Abstract: A percutaneous facet fixation system minimally invasive, reproducible, efficient, and effective. Capable of immediate stabilization of a facet joint complex, the instrumentation and methods may be used with C-arm and/or endoscopic visualization.

Abstract: A percutaneous facet fixation system minimally invasive, reproducible, efficient, and effective. Capable of immediate stabilization of a facet joint complex, the instrumentation and methods may be used with C-arm and/or endoscopic visualization.

Abstract: A system may be fixed in place to stabilize a spinal fusion, or released for dynamic motion, thereby providing stability with flexibility in conjunction with artificial mechanical or plasma discs, or normal physiologic discs. In terms of apparatus, the invention involves pedicle fixation utilizing a superior facet complex (SFC) with soft tissue attachment points. The SFC receives one or more inferior facet gliding arms (IFGAs) and associated joints which permit flexion, extension, lateral bending and/or other movements.

Abstract: A system for performing bone arthrodesis includes an implant for bone arthrodesis and a bone fastening device. The implant includes a fastener with an elongated shaft having a head at one end and a bone-piercing point at the opposite end. A first washer has structure for engaging the head of the shaft so as to be polyaxially pivotable with respect to the head. A locking member has structure for engaging the shaft. The locking member can have a second washer pivotally engaged thereto. The bone fastening device can include an elongated cannula with a collet for detachably engaging the first washer and for advancing the first washer. Structure is provided for engaging the fastener and for advancing and rotating the fastener through the collet and through the first washer. The bone arthrodesis device further includes a lower end portion extending from the cannula. The lower end portion has structure for detachably engaging the locking member.

Abstract: Universally adaptable evacuators are adaptable to all surgical fields, easy to apply and, in most cases, may be expanded and/or removed as necessary. A hollow tube including a fitting adapted for connection to a vacuum source and at least one smoke inlet is held in position with the smoke inlet proximate to a surgical wound. According to a preferred embodiment, a stapling tab extending from a flexible perforated tube is used to hold the evacuator in place around the periphery of a surgical incision. According to an alternative embodiment, a smoke evacuator attaches temporarily or permanently to a retractor or other surgical instrument. Standard tubing and couplers may be used and the assembly may be prepackaged in sterile condition and disposed after use.

Abstract: Universally adaptable evacuators are adaptable to all surgical fields, easy to apply and, in most cases, may be expanded and/or removed as necessary. A hollow tube including a fitting adapted for connection to a vacuum source and at least one smoke inlet is held in position with the smoke inlet proximate to a surgical wound. According to a preferred embodiment, a stapling tab extending from a flexible perforated tube is used to hold the evacuator in place around the periphery of a surgical incision. According to an alternative embodiment, a smoke evacuator attaches temporarily or permanently to a retractor or other surgical instrument. Standard tubing and couplers may be used and the assembly may be prepackaged in sterile condition and disposed after use.

Abstract: Cage systems that improve upon the prior art in various ways. In the preferred embodiments, devices are radiolucent, with markers, thereby allowing visualization of placement without excessive obscuration. Devices according to the invention eliminate multiple steps, instruments and trays, while being capable of a custom fit. The devices according to the invention permit easier and greater access to end plate surface area, and can be used with autografts, allografts, and biologics.

Abstract: A facet fixation system facilitates dynamic or static stabilization with few exposed components. A first anchor component is adapted for implantation through a facet joint and into intra-pedicle bone, and a second anchor component is adapted for fixation to the outer surface of the facet joint. A connector component connects the first and second anchor components. The connector component may be at least partially elastic, facilitating a dynamic stabilization of a facet joint, or rigid, facilitating a static stabilization of a facet joint.

Abstract: In a spinal stabilization system a facet fixation device is interconnected to an anchor or fixation device driven into a portion of the spine. The facet fixation device has a proximal head and a distal fastener providing compression across a facet joint. A rigid or elastic member interconnects the proximal head of the facet fixation device to the anchor or fixation device, facilitating static or dynamic stabilization. The facet fixation device may extend directly across the facet joint, or a translaminar or laminar transverse process facet (LTPF) fixation device may be used. In the preferred embodiment the facet fixation device includes a distal tip which is self-cutting and tapping. The anchor may be a pedicle screw. The fixation device itself be a facet fixation device, and the facet fixation device may be connected to the anchor or fixation through two members joined with a coupling unit.

Abstract: Spinal instrumentation and methods are adapted for use with implanted pedicle screws having exposed heads with opposing surfaces between a bony surface and a rod-capturing through bore. The instrumentation includes a spreader having a proximal end and a distal end, the proximal end including a pair of handles and the distal end including a single pair prongs. The prongs of the spreader have tapered ends with opposing surfaces adapted to engage with the opposing surfaces of the exposed heads of the pedicle screws and spread them apart when pressure is applied to the handles. A method of spreading implanted pedicle screws having exposed heads, comprises the steps of inserting the prongs of the spreader between the opposing surfaces of the exposed pedicle screw heads, and spreading the exposed heads through the application of pressure to the handles of the spreader.

Abstract: Cage systems that improve upon the prior art in various ways. In the preferred embodiments, devices are radiolucent, with markers, thereby allowing visualization of placement without excessive obscuration. Devices according to the invention eliminate multiple steps, instruments and trays, while being capable of a custom fit. The devices according to the invention permit easier and greater access to end plate surface area, and can be used with autografts, allografts, and biologics.

Abstract: A hand-held surgical instrument is well-suited to fluoroscopic x-ray imaging. In needle-positioning forceps, an instrument according to the invention preferably exhibits a length of 8 inches or greater, and is constructed substantially from a radiolucent material, thereby enabling a user to navigate the article without being exposed to the beam. The radiolucent material may include a plastic such as a thermoplastic polymer or carbon fiber, and may be presterilized and disposable for one-time use. In the preferred embodiment, the length of the instrument is on the order of 12 inches or thereabouts, and is lordotically shaped for better conformance to patient curvature. The distal tip of the instrument, which is sufficiently strong to reliably grip a needle, may include a needle-dimensioned indent and/or a pair of opposing resilient pads. A radiopaque pointer may be provided to indicate the distal tip, and the pointer may be provided in the form of a removable adhesive strip.

Abstract: A low-profile bone anchoring system particularly suited to pelvis fixation in conjunction with spinal correction. The preferred embodiment utilizes screw fixation, followed by deployment of penetrating anchoring arms, expansion of outer sleeve, or both. The proximal ends of the screw anchors are preferably flush or deep to the bone surface. An internal screw mechanism is utilized to deploy side anchoring arms, or expansion of outer sleeve, or both. Serrated top edge interfaces with low profile variable axis/angled elbow (VAE), which has varying lengths/dimensions to accommodate anatomy and differing rod sizes. The VAEs preferably feature a serrated bottom edge to interface with anchor screw. Locking screw at elbow secures into inner threads of pelvis anchor screw. Each VAE captures a rod, end to end, or by passing rod through the side of elbow.

Abstract: A skin closure instrument and method of use are disclosed. Broadly a tool grasps skin edges and applies glue evenly in rapid and reproducible fashion, thereby enabling a single healthcare provider to perform the procedure. In the preferred embodiment, the instrument is packaged in a sterile container for a single use. The glue may be packaged along with the instrument, or may be added to a reservoir. The system is applicable to both small and large wounds, and is easy to manipulate by a single operator, resulting in a rapid consistent closure of wound edges.

Abstract: A system may be fixed in place to stabilize a spinal fusion, or released for dynamic motion, thereby providing stability with flexibility in conjunction with artificial mechanical or plasma discs, or normal physiologic discs. In terms of apparatus, the invention involves pedicle fixation utilizing a superior facet complex (SFC) with soft tissue attachment points. The SFC receives one or more inferior facet gliding arms (IFGAs) and associated joints which permit flexion, extension, lateral bending and/or other movements.

Abstract: A percutaneous facet fixation system minimally invasive, reproducible, efficient, and effective. Capable of immediate stabilization of a facet joint complex, the instrumentation and methods may be used with C-arm and/or endoscopic visualization.

Abstract: A system and method are particularly valuable to performing invasive surgical procedures. In terms of apparatus, a marker in the form of a housing including a reservoir filled with a substance which, when dispensed, is x-ray visible; that is. radiopaque. The substance is preferably also visible to the unaided eye. The substance may be capable of marking on human skin and/or commercially available surgical film. To make the substance radiopaque, a metal or heavy metal such as barium may be used. The substance may be dispensed primarily as a liquid or powder and may be erasable. In all embodiments, the substance is preferably biocompatible and non-toxic. A basic method of preparing for surgical procedure, includes the steps of providing a marker according to the invention, indicating an operative site using the marker, and subjecting the site to x-ray/fluoroscopic exposure for the purpose of comparing the indication to one or more internal structures associated with the procedure.

Abstract: Cage systems that improve upon the prior art in various ways. In the preferred embodiments, devices are radiolucent, with markers, thereby allowing visualization of placement without excessive obscuration. Devices according to the invention eliminate multiple steps, instruments and trays, while being capable of a custom fit. The devices according to the invention permit easier and greater access to end plate surface area, and can be used with autografts, allografts, and biologics.

Abstract: A system and method particularly useful in performing minimally invasive surgical procedures includes a thin, flexible surgical film including a radiopaque grid to assist in x-ray visualization. The grid is also preferably visible to the human eye. The grid may be a Cartesian coordinate grid with distance markings, or may be based on an alternative coordinate system. The film preferably includes an adhesive backing and iodine for cut-through incisions.

Abstract: A spinal fusion system includes a cage with a fillable volume and removable locking gate, thereby enabling the fillable volume to be packed with graft, biologic or other materials prior to the gate being closed and locked. In the preferred embodiment, the locking gate is positioned anteriorally, though lateral, posterior, and combinations thereof are also possible. The cage is preferably radiolucent, being composed of a carbon fiber, but with one or more radiopaque markers to provide a certain degree of visualization. Some or all of the walls of the cage may include superior and/or inferior surface features to enhance positioning and/or minimize back-out, and the posterior wall may be indented to prevent neurocompression. The sidewalls of the cage may further include a recessed face with nipple indents and locking fasteners. According to a system aspect of the invention, multiple cages are provided, each being shaped differently for use at different spinal levels.