Abstract: A surgical tool that has a pair of transmissions coupled to one another to effect driving of a cutting tool in both an oscillating manner and a reciprocating manner. The transmissions are driven by a motor coupled to one of the transmissions.

Abstract: An implant device for use in achieving spinal fusion, includes an implant having an implant body. The device includes a graded radiopacity calibration tool integrated with the implant body. The tool has a plurality of graded levels of radiopacity representative of a range of bone density parameter amounts. Each of the graded levels corresponds to a different bone density parameter amount. A method is provided that uses the device to determine a degree of one of bone maturity, strength, osteoporotic state, state of healing and state of degrading bone tissue based on a comparison of a bone at the site in the image and radiopacity correlated from a calibration standardized curve defined by the standard, with a range of grey levels representative of degrees of one of the bone maturity, the strength, the osteoporotic state, the state of healing and the state of degrading bone tissue.

Abstract: A bone plate kit may be provided for a foot or ankle orthopedic procedure, such as a lapidus procedure. In some examples, the bone plate kit includes a sterile container that holds multiple unicortical bone plate fasteners and one or more bone plates. For example, the kit may contain two bone plates configured to be used together during a tarsal-metatarsal fusion procedure. Each of the two bone plates may be configured to span different regions of a tarsal-metatarsal joint. The unicortical bone plate fasteners can be used to secure the two bone plates to the first metatarsal and medial cuneiform of a patient undergoing a procedure. In some configurations, one of the bone plates is a helical bone plate while the other bone plate may or may not be a helical bone plate.

Abstract: Methods of deploying an intravertebral implant having an expandable anterior part, a posterior part coupled to the expandable anterior part, and a pedicle fixation element. The expandable anterior part is positioned within the vertebral body, and the posterior part may be positioned within the vertebral body. The pedicle fixation element is anchored to the vertebral body. The expandable anterior part is moved relative to the pedicle fixation element, for example, in two degrees of freedom. Movement in a first of the two degrees of freedom is independent from movement in a second of the two degrees of freedom. The expandable anterior part may be translated without being rotated along a main axis of the pedicle fixation element. Filling material may be injected through the posterior part. Rotational movements of the expandable anterior part relative to the pedicle fixation element may be locked.

Abstract: The present invention relates to a spacer intended to be introduced between two elements of a vertebral body. This spacer comprises a tube, a spacer module and an actuating system of the spacer module, the actuating system comprising at least one rod which is, on one hand, accessible from a distal end of the tube and, on the other hand, connected to said spacer module. The spacer is characterized in that the spacer module comprises two blades coplanar to a longitudinal axis of the rod, these blades being movable between a closed position in which the blades are substantially parallel to the longitudinal axis of the rod, and a deployed position in which the blades have an arched shape, and in that in their deployed position, these blades are asymmetrical with respect to each other and with respect to said longitudinal axis of the rod.

Abstract: A spinal joint distraction system for treating a facet joint including articular surfaces having a contour is disclosed and may include a delivery device including a generally tubular structure adapted to engage a facet joint, an implant adapted to be delivered through the delivery device and into the facet joint, the implant comprising two members arranged in opposed position, and an implant distractor comprising a generally elongate member adapted to advance between the two members of the implant causing separation of the members and distraction of the facet joint, wherein the implant is adapted to conform to the shape of the implant distractor and/or the articular surfaces of the facet upon being delivered to the facet joint. Several embodiments of a system, several embodiments of an implant, and several methods are disclosed including a method for interbody fusion.

Abstract: Stand-alone interbody fusion devices for engagement between adjacent vertebrae. The stand-alone interbody fusion devices may include frames and one or more endplates coupled to the frame. The frame may be configured and designed to provide the apertures which are designed to retain bone fasteners, such as screws or anchors, and secure the implant to the adjacent vertebrae.

Abstract: A medical drill assembly includes a probe connectable at a proximal end to an electromechanical transducer for generating mechanical vibration of an ultrasonic frequency. The probe has a shaft with a central lumen or channel, the shaft being formed at a distal end with a head having a tapered distal side. A source of pressurized liquid communicates with the lumen or channel of the probe, and a translatory or linear drive is operatively connected to the probe for applying a distally directed force to the probe. A controller is operatively connected to the translatory or linear drive for periodically at least reducing the magnitude of the distally directed force.

Abstract: This surgical ankle repair method comprises the steps of providing an instrumentation assembly for positioning an ankle prosthesis, the instrumentation assembly including a talar alignment instrument and a cutting block, the talar alignment instrument comprising a front portion and two fins extending from the ends of the front portion, said fins being adapted to be positioned in gutters extending below a tibia of a patient and around a trochlea of a talus of the patient, each fin including a reference marker, the cutting block comprising a tibial alignment structure and a recess which engages a protrusion provided on the talar alignment instrument, positioning the talar alignment instrument such that the fins are disposed in the gutters extending below the tibia and around the trochlea of the talus; aligning the talar alignment instrument so that the fins are parallel to the rotational plane of the talus, perpendicular to the rotational axis of the talus, and so that the reference markers are aligned with a l

Abstract: The present invention relates to a guide for positioning a resurfacing head implant into the appropriate position and angles on the femur bone. The present invention therefore provides a guide system for an implantable device (e.g. a resurfacing head implant), said guide system comprising a first component arranged to act as a clamp and a second component arranged to interact with the first component to prevent movement of said first component when clamped.

Abstract: The present invention provides an implant having an enhanced initial fixation force, and more particularly, to an implant that may maintain a fixed state without relative movement with respect to vertebral bodies until fusion is completely performed. The implant includes: an implant body inserted between vertebral bodies; and an injection unit installed in the implant body, and configured to inject bone cement into the vertebral bodies.

Abstract: A load sharing bone plate has a plurality of directional apertures configured to effectively support and share the load with a fractured bone to promote healing. A load sharing bone plate may have a body portion that is thinner and be configured to be secured with smaller fasteners than conventional bone plates. A load sharing bone plate has a plurality of directional apertures, configured to direct a fastener is a specific orientation, such as in an oblique angle to the length and/or in an oblique angle to the width of the bone plate. A load sharing bone plate may be configured with a load sharing extension on at least one end that is configured to reduce stress concentration at the end of the bone plate. A load sharing extension may have a tapered thickness and/or width from the body portion to the extended end.

Abstract: A lateral plate assembly has an elongated lateral plate for attachment to adjacent vertebrae having a first end portion and a second end portion and a pair of apertures for receiving a first and a second bone screw. The pair of apertures includes a first aperture which is an opening positioned in the first end portion for receiving the first bone screw and a second aperture which is a slotted opening to receive the second bone screw. The second end portion of the lateral plate has an open end with channelled internal sides for receiving and holding a moveable washer on top of the slotted opening. The washer is configured to move along a length of the slotted aperture. The moveable washer has an opening for holding a head of the second bone screw. Movement of the washer relative to the slotted opening increases or decreases the distance between locations of the respective screw heads.

Abstract: Methods and devices for performing an osteotomy produce a bone cut producing a multi-planar change in the alignment of a bone portion by rotating it relative to another bone portion.

Abstract: A cervical plate assembly is disclosed. The cervical plate assembly includes a base plate including: (1) at least two bone screw seats, each bone screw seat including a borehole dimensioned to receive a bone screw, and (2) a first blocking seat positioned between the at least two bone screw seats. The cervical plate assembly includes a blocking mechanism retained within the first blocking seat of the base plate. The blocking mechanism is selectively positionable between a closed position in which the blocking mechanism obstructs at least one bone screw seat to retain a bone screw with the base plate, and an open position in which the bone screw seats are unobstructed.

Abstract: A technique for accessing extra articular lesions or abnormalities or intra osseous lesions or abnormalities or bone marrow lesions or all has the step of positioning the localizing pinning member onto cartilage or subchondral bone to define a virtual pathway through the cartilage or subchondral bone towards or into or through the lesion or abnormality or a desired target to create the virtual pathway utilizing an intra articular localizing pinning member to determine a location of the lesion or abnormality wherein the utilization of the localizing pinning member includes the step to locate or stabilize or both and thereafter using the virtual pathway to create an entry access.

Abstract: The present invention relates generally to implants used in medical procedures such as bone fixation or fusion. More specifically, this application relates to fenestrated implants used in bone fixation or fusion.

Abstract: A spinal implant template includes a shaft extending along an axis between a proximal end and a distal end. An engagement portion is configured for insertion between vertebrae of a patient. The engagement portion includes a rod extending from the distal end at an acute angle relative to the longitudinal axis to facilitate ease of entry around a spinal cord of the patient. Systems, surgical instruments, spinal implants and methods are disclosed.

Abstract: A bone fastener includes a head, and a screw portion extends from the head. The screw portion includes a shaft and a thread extending along and about the shaft. The thread has a height extending from a root to a tip thereof. The thread also has first and second portions disposed between the root and the tip. The second portion has a porous structure configured to promote bone ingrowth and has a porosity greater than that of the first portion.

Abstract: A device and method for a minimally invasive surgical implantation to reduce radicular symptoms by inserting an expandable cervical distraction implant in the facet joint and distracting the adjacent cervical vertebrae to increase the foraminal dimension. The implant, when positioned in the cervical facet joint, expands to via delivery of an inflation medium to increase the space between the vertebrae, thereby increasing the foraminal area or dimension, and reducing pressure on the nerves and blood vessels of the cervical spine.