Abstract: The present application relates to a cross pin fixator device comprising a plate member with spherical cavities that are open to the front and to the back of the plate, collapsible pin holder members having a central channel for insertion of a bone pin, the collapsible pin holder member being press-fit into the spherical cavities, and bone pins individually inserted into the central channel of a pin holder. The application also relates to a method for treating a fracture of the proximal humerus using the proximal humerus cross pin fixator and to a kit for treating a fracture of a bone.

Abstract: The eyelid-engaging eyewear is comprised of an eyewear frame having open spaces in front of the eyes and through which eyelid engaging means attach to and pivot. The eyelid engaging means include armatures at distal ends, which engage eyelids of an end user and lift and hold up said eyelids in order to assist in installing and/or removing contact lenses from the eyes of the end user. The eyewear frame includes a centrally located suction cup that is directed inwardly and adheres to the forehead of the end user so as to secure the device to the end user. The eyewear is worn in a normal fashion, and upon rotation of the eyelid engaging means shall lift and hold up said eyelids of the end user.

Abstract: A retainer member formed of bone secures tissue relative to a bone. The retainer member forms an opening in a compact outer layer of the bone. The retainer member is enclosed in a tubular member or sleeve to prevent breaking of the retainer member during formation of the opening in the bone. The extent of movement of the retainer member into the hone in the patient's body is determined as the retainer member is moved into the bone. A suture may be connected with the retainer member and used to connect tissue with the bone. The retainer member may be positioned across a fracture in a bone to hold portions of the hone relative to each other. The retainer member may be used at a joint between end portions of bones to immobilize the joint and be released by breaking the retainer member.

Abstract: Removable drill guide tips are provided for simultaneous assembly relative to the holes of a bone plate. The drill guide tips may be used with an extension to together function as a conventional drill guide. After drilling, the extension or another tool is used to remove the tips from the plate. According to another use, the tip is used as a guide for a drill bit without any additional extension and then removed with a tool.

Abstract: A spinal implant for stabilizing first and second vertebrae. The spinal implant includes an intervertebral spacer and a bone stabilization member configured to be coupled to the intervertebral spacer. The bone stabilization member includes a plurality of bone screw openings and a plurality of bone screws extendable through the bone screw openings to secure the bone stabilization member to the vertebrae. A retention member, which is slidably coupled to the bone stabilization member, is linearly slidable between a first position and a second position while coupled to the bone stabilization member. In the first position, each of the bone screws is permitted to be inserted into the bone screw openings, and in the second position the retention member at least partially covers each of the bone screw openings to prevent a bone screw from backing out of the respective bone screw opening.

Abstract: A device for bone fixation comprises a bone fixation nail extending from a proximal end to a distal end, the distal end having a helical structure configured to engage a bone, the proximal end having an opening extending thereinto and a first sleeve configured for insertion over a proximal portion of the bone fixation nail and through an intramedullary nail hole, the first sleeve permitting the bone fixation nail to move axially therewithin within a predetermined range of movement along with a locking screw configured to limit movement of the bone fixation nail relative to the first sleeve, the locking screw configured to lockingly engage the opening in the bone fixation nail and having a head and a threaded shaft extending distally therefrom.

Abstract: Orthopedic implants are adapted to replace the function of a natural disc of the spine. In an embodiment, the implant can be placed across the disc space through a trans-pedicular corridor using a substantially posterior surgical approach. In another embodiment, an implant can be placed across the disc space at a different level through a substantially lateral or anterior approach.

Abstract: A spinal implant and method of implanting a spinal implant that has a spacer and a plate configured to be fastened to a plurality of vertebral bodies. The plate is coupled to the spacer, with the spacer and the plate being angularly adjustable with respect to each other.

Abstract: Tissue removal probes comprise an elongated member, a drive shaft rotatably disposed within the member, and a rotatable tissue removal element mounted to the distal end of the drive shaft. One tissue removal element comprises a plurality of tissue-cutting filaments affixed at proximal and distal ends of the tissue removal element. The cutting filaments may have optional hinge points that allow the distal end of the tissue removal element to be inverted, thereby transforming the tissue removal element from a tissue-cutting device to a tissue-grasping device. Another tissue removal element may have a blunted tip to prevent distal tissue trauma and an irrigation port to provide irrigation fluid to the removed tissue and/or tissue removal element. Another tissue removal element has a proximal and distal spiral grooves that are oppositely pitched, so that removed tissue can be collected in the middle of the tissue removal element.

Abstract: A method of fixing vertebrae of a patient together at a surgical site includes the following steps: inserting a first cannula (10) into the body (130) of the patient; moving a first fastener (624) through the cannula (10) and securing the first fastener (624) to a first vertebrae (601); moving a second fastener (624) through the cannula (10) and securing the second fastener (624) to a second vertebrae (602); moving a first fixation element (650) through the cannula (10); and fixing the first fixation element (650) to the first and second fasteners (624).

Abstract: The present invention provides a method of controlling a light output of a surgical lamp used for illuminating a surgical site. The surgical lamp includes a housing that defines an internal cavity. A light source is disposed within the internal cavity of the housing. The light source produces a light path and a light field at a surgical site that is remote from the housing. The method comprises providing a voltage sensitive device along the light path, the voltage sensitive device having light transmissive properties that change in response to a biasing voltage applied thereto, and applying a biasing voltage to the voltage sensitive device to achieve a desired light intensity at the surgical site.

Abstract: A stabilization assembly for stabilizing a vertebra or other bone includes: at least two rods having different diameters; an anchoring element having a shaft and a head; a receiving part for interchangeably receiving any one of the rods to connect the rod to the anchoring element, the receiving part including a rod receiving portion with a channel for receiving the rod, and a head receiving portion having an open end and being flexible to allow introduction and clamping of the head; and a locking ring configured to be arranged around the head receiving portion and to clamp the head in the head receiving portion; wherein the locking ring includes a contact surface configured to contact any one of the at least two rods at at least two distinct contact areas that are spaced apart from one another in a circumferential direction of the rod.

Abstract: A suspension system for supporting surgical devices inside a patient's body cavity comprising an external frame, a plurality of elongated members extending from the external frame and through the patient's skin into the body cavity, and an internal platform located inside the body cavity. The internal platform includes a plurality of links reconfigurable from a first elongated position wherein the links are substantially aligned along a longitudinal axis for insertion to a second position wherein the links are angled with respect to one another to form a non-linear configuration. A first support of the external frame is movable with respect to the second support to thereby move the internal platform.

Abstract: Osteosynthesis constructs for treating bone fractures and bone screws for use in such systems are disclosed. The bone screws include a threaded front section configured for engagement with cortical bone, a threaded mid-section and an unthreaded neck section configured for limited movement within the near cortex of the bone. Osteosynthesis constructs of the type disclosed promote secondary healing by allowing for substantially parallel motion at the near and far cortex within the effective motion range for callus formation.

Abstract: A spinal implant has a bone plate with a bone contacting surface and an opposite upwardly facing surface and at least one opening with a groove formed around an inner circumference of the opening. The groove has an axially spaced upper and lower surface. A bone-anchor or bone screw is capable of being accommodated in the opening between the groove and the bone contacting surface. A split-ring is mounted in the groove. The split-ring is sized to expand upon insertion of the anchor element into the opening and to come into direct contact with a head of the bone anchor to hold the bone anchor in the opening. The split-ring has an upper surface and a lower surface for respectively engaging the upper and lower surface of said groove, wherein the split-ring has a variable width so as to optimize its flexibility.

Abstract: A retractor for use in spinal surgery comprises a frame including a ring member defining a generally central interior space. A plurality of blades is releasably supported respectively to slidable arms each supported on the ring member for individual translational movement relative to the ring member. The blades define an initial substantially enclosed opening that is expandable for use in a surgical procedure. A clutch mechanism supported on the ring member is associated with each arm to individually selectively engage each such arm with a rotatable main gear such that upon rotation of the main gear by a single actuator any one, all or any desired combination of arms may be translated relative to the ring member to move the blades and expand the opening in one or more selected desired directions.

Abstract: A system for positioning an interchangeable tool in a body cavity includes a channel having a lumen in direct communication with the body cavity; a tool introducer having a longitudinal axis arid a distal end, the tool introducer capable of traveling through the channel lumen; and a tool holder covering at least a portion of the interchangeable tool that is pivotally connected to the tool introducer allowing angular position of the interchangeable tool after the tool holder emerges from the channel into the body cavity. A method for engaging an interchangeable tool with a distal portion of a tool manipulator in a body cavity includes inserting a tool introducer into a channel, orienting the distal portion of the tool manipulator in the body cavity; emerging the interchangeable tool from the channel into the body cavity; and positioning the interchangeable tool eccentrically to the lumen of the channel.

Abstract: A surgical retractor has a rail, a first arm protruding from the rail at an angle, a second arm being movably mounted on the rail and extending substantially parallel to the first arm, and a multiplicity of holding elements mounted on the first and second arms. A holding element has a multi-axis joint for pivotably holding a blade for engaging tissue to be retracted. In this way, a most flexible surgical retractor is provided.

Abstract: A method of performing a surgical anterior extradiscal correction of a thoracolumbar pathology includes steps of surgically approaching a patient's spine and correcting a thoracolumbar pathology, aligning adjacent vertebral bodies, and securing the vertebral bodies in a desired relative position with anterior instrumentation that penetrates at least one of the vertebral bodies. The anterior instrumentation includes a bioabsorbable element and in one embodiment includes first and second bioabsorbable anchors for penetrating anterior portions of respective first and second sacral, thoracic or lumbar vertebral bodies and bioabsorbable instrumentation that fixedly connects the first bioabsorbable anchor to the second bioabsorbable anchor. This permits the first sacral, thoracic or lumbar vertebral body to be surgically fixed to the second sacral, thoracic or lumbar vertebral body for a predetermined period of time, when the bioabsorbable apparatus will be absorbed by a patient's body.

Abstract: Instrumentation is disclosed for use in orthopedic surgery that is capable of use as a compressor, a distractor, and a rod bender. Two pivoting arms have ends that can be used to compress implants, bones, or bone fragments together or to distract such items apart. In orthopedic surgery in which a rod, bar, plate, or other support is used, the instrument may be used to introduce bends into such supports so that the orthopedic structures (e.g. vertebrae) remain in a desired portion. Additional features are provided that permit verification of size of implantable items and packing of material in intervertebral spacers and similar devices.