp arm pivotally coupled to a lateral end of the superior arm, a superior ball joint received between the superior clamp arm and the superior arm, and a superior ball joint lock operable to pivot the superior clamp arm proximate to the superior arm, thereby locking the orientation of the superior ball joint. The inferior arm comprises an inferior clamp arm pivotally coupled to a lateral end of the inferior arm, an inferior ball joint received between the inferior clamp arm and the inferior arm, and an inferior ball joint lock operable to pivot the inferior clamp arm proximate to the inferior arm, thereby locking the orientation of the inferior ball joint. The superior and inferior arms are operable to receive a modular blade to retract and distract tissue.

Abstract: In one embodiment of the present invention a system for connecting a fastener element (e.g., a pedicle screw) relative to a rod for the purposes of vertebral fixation is provided. The system may permit multi-axial movement between the fastener element and the rod. Further, the system may permit the angular relationship between the fastener element and the rod to be held in a desired orientation. For the purposes of describing and claiming the present invention, the term “rod” is intended to refer to any elongated structure. Such an elongated structure may be solid or hollow and may have any desired cross-section (e.g., circular, oval, square, rectangular). Further, for the purposes of describing and claiming the present invention, the term “interference fit” is intended to refer to physical contact between two or more components.

Abstract: Disclosed embodiments relate to an orthopedic device including a plate and a single-step self-locking mechanism. The plate includes one or more tapered apertures and a slot defined in a top surface of the plate, the slot extending from each aperture. The locking mechanism is slidably seated in the slot and is operable to be positioned in a first position along the slot where a portion of the locking mechanism extends over the aperture or positioned in a second position along the slot where the portion of the locking mechanism is fully retracted from the aperture.

Abstract: Example embodiments relate to systems and apparatuses for securing surgically implantable implantation rods, comprising a first body having a recessed portion formed by a first surface of the first body, a second body having a recessed portion formed by a first surface of the second body, and a connecting member having an elongated body defining a common longitudinal axis for the first body and the second body, the connecting member receivable in the recessed portion of the first body and the recessed portion of the second body. The connecting member is operable to cooperate with the first body to restrict movement of the first body relative to the second body about the common longitudinal axis when engaged in a substantially locked position, and the first body is moveable relative to the second body when disengaged from the substantially locked position.

Abstract: A counter-torque wrench for use with spinal implantation systems is provided wherein the counter-torque wrench engages a spinal implant rod and a bone screw body in a manner to promote a perpendicular alignment between the longitudinal axis of the rod and the longitudinal axis of the bone screw body, and a co-linear alignment between the longitudinal axis of the bone screw body and the longitudinal axis of the wrench body. The counter-torque wrench may comprise a handle attached to a first end of the counter-torque wrench body and a rod engaging member attached to a second end of the counter-torque wrench body. The rod engaging member may comprise generally opposing slots, wherein each slot comprises a prong extending into each slot, the prong creating a generally L-shaped slot, and a pocket formed by a curved feature of each slot.

Abstract: The present disclosure generally relates to an intervertebral disc prosthesis for partially or totally replacing an organic intervertebral disc. The disc prosthesis includes an interbody device, a face plate and a pair of locking mechanisms for achieving dual fixation in the cephalad and caudal direction. Methods according to the present disclosure achieve such dual fixation in a single fixation step.

Abstract: The present disclosure relates, according to some embodiments, to orthopedic implantable device technology, and more specifically to implantable devices for use in stabilizing the occipitocervical junction and the cervical spine. For example, the disclosure relates to embodiments of an implantable orthopedic assembly generally comprising an occipital plate and one or more repositionable clamping assemblies for securing a stabilizing rod at a nonzero distance from a plate surface. One or more rails may extend laterally from a plate to support a clamping assemblies.

Abstract: Disclosed embodiments relate to an orthopedic device including a plate and a single-step self-locking mechanism. The plate includes one or more tapered apertures and a slot defined in a top surface of the plate, the slot extending from each aperture. The locking mechanism is slidably seated in the slot and is operable to be positioned in a first position along the slot where a portion of the locking mechanism extends over the aperture or positioned in a second position along the slot where the portion of the locking mechanism is fully retracted from the aperture.

Abstract: One embodiment of the present invention is directed to a bone plate assembly that includes a bone plate, bone screw(s) received in aperture(s) in the bone plate, and screw fixation member(s). The screw fixation member(s) may, alone or in conjunction with the bone plate, fix the bone screw(s) in place when such bone screw(s) are inserted in the aperture(s) in the bone plate. In one example (which example is intended to be illustrative and not restrictive) when the bone screw(s) have been received by the bone plate and inserted into bone and/or tissue, the bone plate assembly can-be used to fuse anatomical structures together (such as adjoining bones) and/or to heal a fracture in bone.

Abstract: The present disclosure generally relates to an intervertebral disc prosthesis for partially or totally replacing an organic intervertebral disc. The disc prosthesis includes an interbody device, a face plate and a pair of locking mechanisms for achieving dual fixation in the cephalad and caudal direction. Methods according to the present disclosure achieve such dual fixation in a single fixation step.

Abstract: Example embodiments relate generally to an apparatus operable to couple a pair of implantation rods that are surgically implanted adjacent to a plurality of vertebrae. Each implantation rod is secured by at least one fastener element having a head. The apparatus comprises at least one main assembly, said main assembly operable to move relative to a head of one of the fastener elements when not in a locked position. The apparatus also comprises a center link extending in an axial direction, said center link operable to move relative to the main assembly when not in a locked position. The main assembly is operable to receive the center link and a head of one of the fastener elements and secure the center link and the head relative to the main assembly when in a locked position.

Abstract: A retractor-distractor system comprising a frame with slidably coupled superior and inferior arms extending therefrom. The superior arm comprises a superior clamp arm pivotally coupled to a lateral end of the superior arm, a superior ball joint received between the superior clamp arm and the superior arm, and a superior ball joint lock operable to pivot the superior clamp arm proximate to the superior arm, thereby locking the orientation of the superior ball joint. The inferior arm comprises an inferior clamp arm pivotally coupled to a lateral end of the inferior arm, an inferior ball joint received between the inferior clamp arm and the inferior arm, and an inferior ball joint lock operable to pivot the inferior clamp arm proximate to the inferior arm, thereby locking the orientation of the inferior ball joint. The superior and inferior arms are operable to receive a modular blade to retract and distract tissue.

Abstract: An anti-splay apparatus having a bridge and frangible connection points for use with mechanical fasteners having a shank portion and a receiving member with opposing arms is provided. The bridge may take a number of forms including a ring, a notched ring, a tube, or a notched tube and the connection points join the opposing arms of the receiving member with the bridge. Also provided is the anti-splay apparatus also having tabs connected between frangible connection points.

Abstract: The present disclosure relates, according to some embodiments, to translational pedicle screw systems. A translational pedicle screw system may comprise a bone screw secured within a saddle. Different mechanisms may provide for translational movement of the saddle relative to the bone screw. In some embodiments, a saddle may comprise an elongated distal channel configured to provide a translational motion of a bone screw head disposed therein. In some embodiments, a saddle may comprise a discoidal recess configured to receive a corresponding discoidal section of a bone screw. The discoidal recess and the discoidal section may allow for a rotational offset of the saddle relative to the bone screw. In some embodiments, a proximal portion of a bone screw may comprise an attachment section configured to engage with a removable bone screw head. The removable bone screw head may translate laterally along the attachment section of the bone screw.

Abstract: A dynamic stabilization apparatus comprises elongated members mounted within the proximal end of anchoring devices that are placed in adjacent vertebral bodies. A flexible element having elastic properties within the applicable range of loading, for example loads that the spine experiences, is disposed between the proximal ends of the elongated members. At least one additional flexible element is mounted about the proximal ends of the elongated members adjacent the central flexible element. A housing encapsulates the proximal ends of the members such that the flexible element and the additional flexible elements are contained therein. As compressive, tensile, angular, shear and rotational forces are applied to the elongated members the central flexible element and the additional flexible elements interact with the elongated members and the housing to allow for motion of the elongated members.

Abstract: A minimally invasive counter-torque system may comprise a bone screw system, a counter-torque wrench, a set screw driver, a counter-torque wrench handle, and a removable set screw driver handle. A body of the counter-torque wrench may be positioned entirely within a space as defined by or between removable arms of a tulip head of the bone screw system, such that only the wings of the counter-torque wrench extend beyond a width of the bone screw system. In operation, the counter-torque wrench handle may be received on a proximal end of the counter-torque wrench and may be used to stabilize and prevent rotation of the counter-torque wrench and the bone screw system. Then, the removable set screw drive handle may be engaged to a proximal end of the set screw driver and may be used to fasten a set screw into the saddle of the bone screw system.