Abstract: A diesel hammer comprises a housing, an anvil, and a release valve. A combustion chamber is formed within the housing below the anvil. The release valve operates in a closed configuration in which fluid is substantially prevented from flowing out of the combustion chamber and an open configuration in which fluid is allowed to flow out of the combustion chamber through the release valve. The diesel hammer operates in a cycle mode in which the release valve is in the closed configuration and, when the anvil moves from an upper position to a lower position, the anvil compresses fluids within the combustion chamber and an interrupt mode in which the release valve is in the open configuration and, when the anvil moves from the upper position to the lower position, the anvil does not substantially compress the fluids within the combustion chamber.

Abstract: This invention relates to methods and instruments for performing a surgical procedure in a disc space between adjacent vertebrae. A cannula is inserted to create a working channel through the skin and tissue of a patient using a transformational approach to the disc space. A viewing element is used to visualize working end of the cannula and the disc space. A facetectomy is performed through the working channel to access the disc space. The disc space is prepared with various instruments, such as distractors, shims, chisels and distractor-cutters that extend through the working channel. At least implant is inserted into the disc space. The procedure allows bi-lateral support of the adjacent vertebrae with the at least one implant inserted via a unitary, minimally invasive approach to disc space.

Abstract: A clamp system for an elongate member, comprising first and second clamp members, an actuator member, and an actuator system. The actuator member defines an actuator cam surface and is supported for movement between first and second actuator positions. The second clamp member defines a clamp cam surface and is supported for movement between first and second clamp positions. The actuator system displaces the actuator member between first and second actuator positions. As the actuator member moves from the first actuator position to the second actuator position, the actuator cam surface engages the clamp cam surface to cause the second clamp member to move towards the first clamp member, thereby clamping a portion of the elongate member between the first and second clamp members.

Abstract: A drop hammer for driving a pile. The drop hammer of the present invention comprises a housing member, a ram member, a helmet member, and a lifting system. The housing member defines a housing chamber and a vent port defining a preload position. The ram member is supported for movement within the housing chamber. When the lifting system raises the ram member above the preload position, ambient air substantially freely flows into and out of the housing chamber through the vent port. When the ram member falls below the preload position, ambient air within a preload chamber portion of the housing chamber compresses to apply a preload force on the inner portion of the helmet member. When the ram member moves into the lower position, the ram member impacts the helmet member to force the helmet member from the rest position to the impact position, thereby driving the pile.

Abstract: A pile driving system adapted to be supported by a movable arm assembly to drive a pile comprises an engaging system, a suspension system, a vibratory system, a first clamp assembly, and a second clamp assembly. The engaging system operates in a first mode in which the first clamp assembly rigidly connects the secondary housing to the pile, a second mode in which the second clamp assembly rigidly connects the secondary housing to the pile, a third mode in which the second clamp to assembly rigidly connects the secondary housing to the side portion of the pile, and a fourth mode in which the tip portion of the at least one pick member engages at least one sheet pile of a substantially horizontal stack of sheet piles to remove the at least one sheet pile from the stack of sheet piles.

Abstract: A device for cleaning teeth comprises a substrate and at least one projection. The substrate is made of a substrate material and defines a cavity shaped to receive at least a portion of a tongue. The at least one projection is made of a projection material and extends outwardly from the substrate. The substrate material and the projection material are non-toxic.

Abstract: The surgical instrumentation system is adapted to provide an operative approach to the spinal column and maintain distraction of adjacent vertebrae. The system includes at least one retractor and a pair of opposite distractor mechanisms mounted to a frame. The distractor mechanisms each include an adjustment mechanism permitting the distractor mechanism to be pivoted relative to the vertebra and secured to the frame after being repositioned.

Abstract: Methods and instrumentation for spinal interbody fusion are disclosed. The instruments and methods are particularly adapted for interbody fusion in an unreamed disc space. One instrument is a distractor assembly including a first distractor and a second distractor configured to be inserted in side-by-side relation in the disc space. Fusion cages adapted for insertion into an unreamed disc space are provided to enhance load distribution between adjacent vertebral bodies and lateral stability of the spinal column. The fusion cages may be inserted after distracting the disc space with the distractor assembly. Instruments for preparing the disc space through the inserted fusion cages or for use with the distractor assembly are also provided.

Abstract: A pile driving system for driving a pile comprising a support system comprising an arm assembly, an engaging system comprising a primary housing and a secondary housing, a suspension system, a vibratory system, and first and second clamp assemblies. The first clamp assembly rigidly connects the secondary housing to the pile. The second clamp assembly rigidly connects the secondary housing to the pile. The second clamp assembly rigidly connects the secondary housing to the side portion of the pile. The tip portion of the at least one pick member engages at least one sheet pile of a substantially horizontal stack of sheet piles to remove the at least one sheet pile from the stack of sheet piles. The pile driving system drives the pile using at least one of a driving force generated by the support system and a vibrational force generated by the vibratory system.

Abstract: This invention relates to devices and instruments for implant insertion through a posterior lateral opening to the disc space. The instruments include an implant inserter, and the devices include a spinal fusion implant engageable by the implant inserter. The implant provides bilateral support of the adjacent vertebrae when inserted into the disc space from a postero-lateral approach.

Abstract: A clamp system includes a frame, a plurality of clamp members, an actuator collar, and an actuator system. The frame includes an attachment member and a stop ring defining a stop cam surface. The clamp members each define first and second cam surfaces. The actuator collar defines an actuator cam surface. The actuator system displaces the actuator collar. The frame supports the actuator collar and the plurality of clamp members such that the first cam surfaces engage the actuator cam surface and the second cam surfaces engage the stop cam surface. Operation of the actuator system displaces the actuator collar towards the stop ring. As the actuator collar moves towards the stop ring, the actuator cam surface acts on the first cam surfaces and the stop cam surface acts on the second cam surfaces such that the clamp members place the clamp system in an engaged configuration.

Abstract: This invention relates to devices and instruments for implant insertion through a posterior lateral opening to the disc space. The instruments include an implant inserter, and the devices include a spinal fusion implant engageable by the implant inserter. The implant provides bilateral support of the adjacent vertebrae when inserted into the disc space from a postero-lateral approach.

Abstract: An implant configured for placement through a transforaminal surgical approach made of at least two different materials. The implant may include materials with varying radiolucency and mechanical properties. Such a hybrid implant may offer controlled radiographic visibility and optimized structural properties for implant placement, including placement for use in spinal arthrodesis.

Abstract: This invention relates to devices and instruments for implant insertion through a posterior lateral opening to the disc space. The instruments include an implant inserter, and the devices include a spinal fusion implant engageable by the implant inserter. The implant provides bilateral support of the adjacent vertebrae when inserted into the disc space from a postero-lateral approach.

Abstract: A pile driving system for driving a pile. The pile driving system comprises a housing assembly, a hammer, a helmet member, and a lifting system. The housing assembly defining a drive axis and a plurality of vent openings. At least one vent opening is arranged at a first vent location along the drive axis, and at least one vent opening is arranged at a second vent location along the drive axis. The lifting system raises the hammer during each cycle. When the hammer drops and is above the first vent location, ambient air flows from the main chamber through the vent openings formed at the first and second vent locations. When the hammer drops and is below the first vent location and above the second vent location, ambient air flows from the main chamber through the vent openings formed at the second vent location. When the hammer drops and is below the second vent location, air within the main chamber is compressed to preload the helmet member prior to contact between the hammer and helmet member.

Abstract: Instruments for inserting an implant in a space between adjacent bony portions include a pair of parallel guide members extending distally from a proximal frame portion. Tamps and impaction instruments facilitate advancement of the implant between the guide members to the space between the adjacent bony portions.

Abstract: A pile driving system for driving a pile comprising a support system comprising an arm assembly, an engaging system comprising a primary housing and a secondary housing, a suspension system, a vibratory system, and first and second clamp assemblies. The first clamp assembly rigidly connects the secondary housing to the pile. The second clamp assembly rigidly connects the secondary housing to the pile. The second clamp assembly rigidly connects the secondary housing to the side portion of the pile. The tip portion of the at least one pick member engages at least one sheet pile of a substantially horizontal stack of sheet piles to remove the at least one sheet pile from the stack of sheet piles. The pile driving system drives the pile using at least one of a driving force generated by the support system and a vibrational force generated by the vibratory system.

Abstract: This invention relates to methods and instruments for performing disc space preparation and implant insertion from a unilateral approach to the spine through a posterior lateral opening to the disc space. The instruments include spreaders, distractors, reamers, scrapers, cutters, chisels, rasps, pushers and implant inserters. A surgical procedure is provided that allows bilateral support of the adjacent vertebrae with at least one interbody fusion device inserted into the disc space via a unilateral approach. Implants for insertion into the disc space are also provided.

Abstract: A clamp system for operatively connecting a vibratory device to a plurality of caissons defining at least first and second diameters comprises a structural member, first and second clamps comprising first and second lock systems, respectively, and a clamp displacement system. The first and second clamps are supported by the structural member. The first and second lock systems fix the first and second clamps relative to the structural member. The clamp displacement system comprises at least one clamp displacement motor supported by the structural member and a mechanical link assembly connected between the at least one clamp displacement motor and the first and second clamps. Operation of the at least one clamp displacement motor allows the first and second clamps to be remotely displaced relative to the structural member such that the first and second clamps are spaced along the structural member as appropriate for either of the first and second diameters.

Abstract: A cordless vibratory pile driver (“vibro”) may use one or more batteries to provide the requisite power. The cordless vibro may sit in a stand that also recharges the unit while it is in the stand when the device is not in use. The replaceable batteries are mounted as part of the suppressor housing on top of the housing that contains the eccentrics. The batteries are balanced on both sides to distribute the weight evenly. A small battery powered electric hydraulic pump sits in the suppressor housing to provide oil to open and close the jaws. A digital hand held remote control sends the necessary signals to the machine to open and close the jaw and to start and stop the vibration.