Abstract: A drill sleeve, including: an outer sleeve with an internal collet at a distal end of the outer sleeve and an inner opening; a handle connected to the outer sleeve; an inner sleeve with an inner opening configured to receive and guide a drill bit, wherein the inner sleeve is configured to slide inside the inner opening of the outer sleeve; a trigger connected to the inner sleeve; and a biasing member configured to apply a biasing force between the handle and the trigger wherein the biasing force drives the inner sleeve into the outer sleeve, wherein when a distal end of the inner sleeve engages the internal collet, the internal collet is configured to engage a screw hole in a bone plate, align the drill sleeve with a nominal axis of the screw hole, and secure the drill sleeve to the screw hole.

Abstract: An implant can be placed into an aneurysm sac that includes a bioabsorbable coiled fiber having a coiled shape similar to a metallic embolic coil. The implant can have an absorption rate long enough so that the aneurysm can become sufficiently occluded and sufficiently healed as the implant is absorbed. The implant can include crossing microfibers to initiate thrombosis within the aneurysm and/or a stretch-resistant member extending through a lumen of the coiled shape to inhibit elongation of the coiled shape. The crossing microfibers can be attached to the coiled fiber by friction fit between coil windings, heat bonding to the coiled fiber, and/or securement to the stretch-resistant member. The coiled fiber, crossing microfibers, and stretch-resistant member can have rates of absorption that differ to promote an accelerated sequence of occlusion and healing of the aneurysm.

Abstract: The present disclosure provides for prosthetic implants to be used in various surgical repairs, including for procedures like total shoulder arthroplasties and reverse total shoulder arthroplasties. The implants include two main parts—a frame and a prosthetic component. The frame includes an aperture that is configured to receive the prosthetic component, allowing the prosthetic component to make direct contact with bone at the surgical site. Various configurations are provided that allow the prosthetic component to be coupled to or otherwise engage with the frame, and at least some of the configurations are such that the reverse procedures can be done without having to fully re-tool and/or modify the bone. A variety of procedures resulting from the improved implants are also provided.

Abstract: An example implant can have a tubular braid. The tubular braid can have an intrasaccular section, an intravascular section, a pinched section, and a predetermined shape. In the predetermined shape, the intrasaccular section can have a sack and an opening. The pinched section can be positioned approximate the opening. The intravascular section can be substantially disk shaped and positioned to occlude the opening. The tubular braid can be movable from a collapsed shape sized to traverse a catheter to an implanted shape based at least in part on the predetermined shape. In the implanted shape, the intrasaccular section of the braid can be sized to be positioned within an aneurysm's sac and the intravascular section of the braid can be sized to appose a blood vessel wall approximate an aneurysm's neck.

Abstract: A method of implanting a glenoid assembly, includes forming two bores in a glenoid region of a scapula. At least one of two pegs of a base component is flexed toward the other peg and the two pegs are positioned partially within the bores in the flexed position. After releasing the pegs from the flexed position, the pegs are fully inserted into the bores. At least one stiffening pin is inserted into a first passageway formed in the first peg after the first peg has been fully inserted into the first bore.

Abstract: In one embodiment, an intramedullary nail has a body that includes proximal and distal ends and an inner surface that defines at least one locking hole that extends into an outer surface of the body so as to receive a bone anchor to lock the nail in a medullary canal of a bone. The body has a first biocompatible material that defines at least a portion of the outer surface. The nail has a second material that is different from, and at least partially encapsulated in, the first material. The second material can produce at least one of an electrical current and a magnetic field, and is supported by the nail body such that a position of the at least one bone-anchor locking hole can be detected based on the at least one of the electrical current and the magnetic field.

Abstract: An strut assembly extends along a strut axis and comprises a strut body, an actuator, and a locking assembly. The strut body includes a rod and a sleeve. The rod is translatable relative to the sleeve along the strut axis. The actuator is linearly engaged with the sleeve such that linear movement of the actuator causes linear movement of the sleeve. The locking assembly includes a lock member configured to transition between a locked position in which the lock member engages both the sleeve and the actuator such that rotation between the sleeve and the actuator is substantially prevented, and an unlocked position in which the lock member is spaced apart from the sleeve such that the actuator is substantially free to rotate about the sleeve.

Abstract: Bone anchors and surgical instruments (e.g., bone taps, drivers, etc.) are disclosed herein that include integrated guide tips. Use of these anchors or instruments can eliminate one or more of the steps in a conventional bone anchor installation procedure, improving surgical efficiency and safety. For example, a surgical instrument can include a guide projection configured for insertion through a cannulation formed in a bone anchor when the surgical instrument is coupled to the bone anchor. The surgical instrument can also include various mechanisms for adjusting the position of the guide projection relative to the bone anchor. The guide projection can replace the needle, stylet, and guidewire used in typical insertion procedures. The bone anchor can also include integrated tapping features to eliminate the need for a separate bone tap instrument. Thus, in some embodiments, targeting, tapping, and driving the bone anchor can be performed in a single step.

Abstract: An intervertebral implant frame that is configured to be attached to a spacer body can include a pair of arms that extend longitudinally from a support member such that the arms extend substantially around the spacer body. The arms may be configured to expand, crimp, or otherwise engage the spacer body to thereby hold the spacer body to the frame. The spacer body may be made from bone graft.

Abstract: A number of orthopaedic surgical instruments for use in a surgical procedure to prepare a patient's femur to receive an orthopedic prosthesis. The tools include guide tools, cutting tools, surgical blocks, and other orthopaedic surgical instruments configured to plan and guide the preparation of the patient's femur. A method of using the orthopaedic surgical instruments is also disclosed.

Abstract: A delivery member is provided for delivering and deploying an intravascular medical device. The delivery member includes a flexible distal portion including a wound wire coil surrounded by a flexible sleeve and inhibited from extending lengthwise by a stretch resistant member positioned through the lumen of the coil. The delivery member can include hypotubes positioned on either side (distally and proximally) from the wound wire coil to which the stretch resistant member and the wound wire coil can be attached. The distal hypotube can include attachment slots for positioning and attaching a loop wire to the distal hypotube.

Abstract: An occlusion device that includes an inner embolic element with a proximal section and a distal section, wherein the distal section has a first stiffness and the proximal section has a second stiffness. An expandable mesh is included that is capable of being transformed between a collapsed position and an expanded position, wherein the expandable mesh is disposed over a portion of the proximal section of the inner embolic device and the first stiffness is greater than the second stiffness.

Abstract: An implant system presented herein includes an engagement wire, a pull wire, and a braided implant having a distal ring thereon. The engagement wire has an elongated member with a radially extending engagement feature at its distal end. The braid can be moved from a delivery shape sized to traverse a catheter to an implanted shape sized to occlude an aneurysm neck. When the braid is in the delivery shape, the pull wire and the elongated member extend through the distal ring and the engagement feature is in a distal direction in relation to the distal ring. Once at least a portion of the braid is positioned in the aneurysm, the pull wire and the elongated member can be moved in a proximal direction to engage the engagement feature to the distal ring and move the distal ring proximally, thereby reshaping the braid within the aneurysm.

Abstract: An interbody fusion cage having upper and lower canals for receiving the heads of bone screws that have been pre-installed in opposing vertebral body endplates. The proximal wall of the cage preferably has a vertical slot that communicates with each canal and is adapted to allow access by a screwdriver and tightening of the screws.

Abstract: An expandable interspinous spacer implant that is configured to be inserted into an interspinous space that is defined between a spinous process of a superior vertebral body and a spinous process of an inferior vertebral body is provided. The implant may include a superior housing, an inferior housing, and a distracting member. The superior housing may have an outer surface that is configured to engage the spinous process of the superior vertebral body and the inferior housing may have an outer surface that is configured to engage the spinous process of the inferior vertebral body. The distracting member may be disposed between the superior and inferior housings, such that activation of the distracting member distracts the superior and inferior housings apart from each other.

Abstract: A method for manipulating a vertebra includes connecting a first bone anchor to a first vertebra, connecting a second bone anchor to a second bone anchor, positioning a spinal rod in a receiving member of the first bone anchor and in a receiving member of the second bone anchor, connecting a first instrument to the receiving member of the first bone anchor, and manipulating the first instrument to rotate first bone anchor and the first vertebra relative to the second vertebra.

Abstract: A talar implant system and method in one embodiment includes an articulation component with an articulating surface extending upwardly from a first plane and configured to articulate with a tibial component, and a distal portion for implanting in a bone, the distal portion having a longitudinal axis and configured to be rigidly coupled with respect to the first plane at any angular position selected from a range of angular positions within a second plane perpendicular to the first plane.

Abstract: An annular cutting tool and related methods are provided for herein that exhibit improved durability, cutting performance, and/or reduced heat generation for bone graft resections. The annular cutting tool can include an annular body having cutting teeth with a flat, flared distal tip for greater durability. An extended gullet can be disposed between groups of adjacent cutting teeth to improve removal of bone debris away from the cutting teeth more and thus prevent binding during use. The annular cutting body can have a recessed surface portion to reduce the area of direct contact to bone and thus reduce heat generated. The recessed surface portion can also provide an area in which bone debris can accumulate away from the cutting teeth to prevent or reduce binding of the tool during use. The annular cutting body can also include a drill bit for drilling a hole in a resected bone graft.

Abstract: This invention relates to local administration of a bone-forming agent and at least one anti-resorptive agent to treat osteoporosis and related disorders.