Abstract: Methods and devices are provided for the explantation of spinal implants. A cutting tool may be extended into the spinal implant. The spinal implant may be disintegrated into pieces and the pieces removed.

Abstract: A transformable implantable device is disclosed comprising primary and secondary phases or materials. The secondary phase or material is relatively rigid compared to the primary phase or material and also renders the transformable implantable device relatively rigid compared to the primary phase or material. The secondary phase or material, upon implantation, becomes more flexible, thereby rendering the transformable implantable device more flexible also.

Abstract: Methods and devices are provided for the explantation of spinal implants. A cutting tool may be extended into the spinal implant. The spinal implant may be cut into pieces and the pieces removed.

Abstract: Nucleus pulposus implants that are resistant to migration in and/or expulsion from an intervertebral disc space are provided. In one form of the invention, an implant includes a load bearing elastic body surrounded in the disc space by an anchoring, preferably resorbable, biocompatible material which may be in the form of an outer shell. In certain forms of the invention, the elastic body is surrounded by a supporting member, such as a band or jacket, and the supporting member is surrounded by the outer shell. Kits for forming such implants are also provided. In another form of the invention, an implant is provided that has locking features and optional shape memory characteristics. In yet another aspect of the invention, nucleus pulposus implants are provided that have shape memory characteristics and are configured to allow short-term manual, or other deformation without permanent deformation, cracks, tears, breakage or other damage.

Abstract: An augmentation instrument for attaching a retaining device to a vertebral endplate comprises a drive housing having a distal end portion, a drive mechanism extending through the drive housing and including a flexible shaft portion, and an attachment mechanism at the distal end portion of the drive housing. The attachment mechanism is adapted for coupling to the retaining device.

Abstract: Nucleus pulposus implants that are resistant to migration in and/or expulsion from an intervertebral disc space are provided. In one form of the invention, an implant includes a load bearing elastic body surrounded in the disc space by an anchoring, preferably resorbable, outer shell. In certain forms of the invention, the elastic body is surrounded by a supporting member, such as a band or jacket, and the supporting member is surrounded by the outer shell. Kits for forming such implants are also provided. In another form of the invention, an implant is provided that has locking features and optional shape memory characteristics. In yet another aspect of the invention, nucleus pulposus implants are provided that have shape memory characteristics and are configured to allow short-term manual, or other deformation without permanent deformation, cracks, tears, breakage or other damage. Methods of forming and implanting the implants are also described.

Abstract: Nucleus pulposus implants that are resistant to migration in and/or expulsion from an intervertebral disc space are provided. In one form of the invention, an implant includes a load bearing elastic body surrounded in the disc space by an anchoring, preferably resorbable, outer shell. In certain forms of the invention, the elastic body is surrounded by a supporting member, such as a band or jacket, and the supporting member is surrounded by the outer shell. Kits for forming such implants are also provided.

Abstract: Devices for anchoring spinal implants in an intervertebral disc space are provided. Spinal implants are also provided that are resistant to lateral deformation. The implants may include a flexible peripheral supporting band disposed circumferentially about an elastic body. Methods for anchoring spinal implants and methods for reducing deformation of spinal implants are also provided.

Abstract: Nucleus pulposus implants that contain reservoirs for receiving, holding, and releasing therapeutic agents are provided. In one form of the invention, a spinal implant is provided with reservoirs positioned at least partially beneath the external surface of the implant. The reservoirs are provided to receive, hold, and release therapeutic and/or pharmaceutical agents into the surrounding tissues.

Abstract: A force diffusion hook includes a hook element and a connecting member receiving portion for receiving a connecting member to stabilize a spinal column segment. The hook element defines a receptacle for receiving a bony portion. A force diffusion member extends along the receptacle between the hook element and the bony portion. The force diffusion member is deformable to distribute load between the bony portion and the hook element.

Abstract: Systems for spinal stabilization and fixation replace, reconstruct or augment the spinal ligamentous and/or bony tissues resected during surgical procedures. The spinal stabilization system includes at least an implant configured to span the intervertebral disc space with at least one of its ends attached to a respective vertebral body by at least one anchor. The system has a low profile conformable to the spinal anatomy.

Abstract: Devices, methods and systems for stabilizing at least a portion of the spinal column are provided. Anchors are engageable to vertebra and a stabilization member is engageable between the anchors. The stabilization member includes an elongate tension member and a compression member in a passage of the tension member.

Abstract: Nucleus pulposus implants that are resistant to migration in and/or expulsion from an intervertebral disc space are provided. In one form of the invention, an implant includes a load bearing elastic body surrounded in the disc space by an anchoring, preferably resorbable, outer shell. In certain forms of the invention, the elastic body is surrounded by a supporting member, such as a band or jacket, and the supporting member is surrounded by the outer shell. Kits for forming such implants are also provided. In another form of the invention, an implant is provided that has locking features and optional shape memory characteristics. In yet another aspect of the invention, nucleus pulposus implants are provided that have shape memory characteristics and are configured to allow short-term manual, or other deformation without permanent deformation, cracks, tears, breakage or other damage.

Abstract: Described are methods for therapeutically treating the spine that involve the implantation of a medical device, such as a fusion cage, disc nucleus implant, or artificial disc, that transmits loads to a volume of bone tissue of the spine, and the reinforcement of that volume of bone tissue to decrease the risk of fracture or other injury resultant of the transmitted loads.

Abstract: A method of providing an interspinous spacer between adjacent spinous processes includes: (a) providing a spacer that is configurable to a collapsed configuration and to an expanded configuration, where the collapsed configuration presents an implantation profile that is at least 10% smaller than the corresponding profile when the spacer is in its expanded configuration; (b) causing the spacer to assume its collapsed configuration; (c) introducing the spacer into a medical patient while the spacer is in its collapsed configuration; and (d) allowing the spacer to assume its expanded configuration while positioned between adjacent spinous processes in a medical patient.

Abstract: Devices for anchoring and/or blocking spinal implants in an intervertebral disc space are disclosed. In one aspect of the invention the device includes a rigid blocking member having one end unconnected and free to block a spinal implant, and another end attached to a securing member to secure the blocking member to the spine. Methods for using the inventive anchoring/blocking implants are also provided.

Abstract: A motion-preserving implant device for insertion between two bones is disclosed. The motion-preserving implant includes a first plate for engaging with a first bone and a second plate for engaging with a second bone. An articulation member is positioned between the two plates and a motion-controlling member attached to one or both of the plates. In some embodiments, the motion-controlling member is configured to constrain, dampen, and/or bumper the relative motion between the two plates.

Abstract: Embodiments of the invention relate to a curable nucleus pulposus implant having water absorption and swelling capabilities, compositions for producing the curable nucleus pulposus implants, and methods of using the curable nucleus pulposus implants. The curable nucleus pulposus implant can be created from a polymer blend composition comprising a ratio of a curable material and at least one hydrophilic polymer. The resulting polymer blend composition may be used to generate curable nucleus pulposus implants to treat a number of disease and/or disorders, such as herniated discs. The curable nucleus pulposus implants may further contain polyelectrolytes and elastomer compounds, as well as pharmacological and biological agents.

Abstract: A method of augmenting an intervertebral disc by injecting particles of collagen-based material into the disc. The particles may be dehydrated before implantation, and rehydrated after implantation, or they may be implanted in a “wet” state—such as a slurry or gel. Radiocontrast materials may be included to enhance imaging of the injected material. Other additives may include analgesics, antibiotics, proteoglycans, growth factors, and/or other cells effective to promote healing and/or proper disc function.

Abstract: A prosthetic device according to which a time-dependent degree of resistance is provided to at least one predetermined type of relative directional motion between first and second components of the device.