Abstract: Methods for tissue repair are provided employing a matrix comprising a biocompatible, bioerodable polymer, said polymer comprising a thermoplastic lactide-containing terpolymer of monomer units derived from lactic acid, glycolic acid, and either caprolactone or valerolactone, which has a water solubility of about 0.01 to about 500 mg/mL at about 25° C. and adhesive strength of about 600 to about 150,000 Pa and applying the matrix to a tissue defect. The matrix or adhesive can further comprise a filler or a bioactive agent, or both.

Abstract: A surgical access system for providing access to a surgical site in a patient includes an access device defining a channel and an integrated light source for illuminating the channel. A lens focuses light produced by the integrated light source along the channel. The light source may be a light emitting diode disposed in a sidewall of the access device, an electroluminescent surface forming at least a portion of the sidewall or other suitable light source capable of being integrated with the access device. An integrated power source may be integrated with the access system for independently powering the light source.

Abstract: Described herein are surgical retractors that include a frame and a blade assembly. The blade assembly includes an arm extending from the frame, a blade attached to the arm and moveable relative to the frame, and a locking mechanism. The locking mechanism is moveable from a first position to a second position to prevent movement of the blade in at least two, non-collinear directions. Also described are methods of performing a surgical procedure using the surgical retractors.

Abstract: Methods and devices for treating spinal deformities are provided. In one exemplary embodiment, a low-profile spinal anchoring device is provided for receiving a spinal fixation element, such as a tether, therethrough. The device generally includes a staple body that is adapted to seat a spinal fixation element, a fastening element for fixing the staple body to bone, and a locking assembly for coupling a spinal fixation element to the staple body. In one embodiment, the locking assembly includes a washer that is adapted to couple to the staple body such that the spinal fixation is disposed therebetween, and a locking nut that is adapted to engage the staple body to mate the washer to the staple body.

Abstract: Methods and devices for treating spinal deformities are provided. In one exemplary embodiment, a low-profile spinal anchoring device is provided for receiving a spinal fixation element, such as a tether, therethrough. The device generally includes a staple body that is adapted to seat a spinal fixation element, a fastening element for fixing the staple body to bone, and a locking assembly for coupling a spinal fixation element to the staple body. In one embodiment, the locking assembly includes a washer that is adapted to couple to the staple body such that the spinal fixation is disposed therebetween, and a locking nut that is adapted to engage the staple body to mate the washer to the staple body.

Abstract: A spinal fixation assembly is provided including a fusion cage with posterior, anterior, superior, and inferior faces, and a plate having at least one aperture for receiving a bone screw and having a mating element adapted to slidably engage and mate to the anterior face of the fusion cage. The cage is adapted to be positioned between adjacent vertebrae, and the plate is effective to mate to the cage and to receive one or more bone screws to fasten the plate and secure the fusion cage to the adjacent vertebrae.

Abstract: A prosthetic implant includes first, second and third components. The first component is configured to be disposed within the acetabulum. The second component is in a load bearing relationship with the first component, and is operable to rotate in a first axis of rotation. The second component is inhibited from movement in a second axis of rotation. The third component is in a load bearing relationship with the second component. The third component is operable to rotate in the second axis of rotation, but is inhibited from movement with the first axis of rotation.

Abstract: A bone screw assembly includes an anchor portion and a head portion, such as a rod-receiving portion, movably mounted to the anchor portion to allow for controlled angulation between the anchor portion and the head portion. The anchor portion is pivotable in one or more selected directions about an axis relative to the head portion. A restriction member, which may be a rod seat, prevents the anchor portion from pivoting in one or more different directions about another axis relative to the head portion and/or a spinal fixation element received in the head portion. The restriction member may be inserted in the head portion to control direction that the anchor portion pivots relative to the head portion. The restriction member may also serve as a compression member and/or rod seat for seating a spinal rod coupled to the bone screw assembly.

Abstract: This invention relates to a spinal facet joint ligament.

Abstract: A prosthetic femoral stem component comprising a body element, a neck element and a stem element, with the body element, neck element and stem element being secured to one another with a modular connection, wherein the modular connection comprises a taper junction and an engaged-fit junction.

Abstract: An idler or tensioning assembly for an electronically controlled sanding/polishing machine is provided, the sanding/polishing machine utilizing a plurality of exchangeable polishing wheel assemblies of which the idler assembly is one. Each polishing wheel assembly interfaces with the sanding/polishing machine through a coolant manifold and a polishing wheel shaft receptor. The idler assembly is operative to provide releasable tension to a sanding/polishing belt that is situated around the idler and the associated sanding/polishing wheel. The idler assembly has a pivoting idler that is actuated by a hydraulic cylinder. The hydraulic cylinder utilizes coolant tapped from the coolant manifold of the idler assembly for actuation. Coolant is provided to the hydraulic cylinder in response to a valve signal. The idler assembly thus has a tensioned mode and an untensioned mode.

Abstract: The present invention includes an intervertebral prosthetic disc, a method for installing a plate into an intervertebral space, and a method for installing a prosthetic disc into an intervertebral space. The intervertebral prosthetic disc can include a superior endplate and an inferior endplate, wherein at least one of the superior endplate and the inferior endplate is adapted to receive a guidewire. In the methods for installing a plate into an intervertebral space and for installing a prosthetic disc into an intervertebral space, a guidewire is used to facilitate installing plates onto vertebral bone endplates.

Abstract: The present invention includes intervertebral prosthetic devices and methods for installing intervertebral prosthetic devices into an intervertebral space. In one embodiment, an intervertebral prosthetic disc includes a superior endplate; an inferior endplate; and at least one protrusion element, wherein at least one of the superior endplate and the inferior endplate is adapted to receive the protrusion element. In another embodiment, the invention includes an intervertebral prosthetic disc having a superior endplate including a core retaining member; an inferior endplate including a core retaining member; and an asymmetric core positioned between the superior endplate and the inferior endplate, wherein the superior endplate and the inferior endplate are adapted to accommodate the core. The present invention also includes an intervertebral prosthetic disc system that includes an intervertebral prosthetic disc and at least one spring element.

Abstract: The present invention generally provides a polyaxial fixation device having a shank with a spherical head formed on a proximal end thereof, and a receiver member having an axial passage formed therein that is adapted to polyaxially seat the spherical head of the shank. The polyaxial bone screw further includes an engagement member that is adapted to provide sufficient friction between the spherical head and the receiver member to enable the shank to be maintained in a desired angular orientation before locking the spherical head within the receiver member.

Abstract: The invention provides an implantable article, a method of preparing the same, and methods of modifying a ceramic-coated implantable article. The implantable article comprises a biocompatible substrate and a bioactive ceramic surface coating into which a biological agent is incorporated. The preparation and modification of an implantable article involve incubating a biocompatible substrate surface or pre-existing ceramic coating thereon with a composition comprising (i) a biological agent, (ii) calcium ions, (iii) phosphate ions, and (iv) a liquid carrier.

Abstract: An extramedullary fluoroscopic alignment guide is disclosed, along with a surgical kit including such an alignment guide and a surgical method employing such an alignment guide. The extramedullary alignment guide includes both radiolucent and radiopaque material. The invention is useful in performing surgery on bones, for example, in performing surgery on the knee joint. The radiolucent material provides a support structure for the radiopaque material. The radiopaque material provides a radiopaque instrument reference that is sized, shaped and positioned so that the surgeon can simultaneously fluoroscopically view the patient's bone and the radiopaque instrument reference. The radiopaque instrument reference may be aligned with landmarks on the bone or other fluoroscopically viewable bones, such as the mechanical or anatomic axis. The guide may be provided as part of a kit with anchoring members and a cutting guide. The anchoring members can be set using the alignment guide.

Abstract: A tibial prosthesis includes a tibial platform having a medial-lateral center and an inferior surface matable with a resected proximal tibia, and a modular keel that is fixable to the inferior surface and adjustable in a medial-lateral direction with respect to the medial-lateral center of the tibial platform.

Abstract: An assembly such as an anchor screw, bone plate, offset hook, post, transverse connector or other spinal anchor for anchoring to bone and clamping a linkage such as a rod, wire cable or the like. The assembly has a top member with an open slot to receive the linkage, and a twist-lock closure cap to close the open end, capturing the linkage in the slot. One closure cap fits over and around the top member, with a set of segmented protrusions that extend through a corresponding set of protruding flange segments spaced about the circumference of the top member. The cap is configured to rotate and lock against the top member like a flange-locking bayonet mount when turned through a limited degree of rotation.

Abstract: The present invention relates to a therapeutic probe adapted to aid in the insertion and navigation of the probe into delicate tissue structures, and to provide protection of adjacent tissue structures.