Abstract: The present disclosure provides a bone-implantable device and methods of use. The bone-implantable device comprises a body having an exterior surface, wherein a portion of the exterior surface includes a cured osteostimulative material comprising MgO.

Abstract: A surgical tool is disclosed. The surgical tool includes a functional tool, a functional tip, at least one sensor, and a control unit. The functional tool has a shaft and a distal end. The functional tip is positioned at the distal end of the housing; at least one sensor is configured to generate a first signal indicative of at least one of an acoustic signal or a vibration signal generated by the functional tool. The control unit receives the first signal, analyzes the first signal to determine tissue type in contact with the functional tip and supplies a second signal to the functional tool to control at least one operation of the functional tool based upon the tissue type in contact with the functional tip.

Abstract: A fusion device assembly for fusion of a joint, including a first screw portion, including a first distal end, a first proximal end, a first radially outward facing surface including a first diameter, and a first hole, a second screw portion, including a second distal end, a second proximal end, a second radially outward facing surface including a second diameter, and a second hole, and a section, including a first end connected to the first proximal end, a second end connected to the second distal end, a third radially outward facing surface including a third diameter, the third diameter being less than the first diameter and the second diameter, and a third hole, wherein the first hole, the second hole, and the third hole are in fluid communication.

Abstract: A surgical implant and a surgical kit. The surgical implant has a body having at least one interior surface, the body forming a peripheral support for the implant. The surgical implant has a porous insert comprised of a porous material, having at least one axially-extending hole, and attached to the body along the at least one interior surface such that the porous material extends across a height of the body. The porous insert has a locking mechanism formed in the porous insert or extending from the porous insert, the locking mechanism minimizing movement of the porous insert from within the body. The surgical kit includes the surgical implant and an intervertebral insertion device.

Abstract: Access assemblies includes an instrument valve housing and a valve assembly disposed within the cavity of the instrument valve housing. The valve assembly includes a guard assembly, a seal assembly disposed adjacent to the guard assembly, and a centering mechanism for maintaining the seal assembly and guard assembly centered within a cavity of the instrument valve. In embodiments, the seal assembly includes a plurality of seal sections that are movable from an unfolded configuration to folded configuration in which the seal assembly forms a hexagonal member defining an opening to facilitate sealed passage of a surgical instrument. The seal sections may include a tapered inner edge for engaging a surgical instrument inserted through the instrument valve housing.

Abstract: Embodiments of a corpectomy method, comprising the steps of: providing a distractor unit comprising at least a first hydraulic cylinder configured to removably receive a piston of a predetermined length during a surgical procedure; providing the piston; providing a plurality of bone screws; affixing a first bone screw of the plurality of bone screws to a first vertebrae of a spine and a second bone screw of the plurality of bone screws to a second vertebrae of the spine; mounting the distractor unit onto the first bone screw and the second bone screw; and extending the hydraulic piston of the distractor unit to cause the first vertebrae and the second vertebrae to move away from each other are disclosed.

Abstract: Disclosed herein are rasp adapters, rasp systems, and method of use thereof. The rasp adapter can include a body and a retention element. The body can define a body cavity, a handle opening, and a trunnion bore. The retention element can be located within the body cavity and can include a knuckle and a heal. The knuckle can be located proximate to and movable into and out of the trunnion bore. The heal can be located proximate the handle opening. Movement of the retention element due to a force applied to the heal can cause movement of the retention element and movement of the knuckle into the trunnion bore.

Abstract: An interspinous posterior device (IPD) is described. The IPD has a body and bone fixation elements on either side of the body, each of said bone fixation elements having a ratchet locking mechanism for fixing the body to successive spinous processes of a mammalian vertebra. Each of the bone fixation elements is independently adjustable by ratcheting it separately and independently of the other bone fixation elements. The body of the IPD has a dynamic configuration and a non-dynamic configuration, wherein the dynamic configuration allows for both extension and flexion of the successive spinous processes and the non-dynamic configuration prohibits extension of the successive spinous processes. The IPD also includes a removable extension restriction block, wherein the extension restriction block can optionally be inserted in the body to prohibit extension or can be removed from the body to allow extension.

Abstract: Embodiments herein are generally directed to expandable spinal implants, systems, apparatuses, and components thereof that can be used in spinal fusion and/or stabilization procedures, as well as methods of installation. The expandable spinal implants may be configured for lateral insertion.

Abstract: Medical devices and related methods for transforming bone, other tissue, or other material are disclosed herein. According to an aspect, a cutting device includes a static casing that defines a sheathing slot and an opening. The sheathing slot extends to the opening and has a first height at an end of the opening. Further, the bone cutting device includes a horn including a first end and a second end. The first end is configured to operatively connect to a source of movement. Further, the second end includes a cutting component having a second height. The first height is greater than the second height.

Abstract: Disclosed herein are bi-spring surgical hammer impact tools and methods of use thereof. The bi-spring surgical hammer impact tools can include an elongated drive rod disposed in the housing and including an impact flange in a mid-region thereof. A tool implement can be mounted to a first end of the elongated drive rod. An impact shuttle can be mounted on the elongated drive rod and can include first and second impact surfaces opposing opposite faces of the impact flange. A plurality of annular teeth can be defined by an exterior surface of the impact shuttle. First and second springs can be disposed against opposite ends of the impact shuttle. A partial tooth pinion attached to a drive shaft and movable for engagement with the plurality of annular teeth of the impact shuttle can be included.

Abstract: A device (25) for drilling holes in bone and configured to determine bone screw length, the device (25) including a surgical power drill (2) comprising: a) a housing (12) and; b) a measuring device (1) releasably attached or fixed to the housing (12), wherein the measuring device (1) is configured to measure the distance (x) covered by the housing (12) in the direction of the longitudinal axis (7) and relative to a surface of an implant (26) or a bone during a drilling process, wherein the measuring device (1) comprises a processing unit (14) to record the distance (x) covered with respect to time; the processing unit (14) comprises one or more differentiators to determine at least the first and second derivatives of the distance (x) covered with respect to time; and the processing unit (14) further comprises a peak detector to analyze one or more peaks occurring in the graph of the highest derivative with respect to time, and wherein the measuring device (1) comprises a laser device or an ultrasound position

Abstract: An implant assembly including an expandable vertebral body replacement implant. Two outer cores disposed on opposing ends of an inner are configured to move away from each other when the inner core is actuated. The implant assembly may include removable endplate configured to engage vertebral bodies as interbody spacer or through a corpectomy. The implant may include a locking mechanism to prevent collapse or movement the implant assembly after implantation. The locking mechanism may be automatically engage after removal of an inserter instrument from the implant assembly.

Abstract: A spinal implant is provided including an upper surface, a lower surface, a front surface and a back surface, two side surfaces extending between the upper surface and the lower surface, the two side surfaces extending between the front surface and the back surface and an opening positioned closer to the back surface than the front surface. The opening is provided to contain graft material that spans between a cortical rim of the upper vertebral body and the cortical rim of the lower vertebral body. The method includes packing the opening with graft material, wherein the graft material spans between the decorticated cortical rim of the upper vertebral body and the decorticated cortical rim of the lower vertebral body.

Abstract: A medial plate for treating fractures along a clavicle, comprising a plate body including a longitudinal component extending from a first end to a second end and an extension extending from the second end, the second end configured to be mounted over a medial head, a first set of variable angle holes extending through a portion of the longitudinal component including the second end of the longitudinal component and the extension, each of the first set of variable angle holes extending through the plate body along a central axis so that a bone screw is insertable therethrough at a user-selected angle relative to the central axis, and a plurality of combination holes extending through the longitudinal component, each of the plurality of combination holes includes a first portion configured to receive a bone screw at a user-selected angle and a second portion configured to receive a compression screw.

Abstract: An expandable cage system for use in spinal surgery includes a top portion having an outwardly extending top arm, and a bottom portion having an outwardly extending bottom arm. The bottom arm is configured to engage with the top arm such that upon engagement, the top portion and the bottom portion are substantially restricted from movement relative to each other in an anterior-posterior direction, and in a medial-lateral direction. The expandable cage system further includes a removable shim configured to be positioned between the top portion and the bottom portion to hold the expandable cage in an expanded position within a spinal cavity.

Abstract: Surgical instruments with ultrasonic cutting and sensing capabilities, as well as related systems and methods, are disclosed herein. In one aspect, the present disclosure provides a surgical instrument including a housing; an ultrasonic transducer contained in the housing and capable of acting as an ultrasonic receiver; an output member at least partially received in the housing and configured to be driven by the ultrasonic transducer; a dissection head having an attachment portion configured to be selectively driven by the ultrasonic transducer; and a controller operable to initiate and stop the ultrasonic transducer according to an alternating duty cycle.

Abstract: A robotically controlled depth limiter for a reamer, the depth limiter including a cylindrical housing configured to encompass a portion of a driveshaft of a reamer. The cylindrical housing can define a bore extending therethrough. The depth limiter can include a depth stop engaging the cylindrical housing within the bore, and define an opening configured to receive the driveshaft of the reamer. The depth stop can be configured to receive a signal via processing circuitry of a robotic arm to operate the depth stop to limit distal translation of the driveshaft relative to the cylindrical housing to control a cutting depth of the reamer.

Abstract: A bone fusion system including a collection vessel, an abrading and harvesting device, tubing and a probe. The abrading and harvesting device includes a needle portion and a sharpened tip. The needle portion has a central bore extending therethrough. The needle portion has a distal end. The sharpened tip is attached to the distal end of the needle portion. The tubing is operably connecting the collection vessel and the abrading and harvesting device. The probe has a threaded portion and a tip portion at a distal end of the threaded portion. The threaded portion has a thread on an outer surface thereof. The tip portion is unsharpened and does not have a thread on an outer surface thereof. The probe is extendible through the central bore.

Abstract: The invention relates to a modular anchoring adaptor that engages with existing features of commercially available ALIF cages to help eliminate migration and/or anterior expulsion cause by the instability of the spine, such as lordosis. Such modular adaptor will mate or engage with existing features to enhance anchoring within the vertebral disc space, which space is limited and a low-profile should be maintained.