Abstract: A spinal fixation system is provided that includes a coupling member and a locking device that is operable to fix an elongate member relative to the coupling member. In one form, locking device includes opposing lock arms operable to retain the locking device relative to the coupling member in an initial position prior to the locking device fixing the elongate member relative to the coupling member. In another form, the coupling member and locking device include cooperating structure therebetween in the form of a protrusion and a guide track, the cooperating structure arranged and configured to retain the locking device within an internal space of the coupling member. There is also provided a retainer operable to minimize pivoting of the coupling member relative to an anchor member and to substantially retain an anchor member depressed within an internal space of the coupling member to minimize play therebetween.

Abstract: A spinal fixation system is provided that, in one form, includes a coupling member having a cam lock member that is fixed against translation therealong as it is turned with turning of the cam lock member causing an elongate member such as a spinal rod to be pushed downward in the coupling member for fixing the rod therein. In another aspect, the rod is fixed against a low profile insert that seats in a recess formed in the head of an anchor member projecting from the coupling member. The insert has an upper surface against which the rod is fixed and that in one form is flat to provide for line contact against the rod so as to minimize damage thereto. In another form, the cam lock member cams against a clamping member driving it downward in the coupling member for fixing the rod therein.

Abstract: A spinal fixation system is provided that includes a coupling member and a locking device that is operable to fix an elongate member in the coupling member. There is also provided insertion instruments configured to install and remove various components of the spinal fixation system. In one form, the coupling member includes opposing side wall portions having a resilient portion on at least one of the side wall portions that cooperates with the locking device for being inserted into the coupling member via resilient flexing of the resilient portion. The coupling member and locking device also preferably include cooperating structure therebetween to define a plurality of distinct positions of the locking device in the coupling member.

Abstract: A crosslink member for securing spinal rods is disclosed having connector ends that include a brace and a locking member, each having an arcuate face resting on and securing a spinal rod. The locking member is secured by a cam member that rotates relative to the locking member and that cams against the connector to displace the cam member. The crosslink includes a male connector with a cylindrical cross rod received by a cavity in a female connector. The cross rod is secured by a pivotable clamp device in the female connector, and the cross rod connector and female connector may pivot, rotate, and telescope relative to each other. To reduce size without sacrificing pivot sweep, the cross rod has beveled edges, and the cavity of the female connector has windows to provide pivot clearance.

Abstract: A crosslink member for securing spinal rods is disclosed having connector ends that include a brace and a locking member, each having an arcuate face resting on and securing a spinal rod. The locking member is secured by a cam member that rotates relative to the locking member and that cams against the connector to displace the cam member. The crosslink includes a male connector with a cylindrical cross rod received by a cavity in a female connector. The cross rod is secured by a pivotable clamp device in the female connector, and the cross rod connector and female connector may pivot, rotate, and telescope relative to each other. To reduce size without sacrificing pivot sweep, the cross rod has beveled edges, and the cavity of the female connector has windows to provide pivot clearance.

Abstract: A medical instrument apparatus and method is provided to insert and release medical implants. This invention pertains generally to medical instruments and more specifically to spinal implant insertion instruments for spinal fixation systems. The insertion instrument may provide a positive locking and unlocking actuator, preferably in the form of a lever, which ensures that the pedicle screw and yoke assembly is either mechanically locked to the insertion instrument or unlocked to the insertion instrument. The positive locking and unlocking actuator of the insertion instrument eliminates guesswork for the surgeon because the surgeon can readily know if the pedicle screw and yoke assembly is attached to the insertion instrument or not. Superelastic components may also be included to shift components in a first direction and pull components under superelastic tension in a second direction for increased holding force.

Abstract: Instruments and methods are provided for securing a spinal rod in one or more coupling devices secured to the spine by one or more anchor members. The instruments include members for grasping the coupling device and members for shifting one or more elements along a linear path to fix the position of an anchor member and/or fix the position of the rod with respect to the vertebra.

Abstract: A driver apparatus for implanting spinal rod fixation devices including an anchor member and a coupling member pivotable relative to the anchor member is disclosed. The driver apparatus generally immobilizes the anchor member and coupling member relative to each other and to the driver apparatus during insertion to minimize interference between the coupling member and tissues surrounding the implantation site, as well as to minimize the clearance required for implantation. The driver apparatus includes a driver portion engageable with the anchor member for effecting seating of the anchor member, such as by threadably driving the anchor member in the bone. The driver portion is closely fit between portions such as upstanding walls of the coupling member to prevent relative rotation therebetween.

Abstract: A coupling device for securing an elongate member to the spine is provided. The coupling device comprises a compressible inner member that secures an anchor member therein when the inner member is axially shifted within an outer member. Structures are provided to prevent disassembly of the anchor and coupling device prior to locking of the elongate member.

Abstract: A spinal fixation system is provided that includes a coupling member and a locking device that is operable to fix an elongate member relative to the coupling member. In one form, locking device includes opposing lock arms operable to retain the locking device relative to the coupling member in an initial position prior to the locking device fixing the elongate member relative to the coupling member. In another form, the coupling member and locking device include cooperating structure therebetween in the form of a protrusion and a guide track, the cooperating structure arranged and configured to retain the locking device within an internal space of the coupling member. There is also provided a retainer operable to minimize pivoting of the coupling member relative to an anchor member and to substantially retain an anchor member depressed within an internal space of the coupling member to minimize play therebetween.

Abstract: Instruments are provided herein for reducing the lateral distance between a spinal rod anchored to a spine and a coupling device. The instruments permit a rod to be shifted into a coupling device that is not in alignment with other coupling devices secured to the rod because of rotational deformities causing one or more vertebrae to be shifted with respect to at least one other vertebra.

Abstract: Instruments are provided for linearly inserting a locking member into a coupling member that secures a rod to a bone or portion of a bone. A moveable drive member of the instrument drives the locking member into engagement with the coupling member, securing the rod therebetween.

Abstract: A vertebral cleat and a vertebral support system employing the vertebral cleat is provided. Preferably, the vertebral cleat includes a base member having a superior and an inferior surface; an elongate keel portion having a cutting edge thereon depending from the inferior surface of the base member; and a spike portion depending from the inferior surface of the base member, the spike portion having a height that is greater than a height of the elongate keel portion. There is also provided a tool for grasping and implanting the vertebral cleat in a plurality of insertion configurations.

Abstract: A spinal fixation system is provided that includes a coupling member and a locking device that is operable to fix an elongate member in the coupling member. There is also provided insertion instruments configured to install and remove various components of the spinal fixation system. In one form, the coupling member includes opposing side wall portions having a resilient portion on at least one of the side wall portions that cooperates with the locking device for being inserted into the coupling member via resilient flexing of the resilient portion. The coupling member and locking device also preferably include cooperating structure therebetween to define a plurality of distinct positions of the locking device in the coupling member.

Abstract: Bone plate and bone screw lock systems are provided for use in surgical implants. In a preferred form, the bone plate or other implantable member defines a bore for receiving a bone screw and a recess in communication with the bore. A screw lock operates in the bore at the recess to engage and lock the bone screw against unintentional movement The preferred screw lock is shifted about the screw between an unlocked position to allow manipulation of the screw and a locked position in which the screw lock grips the head of the screw to prevent movement of the screw. The screw lock preferably has a c-shaped collar configuration with opposing ends and a camming engagement with the plate or other member in the recess. Upon rotation of the screw lock, the camming engagement causes the ends of the collar to either shift toward one another in which the collar compresses about the screw to lock the screw or away from another to unlock the screw head.

Abstract: A spinal fixation system is provided that, in one form, includes a coupling member having a cam lock member that is fixed against translation therealong as it is turned with turning of the cam lock member causing an elongate member such as a spinal rod to be pushed downward in the coupling member for fixing the rod therein. In another aspect, the rod is fixed against a low profile insert that seats in a recess formed in the head of an anchor member projecting from the coupling member. The insert has an upper surface against which the rod is fixed and that in one form is flat to provide for line contact against the rod so as to minimize damage thereto. In another form, the cam lock member cams against a clamping member driving it downward in the coupling member for fixing the rod therein.

Abstract: A crosslink member for securing spinal rods is disclosed having connector ends that include a brace and a locking member, each having an arcuate face resting on and securing a spinal rod. The locking member is secured by a cam member that rotates relative to the locking member and that cams against the connector to displace the cam member. The crosslink includes a male connector with a cylindrical cross rod received by a cavity in a female connector. The cross rod is secured by a pivotable clamp device in the female connector, and the cross rod connector and female connector may pivot, rotate, and telescope relative to each other. To reduce size without sacrificing pivot sweep, the cross rod has beveled edges, and the cavity of the female connector has windows to provide pivot clearance.

Abstract: Artificial disc devices are disclosed that restore correct anatomical intervertebral spacing for damaged discs while maintaining a substantially normal range of biomechanical movement for the vertebrae between which they are implanted. The disc devices include center bearing and outer or annular bearing portions with the center bearing portion including generally axially extending locating surfaces which cooperate with the facing vertebral surfaces to resist migration. The outer bearing portion is for load bearing or load sharing with the center bearing portion and includes surfaces that extend radially toward the periphery of the vertebrae so that subsidence about the center bearing portion is minimized. Alternate forms of the disc devices include one with an axially enlarged center ball bearing having an annular ring bearing extending thereabout and another having upper and lower plate members with a central bumper member and a surrounding resilient annular member therebetween.

Abstract: Artificial disc devices are disclosed that restore correct anatomical intervertebral spacing for damaged discs while maintaining a substantially normal range of biomechanical movement for the vertebrae between which they are implanted. The disc devices include center bearing and outer or annular bearing portions with the center bearing portion including generally axially extending locating surfaces which cooperate with the facing vertebral surfaces to resist migration. The outer bearing portion is for load bearing or load sharing with the center bearing portion and includes surfaces that extend radially toward the periphery of the vertebrae so that subsidence about the center bearing portion is minimized. Alternate forms of the disc devices include one with an axially enlarged center ball bearing having an annular ring bearing extending thereabout and another having upper and lower plate members with a central bumper member and a surrounding resilient annular member therebetween.

Abstract: An artificial disc device for replacing a damaged nucleus is disclosed. In one form, the device may be inserted in components such that the device may be assembled within and retained by the natural annulus therein. In another form, the device may be inserted into the natural annulus in a collapsed or compressed state or arrangement and then be expanded within and retained by the annulus therein. In a further form, the device may be provided with a releasable connection so that the device may be connected in an insertion configuration and may be released in an operable configuration. Insertion tools and methods are also disclosed.