Abstract: A pivotal bone anchor assembly includes a receiver having a central bore with a seating surface adjacent a bottom opening and a downward-facing surface above the seating surface, and a shank having a head portion positionable within the axial bore. The assembly also includes a compression insert positionable within the central bore above the head portion and having an upper portion with a notch formed therein to define a resiliently compressible structure extending over the notch. When the head portion of the shank and the compression insert are positioned together in the central bore of the receiver, the engagement between the resiliently compressible structure and the downward-facing surface is configured to provide an axially directed resilient biasing force for a pre-lock friction fit of the pivotal bone anchor assembly prior to securing the longitudinal connecting member in the open channel with the closure.

Abstract: Stand-alone interbody fusion devices and corpectomy devices suitable for use with an oblique implantation. The stand-alone interbody fusion devices may include a spacer having a substantially U-shaped body and a plate coupled to the spacer. The overall shape of the implant is asymmetrical such that a median plane, an oblique plane, or both planes divide the spacer and the plate into two asymmetrical halves. The implants are shaped and configured to allow for an oblique or anterolateral approach to the spine or an oblique corpectomy.

Abstract: A clip-on reducer tool assembly for seating a spinal fixation rod in a rod receiving implant, the tool assembly has an outer sleeve. The outer sleeve has a proximal end with a cylindrical portion having a threaded opening, a first leg extension extending therefrom to a distal end, and a second leg extension joined to the first leg extension at an intermediate location between the distal end and proximal end. The second leg extension extends from the distal end toward the proximal end to a lever end spaced from the cylindrical portion. The leg extensions at the distal end have grasping members to engage an outer surface of a rod receiving implant and a fulcrum proximally located near the intermediate location configured to enlarge the space between the leg extension at the distal end as the lever end is depressed inwardly relative to a longitudinal axis of the outer sleeve.

Abstract: The present disclosure relates to the field of tissue dissection. Specifically, the present disclosure relates to medical devices that lift and retract tissue during a dissection procedure to improve visualization of the target tissue and mitigate obstructions for dissection tools. In particular, the present disclosure relates to devices that transition from a constrained to an unconstrained bowed configuration to immobilize and retract the dissected portion of target tissue during a dissection procedure.

Abstract: A wire driver for inserting a wire into bone. The wire driver includes a housing having proximal and distal ends, with a handpiece extending to the proximal end. The handpiece is connected to a gripping portion, which extends to the distal end. A channel extends through the gripping portion and is connected to a gripping mechanism. A drive mechanism within the handpiece is connected to the channel. The drive mechanism is configured to rotate the channel when actuated by a first actuator positioned on the handpiece (which can be on the distal end of the handpiece). A second actuator is connected to the gripping portion and the gripping mechanism. The second actuator is movable between a relaxed position and a compressed position. The user can operate both first and second actuators with the same handpiece grip. The gripping portion and second actuator are rotatable relative to the housing and first actuator.

Abstract: An external bone fixation system may include a first semi-circular external fixation member, a second semi-circular external fixation member, four ball collet assemblies attached to the second external fixation member, and four shafts. Each shaft may include a first end attached to the first external fixation member and a second end with a stop member, and each of the four shafts extends slidably through an opening in a ball of one of the four ball collet assemblies. The stop member of each second end prevents each second end from passing through the opening in its respective ball. Each shaft also includes a hinge located closer to the first end than to the second end.

Abstract: An expandable interspinous process fixation system capable of restoring spinal stability and facilitating fusion. In one embodiment, the expandable interspinous process fixation system includes a central ramp, a first endplate, and a second endplate, the central ramp capable of being moved in a first direction to move the first and second endplates outwardly and into an expanded configuration. Each endplate supporting fixed and/or adjustable spinous process engaging plates.

Abstract: A method and apparatus is disclosed for the surgical installation of a nail for stabilizing a screw-rod configuration attached to vertebrae of a spine to the rib cage of an organic body to treat Adult Spinal Deformity (ASD) and prevent proximal junctional failure (PJF). The nail may be secured at one end to an adjacent rib of the rib cage, and may extend into the rib or be secured to the rib by a rib hook. The nail may be secured at another end to a rod of the screw-rod configuration, such that the nail imparts stability from the rib cage to the screw-rod configuration and to the vertebrae of the spine.

Abstract: A disposable device for tissue retraction, including first and second elongated curved members, each having respective proximal and distal ends, a hinge pivotably connecting first and second elongated curved members, wherein first and second curved members curve away from one another, a first blade extending from the distal end of the first elongated curved member, and a second blade extending from the distal end of the second elongated curved member. The device further includes a first latching portion extending from the proximal end of the first elongated curved member, a second latching portion extending from the proximal end of the second elongated curved member, and a third bladed elongated member lockingly engageable to the hinge. The first and second latching portions are lockingly engageable. The retractor is made of a generally electrically insulating nonmagnetic radiolucent material.

Abstract: Disclosed herein are an orthopedic rod-to-rod connector and rod-to-rod connector assemblies for spinal fusion surgery. The rod-to-rod connector may include a first connector portion and a second connector portion. The first connector portion may have a first aperture configured to receive at least a portion of a bone-engaging screw and a first spinal rod. The second connector portion may be rotatably connected with the first connector portion and may include a second aperture to receive a second spinal rod. The second connector portion may be L-shaped and may include a set screw to control rotation of the first connector portion with respect to the second connector portion.

Abstract: An insertion device for deploying an implant includes an elongated main body having a distal locking portion for coupling to the implant and a proximal handle portion. The main body defines a central passage and the distal locking portion has outer ridges and slots to allow the outer ridges to flex radially inward when mounting to the implant. A plunger slides in the central passage for movement between an unlocked position for mounting the implant on the distal locking portion, a locked position for locking the implant on the distal locking portion, and an insertion instrument deployed position for deploying the actuation plunger to move the blades from the stowed position to the deployed position. A spike cap drive rotatably mounts on the main body having a socket end for engaging a drive nut on the implant to, in turn, move the spike cap.

Abstract: A bone anchoring device includes a receiving part for coupling a rod to a bone anchoring element, the receiving part having a first end, a second end, a recess at the first end for receiving the rod, and a compressible head receiving portion at the second end for accommodating a head of the bone anchoring element, a pressure member positionable in the receiving part to exert pressure on the head, and a clamping ring positionable around the head receiving portion and movable towards the first end of the receiving part to a locking position where the clamping ring exerts force on and compresses the head receiving portion. In the locking position, at least part of the clamping ring that faces the first end of the receiving part is exposed to the outside to facilitate movement of the clamping ring away from the first end of the receiving part.

Abstract: A bone anchoring device includes an anchoring element having a shaft and a head, a receiving part having a coaxial bore and a seat for receiving the head, a pressure element configured to be movable within the bore, and a preload element being positionable between the head and the pressure element. When the head is inserted in the receiving part, the head is pivotable with respect to the receiving part, and can be locked at an angle relative to the receiving part by the pressure element. The pressure element can assume a position relative to the receiving part where the pressure element and the preload element are in direct contact, and where the pressure element exerts a force onto the head via the preload element to maintain one of a plurality of releasable angular positions between the head and the receiving part by friction before locking the head.

Abstract: A laryngoscope includes a curved blade including a proximal end, a distal end, and a first channel. The laryngoscope also includes a handle and a second channel. The handle includes a non-electric light source, e.g., a chemiluminescent light source. A catalytic agent in the chemiluminescent light source is activated by pressure on the chemiluminescent light source to generate light that transmits along the first channel. The second channel is disposed proximate and through the blade and configured to provide at least one of oxygen, suction, and an instrumentation into the proximal end and out of the distal end of the blade.

Abstract: An implant for restoring height of a vertebral body. The implant includes upper and lower plates configured to be moved away from one another in the craniocaudal direction. A first support and a second support are arranged to crisscross in a proximal-to-distal direction to facilitate increased expansion of the implant, and a third support and a fourth support may be arranged to crisscross in the proximal-to-distal direction. Certain supports may be laterally spaced from one another to define a void space for receiving a retaining element. An upper support fork may include a first pair of supports arranged in a V-shaped configuration and converge at an apex that is coupled to an underside of the upper plate. A lower support fork may include a second pair of supports arranged in a V-shaped configuration and converge at another apex that is coupled to an upper side of the lower plate.

Abstract: An external fixation assembly for bone fusion or separation is disclosed. The assembly includes a fracture fusion tube, with a bracket slidably engaged thereon. The assembly further includes a collet clamp connected to the bracket, with a ball collet rotatably seated within the clamp, the ball collet having an aperture for receiving a bone bin therethrough and perforations for a compression engagement with a bone pin. The assembly uses a single screw for threadably engaging the ball collet, the clamp and the bracket such that the position of the bone pin, ball collet and bracket are all fixed.

Abstract: A crosslink mechanism features a locking clip with interlocking teeth. When being deployed, the surgeon will compress the spring loaded clips, freeing rotation on both sides of the mechanism. Once clipped onto the sequential reducers, the surgeon releases the clips allowing the spring to lock the teeth and therefore lock rotational freedom out of the mechanism.

Abstract: Disclosed is a video laryngoscope having a body, an insertion section extending from the body generally parallel to a median plane of the laryngoscope extending through the body, and a display screen assembly extending from the body generally perpendicular to the median plane, the body having a grip portion intermediate the display screen assembly and the insertion section. The display screen assembly, including a display screen, extends laterally from the body and the inner edge of the display screen falls within the lateral extent of the body. The display screen may be adjustable about an axis.

Abstract: Additive-manufacturing systems for forming non-woven fibrous implants are disclosed. Additive-manufacturing systems may include a robotic subsystem having scanning and imaging equipment configured to scan a patient's anatomy, and an armature including at least one dispensing nozzle configured to selectively dispense at least one material. The system may further include a controller apparatus configured to send a control signal to control the scanning and imaging equipment to determine a target alignment of a patient's spine, and develop an additive-manufactured printing plan including an additive-manufactured material selection plan based on the target alignment of the patient's spine. The controller may execute the additive-manufactured printing plan to: dispense the at least one material to form a non-woven fibrous component.

Abstract: A polyaxial bone anchoring device is provided including a bone anchoring element (1) comprising a head (3) and a shank (2); a receiving part (4, 4?) for receiving a rod (100) for coupling the rod to the bone anchoring element, the receiving part comprising a first end (4a), an opposite second end (4b) and a central axis (C) extending through the first end and the second end, and a channel (9) for receiving the rod and an accommodation space (11) for receiving the head; a pressure element (6, 6?) arranged in the receiving part and configured to exert pressure onto the head; wherein the pressure element (6) comprises flexible sections (66a, 66b) facing away from the head (3), characterized in that the flexible sections (66a, 66b) comprise a free end portion (69a, 69b) with respect to the central axis (C) that cooperates with an inclined surface portion (15a, 15b) of the receiving part (4) such as to hold the pressure element (6) in a position in which it exerts a pre-load onto the head before the head is lo