Abstract: A percutaneous path is established into a selected bone, e.g., a vertebral body, having an interior volume occupied, at least in part, by cancellous bone. A first bone filling material is conveyed through the percutaneous path into a region of the cancellous bone. A second bone filling material is conveyed through the percutaneous path into the region. The second bone filling material is different than the first bone filling material.

Abstract: Described herein is a cranial surgery drill bit having a safety self stopping mechanism for use on bone material to prevent or repair skin erosion and infection which may result from the placement of a cap for holding the lead from Deep Brain Stimulation surgery. The surgical procedure of attaching a lead holding cap onto the bone material of a skull requires an attachment which results in no movement of the lead. Accordingly, counter boring the skull surrounding a pre-existing perforation bore so that the cap is not significantly above the surface of the skull is a technique which allows the cap user to brush hair, etc., without disrupting the attachment and placement of the lead.

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: Tools and methods for implanting hip resurfacing femoral prostheses along a path defined by the axis of a shaped femoral head surface are described. The prostheses are stemless partial ball components having an outer surface shaped to conform to an acetabular socket and may be a two part design having a mating sleeve component with an internal bore adapted to receive the shaped femoral head. The tools and methods are capable of accurately implanting both one and two piece ball components and sleeves without requiring the prosthesis to have a central stem or the preparation of a stem cavity in the femoral head and neck.

Abstract: A trial head and shell for use in trial reduction of hip implants, and particularly bipolar implants, having locking features that prevent the head from dissociating from the shell during trialing, yet which allow the head and shell to be readily assembled and disassembled in the operating room. A cut-out region is formed in an outer bearing surface of the head. The cut-out region allows the head to pass through a trial shell opening and into the shell, yet is oriented such that when the head is associated with a femoral neck, the head cannot disassociate from the shell. Orientation indicators can be provided for use in assembly and disassembly. The trial head and associated shells can be provided in the form of a surgical kit including hip implants. Methods of use are provided.

Abstract: A tool for separating components of a modular prosthesis includes an upper and lower body, each defining opposing bills at one end that are sized to fit in juxtaposed relation within an initial gap between the components. The upper body is provided with a handle so that the tool may be manually held by the surgeon with the opposing bills in position in the prosthesis. The tool includes a jack assembly disposed between the upper and lower bodies of the tool that is configured to be driven into an extended position, gradually separating the upper and lower bodies, and consequently exerting a separation force on the prosthesis components through the bills of the tool. The jack assembly is driven by a threaded actuator rod that bears against one element of the jack assembly as the actuator rod is rotated within a threaded bore in one of the bodies of the tool.

Abstract: An adjustable length corpectomy device is provided with a means for providing bidirectional length adjustment and a means for selectively fixing the length of the implant.

Abstract: A locking mechanism assembly to allow locking of a fastener in an orthopedic implant having its axis at a variable angle relative to the axis of a concavely rounded through opening in the implant. The assembly includes a convexly rounded ring shaped locking cam insert which mates with the through opening and further which includes an expansion slot. The cam insert includes two cam raceways on the inside that are engaged by cam members on the head of the fastener. The cam members increase radially and expand the insert in the through opening to hold it in position by friction. The cam insert further includes a stop member that inhibits the cam insert from rotating as the fastener is rotated in the cam insert and locks it into the desired position.

Abstract: Embodiments for a spinal implant having elements that are accessible by a surgical approach and releasably engagable by a surgical tool for improved revision of the spinal implant about a patient's spine.

Abstract: Systems and method in accordance with an embodiment of the present invention can includes an implant comprising a spacer and a frame having a central body and a helical shaped wing extending from the central body. The frame can be positioned near about adjacent spinous processes, and can be rotated and urged so that the adjacent spinous processes pass within a groove of the wing, thereby allowing the wing to be arranged on an opposite side of the adjacent spinous processes. The spacer can then be arranged over the frame so that the spacer contacts and distracts the spinous processes, thereby limiting relative movement of the adjacent spinous processes during extension.

Abstract: A compression pin for urging two bone regions together includes a pin body having a distal end, an opposed proximal end, a first threaded region, and a second threaded region. The first threaded region is positioned near the distal end, and the second threaded region is positioned near the first threaded region. The first threaded region includes a first thread having a FT leading surface that is at a FT leading angle, and the second threaded region includes a second thread having a ST leading surface that is at a ST leading angle that is different than the FT leading angle. During insertion of the compression pin, the first threaded region and the second threaded region cooperate to aggressively compress the bone regions together.

Abstract: A fenestration (36) piercing the otic capsule bone of the cochlea (34) receives a therapeutic appliance, such as a microactuator (78), plug (92), micropump for drug or therapeutic agent delivery, electrode (102), etc. Disclosed are several different ways of achieving a “water tight” seal between the otic capsule bone and the therapeutic appliance. Also disclosed are specific ways of implanting the therapeutic appliance both with and without a sheath (72) lining the wall of the fenestration (36) formed using specialized surgical burrs (122, 124, 162, 164).

Abstract: Disclosed is a patellar cutting jig for use in a knee joint surgical procedure. The jig grips and holds a patella in situ in spatial reference to the femur to enable the appropriate cut to be made to the patella to accurately accommodate the patello-femoral gap at the replacement knee joint. The patella jig has a referencing component that provides a landmark connection between the patella jig and the femur which enables the patella clamp of the jig to be oriented relative to the reference feature prior to gripping the patella. Thus a patella held in the clamp is fixed in the cutting jig an appropriate orientation relative to the femur prior to its resection. Cutting the patella while it is referenced to the patellar groove on the femur increases the accuracy of the resection.

Abstract: Anterior cervical instrumentation systems, methods, and devices are disclosed. Systems may facilitate immobilizing or providing support for the cervical portion of the vertebral column of a patient. A device may comprise a plate having two channels located in a proximal to distal direction, and may further comprise at least one aperture. The device may further comprise attachment elements such as attachment cross-links and spacer cross-links, and fasteners. The plate and the attachment elements may be secured to the vertebrae by passing fasteners through apertures and channels. The length of the plate, position and number of the attachment cross-links, position and number of spacer cross-links and degree of movement may be intraoperatively selected by the surgeon to provide an optimal application and procedural outcome. Uniform components of the devices and systems allow for a more streamlined and simplified method of treating spinal conditions.

Abstract: An occipital plate for use in an occipito-cervico-thoracic (OCT) construct is mounted to a patient's occipital bone. The occipital plate includes an elongate central section aligned with a midline of the base and a pair of angled sections that project away from the central section and include attachment assemblies for securing a rod to the occipital plate. The attachment assemblies have multi-adjustability features. At least a portion of the attachment assemblies is rotatable with respect to the base so that the rods may be coupled to the occipital plate at a variety of angles with respect to the midline. The angular adjustability may accommodate any misalignments in the rods. Additionally, the position of the attachment assemblies relative to the midline of the occipital plate is adjustable to thereby provide for medial-lateral adjustability when attaching the rods to the occipital plate as part of the OCT construct.

Abstract: This invention relates to methods and instruments for performing a surgical procedure in a disc space between adjacent vertebrae. The instruments include a distractor and a cutting instrument. In one embodiment the distractor includes a body portion and a pair of flanges extending along opposite sides of the body portion such that a slot is formed between the flanges and the body portion. The cutting instrument is positionable over the body portion and into the slots of the distractor so that the flanges are positioned between the cutting instrument and the adjacent tissue.

Abstract: An intramedullary nail and targeting and/or nailing instrument are provided, whereby a connection end of the targeting and/or nailing instrument has an axially parallel protrusion and a connection end of the nail has an axially parallel recess in order to couple the targeting and/or nailing instrument. The coupling system couples the targeting/nailing instrument and nail in their rotational position when they contact axially and whereby a connector is also provided in order to connect the targeting and/or nailing instrument and the nail in an axially fixed but also releasable manner. The connection end of the targeting and/or nailing instrument has an end section that engages approximately in one end of the bore-hole section of the nail and the end section and bore-hole section have a deformable element for a releasable snap connection of the parts with the simultaneous contact of the axially parallel protrusion and the axially parallel recess.

Abstract: A bone plate mounted on a bone. The bone plate has at least one opening for receiving a flush mounted cam. A through-bore passes from a side surface to opposing side surface of the bone plate. The through-bore has a diameter sized to allow insertion of a cable. A portion of the through-bore intersects with a peripheral portion of the opening. A second opening also passes from the side surface to opposing side surface. A cable may be inserted in the second opening, wrapped around the bone and its free end inserted in the through-bore. The cable may be tightened around the bone. The flush mounted cam can be rotated in place. Rotation of the cam results in the cam surface squeezing the cable between concave cam surface and walls of the opening, thereby locking the cable in the tightened state.

Abstract: Metal laryngoscope blade including a resiliently elastically deformable metal blade hook-on fitting for removable double snap engagement into an operative intubation position on a metal laryngoscope handle with a correspondingly sized handle hook-on fitting, a metal spatula attached to the blade hook-on fitting and including a leading tip for transversely extending from the laryngoscope handle in the operative intubation position for insertion into a subject's mouth, and an illumination assembly including an electrical light source disposed toward the leading tip for providing illumination thereat for assisting intubation.

Abstract: An intervertebral disc replacement has two members attached to vertebral body endplates of two adjacent vertebrae. The two members are formed with respective articulation surfaces which form at least part of an articulation arrangement. When loaded with compressive axial force, the articulation arrangement supports the vertebral contact surfaces against the compressive force to ensure a predefined minimum intervertebral spacing, and allows a range of turning motion in all directions. The articulation arrangement is formed to provide an increase in the intervertebral spacing as a smooth function of angular displacement from a neutral position over at least part of the range of motion in each direction for each direction of motion, thereby providing motion attenuation and restoring forces.