Abstract: A receiver for engaging a bone stabilizing element includes a receiver portion connectable to the stabilizing element, and a base portion connectable to a bone of a patient. The base portion may connect to the bone with a bone screw, for example a polyaxial bone screw, and the receiver portion may connect to the stabilizing element, for example a rod, using a set screw. The receiver portion and the base portion are slideably connected to each other, coupled and constrained in relative movement, by overlapping portions. Axial rotation between the receiver portion and the base portion is enabled by changing the relative dimensions of overlapped portions.

Abstract: A dynamic intervertebral stabilization device (1) comprising the following elements: an upper hook (10), a lower hook (13), a hollow cylindrical body (14), a viscoelastic element, as well as an upper hook (10) integrating a piston (11), which is braced with a minimum of contact on the viscoelastic element, which permits upper (10) and lower (13) hooks to be moved in multiaxial manner within a solid angle (?) while absorbing deformations in compression and in flexion by virtue of the damping produced by the viscoelastic element.

Abstract: The present application is generally directed to implantable systems, devices and related methods pertaining to spinal surgery. In particular, the present application discloses a frame and spacer system for inserting into a disc space. The frame and spacer system is of low profile. The frame can receive different fixation devices, including threaded and non-threaded fixation devices.

Abstract: A spinal implant includes an implant body extending between an anterior surface and a posterior surface. The implant body includes a first vertebral engaging surface and a second vertebral engaging surface. The implant body defines a cavity. A plate is connectable with the implant body via a coupling member adjacent the cavity and is translatable relative thereto. The coupling member has a portion including a frangible torque limit. The plate defines at least one opening oriented to implant a fastener with tissue. Systems, spinal constructs, surgical instruments and methods are disclosed.

Abstract: A surgical instrument comprises a first member that defines a cavity and includes a locking surface disposed with the cavity. The locking surface is engageable with a longitudinal member to fix the longitudinal member with the first member. A second member includes at least one mating element that is engageable with a spinal construct. An actuator is connected with the members that incrementally tensions the longitudinal member. Systems, implants and methods are disclosed.

Abstract: The present invention is a spinal implant that can be inserted into a surgically created cavity of one or more regions of the mammalian spine. Among other things, the biocompatible implant and end cap or biocompatible implant, end cap and spacer combinations can assist with the restoration of the normal anatomic spinal alignment and spinal stability.

Abstract: Correction of a scoliotic curve in a spine comprises the steps of implanting an expanding rod isolated completely under the skin and attached to selected portions of the scoliotic curve of the spine at opposing ends of the rod; and producing a controlled force by means of expansion of the rod over at an extended time period under external control until a desire spinal curve is obtained. An incremental force is generated to stretch the scoliotic curve of the spine between the selected portions where attachment of the rod is defined. The controlled force is provided steadily for at least one month or alternatively 1-3 months. Multiple rods may be employed each associated with a different scoliotic curve of the spine or a different portion of the scoliotic curve.

Abstract: A tissue insertion prosthesis system includes an expansible, multi-chambered implant for use in a tissue prosthesis receiving cavity, such that the implant includes an expansible envelope having a plurality of chambers. The system also includes a method of determining a size of a cavity at a site to be filled by a tissue prosthesis. Finally, the system includes a method to facilitate a removal of a biomaterial delivery device from an inflatable member that has been inserted into a cavity formed by the removal of a portion of a nuclear material from an intervertebral disc and to be filled by a tissue prosthesis.

Abstract: A surgical instrument includes a first arm engageable with a first spinal construct disposed with a first vertebral surface. A second arm is connected with the first arm via a pivot and being engageable with a second spinal construct disposed with a second vertebral surface. The first arm is movable to rotate the first spinal construct relative to the pivot and/or the second arm is movable to rotate the second spinal construct relative to the pivot such that the first vertebral surface is moved relative to the second vertebral surface. Systems and methods of use are disclosed.

Abstract: A medical device (100) comprises an elongated, flexible band (110) having a front side (112), a rear side (114), a leading end (116) and a trailing end (118), and having perforations (120) and rungs (122) defined therein. A locking case (130, 132) is arranged on the front side (112) of the band (112) and has a channel (150) dimensioned for reception of the band (110). The medical device (100) also comprises a locking member (140, 142, 144) configured to interlock perforations (120) and rungs (122) defined in the band (110). Multiple studs (160, 162) are arranged on the rear side (114) of the band (110).

Abstract: Orthopedic fixation devices and methods of installing the same. The orthopedic fixation device may include a coupling element and a bone fastener, whereby the bone fastener can be loaded into the coupling element through the bottom of a bore in the coupling element.

Abstract: Apparatus and methods for securing a bone implant are provided. The implant may be an expandable implant. The implant may be a non-expandable implant. The implant may be for repairing a bone fracture. The implant may be secured to a bone by anchors. The implant may include anchor receiving features. The anchor receiving features may be configured to direct an anchor into cortical bone. The anchor receiving features may be configured to receive an anchor driven through cortical bone. The implant may include bone engaging members configured to engage cancellous bone. An implant may include different profiles. The different profiles may be configured to secure the implant. The profiles may be configured to support the bone. The implant may have different flexing properties configured to position the implant in the bone. The implant may be positioned to receive an anchor driven through an outside of the bone.

Abstract: A tool set for implanting a rod in a human spine in conjunction with bone screws includes a pair of end guide tools that receive opposite ends of the rod in channels and under manipulation by a surgeon facilitate transport of the rod toward the bone screws attached to the guide tools. Each end guide tool includes a laterally extending, rigid, rod holding structure located near a bottom surface thereof. Intermediate guide tools having pass-through slots are utilized to guide the rod to the bone screws at intermediate locations. For bone screw implantation, the end guide tools and intermediate guide tools are assembled with a driver. The driver is coaxial with the respective guide tool and rotatingly mateable thereto. The driver includes a stem and a nut-type fastener, the stem receivable in the guide tool. The fastener allows for rotation of the bone screw without rotating the attached guide tool.

Abstract: A surgical access device for facilitating access through an incision to a surgical site in a patient's body has a pliable membrane which is configured to engage and expand the incision. The pliable membrane includes a base layer, a permeable membrane attached to the base layer, and a fluid channel disposed between the layers. The fluid channel is fluidly coupled to a fluid source. The fluid is delivered to the surgical site via the permeable membrane. The surgical access device may also have a locking mechanism for holding the device in a desired configuration.

Abstract: A spinal fixation device includes a housing defining a longitudinal axis, a bone screw member, a locking ring, and a crush ring. The bone screw member includes a head that is selectively securable within the housing and a threaded shaft. The locking ring is disposed within the housing and is radially expandable to a partially expanded position when the head of the bone screw member is positioned therein to retain the head within the housing. The crush ring is disposed within the housing proximal to the locking ring and adjacent the head of the bone screw member. The crush ring pushes against the head of the bone screw member when it transitions from an initial state to a deformed state when a force is applied thereto, which expands the locking ring to a fully expanded position to fix the bone screw member to the housing.

Abstract: A method and a device for bone adjustment in a mammal is presented, wherein a device is implanted in the medullar cavity of a bone in the body of said mammal, said device being a device exerting a force to anchoring devices anchored ins aid bone. The method and device has utility in therapeutic and cosmetic bone adjustments, including the lengthening, reshaping and realigning of bones, for example in the correction of congenital deformations, restorative orthopedic surgery and the like.

Abstract: A bone anchoring device includes an anchoring element having a shaft for anchoring in the bone and a head, a receiving part formed in one piece, and a pressure element formed in one piece. The receiving part has a seat for receiving the head and an outer channel for receiving a rod to be connected to the anchoring element, which is pivotable with respect to the receiving part and can be fixed at an angle by exerting pressure via the pressure element onto the head. The pressure element is movable in the receiving part and includes an inner channel for receiving the rod and a spring element that engages a portion of the receiving part via a detent connection so that the pressure element can be held in a position that allows pivoting of the anchoring element. The spring element is formed by at least a first portion of one of two side walls forming the inner channel, the first portion being spaced apart from a second portion of the one side wall by a slot.

Abstract: Spinal rod reduction apparatuses, systems, and methods are provided. In various examples, a rod reduction apparatus includes a first threaded member including an engagement feature configured to selectively anchor the first threaded member to the implantable screw assembly. A second threaded member is configured to threadably engage with the first threaded member. The second threaded member is axially movable with respect to the first threaded member with rotation of the second threaded member. A spinal rod urging member is axially movable with the second threaded member. The urging member includes a bearing surface that is configured to selectively abut the spinal rod and selectively urge the spinal rod toward the implantable screw assembly with rotation of the second threaded member in a first rotational direction.

Abstract: Various embodiments relate to a tensioning and crimping tool, the tensioning and crimping tool including a housing unit, a crimping section including a housing, a trigger-handle mounted to the housing, a crimping unit, including an inner crimping tube and an outer crimping tube, where the outer crimping tube is mounted around the inner crimping tube and configured to move in an axial direction relative to the inner crimping tube to crimp a crimp onto the cable, a tensioning section including the housing, a collet opener end, and a tensioning unit including a collet, a cone sheath, a tensioning rod, a tensioning nut rotatable on the tensioning rod, an inner spring configured to actuate the collet in a first direction, and an outer spring configured to actuate the tensioning rod in a second direction, the second direction being opposite to the first direction.

Abstract: Embodiments of a circumferential retractor having an attached supporting, manipulating or positioning tool are described. The retractor optionally includes a sealing member associated with an external member of the retractor and an external support structure that may be used with the retractor and positioning tool as needed.