Abstract: An implantable fixation system for fusing a joint between a first bone and a second bone. The system may include an intramedullary nail and an anchor. The intramedullary nail may include a standoff and a compression bolt. The system may be implanted across the joint along an intramedullary trajectory. The length of the system may be adjustable to provide compressive force between the anchor and the compression bolt. The system may be implanted across a tibiotalar joint with the anchor positioned in the sinus tarsi. A spacing member may be inserted between the two bones and the fixation system implanted to extend through an opening in the spacing member. The spacing member may be anatomically shaped and/or provide deformity correction. An ankle arthroplasty system may include a tibial plate, a talar plate, and a bearing insert. The plates may be anchored to the tibia and talus along a single trajectory. The ankle arthroplasty system may be revisable to a fusion system.

Abstract: A tensioner system for use in tensioning graft strands in a knee reconstruction procedure can include a handle assembly, a tensioner assembly coupled relative to the handle assembly, and a drive shaft slidably received through and supported by the handle assembly. The tensioner assembly can include an arm support member rotatably coupled to the handle assembly and first and second arm members each rotatably coupled to lateral sides of the arm support member. Each arm member can include at least one graft attachment area adapted to be coupled to a graft strand. The arm support member can be configured to rotate about an axis perpendicular to a longitudinal axis of the tensioner system and perpendicular to an axis of rotation of each of the arm members. The drive shaft can include proximal and distal ends that extend beyond respective proximal and distal ends of the handle assembly.

Abstract: Devices for sacroiliac joint fusion may be implanted from an anterior, posterior, or lateral approach. Multiple devices may be used in a single fusion procedure. Some examples include blade anchors which extend from a central beam, pin, cage, or body.

Abstract: The present invention provides artificial disc prostheses, methods and instrumentation for implantation and revision thereof. Each prosthesis may comprise superior and inferior end plates and a nucleus positioned between articular surfaces of the end plates. The end plates may have planar bone engagement surfaces with a plurality of self-cutting teeth. The articular surfaces of the end plates may be planar or include a flattened portion. The nucleus includes superior and inferior articular surfaces which may comprise flattened portions such that when the articular surfaces of the nucleus and the end plates are placed in cooperation in a preferred orientation, the flattened and/or planar portions are aligned. Each prosthesis may provide flexion/extension, anterior/posterior translation, lateral bending, and/or axial rotation degrees of freedom.

Abstract: A medical/surgical irrigator comprising a handpiece and a tip assembly that is removably attached to the handpiece. Internal to the handpiece is a variable speed pulse pump from which irrigation fluid is discharged through the tip assembly. A single, variable speed motor regulates the pumping rate of the pump. The tip assembly includes a suction wand through which the discharged fluid is drawn away from the site to which the fluid is applied.

Abstract: An apparatus, method, and system for the deployment of surgical mesh material, which are particularly suited for use in the laparoscopic surgical repair of hernias. Any suitable surgical mesh can be placed between at least two elongate retaining members; wrapped around the elongate retaining members; inserted into a patient; and then deployed using at least two elongate deploying members on either side of the mesh.

Abstract: A tensioner system for use in tensioning graft strands in a knee reconstruction procedure can include a handle assembly, a tensioner assembly coupled relative to the handle assembly, and a drive shaft slidably received through and supported by the handle assembly. The tensioner assembly can include an arm support member rotatably coupled to the handle assembly and first and second arm members each rotatably coupled to lateral sides of the arm support member. Each arm member can include at least one graft attachment area adapted to be coupled to a graft strand. The arm support member can be configured to rotate about an axis perpendicular to a longitudinal axis of the tensioner system and perpendicular to an axis of rotation of each of the arm members. The drive shaft can include proximal and distal ends that extend beyond respective proximal and distal ends of the handle assembly.

Abstract: A soft tissue repair device can include a housing having a handle, a deployment system having an actuation member, and an insertion system having an inserter and a slider. The slider can be coupled to the actuation member and movable relative to the inserter between deployed and retracted positions. First and second anchors can be carried on an external surface of the slider such that the anchors are spaced apart and portions of the anchors are coaxial with the slider and each other. A flexible strand can couple the anchors. The insertion system can cooperate with the deployment system to move the slider to the deployed position to deploy the first anchor upon activating the actuation member a first time, and to move the slider to the deployed position from the retracted position to deploy the second anchor upon actuating the actuation member a second time after the first time.

Abstract: Total ankle arthroplasty with a tibial plate, a talar plate and a middle or core component. The ankle arthroplasty may allow for varus or valgus accommodation through the use of a core component with various medial and lateral heights in varus and valgus orientations. In addition the resurfacing of the talus is accomplished with a talar plate with a curved orientation that is congruent to one surface of the core component to allow for appropriate ankle manipulation.

Abstract: A bone cement mixing and delivery system including a mixer, a delivery device, and a flexible extension tube. A connector is attached to a distal end of the flexible tube. The connector includes a housing, a spindle configured with a fitting, and an enlarged knob. The spindle is seated within the housing and is configured to rotate between a closed and open position. In the open position, the spindle allows flow from the delivery device flexible extension tube into a bore of the spindle and into the spindle fitting. A delivery cement cannula is attached to the spindle fitting for allowing cement to travel from the delivery tube into living tissue. The enlarged knob is used to rotate the spindle from an open to a closed state and vice versa.

Abstract: A bone cement mixing and delivery system including a mixer and a delivery device. The mixer includes a paddle for mixing the components and a piston that pushes the mixed cement into the attached delivery device. The delivery device includes a tube into which the bone cement is forced from the mixer, and a plunger that forces the cement out of the tube during the medical procedure. The tube includes an entry port through which cement is introduced into the tube from the mixer. A one-way valve attached to the tube allows the cement to flow from the mixer through the entry port. After the cement is loaded in the tube, the delivery device is removed from the mixer. The valve blocks flow out of the entry port when the plunger is depressed.

Abstract: Methods and instrumentation for implantation of an intervertebral disc prosthesis are provided. A guide tool with sagittal and coronal reference features guides placement of guide pins relative to a sagittal plane and a coronal plane of the vertebrae. A retainer lockable to the guide pins has a ratcheting mechanism providing distraction or compression. A rasp, planer or other tools may be aligned to the retainer and inserted into the intervertebral space to prepare the vertebral endplates. An interoperatively adjustable trial is alignable to the retainer and measures an angularity of the intervertebral space. A prosthesis with keying features may be mounted to a prosthesis inserter with complementary features, held by pivotable arms and compressed between prongs. The inserter may be aligned to the retainer and advanced to implant the prosthesis in the intervertebral space. A prosthesis remover may grip one prosthetic end plate and extract the entire prosthesis.

Abstract: A bone cement mixing and delivery system including a mixer and a delivery device. The mixer includes a paddle for mixing the components and a piston that pushes the mixed cement into the attached delivery device. The delivery device includes a tube into which the bone cement is forced from the mixer, and a plunger that forces the cement out of the tube during the medical procedure. The tube includes an entry port through which cement is introduced into the tube from the mixer. A one-way valve attached to the tube allows the cement to flow from the mixer through the entry port. After the cement is loaded in the tube, the delivery device is removed from the mixer. The valve blocks flow out of the entry port when the plunger is depressed.

Abstract: An implantable fixation system for fusing a joint between a first bone and a second bone. The system may include an anchor, standoff, bolt, and cortical washer. The system may be implanted across the joint along a single trajectory, the length of the system adjustable to provide compressive force between the anchor and the cortical washer. The system may be implanted across a tibiotalar joint with the anchor positioned in the sinus tarsi. A spacing member may be inserted between the two bones and the fixation system implanted to extend through an opening in the spacing member. The spacing member may be anatomically shaped and/or provide deformity correction. An ankle arthroplasty system may include a tibial plate, a talar plate, and a bearing insert. The plates may be anchored to the tibia and talus along a single trajectory. The ankle arthroplasty system may be revisable to a fusion system.

Abstract: An implantable fixation system for fusing a joint between a first bone and a second bone. The system may include an anchor, standoff, bolt, and cortical washer. The system may be implanted across the joint along a single trajectory, the length of the system adjustable to provide compressive force between the anchor and the cortical washer. The system may be implanted across a tibiotalar joint with the anchor positioned in the sinus tarsi. A spacing member may be inserted between the two bones and the fixation system implanted to extend through an opening in the spacing member. The spacing member may be anatomically shaped and/or provide deformity correction. An ankle arthroplasty system may include a tibial plate, a talar plate, and a bearing insert. The plates may be anchored to the tibia and talus along a single trajectory. The ankle arthroplasty system may be revisable to a fusion system.

Abstract: An implantable fixation system for fusing a joint between a first bone and a second bone. The system may include an anchor, standoff, bolt, and cortical washer. The system may be implanted across the joint along a single trajectory, the length of the system adjustable to provide compressive force between the anchor and the cortical washer. The system may be implanted across a tibiotalar joint with the anchor positioned in the sinus tarsi. A spacing member may be inserted between the two bones and the fixation system implanted to extend through an opening in the spacing member. The spacing member may be anatomically shaped and/or provide deformity correction. An ankle arthroplasty system may include a tibial plate, a talar plate, and a bearing insert. The plates may be anchored to the tibia and talus along a single trajectory. The ankle arthroplasty system may be revisable to a fusion system.

Abstract: A shock-resistant and environmentally sealed container comprising a first section and a second section. A latching system for the container comprises a deflectable pin coupled to the first section of the container with a latch coupled to the second section. The latch includes a deflectable pin engaging member. When the deflectable pin engaging member is engaged with the deflectable pin, the deflectable pin absorbs relative movement between the first section and the second section of the container. Another embodiment of the container employs a latch containing a deflectable member. The latch is pivotally coupled to a latch pin that is mounted to either the first section or the second section of the container. The deflectable member is positioned between the latch pin and the latch, and the deflectable member is configured to absorb relative movement between the first section and the second section.

Abstract: A bone cement mixing and delivery system is provided in which separate components of bone cement are mixed together in a mixer to form a bone cement mixture. The mixer includes a paddle for mixing the components in a mixing chamber and a piston that pushes the mixing cement into an attached delivery device. The system further includes a switch that disconnects the drive assembly that actuates the paddle and piston from its power source. The switch is automatically tripped by a follower that moves upon actuation of the drive assembly. Once the cement is mixed and transferred to the delivery device, the follower trips the switch to automatically deactivate the drive assembly.

Abstract: A shock-resistant and environmentally sealed container comprising a first section and a second section. A latching system for the container comprises a deflectable pin coupled to the first section of the container with a latch coupled to the second section. The latch includes a deflectable pin engaging member. When the deflectable pin engaging member is engaged with the deflectable pin, the deflectable pin absorbs relative movement between the first section and the second section of the container. Another embodiment of the container employs a latch containing a deflectable member. The latch is pivotally coupled to a latch pin that is mounted to either the first section or the second section of the container. The deflectable member is positioned between the latch pin and the latch, and the deflectable member is configured to absorb relative movement between the first section and the second section.

Abstract: A bone cement mixing and delivery system is provided in which separate components of bone cement are mixed together in a mixer to form a bone cement mixture. The mixer includes a paddle for mixing the components in a mixing chamber and a piston that pushes the mixing cement into an attached delivery device. The system further includes a switch that disconnects the drive assembly that actuates the paddle and piston from its power source. The switch is automatically tripped by a follower that moves upon actuation of the drive assembly. Once the cement is mixed and transferred to the delivery device, the follower trips the switch to automatically deactivate the drive assembly.