Abstract: A positional guide for use on a cannula shaft includes a shaft portion configured to form a first opening to receive a cannula shaft therein. One or more offset portions are connected to the shaft portion and configured to form second openings spaced apart from the first opening. The second openings are configured to each receive a stabilization device therein such that when the cannula shaft and the stabilization device are present in the first opening and the second openings, respectively, the cannula shaft and the stabilization device are disposed substantially parallel to each other. Methods are also disclosed.

Abstract: A bone implant device includes a barrel having a sharpened distal end for advancing into bone and a proximal end portion configured to engage a driver end for advancing and turning the barrel to implant the barrel into bone. A channel is formed longitudinally through at least a portion of the barrel and is open ended on the proximal end portion. A permeable material is disposed within the channel that permits fluid communication therethrough between the distal end and the channel. Methods of use are disclosed.

Abstract: A delivery system includes a reservoir for storing pressurized fluid and a piston rod passing through the reservoir and having an end portion with a dimension larger than the piston rod. A sleeve is configured to engage the end portion of the piston rod such that when the piston rod is advanced, the end portion seals an opening in the sleeve. The sleeve and the end portion function as a piston for extracting fluid from a delivery chamber. When the piston rod is retracted, the sleeve engages a portion of the end portion to permit the reservoir to communicate with the delivery chamber through the opening. Methods of use are disclosed.

Abstract: A bone fastener system including a bone fastener having cavities for receiving locking screws traverse to a longitudinal axis. The bone fastener includes a proximal end connected to a head, a distal end and an elongated shank defining a longitudinal axis. The elongated shank has an inner surface defining an inner cavity extending from the proximal end to the distal end along the longitudinal axis. The inner cavity is configured to receive a guide wire. The system includes a first locking screw and the bone fastener further comprises a second cavity defined by an inner surface disposed at an angle transverse to the longitudinal axis configured to receive a first locking screw.

Abstract: A mixer gun system includes a holder cap configured to separately store components in separate chambers. The components are selectively releasable through channels fluidly communicating with the separate chambers. The components are constituent materials for a bone cement mixture. A body forms a mixing chamber and is configured to receive the holder cap. The mixing chamber includes an opening corresponding with the channels for the separate chambers. A piston is disposed within the mixing chamber. A plunger is coupled to the piston and is configured to be biased toward the mixing chamber such that when the components are released into the mixing chamber a pressure developed by a biased motion of the plunger and piston infuses the components to form bone cement. Upon resetting the plunger and the piston, the bone cement is dispensed from the mixing chamber by the same biased motion. Methods of use are disclosed.

Abstract: A system for containing fumes for a bone cement component includes a vial holder configured for receiving and holding a vial therein. A holder chamber is configured to receive and secure the vial holder therein such that when engaged with the vial holder, the vial holder and the holder chamber form an enclosure for containing the vial. A vial-breaking device is disposed in the holder chamber and is configured to break the vial to release contents of the vial into the holder chamber. A port is in communication with the holder chamber through a filter so that when a vacuum is drawn at the port by a dispensing device, the contents of the vial can be drawn through the filter and into the dispensing device and the fumes are contained in the enclosure. Methods of use are disclosed.

Abstract: A medical balloon device includes a tube having a longitudinal axis with a distal end portion. Inflatable balloons are coupled longitudinally in series along the distal end portion of the tube. The inflatable balloons are configured to have individually controlled inflation volumes, and the inflatable balloons include different dimensions such that upon inflation of the inflatable balloons a composite profile shape is achieved. Methods of use are disclosed.

Abstract: A device and method for treating bone fractures/lesions using an inflatable body is provided. The inflatable body includes a balloon having a substantially flat horizontal surface for quick easy insertion into bone beneath the fracture so as to align misaligned fragments of the fracture and/or to collapsed bone. The body has a shape and size to compress at least a portion of the cancellous bone to form a cavity in the cancellous bone and/or to restore the original position of the outer cortical bone, if fractured or collapsed. The inflatable body has a stylet attached to it's distal end so that once the inflatable body is deflated it can be twisted about the stylet to have a smaller profile so as to be easily withdrawn from the bone.

Abstract: An apparatus and method for an anchoring cannula including a first cannula having a proximal end, a distal end, a longitudinal axis and a lumen extending from the proximal end to the oppositely disposed distal end along the longitudinal axis. A second cannula is concentrically arranged within the lumen of the first cannula, the second cannula having a proximal end, a distal end and a lumen extending from the proximal end to the oppositely disposed distal end along the longitudinal axis. The second cannula includes an expandable portion connected to the distal end that is configured to expand when the second cannula is advanced out of the distal end of the first cannula and to change to an unexpanded configuration when retracted back into the distal end of the first cannula.

Abstract: An apparatus and method for mixing and dispensing bone cement is provided. The apparatus includes a mixing vessel for mixing bone cement attached to a syringe body. The syringe body having a lumen that is connected to the mixing vessel by a passageway between the mixing vessel and the lumen of the syringe body. A separator is provided between the mixing vessel and the syringe body and includes an orifice therein so that when the opening in the separator is misaligned with the lumen the passageway is blocked and when aligned the passageway is continuous with the lumen so that bone cement can pass into the syringe body. A plunger is provided and is slideably movable along the longitudinal axis of the syringe body so as to advance the bone cement out of the distal end of the syringe.

Abstract: Systems and method in accordance with an embodiment of the present invention can includes an implant comprising a first wing, a spacer extending from the first wing, and a distraction guide. The distraction guide is arranged in a first configuration to pierce and/or distract tissue associated with adjacent spinous processes extending from vertebrae of a targeted motion segment. The implant can be positioned between the adjacent spinous processes and once positioned, the implant can be arranged in a second configuration. When arranged in a second configuration, the distraction guide can act as a second wing. The first wing and the second wing can limit or block movement of the implant along a longitudinal axis of the implant.

Abstract: A method includes moving a spinal implant such that a central portion of the spinal implant is disposed between adjacent spinous processes, radially extending a proximal portion of the spinal implant on a first side of the adjacent spinous processes such that movement of the proximal portion between the adjacent spinous processes is inhibited, and radially extending a distal portion of the spinal implant on a second side of the adjacent spinous processes opposite the first side such that movement of the distal portion between the adjacent spinous processes is inhibited.

Abstract: Systems and methods treat at least two vertebral bodies in a spinal column. The systems and methods make use of first and second tool assemblies operable to treat an interior region of, respectively, a first vertebral body and a second vertebral body in the spinal column. The systems and methods provide directions for operating the first and second tool assemblies to treat the first and second vertebral bodies, at least for a portion of time, concurrently.

Abstract: A minimally invasive surgical system can include a cannula having a side port and an open distal end, and an expandable bone tamp. The bone tamp includes an elongate shaft coupled to an expandable element. The elongate shaft has a length adapted to align the expandable element with the side port or extend the expandable element completely beyond the distal opening of the cannula. In this manner, the cannula and bone tamp enable either directional (i.e., through the side port) or non-directional (i.e., completely outside the cannula) bone tamping.

Abstract: An elongated shaft is sized and configured to establish an access path to bone having an interior volume occupied, at least in part, by cancellous bone. The elongated shaft includes a generally closed distal end portion and a side opening spaced from the closed distal end. A first tool is sized and configured to be selectively inserted into the shaft and selectively removed from the shaft. The tool includes a region that, when the first tool is inserted into the shaft, is capable of being aligned with and advanced through the side opening to project outside the side opening and contact cancellous bone. A second tool is sized and configured, upon removal of the first tool from the shaft, to introduce into the shaft a bone filling material for discharge through the side opening into the cancellous bone contacted by the first tool.

Abstract: Devices and methods for performing a procedure within a spine are disclosed herein. In one embodiment, a method includes expanding an expandable member to move a tissue portion and form a cavity within an interior of a bone-related structure. At least a portion of the cavity is filled with a filler material while simultaneously withdrawing a medium from the expandable member at a predefined ratio such that the tissue portion substantially maintains its moved position. In some embodiments, the predefined ratio is 1:1. In another embodiment, a method includes expanding an expandable member to move a tissue portion and form a cavity within an interior of an intervertebral disc. At least a portion of the cavity is filled with a filler material while substantially maintaining the moved position of the tissue portion.

Abstract: Effective devices and methods using an antifibrotic agent are provided for treating fibrosis or treating normal fibrous tissue. The devices and methods comprise an antifibrotic agent to degrade shrink, relax or stretch at least a portion of the fibrotic tissue. In some embodiments, the methods and devices are configured to immediately release an effective amount of the antifibrotic agent within 24 hours. In some embodiments, when the device comes in contact directly or indirectly with an activator, the antifibrotic agent will be immediately released from the depot. In some embodiments, the depot provides sustained release of the antifibrotic agent over a period of up to one year to treat fibrous tissue.

Abstract: Multi-level interspinous implants and methods of using the implants with the implants generally include a first member for placement in a first interspinous space and a second member for placement in a second interspinous space. An elongated connector extends from one of the members and is sized to fit in a slot in the other member. Each of the first and second members may include a distal wing, a body, and a proximal wing. The members may also be positioned in a closed orientation for insertion into the patient and a deployed orientation with the distal and proximal wings extending outward along lateral sides of respective spinous processes. The connector may extend outward from the proximal wing of one of the members and away from the other member when that member is in the closed orientation. The connector may be rotated and inserted into the slot where it is secured when that member from which is extends is moved to the deployed orientation.

Abstract: A bone support and/or barrier device and having an implantable structure including an outer surface, an inner surface, a first bone contact portion, and a second bone contact portion. The structure is collapsible to an undeployed configuration capable of percutaneous insertion to the interior of a bone and expandable to a deployed configuration in the bone. In the deployed configuration, the first bone contact portion contacts a first portion of the bone, and the second bone contact portion contacts a second portion of the bone such that a load placed on the first portion of the bone is transferred through the implantable structure to the second portion of the bone. The implantable structure includes a barrier material adapted to restrict bone filler material inserted into the bone adjacent the inner surface of the structure from flowing to the outer surface of the structure. A method is also disclosed.

Abstract: A force-limiting clutch for a surgical instrument includes a drive element and a transmission element. An actuator is coupled to the drive element, and a drive shaft is coupled to the transmission element for providing an output force. If the force input from the actuator to the clutch reaches a predetermined threshold, the force-limiting clutch “slips” and does not transfer the actuator force to the drive shaft to prevent excessive force/pressure output. Normally, drive features on the drive element engage with transmission features on the transmission element to transfer forces from the actuator to the drive shaft. When a threshold force is reached, the drive features slip past the transmission features. This clutch “breakpoint” determines the maximum loading that the surgical instrument can provide at its output. In various embodiments, multiple transmission features can be arranged in a serial manner, such that the force-limiting clutch provides multiple breakpoints.