Abstract: A method and apparatus of limiting at least one degree of movement between a superior vertebrae and an inferior vertebrae of a patient includes advancing a distal end of a stabilization device into a pedicle of the inferior vertebrae. A proximal portion of the stabilization device is positioned such that the proximal portion limits at least one degree of movement between a superior vertebrae and an inferior vertebrae by contacting a surface of the superior vertebrae.

Abstract: In embodiments of the invention, there is provided an external fixation system comprising a first plate and a second plate and connectors therebetween. Some or all of the connectors may be adjustable in length or angular position or both. Angular adjustment may comprise a fixed amount of friction and an adjustable amount of friction, and the permitted angular deflection can vary around the perimeter of the angular joint. An adjustable-length connector may comprise a tiltable nut that can either engage or not engage a threaded rod to provide both coarse adjustment and fine adjustment. Tactile or audible feedback may be provided. Other accessories may include: provisional alignment clamps to position parts of the patient's body; a K-wire alignment guide; a K-wire support post; a universal fixation bolt; a plurality of half-pins that can be used with a common support post or block; and a resilient retention device.

Abstract: The device can include a first member connected to a second member via junctions. The members can be statically or pivotally connected at the junctions via arms extending from cross-beams of the members. The junctions can be configured to provide a biasing force. Methods of using the device may include collapsing the device and inserting it through an incision, allowing the biasing force to cause continuous traction and counter-traction adjacent to a leading dissection edge so that retraction of the skin from the tissue can be facilitated during a surgical procedure.

Abstract: The present invention concerns several fusion devices and methods for laterally inserting a fusion device at an initial trajectory that is not parallel to the disc space. Each fusion device incorporates components that enable flexing, bending or pivoting of the device during its final approach to the prepared disc space.

Abstract: The Trocar structure for abdominal surgery comprises a cannula having at one end a guide element provided with a valve for maintaining the positive intracavitary pressure and a shaft having, at one end a head and at the opposite end a tip, advantageously the valve is made of a single piece of silicone and has first elastically deformable sealing means for maintaining the positive intracavitary pressure during the passage of the shaft and of a surgical instrument through the cannula and second elastically deformable sealing means engaging the guide element.

Abstract: Shapeable articles, kits including one or more of the shapeable articles, and methods of making and/or using the shapeable articles. The shapeable articles include a shapeable member that can be shaped or manipulated into three-dimensional shapes without the use of tools and hold those shapes after removal of the force required to achieve the shape. The shapeable articles could have a variety of uses including use as surgical retractors to move and/or restrain non-target tissue and/or organs to improve access to the target tissue and/or organs.

Abstract: Embodiments include a system that facilitates placement of a rod through receiving portions of screws placed along the spine. The system includes a rod and a cable detachably connectable to the rod to pull the rod through the receiving portions of the screws. Some embodiments include methods and devices for inserting a rod into a plurality of screws and for ex situ templating of a rod. These can include connecting a cable to a rod, inserting the cable through the plurality of screws, and using the cable to pull the rod into position. The methods of ex situ templating of the rod can include contacting a templating member to each of the screws so that a portion of the templating members replicate the relative positioning of the screws and shaping a rod to match the relative positioning of the portion of the templating members.

Abstract: A prosthetic system for implantation between upper and lower vertebrae comprises an upper joint component. The upper joint component comprises an upper contact surface and an upper articulation surface. The system further includes a lower joint component. The lower joint component comprises a lower contact surface and a lower articulation surface configured to movably engage the upper articulation surface to form an articulating joint. The articulating joint is adapted for implantation within a disc space between the upper and lower vertebrae, allowing the upper and lower vertebrae to move relative to one another. The system further includes a bridge component extending posteriorly from one of either the upper or lower joint components and from the disc space. The bridge component has a distal end opposite the one of the either upper or lower joint components. The distal end of the bridge component comprises a connection component adapted to receive a fastener.

Abstract: A spinal stabilization system generally comprises first and second anchor members configured to be secured to first and second vertebrae within a patient's body, a flexible element secured to the first anchor member, and a rigid element secured to the second anchor member. An end portion of the rigid element is coupled to an end portion of the flexible so that the system is able to provide both rigid and dynamic stabilization. The coupling is maintained even if the flexible element relaxes after a period of time within the patient's body.

Abstract: Devices and methods for enhancing the effectiveness of spinal stabilization, and particularly that of cervical spinal stabilization, are provided herein. More specifically, methods and systems are disclosed for effectively positioning occipital plates and spinal fixation assemblies within target vertebrae, while also reducing any associated patient trauma (e.g., muscle stripping, tissue damage, etc.). The systems and methods can utilize trans-lamina delivery of the spinal fixation assemblies to allow for the positioning of the fixation elements along the midline of the patient's spine.

Abstract: In some embodiments, a device for reinforcement of a facet joint is provided. The device comprises a lumen configured to receive a fastener member. In some embodiments, a second segment comprises a second lumen configured to receive a fastener member or fastener. In some embodiments, kits are provided with a fastener member and a facet reinforcement device. Methods are also provided for treating a spine. In some embodiments, the fastener member is placed through both articular processes of a facet joint and a facet reinforcement device.

Abstract: A band clamp tensioning system that includes a tensioning instrument that has a hollow body with proximal and distal ends that define a longitudinal axis, and a travel slot, a tension tightening rod disposed co-axially within the hollow body, and a carriage assembly for receiving and tensioning a band, the carriage assembly disposed co-axially within the hollow body and having a center aperture through which the tension tightening rod is inserted, and a carriage that includes at least one channel for inserting a band, and a band securing mechanism. In use the carriage moves axially between proximal and distal ends within the slot along the exterior surface of the hollow body when the tightening rod is manipulated. The system also includes a clamp housing and a band that can be tensioned around bone with the tensioning instrument and secured to the clamp housing with a locking element.

Abstract: Osteosynthesis device, in particular a pedicle screw, having a bone anchor, in particular a bone screw, with a shank and a head, and having a fork head which is U-shaped in a side view and which has two arms at a proximal end area and is formed in one piece, wherein the head of the bone anchor is mounted pivotably on a distal end area of the fork head directed away from the arms, wherein the fork head has, at the distal end area, a receiving opening for the head of the bone anchor, which receiving opening is delimited in the radial direction by spring portions, wherein the spring portions are delimited radially inwards by the receiving opening and radially outwards by an annular groove arranged concentrically with respect to the receiving opening, said annular groove forming a seat for a securing element, wherein the head of the bone anchor is inserted into the receiving opening from the direction of the distal end of the fork head.

Abstract: A surgical instrument comprises a first member including a lateral projection having a locking surface that defines an elongated cavity. The locking surface is engageable with a longitudinal member to fix the longitudinal member with the first member. A second member includes at least one mating element being engageable with a spinal construct. The first member is axially translatable relative to the second member in a first direction to tension the longitudinal member and in a second direction to release tension from the longitudinal member. Systems and methods are disclosed.

Abstract: An articulating assembly includes a first elongated element for attachment to a first anatomical region, and a second elongated element for attachment to a second anatomical region. In at least one embodiment, a coupling connects the first and second elongated elements. The coupling includes a moveable joint configured to allow polyaxial movement of the first elongated element with respect to the second elongated element. The assembly further includes a locking mechanism. The locking mechanism is operable in an unlocked condition to permit polyaxial movement of the first elongated element with respect to the second elongated element, and a locked condition to immobilize the movable joint and fix the position of the first elongated element with respect to the second elongated element.

Abstract: An intervertebral fusion device comprising inferior and superior fusion cage devices that provide an ability to correct spondylolisthesis via in-situ adjustment.

Abstract: A system for passing an end portion of a needle system from a body cavity to an outer environment through a laparoscopic port is provided. The system comprises an elongated Sleeve which comprises a second proximal opening, a second distal opening, a second lumen extending between the second proximal opening and the second distal opening, and a seal provided in the second lumen. The system further comprises a seal bridge which comprises an elongated body. The elongated sleeve is telescopically introducible at a first proximal end, through a first lumen and bypassing a seal mechanism of the laparoscopic port. The seal bridge is adapted to be inserted through the second proximal opening to be deployed in the second lumen and thereby bridging across and/or deactivating the seal of the elongated sleeve.

Abstract: Disclosed is a fully detachable trocar, comprising: a cannula; a support connected to one end of the cannula; a channel passing through the cannula and the support along an axial direction; an air-inflated structure arranged on the support and communicated with the channel; an air valve for controlling the air-inflated structure to turn on and off; a primary sealing component for sealing when a device is used; and a second sealing component for sealing when no device is used; the primary sealing component, the second sealing component and the support are connected in a sealing manner from top to bottom in sequence, and the primary sealing component can be independently separated from the second sealing component which can be independently separated from the support, so as to provide multiple methods for taking out tissues.

Abstract: A bite block for use in a mouth of a patient to hold the mouth in a spaced-apart position that includes a condensed fiber block having a predetermined length suitable for being inserted into the mouth of the patient and positioned between upper and lower molars and a wrapper yarn repeatedly wrapped around the block along its length. An adhesive strand in the wrapper yarn is positioned on an outer surface of the fiber to maintain the block in its condensed state.

Abstract: A guard for providing a cut-resistant pathway through a body orifice or incision to circumferentially protect tissue at the margin is provided. The guard is made of flexible, cut-resistant mesh material having a plurality of interwoven thermosetting filaments. The guard has a central lumen and at least one flared end. The flared end, which serves to anchor the guard in the body opening, is deformable into a reduced configuration to facilitate its insertion and removal. The layer of mesh stretches laterally to increase the diameter of the central lumen. The flexibility and expandability of the guard allows the guard to conform to body openings of different sizes. The guard may include a drawstring to cinch the flared distal end from the proximal end. The guard is thermoset with the flared distal end that is biased to spring back to its normal, undeformed configuration when released from a deformed configuration.