Abstract: Bowel retractor devices. In various forms, the bowel retractor devices are configurable from a collapsed position wherein the retractor may be inserted through a trocar cannula or other opening in a patient's body to a second expanded position wherein at least a portion of the patient's bowel may be advantageously supported in a desired position.

Abstract: A device for treating fractures, comprises an intramedullary member sized and shaped for insertion along a longitudinal axis of a bone within a medullary canal thereof, the intramedullary member including an opening extending obliquely therethrough, the opening, when the intramedullary member is in a desired position within a bone, aligning with a desired axis along which an implant is to be inserted into a bone, the intramedullary member including a channel formed therewithin and opening to the opening and a locking mechanism mounted in the channel, the locking mechanism including a locking abutting structure extending into the opening in combination with an implant sized to be slidably received through the opening and inserted along the desired axis, the implant including a plurality of implant abutting structures aligned to engage the locking abutting structure preventing medial movement of the implant relative to the intramedullary member.

Abstract: Disclosed are an apparatus for an interspinous fixation and/or distraction of vertebrae and a methodology for minimally invasive implantation of the apparatus in the spine of a patient. The apparatus corresponds to a pair of teardrop shaped lateral wing elements spaced apart by a central core element that may be selectively sized during the implantation process. The wings and central core are held together by a single threaded bolt and locking nut configuration resulting in a simple structure that may be easily implanted with minimal patient discomfort.

Abstract: Clamping devices and methods for external fixation systems include a post component having a yaw axis and a clamping system secured to the post component and rotatable about the yaw axis. The clamping system includes a outer jaw and a inner jaw having an inner surface facing the outer jaw. The outer and inner jaws together form an opening for receiving a fixation element of the external fixation system. The inner jaw and outer jaw have a roll axis alignable with a longitudinal axis of the fixation element. The clamping system and post component are rotatable about the roll axis. The inner jaw also includes a cylindrical outer-facing surface. The devices also include a base component having a cylindrical concave surface having a pitch axis. The concave surface of the base component interfaces with the cylindrical outer facing component on the inner jaw. The outer and inner jaws being rotatable relative to the base and the post component about the pitch axis.

Abstract: Clamping devices and methods for external fixation systems include a post component having a yaw axis and a clamping system secured to the post component and rotatable about the yaw axis. The clamping system includes a outer jaw and a inner jaw having an inner surface facing the outer jaw. The outer and inner jaws together form an opening for receiving a fixation element of the external fixation system. The inner jaw and outer jaw have a roll axis alignable with a longitudinal axis of the fixation element. The clamping system and post component are rotatable about the roll axis. The inner jaw also includes a cylindrical outer-facing surface. The devices also include a base component having a cylindrical concave surface having a pitch axis. The concave surface of the base component interfaces with the cylindrical outer facing component on the inner jaw. The outer and inner jaws being rotatable relative to the base and the post component about the pitch axis.

Abstract: The present disclosure provides various embodiments of an external fixation connection rod having articulatable joints that can be attached to external supports, such as rings. In some embodiments, the fixation connection rod includes a telescopic rod and connecting mechanisms for coupling the joints of the connection rod to the external supports. and the connecting mechanisms are operable to substantially lock the orientation of the joints. In some other embodiments, the connection rod includes a housing having parallel axial bores defined therethrough and sleeves slidably disposed in the axial bores. Also included in the present disclosure are methods of maintaining the orientation of first and second fixator rings for immobilizing bone segments.

Abstract: An implant for supporting the spinous processes of adjacent vertebral bodies includes a first implant component and a second implant component and is transferable by moving the second implant component relative to the first implant component along a spreading direction from an introduction position into a spread position. The implant includes a locking device incorporating a locking element wherein the locking element is transferable relative to at least one implant component along a locking direction from a release position, in which the second implant component is movable relative to the first implant component in a direction opposed to the spreading direction, into a locking position in which the second implant component is locked to the first implant component. The implant also includes a securing device for securing the locking element against a movement that is directed counter to the locking direction.

Abstract: A rod-shaped implant for the dynamic stabilization of the spine includes at least a portion having a flexible first material forming a matrix in which a flexible structure having at least one fiber made of a second material is embedded. The rod-shaped implant can be compressed and extended along the longitudinal axis of the rod-shaped implant while it provides a high torsional stiffness.

Abstract: A spinal construct for implantation in a patient to provide stabilization to spinal structure with improved load sharing includes a flexible spinal rod having a first end and a second end, the spinal rod being configured to provide stabilization to spinal structure. It also includes a first bone fastener configured to securely attach to the flexible spinal rod and a second bone fastener configured to securely attach to the flexible spinal rod. The second bone fastener is a dynamic fastener arranged to provide motion in one direction more than another direction. The flexible spinal rod and the second bone fastener are oriented to cooperate in a manner that achieves load sharing by dynamically flexing under applied loads in a manner that distributes stresses and strains between the flexible spinal rod and the second bone fastener.

Abstract: A laryngoscope device for use in the performance of direct laryngoscopy, the device including a laryngoscope blade portion connectable to a laryngoscope handle through a connector, the laryngoscope blade comprising an ultraviolet light, a white light and an imaging or viewing device at the same distance relative to the distal end of the laryngoscope blade.

Abstract: Embodiments of a surgical instrument disclosed herein can include mechanisms for reduction and distraction as well as compression. Some embodiments of the surgical instrument may comprise a reducer knob having a first passage through which a first shaft of a driver is acceptable, a connecting element coupled to the reducer knob and having a second passage through which the first shaft of the driver is acceptable, a compressor handle coupled to the connecting element at a first end and having a through hole, and a common handle coupled to the compressor handle via the through hole and pivots between the reducer knob and the compressor handle. With embodiments of a surgical instrument disclosed herein, surgical personnel can distract and hold vertebrae in a distracted state and perform a reduction without having to switch or add instruments. Some embodiments disclosed herein can be particularly useful for reducing spondylolisthesis during posterior fixation.

Abstract: Certain embodiments of an endoilluminator may include a cannula, an intermediate material, and an optical fiber. The cannula has a substantially cylindrical shape that defines an interior region and has a cylindrical axis. The intermediate material is disposed within the interior region. The optical fiber is disposed within the intermediate material and has a fiber optical axis and a distal end configured to emit light. The emitted light has an illumination pattern with an illumination axis that is not parallel to the cylindrical axis.

Abstract: A method of stabilizing a human spine is provided. The spine may be stabilized by inserting one or more dynamic interbody devices in a disc space between a first vertebra and a second vertebra. A dynamic interbody device may be inserted using an anterior approach. One or more dynamic interbody devices may be inserted using a posterior approach. One or more of the dynamic interbody devices may allow for coupled axial rotation and lateral bending of the first vertebra relative to the second vertebra. The spine may also be stabilized by installing one or more posterior dynamic stabilization systems.

Abstract: Growing rod systems and methods for correcting spinal deformities include at least one growing rod assembly and at least one fluid delivery assembly. Each growing rod assembly includes a fluid actuator that is operable to extend first and second rod segments in opposite directions along the spine. The fluid actuator can be provided by, for example, a piston-cylinder actuator. Each fluid delivery assembly includes a fluid pump operably connectable to a fluid line, which in turn is connected to the fluid actuator. In one embodiment, the fluid actuator is of a linear design. In another embodiment, two linear or curvilinear fluid actuators are provided back-to-back and connected by a connecting rod that mounts to the mid-spine and is contourable. In another embodiment, the fluid actuator is of a curvilinear design to generally conform the normal spine. And in another embodiment, the fluid actuator includes a fluid-over-fluid shock absorber.

Abstract: A pedicle-screw assembly has a screw having a threaded shaft extending along a screw axis and having a ball head. A body extending along a body axis is formed with an axially inwardly open screw-head seat in which the ball head can fit and with an oppositely axially outwardly open rod seat. A retainer fitted in the screw-head seat engages around the ball head and in the screw-head seat, and at least one pin extends radially of the body axis and seated in both the body and the retainer for pivoting of the retainer in the screw-head seat about a retainer axis substantially perpendicular to the body axis between a position with the body axis coaxial with the screw axis and a position with the body axis forming an acute axially outwardly open angle with the screw axis. The ball head is swivelable in the retainer.

Abstract: A mandibular distractor can include an elongated main body having a central longitudinal axis extending in the elongate direction between a first end and a spaced apart second end. A first bone mount can be secured to the main body and a second bone mount can be positioned on the main body. A drive mechanism configured to selectively move the second bone mount longitudinally along the main body can also be included. A third bone mount configured to be moved longitudinally along the main body can also be included.

Abstract: Systems, devices, and methods suitable for use with procedures performed at least partially percutaneously are provided. In some procedures, two or more access devices for providing access to adjacent surgical locations within a patient are used. Certain embodiments of the access device comprise an elongate body having a distal end with one or more cutouts. The cutouts on adjacent access devices are generally aligned with each other to permit passage of a portion of a fixation element from one access device to the other access device. A fastener with an elongated removable head may be delivered to the surgical site through the access device. After a distal end of the fastener is secured to the surgical site, a portion of the elongated housing is detached from the remainder of the fastener and removed from the patient.

Abstract: A device (1) for mutually fixing a longitudinal carrier (3) to a bone fixation element (4), wherein the device consists of a three-dimensional body (5) which has a channel (6) that is open on one side, wherein the axis of the channel (7) receives the longitudinal carrier (3), and a bore hole (8) that extends crosswise in relation to the axis of the channel (7) through the body (5) and that is provided with a wall (10). At least one part of the bore wall (10) disposed between the channel (6) and the bore hole (8) is embodied as an elastic element (11) which can be pressed into the region of the channel (6) by introducing the bone fixation element (4) into the bore hole (8), such that a longitudinal carrier (3) arranged in the channel can be firmly clamped in a rotational and longitudinal manner by said elastic element (11).

Abstract: The present teachings provide one or more surgical implements for repairing damaged tissue, such as in the case of a spinal fixation procedure. A bone anchor is provided. The anchor can include a bone fastener. The bone fastener can include a head and a second end adapted to engage an anatomy. The bone fastener can extend along a longitudinal axis. The anchor can also include a coupling arrangement coupled to the head of the bone fastener so that the bone fastener is rotatable about the longitudinal axis to define a first plane of motion. The anchor can further include a saddle, which can be coupled to the coupling arrangement. The saddle can be movable relative to at least one of the bone fastener and the coupling arrangement to define a second plane of motion.

Abstract: An intramedullary pin for insertion into the medullary space of the femur through the lateral compacta of the trochanter major. The pin has a proximal pin section and an adjoining distal pin section. Each pin section includes one or more bores for one or more bone screws. The proximal pin section has at least one bore running obliquely to the longitudinal axis, so that bone screws can be inserted through the bore into the head of the femur, or a screw can be inserted in the antegrade direction through the bore. The distal pin section is at least partly straight and the proximal pin section has a curvature in the lateral-posterior direction.