Abstract: Intervertebral implants and methods of delivering the intervertebral implants include delivering an implant through the Kambin's triangle from a posterolateral approach. The intervertebral implants can include a first body portion having an open configuration and a closed configuration. The intervertebral implants can also include a second body portion having an open configuration and a closed configuration. The first body portion removably connects to the second body portion.

Abstract: Anterior cervical instrumentation systems, methods, and devices are disclosed. Systems may facilitate immobilizing or providing support for the cervical portion of the vertebral column of a patient. A device may comprise a plate having two channels located in a proximal to distal direction, and may further comprise at least one aperture. The device may further comprise attachment elements such as attachment cross-links and spacer cross-links, and fasteners. The plate and the attachment elements may be secured to the vertebrae by passing fasteners through apertures and channels. The length of the plate, position and number of the attachment cross-links, position and number of spacer cross-links and degree of movement may be intraoperatively selected by the surgeon to provide an optimal application and procedural outcome. Uniform components of the devices and systems allow for a more streamlined and simplified method of treating spinal conditions.

Abstract: An adjustable reaming device can include a proximal reamer and a positionable element. The positionable element removably attaches to the proximal reamer at one of a plurality of discrete longitudinal locations along the proximal reamer. A distal end of the positionable element forms a stop, which can contact a proximal end of a distal reamer and thereby limit distal motion of the proximal reamer with respect to the distal reamer. When the distal reamer is in contact with the positionable element, the distal reamer and proximal reamer are longitudinally offset by a one of a plurality of specified offsets. In some examples, the specified offsets correspond to a plurality of specified, discrete lengths for which implantable femoral stems are available.

Abstract: A pedicle screw may include an electrically conductive portion formed from a material having a greater electrical conductivity than that of the base material from which the screw is formed. The electrically conductive portion preferentially channels electrical energy supplied by an electrical probe to a location of the electrically conductive portion facing the nerve root. The portion thus provides a sort of electrical highway that helps to focus the electrical energy applied to the pedicle screw in a particular direction, towards the presumed location of the nerve root. As an alternative to placement of the electrically conductive portion in the pedicle screw itself, the electrically conductive portion could be placed within a tap that is used in preparing the pedicle for receipt of the pedicle screw (e.g., in forming the threaded structure in the pedicle bone into which the pedicle screw will then be placed).

Abstract: A blade insert illumination system includes one or more illumination elements composed of a transparent or semitransparent polymer that is preferably biocompatible and sterilizable. The illumination elements operate as a waveguide and may incorporate optical components such as, for example, facets, lenses, gratings, prisms and or diffusers to operate as precision optics for customized delivery of the light energy. The illumination elements may be modular, allowing components to be mixed and matched for different sizes of blade retractors, or may be a single integrated unit.

Abstract: A driver device (hexalobe or otherwise) that includes a handle portion, an elongate shaft portion, and an end portion that includes a screw engagement portion and a split manufactured offset from the central axis of the end portion and/or the screw engagement portion, forming two asymmetric halves of the end portion and/or screw engagement portion. This screw engagement portion is slightly oversized relative to the corresponding tool engagement recess of the locking cap, set screw, or bone screw. Thus, when the screw engagement portion is pressed into the corresponding tool engagement recess of the locking cap, set screw, or bone screw, the split manufactured offset from the central axis of the end portion and/or the screw engagement portion allows the screw engagement portion to compress slightly, creating a friction fit between the screw engagement portion and the corresponding tool engagement recess of the locking cap, set screw, or bone screw.

Abstract: A chip-removing tool of a surgical torque-transferring instrument includes a distal engagement segment which is adjoined by a tool shaft whose proximal end portion is prepared for a torque-transferring insertion into a tool mounting of the instrument. The proximal end portion is subdivided at least in a functional section “torque transmission” and a functional section “axial locking” which is axially spaced therefrom. The functional section “axial locking” is arranged with respect to the engagement segment so as to be proximal relative to the functional section “torque transmission”.

Abstract: A wedge-shaped bone implant, particularly but not necessarily, for fixing bones of the foot is provided. The implant has bone screw bores that are each configured to hold a bone screw at a particular angle for receipt in a foot bone, eliminating the need to also use a plate. The implant can include an opening that extends through the implant body from one tapered side thereof to the other tapered side thereof. This opening allows the introduction and retention of bone graft material to promote bone fusion. One or both tapered sides of the body may also have teeth, serrations or the like. The implant body may include a hole or the like in the distal aspect thereof. This allows for the insertion of a metallic component (e.g. titanium or tantalum) to allow for the visibility of the extent of the implant body in radiography, x-ray, or the like.

Abstract: An electrical device includes a memory storing a value indicative the remaining available rated capacity of one or more batteries. The stored value is changed in use to reflect reducing capacity. The initial stored value is chosen so that there is a very high (e.g. >99.9%) confidence that the one or more batteries will provide at least the capacity indicated by the initial stored value. This reduces the chance of failure during emergency procedures. The one or more batteries may be integral to the electrical device. An override facility is provided.

Abstract: An article comprises a unitary plate configured to conform to a foot of a patient. The plate has a dorsal portion shaped to conform to a dorsal surface of a medial column of the foot and a plantar-medial portion shaped to conform to a medial surface of a first metatarsal of the foot and extend to a plantar surface of the first metatarsal. The plantar-medial portion is integrally attached to the dorsal portion. The plate has a plurality of apertures for receiving screws. The apertures include: a plurality of first apertures through the dorsal portion, adapted to receive a respective one or more first screws to be inserted into a dorsal surface of a talus of the foot, and at least one second aperture adapted to receive a second screw inserted through a plantar end of the plantar-medial portion into a first metatarsal of the foot.

Abstract: A surgical instrument includes a handpiece to which a handpiece shaft can be flanged, and a tool mounting for receiving a tool which can be rotatably supported in the handpiece shaft for axially securing the tool in the tool mounting and for transferring a torque to the tool. The tool mounting includes a sleeve-shaped entrainment shaft with a plug-in zone for a torsion rod and torque transmission and axial locking zones for the tool. The tool mounting also includes a closure sleeve surrounding the entrainment shaft that includes a distal blocking section which acts on the axial locking zone of the entrainment shaft for axially locking and releasing the tool, and a proximal arresting section acting on the plug-in zone of the entrainment shaft for arresting the tool mounting on the torsion rod to transfer torques and axial forces and for releasing the tool mounting from the torsion rod.

Abstract: An instrument for clamping and trimming the bone tendon portion of a graft to a desired size, comprising a pair of elongated handles each having jaws at one end; the handles being hinged together at a pivot point allowing the jaws to open and close in a scissor arrangement, the jaws defining a generally U-shaped trapezoidal receptacle when the jaws are closed about the bone tendon portion of the graft to be trimmed and the jaws comprising respective upper guide surfaces along their upper edges whereby, when a bone tendon portion is positioned in the U-shaped trapezoidal receptacle, the upper guide surfaces function as a guide for a blade of a saw to trim any excess portion of the bone tendon portion protruding above the upper guide surfaces.

Abstract: A drill system for forming a curved tunnel in a bone includes a drill bit guidance device. The drill bit guidance device includes an elongated stationary outer tube extending along a first axis and an elongated inner tube. The elongated inner tube is configured to slidably move within the elongated stationary outer tube along the first axis and to exit from a distal end of the elongated outer tube. The elongated inner tube has a partially slotted distal end portion including a plurality of semi-cross-sectional slots extending perpendicular to the first axis. Each slot is configured to collapse inward in the slot direction when exiting the distal end of the elongated outer tube, thereby curving the distal end portion of the elongated inner tube.

Abstract: A bone implant includes: a body including a connection end and a drill end respectively on two ends thereof, with the body including a plurality of engagement sections between the connection end and the drill end, with a disengagement prevention section provided between two adjacent engagement sections, with each engagement section including a drilling thread disposed on an outer periphery of the body, with the drilling threads of the engagement sections having the same thread direction, with the disengagement prevention section including a coupling section on the outer periphery of the body, and with the disengagement prevention section having a maximum outer diameter smaller than a minimum outer diameter of each engagement section between the disengagement prevention section and the connection end; and an abutment seat mounted on the connection end of the body, with the abutment seat including a keying recess.

Abstract: An artificial replacement disc includes a pair of substantially parallel plates formed to occupy a space defined by vertebral endplates, each of the plates including a plurality of spikes on a first surface and a concave trough formed on a second surface opposite of the first surface. A mobile core includes a core rim with opposing convex surfaces extending from opposite sides of the core rim, the mobile core being capable of being disposed between the pair of plates to permit the vertebral endplates to move relative to one another. The spikes on each of the plates extend substantially away from the mobile core and the convex surfaces are formed to integrally fit within the concave trough of at least one of the plates. The core rim limits lateral movement of the mobile core relative to the parallel plates. One or more insertion tools for inserting and implanting the replacement disc are also described.

Abstract: Systems, assemblies, components and methods for correcting alignment of one or more vertebrae of a spine are provided. A first elongate derotator member includes a first elongate element having a first proximal end portion and a first distal end portion. The first distal end portion is releasably engageable with a first implant implanted in one of the vertebrae. A second elongate derotator member comprising a second elongate element is releasably engageable with a second implant implanted in the same vertebra. A transverse member is engageable with the first and second elongate elements.

Abstract: A bone screw for pelvic bone fixation, the bone screw comprising an elongate body having a first end which is threaded for engaging at least one bone in the pelvic region, a second end comprising a screw head, and at least one opening across the length of the elongate body for adjustably receiving a fastening means to limit movement of the bone screw away from the engaged bone in use, wherein the at least one opening is shaped such that the position of the fastening means relative to the elongate body of the bone screw can be adjusted. A system for bone fixation in the pelvic region includes the bone screw and the fastening means.

Abstract: An apparatus and method is disclosed for securing tissue to a bone comprising a novel screw anchor for insertion into a bone by a novel rotational driver. The screw anchor and rotation driver enables the screw to be completely embedded into the bone while permitting a suture to be threaded through a transverse aperture in the screw. The rotation driver facilitates insertion and engagement of a capture with one of a series of protuberance formed along a length of a suture. In addition, the method is disclosed of forming the series of protuberance.

Abstract: Systems and methods for joint replacement are provided. The systems and methods include a surgical orientation device and at least one orthopedic fixture. The surgical orientation device and orthopedic fixtures can be used to locate the orientation of an axis in the body, to adjust an orientation of a cutting plane or planes along a bony surface, to distract a joint, or to otherwise assist in an orthopedic procedure or procedures.

Abstract: An implant for use in orthognathic surgery of a mandible may include a longitudinal plate member and a plurality of pre-configured guides coupled to the plate member. The longitudinal plate member is pre-bent to correspond to the post-operative shape of the mandible; and the guides are pre-configured to align the plate member with the mandible when the implant is positioned against the mandible after the mandible has been separated.