Abstract: A method of revising a patient having a fusion cage implanted within a spinal column, involving percutaneously delivering a first end of a tube to the spinal column, fluidly connecting the first end of the tube to the fusion cage, and delivering a bone growth agent into the fusion cage through the tube.

Abstract: A spinal distractor for distracting opposed vertebrae in which a pair of elements are threadably connected by a screw having opposing threads, wherein actuating the screw spreads the elements apart and pushes the vertebrae apart.

Abstract: The disclosure extends to methods, systems, and computer program products for producing an image in light deficient environments and associated structures, methods and features. The features of the systems and methods described herein may include providing improved resolution and color reproduction.

Abstract: A surgical instrument including a customized patient-specific guide block is disclosed. The customized patient-specific guide block includes a first surface, a bone-facing surface, a second surface positioned opposite the first surface and the bone-facing surface, and a guide pin hole extending between the second surface and the bone-facing surface. The first surface has a customized prosthesis-specific negative contour shaped to match a corresponding contour of a prosthetic component, and the customized prosthesis-specific negative contour includes a concave surface shaped to match a convex surface of the corresponding contour of the prosthetic component. A method of performing an orthopedic surgical procedure is also disclosed.

Abstract: A surgical apparatus having a locking mechanism that receives a cutting burr and that may include a loading and running position. The locking mechanism may include a motor driven spindle that carries a locking pawl and a detent pawl that lock the cutting burr in place an prevent the cutting burr from inadvertently falling out of the surgical drill instrument when in its load position. A diamond-shaped portion of the cutting burr may be formed in a six-sided diamond configuration and a perpendicular back end surface. The end of the cutting burr may include another diamond-shaped portion formed in a six-sided diamond shape surface that mates with a complementary surface formed in the receiving end of the spindle of the motor/locking mechanism. In an aspect, the attachment of the cutting burr is such that the cutting burr has substantially zero axial movement and runs true in the running condition.

Abstract: A torque limiting instrument is disclosed configured to drive a shaft to rotate in a select direction in response to an applied torque until the applied torque reaches a predetermined threshold. Thus, when the torque limiting instrument drives a bone screw into bone, the bone screw is advanced into the bone until the torque applied to the torque limiting instrument reaches the predetermined threshold, at which point the torque limiting instrument will no longer communicate the applied torque to the bone screw.

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: An alloy and an implant having a three-dimensional structure based on such alloy. The alloy comprises a MgZnCa alloy containing nanosized precipitates being less noble than the Mg matrix alloy and having a Zn content ranging 0.1 wt. % Zn to 2 wt. % Zn and a calcium content ranging from 0.2 wt. % to 0.5 wt. %, and having less than 0.04 wt. % of one or more other elements with the remainder being Mg. For these micro-alloys, any second phase generated during the solidification process can be completely dissolved by a solution heat treatment. Finely dispersed nanosized precipitates can then be generated by a subsequent aging heat treatment step. These precipitates are used to “pin” the grain boundaries and to prevent the coarsening of the grain structure during further processing to achieve grain sizes below 5 ?m.

Abstract: An electrical insulator is applied to a bone anchor, for instance of a bone implant, such as an external fixation frame, so as to prevent undesirable temperature increases in the bone anchor and surrounding anatomical tissue when subjected magnetic resonance imaging.

Abstract: Embodiments of the present invention provide an implant having a protrusion. The protrusion aids in the insertion and placement of the implant as well as the spinal fixation element. In certain embodiments the protrusion may be configured as a guide for the insertion of the spinal fixation element as well as closure mechanisms for connecting the spinal fixation element to the implant.

Abstract: An intervertebral implant includes an insertion end, an opposing engagement end, and first and second opposed main surfaces configured to contact respective adjacent vertebral endplates. Each of the first and second main surfaces has an anterior edge, a posterior edge, and extends between the insertion and engagement ends. Anterior and posterior walls are formed between the first and second main surfaces and along the respective anterior and posterior edges and converge at the insertion and engagement ends. A slot is formed at the engagement end and extends continuously between and at least partially along the anterior and posterior walls. A post is positioned within the slot, spaced from at least one of the anterior and posterior walls and extending at least partially between the first and second main surfaces. The post includes a plurality of exposed facets and is configured for engagement with a pivotable insertion instrument.

Abstract: Cells derived from postpartum placenta and methods for their isolation are provided by the invention. The invention further provides cultures and compositions of the placenta-derived cells. The placenta-derived cells of the invention have a plethora of uses, including but not limited to research, diagnostic, and therapeutic applications.

Abstract: An anatomical implant application, such as a bone implant application for instance, can receive an anatomical image that is representative of an anatomical structure. The anatomical implant application can generate an implant image that is associated with the anatomical structure. The generated implant image can define an inner surface that faces the anatomical image. A plurality of distances can be determined from respective locations of the inner surface of the implant image to the anatomical image in respective straight lines. The distances may represent a superimposition of the implant image over the anatomical image. The distances may be compared to a tolerance. The inner surface may be repositioned so as to change at least the select one of the distances. An implant, such as a bone implant for instance, may be fabricated in accordance with data that is associated with the implant image.

Abstract: Various methods and devices are provided for tensioning a tether. In one embodiment, a tether tensioning device is provided and includes an elongate shaft adapted to be positioned adjacent to a bone anchor implanted in bone, and a tensioning mechanism pivotally associated with the elongate shaft and adapted to couple to a tether seated across the bone anchor and to pivot relative to the elongate shaft to apply a tensioning force to the tether.

Abstract: A modular bone fixation linkage includes a plurality of interconnected links that can angulate with respect to an adjacent one of the links about at least one axis, such as three axes. The links can further include fixation holes that are configured to receive bone anchors that secure the links to an underlying anatomical structure.

Abstract: A delivery system for an implantable vaso-occluding device. A non-planar heating chamber is disposed proximate to a distal end of an advancing member. Protruding from an interior surface of the non-planar heating chamber is a detachment fiber made from a polymeric material and having a closed distal end. At least one heating element is disposed on the interior surface of the non-planar heating chamber to produce sufficient heat to sever the detachment fiber. An articulation point is established between the vaso-occluding device and the delivery system. The vaso-occluding device remains at all times substantially self-centered while being advanced.

Abstract: A torque limiting driver system, including: a torque limiting driver including: a handle with a locking cap engagement protrusion; a shaft with a cam portion including a cam mating feature; and a locking cap including: a mating recess including a plurality of scallops along the outer edge of the mating recess and wherein the plurality of scallops are configured to interface with the first mating feature; a through-hole with through-hole mating feature configured to interface with the cam mating feature, wherein the locking cap is configured to engage the torque limiting driver to lock the rotation of the shaft with respect to the handle.

Abstract: The disclosure extends to devices, systems and methods for connecting one or more sensors to one or more printed circuit boards (PCB) in the distal end or tip of a scope. The disclosure also extends to a connector assembly for an image sensor for protecting the sensor and conveying information from the sensor to the PCB.

Abstract: A bone plate sized and shaped for fixation to a phalangeal bone includes a head extending from a first end to a second end and having first, second and third fixation element holes extending therethrough and arranged in a triangular configuration on the head, an outer wall of the head having a triangular shape corresponding to the triangular configuration, a bone contacting surface of the head being contoured to conform to the anatomy of a lateral surface of a phalangeal head and a shaft extending from the head, the shaft including fourth and fifth plate holes separated from one another by an elongated fixation element hole elongated in a direction parallel to a longitudinal axis of the shaft.

Abstract: Devices and methods are provided for forming a hole in bone and implanting a suture anchor in the bone hole. The devices and methods disclosed herein allow a suture coupled to tissue to be passed through a shaft that is also configured to receive a drill bit. Exemplary guide devices are provided having a shaft with a cross-sectional shape that allows the suture to be seated in a secondary region that is offset from a primary region that receives the drill bit therethrough. A drill bit can be passed through the shaft without causing any damage to the suture extending through the shaft, and subsequently an anchor can be advanced along the suture through the shaft and guided into the bone hole.