Abstract: A vertebral body replacement device, dimensioned for implantation between a first and second vertebral bone is described. The vertebral body replacement device includes a superior endcap, an inferior endcap and a central core between the superior and inferior endcaps. The vertebral body replacement device further includes a fusion aperture extending through the superior and inferior endcaps and central core. The vertebral body replacement device is made of radiolucent material and can be implanted from a lateral or anterior approach to the spine.

Abstract: Disclosed are speculum embodiments and related methods to comfortably dilate a woman's vaginal canal during a pelvic exam. In one aspect, a flute having retractable rods and foldable rings are provided. The flute is configured to transition between an expanded state where the proximal and distal foldable rings are in an unfolded orientation and a collapsed state where the proximal and distal foldable rings are in a folded orientation. A handle maintains the flute in the collapsed state and, in at least one embodiment, a ring collar is provided and configured to engage the flute when the flute is in the expanded state. A light source can be provided in the flute or ring collar.

Abstract: The present invention involves a system and methods for assembling and implanting a vertebral body implant. The vertebral body implant includes, but is not necessarily limited to, an expandable core body and endplates that can be attached at both ends. Endplates of various shapes, sizes and angles are attachable to the expandable core so that a suitable vertebral body implant can be implanted between vertebrae.

Abstract: Systems and methods for a guide assembly for introducing a bone anchor to an operative target site. The guide includes an outer sleeve and an inner sleeve. The outer sleeve has a distal anchor engaging end, a proximal end, and a central passage extending from the distal end to the proximal end. The inner sleeve may be situated in the central passage of the outer sleeve. The inner sleeve is movable being between a first position and a second position. The first position permits insertion of the bone anchor in the central passage. The second position releasably fixes the bone anchor to the guide assembly.

Abstract: Exemplary lateral suture anchor fixation systems include a lateral anchor, a lateral anchor inserter, an auxiliary or second anchor, and an auxiliary or second anchor inserter.

Abstract: An orthopedic system for delivery of a therapeutic agent to a bone includes an elongate stem adapted to be inserted into an intramedullary canal, an inlet configured to receive the therapeutic agent, and one or more outlets configured to deliver the therapeutic agent to the bone. The elongate stem may comprise one or more protrusions to engage the bone, and one or more channels extending longitudinally therein, fluidly coupled to the inlet. The therapeutic agent flows from the inlet through the one or more channels and exits into the intramedullary canal through the one or more outlets. The system may be configured to allow one or more dimensions of the system to be adjusted to accommodate the anatomy of a patient.

Abstract: The present disclosure includes examples of an implant system configured for targeted joint resurfacing in which only an area including the osteochondral defect is resected, wherein the area resected occupies an area smaller than an entire joint surface. The implant system can include a monolithic first implant with 3D printed metal and a second implant including a plastic portion overmolded onto a metal portion. The metal portion of the second implant also includes 3D printed metal. The first and/or second implants include solid metal portion(s) and porous metal portion(s). In an example, the first implant can be a femoral implant and the second implant can be a tibial implant. The first and second implants can be used on their own or in tandem.

Abstract: Systems, devices, and methods for deploying a graft to a treatment site of a patient. Exemplary systems include a device body and an insertion mechanism. The device body can have a handle and a trigger. The insertion mechanism can be in operative association with the device body, and can have an outer sheath, a support shaft disposed at least partially within the outer sheath, an expansion mechanism coupled with the support shaft, and a graft in contact with the expansion mechanism.

Abstract: Systems, devices, and methods for deploying a graft to a treatment site of a patient. Exemplary systems include a device body and an insertion mechanism. The device body can have a handle and a trigger. The insertion mechanism can be in operative association with the device body, and can have an outer sheath, a support shaft disposed at least partially within the outer sheath, an expansion mechanism coupled with the support shaft, and a graft in contact with the expansion mechanism.

Abstract: Systems, devices, and methods for deploying a graft to a treatment site of a patient. Exemplary systems include a device body and an insertion mechanism. The device body can have a handle and a trigger. The insertion mechanism can be in operative association with the device body, and can have an outer sheath, a support shaft disposed at least partially within the outer sheath, an expansion mechanism coupled with the support shaft, and a graft in contact with the expansion mechanism.

Abstract: A vertebral body replacement device, dimensioned for implantation between a first and second vertebral bone is described. The vertebral body replacement device includes a superior endcap, an inferior endcap and a central core between the superior and inferior endcaps. The vertebral body replacement device further includes a fusion aperture extending through the superior and inferior endcaps and central core. The vertebral body replacement device is made of radiolucent material and can be implanted from a lateral or anterior approach to the spine.

Abstract: Systems, devices, and methods for deploying a graft to a treatment site of a patient. Exemplary systems include a device body and an insertion mechanism. The device body can have a handle and a trigger, and a controller. The insertion mechanism can be in operative association with the device body, and can have an outer sheath, a central shaft disposed at least partially within the outer sheath, an expansion mechanism in operative association with the central shaft, and a graft that can be deployed by the expansion mechanism.

Abstract: Systems, devices, and methods for deploying a graft to a treatment site of a patient. Exemplary systems operate to fix a graft to bone or soft tissue by placing multiple anchors through the graft in different locations, with individual anchors interconnected by sutures fixing the graft to the patient tissue. Exemplary anchor assemblies include an initial anchor with a suture permanently affixed, intermediate anchors through which the running suture can pass freely after placement, and a final anchor which locks the running suture under tension once placed.

Abstract: An orthopedic system for delivery of a therapeutic agent to a bone includes an elongate stem adapted to be inserted into an intramedullary canal, an inlet configured to receive the therapeutic agent, and one or more outlets configured to deliver the therapeutic agent to the bone. The elongate stem may comprise one or more protrusions to engage the bone, and one or more channels extending longitudinally therein, fluidly coupled to the inlet. The therapeutic agent flows from the inlet through the one or more channels and exits into the intramedullary canal through the one or more outlets. The system may be configured to allow one or more dimensions of the system to be adjusted to accommodate the anatomy of a patient.

Abstract: A dynamic threat landscape to which computer resources of a specific enterprise are subject is tracked. Data feeds maintained by a security system of the enterprise are assessed. The effectiveness of data feed utilization by the security system is quantified, relative to the threat landscape. Threat detection rules deployed by the security system are assessed, and the effectiveness thereof by the security system is quantified. Processing capability of alerts generated by threat detection rules and threat response capability may also be assessed and quantified. The effectiveness of the security system as a whole is automatically quantified, based on the tracked threat landscape, the quantifications of the effectiveness of data feed utilization, threat detection rule utilization, processing capability of alerts generated by threat detection rules and/or threat response capability. Recommendations concerning more effectively protecting the enterprise against specific threats are output.

Abstract: Systems, devices, and methods for deploying a graft to a treatment site of a patient. Exemplary systems include a device body and an insertion mechanism. The device body can have a handle, a trigger, and a controller. The insertion mechanism can be in operative association with the device body, and can have an outer sheath, a support shaft disposed at least partially within the outer sheath, an expansion mechanism coupled with the support shaft, and a graft in contact with the expansion mechanism.

Abstract: Methods and systems are provided for a hinge knee system. A hinge knee system may comprise a femoral component; an insert; a tibial tray configured to be coupled to the insert; a tibial bushing configured to be disposed between the tibial tray and the insert; a poly locking screw configured to secure the tibial tray to the insert; a hinge box configured to be disposed between the femoral component and the insert; one or more cross-pin bushings configured to be disposed within the hinge box; a cross-pin configured to secure the hinge box to the femoral component; a hinge post configured to couple the hinge box to the tibial tray; and a hinge post set screw configured to secure the hinge box to the hinge post.

Abstract: Systems, devices, and methods for deploying a graft to a treatment site of a patient. Exemplary systems include a device body and an insertion mechanism. The device body can have a handle, a trigger, and a controller. The insertion mechanism can be in operative association with the device body, and can have an outer sheath, a support shaft disposed at least partially within the outer sheath, an expansion mechanism coupled with the support shaft, and a graft in contact with the expansion mechanism.

Abstract: Devices and methods for fusing a sacroiliac joint of a patient. Exemplary fusion systems include an implant body and one or more screws. An implant body can have a medial side configured to engage a sacrum of a patient, a lateral side configured to engage an ilium of the patient, a distal portion, and a proximal portion having an opening configured to receive a screw. A screw can include a distal portion having a threaded portion configured to engage bone of the patient, and a proximal portion configured engage the opening in the proximal portion of the implant body.

Abstract: Apparatus and methods for providing spinal percutaneous delivery of an implant that can rigidly fixate the spinous process of a first superior bone and a second inferior bone of a functional spinal unit. In one aspect, the device comprises two bone abutment members connected via an interconnecting member. In another aspect, the method comprises implanting at least two spinal implant apparatus within a target disc space via an implantation apparatus. In another aspect, a placement instrument comprising an implant delivery segment, an anchor segment, and an articulating arm is disclosed.