Abstract: The present disclosure provides a single insertion and compression instrument to facilitate the implantation of a spinous process implant, such as a spinous process fixation device, between and about adjacent spinous processes. The instrument has a first leg and a second leg, each with a handle and implant engaging portions. The implant engaging portions releasably couple to the spinous process implant and have compression pads to facilitate compression of fasteners on the plates into bone.

Abstract: The present disclosure provides a single insertion and compression instrument to facilitate the implantation of a spinous process implant, such as a spinous process fixation device, between and about adjacent spinous processes. The instrument has a first leg and a second leg, each with a handle and implant engaging portions. The implant engaging portions releasably couple to the spinous process implant and have compression pads to facilitate compression of fasteners on the plates into bone.

Abstract: Segmental spinous process implant systems and methods of use are provided for coupling to one or more spinal processes of a cervical, thoracic, and/or lumbar spine. Embodiments of the segmental spinous process implant system include a support member coupled to one or more offset connector. The support member extends adjacent to vertebrae of a cervical, thoracic, and/or lumbar spine. The offset connector extends from the support member between adjacent spinous processes of the spine and supports a pair of spinous process connectors that secure the implant to a spinous process of a vertebra of the spine.

Abstract: Spinous process implants and associated methods are shown and described. In one aspect, the implant limits the maximum spacing between the spinous processes. In another aspect, a spacer has at least one transverse opening to facilitate tissue in-growth. In another aspect, an implant includes a spacer and separate extensions engageable with the spacer. The spacer is provided in a variety of lengths and superior to inferior surface spacings. In another aspect, an implant includes a spacer and a cerclage element offset from the midline of the spacer in use so that the spacer defines a fulcrum and the cerclage element is operative to impart a moment to the vertebrae about the spacer. In another aspect, instrumentation for inserting the implant is provided. In other aspects, methods for treating spine disease are provided.

Abstract: The present invention provides spinous process implant and associated methods. In one aspect of the invention the implant limits the maximum spacing between the spinous processes. In another aspect of the invention, a spacer has at least one transverse opening to facilitate tissue in-growth. In another aspect of the invention, an implant includes a spacer and separate extensions engageable with the spacer. The spacer is provided in a variety of lengths and superior to inferior surface spacings. In another aspect of the invention, an implant includes a spacer and a cerclage element offset from the midline of the spacer in use so that the spacer defines a fulcrum and the cerclage element is operative to impart a moment to the vertebrae about the spacer. In another aspect of the invention, instrumentation for inserting the implant is provided. In other aspects of the invention, methods for treating spine disease are provided.

Abstract: The present invention provides spinous process implant and associated methods. In one aspect of the invention the implant limits the maximum spacing between the spinous processes. In another aspect of the invention, a spacer has at least one transverse opening to facilitate tissue in-growth. In another aspect of the invention, an implant includes a spacer and separate extensions engageable with the spacer. The spacer is provided in a variety of lengths and superior to inferior surface spacings. In another aspect of the invention, an implant includes a spacer and a cerclage element offset from the midline of the spacer in use so that the spacer defines a fulcrum and the cerclage element is operative to impart a moment to the vertebrae about the spacer. In another aspect of the invention, instrumentation for inserting the implant is provided. In other aspects of the invention, methods for treating spine disease are provided.

Abstract: There is disclosed an interspinous attachment system for providing support between adjacent spinal levels. In an embodiment, an interspinous attachment system provides support between adjacent spinal levels and includes a crosslink, a first crosslink connector and a second crosslink connector each selectively attachable to spinal fixation rods, and an interspinous attachment device having a crosslink attachment portion and a spinous process attachment portion. In another embodiment, there is provided a method of attaching a crosslink to a pair of spinal fixation rods. The method includes tightening a set screw in a housing of each of the crosslink connectors to engage a crosslink, rotate the crosslink connectors with the set screw tightening, and engage the rods with the cross link through the rotation, wherein the tightening the set screw fixedly connects the ends of the crosslink and the rods together.

Abstract: Spinous process implants and associated methods are shown and described. In one aspect, the implant limits the maximum spacing between the spinous processes. In another aspect, a spacer has at least one transverse opening to facilitate tissue in-growth. In another aspect, an implant includes a spacer and separate extensions engageable with the spacer. The spacer is provided in a variety of lengths and superior to inferior surface spacings. In another aspect, an implant includes a spacer and a cerclage element offset from the midline of the spacer in use so that the spacer defines a fulcrum and the cerclage element is operative to impart a moment to the vertebrae about the spacer. In another aspect, instrumentation for inserting the implant is provided. In other aspects, methods for treating spine disease are provided.

Abstract: A dynamic spinal stabilization apparatus comprises a stabilization device such as a rod or a plate. Elongated bores, interfaces, or terminations packed with elastic material provides relative movement between the devices to allow spinal flexion and extension. Initially, relative movement may be constrained by a degradable materials, such as a resorbable material, to allow and screws to fuse to the associated bone.

Abstract: The present invention provides spinous process implant and associated methods. In one aspect of the invention the implant limits the maximum spacing between the spinous processes. In another aspect of the invention, a spacer has at least one transverse opening to facilitate tissue in-growth. In another aspect of the invention, an implant includes a spacer and separate extensions engageable with the spacer. In another aspect of the invention, instrumentation for inserting the implant is provided. In other aspects of the invention, methods for treating spine disease are provided.

Abstract: The present invention provides spinous process implant and associated methods. In one aspect of the invention the implant limits the maximum spacing between the spinous processes. In another aspect of the invention, a spacer has at least one transverse opening to facilitate tissue in-growth. In another aspect of the invention, an implant includes a spacer and separate extensions engageable with the spacer. The spacer is provided in a variety of lengths and superior to inferior surface spacings. In another aspect of the invention, an implant includes a spacer and a cerclage element offset from the midline of the spacer in use so that the spacer defines a fulcrum and the cerclage element is operative to impart a moment to the vertebrae about the spacer. In another aspect of the invention, instrumentation for inserting the implant is provided. In other aspects of the invention, methods for treating spine disease are provided.

Abstract: The present invention provides a spinal implant for placement between adjacent processes of the human spine. In some embodiments the spinal implant includes a spacer and one or more retention members. In some embodiments, the retention members are fixed relative to the spacer and in other embodiments the retention members are deployable from a first or compact or stowed position to a second or expanded or deployed position. In some embodiments the spacer is expandable from a first size to a second size. In some embodiments the spacer has a tapered body.

Abstract: A dynamic spinal stabilization apparatus comprises a stabilization device such as a rod or a plate. Elongated bores, interfaces, or terminations packed with elastic material provides relative movement between the devices to allow spinal flexion and extension. Initially, relative movement may be constrained by a degradable materials, such as a resorbable material, to allow and screws to fuse to the associated bone.

Abstract: An adjustable infusion catheter includes a flexible tube containing one or more axial lumens that allows fluid to flow from the proximal end of the catheter to the distal end. A syringe or infusion pump is the usual pressure source for fluid at the proximal end. A plurality of small-diameter holes are provided in a fenestrated area near the distal end of the tube to disperse fluid throughout a targeted region within the patient's body. The length of the fenestrated area of the catheter body is adjusted by a slidable sheath which can be positioned along the length of the fenestrated area so that its exposed length substantially matches the targeted region. The ends of the slidable sheath include a seal portion to prevent leakage around the ends of the sheath. Heat shrinkable plastic material can be used to form the sheath and the end seals.

Abstract: An infusion device capable of administering liquid medication at a continuous flow rate, and upon user demand delivers a controlled volume dosage of liquid medication at a higher dosage flow rate. The dosage reservoir remains empty until the user actuates it by selectively and temporarily removing the pressure source, such as a spring. During actuation, fluid rapidly flows from the medication reservoir to fill the dosage reservoir. After actuation, the pressure source exerts a higher pressure on the dosage reservoir than the medication reservoir pressure, which results in a temporary higher bolus flow rate. Thus, two distinct flow rates are achieved with one flow restrictor element.