Abstract: An elastic intramedullary fixation device includes a serpentine frame and a shell, the inner surface of the shell is rotatably connected with a locking rod, one end of the locking rod is inserted with a key rod, one end of the shell is inserted with a clamping rod, the outer surfaces of the clamping rod and the key rod are sleeved with a connecting sleeve, the outer surfaces of the clamping rod and the key rod are provided with a connecting component, and the surfaces of the clamping rod and the shell are provided with a self-locking component. By configuring a connecting component and a self-locking component, the connecting component not only allows for the adjustment of the positional relationship between the key rod and the clamping rod, but also enables engagement with the locking component, thereby enhancing the stability of the connection between the clamping plate and the shell.

Abstract: An intervertebral implant may include a shaft having a proximal end, a distal end, a longitudinal axis, a minor diameter, and a helical thread disposed about the shaft along the longitudinal axis between the proximal end and the distal end of the shaft. The helical thread may include a major diameter and a concave undercut surface angled towards one of the proximal end and the distal end of the shaft. The intervertebral implant may be implanted within an intervertebral space between a superior vertebral body and an inferior vertebral body. A ratio of the major diameter to the minor diameter may be less than 1.50. The concave undercut surface may engage the superior vertebral body and the inferior vertebral body and may be shaped to resist at least one force transmitted between the superior vertebral body and the inferior vertebral body to stabilize the intervertebral space.

Abstract: An implantable device may include a barrel, the barrel having an upper portion and a lower portion. The implantable device may further include an actuator assembly disposed in the barrel, and a central screw that extends from a rear ramped actuator through a front ramped actuator. The implantable device may further include a first plate having multiple projections extending from one side of the first plate. The implantable device may further include a second plate having multiple projections extending from one side of the second plate, the second plate configured to be received on the central screw. The barrel may be configured to transition from a collapsed form having a first height to an expanded form having a second height and wherein the second height is greater than the first height.

Abstract: Intramedullary nails, systems, and methods. The intramedullary nail may include a generally elongate body extending from a first, distal end to a second, proximal end. The distal end may include one or more openings configured to receive one or more bone anchors that extend transversely through the distal end of the intramedullary nail, and thereby configured to secure the distal end of the nail. The proximal end may also include one or more openings configured to receive one or more bone anchors that extend transversely through the proximal end of the intramedullary nail, and thereby configured to secure the proximal end of the nail.

Abstract: An implant may include a first body member and a second body member, at least one bone contacting arched member, and a first external element extending from the first body member to the second body member, wherein the first external element has an undulating planar geometry in which the first external element undulates in a single plane.

Abstract: A graft delivery device includes a graft delivery tube having a main passage for delivering graft material to a surgical implant inserted between adjacent vertebrae of a spine. The graft delivery tube includes an articulating portion proximate an output end of the graft delivery tube. The graft delivery device also includes a pusher device slidable along the main passage to drive graft material through the main passage toward the output end of the graft delivery tube, an actuation wire extending axially through at least the articulating portion of the graft delivery tube, and an actuation device connected to the actuation wire. The actuation device is actuatable to pull the actuation wire. Moreover, pulling the actuation wire bends the articulating portion of the graft delivery tube and positions the output end proximate the surgical implant.

Abstract: A rod for spinal fixation implant having flexibility to reliably support movement of the spine while following movement of the spine with simple configuration. A rod for spinal fixation implant with a screw portion fixed to a vertebral bone and a coupling portion configured to couple the screw portion to the rod, and fixes plural vertebral bones to each other via the rod, the rod for spinal fixation implant includes a layered winding portion 10 configured by layering four layers, in radial direction, of spiral bodies obtained by winding four wires in a spiral shape with space portion inside and gap portion being opened between respective wires in an axial direction; and a rod-shaped core material 3 disposed in the space portion, in which the layered winding portions 10 of four layers are disposed such that spiral directions of the spiral bodies of adjacent layers are opposite to each other.

Abstract: A system for varying distance between bone segments comprises an intramedullary nail (100) and a driving shaft (210). The intramedullary nail (100) comprises a head (110) attached relative to a first bone segment (410); a housing (120) attached with the head (110); a rotational to linear motion convertor mechanism (140) having an input part and an output part (160); and a transmission (130) having an input member (131) & an output member (133), operatively coupled with input part (150) of rotational to linear motion convertor mechanism (140) and configured to transmit rotational motion and power at an angle. Further, at least a portion of the rotational to linear motion convertor mechanism (140) is contained in the housing (120) and the output part (160) is attached relative to a second bone segment (420). Additionally, the driving shaft (210) is configured to detachably connect with an input member (131) of the transmission.

Abstract: Intervertebral implant systems include spacers that may have solid and porous bodies integrally formed together as a single part. The bone-facing sides of the spacers include asymmetric lobes which may include solid and/or porous portions. Bone anchor holes may extend through the spacers and lobes, to receive bone anchors. A helically fluted bone anchor may be received in the bone anchor holes.

Abstract: A cutter for cutting an implant is provided. The cutter includes a gearbox; a primary milling bit, a secondary milling bit and a lead screw operatively coupled to the gearbox; an input coupling coupled rigidly to the primary milling bit; and an implant coupler coupled rigidly to the lead screw, wherein the gearbox is operable to translate with respect to the lead screw and to drive the secondary milling bit in response to a driving force applied to the input coupling.

Abstract: Bone anchor assemblies are disclosed herein that can provide for improved fixation as compared with traditional bone anchor assemblies. An exemplary assembly can include a bracket or wing that extends down from the receiver member. The distal portion of the wing can define a bone anchor opening through which one or more auxiliary bone anchors can be disposed to augment the fixation of the assembly's primary bone anchor. A distal surface of the distal portion of the wing can be obliquely angled relative to a proximal-distal axis of the spanning portion to face one of a caudal direction or a cephalad direction. A distal surface of the distal portion of the wing can be obliquely angled relative to the proximal-distal axis of the spanning portion to face one of a medial direction or a lateral direction. Surgical methods using the bone anchor assemblies described herein are also disclosed.

Abstract: A receiver assembly for securing an elongate rod to a bone anchor including a receiver and a threaded plug. The receiver including an upper portion defining a channel to receive the elongate rod, an interior surface having helically wound receiver thread, and an exterior surface having in some embodiments first and second horizontal curvate extending instrument engaging grooves. The threaded plug including a longitudinal axis, a lower surface having a protrusion, and an external side surface having a continuous helically wound closure thread to rotatably mate with the helically wound receiver thread. The continuous helically wound closure thread including a lower leading surface and an upper trailing surface, both in some embodiments extending perpendicular to the longitudinal axis, and a cylindrical outer crest surface extending parallel to the longitudinal axis. When the protrusion on the threaded plug engages the elongate rod, the threaded plug does not extend overtop a top surface of the receiver.

Abstract: An intramedullary nail may include a shank with a centerline defined along a length thereof. The intramedullary nail may also include a channel with a channel axis transverse to the centerline. The channel may have an obround shape in a first cross-sectional plane perpendicular to the channel axis at the centerline and a tapered profile in a second cross-sectional plane containing the channel axis. A proximal edge of the channel within the second cross-sectional plane may form a first angle relative to the channel axis and a distal edge of the channel within the second cross-sectional plane may form a second angle relative to the channel axis that is different from the first angle.

Abstract: A low profile spinal fixation system for use in securing a spinal rod to a vertebra using a lockable bone screw connector. The connector is configured to be removably connected to the head of a bone screw, and a spinal rod can then be used to physically connect a first vertebra to a second vertebra. The spinal rod is locked to the bone screw by use of a compressible upper collet.

Abstract: Adjustable rail apparatuses and external bone and/or tissue fixation system including an adjustable rail apparatus is disclosed. The rail apparatuses comprise first and second external fixation beam elements with alignment grooves, and a joint coupling the first and second beam elements and configured to selectively adjust the relative angular and rotational arrangement of the first and second beam elements. The joint also comprises a first and second beam end housings rotationally fixed to the first and second external fixation beam elements, respectively. The joint also comprises first and second clamp members axially and rotationally fixed to the first and beam end housings, respectively. The joint also comprises first and second rotation end housings coupled with the first and second clamp members, respectively, the first and second rotation end housings being selectively rotatably adjusted with respect to the first and second clamp members, respectively, within fixed ranges of rotation.

Abstract: A spinal stabilization system including an insert positionable in the channel of the housing of a vertebral anchor, and an associated support construct including a spacer and at least one cord extending through the insert. In some instances the construct includes first and second cords extending through first and second bores of the insert. A clamping member clamps the cord(s) in the insert. In some instances the clamping member includes first and second tabs movable in channels in first and second flanges of the insert.

Abstract: Systems and methods for adjusting a curvature of a spine are provided. The systems may include an implant body, an actuator coupled to the implant body, a sensor configured to detect a parameter indicative of a biological condition, a transceiver, and a controller. The transceiver may be configured to transmit data associated with the parameter to an external remote control and receive instructions from the external remote control. Finally, the controller is configured to move the actuator in response to the instructions from the external remote control, wherein the actuator adjusts the implant body. The methods may include measuring a parameter indicative of a biological condition; transmitting data associated with the parameter from the implantable device to an external remote control; transmitting instructions from the external remote control to the implantable device; and actuating the implantable device in response to the instructions from the external remote control.

Abstract: Apparatus for treating dermatological tissue including a user holdable device having an end defining a surface configured to receive and capable of being releasably coupled to a needle module that includes a movable needle assembly having a plurality of needles that is located past the end of the device when the module is releasably coupled to the device. The device includes a motor capable of moving the assembly to deploy the needles to penetrate dermatological tissue to a selectable desired depth. The apparatus includes a signal generator capable of being coupled to the needles to provide a radio frequency signal having a selectable intensity; at least one processor configured to provide a signal to cause the motor to deploy the needles to the desired depth and a signal to cause the signal generator to provide the intensity of the radio frequency signal to the needles; and at least one display.

Abstract: Implants, systems, and methods for securing a flexible band, thereby providing a desired correction to the spine. The implant may secure the flexible band to a spinal rod and/or a pedicle screw. The implant has a locking mechanism to secure the band. The band may be looped around bony anatomy and tensioned to achieve correction and provide fixation as an alternative or supplement to pedicle screws and spinal rods during spinal deformity surgery.

Abstract: A bone screw has a first portion including a head. A second portion includes a threaded shaft having a length and a major diameter. The shaft includes a length-to-major diameter ratio of less than about 2.0. The thread has a minor diameter and includes a major-diameter-to-minor diameter ratio of greater than about 2.0. The shaft further has at least one thread including a pitch of greater than about 1.0 mm and defining a pitch cavity for disposal of tissue. Systems and methods of use are disclosed.