Abstract: A spinal implant includes a first member defining an implant cavity. A second member is movable relative to the first member and penetrable with tissue. A first crown is engageable with the first member, and a second crown is engageable with the second member. The second crown being movable relative to the first crown to fix the first member relative to the second member in a selected orientation. In some embodiments, systems, spinal constructs and methods are disclosed.

Abstract: Implantable medical devices are provided. In one embodiment, a device includes a body having an external surface defining an outer profile of the device. The body includes a porous matrix including a series of interconnected macropores defined by a plurality of interconnected struts each including a hollow interior. A filler material substantially fills at least a portion of the series of interconnected macropores. The external surface of the body includes a plurality of openings communicating with the hollow interior of at least a portion of the plurality of interconnected struts. In a further aspect of this embodiment, the external surface includes exposed areas of the filler material and porous matrix in addition to the exposed openings. In another aspect, the porous matrix is formed from a bioresorbable ceramic and the filler material is a biologically stable polymeric material. Still, other aspects related to this and other embodiments are also disclosed.

Abstract: Medical devices, such as implants, having a high-modulus alloy. The alloy includes a biocompatible refractory-metal-based alloy having multiple refractory metals. The alloy has an elastic modulus above about 300 GPa. The alloy comprises 30-35% tungsten, 60% molybdenum, and 5-10% niobium. The alloy is absent of rhenium.

Abstract: A device for hydrating particulate bone material is provided. The device comprises a tubular member having an interior surface and an exterior surface. The interior surface is configured to receive the particulate bone material and a hydration fluid. The exterior surface has a plurality of pores configured to allow the hydration fluid to flow into the interior surface of the tubular member and hydrate the particulate bone material. The plurality of pores are smaller in size than the particulate bone material. Methods of dispensing particulate the bone material are also provided.

Abstract: Systems, instruments, and methods for operating a surgical instrument are disclosed. The instrument may include a drive shaft axially aligned with a central axis of the surgical instrument. The drive shaft may include a first mating end and be rotatably supported within a drive housing having a contoured interior supporting the first mating end. The instrument may include an outer shaft having an outer receiver interface configured to selectively couple and uncouple to a connecting portion of a receiver. The instrument may also include a plunger that is axially aligned with the central axis and having a second mating end disposed within the contoured interior of the drive housing. In various embodiments, the second mating end may be axially aligned with and in contact with the first mating end. In various embodiments, the plunger may be configured to linearly translate along the central axis upon rotation of the drive shaft.

Abstract: A spinal construct includes a first member having a first thread form and an implant cavity configured for disposal of the spinal implant. A second member is engageable with a spinal implant and includes a second thread form configured for engagement with the first thread form. A gauge is coupled to the second member. The gauge is configured to measure a force between the second member and the spinal implant when the second member is engaged with the first member. The second thread form is timed with the first thread form to position the gauge in a selected orientation relative to the spinal implant. Systems and methods are disclosed.

Abstract: An expandable spinal implant is provided having a frame with a distal wall for retaining an expansion plug such that bone growth promoting material may be introduced to a proximal portion of the implant after expansion. Various implants, systems and methods are disclosed.

Abstract: A surgical instrument is provided that includes a first member defining a longitudinal axis and including a first mating surface engageable with a second mating surface of a fastener. A second member includes an expandable portion. A third member is engageable with the expandable portion to releasably capture the fastener. A first lever is connected to the first member, and a second lever is connected with the first lever via a pivot. The levers being rotatable relative to the longitudinal axis between a non-locked orientation and a locked orientation such that the pivot is rotatable past axial alignment to fix position of the first member relative to the fastener. Systems, spinal constructs, implants and methods are disclosed.

Abstract: A bone fastener comprises a head including a first receiver that defines an implant cavity and a second receiver that defines an implant cavity. The first receiver is connected to the second receiver. A shaft is aligned with the first receiver and configured to engage tissue. A part is disposed within the implant cavity of the second receiver and movable relative thereto in a selected plane of a body. Systems, surgical instruments, spinal constructs, implants and methods are disclosed.

Abstract: A system of generating a pre-operative assessment of a patient includes an assessment system configured to communicate with client electronic devices. The system receives patient information pertaining to a patient, uses the patient information to access one or more medical images associated with the patient, performs one or more image processing techniques on the one or more medical images to identify measurements pertaining to an internal bodily structure of the patient, identifies one or more implant components for the patient, determines whether the one or more implant components are currently stocked, in response to determining that the one or more implant components are not currently stocked, automatically generates and placing an order for the one or more implant components that are not stocked, generates a pre-operative assessment for the patient, and causes the assessment to be displayed on a display device of a client electronic device.

Abstract: A spinal implant system is provided for bridging an intervertebral space between vertebral bodies bordering the intervertebral space. The spinal implant system includes at least one adjustable end cap and a spinal implant. The end cap can be used with additional end caps and/or the spinal implant. Multiple end caps can be stacked on top of one another, and one end cap can be attached to a first end of the spinal implant, and another end cap can be attached to a second end of the spinal implant. Thus, one or more of the end caps can be attached to either end of the spinal implant.

Abstract: Various multiaxial receivers for receiving at least one tether are disclosed. A multiaxial receiver may include a body having a U-shaped cavity configured to receive a longitudinal rod therein and a lower cavity configured to couple to a pedicle screw. The body may include a first aperture extending through a side surface of the body and defining a first passageway configured to permit a tether to pass therethrough in the horizontal direction. In some embodiments, the body may include a second aperture extending through the side surface of the body and defining a second passageway configured to permit the tether to pass therethrough in the horizontal direction. A set screw may be configured to be rotated from an open position in which the tether is permitted to pass through the first passageway and optionally through the second passageway to a closed position in which the tether is immobilized.

Abstract: A surgical injection device includes at least one tubular element defining a passageway. The passageway is configured for disposal of a selected volume of an agent and an evacuator disposed within the passageway. An actuator is engageable with the evacuator to entirely expel the selected volume of the agent from the passageway to a selected site. Spinal constructs, implants, systems and methods are disclosed.

Abstract: Methods, compositions and apparatus for coating bone material particles (e.g., fibers) are provided. The methods, compositions and apparatus comprise providing a container configured to receive a mineral coating liquid and a plurality of bone material particles (e.g., fibers) therein; adding the plurality of bone material particles (e.g., fibers) to the container; and contacting the plurality of bone material particles (e.g., fibers) with the mineral coating liquid in the container so as to coat each individual bone material particle (e.g., fiber) with the mineral coating liquid to form a plurality of coated bone material particles (e.g., fibers).

Abstract: Methods and systems for performing a preliminary registration is provided. Image data corresponding to an image depicting a tracking device and an anatomical element may be received. Robot positional data corresponding to a position of a robot may also be received. The robot and the anatomical element may be located in a common three-dimensional coordinate system based on the image data and the positional data to yield a preliminary registration. A suggested robot position may be determined based on the preliminary registration and a dimensional reach of a robot arm of the robot.

Abstract: A method facilitates the treatment of the spine of a patient by providing simultaneous access through at least a first opening and a second opening formed in the patient. For example, the method can include the acts of positioning the patient on a surgical table, providing the first opening into a posterior portion of the patient, providing the second opening into a lateral portion of the patient, inserting a first device through the first opening into the patient to contact the spine in a first direction that is transverse to the coronal plane of the patient, and inserting a second device through the second opening into the patient to contact the spine in a second direction that is transverse to the sagittal plane of the patient, where the first and second openings are accessible simultaneously, and, when the first and second devises are inserted into the patient, the position of the patient is stationary with respect to a portion of the table.

Abstract: A spinal implant includes a first member having an arcuate portion and a second member having an arcuate portion. The first member is connected with a first portion of vertebrae and the second member is connected with a second portion of vertebrae such that the second portion of vertebrae is disposed at a first angle relative to the first portion of vertebrae in a sagittal plane of the vertebrae. A ratchet is disposed with the members such that the first member is incrementally movable relative to the second member from the first angle to a selected angle of the second portion relative to the first portion in the sagittal plane. Systems, implants and methods are disclosed.

Abstract: A spinal implant includes a receiver having a first arm connected to a first extension and a second arm connected to a second extension. The arms are connected to the extensions via a break away surface. The arms include a proximal most end surface and the receiver includes an implant receiving surface. The proximal most end surface and the implant receiving surface defining an implant cavity. The break away surface is disposed within the implant cavity. In some embodiments, systems, spinal constructs and methods are disclosed.

Abstract: A spinal construct includes a body defining a transverse axis. The body includes a wall disposed between a first implant cavity and a second implant cavity. The body further defines a first opening communicating with the first implant cavity and a second opening communicating with the second implant cavity. The first opening defines a first axis and the second opening defines a second axis. At least one of the first axis and the second axis are disposed in a substantially non-perpendicular orientation relative to the transverse axis. Systems, surgical instruments, implants and methods are disclosed.

Abstract: Expandable spinal implants, systems and methods are disclosed. An expandable spinal implant may include a first endplate, a second endplate, and a moving mechanism that is operably coupled to the first and second endplates. The moving mechanism may include a wedge, a first sliding frame and a second sliding frame disposed on opposite sides of the wedge, a screw guide housing a rotatable first set screw and a rotatable second set screw opposite the first set screw. The first set screw may be operably coupled to the second sliding frame and the second set screw may be operably coupled to the wedge. The moving mechanism may operably adjust a spacing between the first and second endplates upon simultaneous rotation of the first and second set screws and operably adjust an angle of inclination between the first and second endplates upon translating the first set screw or second set screw.