Abstract: A posterior spinal fusion system may include pedicle screws and one or more segments designed to be attached to the implanted pedicle screws via nuts to fuse spinal motion segments in a modular fashion. The pedicle screws may have semispherical receiving surfaces, and each segment may have mounting portions at both ends, with corresponding semispherical engagement surfaces. The nuts may also have semispherical surfaces. The semispherical surfaces permit polyaxial adjustment of the relative orientations of the segments and pedicle screws. Each mounting portion may have a passageway therethrough to receive the proximal end of the corresponding pedicle screw; each passageway may intersect the edge of the corresponding engagement surface to facilitate percutaneous placement. Such placement may be carried out through cannulae to provide a minimally invasive (MIS) implantation procedure.

Abstract: An instrument, instrument system and method for cutting a cutout in a vertebral bone adjacent an intervertebral space are provided which make use of a cutting blade. The cutting blade is mounted on a support structure for movement toward and cutting into the vertebral bone. A stop arrangement is also mounted on the support structure and is movable relative to the cutting blade to a position to limit movement of the cutting blade into the vertebral bone. Typically, the limited movement cutting is made after two cutouts are provided in adjacent vertebral bones using a trial implant.

Abstract: Devices and methods for treating a damaged intervertebral disc to reduce or eliminate associated back pain. The present invention provides disc reinforcement therapy (DRT) which involves implanting one or more reinforcement members in and preferably around the annulus of the disc. The reinforcement members may be used to stabilize the annulus and/or compresses a portion of the annulus so as to reduce a bulge and/or close a fissure. The implantable devices and associated delivery tools may incorporate heating capabilities to thermally treat the annular tissue. Alternatively or in combination, other devices may be specifically employed for such thermal treatment.

Abstract: A method for treating a herniated spinal disc between opposing vertebral bodies having a damaged outer annulus and an inner nucleus pulposus comprises the steps of: providing access to the nucleus pulposus through the annulus; removing at least a portion of the nucleus pulposus to create an intradiscal space; applying a first distraction force on the opposing vertebral bodies from within the intradiscal space; applying a second distraction force on the opposing vertebral bodies externally of the intradiscal space; and introducing a curable biomaterial through the annulus access directly into the intradiscal space. The first distraction force is applied within the disc space to distract the anterior aspect of the intradiscal space, while the second distraction force is applied exterior to the disc to act on the posterior aspect of the vertebral bodies. The first distraction force is applied prior to the application of the second distraction force and then removed.

Abstract: An anterior cervical plating system includes vertebral body engaging anchors coupled to a connecting plate in moveable relationship to vary the spacing between the anchoring points of the plating system to the vertebral bodies and to allow and/or cause intersegmental compression of vertebral bodies. The plating system includes instrumentation and method for installation thereof. The plating system is capable of both passive and active dynamization and the ability to produce the former from the latter.

Abstract: The invention relates to an implant for the treatment of bone fractures, in particular of proximal humerus fractures, having a main plate which can be fixed to the bone and at least one outrigger which can be connected to the main plate via at least one flexible connection element such that the outrigger can be fixed to the bone spatially offset with respect to the main plate.

Abstract: An outrigger having a locking mechanism includes an elongated member having a distal end, a proximal end, and a threaded portion proximate the distal end; a moveable member operably associated with the elongated member; and a slide lock operably associated with the moveable member. The thread portion may have at least one flat side and the slide lock may have at least one flat portion. The at least one flat side and the at least one flat portion may engage such that the slide lock translates along, but not rotate about, the threaded portion. The slide lock may engage a surface of the clamp. The moveable member may move the slide lock towards the clamp such that the engagement portion engages the surface of the clamp. The connection between the engagement portion and the surface of the clamp may prevent the slide lock from rotating relative to the clamp.

Abstract: An intravertebral widening device (4) extends from a proximal end (8) to a distal end (10) along an extension axis (X), said distal end (10) having an elastically deformable element (56) suitable to pass from a relaxed configuration for placing the distal end (10) within a vertebral body (6) to a deformed configuration for forming a cavity within said vertebral body (6). The elastically deformable element (56) comprises at least one tab (60) having, along the longitudinal extension thereof, a varying thickness relative to a radial direction incident with said extension axis (X) and contained in a perpendicular plane to said extension axis (X), such as to vary the stiffness of at least one tab (60) along the extension thereof.

Abstract: An implantable spinal cross connector is provided for connecting one or more spinal fixation devices, and more preferably for connecting two spinal fixation rods that are implanted within a patient's spinal system. In general, an exemplary cross connector in accordance with the present invention includes an elongate body with at least one rod-receiving recess formed therein, and a locking mechanism that is adapted to couple to the elongate body and that is effective to lock a spinal fixation rod within the rod-receiving recess(es). The present invention also provides an inserter tool to facilitate implanting a spinal implant or device, such as a spinal cross connector.

Abstract: A bone screw has a screw head and a threaded shank. An axial bore into which a plurality of radial bores set at a distance from each other open, extends through the threaded shaft. The axial bore is open at the screw head side end, and the radial bores are also open at the radially outer end. The axial bore is closed in an axial direction in the area of the end of the screw shank that lies opposite the screw head.

Abstract: A bone anchoring element (1) for anchoring an external device in a bone is described. A head (2) capable of connection to the external device is provided with a shaft (3) that can be anchored in a bone. A predetermined section of the shaft (3) has a bone thread (5). Moreover, the shaft (3) also has at least one bone thread-free surface (6,7; 11,12; 16,17; 21,22,23) that extends from a first end to a second end of the predetermined section essentially along the direction of the shaft axis. The bone anchoring element (1), thus provided, is pressed or soft-hammered into a hole (8, 28) previously generated in the bone and fixed in the bone by rotation by a predetermined angle. If the bone anchoring element has to be removed this can be achieved by unscrewing it in the standard fashion. The disclosure also describes methods for using the bone anchoring element.

Abstract: A sternal reconstruction system for securing parts of a sternum includes at least one flexible cable with crimp fitting, at least one cannulated screw and at least one reconstruction plate. Circumferential or parasternal fixation may be brought about by use of a sternal reconstruction system including a flexible cable and crimp fitting alone; a sternal reconstruction system including a flexible cable, crimp fitting and cannulated screws; or a system including a flexible cable, crimp fitting, cannulated screws and one or more reconstruction plates. The reconstruction plates are typically planar, having an upper and a lower surface, and containing generally perpendicular and transverse plate holes. The generally perpendicular plate holes are countersunk to better accommodate the heads of the cannulated bone screws. Also provided is a kit for sternal reconstruction.

Abstract: The invention concerns a bone screw comprising a head (2), a stem (3) and a thread (4) provided in the form of turns on the stem (3). A plurality of first turns (6) comprising smooth cutting edges (7) extend towards the head (2) from the free end (5) of the stem (3). Second turns (8) adjacent to the first turns (6), arranged in steps towards the head (2), comprise recesses (9) provided in the cutting edges (7). The size of the recesses (9) of the second turns (8) gradually increases from the free end (5) while the are of the edges in the peripheral direction gradually decreases.

Abstract: An apparatus and method for penetrating bone marrow is provided. The apparatus may include a housing such as a handheld body, a penetrator assembly, a connector that releasably attaches the penetrator assembly to a drill shaft, a gear mechanism, a motor and a power supply and associated circuitry operable to power the motor. The penetrator assembly may include a removable inner trocar and an outer penetrator or needle. It may also include a grooved trocar that allows bone chips to be expelled as the apparatus is inserted into bone marrow. Various connectors are provided to attach the penetrator assembly to the drill shaft.

Abstract: The present invention relates to a bone fixation device having a fixation member using a shape memory effect to secure bone fractures, including but not limited to, femur, tibia and humerus fractures. The fixation member can be malleable at a room temperature, but become rigid at a body temperature because of the shape memory effect, such as derived from a super-elastic property found in such as a nickel titanium alloy. The fixation member can be formed on one or more of the shaft portion and the two end portions of a nail member for securing bone fractures, such as by providing translational and rotational stabilities. The fixation member is also capable of providing a continuous and controllable compression force over the fractured bone, if needed.

Abstract: A bone distractor having four bone plate attachment members for affixation to the posterior and anterior maxilla and/or zygomatic buttress and to the posterior and anterior mandible, the attachment members mounted onto a pair of parallel rods, one rod being a threaded drive rod and the other being a releasable guide rod, whereby rotation of the drive rod causes dimensional separation of the anterior attachment members from the posterior attachment members. The guide rod can be quickly removed such the superior attachment members joined to the maxilla and/or zygomatic buttress are physically separated from the inferior attachment members joined to the mandible such that the jaw can be opened.

Abstract: A tool for inserting a bone fixation device is provided. The tool generally includes an elongate outer body and an elongate inner body, each having a proximal end, a distal end, and a longitudinal axis. The tool typically includes a pin-receiving portion at the distal end of the outer body for receiving a proximal pin of a bone fixation device. The tool may further include first and second levers pivotally mounted to the inner member at respective pivot axes, and each of the levers having a gripping portion. The levers preferably include finger engagement portions, wire-gripping portions, and are preferably configured to be axially movable relative to the outer body. The levers are generally configured such that a proximal force on the finger engagement portions relative to the outer body will cause the pin engagement portions to close and to move proximally such that a guidewire of a bone fixation device placed between the wire-gripping portions may be gripped and pulled proximally.

Abstract: An augmentation instrument for attaching a retaining device to a vertebral endplate comprises a drive housing having a distal end portion, a drive mechanism extending through the drive housing and including a flexible shaft portion, and an attachment mechanism at the distal end portion of the drive housing. The attachment mechanism is adapted for coupling to the retaining device.

Abstract: A pedicle screw coupling construct for a pedicle screw construct provides fixation of angular orientation thereof relative to a pedicle screw independent of fixation of a received spinal rod to the coupling construct. The pedicle screw construct forms one component or element in a spinal fixation system. The independent fixation coupling construct also provides for fixation of the angular orientation of the coupling construct while the coupling construct has received the spinal rod. In another form, a coupling head or construct is configured to allow a pedicle screw shaft to pass therethrough but retain the pedicle screw head for rotation of the coupling head about the pedicle screw head. The coupling head or construct is also configured to allow at least a 45° arc of pivot or articulation about a pedicle screw shaft relative to a longitudinal axis of a spinal rod received in the body.

Abstract: An apparatus for connecting an implant with a rod comprises a body, a collet, an annular ring member, a washer, and a nut. The body defines a first channel to receive the rod and a second channel extending through the body. The collet is positionable in the second channel and defines an aperture for receipt of the implant. The ring member includes a gap and defines an aperture for receipt of the collet. The washer is positionable adjacent the second channel and is configured to translate along the body to allow pivoting of the collet relative to the body. The nut is operable to connect with the collet to move the collet within the second channel. Movement of the collet is operable to expand the ring member and contract the collet around the implant to secure the implant at a desired position.