Abstract: A bone screw including a housing including a threaded opening defined between first and second legs extending from a base portion of the housing, and a threaded closure member configured to be threaded into the threaded opening of the housing between the first and second legs to secure a connecting member in a channel of the housing. The threaded closure member includes a first thread and a second thread intertwined with the first thread, and the threaded opening includes a first discontinuous thread and a second discontinuous thread intertwined with the first discontinuous thread.

Abstract: A composite interbody vertebral implant for facilitating fusion of adjacent vertebrae. The implant includes a first endplate of a porous metal material and a second endplate of a porous metal material which are configured to allow bone in-growth. The implant also includes a polymeric body positioned between and bonded to the first and second endplates such that polymeric material of the polymeric body is impregnated into pores of the first and second endplates to bond the components together. The implant may include a cavity extending through the composite implant configured to receive bone growth material to facilitate fusion between a first vertebra and a second vertebra.

Abstract: The disclosure relates to systems and methods of spinal stabilization. Embodiments include minimally invasive methods of delivering a rod having a non-circular cross-sectional profile using a wire having an accommodating non-circular cross-sectional profile to inhibit movement of the rod relative to the wire. A rod or a segment of the rod having a non-circular cross-sectional profile may be aligned with the wire and advanced and coupled to bone fastener assemblies which are anchored in vertebrae. The rod is then securely seated in collars of the bone fastener assemblies to stabilize the spine.

Abstract: A dermatome having a blade assembly, where the blade assembly includes a blade and a blade mount. The blade may include a blade edge, a reference edge and at least one hole or receiver positioned between the blade edge and the reference edge. The blade mount may include a base, a blade locator extending from the base and at least one reference fence abutting the reference edge of the blade. The blade locator may include a protrusion for inserting into the hole or receiver of the blade. The blade and blade mount of the blade assembly may self align and provide for a simple and permanent connection.

Abstract: A ceramic and metallic dental abutment for use with a dental implant is disclosed. The abutment can generally include a body having a base region, a coronal region, and a transgingival region disposed between the base and coronal regions. The body regions can define a longitudinal axis. The base region can include an anti-rotational feature such that, when engaged with the dental implant, an anti-rotational connection exists. The coronal and transgingival regions can include a ceramic exterior surface. The abutment can further include a metal contact portion having an annular shape and positioned to engage the dental implant. The metal contact portion can include a conical outer contact surface, disposed at an oblique angle with respect to the longitudinal axis, to match an angle of a chamfer of the dental implant.

Abstract: A tibial augment for use with a knee joint prosthesis, composed of annular members of different stock sizes, each size being configured to fit within a cavity formed in a human tibia. The augment may include a stepped distal surface. A provisional (temporary) tibial augment used to ensure a proper fit for the permanent augment is also provided. The provisional may include grooves configured to cooperate with a set of ribs on a tong-like holder used for removing the provisional from the cavity. A pusher for use implanting the tibial augment is also provided. In addition, a system for creating a cavity in a human tibia is also described. The system preferably includes a guide with a slot therein and a set of osteotomes that are inserted within different portions of the slot. Methods for using the tools and/or implanting the prosthetic devices discussed above are also described.

Abstract: Disclosed within is a dental restorative system including a dental abutment having a longitudinal axis, lingual and facial aspects, a base portion for engagement with a dental implant, and a tapered coronal portion. The dental abutment further includes an emergence profile portion between the base portion and the tapered coronal portion. The emergence profile portion includes at least a first concave surface and at least a first convex surface. The dental abutment may further include an interproximally sloping margin shoulder and a reduced terminal portion located at the upper end of the tapered coronal portion. Alternative embodiments of the dental abutment are also disclosed.

Abstract: A family of tibial baseplates can comprise a plurality of tibial baseplates. Each of the plurality of tibial baseplates can define a common nominal baseplate size and a unique, non-congruent tibial baseplate periphery as compared to the other tibial baseplates of the family of tibial baseplates.

Abstract: An intervertebral implant and associated insertion instrument. The intervertebral implant includes an instrument engagement interface including first and second channels extending along opposite sides of the implant forwardly from a trailing end wall of the implant and a positioning projection extending rearward from the trailing end wall of the implant. The insertion instrument includes a grasping mechanism for engagement with the instrument engagement interface. The grasping mechanism includes first and second jaws including grasping portions positionable in the first and second channels and an enlarged opening defined between the first and second jaws for receiving the positioning projection therein.

Abstract: A spinal stabilization system may include a pair of structural members coupled to at least a portion of a human vertebra with connectors. Connectors may couple structural members to spinous processes. Some embodiments of a spinal stabilization system may include fasteners that couple structural members to vertebrae. In some embodiments, a spinal stabilization system, provides three points of fixation for a single vertebral level. A fastener may fixate a facet joint between adjacent vertebrae and couple a stabilization structural member to a vertebra. Connectors may couple the structural members to the spinous processes of the vertebrae. Use of a spinal stabilization system may improve the stability of a weakened or damaged portion of a spine. When used in conjunction with an implant or other device, the spinal stabilization system may immobilize vertebrae and allow for fusion of the implant or other device with vertebrae.

Abstract: A slap hammer tool and associated instrumentation to engage with the slap hammer tool are disclosed herein. In some examples, a slap hammer tool including an end adapted for engagement with a quick release connector of an instrument is provided. The instrument can be adapted to receive the distal end of the slap hammer for engagement, the engagement being provided through rotation of the slap hammer relative to the instrument. Once the slap hammer and instrument are engageably coupled, the slap hammer can be used to provide force and accompanying motion away from the instrument in the direction of the slap hammer instrument. Force can be provided by the slap hammer tool to a coupled instrument, for example, to move or extract the coupled instrument from placement on a surgical area.

Abstract: An apparatus includes a cut guide including a locking area, an alignment guide, and a connect mechanism to connect the cut guide to the alignment guide, wherein the connect mechanism includes a cone lock connect mechanism configured to engage with the cut guide locking area.

Abstract: An adjustable provisional component for an implantable medical device comprises a first portion mountable to a first part of a patient, and a second portion coupled to the first portion, wherein at least one of the first portion and the second portion is adjustable to select a value of a first geometric parameter of the adjustable provisional component.

Abstract: The present invention provides compositions for an implantable putty material for delivery of active compounds to a patient. More specifically, the present invention provides a material having a pH of between about 3 and 6 and possessing putty-like physical properties, wherein the composition of the material includes collagen and water. The present invention also provides a method for using the implantable putty material.

Abstract: A spinal stabilization system may be formed in a patient. In some embodiments, a minimally invasive procedure may be used to form a spinal stabilization system in a patient Bone fastener assemblies may be coupled to vertebrae Each bone fastener assembly may include a bone fastener and a collar. The collar may be rotated and/or angulated relative to the bone fastener. Detachable members may be coupled to the collar to allow for formation of the spinal stabilization system through a small skin incision. The detachable members may allow for alignment of the collars to facilitate insertion of an elongated member in the collars. An elongated member may be positioned in the collars and a closure member may be used to secure the elongated member to the collars.

Abstract: A segmented intervertebral body fusion support includes a plurality of segments, the segments including an initial segment, a final segment and at least one intermediate segment. The intermediate segment has a generally trapezoidal configuration and the initial and final segments include tapered side walls providing triangular gaps between adjacent segments. A draw wire is fixed to the first segment and passes through the remaining segments. By pulling the draw wire relative to the segments, the segments are drawn together in a generally arcuate configuration. The draw wire includes an enlargement that passes through the final segment and engages a plurality of fingers on the final segment, which prevents the draw wire from retracting, maintaining the arcuate configuration. The segmented device can be inserted through a laparoscopic device into the intervertebral space and can be subsequently drawn into the arcuate configuration to establish the desired intervertebral spacing.

Abstract: The invention provides a composition including isolated small living tissue particles, a method of making the tissue particles, and a method of using the composition to ameliorate a tissue defect. The tissue particles are composed of cells and their associated extracellular molecules and are sized, in certain embodiments, to be smaller than about 1 mm. Another aspect of the inventive tissue particles is the large percentage of viable cells. In certain embodiments, the tissue particles are made from cartilage and the composition may also contain additives such as adhesives, solutions, and bioactive agents.

Abstract: A system for creating a patient-specific instrument model for chondral graft plugging comprises a bone model generator for producing a bone/cartilage model of an articular region of a bone from images thereof. A defect geometry identifier identifies a graft geometry from a defect region of said bone/cartilage model. A donor locator locates an autograft at a donor site or identifies an allograft from a database, using said bone/cartilage model and the graft geometry. A patient-specific instrument model generator creates a model of a graft-plugging patient-specific instrument from said bone/cartilage model, and the graft geometry, the graft-plugging patient-specific instrument model comprising a bone/cartilage interface surface shaped as a function of the bone/cartilage model for the at least one graft-plugging patient-specific instrument to be selectively positioned on the bone/cartilage to pose the autograft or the allograft at the defect region.

Abstract: Intervertebral spacer to be placed between two adjacent, upper and lower cervical vertebrae, the spacer comprising a spacer body and retention member for retaining the spacer body in position against said vertebrae. The retention member includes a strap and fastener member that are removable and self-blocking, enabling the ends of the strap to be secured to the spacer body. The spacer body including: a spacer part having two opposite ends, a portion of the first end configured to be inserted between the vertebrae; and top and bottom flanges connected via their bases to the second end of the spacer part and extending on either side thereof, each flange presenting an anterior face facing towards the spacer part and configured to bear against the posterior portion of the lamina of the upper or lower vertebra, respectively.

Abstract: An apparatus and method are provided for manufacturing an orthopedic prosthesis by resistance welding a porous metal layer of the orthopedic prosthesis onto an underlying metal substrate of the orthopedic prosthesis. The resistance welding process involves directing an electrical current through the porous layer and the substrate, which dissipates as heat to cause softening and/or melting of the materials, especially along the interface between the porous layer and the substrate. The softened and/or melted materials undergo metallurgical bonding at points of contact between the porous layer and the substrate to fixedly secure the porous layer onto the substrate.