Abstract: Methods for anterior fusion and posterior fusion spinal procedures are disclosed. The spinal procedure may be a minimally invasive procedure. An incision may be made on a back of a patient to provide percutaneous lateral access to a spine of the patient. The access point of Kambin's triangle may be used to reach an intervertebral disc space. Through the incision and with an anterior trajectory, an interbody cage may be inserted into the intervertebral disc space. Thereafter, through the same incision and with a posterior trajectory, a spinal fusion implant may be inserted into an interspinous process space or an interlaminar space. The procedure may be performed through a single incision. The same surgical instrumentation may be used for both the anterior fusion and the posterior fusion procedures.

Abstract: An insertion device for deploying an implant includes an elongated main body having a distal locking portion for coupling to the implant and a proximal handle portion. The main body defines a central passage and the distal locking portion has outer ridges and slots to allow the outer ridges to flex radially inward when mounting to the implant. A plunger slides in the central passage for movement between an unlocked position for mounting the implant on the distal locking portion, a locked position for locking the implant on the distal locking portion, and an insertion instrument deployed position for deploying the actuation plunger to move the blades from the stowed position to the deployed position. A spike cap drive rotatably mounts on the main body having a socket end for engaging a drive nut on the implant to, in turn, move the spike cap.

Abstract: An insertion instrument for inserting an implant includes an elongated main body having a proximal handle and a distal portion that selectively couples to the implant. A wing actuation tool is slidably engaged in a central passage of the elongated main body to fix the implant to the elongated main body. The wing actuation tool temporarily attaches to the implant allowing for deployment and retraction of wings of the implant during surgery. Longitudinal translation of the wing actuation tool deploys an actuation plunger of the implant.

Abstract: A spinal implant configured to connect to a vertebra. The spinal implant comprises a ball and socket joint allowing poly-axial movement. The ball and socket joint includes a socket having a multiple radius tear drop geometry with a larger radius and a smaller radius, so that the ball can move freely within the larger radius of the socket until it is seated into the smaller radius of the socket upon locking of the ball and socket joint.

Abstract: An interbody spacer for a spine includes a housing having a plurality of clearance holes configured to engage bone of the spine. A contact plate including a plurality of apertures is positioned a distance away from the housing configured to engage bone of the spine. A plurality of rivets adjoin the housing and the contact plate. A plurality of springs are included with each spring configured to encircle a respective rivet and translate the distance between the housing and contact plate from a minimum distance to a maximum distance.

Abstract: An implant removal tool for use in removing an expandable spinal implant device from a patient and a method of use. The tool includes a shaft having a distal end with a plurality of tabs and a central bore having a threaded section with an internal threaded wall. The plurality of tabs may include two curved tabs having blunt distal ends for cooperating with an implant. The threaded section is configured to receive a threaded shaft of an implant and lock the implant thereon for removal.

Abstract: A disposable insertion instrument for inserting an implant includes a handle assembly, a drive assembly, and a plunger assembly. The drive assembly comprises an inner shaft and a spring received within an outer sleeve. A locking pin and drive lobes on the inner shaft cooperate to reversibly lock the drive assembly in a retracted position. A medical implant may be attached to the instrument via an adapter located at a distal end of the drive assembly. Following insertion of the medical implant into a patient, the disposable insertion instrument may be discarded.

Abstract: A system and method for providing a surgical instrument having a shaft with a proximal end, a distal end, a longitudinal axis, and a central lumen extending therethrough; and a tapered head at the distal end. The tapered head has a plurality of longitudinal channels, a plurality of threaded sections, and a plurality of lateral lumens. The plurality of longitudinal channels may form a plurality of flutes configured to cut bone, tissue, or both.

Abstract: A system and method for providing a spinal implant having a main body, a proximal anchor, a distal anchor, and an internal plunger. The proximal anchor comprises a nut having an internal bore. The distal anchor comprises a plurality of wings having a first closed configuration and a second open configuration. The internal plunger is housed within a central bore of the main body. The distal end of the internal plunger is operatively connected to the first wing and the second wing to selectively move the wings between the first closed configuration and the second open configuration, and vice versa.

Abstract: A system and method for reducing spondylolisthesis. The system includes a bracket comprising a first opening and a second opening, a first and second rod, and a first and second knob. The system may be placed onto a patient's back, the rods may be inserted through the first opening and the second opening and further into a first vertebral part and a second vertebral part. Tightening of a first knob and a second knob on the first and second rod allow for repositioning of the vertebra. Once repositioned, an interspinous implant may be inserted into the interspinous process space, connecting the vertebrae.

Abstract: An insertion instrument for inserting an implant includes an elongated main body having a proximal handle and a distal portion that selectively couples to the implant. A plunger is slidably engaged in a central passage of the elongated main body to fix the implant to the elongated main body. A hex nut driver is concentrically located about the plunger and elongated main body to deploy an actuation plunger of the implant. The proximal handle portion of the main body includes a staggered path therethrough for accepting a tab of the plunger therein. Advancement and retraction of the plunger tab within the staggered path alternates the insertion instrument between an unlocked position to mount the implant on the distal portion, a locked position to lock the implant on the distal portion, and a deployed position configured to secure the implant in position.

Abstract: A system and method for providing a spinal implant having a main body, a proximal anchor, a distal anchor, and an internal plunger. The proximal anchor comprises a nut having an internal bore. The distal anchor comprises a plurality of wings having a first closed configuration and a second open configuration. The internal plunger is housed within a central bore of the main body. The distal end of the internal plunger is operatively connected to the first wing and the second wing to selectively move the wings between the first closed configuration and the second open configuration, and vice versa.

Abstract: A system and method for providing a spinal implant having a main body, a proximal anchor, a distal anchor, and an internal plunger. The proximal anchor comprises a nut having an internal bore. The distal anchor comprises a plurality of wings having a first closed configuration and a second open configuration. The internal plunger is housed within a central bore of the main body. The distal end of the internal plunger is operatively connected to the first wing and the second wing to selectively move the wings between the first closed configuration and the second open configuration, and vice versa.

Abstract: An insertion instrument for inserting an implant includes an elongated main body having a proximal handle and a distal portion that selectively couples to the implant. A plunger is slidably engaged in a central passage of the elongated main body configured to fix the implant to the elongated main body by selectively filling the central passage within the distal portion. A hex nut driver is concentrically located about the plunger and elongated main body to deploy an actuation plunger of the implant. The proximal handle portion of the main body includes a staggered path therethrough for accepting a tab of the plunger therein. Advancement and retraction of the plunger tab within the staggered path alternates the insertion instrument between an unlocked position configured to mount the implant on the distal portion of the elongated main body, a locked position configured to lock the implant on the distal portion, and a deployed position configured to secure the implant.

Abstract: An insertion device for deploying an implant includes an elongated main body having a distal locking portion for coupling to the implant and a proximal handle portion. The main body defines a central passage and the distal locking portion has outer ridges and slots to allow the outer ridges to flex radially inward when mounting to the implant. A plunger slides in the central passage for movement between an unlocked position for mounting the implant on the distal locking portion, a locked position for locking the implant on the distal locking portion, and an insertion instrument deployed position for deploying the actuation plunger to move the blades from the stowed position to the deployed position. A spike cap drive rotatably mounts on the main body having a socket end for engaging a drive nut on the implant to, in turn, move the spike cap.

Abstract: A guide wire comprises a longitudinal body having a proximal end portion and an opposing distal end portion. The proximal and distal end portions have rigid shafts with a flexible portion disposed therebetween. The flexible portion is fixedly attached to the proximal end portion and distal end portion. An outer surface of the flexible portion has a diameter equal to an outer surface of the proximal end portion and an outer surface of the distal end portion. The distal end portion further comprises at least one marker disposed therein configured to locate a distal tip of the guide wire during imaging.

Abstract: An interbody spacer for a spine includes a housing having a plurality of clearance holes configured to engage bone of the spine. A contact plate including a plurality of apertures is positioned a distance away from the housing configured to engage bone of the spine. A plurality of rivets adjoin the housing and the contact plate. A plurality of springs are included with each spring configured to encircle a respective rivet and translate the distance between the housing and contact plate from a minimum distance to a maximum distance.

Abstract: A fastener for use with a bone plate having a spring loaded fastener locking clip includes a cylindrical head portion having an outer periphery and defining a longitudinal axis, a threaded body portion configured for insertion through a fastener receiving aperture of the bone plate, an annular shoulder formed between the cylindrical head portion and the threaded body portion, the annular shoulder having an outer periphery, and at least one anti-rotation flange extending between the outer periphery of the cylindrical head portion and the outer periphery of the annular shoulder.

Abstract: An insertion instrument for inserting an implant includes an elongated main body having a proximal handle and a distal portion that selectively couples to the implant. A plunger is slidably engaged in a central passage of the elongated main body configured to fix the implant to the elongated main body by selectively filling the central passage within the distal portion. A hex nut driver is concentrically located about the plunger and elongated main body to deploy an actuation plunger of the implant. The proximal handle portion of the main body includes a staggered path therethrough for accepting a tab of the plunger therein. Advancement and retraction of the plunger tab within the staggered path alternates the insertion instrument between an unlocked position configured to mount the implant on the distal portion of the elongated main body, a locked position configured to lock the implant on the distal portion, and a deployed position configured to secure the implant.

Abstract: An insertion device for deploying an implant includes an elongated main body having a distal locking portion for coupling to the implant and a proximal handle portion. The main body defines a central passage and the distal locking portion has outer ridges and slots to allow the outer ridges to flex radially inward when mounting to the implant. A plunger slides in the central passage for movement between an unlocked position for mounting the implant on the distal locking portion, a locked position for locking the implant on the distal locking portion, and an insertion instrument deployed position for deploying the actuation plunger to move the blades from the stowed position to the deployed position. A spike cap drive rotatably mounts on the main body having a socket end for engaging a drive nut on the implant to, in turn, move the spike cap.