Abstract: An anchoring element includes a shank for anchoring to bone and a separate head that is connectable to the shank. The head has an exterior surface with a spherically-shaped section and an unthreaded tool engagement surface that is engageable with a drive tool when the head and the shank are connected to one another.

Abstract: A percutaneous minimally-invasive procedure to prevent a potential fracture in an osteoporotic vertebra of an osteoporotic patient who has no history of vertebral fracture is provided by minimally-invasively injecting a non-dispersive, biocompatible and resorbable calcium-based cement paste into the osteoporotic vertebral body.

Abstract: A system and method for allowing any surgeon, including those surgeons who perform a fewer number of a replacement procedure as compared to a more experienced surgeon who performs a greater number of procedures, to provide an improved likelihood of a favorable outcome approaching, if not exceeding, a likelihood of a favorable outcome as performed by a very experienced surgeon with the replacement procedure, including installation and orientation of a prosthesis into tissue of a patient as well as construction of a prosthetic assembly to be installed into such tissue.

Abstract: Disclosed are various embodiments for improved surgical devices and methods of using the same in connection with bariatric and gastroesophageal surgery. The present disclosure includes a lighted bougie device that can include an elongate member and a light source. The light source can be configured to emit near-infrared light. The light source can also be positioned about the bougie such that light emitted from the light source illuminates along a portion of the bougie.

Abstract: The invention relates to medical devices and methods of use thereof, such as for example, ureteroscopy. In one embodiment, the device is a safety ureteral access sheath and interventional catheter insertion with a force meter and a force disengagement mechanism. In another embodiment, the invention provides a method of examination or treatment for a condition in a subject, comprising providing a device comprising a ureteral access sheath (UAS) operably linked to a force meter and a force disengagement mechanism, and using the device to examine or treat the subject.

Abstract: A decorticating device for preparing a sacroiliac joint (“SI Joint”) to receive a graft implant. The decorticating device comprises an abrading head having abrading surfaces on a first pair of opposing sides, the abrading surfaces configured for decorticating the cortical bone of the SI Joint. The abrading head further comprises an open tip having a cutting edge configured to cut bone tissue in the SI Joint.

Abstract: An external distraction apparatus for performing a craniofacial distraction is disclosed. The external distraction apparatus may comprise a stationary member. The stationary member may be configured to be affixed to a head of a patient. The external distraction apparatus may also comprise laterally disposed distractors. The laterally disposed distractors may extend inferiorly from the stationary member and be moveable relative to the stationary member. The external distraction apparatus may comprise a motor and controller. The motor may be powered with the controller to perform a craniofacial distraction in an automated fashion.

Abstract: A method for forming and abrading an implant void in a sacroiliac joint (“SI Joint”) without the use of a rotary cutting instrument. The method incorporates a multimodal abrading device having abrading surfaces on opposing sides and an open tip comprising a cutting edge. The method includes the step of using the abrading head to cut bone tissue from the SI Joint at an insertion point while simultaneously using the abrading surfaces to decorticate the cortical bone at the insertion point.

Abstract: Instruments, devices, systems and methods for maintaining, correcting and/or fusing joint deformities are disclosed. The system includes a first translation mechanism, a second translation mechanism coupled to the first translation mechanism, and a third translation mechanism coupled to the second translation mechanism, and a tower coupled to the third translation mechanism. Methods of assembling and using the alignment guides for maintaining, correcting and/or fusing joint deformities are also disclosed.

Abstract: Described herein are devices, systems and methods for treating target tissue in a patient's spine. In general, the methods include the steps of advancing a wire into the patient from a first location, through a neural foramen, and out of the patient from a second location; connecting a tissue modification device to the wire; positioning the tissue modification device through the neural foramen using the wire; modifying target tissue in the spine by moving the tissue modification device against the target tissue; and delivering an agent to modified target tissue, wherein the agent is configured to inhibit blood flow from the modified target tissue. In some embodiments, the step of modifying target tissue comprises removing target tissue located ventral to the superior articular process while avoiding non-target tissue located lateral to the superior articular process.

Abstract: An allograft implant for fusing a sacroiliac joint (“SI Joint”), the allograft implant having a body consisting of allograft bone, the body comprising two opposing faces. A graft window is disposed between the two opposing faces, the graft window providing passage through the body between the two opposing faces. The graft window has a cross-sectional area that is about 35% to about 40% of a first cross-sectional area of the body, and about 60% of an area of each opposing face that makes contact with the sacrum or the ilium of the SI Joint.

Abstract: Disclosed herein are apparatuses and methods for intraoperative on-demand implant customization in a surgical setting. An apparatus may include a storage portion, an implant customization portion and an interface. The storage portion may house implant blanks and implant accessories. The implant customization portion may customize the implant blanks. The interface may be configured to receive implant customization information and utilize the same to intraoperatively manipulate the implant blank to a patient-specific implant within a sterile environment. A method to customize an implant in a surgical care environment may include the steps of obtaining information related to the implant location, selecting an implant blank based on the information, and customizing the implant blank in a surgical care setting with a customization apparatus.

Abstract: An apparatus comprising: a medical tool moveable to a desired orientation relative to a bone region for implantation of a medical implant; and an electronic orientation sensor transitionable between a first location fixed relative to the bone region of the patient and a second location on the medical tool; wherein, at the first location, the orientation sensor is adapted to record a reference orientation of the bone region of the patient, and, at the second location, the orientation sensor is adapted to determine an orientation of the medical tool relative to the reference orientation, wherein recording the reference orientation comprises measuring a gravity vector relative to the orientation sensor.

Abstract: A combination of a first assembly for guiding resection of a femur and tibia of a knee joint and a second assembly including femoral and tibial knee components. The combination of the first assembly and the second assembly provides optimal placement and positioning of the femoral and tibial knee components to achieve near-normal knee kinematics and tension. The preparation for and placement of the prosthetic knee components provides medial-pivoting kinematics mimicking that of the natural knee thereby promoting improved outcome for the patient.

Abstract: A tool holder for a modular tool is provided in which the tool holder may be releasably coupled to a working part such as a rasp, reamer or impactor. The coupling comprises a slot closed at both extremities, and widening to an entry aperture at one extremity, into which a keyed element of the tool may be inserted, and slid to the opposite extremity of the slot. The modular tool defines a securing pin channel through its body, terminating at the entry aperture such that a securing pin inserted into the channel block the entry aperture and locks the keyed element of the tool in place once inserted.

Abstract: An implant bending device includes a first work surface. An implant support is movable relative to the first work surface. A second work surface is movable relative to the first work surface. A sensor is connected with the work surfaces and configured to detect contact of at least one of the work surfaces with an implant. Systems, surgical instruments, spinal constructs, implants and methods are disclosed.

Abstract: A spinal fixation device includes a housing defining a chamber and a longitudinal axis, and an end plate assembly operatively coupled with the housing. The end plate assembly includes a first end plate configured to engage a vertebral body and first and second support assemblies operatively coupled to the first end plate. The first support assembly is selectively movable between a first position in which the first end plate is spaced apart from the housing and a second position in which the first end plate is adjacent the housing. The second support assembly is transitionable between a first state in which the first end plate has a first angular orientation and a second state in which the first end plate has a second angular orientation.

Abstract: A pivotal bone anchor assembly includes a receiver with an axial bore communicating with a bottom of the receiver through a lower opening, with the bottom of the receiver including an angled planar surface extending upward to define an expanded portion of the lower opening. The receiver further includes upright arms with opposed internal surfaces extending between front and back faces of the upright arms to define an open channel, side outer surfaces opposite the internal surfaces extending downward toward the bottom of the receiver, break-off extensions integrally formed with and extending upwardly from inner edge portions of top surfaces of the upright arms, and non-threaded tool engagement grooves extending horizontally and entirely across the side outer surfaces to the front and back faces of the upright arms, with each tool engagement groove being isolated from the axial bore and located below the top of the respective upright arm.

Abstract: A modular tulip assembly has a rod receiving tulip and a saddle. The saddle is interlockingly held inside a distal portion of the tulip. The saddle has an external locking groove or recess. The tulip has a locking projection. The locking projection is positioned into the external locking groove or recess and holds the saddle in a pre-loaded unlocked state ready to be pushed onto a head of an implanted bone screw. Upon receiving the head of the bone screw, the saddle can be moved distally relative to the tulip to a locked state by moving the locking groove or recess distally past the locking projection to where the proximal end of the saddle is past abutting the locking projection.

Abstract: A multi-component implant insertion system for insertion of an intervertebral implant cage and methods of use thereof are described herein. Preferably, the proximal end of a hollow jaw is inserted into the distal end of an inserter. Once inside the inserter, a thread on the jaw engages a corresponding thread inside the inserter, allowing axial advancement of the jaw along the inserter. A ram is inserted through the proximal end of the jaw until the distal end of the ram protrudes at the distal end of the inserter assembly. Optionally, an adjustable stop introduced onto the superior portion of the inserter allows for control over the depth of insertion of the implant. An implant of appropriate size is introduced to the jaw of the inserter assembly and the implant/inserter assembly can be impacted into the vertebral body until the adjustable stop contacts the anterior edge of the vertebral body.