Abstract: A modular implantable segmented intramedullary structure adapted to be received in the intramedullary canal of a bone configurable between a relatively flexible, bent configuration for implantation or extraction and a relatively rigid, straightened compressed configuration for bone treatment. The segmented intramedullary structure comprises a plurality of interconnected segments with a first interface and a complementarily-shaped second interface such that the first interface of a segment cooperatively engages the second interface of an adjacent segment. The segments define a channel for a tensioning elongate member to lock the structure in a compressed configuration. Methods of manufacturing, assembling, and/or treating a patient with the segmented intramedullary structure include options for real time customizable construction of the segmented intramedullary structure. In one embodiment the segments include a snap feature.

Abstract: Spinal surgical systems, instruments and methods include a surgical instrument with a first member mountable to a first vertebra and a second member mountable to a second vertebra. The first and second members are coupled to one another with a coupling mechanism that allows translation of the first and second members relative to another along a predetermined path. The coupling mechanism also provides a pivot axis about which the first and second members are manipulated relative to one another to deliver forces to the first and second vertebrae.

Abstract: Instruments and methods are provided for delivering multiple implants to multiple implant locations in a patient without requiring a second implant to be loaded onto or engaged to the delivery instrument after delivery of a first implant. The implants can be sequentially engaged, using the delivery instrument, to the patient or to receptacles of one or more receiving members secured to the patient.

Abstract: Surgical tools and methods for inserting fasteners into a patient. The tools may be loaded to hold multiple fasteners at a single time. The tools may include an elongated shape for insertion into the patient and placement at a predetermined position. A dispensing mechanism within the tools individually releases the fasteners. The tools may further be equipped to completely or partially mount the fasteners within the patient. Methods of using the tools include preloading chambers with multiple fasteners prior to the surgical procedure. The fasteners may then be individually released from the tools during the surgical procedure and carefully positioned within the patient.

Abstract: Spinal surgical systems, instruments and methods include a surgical instrument with a first member mountable to a first vertebra and a second member mountable to a second vertebra. The first and second members are coupled to one another with a coupling mechanism that allows translation of the first and second members relative to another along a predetermined path. The coupling mechanism also provides a pivot axis about which the first and second members are manipulated relative to one another to deliver forces to the first and second vertebrae.

Abstract: A surgical gripping tool includes a dual-linkage, force multiplying coupling that increases the force applied to surgical rods for a given force applied to the tool handles. In some embodiments, recesses in the tool that grip surgical rods have complex surfaces comprising multiple radii, allowing the tool to securely grip surgical rods of different diameters. The recess radii may be undersized relative to the associated rod size. In one embodiment, the coupling multiplies an applied force by a factor of over 20.

Abstract: Instruments and methods are provided for delivering multiple implants to multiple implant locations in a patient without requiring a second implant to be loaded onto or engaged to the delivery instrument after delivery of a first implant. The implants can be sequentially engaged, using the delivery instrument, to the patient or to receptacles of one or more receiving members secured to the patient.

Abstract: The present application is directed to surgical tools and methods for inserting fasteners into a patient. The tools may be loaded to hold multiple fasteners at a single time. The tools may include an elongated shape for insertion into the patient and placement at a predetermined position. A dispensing mechanism within the tools individually releases the fasteners. The tools may further be equipped to completely or partially mount the fasteners within the patient. Methods of using the tools include preloading chambers with multiple fasteners prior to the surgical procedure. The fasteners may then be individually released from the tools during the surgical procedure and carefully positioned within the patient.