Abstract: In a method of treating the spine of a patient, a fusion device is implanted via an anterior approach in an interbody space between at least two of a first vertebra, a second vertebra and a third vertebra. An access device is inserted into the patient with the access device in a first configuration having a first cross-sectional area at a distal portion thereof. The access device is actuated to a second configuration having an enlarged cross-sectional area at the distal portion thereof such that the distal portion extends across at least a portion of each of the three adjacent vertebrae. A multi-level procedure is performed through the access device across the at least three adjacent vertebrae.

Abstract: A surgical tool for use in expanding a tubular structure having an inner surface defining a passage through the tubular structure for receiving surgical instruments includes a first leg having a first end engageable with the inner surface of the tubular structure. A second leg has a second end engageable with the inner surface of the tubular structure. The first and second ends are movable away from each other to apply a radially outwardly directed force to the inner surface of the tubular structure and cause expansion of the tubular structure to increase a cross-sectional area of the passage along a portion of the passage.

Abstract: A surgical instrument extendable through a cannula for moving a first bone portion relative to a second bone portion includes a first portion having a longitudinal axis engageable with a first member connected with to the first bone portion. A second portion is engageable with a second member connected with the second bone portion. The second portion is movable relative to the first portion from a first position toward a second position to move the first and second bone portions away from each other. An actuator connected with the second portion moves the second portion relative to the first portion in a direction extending transverse to the longitudinal axis.

Abstract: A surgical tool (112, 410) for use in expanding a cannula (10, 150, 250) includes a first leg (114, 414) having a first end (118, 418) engageable with an inner surface (70, 212, 322) of the cannula. A second leg (114, 414) is connected with the first leg (114, 414). The second leg (114, 414) has a second end (118, 418) engageable with the inner surface (70, 212, 322) of the cannula (10, 150, 250). The first and second ends (118, 418) are movable away from each other to apply a radially outwardly directed force to the inner surface (70, 212, 322) of the cannula (10, 150, 250) and cause expansion of the cannula.

Abstract: A structure for receiving surgical instruments for performing a surgical procedure on a body includes a passage through which the surgical instruments are inserted into the body. The passage has a proximal end and a distal end. An expandable portion enables an increase in the cross-sectional area of the distal end of the passage. The expandable portion has a contracted condition in which the cross-sectional area of the distal end of the passage has a first cross-sectional area. The expandable portion has an expanded condition in which the distal end of the passage has a second cross-sectional area greater than the first cross-sectional area. The second cross-sectional area is greater than a cross-sectional area of the proximal end of the passage when the expandable portion is in the expanded condition. A retaining mechanism resists movement of the expandable portion from the expanded condition toward the contracted condition during the surgical procedure.

Abstract: A method of fixing first and second vertebrae of a patient together at a surgical site includes inserting a first cannula into the body of the patient. A fusion device is moved through the cannula and inserted between the first and second vertebrae. A first fastener is moved through the cannula and secured to the first vertebra. A second fastener is moved through the cannula and secured to the second vertebra. A first fixation element is moved through the cannula. The first fixation element is fixed to the first and second fasteners. The fusion device has first and second ends, upper and lower surfaces for engaging the first and second vertebrae, and first and second side surfaces extending between the upper and lower surfaces. Each of the first and second side surfaces extend along an arc from the first end of the fusion device to the second end.

Abstract: An apparatus (100) supports an endoscope (99) for viewing a surgical site in a patient during surgery on the patient. The apparatus (100) includes a base (110), a first part (200), a second part (300), and a mechanism (400). The base (110) has a guide portion (130). The first part (200) is adapted to be fixed to the endoscope (99). The second part (300) engages the guide portion (130) and is movable relative to the guide portion (130). The second part (300) is secured to the first part (200) such that the first part (200) is movable relative to the guide portion (130). The mechanism (400) is connected between the base (110) and the second part (300). At least a portion of the mechanism (400) is rotatable to slide the first and second parts (200, 300) relative to the guide portion (130) to change a position of the endoscope (99) relative to the patient.

Abstract: An apparatus (10) for use in percutaneous surgery includes a cannula (11), a first support (20), and a second support (40). The cannula (11) has a channel (12) extending into the cannula (11). The channel (12) has a central axis (14). The first support (20) is associated to the cannula (11) and has a circular perimeter (21) which has a center (22) on the central axis (14). The second support (40) supports a viewing element (200) which extends into the channel (12). The second support (40) is rotatable about the center (22) of the circular perimeter (21) of the first support (20) relative to the first support (20).

Abstract: A surgical tool (112, 410) for use in expanding a cannula (10, 150, 250) includes a first leg (114, 414) having a first end (118, 418) engageable with an inner surface (70, 212, 322) of the cannula. A second leg (114, 414) is connected with the first leg (114, 414). The second leg (114, 414) has a second end (118, 418) engageable with the inner surface (70, 212, 322) of the cannula (10, 150, 250). The first and second ends (118, 418) are movable away from each other to apply a radially outwardly directed force to the inner surface (70, 212, 322) of the cannula (10, 150, 250) and cause expansion of the cannula.

Abstract: A patient monitoring system utilizes a transmitter associated with each patient. The transmitter is worn by a patient and includes sensors operative to monitor vital signs of the patient. The transmitter transmits an allocated RF frequency which is particularly associated with that patient. A series of antennas are incorporated in a building, each antenna having its own signature signal. As the patient moves throughout the building, the antennas pick up the signals from the patient's transmitter and combines the antenna signature signal with the transmitted patient signal. This combined signal is then analyzed at a central location to determine the exact location of the patient due to the antenna signature signal which is modulated on the transmitted patient signal. Transmitted patient data is also decoded at the central station to provide a signal indicative of the vital signs of the patient.

Abstract: A protective carrier having a sleeve body with a distal end, a proximal end, and a passageway extending longitudinally between them. One or more elements are disposed in the passageway proximate to the distal end for interlocking with a suture anchor to capture the suture anchor at least partially within the sleeve body. The carrier further includes one or more elements for aligning the sleeve body with a distal portion of a suture anchor driver to inhibit rotation of the sleeve body relative to the driver during and after insertion of the distal driver portion through the passageway.

Abstract: An improved adaptive loop filter for modulatable frequency synthesizers containing digital phase comparators is described. The unique adaptive loop filter provides a wide bandwidth during a signal acquisition mode and a narrow bandwidth during a signal tracking mode. The adaptive loop filter includes a current limiter coupled to the error signal from the digital phase comparator for generating a current-limited output signal; a filter coupled by a resistor to the current limiter output signal and including a series-coupled resistor and capacitor for filtering the current limiter output signal to provide a steering line voltage; an amplifier coupled to the junction between the filter resistor and capacitor for generating a feedback signal; a resistor for coupling the feedback signal to the current limiter output signal for substantially reducing the duration of voltage transients; and a reference filter for coupling the steering line voltage to the steering input of a voltage-controlled oscillator.