Abstract: The present invention relates to an expandable implant for engagement between vertebrae generally comprising an inner member, outer member, and gear member positioned coaxial with respect to each other such that the inner and outer members are moveable relative to each other along an axis. The gear member is axially fixed to the outer member and freely rotatable with respect to the outer member and the gear member threadedly engages a threaded portion of the inner member to translate inner member along the axis. The implant is configured to engage the vertebrae in a predetermined alignment and the gear member includes gear teeth exposed to the exterior and configured to be accessible by a tool member at a plurality of angular positions around the perimeter of the implant device.

Abstract: A bone anchor is provided for connecting a rod to a bone structure, the bone anchor having a rod housing configured to accommodate the rod; a cavity distal to the rod housing dimensioned to accommodate the bone structure; and a deployable purchase element capable of assuming a deployed position in which the purchase element protrudes into the cavity, and capable of assuming a non-deployed position in which the purchase element does not substantially protrude into the cavity.

Abstract: An expandable implant device for implantation at a surgical site is provided. The implant device is made of cortical bone and includes a top and bottom piece, both pieces configured to couple with each other. The top piece has superior and inferior surfaces, and at least a tapered leading end configured to distract open an intervertebral disc space so that the top piece can be slidably inserted over the bottom piece until a desired overlap is achieved. A composite interbody bone implant device is also provided including a body skeleton having a non-bone composition, such as a polymer, formed into a shape and including one or more cavities which can be filled with other material, for example, allograft material. A method of placing an expandable device into a disc space is also provided.

Abstract: This item of vertebral osteosynthesis equipment includes at least one bone anchoring member (51) including a proximal threaded pin, at least one connecting part (52) with a hole (58) for the engagement of same on the proximal threaded pin, and at least one nut intended to be screwed onto the thread provided on the outside of the pin (54) in order to receive the nut. According to the invention, the revision assembly (1) includes a threaded extension rod (2) having a widened end (6) that defines a threaded axial cavity (10), the threaded axial cavity (10) being dimensioned to allow the threaded extension rod (2) to be screwed onto the thread provided on the threaded pin (54); the hole (58) provided in the connecting part (52) has a diameter such that it can receive said widened end (6) of the threaded extension rod (2) therethrough; and the revision assembly (1) includes a so-called “reassembly” nut suitable for being screwed onto the threaded extension rod (2).

Abstract: A surgical sheath for use in endoscopic trans-nasal or intra-ocular surgery has an angle section joined to a conical section, with the conical section having a central axis not parallel to a central axis of the angle section. A body section is joined to the angle section, with the body section having a length at least twice the length of the angle section. The conical section, the angle section and the body section may be a flexible or compliant material. The sheath reduces collateral trauma to the tissues in the surgical pathway.

Abstract: Devices, systems, and methods for inserting a vertebral stabilization member, such as a rod. The insertion device includes an outer guide tube, a pin assembly including a pin and a pusher member extending therethrough. The insertion device is configured to actuate a rod between a first orientation and a second orientation angled with respect to the first orientation in order to position the rod in an appropriate location for attachment to bone.

Abstract: The present invention relates generally to medical devices and methods generally aimed at spinal surgery. In particular, the disclosed system and associated methods relate to performing spinal fixation with the use of a deformity system.

Abstract: The present disclosure describes a spinal fixation system comprising a telescoping spinal rod, as well as methods of its use and a guide tower for use therewith. The telescoping rod can be extended after it has been inserted into the patient below the fascia, which permits it to be extended in the sub-fascial space.

Abstract: Apparatus and devices for adding an additional spinal construct in a patient are disclosed. In one arrangement the additional spinal construct extends an existing spinal construct ipsilaterally with an inline rod connector in a minimally invasive or preferably, percutaneous procedure. In another arrangement, the ipsilateral extension of an existing spinal construct uses an offset rod connector for receiving an additional spinal rod that may be placed interiorly or exteriorly of the existing spinal construct.

Abstract: The application relates to a bone screw assembly for fixation into a bone, comprising a first screw element with a body including a threaded first end with a first external screw thread having a first handedness and a first lead length. The first screw element comprises an internal thread feature with a second handedness and a second lead length located within a bore within said body. The screw assembly includes a second screw element comprising a second external screw thread with the second handedness and the second lead length. Said second screw element is arranged within said bore and said second external screw thread is engaged with said internal thread feature. The second screw element is movable from a first implantation configuration where the second screw element is arranged completely within said bore and a second implantation configuration where the second screw element protrudes from said bore.

Abstract: An orthopedic device has a configuration that employs a scalloped profile that defines internal scalloped edges having troughs and crests that extend substantially along the outer edge of a head of the device. The troughs and crests interface with a series of troughs and crests around the openings in the device. Each of the openings includes an outwardly extending slot that permits the opening to expand and contract outward as the head of the anchor is rotated. This enables an anti-backout feature that prevents or substantially inhibits undesired rotation and backout.

Abstract: Devices and methods for selectively converting polyaxial bone screws into monoaxial screws are described herein. In one embodiment, a spinal screw extension instrument is provided having an outer component configured to engage a receiving member of a polyaxial screw. The instrument further includes an inner component disposed within an inner lumen of the outer component and configured to translate longitudinally relative to the outer component such that the inner component can apply a distal force to a compression member of the polyaxial screw disposed within a distal portion of the receiving member to thereby convert the polyaxial screw to a monoaxial screw.

Abstract: A support apparatus for supporting a trocar while the trocar extends through a body wall of a patient includes an inflatable collar and a slidable abutment collar commonly connected for engagement onto the trocar following which the slide collar is released to slide along the trocar. The inflatable collar is inflated to a set size by a manually operable pump on the slidable collar operated by squeezing finger abutments together up to a latch so that threaded portion expels the inflation fluid. The abutment member is shaped to be received on an outer surface of the trocar and adjustable longitudinally of the trocar sleeve so as to be located at a selected position by a manually movable latch collar. The inflatable collar and slidably collar are held connected by a manually operable release.

Abstract: A spinal construct comprises a fastener including a first portion defining an implant cavity and a second portion configured to penetrate tissue. A member defines a cavity configured for disposal of at least a portion of the first portion. The member includes an implant engaging surface fixable within the implant cavity and connected to a connecting element fixable adjacent the first portion. Systems and methods of use are disclosed.

Abstract: A cervical minimal access fusion system is presented. The system has a plate with a longitudinal axis and defining at least two bone screw bores therethrough and an inter-vertebral cage configured to be positioned between two adjacent cervical vertebrae. A method for a cervical minimal access fusion system is also presented. In one aspect, the method comprises the steps of accessing the facet joints of two adjacent cervical vertebrae, distracting the joints so as to increase the space between the two adjacent cervical vertebrae, placing an implant or structural bone graft in the space between the two adjacent cervical vertebrae to maintain the distraction, and compressing the two lateral masses to induce lordosis around the facet joint.

Abstract: In some embodiments, an electronic laryngoscope includes a camera, a hollow connecting rod, a handle, and a control display. The front end of the connecting rod is connected to the camera, the rear end of the connecting rod is connected to the handle, and the rear end of the handle is connected to the control display. The laryngoscope further includes a hollow tube whose inner diameter is greater than the outer diameter of the connecting rod. The camera and the connecting rod are located on the inner side of the hollow tube. A sputum suction opening is formed between the front end of the hollow tube and the front end of the camera, and a sputum passage in communication with the opening is formed between the hollow tube and the connecting rod. The laryngoscope further includes a connector between the hollow tube and the camera and/or the connecting rod.

Abstract: Devices, methods and systems for remedying or preventing fractures of the bone are disclosed. The devices, and corresponding methods and systems, may include first and second members each having a proximal end, a distal end and a middle portion and an outer surface. The first member may be configured to be positioned at least partially within the femoral neck of the femur. The second member may be configured to be oriented at an oblique angle relative to the first member and mechanically engaged with the first member through an interlocking connection between the distal end of the second member and the middle portion or the distal end of the first member.

Abstract: A system for implanting a bone fixation system including an implant head inserter associated with each hook member and positionable relative to one of the elongate members to engage the hook member with the elongate member; a preliminary locking instrument associated with each implant head inserter and configured to engage the respective elongate member and lock the position of the hook member and implant head inserter relative to the elongate member; a compressor assembly configured to engage the implant head inserters and compress them toward one another; a path creation tool configured to be extended through holes in the hook members to define a connector member path between the hook members; and a rod introduction instrument configured to support the connector member and direct it through the connector member path. Methods of implanting a bone fixation system are also provided.

Abstract: The present invention relates to an intramedullary nail for proximal femoral fractures. The intramedullary nail comprises an elongate body (1) with a longitudinal bore (2). The elongate body (1) includes a proximal portion (5) with an oblique transverse bore (7) for a proximal locking member and a distal portion (6) with at least one transverse bore (8) for a distal locking member. An inlet end of the oblique transverse bore (7) is configured as a recess (9) with a recessed surface (11). The recessed surface (11) is composed of recessed lateral surface portions (15) and a recessed proximal as well as a recessed distal surface portion (16 and 17 respectively). Each of the recessed lateral surface portions (15) is configured with at least one protuberance (18) for preventing or reducing the risk for misalignment of e.g. a reamer and, if misalignment occurs, this will not affect critical parts of the intramedullary nail.

Abstract: The present teachings provide one or more surgical implements for repairing damaged tissue, such as through a fixation procedure. A system for a percutaneous procedure is provided. The system can include a bone fastener including a receiver. The system can include a device having a first end, a second end and a middle portion. The first end, middle portion and second end can be disposed along a longitudinal axis, and the second end can be connected to the receiver. The middle portion can have a pair of deformable leg members extending between the first and second ends. The leg members can define a channel having a width. The leg members can be selectively movable between a retracted state and an expanded state with the width of the channel greater in the expanded state than in the retracted stare.