Abstract: Spinal stabilization implant assemblies, as well as systems, instruments and methods are provided for implanting and stabilizing adjacent vertebra in connection with a surgical procedure, particularly a spinal surgery. The implant assemblies and instruments enable controlled spinal rod insertion and reduction, and controlled rotation or de-rotation of adjacent spinal bones for optimized compression to achieve enhanced sagittal balance in a treated spine.

Abstract: A retractor extension clip deployment system for use with a surgical retractor includes at least an extension clip adapted for engagement with the surgical retractor, the extension clip having proximal and distal ends, a deployment instrument, and a fluid transport assembly adapted to be affixed to the surgical retractor and comprising one or more tubes for transporting fluid including smoke removal.

Abstract: An apparatus for positioning a patient during surgery includes a surgical table frame having a longitudinal dimension and a centerline, and at least one laterally movable support mounted thereon that includes longitudinal rails and transverse rails, and one or more modular body supports mounted on the surgical table frame. The laterally movable support includes a pair of platforms where one platform is laterally translatable relative to the other platform on a plurality of tracks between the platforms, the lateral translation being to one or both of the left and the right of the centerline.

Abstract: A bipolar dissector includes a handle actuatable by squeezing, a housing extending from and coupled to a distal end of the handle, and a shaft coupled to a proximal end of the handle and extending past the distal end of the handle and through the housing to a distal end of the housing. The shaft includes first and second electrical lines extending from a proximal end to a distal end of the shaft and an insulating material electrically insulating the electrical lines from each other and from the handle and the housing. The bipolar dissector also includes a pair of forceps including a first tine and a second tine. The tines extend from the electrical lines at the distal end of the shaft at the distal end of the housing. Squeezing the handle actuates the forceps in the same direction as the squeezing.

Abstract: An apparatus for positioning a patient during surgery includes a surgical table frame having a longitudinal dimension and a centerline, and at least one laterally movable support mounted thereon that includes longitudinal rails and transverse rails, and one or more modular body supports mounted on the surgical table frame. The laterally movable support includes a pair of platforms where one platform is laterally translatable relative to the other platform on a plurality of tracks between the platforms, the lateral translation being to one or both of the left and the right of the centerline.

Abstract: A bipolar dissector includes a handle actuatable by squeezing, a housing extending from and coupled to a distal end of the handle, and a shaft coupled to a proximal end of the handle and extending past the distal end of the handle and through the housing to a distal end of the housing. The shaft includes first and second electrical lines extending from a proximal end to a distal end of the shaft and an insulating material electrically insulating the electrical lines from each other and from the handle and the housing. The bipolar dissector also includes a pair of forceps including a first tine and a second tine. The tines extend from the electrical lines at the distal end of the shaft at the distal end of the housing. Squeezing the handle actuates the forceps in the same direction as the squeezing.

Abstract: A surgical instrument assembly includes a support frame system, and a surgical tool engageable with the support frame system. The support frame system is adapted for providing a surgical tool attachment and articulation locus that is maintained during the course of a surgical procedure to direct a fixed and repeatable delivery path for introduction and manipulation of one or more surgical instruments and implants at a surgical site in or on the patient's anatomy. The delivery path can be substantially curvilinear along an arc that is defined by a radius of curvature and length defined by the surgical tool, and a predetermined range of articulation of the tool at the articulation locus.

Abstract: A tubular retractor securement frame is disclosed including a mounting bracket, two flexor arms, and a device emplacement oriented to receive and hold in-place a surgical tool. The mounting bracket includes an elastically deformable plate, rails extending about orthogonal from the elastically deformable plate and about parallel to one another, and receptacles facing one another in the rails which are arranged to receive a retractor arm extending from a tubular retractor at a fixed angle. The flexor arms extend from the mounting bracket adjacent to the rails. The flexor arms are positioned so as not to occlude visualization through the tubular retractor and such that applying pressure to flex the flexor arms toward one another shifts the rails to accept or remove the retractor arm into or from the receptacles, and releasing the pressure reverts the rails so as to inhibit the retractor arm from being inserted or removed.

Abstract: A tubular retractor securement frame is disclosed including a mounting bracket, two flexor arms, and a device emplacement oriented to receive and hold in-place a surgical tool. The mounting bracket includes an elastically deformable plate, rails extending about orthogonal from the elastically deformable plate and about parallel to one another, and receptacles facing one another in the rails which are arranged to receive a retractor arm extending from a tubular retractor at a fixed angle. The flexor arms extend from the mounting bracket adjacent to the rails. The flexor arms are positioned so as not to occlude visualization through the tubular retractor and such that applying pressure to flex the flexor arms toward one another shifts the rails to accept or remove the retractor arm into or from the receptacles, and releasing the pressure reverts the rails so as to inhibit the retractor arm from being inserted or removed.

Abstract: A tubular retractor securement frame is disclosed including a mounting bracket, two flexor arms, and a device emplacement oriented to receive and hold in-place a surgical tool. The mounting bracket includes an elastically deformable plate, rails extending about orthogonal from the elastically deformable plate and about parallel to one another, and receptacles facing one another in the rails which are arranged to receive a retractor arm extending from a tubular retractor at a fixed angle. The flexor arms extend from the mounting bracket adjacent to the rails. The flexor arms are positioned so as not to occlude visualization through the tubular retractor and such that applying pressure to flex the flexor arms toward one another shifts the rails to accept or remove the retractor arm into or from the receptacles, and releasing the pressure reverts the rails so as to inhibit the retractor arm from being inserted or removed.

Abstract: An adapter for an electrosurgical instrument includes a socket and a stabilizer extending from the socket. The socket includes a mounting surface having a geometry arranged and disposed to accept a distal end of the electrosurgical instrument, and at least one retaining surface, which arranged and disposed to interact with a conformation of the electrosurgical instrument when the socket is mounted onto the electrosurgical instrument such that the socket mounts non-rotatably.

Abstract: An adapter for an electrosurgical instrument includes a socket and a stabilizer extending from the socket. The socket includes a mounting surface having a geometry arranged and disposed to accept a distal end of the electrosurgical instrument, and at least one retaining surface, which arranged and disposed to interact with a conformation of the electrosurgical instrument when the socket is mounted onto the electrosurgical instrument such that the socket mounts non-rotatably.

Abstract: Spinal stabilization implant assemblies, as well as systems, instruments and methods are provided for implanting and stabilizing adjacent vertebra in connection with a surgical procedure, particularly a spinal surgery. The implant assemblies and instruments enable controlled spinal rod insertion and reduction, and controlled rotation or de-rotation of adjacent spinal bones for optimized compression to achieve enhanced sagittal balance in a treated spine.

Abstract: A retractor extension clip deployment system for use with a surgical retractor includes at least an extension clip adapted for engagement with the surgical retractor, the extension clip having proximal and distal ends, a deployment instrument, and a fluid transport assembly adapted to be affixed to the surgical retractor and comprising one or more tubes for transporting fluid including smoke removal.

Abstract: A method for monitoring nerve tissue status during a surgical procedure using a monitoring system that includes a stimulating electrode and a sensing electrode each positioned in proximity to a nerve of a patient. Each electrode may be mono- or bi-polar. A first electrical stimulus is applied by the stimulating electrode and received by the sensing electrode. A monitoring unit determines a first transit time for the first stimulus. A second electrical stimulus is applied by the stimulating electrode and received by the sensing electrode. The monitoring unit determines a second transit time for the second stimulus. The monitoring unit then notifies a user if the second transit time is greater than the first transit time by a predetermined threshold, which may indicate degradation in nerve performance.

Abstract: Spinal stabilization implant assemblies, as well as systems, instruments and methods are provided for implanting and stabilizing adjacent vertebra in connection with a surgical procedure, particularly a spinal surgery. The implant assemblies and instruments enable controlled spinal rod insertion and reduction, and controlled rotation or de-rotation of adjacent spinal bones for optimized compression to achieve enhanced sagittal balance in a treated spine.

Abstract: A surgical retractor system including a retractor tube, one or more modular independent retractor extension clips removably engageable with the retractor tube to deflect and minimize tissue creep, and a deployment instrument for deploying and recovering retractor extension clips.

Abstract: A surgical instrument assembly includes a support frame system, and a surgical tool engageable with the support frame system. The support frame system is adapted for providing a surgical tool attachment and articulation locus that is maintained during the course of a surgical procedure to direct a fixed and repeatable delivery path for introduction and manipulation of one or more surgical instruments and implants at a surgical site in or on the patient's anatomy. The delivery path can be substantially curvilinear along an arc that is defined by a radius of curvature and length defined by the surgical tool, and a predetermined range of articulation of the tool at the articulation locus.

Abstract: An apparatus for positioning a patient during surgery includes a surgical table frame having a longitudinal dimension and a centerline, and at least one laterally movable support mounted thereon that includes longitudinal rails and transverse rails, and one or more modular body supports mounted on the surgical table frame. The laterally movable support includes a pair of platforms where one platform is laterally translatable relative to the other platform on a plurality of tracks between the platforms, the lateral translation being to one or both of the left and the right of the centerline.

Abstract: A surgical retractor system including a retractor tube, one or more modular independent retractor extension clips removably engageable with the retractor tube to deflect and minimize tissue creep, and a deployment instrument for deploying and recovering retractor extension clips.