Abstract: The present teachings provide one or more surgical implements for repairing damaged tissue, such as in the case of a spinal fixation procedure. A uniplanar bone anchor system for a fixation procedure is provided. The system can include a bone fastener including a head with a bearing surface and a shaft adapted to engage an anatomy. The system can also include a saddle, which can include a first bore formed about a longitudinal axis that receives the bone fastener and a coupling bore defined transverse to the longitudinal axis. The system can also include a coupling system, which can have a second bearing surface. The coupling system can be received through the coupling bore such that the second bearing surface of the coupling system can contact the bearing surface to permit the bone fastener to move in only one plane.

Abstract: An expandable spinal implant device for supporting vertebral bodies can include first and second body members and first and second expansion mechanisms. The body members can each have a first end positionable toward one of the vertebral bodies and can each define a hollow interior. The expansion mechanisms can be spaced apart from each other and can include a first drive shaft and a second drive shaft, respectively. The first and second drive shafts can each have a gear member fixedly coupled thereto. Each drive shaft can be threadably engaged at a first side to the first body member and at a second side to the second body member. The expansion mechanisms can be operable to effect axial displacement of the first body member relative to the second body member by rotationally driving the gear members of the first and second drive shafts.

Abstract: A dual reconstructive wire system for use with an anatomy can include a first guide wire, a second guide wire, a first guide instrument, a first cannulated insertion instrument, and a second cannulated insertion instrument. The first guide wire can pass through the first cannulated insertion instrument such that a first end and a second end of the first guide wire extends beyond the first end and the second end, respectively of the first cannulated insertion instrument. The second guide wire can pass through the second cannulation insertion instrument such that a first end and a second end of the second guide wire extends beyond the first end and the second end, respectively of the second cannulated insertion instrument.

Abstract: The present teachings provide one or more surgical implements for repairing damaged tissue, such as in the case of spinal stenosis. An implant for insertion between adjacent spinous processes is provided. The implant can include a body having a first end, a second end and defining a bore. The implant can include a first cap coupled to the first end of the body, a second cap coupled to the second end of the body, with each of the caps defining a space. The implant can include a connector coupled to the first cap and the second cap through the bore. The implant can include at least one deployable member coupled to the first end of the body and the first cap. The at least one deployable member can be retained within the first space in a first position, and can extend from the first space in a second position.

Abstract: An osteotome may include a handle; a shaft coupled to the handle; a cutting member coupled to the shaft, wherein the cutting member comprises a first cutting surface positioned perpendicular to a second cutting surface, and wherein said first and second cutting surfaces extend downward relative to the shaft; and a stop means configured to control the depth of cut by the cutting member.

Abstract: The present teachings provide one or more surgical implements for repairing damaged tissue, such as in the case of a spinal fixation procedure. A multiplanar bone anchor system for a fixation procedure is provided. The system can include a bone fastener. The bone fastener can include a head and a second end adapted to engage an anatomy. The bone fastener can extend along a longitudinal axis. The system can also include a coupling arrangement coupled to the head of the bone fastener so that the bone fastener is rotatable about the longitudinal axis to define a first plane of motion. The system can further include a saddle, which can be coupled to the coupling arrangement. The saddle can be movable relative to at least one of the bone fastener and the coupling arrangement to define a second plane of motion.

Abstract: A rod coercer for use in spinal fixation procedures is provided. In one embodiment, the rod coercer includes a handle having at least one rod contacting arm extending therefrom; an implant gripping assembly pivotally interconnected with the handle; and first and second implant gripping levers interconnected with the implant gripping assembly and including first and second protrusions biased to engage corresponding recesses of the implant. The protrusions can be selectively retracted from the recesses of the implant by pivoting the implant gripping levers.

Abstract: The present teachings provide one or more surgical implements for repairing damaged tissue, such as in the case of a spinal fixation procedure. A cross connector system for use during a spinal fixation procedure is provided. The system includes at least one bridge defining a coupling bore and having a pair of downwardly extending arms for coupling to a first fastener. The system includes a contoured bar having a first end offset from a second end, and a bore having a central axis. The system includes an expansion ring received within the bore, and a locking device received through the expansion ring and the coupling bore. The locking device is operable in a first state in which the contoured bar is movable about the central axis of the bore and in a second state in which the contoured bar fixed relative to the central axis of the bore.

Abstract: The present teachings provide one or more surgical implements for repairing damaged tissue, such as in the case of a spinal fixation procedure. A uniplanar bone anchor system for a fixation procedure is provided. The system can include a bone fastener including a head with a bearing surface and a shaft adapted to engage an anatomy. The system can also include a saddle, which can include a first bore formed about a longitudinal axis that receives the bone fastener and a coupling bore defined transverse to the longitudinal axis. The system can also include a coupling system, which can have a second bearing surface. The coupling system can be received through the coupling bore such that the second bearing surface of the coupling system can contact the bearing surface to permit the bone fastener to move in only one plane.

Abstract: A device for insertion between spinous processes of adjacent vertebrae is provided and may include a rod having a first threaded portion and a second threaded portion. The first threaded portion may be coupled to the second threaded portion at a joint. A plurality of members may be movable between a compressed condition and an extended condition when the rod is rotated relative to the plurality of members. The first threaded portion and the second threaded portion may be uncoupled at the joint after the plurality of members are moved from the extended condition to the compressed condition.

Abstract: The present teachings provide one or more surgical implements for repairing damaged tissue, such as in the case of spinal stenosis. An implant for insertion between adjacent spinous processes is provided. The implant can include a body having a first end, a second end and defining a bore. The implant can include a first cap coupled to the first end of the body, a second cap coupled to the second end of the body, with each of the caps defining a space. The implant can include a connector coupled to the first cap and the second cap through the bore. The implant can include at least one deployable member coupled to the first end of the body and the first cap. The at least one deployable member can be retained within the first space in a first position, and can extend from the first space in a second position.

Abstract: An expandable spinal implant device for supporting vertebral bodies can include first and second body members and first and second expansion mechanisms. The body members can each have a first end positionable toward one of the vertebral bodies and can each define a hollow interior. The expansion mechanisms can be spaced apart from each other and can include a first drive shaft and a second drive shaft, respectively. The first and second drive shafts can each have a gear member fixedly coupled thereto. Each drive shaft can be threadably engaged at a first side to the first body member and at a second side to the second body member. The expansion mechanisms can be operable to effect axial displacement of the first body member relative to the second body member by rotationally driving the gear members of the first and second drive shafts.

Abstract: Implantable pliable bone blocks comprising a solid block of cortical bone characterized by a length, width and thickness, having a first and a second face on opposite sides of the block. The first and second faces have a plurality slot features. The angle of incidence of the slot features of the first face and the x-axis and the angle of incidence of the slot features of the second face and the x-axis (a2) are such that the slots would intersect if they were in the same plane. Methods are provided for making implantable pliable bone blocks.

Abstract: A spinal connector includes a first seat having a first opening for coupling to a first spinal connecting member along a first longitudinal axis and a second seat having a second opening for coupling to a second spinal connecting member along a second longitudinal axis. The second longitudinal axis is substantially coaxial to the first longitudinal axis for connecting the first and second connecting members end to end. The spinal connector also includes a ball enclosure rotatably received in the second opening of the second seat. The ball enclosure defines a bore along the second longitudinal axis and articulates with the second opening for allowing change of orientation of the second connecting member relative to the first connecting member.

Abstract: A device is disclosed for insertion in the human or animal body in order to increase the spacing between adjacent spinous processes of the spinal column. The device comprises a plurality of shaped members which are pivotally joined to each other and arranged around a central screwed rod which is supported by a collar at one end and a threaded collar at the opposite end said collar and collar being located within the pivoting axis of the adjacent members forming each end of the device. Following insertion in the body and positioning between adjacent spinous processes the device may be deployed by rotation of the central screwed rod in order to achieve the desired separation of adjacent spinous processes while at the same time providing a secure location of the device in the deployed condition.

Abstract: An orthopedic device can include an intramedullary nail and an insert telescopically received in the intramedullary nail. The insert includes at least two guiding bores for corresponding bone fasteners that can be locked at an angle to the intramedullary nail. A locking set screw can be coupled to the insert and move the insert to a position that locks the bone fasteners to the nail.

Abstract: An instrument assembly for bone drilling. The instrument assembly can include a soft tissue sleeve defining an internal channel, and an irrigation cap removably coupled to the sleeve. The irrigation cap can include a delivery port connectable to an irrigation source for delivering irrigation to the internal channel, the port in fluid communication with the internal channel.

Abstract: An alignment device for an intramedullary locking nail insertable in an intramedullary canal of a long bone. The alignment device includes a locating member having a handle portion connected to an elongated insertion member, and a targeting member movably coupled to the locating member. The insertion member can be inserted in a proximal portion of the intramedullary canal. The targeting member includes a plurality of guiding portions. Each guiding portion is configured to receive one of a plurality of blocking fasteners along an implantation trajectory and into the bone and around the intramedullary canal when the insertion member is inserted into the intramedullary canal. The implantation trajectory of each blocking fastener does not intersect the insertion member.