Abstract: A minimally invasive method for drilling into bone and for providing for delivery of medical treatment is provided. The method includes use of a drilling system includes a miniature shaft, a bit, a guide tube encapsulating the shaft during drilling and a cortex adapter thereafter to prevent closure of the drilled hole, a stylet to prevent blockage of the resulting passage, and introduction for treatment following removal of the stylet. As a result, a hole, targeted towards a cancerous lesion within the bone, is possible.

Abstract: A cutting implement includes a V-shaped blade portion that defines an aperture through which a quadriceps tendon may pass as a doctor harvests the tendon through a minimally invasive procedure.

Abstract: The present invention includes a surgically implantable device, system, and method of use thereof for the internal compression or distraction of, for example, bone fractures, fusions, and osteotomies. More specifically, the surgical device comprises a bridge with one or more adjustable anti-reversing portions. The adjustable anti-reversing portion(s) may be located in a symmetrical or asymmetrical manner on the bridge between the device's legs. The adjustable anti-reversing portion(s) allow for stronger compression of the bone at a known amount of compression. The adjustable anti-reversing portion(s) can also maintain the device's legs in closer proximity to one another for greater compression or maintain the device's legs apart from one another for distraction. The surgical device can also comprise cannulated or grooved legs. A system and method of use is also described.

Abstract: Retractor cannula systems may be used for accessing and visualizing the spine and related methods of treatment, including a forward-looking retractor cannula system for creating a working space and the retractor cannula system having atraumatic dissection capability to allow visualization in spine. The devices and methods described may be used, for example, to perform annulus repair, herniated disc excision, and denervation of neurological tissue; to dispense pharmacological agents and/or cell or tissue therapy agents; to diagnose disc degeneration and bony degeneration, spinal stenosis, and nucleus decompression, and to perform disc augmentation.

Abstract: A kit for use in performing joint arthroplasty, the kit including a prosthesis to be fitted to a long bone and a cutting guide. The cutting guide including a housing having an attachment mechanism adapted to couple the housing to the bone during arthroplasty and a wall defining a continuous path and a blade for cutting the bone, the blade fitting within and sliding along the continuous path such that the blade cuts the bone in a shape matching the second body articulating surface.

Abstract: An orthopedic guidewire includes an elongate guidewire body having longitudinally spaced proximal and distal guidewire ends. An engaging feature is located at the distal guidewire end and is configured to selectively engage a bone surface. At least one of a variable diameter and a variable stiffness are along a portion of the guidewire body spaced apart from the engaging feature. A method of providing a relative location indication during a surgical procedure utilizing the orthopedic guidewire is also included.

Abstract: A virtual implant placement method and system comprising models of implants and/or bones linked to tracking assemblies mounted onto the bones. A joint model is constructed intraoperatively based on the positions of the tracking assemblies to determine the positions of cut planes.

Abstract: A graft fixation device comprising a sheath having a body that defines an inner longitudinal bore and a member for insertion within the bore. The sheath includes at least two projections movably connected to the sheath body by a distal hinge. The distal hinge causes the projection to pivot inwardly as the sheath is placed in a bone tunnel, and to be displaceable radially outwardly of the sheath body upon insertion of the member within the bore.

Abstract: A system for injecting an incompressible low viscosity fluid into a bone cement reservoir adapted to be engaged with a cannula through which a high viscosity bone cement is transferred from the bone cement reservoir to a bone element is provided. The system comprises a control handle having a cylindrical body, a grip portion at an outer end of the cylindrical body and a central thumb-actuated plunger of a power piston, the grip portion being configured for receiving at least two fingers a user such as to permit actuation of the control handle by the single hand of the user, the cylindrical body including the power piston and a low viscosity fluid reservoir concentrically disposed relative to each other, the low viscosity fluid reservoir containing the incompressible low viscosity fluid and the power piston extending longitudinally through a center of the low viscosity fluid reservoir.

Abstract: Disclosed herein are methods for treating a defect in a spinal disc nuclear space, comprising: (a) creating an opening by open, percutaneous or laparoscopic techniques to access the defect in the nuclear space; (b) removing a desired amount of tissue from the nuclear space; (c) positioning a delivery catheter through the opening; (d) fluidically isolating the nuclear space by blocking the opening with a blocking component of the catheter; (e) delivering an in-situ curable liquid material through a lumen of the catheter to the nuclear space; and (f) maintaining the isolating until the liquid material has cured. Also disclosed are treatment systems and materials for prostheses.

Abstract: Rasps for preparing bones of various patients to receive a prosthetic implant and a method for using the same. Multiple rasps may be provided as a set. Within the set, the rasps generally correspond to the size and shape of a single prosthetic implant, such as a prosthetic femoral hip stem, and have a range of bone removal and bone compression capabilities to account for unique bone characteristics of the various patients. A surgeon may select a desired rasp from the set provided depending on the patient's unique bone characteristics.

Abstract: Methods of arthroscopic harvesting of bone marrow aspirate from bone joints and therapeutic application of the bone marrow aspirate in a bone joint. The method of harvesting includes extracting bone marrow from a joint, adding a biomaterial, and adding clotting agent to form a clot.

Abstract: A bone adhesive application device has a pliable structure with an application surface upon which a bone adhesive may be applied. The application surface has a surface energy substantially equal to or less than a surface energy of the bone adhesive to reduce adhesion between the bone adhesive and the bone adhesive application device. The bone adhesive application device may be included in a kit for repairing bone defects having a bone adhesive formed from a reactive biocompatible polyurethane material. The bone adhesive may be applied to a bone defect by positioning the pliable structure over at least a portion of the bone defect, delivering the bone adhesive to the bone defect and removing the pliable structure from the bone adhesive.

Abstract: A cutting instrument having a body, a blade at a distal end of the body, and a mechanism for rotating the blade from a first to a second position. The instrument can be used in a method of retrograde drilling a hole in bone. The cutting instrument is provided with a mechanism (for example, a pin and a slot) that converts linear motion into rotational motion and locks the blade into position. The cutting blade is configured to engage the shaft of the instrument and to lock into the shaft. The cutting blade is articulated between at least a first “straight” position (for example, about parallel to the longitudinal axis of the instrument) when the instrument cuts in an antegrade manner, and at least a second “flip” position (for example, a non-parallel position relative to the longitudinal axis of the instrument) when the instrument cuts in a retrograde manner. The cutter instrument may also include a button mechanism for controlling the linear movement.

Abstract: A surgical procedure for preparing a graft for insertion in an opening in a human body, according to which a mold is formed in the opening and transferred from the opening to a position adjacent a stylus. A contour of the mold is traced with the stylus; and the tracing movement of the stylus is transferred to corresponding movement of a cutting member so that the cutting member cuts the same contour in the graft.

Abstract: Lumbar disc and facet joint replacement prosthesis are provided. The lumbar disc prosthesis includes first member having a vertebral disc contact surface and a recessed portion on an opposing surface thereof and a second member having a vertebral disc contact surface and a protruding portion on an opposing surface thereof. The protruding portion of the second member engages the recessed portion of the first member in use. The first and second members are provided with at least a middle section and two end sections. The recessed and protruding portions are provided in the middle section of the respective members and each end section has a narrowing taper. The facet joint prosthesis includes a first member for attachment to a first posterior lumbar disc and a second member for attachment to a second posterior lumbar disc. At least a part of the first member is telescopically mounted in at least a part of the second member.

Abstract: The present invention provides an intervertebral endoprosthesis disc for surgical implantation between two vertebrae having an endoprosthesis body comprising an anterior region and a posterior region designed to be positioned between a first vertebra and a second vertebra with a first and second movable insert positioned rotatably in anterior cavities and is rotatable to adjust the fasteners.

Abstract: A bone plate that is inserted into a vertebral column includes a hole, an eccentrically-shaped annulus, and a channel. The hole includes an eccentrically-shaped sidewall and the annulus includes an aperture positioned on an upper surface of the annulus. The hole is configured to receive a bone screw. The channel is positioned adjacent to the sidewall and adapted to hold the annulus. The channel may permit the annulus to rotate with respect to the sidewall. The channel may include a notch and the annulus may include a flared end. The flared end may be adapted to fit into the notch of the channel. A portion of the annulus may be adapted to cover a portion of the bone screw. As the annulus rotates with respect to the sidewall, the portion of the annulus may cover the portion of the bone screw.

Abstract: A surgical access assembly includes an access port, a seal anchor and a sealing adapter. The access port includes proximal and distal rings and a sleeve defining a passage therethrough. The sleeve extends between the proximal and distal rings. The seal anchor is adapted to be at least partially disposed in the access port. The sealing adapter includes proximal and distal end portions. The distal end portion is configured and dimensioned to engage the seal anchor in a sealing relation therewith. The proximal end portion is configured and dimensioned to engage a least a portion of the distal ring of the access port in a sealing relation therewith, wherein the sealing adapter is transitionable between a first state in which the sealing adapter has a first diameter and a second state in which the sealing adapter has a second diameter. The second diameter is larger than the first diameter.

Abstract: A multi-purpose device that can be used, as, among other things, an otoscope and a three dimensional scanning system is disclosed.