Abstract: The present application is directed to devices with expandable lengths for treating bony members. The device may include an elongated member with two sections that are movable relative to each other. An expansion chamber may be positioned between the first and second sections. A pump may move fluid from a reservoir and through a conduit into the expansion chamber. The expansion chamber expands upon receiving the fluid to cause the first and second sections to move apart and increase the length of the elongated member. The device may include multiple expansion chambers along the length, and the elongated member may include multiple sections.

Abstract: Embodiments of the invention include a system and method for stabilizing a segment of a spinal column with a dynamic spinal rod having a shank, a stay, and a casing sized to stretch tightly between components of the dynamic spinal rod and provide a structural connection between the components.

Abstract: Systems and methods for positioning a connecting member adjacent the spinal column include at least one anchor assembly having an anchor engageable to bony structure and a receiver for receiving the connecting member. An elongated extension is removably engaged to the receiver and extends proximally from the receiver. The extension and at least a portion of the receiver is removable from the remaining portion of the receiver of the bone anchor after the connecting member is positioned in the receiver to provide a low profile anchor and connecting member assembly when finally implanted in the patient.

Abstract: A surgical instrument includes a needle extending between a proximal end and a distal end. The needle defines a longitudinal axis. The needle includes an elongated cavity that defines an opening disposed proximal to the distal end. A wire extends between a proximal end and a distal end configured for fixation with tissue. The wire is configured for movable disposal within the cavity. The distal end of the wire includes a retainer configured to prevent advancement of the retainer within the tissue. Methods of use are disclosed.

Abstract: An implant for stabilizing a bony segment includes a flexible body sized and shaped to extend intravertebrally between at least first and second bony portions. In use the body is attachable intravertebrally to each of the first and second bony portions to distract each of the first and second bony portions while allowing motion between each of the first and second bony portions.

Abstract: A spinal implant is provided that includes a first component for engaging a first vertebra, a second component for engaging a second vertebrae, and a damping member is positioned therebetween. The damping member has at least two chambers connected by an opening. A fluid is disposed within the chambers such that compression of the first and second components towards one another causes the fluid to be displaced from one of the chambers to another chamber through an opening. The opening has a reduced size relative to the chambers to restrict the flow of the fluid between the chambers and provide a dampening effect. In some instances, the rheologic properties of the fluid positioned within the chambers are dependent upon the strength a magnetic field passing through the fluid. In other aspects of the present disclosure, prosthetic devices, intervertebral implants, spinal systems, implantation methods, and treatment methods are provided.

Abstract: Systems and methods for positioning a connecting element adjacent the spinal column in minimally invasive procedures include instruments that guide the connecting element from a location remote from one or more anchors to a location proximate to the one or more anchors. The instruments include extensions mountable to anchors, and inserter instruments mountable to the connecting element for positioning the connecting element adjacent the anchors in a minimally invasive procedure. The inserter instruments need not be mounted to the anchors or to the anchor extensions, and are operable independently thereof to position the connecting element into the patient along a minimally invasive insertion path from a location remote from the anchor extensions.

Abstract: Systems for positioning a connecting element adjacent the spinal column in minimally invasive procedures include installation instruments that guide the connecting element from a location remote from one or more anchors to a location proximate to the one or more anchors. The installation instruments include extensions mountable to anchors engageable to the spinal column or other bony structure, and inserters mountable to the anchor extensions for positioning the connecting element adjacent the anchors.

Abstract: A coupling assembly may include an anchor member, a receiver member, and a seat member. The receiver member may have an anchor member end that cooperates with the anchor member and may have an implant receiving aperture for receiving an implant. The seat member may be disposable within the receiver member between the anchor member and the implant receiving aperture. First and second rotation-limiting features may be engageable to limit rotation of the seat member relative to the receiver member.

Abstract: The present application is directed to multi-axial screw assemblies to connect a longitudinal member to a vertebral member. In one embodiment, the multi-axial screw assembly includes a screw comprising a threaded shank and an enlarged head. The assembly may also include a body with an upper channel sized to receive the longitudinal member, a lower chamber to receive the head. The body is constructed to maintain the head in the lower chamber.

Abstract: Systems, devices and methods are provided for bending an elongate member used in a medical procedure. In one form, the device includes a bending mechanism having a plurality of engaging members are selectively positioned relative to a receiving area. In one embodiment, a first set of engaging members is positioned in a select arrangement, and a second set of the engaging members is movable relative to the select arrangement of the first set of engaging members to compressingly engage the elongate member to bend the elongate member to a desired shape/contour. The device also includes a heating element configured to apply heat to one or more portions of the elongate member to facilitate bending. In one form, the elongate member is formed of a heat deformable material, and heat is applied to soften one or more portions of the elongate member to provide added flexibility to facilitate bending.

Abstract: Systems, devices and methods are provided for bending an elongate member used in association with a medical procedure. In one form, a device for bending an elongate member includes a support platform and a plurality of engaging members positioned on the support platform. Each of the plurality of engaging members includes at least one engaging portion configured for positioning in contact with the elongate member. Each of the plurality of engaging members is movable in at least three directions relative to the support platform to form one or more bends in the elongate member. In one aspect, the elongate member is formed of a heat deformable material and the device includes a heating member configured to apply heat to one or more portions of the elongate member to facilitate bending. However, other embodiments, forms and applications are also envisioned.

Abstract: A vertebral rod for stabilizing a patient's spine. The rod may include an elongated body with first and second ends and have an elongated cross-sectional shape with a major axis and a minor axis and a centroid positioned at an intersection of the axes. First and second longitudinal channels may extend through the body. The channels may be spaced apart and contained within the body. The body may have a first flexural rigidity along the major axis and a different second flexural rigidity along the minor axis.

Abstract: A bone fastener includes a first section configured to support a bone construct. A second section is configured for fixation with bone and defines a longitudinal axis. An intermediate flexible section is disposed between the first section and the second section such that the first section is longitudinally aligned with the second section. The intermediate flexible section includes an inner surface that defines a cavity and an open end.

Abstract: The present invention concerns spinal fixation systems, and particularly systems utilizing pedicle screws, connectors and elongated members positioned adjacent to the spinal column. More specifically, the invention concerns improvements to spinal connectors having set screws used to connect to the elongate members, such as spinal rods, that include a means for inhibiting rotational movement of a partially inserted set screw before such connectors are implanted by the surgeon.

Abstract: One nonlimiting embodiment of the present application is directed to a system for positioning a connecting element adjacent one or more bones or bony portions, such as the spinal column, through a minimally invasive surgical approach. The system generally includes a number of bone anchors engageable to the one or more bones or bony portions and a number of anchor extenders removably engaged to the bone anchors. A connecting element inserter instrument is engageable with one of the anchor extenders and is movable along a longitudinal axis of the anchor extender. As the inserter instrument is moved along the longitudinal axis toward the bone anchors, a leading end of the connecting element is rotated away from the longitudinal axis and the connecting element is positioned at a location adjacent the number of bone anchors in a minimally invasive surgical procedure. However, in other embodiments, different forms and applications are envisioned.

Abstract: Anchor assemblies are provided to secure one or more implants along the spinal column that include a retainer in a receiver member. The retainer is configured to distribute the forces exerted on the retainer toward the proximal end of the retainer where it may deform without deforming, distorting or altering the retainer where it supports the anchor member in the receiver member. The desired positioning of the anchor member relative to the retainer and receiver member can thus be attained even when the retainer is subject to deformation forces.

Abstract: This invention relates to orthopedic implants and to methods of treating bone defects. More specifically, but not exclusively, the present invention is directed to non-metallic implants and to methods for intra-operative assembly and fixation of orthopedic implants to facilitate medical treatment. The non-metallic implant assembly can be secured to underlying tissue by a fastener, such as a bone screw, that is capable of swelling on contact with fluid in the underlying tissue. Alternatively, the non-metallic implant assembly can be assembled intra-operatively using a fastener that is adhesively bonded to a bone plate or the bone plate can be deformed using heat, force, or solvents to inhibit withdrawal of the fastener. In preferred embodiments, both the fastener and the bone plate are formed of biodegradable material.

Abstract: An apparatus for monitoring the characteristics of tissue adjacent a surgical site and communicating that information to a health care provider includes a retractor, a sensor, and a processing system. The sensor is disposed on the retractor and is configured to measure a parameter indicative of at least one characteristic of the tissue adjacent the first or the second blade. The processing system is in communication with the sensor and configured and arranged to receive information from the sensor indicative of the measured parameter. It includes a threshold stored therein indicative of excessive trauma to the tissue and it is configured in a manner such that it compares the received information to the stored threshold and communicates information to the health care provider regarding the comparison.

Abstract: Instruments and methods for determining the spacing between locations in an animal subject are employed to size a connecting element to secure along a bony segment in the animal subject. The instruments and methods include a measuring instrument mountable to proximal ends of extensions extending from anchors engaged to the bony segment. The measuring instrument is configured to provide an indication of the spacing between the anchors even if the extensions are in non-parallel relation to one another.