Abstract: An intramedullary fixation device for use with a bone comprising a proximal end, is provided. The fixation device includes a nail sized and configured to be inserted into an intramedullary channel of the bone, the nail having a generally laterally extending bore, an arm sized and configured to be located so that at least a portion of the arm extends through the bore of the nail along the neck of the bone when the device is implanted in the bone, the arm having a threaded portion at one end for fixation into the head of the bone. The device also includes a locking mechanism to prevent rotation of the arm relative to the nail, the locking mechanism configured to allow sliding of the arm through the bore, the locking mechanism configured to be located on the lateral side of the nail and the distal side of the bone when the arm is disposed within the bore.

Abstract: A conical interspinous apparatus includes a distractor comprising an insertion portion and a central engagement groove, the insertion portion having a conical shape which tapers to a tip and is adapted to enable passage of the distractor between two spinous processes of vertebrae, and the central engagement groove is adapted to secure the distractor between the two spinous processes such that the two spinous processes rest in the central engagement groove. The conical interspinous apparatus includes a stabilizer which is adapted to be deployed from within the distractor to secure the two spinous processes within the central engagement groove and an insertion driver detachably coupled to a rear portion of the distractor. A guide wire, having a pointed tip, aids in the insertion of the distractor between the two spinous processes and is configured to guide the insertion of the distractor.

Abstract: An introducer is provided for inserting a connecting rod into tissue of a spine that comprises an outer sleeve with an actuatable rod attachment portion at a distal end thereof to releasably pivotally attach to a connecting rod, and an elongate inner shaft movable translationally within the outer sleeve. The proximal end of the shaft is coupled to an actuation mechanism for selectively translating the inner shaft. The distal end of the shaft includes a rod engagement surface that is movable y the actuation mechanism to a first position to engage a cooperative engagement surface on the rod to hold the rod in a selected locked orientation, to a second position to space the rod engagement surface from the cooperative engagement surface of the rod to allow pivoting of the rod, and to a third position to release the rod from the outer sleeve.

Abstract: An anterior lumbar interbody graft (ALIG) inserter includes prongs at the tip of the inserter which can optionally grasp, and thus insert, anterior and anterior-lateral grafts.

Abstract: The connecting element (1) has the shape of a rod with longitudinal axis (2), a rear end (6), and a front end (7), and serves to span a number of bone anchoring elements (12) implanted in the bone. The connecting element (1) comprises at least one longitudinal slot (5). This provides it with a greater elasticity during implantation so that it can be reversibly deformed. The connecting element can then be stiffened once it has been fixed in the bone anchoring elements (e.g. pedicle screws).

Abstract: A doughnut-like lumbosacral or intervertebral implant including an asymmetrical opening surrounded by a series of load-bearing curvatures. The doughnut-like implant can include a detachable connector. Preferred embodiments of the doughnut-like implant can include tapered lateral annular-like sides.

Abstract: A bone screw assembly comprises a bone screw having a shaft and a head, a stabilizer retainer, a set screw, and a housing having a proximal opening, biased to one side, and a distal opening that open on an interior cavity. The stabilizer retainer has a cylindrical channel that receives a stabilizer. The retainer has flexible portions that allow passage of the stabilizer into the channel. An arcuate wall of the channel maintains contact with the stabilizer within the channel. The housing is adapted to receive the bone screw, the stabilizer retainer and the set screw in the interior cavity. The housing has a channel that permits passage of the stabilizer though the housing. The set screw is engaged in the distal opening. The set screw and stabilizer retainer engage and prevent movement of the flexible portions, preventing movement of the stabilizer from the stabilizer retainer.

Abstract: A device for expanding an elongate opening formed in a skin layer of a patient includes a first arm for engaging one side of the opening and a second arm for engaging the other side of the opening. The device further includes a spreader mechanism, coupled to at least one of the first and second arms, to move the at least one of the first and second arms to widen the opening. The at least one arm is configured to move between a retracted position in which the at least one arm is positioned next to the other arm and an extended position in which the at least one arm is extended to expand the opening. Other embodiments of the device as well as methods for performing a medical procedure are further disclosed.

Abstract: According to one exemplary embodiment, a pivotable interbody spacer system includes an insertion instrument configured to manipulate a pivotable interbody spacer during surgical insertion, wherein the insertion instrument includes means for coupling the interbody spacer and a means for fixing the angular position of the interbody spacer. According to one exemplary method for inserting the interbody spacer in a spinal disc space, the interbody spacer is grasped by the insertion instrument and fixed at a first angular position; the interbody spacer is inserted into the surgical site; the interbody spacer is released from the first angular position; the insertion instrument is pivoted about the coupling such that the interbody spacer is in a second angular position; the angular position of interbody spacer is fixed in the second angular position; the insertion process continues until the interbody spacer is positioned in the desired location.

Abstract: The present invention provides a dynamic stabilization device positionable about a portion of a spinal column. The stabilization device may generally include a first component and a second component, where the first and second components are movably coupled to one another to define an arcuate path of motion. The stabilization device may also include one or more adjustment elements positionable within first and second adjustment openings to affect the path of motion between the first and second components and/or the behavior and characteristics of the movement. In addition, one or more resistive elements may be adjustably positionable within either and/or both of the first and second adjustment openings to provide resistance and/or dampening of the forces experienced as the first and second components move relative to one another. The stabilization device may further define a joint having three degrees of freedom to adapt to movement of a spinal column.

Abstract: A vertebral implant is provided that includes a distraction member having a first end configured to pivotally couple to a first cut portion of a vertebra and a second end configured to mate with a base member configured to couple to a second cut portion of the vertebra. The distraction member can move relative to the base member to create a force effective to adjust a distance between the first and second cut portions of the vertebra.

Abstract: A method of treating the spine of a patient involves inserting anchors into vertebrae and connecting the anchors to a longitudinal member via housings. After insertion of the anchors, the housings containing a longitudinal member are positioned over the anchors and fastened.

Abstract: A multi-piece disc replacement implant device for replacing a disc removed by a discectomy including an upper plate member, a lower plate member, and an intermediate resilient member providing movement between the two plate members replicating the natural movement of the spine including flexion/extension, lateral bending, and, in some embodiments, rotation. The plate members are rigid and have orthogonal sidewalls forming an enclosure. The resilient member is an elastic solid or a multi-chamber balloon structure of fluid-filled sacks that collectively define a non-uniform shape such as an oblate spheroid, or a helically coiled string of beads. Such an implant is capable of supporting the compressive and cyclic loads required of a natural disc. The upper and lower plate members are cooperatively formed to selectively limit the allowable range of motion in any given direction.

Abstract: A system for percutaneously fixing a connecting rod to vertebrae comprises first and second bone screws, each with a corresponding hollow bone screw extension mounted thereto, and a connecting rod of length sized for subcutaneous receipt in the yokes of the bone screws. A rod introducer is provided for inserting the connecting rod into slots of the screw extensions and into the yokes of the bone screws. A rod persuader may also be provided that is attachable to at least one of the screw extensions, the rod persuader being operable to engage the connecting rod and urge the rod into the slot of the yoke of the corresponding bone screws. A rod detector may also be provided for insertion one of the screw extensions, the rod detector having an indicator sensing the presence of a rod in the slot of the yoke of at least one of the bone screws.

Abstract: A retaining system for affixing a component to a vertebral body is disclosed. The system comprises a component and a retaining mechanism. The component comprises an inner surface configured to engage at least a portion of an endplate surface of the vertebral body, and an outer surface configured to engage the retaining mechanism, wherein the outer surface of the component comprises a first face directed substantially toward the vertebral body. The retaining mechanism comprises an inner surface configured to engage the outer surface of the component, and an outer surface configured to receive a fastener, wherein the inner surface of the retaining mechanism comprising a second face directed substantially away from the vertebral body.

Abstract: A medical apparatus for use with an outrigger and at least one fastening pin to reposition first and second portions of a bone of a mammalian body. The apparatus includes a framework and a first fastening assembly for coupling the framework to the outrigger and thus the at least one fastening pin and the first end portion of the bone. The first end portion of an elongate pin is provided with a sharpened tip for penetrating the second portion of the bone. A second fastening assembly couples the second end portion of the elongate pin to the framework. At least one adjustment assembly is carried by at least one of the framework and the first and second fastening assemblies for moving the first end portion of the elongate pin relative to the outrigger so as to reposition the second portion of the bone relative to the first portion of the bone. A method for using the apparatus is provided.

Abstract: A portable illuminator includes a contained power source and an integrally contained light source that is selectively inserted into the handle portion of a vaginal speculum. The portable illuminator includes at least one feature to protect the illuminator from contamination and to prevent users from pinching or snagging gloves or fingers during operation.

Abstract: A rod coercer for use in spinal fixation procedures is provided. The rod coercer can be pivoted in a first direction to fixedly grip an implant, and pivoted in a second direction to reduce a rod into the implant. In one embodiment, the rod coercer includes first and second articulating handle branches, first and second rod contacting arms extending from the first and second handle branches, first and second implant gripping arms pivotally interconnected with the first and second handle branches, and means for releasably locking the handle branches and the implant gripping arms in a closed and locked position. In another embodiment, the rod coercer includes a single handle having first and second implant gripping arms connected by a bridge and pivotally attached to the handle, and spring-loaded implant gripping arms for gripping sides of an implant.

Abstract: A system for installing a vertebral stabilization system. The system includes an installation tool including a handle portion and a shaft extending distally from the handle portion. The shaft includes a conduit and a staple mechanism. The system also includes a flexible implant member extending along the conduit configured to be advanced out from a distal end of the shaft, and a staple housed in the staple mechanism. The staple is configured to secure the flexible implant member to a vertebra. The handle portion is configured to selectively advance the flexible implant member from the shaft and to selectively actuate the staple mechanism.

Abstract: An installation system for installing a vertebral stabilization system. The system includes an implant guide and an insert. The implant guide includes a handle and a shaft extending from the handle. The distal end of the shaft is configured for engagement with a head portion of a vertebral anchor. The shaft has flexibility characteristics allowing the shaft to flexibly bend between a first configuration and a second configuration. The insert is slidably disposed along the shaft of the implant guide. The insert inhibits the shaft from bending from the second configuration to the first configuration.