Abstract: A hydrogel biomaterial that can be utilized as a nucleus pulposus replacement material is described. The hydrogel biomaterial can is an elastin-glycosaminoglycan-collagen composite hydrogel biomaterial that can mimic the biochemical and functional characteristics of the human nucleus pulposus. Methods for forming the hydrogel biomaterial are also described as are methods for use of the hydrogel biomaterial, one of which is as an in vivo nucleus pulposus replacement material, another of which is a scaffolding material for use in nucleus pulposus tissue engineering applications.

Abstract: A laterally deflectable asymmetric implant for implanting into a body may comprise a deflectable piece having distal and proximal ends and assuming a straightened insertion state. The backbone may abut or interconnect with said deflectable piece at the distal end of the deflectable piece. In a fully deflected state the implant may define an asymmetric shape, e.g. a D-shaped loop, defining an at least partially enclosed volume. The deflectable piece may comprise a sequence of segments interconnected at effective hinges. Longitudinal pressure applied to the proximal end of the deflectable piece (or applied to the backbone in an opposite direction) may cause relative longitudinal movement between the backbone and the proximal end of the deflectable piece and may generate outward horizontal movement of the deflectable piece away from the backbone. In one embodiment, the implant is implanted using lateral access into an anterior zone of a vertebra and deployed posteriorly.

Abstract: An example device for the fixation and support of bone bodies includes a base member for implantation into a patient at a location between two bone bodies. The base member of the device includes an enclosed chamber for receiving fusion material and apertures for receiving bone fasteners that can be embedded into the adjacent bone bodies. The device further includes protrusions extending from the base member, wherein the protrusions are configured for engagement with one or more bone bodes upon implantation and for progressive penetration into at least one bone body over a period of time subsequent to the implantation.

Abstract: An access assembly for insertion through an opening in tissue is provided. The access assembly includes a flexible outer sleeve having an upper rim formed on a proximal end, a lower rim formed on a distal end and defining a longitudinal opening extending therebetween. The lower rim may define an inflatable space that in a deflated state facilitates insertion of the lower rim through tissue and in an inflated state assists in retaining the access assembly in place relative to the tissue. The access assembly further includes an inflatable member secured within the longitudinal opening of the outer sleeve. The inflatable member includes a plurality of inflatable lobes configured to selectively receive at least one surgical device therebetween in a sealing manner.

Abstract: A transverse rod connector includes an elongate member having first and second ends and first and second connection members. The first and second connection members are connected with first and second ends, respectively. The first and second connection members are configured for multidirectional positioning with respect to the elongate member. The first and second connection members are each dimensioned to be selectively and releasably secured to a bone anchor.

Abstract: The present invention provides a surgical illuminator. The surgical illuminator includes: a cylindrical lens barrel, a base, a printed circuit board, a light emitting diode, an aspheric lens, and a double-convex lens. Methods of using the surgical illuminator are also provided.

Abstract: Surgical device for correcting deformation of the spinal column includes tubular elements for temporary attachment at pedicle screw heads connected by a curved implantable rod, and rods engaged through the elements to align them corresponding to the correction. Each tubular element has two independent portions coupled to outside of the heads; one end of each part having fittings coupling the portions together. The rods comprise an alignment rod and a handling rod, arranged in openings delimited by the portions to move parallel to an axis of the elements. The handling rod acting, as displaced, to simultaneously displace the curved rod, previously engaged into the openings, towards the heads. The handling rod being removed and then coupled to the outside of the elements arranged in alignment to remove the alignment rod and engage, inside each element, a member actuating a nut for fastening the curved rod in each head.

Abstract: An expandable support device for tissue repair is disclosed. The device can be used to repair hard or soft tissue, such as bone or vertebral discs. A method of repairing tissue is also disclosed. The device and method can be used to treat compression fractures. The compression fractures can be in the spine. The device can be deployed by compressing the device longitudinally resulting in radial expansion.

Abstract: Provided is a modular pedicle screw assembly which includes various components that may be configured in various manners so as to provide different functionalities to the pedicle screw assembly. This advantageously decreases surgery time, reduces repetitive and tedious surgical steps, and allows for streamlining inventory of expensive medical equipment. In one embodiment, a pedicle screw assembly includes a pedicle screw, a rod holding element, an insert, a rod, and a set screw. The insert may have a uniplanar configuration which allows movement of the insert, prior to final attachment, in a plane of motion. The insert may optionally have a monoaxial configuration which prevents movement of the insert. A method is also provided for securing a rod to a pedicle screw assembly. Also provided is an assembly tool for use in assembling a pedicle screw assembly.

Abstract: A rotational stabilizing locking apparatus for a surgical retractor is disclosed. The, rotational stabilizing locking apparatus may be a locking cap that includes a central body having a surgical aperture extending from a first side of the central body to a second opposed side of the central body. The central body may include an attachment arm extending away from the surgical aperture. Also, a first interfacing prong may extend from the first side of the central body. The first interfacing prong may include a first light source guide element along an extent of the first interfacing prong. Additionally, the locking cap may be applied to an inner arcuate blade nested inside an outer arcuate blade having a coupling aperture. The inner arcuate blade may include a prong slot for receiving the first interfacing prong. Also, a coupling tab of the inner arcuate blade may be disposed within the coupling aperture.

Abstract: A polyaxial bone anchoring device includes a receiving part having a first end, an opposite second end, a channel at the first end, and an accommodation space at the second end for receiving a head of a bone anchoring element, and a pressure element configured to be positioned in the receiving part and to exert pressure on an inserted head, the pressure element including at least one flexible section. At least one of the receiving part or a free end of the flexible section of the pressure element has an inclined surface portion configured to engage the other one of the receiving part or the free end of the flexible section of the pressure element, such that a force directed towards the second end of the receiving part is exerted on the pressure element at the engagement to exert a pre-load on an inserted head of a bone anchoring element.

Abstract: A spinal pedicle rod comprising an internally reinforced polymeric core that is at least partially encased within at least one polymeric coating. A dynamic stabilization device for bones in which flexible rods are combined with a pair of dynamic anchoring devices comprising i) a shank for anchoring into a bone or a vertebra, ii) a head connected to the shank, iii) a receiving part for the head and iv) a mobile element acting on the head.

Abstract: Apparatus for use in an operating theatre equipped with a surgical table, comprises a lifting frame (12) attachable to the surgical table and adapted for lifting a body part of a subject undergoing a surgical procedure upon the surgical table, and comprising an upright support post (18) incorporating a jack (54), and a lifting arm (17) pivotally mounted upon the post, whereby the arm can be turned about the upright support post on thrust bearing (57) to either overhang the surgical table, or be pivoted away to permit access to the surgical table. The arm is adapted to support a retractor that comprises a blade portion incorporating a plurality of independent lighting devices positioned in light ports (71, 72, 73) and configured to provide discrete illumination selectively to zones within the surgical field according to (a) a predetermined sequence program, or (b) a sequence determined by a user of the retractor.

Abstract: A spinal fixation system includes a rod and anchor devices that include a bone engaging fastener having a head defining a spherical socket. A ball insert is placed within the socket and rotated so that the ball insert is juxtaposed with the socket. The anchor device further includes a yoke defining a yoke channel for receiving the rod and a stem engaged to the ball insert captured within the socket. A sleeve disposed between the yoke channel and the fastener head supports the rod. A set screw is operable to clamp the rod against the sleeve and draw the insert into engagement within the socket. A releasable detent defined between the yoke and the fastener head is configured to releasably retain the yoke in at least one discrete position relative to the fastener. Portions of the releasable detent may also exert a frictional retention force against the fastener head.

Abstract: A textured bone graft or implant device includes a housing member having a bore at one end and a conduit at the other, an actuator engaged in the conduit of the housing member, and a screw engaged in the bore of the housing member and engaged with the actuator, and the housing member includes two sections each having one or more grooves for forming two or more blades each of which include a guiding member extended into the conduit of the housing member for selectively engaging with the actuator, the actuator is engaged with a closer guiding member before the other for forcing the blades to move radially and outwardly of the housing member in sequence.

Abstract: Devices and methods are provided for assisting in spinal stabilization. An access device is provided that includes an outer sleeve, inner sleeve, spring latch and lock nut. The inner sleeve includes compressible grasping elements. The access device can be coupled to a screw head by sliding the outer sleeve relative to the inner sleeve and compressing the grasping elements. The coupled access device and screw can then be delivered to a target location in a patient. After providing two or more access devices, a rod member can be delivered using a rod insertion device. The rod member can serve as a connection between the two screws, and can provide spinal stabilization. An anti-torque device and a persuading device can be used to help ensure that the rod member is placed and secured in a proper location within a patient.

Abstract: An interbody implant system is provided. The interbody implant system includes an implant having an engagement surface and an instrument including a first member and a second member that is movable relative to the first member. The first member is configured to capture the implant and the second member includes an interface configured to engage the engagement surface to releasably lock the implant in at least one orientation relative to the second member. The at least one of the engagement surface and the interface include at least one planar face. Methods of use are disclosed.

Abstract: A bone anchoring device, includes a receiving part for receiving a rod-shaped implant element, the receiving part having a first bore coaxial with a longitudinal axis and extending from a first end of the receiving part, and a recess extending from the first end to accomplish insertion of the rod-shaped implant element. The device further includes a bone screw having a threaded section for insertion into the bone and being fixed at or positionable at a second end of the receiving part and a fixation element provided to the first bore to fixate a rigid section of the rod-shaped implant element. The rigid section of the rod-shaped implant element has a first width, and the recess of the receiving part has a second width. The second width is larger than the first width, such that the recess may accommodate a stepped portion of the rod-shaped implant element that has an increased thickness.

Abstract: Methods and devices are disclosed for treating the vertebral column. An implant for treating the spine is provided comprising at least two articulations between the spacer and the bone facing surface of the fixation plate. Another implant for treating the spine is also provided, comprising two or more fixation plates attached to a spacer with two or more articulations, wherein the fixation plates are independently movable.

Abstract: An elongate inserter has a distal end releasably connected to an expandable interbody fusion device and a proximal end including a trigger actuator. The interbody fusion device comprises a superior endplate and an inferior endplate that are movable in an expansion direction relative to each other in the intradiscal space. The device includes an elevator captively supported between the inferior endplate and the superior endplate for movement independently toward and away from each of the inferior endplate and the superior endplate. The inserter includes a lifting platform that defines lifting surfaces that upon operation of the trigger actuator cooperatively engage complementary lifting surfaces on the elevator and move the inferior endplate away from the superior endplate. A driver is supported by the inserter for pushing an insert into the expanded device between the superior and inferior endplates.