Abstract: Various devices, systems, and methods are provided for allowing surgical instruments to access a body cavity through an access device, such as a cannula. In one embodiment, a cap can be removably and replaceably coupled to a proximal end of cannula and can have an opening therethrough that communicates with an inner passageway of the cannula. Various surgical elements can be passed through the cap and cannula and into a patient when the cannula is positioned within the patient. The cap can have a side slot formed therein. The slot can be configured to allow surgical elements, such as sutures, to pass through the cap and into the cannula. At least one surgical seal can be in the cap and can be configured to receive surgical elements therethrough.

Abstract: A spine fixation device including an elongated bone screw partially embedded in a vertebra of a spine and a retaining head that can receive a rod and a head of the bone screw. The retaining head has an inner member that includes a screw head receiving section for receiving the screw head. The retaining head further has an outer member that includes an inner face that can contact an outer face of the screw head receiving section. When the inner face is in contact with the outer face, the screw head receiving section applies pressure to the screw head to fixate the relative angle between the bone screw and the retaining head.

Abstract: The rod coupler according to the present invention comprises two clamping jaws and locking means for locking said clamping jaws against one another. Each clamping jaw comprises an outside surface and a clamping surface, the latter providing at least a first and a second groove. Each groove runs laterally from a different part of the outside surface extending into the rod coupler, wherein longitudinal axis of the first groove and the second groove include an angle that is equal to or less than 160 degrees. Opposing grooves form an aperture. The apertures are adapted for receiving a rod if the locking means is released. Clamping jaws that are locked by the locking means clamp the rods received in said apertures.

Abstract: In various embodiments, an intervertebral disc prosthesis is provided. The prosthesis may be provided with an insertion adapter, such as a head, holder, or other carrier of the prosthesis. The insertion adapter may be configured to retain the prosthesis and to engage an insertion tool body. In various embodiments, the prosthesis and the insertion holder are provided in a sterile pack, with the prosthesis components and the insertion holder sterilized and packaged in one or more types or layers of sterile packaging. In various other embodiments, the prosthesis and an insertion tool are provided in a sterile pack, with the prosthesis components and the insertion tool sterilized and packaged in one or more types or layers of sterile packaging.

Abstract: A vertebral fixing system having a flexible elongated member, a connecting part, and an anchor, where the anchor may engage a bone structure (e.g., a vertebra) through an opening of the connecting part and the flexible elongated member may connect to the connecting part. In some cases, the vertebral fixing system may include a tightening part configured to apply a tension to the elongated member and/or secure the elongated member with respect to the connecting part. The vertebral fixing system may be configured to receive a rod and may be capable of connecting thereto. The connecting part may have a plurality of connecting members, where at least one of the connecting members includes an opening for receiving the anchor and at least one of the connecting members connects to the elongated member.

Abstract: A polyaxial vertebral assembly that includes a polyaxial vertebral anchor and an articulating connector. The anchor is configured to penetrate and secure to a vertebra, and includes a spherical head end. The connector includes a base, an extension, and a common trajectory split lock. The split lock includes a first lock and a second lock. The first lock is configured to engage rigidly the base in a selected pivotal configuration to the head end along the second axis of the extension, wherein the head end is disposed in the base in the selected pivotal configuration with respect to the first axis of the base. The second lock is configured to engage rigidly a stabilizing rod at selected configurable height and rotational configuration with respect to the polyaxial vertebral anchor along the second axis, wherein the pivotal configuration and the height and rotational configuration are independently adjustable along the second axis.

Abstract: Lighting for use with in conjunction with a surgical apparatus is disclosed. The light sources can be used in a sterile environment without compromising the sterile nature of that environment.

Abstract: Systems and methods for determining a position of a surgical tool. Exemplary embodiments can comprise a surgical port, a reference marker, and a camera mounted to a proximal end of the surgical port and configured to capture image data associated with the reference marker.

Abstract: A hip implant has a neck body that connects to a bone fixation body. The bone fixation body has a porous structure with an elongated shape. An internal cavity is formed in the bone fixation body and includes a substance to stimulate bone growth.

Abstract: An interbody fusion device includes a top member, a base member, and an expansion member. The top member includes a first bone-engaging side and a threaded opening. The base member is received by the top member and includes a second bone-engaging side and an open cavity aligned with the threaded opening of the top member. The expansion member is disposed within the open cavity for rotation about an axis. The expansion member includes a threaded portion threadably engaged with the threaded opening. Rotation of the expansion member translates the first bone-engaging side away from the second bone-engaging side along the axis.

Abstract: This disclosure describes example embodiments of rod reduction instrumentation and other rod and vertebrae manipulation instruments. The rod reducers can be used during the installation of a rod based surgical fixation system to help urge the rod into the fixation anchors. The reducers described provide various configurations delivering large reduction distance capabilities, strong controlled reduction coupled with an ability to quickly advance the reducer if desired, and reduction of bulk through the surgical corridor.

Abstract: An intramedullary device to repair a bone in a mammalian body and comprising an elongate nail having a stem and a head. The head is provided with a transverse aperture adapted to receive a fastener. An adjustment mechanism is carried by the head for pivoting the fastener from a first angled position relative to the head to a second angled position relative to the head. A set screw is carried by the head. The distal end of the set screw is movable relative to the proximal end of the set screw from a first position for lockably engaging the fastener in the first angled position and a second position for lockably engaging the fastener in the second angled position. A sealing cap and an apparatus having a cap and a set screw are additionally provided.

Abstract: A joint spacer for therapeutically maintains separation of bones of a joint. A frame defines a longitudinal axis extending between distal and proximal ends. A carriage is slideably retained within the frame and has at least one ramped surface and a threaded portion. An actuator screw is threadably engaged with the threaded portion, and bears against said frame to cause the carriage to slideably move within the frame when the actuator screw is rotated. A first endplate engages a bone of the joint, and has at least one ramped surface that is mateable with the ramped surface of the carriage.

Abstract: A retractor system 100 comprises a first tower 102 which is mountable on a first surgical screw 12.1. A second tower 104 is mountable on a second surgical screw 12.2. A link 106 extends between the first and second towers. At least a first elongate retractor element 108 for at least one of muscle, tissue and nerve structures is movably mountable on the link.

Abstract: The spinal implant includes a tissue barrier. A first member extends in a transverse orientation from the tissue barrier and is connectable with vertebral tissue adjacent a lamina. A second member is spaced from the first member and extends in a transverse orientation from the tissue barrier. The second member is connectable with vertebral tissue adjacent a lamina. At least one of the members includes an end that is disposable about at least a portion of the vertebral tissue. Systems and methods of use are disclosed.

Abstract: A surgical apparatus for use in assisting the performance of a procedure on an eye, the eye having a front and rear, a cornea, an iris defining a pupil, and a lens capsule behind the iris. The apparatus has a frame with a front and rear, a first portion and a second portion. The frame is reconfigurable between (i) a first collapsed state for being inserted through an incision in a cornea and (ii) a second operative state for being operatively connected to an iris. The frame first portion is configured to be generally residing within a plane in the second operative state. The second frame portion is configured to be operatively connected to an iris in the second operative state exerts a pressure upon the iris at at least a first location that is spaced from the plane to maintain the pupil in an enlarged state.

Abstract: A bone anchor coupler assembly is configured to couple a bone anchor to a spine stabilization member, and includes a coupler body and an angular adjustment member movably coupled to the coupler body.

Abstract: Tissue spacer implants, surgical distraction instruments, surgical insertion tools, coupling devices, surgical kits, surgical methods for distraction, and methods for coupling bodies are disclosed. The tissue spacer implants include a first end member, a second end member, and an intermediate spacer member having a coupling mechanism adapted to couple the first end member with the intermediate spacer member and to couple the second end member with the intermediate spacer member. The surgical instruments may be used for inserting these implants and include a first elongated member, a second elongated member, a distraction mechanism, and an actuator. The coupling devices may be used to couple the components of the implants.

Abstract: Pedicle screws are designed to provide polyaxial coupling to pedicles of a vertebra. Intermediate pieces are attached to the pedicles screws and receive extender shafts. Extenders are inserted in the intermediate piece. The extenders project the anatomic points located in the cage outside the patient's body to facilitate proper contouring of a rod. An alignment linkage is used to ensure that the extenders are parallel to each other. The alignment linkage includes a linkage frame, an articulating linkage and a locking member. The articulating linkage has all rotational degrees of freedom and thereby adapts to any varying trajectories of the extenders and distance between the extenders. The alignment linkage includes a locking member with a pop-up indicator. The pop-up indicator notifies the users when the locking member is tightened with two of the extenders in non-parallel configuration.

Abstract: There is provided a spinal implant device for placement between adjacent spinous processes and a pair of opposing facet joints. The spinal implant device includes a fusion cage, first and second fixation plates and a connector for connecting the cage to the plates. The fusion cage includes a superficial face, a deep face, superior and inferior saddle portions, and opposing cage ends. Each cage end defining a facet fusion surface sized and configured to respectively contact the opposing facet joints. The first and second fixation plate are sized and configured to extend along and in contact with the adjacent spinous processes. A method of implanting the device is provided. In another embodiment the device includes the fusion cage.