Abstract: Disclosed herein are devices for minimally invasive vertebral augmentation and restoration of spinal lordosis using a steerable cannula assembly. When deployed, the articulating cannula, including an outer cannula and an inner cannula extending into a central lumen of the outer cannula and coupled to each other at their distal ends, can be manipulated to curve/bend the body of the articulating cannula. This manipulation is used to create a void within the interior body and may also be used to control delivery of a treatment element to the interior body.

Abstract: Disclosed herein are devices for minimally invasive vertebral augmentation and restoration of spinal lordosis using a steerable cannula assembly. When deployed, the articulating cannula, including an outer cannula and an inner cannula extending into a central lumen of the outer cannula and coupled to each other at their distal ends, can be manipulated to curve/bend the body of the articulating cannula. This manipulation is used to create a void within the interior body and may also be used to control delivery of a treatment element to the interior body.

Abstract: A vertebral distractor system includes a crossbar and a first distractor arm having a first end portion coupled to the crossbar and a second end portion with a first bore configured to axially receive a first coupling portion of a first pin. A second distractor arm includes a third end portion coupled to the crossbar and a fourth end portion with a second bore configured to receive a second coupling portion of a second pin. A first pin locking mechanism is configured to couple the first coupling portion and the first distractor arm within the first bore such that when the first coupling portion and the first distractor arm are coupled, movement of the first pin outwardly of the first bore is not allowed.

Abstract: A vertebral distractor system includes a crossbar and a first distractor arm having a first end portion coupled to the crossbar and a second end portion with a first bore configured to axially receive a first coupling portion of a first pin. A second distractor arm includes a third end portion coupled to the crossbar and a fourth end portion with a second bore configured to receive a second coupling portion of a second pin. A first pin locking mechanism is configured to couple the first coupling portion and the first distractor arm within the first bore such that when the first coupling portion and the first distractor arm are coupled, movement of the first pin outwardly of the first bore is not allowed.

Abstract: A vertebral distractor system includes a crossbar and a first distractor arm having a first end portion coupled to the crossbar and a second end portion with a first bore configured to axially receive a first coupling portion of a first pin. A second distractor arm includes a third end portion coupled to the crossbar and a fourth end portion with a second bore configured to receive a second coupling portion of a second pin. A first pin locking mechanism is configured to couple the first coupling portion and the first distractor arm within the first bore such that when the first coupling portion and the first distractor arm are coupled, movement of the first pin outwardly of the first bore is not allowed.

Abstract: An occipital clamping hook assembly includes a hook for engaging a first side of an occipital bone and a compressor movable relative to the hook for applying a compressive force to the occipital bone from a second side of the occipital bone. The occipital clamping assembly further includes a rod-receiving portion coupled to the hook for coupling a rod to the occipital bone engaged by the hook.

Abstract: A spinal fixation system comprising at least two bone anchors, a rod connecting the bone anchors and a connecting plate extending from a proximal surface of at least one of the bone anchors. A method of fixing vertebrae relative to each other comprising the steps of: implanting bone anchors in two adjacent vertebrae, each bone anchor having a rod receiving portion; placing a rod in the rod receiving portions, thereby connecting the bone anchors; threadably engaging set screws in the rod receiving portions of at least a portion of the bone anchors, thereby fixing the rod to the bone anchors; mating one end of a connecting plate to a proximal bearing surface of at least a portion of the bone anchors; and engaging a cap with at least a portion of the set screws, thereby fixing the connecting plate to the bone anchors.

Abstract: A spinal fixation system comprising at least two bone anchors, a rod connecting the bone anchors and a connecting plate extending from a proximal surface of at least one of the bone anchors. A method of fixing vertebrae relative to each other comprising the steps of: implanting bone anchors in two adjacent vertebrae, each bone anchor having a rod receiving portion; placing a rod in the rod receiving portions, thereby connecting the bone anchors; threadably engaging set screws in the rod receiving portions of at least a portion of the bone anchors, thereby fixing the rod to the bone anchors; mating one end of a connecting plate to a proximal bearing surface of at least a portion of the bone anchors; and engaging a cap with at least a portion of the set screws, thereby fixing the connecting plate to the bone anchors.

Abstract: A vertebral distractor system includes a crossbar and a first distractor arm having a first end portion coupled to the crossbar and a second end portion with a first bore configured to axially receive a first coupling portion of a first pin. A second distractor arm includes a third end portion coupled to the crossbar and a fourth end portion with a second bore configured to receive a second coupling portion of a second pin. A first pin locking mechanism is configured to couple the first coupling portion and the first distractor arm within the first bore such that when the first coupling portion and the first distractor arm are coupled, movement of the first pin outwardly of the first bore is not allowed.

Abstract: A device and method, which can be used for insertion of surgical implants, are provided in which the device includes a shaft having a proximal end and a distal end, and at least one moveable element. In a particular embodiment, the moveable element is disposed within a conduit defined by the shaft. The moveable element includes a leg extending through the conduit and a foot at an end of the leg proximal to the distal end of the shaft. The element is moveable relative to the shaft between a first position, wherein the foot extends beyond the distal end, and a second position, wherein the foot is substantially adjacent to the distal end. The device can further include a surgical implant that can be removably attached to the distal end.

Abstract: An occipital clamping hook assembly includes a hook for engaging a first side of an occipital bone and a compressor movable relative to the hook for applying a compressive force to the occipital bone from a second side of the occipital bone. The occipital clamping assembly further includes a rod-receiving portion coupled to the hook for coupling a rod to the occipital bone engaged by the hook.

Abstract: The present invention generally provides a polyaxial fixation device having a shank with a spherical head formed on a proximal end thereof, and a receiver member having an axial passage formed therein that is adapted to polyaxially seat the spherical head of the shank. The polyaxial bone screw further includes an engagement member that is adapted to provide sufficient friction between the spherical head and the receiver member to enable the shank to be maintained in a desired angular orientation before locking the spherical head within the receiver member.

Abstract: Bone screws and bone plates are provided that offer the surgeon the ability to either assemble the screws to the plate, or the plate to the screws, depending on the surgeon's preference and the patient's circumstances. The bone screws and bone plates of the present invention include a combination of geometric configurations that allow the screws and plates to fit together from different assembly directions. Additionally, the bone screws and bone plates can include material resilience features to allow expansion/contraction during assembly to allow bi-directional attachment to one another.

Abstract: Various spinal plating systems for use in treating spinal pathologies are provided. In certain exemplary embodiments, the spinal plating systems can be configured to allow a surgeon to select a bone screw construct having a particular range of motion for attaching a spinal plate to bone as needed based on the intended use. In one exemplary embodiment, the spinal plating system includes a first bone screw that is polyaxially movable relative to the spinal plate, and a second bone screw that has a range of motion that is substantially limited to a single plane.

Abstract: Minimally invasive methods and devices are described for providing access to a surgical site proximate the anterior region of a patient's spine. In an exemplary embodiment, the device is a cannula that includes a distal end adapted to mate with the anterior surface of a vertebra. An exemplary method includes positioning the cannula through an incision, placing the distal end of the cannula against the anterior surface of a vertebra, and performing a surgical procedure through the cannula. Instruments or spinal implants may be inserted through the cannula.

Abstract: Minimally invasive methods and devices are described for providing access to a surgical site proximate the anterior region of a patient's spine. In an exemplary embodiment, the device is a cannula that includes a distal end adapted to mate with the anterior surface of a vertebra. An exemplary method includes positioning the cannula through an incision, placing the distal end of the cannula against the anterior surface of a vertebra, and performing a surgical procedure through the cannula. Instruments or spinal implants may be inserted through the cannula.

Abstract: Bone screws and bone plates are provided that offer the surgeon the ability to either assemble the screws to the plate, or the plate to the screws, depending on the surgeon's preference and the patient's circumstances. The bone screws and bone plates of the present invention include a combination of geometric configurations that allow the screws and plates to fit together from different assembly directions. Additionally, the bone screws and bone plates can include material resilience features to allow expansion/contraction during assembly to allow bi-directional attachment to one another.

Abstract: A spinal fixation system comprising at least two bone anchors, a rod connecting the bone anchors and a connecting plate extending from a proximal surface of at least one of the bone anchors. A method of fixing vertebrae relative to each other comprising the steps of: implanting bone anchors in two adjacent vertebrae, each bone anchor having a rod receiving portion; placing a rod in the rod receiving portions, thereby connecting the bone anchors; threadably engaging set screws in the rod receiving portions of at least a portion of the bone anchors, thereby fixing the rod to the bone anchors; mating one end of a connecting plate to a proximal bearing surface of at least a portion of the bone anchors; and engaging a cap with at least a portion of the set screws, thereby fixing the connecting plate to the bone anchors.

Abstract: A device and method, which can be used for insertion of surgical implants, are provided in which the device includes a shaft having a proximal end and a distal end, and at least one moveable element. In a particular embodiment, the moveable element is disposed within a conduit defined by the shaft. The moveable element includes a leg extending through the conduit and a foot at an end of the leg proximal to the distal end of the shaft. The element is moveable relative to the shaft between a first position, wherein the foot extends beyond the distal end, and a second position, wherein the foot is substantially adjacent to the distal end. The device can further include a surgical implant that can be removably attached to the distal end.

Abstract: An implantable infusion pump for infusing medicine into a patient has a reservoir for holding the medicine, an injection port for injecting medicine into the reservoir and a controllable shield for selectively blocking access to the injection port.