Abstract: Patient-mounted retractors with varying configurations and/or features are provided, along with additional components for use therewith in provided patient-mounted retractor assemblies. Blade type and tube type patient-mounted retractors that may be re-positioned during the course of a procedure are provided in varying configurations and/or geometries suitable for varying procedures and/or patient anatomies. Applications of re-positionable patient-mounted retractor assemblies are particularly suitable for use in minimally invasive procedures, eliminating the need for table-mounted retraction assemblies and/or cannulas that restrict the operating environment.

Abstract: A method for accessing an intervertebral disc space in a patient's body involves making an incision in a region of the patient's body that permits access to the psoas muscle, directing a blade of a first dissecting refractor through the incision and such that a distal end of the first dissecting retractor blade is positioned proximate the intervertebral disc space, and directing, independently of the first dissecting retractor blade, a blade of a second dissecting retractor through the incision and such that a distal end of the second dissecting retractor blade is positioned proximate the intervertebral disc space. During their placement within the patient's body, the first and second dissecting retractor blades are employed in a tissue dissection process. Following the positioning of the distal ends of the first and second dissecting retractor blades proximate the intervertebral disc space, the first and second dissecting refractors are coupled to one another.

Abstract: Methods and instruments are provided to allow access to a surgical site through a small incision while optimizing visualization of the patient anatomy. The instrumentation provide for the retraction of soft tissue, creation of a working envelope below the skin, and access to intervertebral discs and/or the surrounding bony structures for the purpose of performing various operative procedures including discectomy, laminectomy, and other spinal fixations. One set of disclosed instrumentation provides for the targeting of placement and trajectory of spinal fixation devices while reducing the number of instruments necessary needed to pass through the surgical incision. Another instrument disclosed herein allows for the compression of the intervertebral space through a very small incision. The instrument profile is minimized by using the same instrument that is used for tightening of the pedicle screws as one of the active components of the compression instrument.

Abstract: Methods and instruments are provided to allow access to a surgical site through a small incision while optimizing visualization of the patient anatomy. The instrumentation provide for the retraction of soft tissue, creation of a working envelope below the skin, and access to intervertebral discs and/or the surrounding bony structures for the purpose of performing various operative procedures including discectomy, laminectomy, and other spinal fixations. One set of disclosed instrumentation provides for the targeting of placement and trajectory of spinal fixation devices while reducing the number of instruments necessary needed to pass through the surgical incision. Another instrument disclosed herein allows for the compression of the intervertebral space through a very small incision. The instrument profile is minimized by using the same instrument that is used for tightening of the pedicle screws as one of the active components of the compression instrument.

Abstract: Patient-mounted retractors with varying configurations and/or features are provided, along with additional components for use therewith in provided patient-mounted retractor assemblies. Blade type and tube type patient-mounted retractors that may be re-positioned during the course of a procedure are provided in varying configurations and/or geometries suitable for varying procedures and/or patient anatomies. Applications of re-positionable patient-mounted retractor assemblies are particularly suitable for use in minimally invasive procedures, eliminating the need for table-mounted retraction assemblies and/or cannulas that restrict the operating environment.

Abstract: A minimally invasive fixation system and method for providing access to a surgical site. The fixation system may include a holding assembly, the holding assembling preferably including a lateral implant holder which may be attached to a pedicle screw and a sleeve positioned in connection with the lateral implant holder to prevent the lateral implant holder from separating from the pedicle screw. The sleeve may further include a tissue protection portion to keep the tissue out of the surgical site. A holding sleeve may be operably connected to the holding assembly and pedicle screw and may be used to insert the pedicle screw into the body. Multiple constructs may be inserted into the body so that a portion of the holding assembly extends from the body and provides access to and visualization of the surgical site. A rod holder may also be used to insert a rod into the head of the screw. The rod may be held by the rod holder so that the rod may be angulated as the rod is inserted into the screw heads.

Abstract: Packages for the rehydration of implants are described, wherein the package may contain a first chamber containing a rehydration fluid, a second chamber containing an implant, and a barrier configured to be affected without compromising the sterility of the package. The rehydration fluid may engage and rehydrate the implant after the barrier is ruptured. Methods of use are also described.

Abstract: An expandable access device for providing access to a surgical site and incorporating a mobility member. The expandable access device may have an access portion, an expandable portion, a mobility member connecting the access portion and the expandable portion, and a passageway extending therethrough. The mobility member may connect the access portion and the expandable portion so that the access portion may be translated and/or rotated relative to the expandable portion using a surgical or diagnostic instrument/device and/or a finger. The access portion may have a fixed cross-section or may be expandable. Moreover, the expandable portion of the expandable access device may have an unexpanded and expanded position. One or more tools may be inserted through the passageway and may be used to move the expandable portion between the expanded and unexpanded position. The expandable access device may be inserted into the body down towards a surgical site, with the expandable portion in the unexpanded position.