Abstract: A vertebral replacement device for supporting adjacent vertebrae includes a vertebral body member having at least one of an upper or lower disc replacement member engaged thereto at one end thereof. The disc replacement device can be positioned in a spinal disc space when disengaged from the vertebral body member.

Abstract: A diesel hammer system for driving a pile, comprising a housing, an anvil member supported by the housing, a clamp assembly adapted to connect the anvil member to the pile, and a ram member disposed within the housing. A fuel pump system injects fuel into a combustion chamber defined by the housing, anvil member, and the ram member. A coupling system detachably engages the ram member to raise the ram member from an impact position to an upper position, the coupling system comprising a trigger member that, when engaged, causes the coupling system to release the ram member. A trigger projection mounted is on the housing to engage the trigger member to cause the coupling system to release the ram member at the upper position. The diesel hammer further comprises a pre-trigger system comprising a pre-trigger member movable between an extended position and a retracted position.

Abstract: A system for driving a large diameter caisson into the ground, comprising a crane assembly, a plurality of vibratory devices, a clamp assembly, a suspension assembly, and a timing system. Each vibratory device generates a vibratory force. The clamp assembly rigidly secures each of the vibratory devices to one of a plurality of predetermined angularly spaced locations about the caisson. The suspension assembly connects the vibratory devices to the crane assembly such that transmission of vibratory forces from the vibratory devices to the crane assembly is inhibited. The timing system operatively connects the plurality of vibratory devices to synchronize the vibratory forces generated thereby.

Abstract: A clamp system for allowing a pile driving/pulling system to be attached to a caisson to be driven into or extracted from the earth. The clamp system comprises a structural member, first and second clamp systems, first and second locking systems, and a clamp displacement system. The clamp displacement assembly is operatively connected between the structural member and the first and second clamp assembly. When the first and second clamp systems are disengaged from the pile and the first and second locking systems are disengaged from the structural member, the clamp displacement system may be operated to obtain a desired clamp distance between the first and second clamp assemblies.

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: 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 diesel hammer system for driving piles. In one form of the invention, a control pinion is attached to a cam member employed to adjust the volume of a fuel portion of a pump chamber. A control rack is arranged to engage the control pinion such that linear movement of the control rack is translated into rotational movement of the control pinion. A hydraulic cylinder assembly is provided having a control housing and a control piston. The control piston is attached to the control rack such that linear movement of the control piston is transferred to the control rack. Hydraulic fluid is introduced into the control housing to cause linear movement of the control piston. Conventional hydraulic controls may be used at a remote location to introduce hydraulic fluid into the appropriate portions of the control housing chamber. In another form of the invention, indicia are formed on a housing of the variable fuel pump to allow an operator to see the setting of the fuel pump.

Abstract: A modular pile system. The pile system comprises first and second cylindrical plastic pile members and a detent system. Each of the pile members has an upper end and a lower end. The detent system connects the upper end of the first pile member to the lower end of the second pile member. The detent means allow the second pile member to be displaced into a desired position relative to the first pile member but substantially prevent relative movement between the first and second pile members when the second pile member is in the desired position.

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 vertebral replacement device for supporting adjacent vertebrae includes a vertebral body member having at least one of an upper or lower disc replacement member engaged thereto at one end thereof. The disc replacement device can be positioned in a spinal disc space when disengaged from the vertebral body member.

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: This invention relates to methods and instruments for performing disc space preparation and implant insertion from a uni31 lateral 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 system for driving a large diameter caisson into the ground, comprising a crane assembly, a plurality of vibratory devices, a clamp assembly, a suspension assembly, and a timing system. Each vibratory device generates a vibratory force. The clamp assembly rigidly secures each of the vibratory devices to one of a plurality of predetermined angularly spaced locations about the caisson. The suspension assembly connects the vibratory devices to the crane assembly such that transmission of vibratory forces from the vibratory devices to the crane assembly is inhibited. The timing system operatively connects the plurality of vibratory devices to synchronize the vibratory forces generated thereby.

Abstract: A clamp system for allowing a pile driving/pulling system to be attached to a caisson to be driven into or extracted from the earth. The clamp system comprises a structural member, first and second clamp systems, first and second locking systems, and a clamp displacement system. The clamp displacement assembly is operatively connected between the structural member and the first and second clamp assembly. When the first and second clamp systems are disengaged from the pile and the first and second locking systems are disengaged from the structural member, the clamp displacement system may be operated to obtain a desired clamp distance between the first and second clamp assemblies.

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: 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 transforaminal 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 device for supporting weak bony structures includes a body having first and second ends configured for contacting adjacent bony structures. The body has a wall that with a number of opening, and the wall defines a hollow chamber for receiving bone growth inducing material. The device includes an end cap for placement in the hollow chamber adjacent one of the ends of the body. The end cap has opposite upper and lower surfaces, and includes a plurality of arms extending from a central ring. Each of the arms having a first end connected with the ring and an opposite second end including an outer surface. Each of the outer surfaces are positionable adjacent the inner surface of the wall of the body when the end cap is inserted into the hollow chamber. Each arm can also include a projection that extends at least partially into a wall opening.

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: 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 transforaminal 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.