Abstract: A securement device holds a medical article having flexible portions in position upon the body of a patient and inhibits movement of the medical article. The medical article may be insertable into the securement device from above from below or along a longitudinal axis of the device. The securement device may have abutment surfaces which interact with the flexible portions of the medical article to further inhibit rotation of the device. A securement kit can include a securement device and a catheter.

Abstract: An implant assembly may include a screw with a head having a head feature and an implant. The implant may be securable to a bone of a patient with the screw. The implant may include a bone plate, a rotatable structure having a top surface and a bottom surface. The bottom surface may include a lock feature. The lock feature may engage the head feature when the rotatable structure is in a locked orientation and disengage the head feature when the rotatable structure is in an unlocked orientation. The rotatable structure may couple to the bone plate such that the rotatable structure is rotatable between the locked orientation and the unlocked orientation. The head feature may be one of a ridge and a radial groove and the lock feature may be the other one of the ridge and the radial groove.

Abstract: A securement device holds a medical article having flexible portions in position upon the body of a patient and inhibits movement of the medical article. The medical article may be insertable into the securement device from above from below or along a longitudinal axis of the device. The securement device may have abutment surfaces which interact with the flexible portions of the medical article to further inhibit rotation of the device. A securement kit can include a securement device and a catheter.

Abstract: A securement device holds a medical article having flexible portions in position upon the body of a patient and inhibits movement of the medical article. The medical article may be insertable into the securement device from above, from below, or along a longitudinal axis of the device. The securement device may have abutment surfaces which interact with the flexible portions of the medical article to further inhibit rotation of the device.

Abstract: In embodiments of the invention, there is provided an external fixation system comprising a first plate and a second plate and connectors therebetween. Some or all of the connectors may be adjustable in length or angular position or both. Angular adjustment may comprise a fixed amount of friction and an adjustable amount of friction, and the permitted angular deflection can vary around the perimeter of the angular joint. An adjustable-length connector may comprise a tiltable nut that can either engage or not engage a threaded rod to provide both coarse adjustment and fine adjustment. Tactile or audible feedback may be provided. Other accessories may include: provisional alignment clamps to position parts of the patient's body; a K-wire alignment guide; a K-wire support post; a universal fixation bolt; a plurality of half-pins that can be used with a common support post or block; and a resilient retention device.

Abstract: In embodiments of the invention, there is provided an external fixation system comprising a first plate and a second plate and connectors therebetween. Some or all of the connectors may be adjustable in length or angular position or both. Angular adjustment may comprise a fixed amount of friction and an adjustable amount of friction, and the permitted angular deflection can vary around the perimeter of the angular joint. An adjustable-length connector may comprise a tiltable nut that can either engage or not engage a threaded rod to provide both coarse adjustment and fine adjustment. Tactile or audible feedback may be provided. Other accessories may include: provisional alignment clamps to position parts of the patient's body; a K-wire alignment guide; a K-wire support post; a universal fixation bolt; a plurality of half-pins that can be used with a common support post or block; and a resilient retention device.

Abstract: In embodiments of the invention, there is provided an external fixation system comprising a first plate and a second plate and connectors therebetween. Some or all of the connectors may be adjustable in length or angular position or both. Angular adjustment may comprise a fixed amount of friction and an adjustable amount of friction, and the permitted angular deflection can vary around the perimeter of the angular joint. An adjustable-length connector may comprise a tiltable nut that can either engage or not engage a threaded rod to provide both coarse adjustment and fine adjustment. Tactile or audible feedback may be provided. Other accessories may include: provisional alignment clamps to position parts of the patient's body; a K-wire alignment guide; a K-wire support post; a universal fixation bolt; a plurality of half-pins that can be used with a common support post or block; and a resilient retention device.

Abstract: A three column spinal fixation implant, including: an anterior cage configured to be disposed in an intervertebral space between adjacent vertebral bodies in a spine of a patient; an anterior plate coupled to the anterior cage; a pair of anterior screws coupled to the anterior cage and the anterior plate and extending posteriorly from the anterior cage and the anterior plate through a portion of one or more of the adjacent vertebral bodies and into or through posterior bony structures of the spine of the patient; a pair of anterior screws coupled to the anterior plate and extending posteriorly from the anterior plate through a portion of one or more of the adjacent vertebral bodies and into or through posterior bony structures of the spine of the patient; a plurality of posterior headbodies coupled to the anterior screws opposite the anterior cage and the anterior plate; and one or more connecting structures coupled to the plurality of posterior headbodies; wherein the three column spinal fixation implant pro

Abstract: The present invention addresses rod rotation and slippage inside the tulip rod channel(s), as well as forcible rod bending as the spine and musculature bias towards a deformity, for example. The present invention provides a stabilization rod that, fundamentally, includes at least one flat surface on at least one side of the construct, this flat surface engaging a corresponding flat surface associated with the head body, set screw, or locking cap. Multiple flat surfaces may, of course, be used. The stabilization rod may also include one or more ridges and/or one or more keyed channels that is/are engaged by the head body, set screw, or locking cap.

Abstract: An interspinous fusion device for holding adjacent spinous processes of a spine of a patient in a fixed configuration, including: a first plate configured to engage one side of the adjacent spinous processes; a second plate configured to engage another side of the adjacent spinous processes opposite the one side of the adjacent spinous processes; and a spacer disposed between and coupling the first plate to the second plate, wherein the spacer allows one or more of the first plate and the second plate to pivot relative to the other plate in a first unlocked configuration and prevents one or more of the first plate and the second plate from pivoting relative to the other plate in a second locked configuration. Each of the first plate and the second plate includes a pair of opposed wing members protruding from a central bore.

Abstract: A three column spinal fixation implant, including: an anterior cage configured to be disposed in an intervertebral space between adjacent vertebral bodies in a spine of a patient; an anterior plate coupled to the anterior cage; a pair of anterior screws coupled to the anterior cage and the anterior plate and extending posteriorly from the anterior cage and the anterior plate through a portion of one or more of the adjacent vertebral bodies and into or through posterior bony structures of the spine of the patient; a pair of anterior screws coupled to the anterior plate and extending posteriorly from the anterior plate through a portion of one or more of the adjacent vertebral bodies and into or through posterior bony structures of the spine of the patient; a plurality of posterior headbodies coupled to the anterior screws opposite the anterior cage and the anterior plate; and one or more connecting structures coupled to the plurality of posterior headbodies; wherein the three column spinal fixation implant pro

Abstract: In embodiments of the invention, there is provided an external fixation system comprising a first plate and a second plate and connectors therebetween. Some or all of the connectors may be adjustable in length or angular position or both. Angular adjustment may comprise a fixed amount of friction and an adjustable amount of friction, and the permitted angular deflection can vary around the perimeter of the angular joint. An adjustable-length connector may comprise a tiltable nut that can either engage or not engage a threaded rod to provide both coarse adjustment and fine adjustment. Tactile or audible feedback may be provided. Other accessories may include: provisional alignment clamps to position parts of the patient's body; a K-wire alignment guide; a K-wire support post; a universal fixation bolt; a plurality of half-pins that can be used with a common support post or block; and a resilient retention device.

Abstract: An interspinous fusion device for holding adjacent spinous processes of a spine of a patient in a fixed configuration, including: a first plate configured to engage one side of the adjacent spinous processes; a second plate configured to engage another side of the adjacent spinous processes opposite the one side of the adjacent spinous processes; and a spacer disposed between and coupling the first plate to the second plate, wherein the spacer allows one or more of the first plate and the second plate to pivot relative to the other plate in a first unlocked configuration and prevents one or more of the first plate and the second plate from pivoting relative to the other plate in a second locked configuration. Each of the first plate and the second plate includes a pair of opposed wing members protruding from a central bore.

Abstract: Disclosed herein are various embodiments that related to a surgical retractor. In certain embodiments, the retractor may include a blade holder with a single blade tilting mechanism capable of adjusting the angle of a plurality of pivoting blades relative to the blade holder. In certain embodiments, the adjustment occurs from the proximal face or top of the retractor. In other embodiments, blade supports are used to couple the blade holder to a variety of removable blades of different lengths. In certain embodiments, the blades may be a translucent material capable of transmitting light from a proximal portion of the blade to a distal portion. In some embodiments, the distance between the blade holder and the removable blades may be adjusted.

Abstract: A method and system are described for immobilizing three or more vertebrae. The system includes a first bone anchor assembly, a second bone anchor assembly including a connector having a predefined arc, and at least a third bone anchor assembly. The first and second bone anchor assemblies are inserted into the pedicles of vertebrae spanning at least a third vertebra. The third bone anchor assembly is positioned into the third vertebra between the first and second bone anchor assemblies using an arc defining instrument which is used to locate the proper position for the third bone anchor assembly based on the predefined arc of the connector. Once the third bone anchor assembly is in place the connector is rotated into position and captured by the first and third bone anchor assemblies.

Abstract: A tool is described for use in a stabilization system for bony structures such as vertebrae, where the system involves connected a connector from one bone anchor in a vertebra to a second bone anchor in another vertebra. The tool includes a handle attached to an arm. The arm is connected by a pivot to a connector engagement mechanism, the pivot allowing the connector engagement mechanism to move from an orientation inline with the arm to an orientation at an angle relative to the arm by rotating at the pivot. The connector engagement mechanism is engaged to an end of the connector when the tool is in its inline orientation and by causing the movement, which can be by the movement of a lever on the handle, of the connector engagement mechanism to the angled orientation, the end of the connector is moved into a position for engagement with the second bone anchor.

Abstract: A method and system are described for immobilizing three or more vertebrae. The system includes a first bone anchor assembly, a second bone anchor assembly including a connector having a predefined arc, and at least a third bone anchor assembly. The first and second bone anchor assembly are inserted into the pedicles of vertebrae spanning at least a third vertebra. The third bone anchor assembly is positioned into the third vertebra between the first and second bone anchor assemblies using an arc defining instrument which is used to locate the proper position for the third bone anchor assembly based on the predefined arc of the connector. Once the third bone anchor assembly is in place the connector is rotated into position and captured by the first and third bone anchor assemblies.

Abstract: An assembly for use in spinal stabilization procedures having first and second bone anchor assemblies. Embodiments of the first bone anchor assembly may include an anchor, a poly-axial head, including a cavity, mated with the anchor such that the anchor is movable relative to the poly-axial head. Embodiments of the second bone anchor assembly may include an anchor, a poly-axial head mated with the second anchor such that the anchor is movable relative to the poly-axial head, a slide ring rotatably mated in the second poly-axial head, and a connector slideably mated in the slide ring along a distal end, and having a proximal end having an enlarged portion. The connector may be movable from a first position axially inline with the second bone anchor to a second position wherein the enlarged portion of the connector rests in the cavity of the first poly-axial head.

Abstract: An extension for use in a procedure to implant a stabilization system for bony structures such as vertebrae is described. The extension is formed by a tubular body with an engagement mechanism at one end to removably engage with a poly-axial head of a bone anchor assembly. A locking ring working with a slide are used to temporarily lock the poly-axial head and extension in the desired relationship for performing the procedure. The locking ring includes a slot in which resides a pin on the slider. Twisting the locking ring causes the pin to move in the slot and thereby move the slider either up or down. In one position a locking body on the slider engages with the poly-axial assembly locking the extension in place. In the other position, the locking body is disengaged from the poly-axial head allowing the extension to be decoupled from the bone anchor assembly.

Abstract: There is shown a system and method for reducing the difficulty in percutaneous placement of a spine stabilization brace. A medical implant system has a first bone anchor having a longitudinal axis, a second bone anchor and a brace. The brace couples the first bone anchor to the second bone anchor. A the distal end of the brace may be pivotally coupled to the first bone anchor and also adapted to slide in a generally transverse direction in relation to the longitudinal axis of the first bone anchor.