Abstract: A device for forming a circular arc-shaped bore includes: a stiff circular arc-shaped tube having a central axis; a flexible shaft insertable into the tube; and a head mountable to a first end of the shaft.

Abstract: A fixation clamp for use in an external fixation system for holding bone fragments adjacent to each other with the help of fixation elements has at least one clamping assembly having a pair of jaws with at least two different size grooves to accommodate a bone fixation element such as a pin or rod. An alternate clamping assembly has at least three grooves wherein at least two of the grooves have a different size adapted to accommodate a correspondingly sized bone fixation element such as a bone pin. The longitudinal axes of the grooves define a polygon. The jaw pairs can be rotated about a central longitudinal axis to present different size reception cavities towards the pins or rocks depending on their diameter.

Abstract: A device and method for coupling first and second elongate spinal fixation elements. The device includes first and second connector members, for receiving first and second elongate spinal fixation elements respectively. One or both connector members may include an engagement portion configured and dimensioned to provisionally receive an elongate fixation element with an interference fit. First and second connector members are coupled to a translation member, the translation member operatively associated with at least one connector member to provide for polyaxial movement. At least one locking member is provided to secure a received elongate spinal fixation element in the engagement portion and lock polyaxial movement of the at least one connector member. The translation member may have first and second portions which move relative to each other with translation movement, and a third locking member to lock the translation movement.

Abstract: Embodiments of a laryngoscope blade for being removable mounted to a laryngoscope handle. In some embodiments, the laryngoscope blade may include a blade portion including a proximal end and a distal end provided with an optic window; a base portion including two base halves mounted to each other and to the proximal end of the blade portion such that the proximal end of the blade portion is located between each base half; and an optic light pipe including a proximal end disposed between the two base halves and a distal end extending through the optic window.

Abstract: An assembly is disclosed for treating an isthmic fracture. It also relates to an assembly which includes materials and instruments for utilizing the assembly in connection with treating the fracture.

Abstract: Disclosed embodiments relate to connector systems comprising a linking element, a rod connection element partially received in the linking element. In an embodiment, the rod connection element is operable to rotate about the first longitudinal axis relative to the linking element. A fastener is operable to be received in the rod connection element, wherein the fastener is operable to actuate a connection mechanism to substantially fix the rod connection element in a rotational orientation relative to the first longitudinal axis and substantially fix the rod in a longitudinal position relative to the rod connection element.

Abstract: Devices and methods are provided for immobilizing facet joints of the vertebral column. Embodiments of the invention provide an implant that is inserted in a facet joint from which cartilage has been removed, and which retains the approximate original spacing of the facets in the joint. A retaining arrangement, such as an adhesive, a threaded fastener, or a screw is then used to secure the implant in the joint.

Abstract: A fastener assembly for a spinal fixation system that is particularly useful in treatment of pediatric and small-statured patients includes a fastener, an attachment member, and a locking member. The fastener has a lower portion for contacting a bone and an upper portion integral with the lower portion. The upper portion has two open channels. Each channel is configured and dimensioned to receive a portion of a longitudinal or connecting member along its circumference. The attachment member is positionable on the fastener and at least partially covers the channel that receives the longitudinal or connecting member. The locking member is operatively associated with the upper portion of the fastener and secures the attachment member and the longitudinal or connecting member to the fastener.

Abstract: The otoscope includes a mounting device (14) in which an ear speculum (16) is releasably attached, the ear speculum (16) including a conically tapering cone portion (20). The ear speculum (16) includes a substantially cylindrical base portion (24) being coaxial to the cone portion (20) and having a diameter which is larger than the largest diameter of the cone portion (20) and being connected through an intermediate wall portion (22) to the cone portion (20). At least one cutout (40) extending to the free edge of the base portion (24) is formed in the base portion (24) of the ear speculum (16).

Abstract: A facet joint replacement system includes an inferior implant with an inferior articular surface, a superior implant with a superior articular surface, and an optional crossbar. The inferior implant and the superior implant are each polyaxially adjustably connected to fixation elements which anchor the implants to adjacent vertebrae. The optional crossbar may be polyaxially adjustably connected to bilateral implants. The system components may be provided in kits which provide components of various sizes and shapes. A set of surgical instruments may facilitate implantation of the facet joint replacement system by providing tools for bone preparation, trialing, implant insertion, implant alignment, and lock-out of modular interconnections.

Abstract: A surgical port comprising a body and first and second cannula extending from the body and movable with respect to the body via an instrument inserted through the respective cannula. The cannulas can extend distally from the body and can include one or more seals. A port assembly and first and second instruments manipulatable in a crossed configuration are also disclosed.

Abstract: An expandable implant is disclosed having an adjustable height for insertion between two adjacent bony structures or joint surfaces, for example between two adjacent spinal vertebrae. The implant includes at least one gear associated with at least one threaded shaft. Rotation of the gear engages the threaded shaft to expand the implant. The implant can be inserted in a collapsed configuration and expanded in situ. The invention also provides methods for using the implant to facilitate arthrodesis or fusion of adjacent joint surfaces or spinal vertebrae.

Abstract: Methods and devices for treating spinal deformities are provided. In one exemplary embodiment, a low-profile spinal anchoring device is provided for receiving a spinal fixation element, such as a tether, therethrough. The device generally includes a staple body that is adapted to seat a spinal fixation element, a fastening element for fixing the staple body to bone, and a locking assembly for coupling a spinal fixation element to the staple body. In one embodiment, the locking assembly includes a washer that is adapted to couple to the staple body such that the spinal fixation is disposed therebetween, and a locking nut that is adapted to engage the staple body to mate the washer to the staple body.

Abstract: A rod-shaped implant element is provided for connecting at least two bone anchoring elements. Each bone anchoring element includes an anchoring section to be anchored in the bone and a receiver member to be connected to the rod-shaped implant element. The rod-shaped implant element includes, a longitudinal axis, at least one first length of a rigid section that is configured to cooperate with and be received in the receiver member, a second length of a flexible section adjacent to the rigid section, a bore coaxial to the longitudinal axis and extending through the rigid section and the flexible section, and a core accommodated in the bore, the core having two opposite ends. At least one end of the core is freely movable in the bore when said flexible section is extended or compressed in a direction of the longitudinal axis.

Abstract: A bone anchoring device includes a shank to be anchored in a bone or vertebra, a head, and a receiving part receiving the head for connecting the shank to a rod. The shank and the head are separate parts. The head has a bore with a cylindrical inner surface, a ring-shaped groove provided on the inner surface, and at least one slit extending from the inner surface to the outer surface of the head. The shank has a first portion for anchoring in the bone or vertebra and a second portion with a cylindrical outer surface adjoining a free end. A projection is provided on the cylindrical outer surface which engages with the ring-shaped groove of the head, when the cylindrical second portion of the shank is inserted in the bore of the head.

Abstract: Surgical instruments for spinal surgery. More specifically, a bi-planar rod persuader for urging a spinal rod into a screw, and methods regarding the same. The bi-planar rod persuader may include an implant holder, which may also include a holding sleeve. A securing foot may be attached to the distal end of the holding sleeve, and the holding sleeve may also include a threaded opening at the proximal end for receiving a stem that drives the securing foot between a first position and second position. The implant holder may also include a threaded part to engage a reduction knob. A handle assembly may also be provided, which may include two pivotally attached arms. A rod hook may be connected to one of the arms and a guide attached to the other of the arms.

Abstract: A lateral light-emitting device for connecting a medullary guide wire is disclosed. The device comprises a closed main body, a front-end protecting unit for protecting the front end of the main body, and a connecting unit disposed at the distal end of the main body. The inside of the main body is further arranged with a lighting unit, a power supply unit, a light-scattering unit, a light intensity modulating unit, if necessary, and at least one transparent window. The device is able to fit to different types of medullary guide wires. The power supply unit provides power to the lighting unit to produce light emitted to the light-scattering unit and being diverted laterally through the transparent window of the main body after suitably modulating the light intensity. Thereby, the device is illuminated from within the bone cavity to allow observing the operating screw hole location from outside of the body and to enable precisely nailing while proceeding with the intra-medullary nailing procedure.

Abstract: A device for examining and surgically operating on a body cavity, in particular an anal or vaginal cavity, includes an elongate hollow body exhibiting an insertion portion for at least a partial insertion of the device internally of the cavity and an open portion, arranged on an opposite side to the insertion portion, through which the cavity is at least partially visible or reachable by at least a surgical instrument. At least a part of the hollow body exhibits a structural sector which is interposed between the insertion portion and the open portion in order to be positioned in the cavity. The structural sector has a longitudinal window through which a portion of the cavity affected by a pathology can be isolated.

Abstract: An expandable bone device that includes a plurality of linking elements pivotally connected to one another about a hinge, wherein each of the linking elements has upper and lower support plates. An expansion mechanism is operatively connected to the linking elements and can move the upper support plate closer or further with respect to the lower support plate.

Abstract: An intervertebral implant includes a three-dimensional body and a securing plate. The three-dimensional body includes a front surface and a rear surface. The three-dimensional body further includes a plurality of boreholes for accommodating fixation elements. The intervertebral implant also includes a front plate disposed at the front surface of the three-dimensional body and has a plurality of boreholes. A securing plate can be fastened to the front plate.