Abstract: Systems, instruments, and methods for operating a surgical instrument. The methods comprising: receiving at least a portion of an external object in a recess of a hollow shank; rotating a first shaft disposed within the hollow shank; using rotation of the first shaft to cause translational movement of a second shaft of the surgical instrument in a first direction away from the first shaft and along a central axis of the surgical instrument; applying a pushing force on the external object using the second shaft that is experiencing the translational movement; and causing translational movement of the second shaft in a second direction opposed from the first direction after the pushing force has been applied to the external object.

Abstract: A unibody implant movable between an expanded position and a contracted position is disclosed. The unibody implant may include a unitary expandable body defined by an inferior portion and a superior portion that are connected together. In various embodiments, a set screw may be rotatably supported by the body and configured to move a plug having a first inclined surface facing the distal side. In various embodiments, the set screw may be movable in the longitudinal direction towards the distal side upon rotation of the set screw along the rotation axis, for example. In various embodiments, movement of the set screw urges the plug against the superior portion thereby expanding a vertical distance between the superior and inferior sides of the body. In some embodiments, the plug may include a stabilizing element configured to transfer compressive forces between the superior portion and inferior portion.

Abstract: An orthopedic burring tool includes a burring tip configured for removal of bone to form a bore in the bone, an elongated intermediate segment having a smooth outer surface along a length of the segment, a conical widening segment at the proximal end of the intermediate segment that widens from the diameter of the burring tip to a diameter that is about twice the burring tip diameter. The widening segment includes an outer surface configured for removal of bone upon rotation of the burring tool. The tool includes an upper segment configured for engagement to a rotary driving tool and having a cylindrical outer surface configured for removal of bone upon rotation of the burring tool for removal of material from bony structure adjacent the bone bore formed by the burring tip.

Abstract: A surgical instrument comprises a first member extending between a proximal end and a distal end configured for fixation with tissue. A second member defines a longitudinal passageway and is connected with a navigation component such that the distal end is disposable with the passageway at a selected distance from the navigation component. The navigation component is positioned relative to a sensor to communicate a signal representative of an orientation of the first member. A third member extends between a proximal end and a distal end. The third member is mountable with the first member along the orientation such that the distal end of the third member is engageable with the tissue. Systems, spinal implants, constructs and methods are disclosed.

Abstract: Disclosed herein are systems and methods for graft delivery with accurate dispensing. For example, a device for delivering graft material to a target site includes an actuation mechanism and a tube. The tube defines a lumen and an open end and is configured to receive graft material through the open end. The tube includes a pressure relief opening and a dosage window. The pressure relief opening is disposed in a wall of the tube, defining a pressure chamber between the open end and the pressure relief opening. The device further includes a plunger positioned within the lumen of the tube and coupled to the actuation mechanism such that at least a portion of the plunger (or the actuation mechanism) is visible through the dosage window. The actuation mechanism is configured to advance the plunger toward the open end to deliver graft material through the open end.

Abstract: In some embodiments, a bone implant for percutaneous use is provided. The bone implant comprises a head, a body adjacent to the head and a tip opposite the head. At least the head, body or tip is configured to contact bone. An expandable member contacts at least one of the head, tip or body and is movable from an unexpanded configuration to an expanded configuration when deployed at a bone implant site. In some embodiments, a system for percutaneous bone harvesting is provided.

Abstract: A device is disclosed that includes a bone stent positioned within a bony access channel formed within a vertebra. The bony access channel may extends from an outer end of the vertebra through an endplate. The device includes an end cap attached to a proximal end portion of the bone stent and is configured to, post-operatively, open to allow a reintroduction of a material to a spinal intradiscal space or intervertebral disc and to seal access to the spinal intradiscal space or the intervertebral disc after the reintroduction of the material.

Abstract: A surgical system includes a plurality of alternate engaging surfaces. A first member is connectable with an engaging surface such that the first member is interchangeable with the plurality of engaging surfaces. A second member is connectable with an engaging surface such that the second member is interchangeable with the plurality of engaging surfaces. The members are relatively movable to distract and/or compress vertebral tissue. Surgical instruments, constructs, implants and methods are disclosed.

Abstract: A surgical instrument includes a body member and a leg having a first end integrated with and extending from the body member. A head cavity is in the leg portion to hold a head. A channel is formed along a longitudinal length of the leg. An elongated rocker assembly includes an elongated lever arm coupled within the channel about a fulcrum and a spring actuation. A projection of the arm projects in a direction of the head cavity. A rocker slide lock has a collar slidably coupled around the body member and having a first position located between the body member and the actuation tab, such that a portion of the collar is under the actuation tab to limit pivotal motion of the rocker assembly, and a second position having a clearance from under the actuation tab.

Abstract: A coordinate locating device comprising a support structure removably connectable to a wearable sensor device being worn by an individual. The support structure comprising a planar surface. The device includes a plurality of different fiducial marker components connected to the planar surface. The plurality of different fiducial marker components includes a set of fiducial markers connected to the planar surface in a non-collinear configuration relative to each other to define a three-dimensional (3D) space of pixels in an image. The plurality of different fiducial marker components includes a distance calibration fiducial marker connected to the planar surface and being configured to define a distance calibration length of pixels in the image, the distance calibration fiducial marker being perpendicular to the planar surface and defining a calibration length to locate a point of origin of motion sensing by the wearable sensor device. A system and method are also provided.

Abstract: A spinal implant system includes at least one interbody implant having a first member including a tissue engaging surface and at least one mating element. A second member includes a tissue engaging surface and at least one mating element. An intermediate member includes at least one mating element. An intra-operative surgical tool is connectable with at least one of the members to engage adjacent mating elements and fix the intermediate member with at least one of the first member and the second member. Implants, surgical instruments and methods are disclosed.

Abstract: A method of delivering a therapeutic agent to a nucleus pulposus of an intervertebral disc is provided. The method comprises inserting a delivery tool containing the therapeutic agent through an anterior portion, a lateral portion, or an anterolateral portion of an annulus fibrosus and into the nucleus pulposus of the intervertebral disc and delivering the therapeutic agent to the nucleus pulposus of the intervertebral disc. Devices and kits are also provided.

Abstract: A surgical instrument includes a first member defining an axis and having a scraping surface configured to scrape tissue. A second member includes a cutting surface that is rotatable relative to the first member. The second member has a maximum length defined by opposite end surfaces of the second member. The end surfaces are each disposed within the first member. A third member includes an outer surface defining at least a portion of a passageway configured for disposal of the scraped tissue. The third member is fixed with the first member. The cutting surface is rotatable relative to the third member to transfer the scraped tissue along the axis. Systems and methods are disclosed.

Abstract: An expandable implant may include a superior endplate and an inferior endplate. The superior endplate may have at least one track extending in a proximal-to-distal direction and an inferior endplate may have at least one track extending in the proximal-to-distal direction. An adjusting shim may be disposed within the at least one track to adjust a spacing and angle of inclination of the implant. Some embodiments may include a plurality of tracks for adjusting a spacing and an angle of inclination between the superior endplate and the inferior endplate. Some embodiments may be configured to adjust an orientation of the implant relative to a disc space in both the sagittal plane and the coronal plane. Various embodiments disclosed herein may be used in an Anterior lumbar interbody fusion (ALIF), Transforaminal lumbar interbody fusion (TLIF), or a lateral Lumbar Interbody Fusion (LLIF) procedure, for example.

Abstract: Systems and method of using a surgical driver instrument are provided. The driver instrument includes a driver shank having a proximal end including a head connector for a bone construct. The instrument includes an inner sleeve having a length and configured to receive the driver shank therein and a handle member having a first end and a second end. The inner sleeve and the driver shank have a non-threaded connection. The instrument includes an outer sleeve connected to the second end and concentric with the inner sleeve and a sleeve actuator assembly coupled to the handle member. The sleeve actuator assembly includes a first position where a portion of the length of the inner sleeve extends out from the handle member and a second position where the portion of the length of the inner sleeve that is extended from the handle member is retracted into the handle member.

Abstract: Disclosed implants may include a first implant receiver and a second implant receiver each having an upper portion and a lower portion connected together by an arm portion, for example. In various embodiments, the upper and lower portions may define a longitudinal passageway extending through the upper and lower portions in a longitudinal direction of each implant receiver, and the arm portions may each define a rod passageway extending in a lateral direction, for example. In various embodiments, each receiver may include a crown having an outside thread pattern threadably engaged within the longitudinal passageway and for mating with a corresponding nut having a similar interior thread pattern. In various embodiments, a rod may extend in the lateral direction through the rod passageways In various embodiments, in a non-tightened position, the rod may freely move and in a tightened position, the arms constrain the rod from moving.

Abstract: A bone fastener includes a screw shaft having a proximal portion and a distal portion. The proximal portion is formed by a first manufacturing method and defines a distal face. The distal portion is formed onto the distal face by a second manufacturing method. In some embodiments, systems, spinal constructs, surgical instruments and methods are disclosed.

Abstract: A method comprises the steps of: imaging a patient anatomy; selecting an implant strategy for at least one bone fastener having a first member; registering the imaging of the patient anatomy with imaging of at least a portion of a robot; engaging the first member with tissue of the patient anatomy via robotic guidance according to the implant strategy; and subsequently, manipulating the patient anatomy. Systems, spinal constructs, implants and surgical instruments are disclosed.

Abstract: A spinal implant package includes a tray having a body including spaced apart first and second cavities. The body includes a third cavity between the first and second cavities. The tray includes a first connecting feature that is movable relative to the body. A lid is coupled to the tray by a hinge. The lid includes a second connecting feature that is movable between a first position in which a bottom surface of the second connecting feature directly engages a top surface of the first connecting feature and a second position in which a top surface of the second connecting feature directly engages a bottom surface of the first connecting feature to provisionally fix the lid to the tray.

Abstract: A load sensing assembly for a spinal implant includes a set screw having a central opening that extends from a first end of the set screw toward a second end of the set screw. The second end of the set screw is configured to engage with an anchoring member. The load sensing assembly includes an antenna, an integrated circuit in communication with the antenna, where the integrated circuit is positioned within the central opening of the set screw, and a strain gauge in connection with the integrated circuit. The strain gauge is located within the central opening of the set screw in proximity to the second end of the set screw.