Abstract: Elongated connecting elements include bodies having anisotropic cross-sectional shapes defining a first moment of inertia about a first bending axis and a second moment of inertia about a second bending axis that is transverse to the first bending axis. The connecting elements are positioned along one or more spinal motion segments and engaged to vertebrae with anchors with the first and second bending axes in the desired orientation relative to the spinal motion segments.

Abstract: An instrument for tensioning a flexible elongate member in a surgical procedure includes a tensioning mechanism engageable to a portion of the flexible elongate member and operable to apply a tensioning force to the elongate member. The instrument includes a distal end portion at a distal end of the tensioning mechanism that is adapted to allow orientation of the elongate member in a first direction for implantation and to allow the instrument to extend transversely to the implantation orientation during application of a tensioning force. The distal end portion can also include a receptacle to receive a structure at the surgical site to facilitate positioning of the distal end portion at the desired location.

Abstract: A vertebral implant device for interposition between two vertebral endplates comprises an outer body and an inner body. The outer body movably engages the inner body. A core member positioned between the outer body and the inner body is at least partially compressed when a load is applied to the implant device.

Abstract: A connector apparatus for use in orthopedic procedures includes a base portion and an extending leg portion that forms a channel. Part of the base portion can be placed atop or adjacent implanted fixation members (e.g. bone screws), and a locking member can be inserted through the base and into the fixation member to anchor the connector to the fixation member. A rod can be inserted into the channel and fixed to the connector by a set screw. The apparatus is useful in connecting a rod to a fixation member, particularly in situations in which a rod is already connected to the fixation member, as by a previous implantation procedure, for example.

Abstract: An orthopedic implant device is non-rigid, i.e., flexible and/or malleable, in a first form for insertion into a desired in vivo site, and then transformable into a rigid, or hardened, form for providing a load-bearing function or providing other structural and/or mechanical function after implant. The device includes a biocompatible sheath and a curable material sealed within the sheath. The curable material is provided in a first form that provides flexibility to the device and is structured to rigidize in a second form after insertion to an in vivo location as a result of application of a cure-initiating energy to the material prior to insertion. Related methods and kits are also provided.

Abstract: Orthopedic implant devices are positioned at a desired in vivo site by positioning a device that is non-rigid, i.e., flexible and/or malleable, in a first form, and then transformable after insertion to the in vivo site into a rigid, or hardened, form for providing a load-bearing function or providing other structural and/or mechanical function after implant. The device includes a biocompatible sheath and a curable material sealed within the sheath. The curable material is provided in a first form that provides flexibility to the device and is structured to rigidize in a second form after application of a quantity of an initiating energy to the material.

Abstract: Orthopedic implants include a device that is non-rigid, i.e., flexible and/or malleable, in a first form for insertion into a desired in vivo site, and then transformable into a rigid, or hardened, form for providing a load-bearing function or providing other structural and/or mechanical function after implant. The device includes a biocompatible sheath and a curable material sealed within the sheath. The curable material is provided in a first form that provides flexibility to the device and is structured to rigidize in a second form after application of a quantity of an initiating energy to the material. Related methods and kits are also provided.

Abstract: A spinal implant system comprises at least two fixation elements, each including a threaded bone-engaging portion, and at least two corresponding receiver members, each including two branches defining a U-shaped channel configured to receive an elongated member. The receiver members are positionable in both open and closed positions. The system further comprises at least one elongated member configured to be positioned in the channels. Additionally, the system comprises at least two snap-fit caps configured to snap on to the receiver members near the top surfaces of the corresponding branches to substantially lock the receiver members in closed positions and capture the elongated member in the channels.

Abstract: A device is provided that is non-rigid, i.e., flexible and/or malleable, in a first form, and then transformable after insertion to an in vivo site into a rigid, or hardened, form; a cure-initiating energy is applied to the device; and the device is then positioned in the in vivo site where it hardens to provide a load-bearing function or other structural and/or mechanical function. The device includes a biocompatible sheath and a curable material sealed within the sheath. The curable material is provided in a first form that provides flexibility to the device and is structured to rigidize in a second form after application of a quantity of an initiating energy to the material.

Abstract: An improved apparatus is provided to allow for an adjustable length tether for use in the spine and other parts of the body. The tether comprises an artificial strand with an eyelet formed in one end, the other end being looped through the eyelet. The other end is then secured with respect to the eyelet by a crimp, the excess length being cut off after the length of the tether has been given an appropriate tension. Alternatively, the eyelet end may be formed around a grommet. The crimp may be separate from the grommet or a part of the grommet. The mechanism by which the length is adjusted in some cases will take advantage of the shape memory properties of alloys such as nickel-titanium.

Abstract: Orthopedic devices include a body having an internal chamber housing a curable material. At least a portion of the body provides a barrier member structured to transmit an energy source therethrough to contact the curable material disposed in the internal chamber. The curable material is provided in a first form that provides flexibility to the body and is structured to rigidize in a second form when exposed to the energy source.

Abstract: Embodiments of devices and methods for correcting a vertebral member and/or repositioning a vertebral device relative to the vertebral member. A vertebral device has been previously positioned relative to a vertebral member. Due to subsidence or other factors, the vertebral device has moved and is no longer in alignment. A positioning device is used for re-positioning the vertebral device. A delivery device is used for inserting a material to the vertebral member and/or vertebral device. The material is initially in a first state that is flowable to allow for insertion to the required location. The material changes to a second state that permanently fixes the position of the vertebral device relative to the vertebral member.

Abstract: An injectable biocompatible material delivery system is disclosed and can include an injector and a material delivery cannula that can be in fluid communication with the injector. Further, the injectable biocompatible material delivery system can include a light source that can be configured to emit light to at least a portion of the injector, at least a portion of the material delivery cannula, or a combination thereof. Further, the light source can be configured to activate an injectable biocompatible material as it moves through the system.

Abstract: A device includes a sterilizing system configured to sterilize an implantable device and includes a coating system configured to apply an osteal functional coating to the implantable device.

Abstract: Allogenic or xenogenic materials are used to provide intervertebral disc nucleus implants and/or annular plugs. The allogenic or xenogenic materials comprise natural disc annulus material, which may have a portion of the anterior longitudinal ligament attached. The tissue may be used “as is” without an additional core or covering, or it may be used in combination with other materials. The material may be rolled, folded, layered and/or sutured, stapled, or glued to provide a solid plug of natural biological material. The implant may be provided as a dehydrated, substantially rod-shaped segment having a diameter less than the diameter of the hydrated material, and may have one or more ends of the dehydrated rod terminate with a further reduced diameter portion, preferably a point.

Abstract: One or more anchors are engaged intravertebrally for attachment of one more constructs thereto to correct or treat spinal conditions or deformities. Methods for inserting the anchors are also provided along with constructs for attachment to the anchors.

Abstract: The present invention relates to methods and instruments for placing a brace or connecting element into an animal subject for engagement with anchors secured in the animal subject. The installation instrument includes anchor extensions coupled to the anchors. The instrument is movable with respect to the anchors to position the connecting element in a position more proximate the anchors.

Abstract: This invention relates to orthopedic implants and to methods of treating bone defects. More specifically, but not exclusively, the present invention is directed to non-metallic implants and to methods for intra-operative assembly and fixation of orthopedic implants to facilitate medical treatment. The non-metallic implant assembly can be secured to underlying tissue by a fastener, such as a bone screw, that is capable of swelling on contact with fluid in the underlying tissue. Alternatively, the non-metallic implant assembly can be assembled intra-operatively using a fastener that is adhesively bonded to a bone plate or the bone plate can be deformed using heat, force, or solvents to inhibit withdrawal of the fastener. In preferred embodiments, both the fastener and the bone plate are formed of biodegradable material.

Abstract: An instrument for tensioning a flexible elongate member in a surgical procedure includes a tensioning mechanism engageable to a portion of the flexible elongate member and operable to apply a tensioning force to the elongate member. The instrument includes a distal end portion at a distal end of the tensioning mechanism that is adapted to allow orientation of the elongate member in a first direction for implantation and to allow the instrument to extend transversely to the implantation orientation during application of a tensioning force. The distal end portion can also include a receptacle to receive a structure at the surgical site to facilitate positioning of the distal end portion at the desired location.

Abstract: A minimaly invasive spacer for positioning between vertebral members. The spacer is adjustable between a first orientation having a reduced size to facilitate insertion between the vertebral members. A second orientation has an enlarged size for contacting the vertebral members. The spacer includes linkages that are attached to a pair of plates. A pull arm is operatively connected to the linkages for adjusting the spacer from the first orientation to the second orientation. A delivery device is attached to the spacer for insertion between the vertebral members. In one embodiment, the delivery device is detachable to be removed from the spacer once positioned between the vertebral members. Methods of using the spacer include positioning the spacer between the vertebral members while in the first orientation. The spacer is then enlarged to the second orientation, and the delivery device is removed with only the spacer remaining within the patient.