Abstract: An integral dual rod spinal construct for immobilizing and stabilizing vertebral bodies of the spine is described.

Abstract: Provided herein are 3D-printed patient-specific surgical guides and methods for making and using the same. In at least one embodiment, the guides include a first and second end, a first and second side, a conformal bone engaging surface, a front surface, one or more porous regions, one or more walls, and a plurality of openings. At least one of the plurality of openings extends through the guide between the conformal bone engaging surface and the front surface. The conformal bone engaging surface is contoured to a patient's anatomy. The first and second end, and the first and second side are contoured to avoid soft tissues of the patient.

Abstract: The various embodiments disclosed herein relate to bone fixation devices, including intramedullary fixation or fusion devices. The various devices disclosed include an intermedullary rod or device having a proximal and a distal portion. The proximal and distal portions having articulated ends that are coupled to form a joint. The joint may be actuated to reduce a fracture and realign the bone after insertion of the device into the bone.

Abstract: A coupling device includes a receiving part with an accommodation space for accommodating a head of a bone anchoring element, an opening, and a recess forming two legs for receiving a rod, and a pressure member arranged at least partially in the accommodation space. The pressure member is adjustable from a first configuration where a topmost end of the pressure member is at a first axial position and the head is pivotable in the accommodation space to a second configuration where the topmost end of the pressure member is at a second axial position below the first axial position and the pressure member provisionally lock the heads. At the second configuration, a latching connection is formed to prevent the pressure member from being adjusted back towards the first configuration. The latching connection is releasable to adjust the pressure member from the second configuration back towards the first configuration.

Abstract: Apparatuses, systems, and methods are provided herein to control movement of a patient's eyelid during a diagnostic procedure such as scanning the patient's eye with an ultrasound or optical imaging device. Strips having a non-adhesive portion and an adhesive portion are attached to each eyelid. The patient can then pull on distal ends of the strip to open the patient's eye and press the strips into an eyepiece to hold the patient's eyelids and keep the patient's eye open.

Abstract: Intramedullary nails, systems, and methods. The intramedullary nail may include a generally elongate body extending from a first, distal end to a second, proximal end. The distal end may include one or more openings configured to receive one or more bone anchors that extend transversely through the distal end intramedullary nail, and thereby configured to secure the distal end of the nail. The proximal end may also include one or more openings configured to receive one or more bone anchors that extend transversely through the proximal end of the intramedullary nail, and thereby configured to secure the proximal end of the nail. In some embodiments, the proximal end may further include a cross-locking feature, which includes a second bone anchor that interlocks with a first bone anchor, for example, for enhanced bone purchase and bony fixation.

Abstract: A method of treating a spine includes implanting a spinal implant within a patient. The spinal implant includes a first member having a first wall defining an axial passageway and a first opening, the first opening being in communication with the axial passageway. A second member includes a second wall defining an axial channel having the first member disposed therein, the second wall defining a second opening in communication with the axial channel. Bone graft is injected through the first opening and into the axial passageway and through the second opening and into the axial channel after the spinal implant is implanted within the patient.

Abstract: A surgical instrument comprises a member being engageable to a spinal implant configured for connection to a bone fastener shaft. An actuator is connected to the member. A latch is connected to the actuator and the connection is configured to change between at least one non-locked orientation such that the actuator is movable relative to the member and a locked orientation such that the actuator is fixed relative to the member. Systems, spinal constructs, implants and methods are disclosed.

Abstract: Dura shields in accordance with embodiments of the invention are disclosed. In one embodiment, a dura shield includes a shield configured to protect a patient's dura during an interbody procedure, a tether coupled to the shield and configured to position the shield, and an anchor coupled to the shield and configured to attach to a surface within the patient during the interbody procedure. A variety of sensors can be incorporated into the dura shield in order to monitor a patient during the procedure.

Abstract: An intervertebral implant for positioning within an intervertebral space between adjacent first and second vertebral bodies. The intervertebral implant includes an implant body extending along a longitudinal axis of the intervertebral implant that is adapted to align with a vertical axis of the spine. The implant body includes a top plate and a bottom plate disposed longitudinally opposite and spaced apart from the top plate along the longitudinal axis. Further, the implant body includes at least one cross-arm obliquely extending between the top plate and the bottom plate. Furthermore, the implant body includes a lattice structure disposed at least between the at least one cross-arm and the top plate and between the at least one cross-arm and the bottom plate.

Abstract: A sternal compass includes a first scissor clamp arm having a first scissor clamp arm handle end and a first scissor clamp arm effector end; and a second scissor clamp arm having a second scissor clamp arm handle end and second scissor clamp arm effector end. The second scissor clamp arm crosses the first scissor clamp arm at a pivot point. A centerline alignment mechanism is located between the first scissor clamp arm and the second scissor clamp arm. The centerline alignment mechanism has a hinge point aligned with the pivot point. A center line frame extends in line with the hinge point and the pivot point toward the first scissor clamp arm effector end and the second scissor clamp arm effector end. The center line frame has a marking device to mark a centerline of a sternum of a patient.

Abstract: Access devices including access ports and retractors, which enhance the working area and access to a surgical site. The access port includes a tubular body with at least one sidewall defining an interior path along the length of the tubular body. The sidewall includes a rigid portion and a flexible portion. The flexible portion is able to stretch or deform, for example, to accommodate an angled trajectory of a surgical implement. A surgical access device for retracting tissue includes a plurality of retractor blades. The outer surface of the retractor blades form a substantially circular cross-sectional configuration with a plurality of spiral ridges projecting therefrom such that advancement of the retractor into the surgical site may be improved.

Abstract: A receiver for engaging a bone stabilizing element includes a receiver portion connectable to the stabilizing element, and a base portion connectable to a bone of a patient. The base portion may connect to the bone with a bone screw, for example a polyaxial bone screw, and the receiver portion may connect to the stabilizing element, for example a rod, using a set screw. The receiver portion and the base portion are slideably connected to each other, coupled and constrained in relative movement, by overlapping portions. Axial rotation between the receiver portion and the base portion is enabled by changing the relative dimensions of overlapped portions.

Abstract: Disclosed herein are external fixation frames for correcting bone deformities. The external fixation frames include a top fixation ring and a bottom fixation ring coupled to one another by at least two struts. A half ring is coupled to bottom fixation ring. The bottom fixation ring is u-shaped. One or more rocker members may be coupled to the bottom fixation ring. The half ring may be hingedly coupled to the bottom fixation ring such that it can rotate with respect to the bottom fixation ring from a first position to a second position.

Abstract: Implants, instruments, and methods for performing surgical procedures on the spine, including one or more of creating an operative corridor to the spine, delivering implants to the spine, fusing one or more segments of the spine, and fixing one or more segments of the spine.

Abstract: A video laryngoscope has a handle and a blade. A chemiluminescent light source is disposed inside the handle, along with one or more photovoltaic cells which are optically coupled to convert chemiluminescence emitted by the chemiluminescent light source into electrical power. An image sensor is disposed on the blade or in the handle and is configured to image the glottis of a patient when the distal end of the laryngoscope blade operatively engages the tongue of the patient. The image sensor is powered by the electrical power produced by the one or more photovoltaic cells. A system for recording tracheal intubation procedures performed by a plurality of video laryngoscopes is also disclosed.

Abstract: A method of facilitating access to a neonate through a caesarean incision in the woman's abdomen by opening the incision, includes providing a supporting ring dimensioned to allow delivery of a neonate through the ring and comprising a non-adjustable pelvic-region retractor and handle fixed to the supporting ring and articulating the supporting ring to insert the non-adjustable pelvic-region retractor into the incision to cover and hold back the woman's bladder with the supporting ring disposed over the woman's abdomen. A first adjustable saddle-shaped retractor is then inserted into the incision to cup a first section of abdominal tissue on an abdominal side of the incision, before attaching the first adjustable saddle-shaped retractor to the supporting ring while it is cupping the first section of abdominal tissue at a first position spaced apart from the non-adjustable pelvic-region retractor to anchor the supporting ring to the woman and partially open the incision.

Abstract: A surgical elevator has an oximeter sensor at its tip, which allows measuring of oxygen saturation of a tissue.

Abstract: A tool for breaking tabs of a vertebral bone anchor can include a tip, a first rail, and a second rail. The tip can be positionable over a housing of a vertebral bone anchor. The first rail can be pivotably coupled to the tip and can extend proximally away from the tip. The first rail can be configured to receive a first extended tab therein. The first rail can be pivotable with respect to the tip between a first upright position and a first outward position to break the first extended tab from the housing. The second rail can be pivotably coupled to the tip and can extend proximally away from the tip.

Abstract: A self-retaining retractor that facilitates surgical procedures and inspection by a surgeon and eliminates the need for surgical assistance. The self-retaining retractor includes a hinge, a pair of curved arms, a pair of perpendicular arms, and a plurality of fingers emulating from each pair of perpendicular arms. Each of the pair of curved arms includes an upper portion and a lower portion. The near end of the lower portion of the each of the pair of curved arms is coupled to the hinge. The near end of each of the pair of perpendicular arms is coupled to the distal end of the upper portion of the each of the pair of curved arms.