Abstract: In accordance with at least one aspect of this disclosure, a disc replacement implant includes, a first endplate configured to engage a vertebral endplate of a first vertebra adjacent an intervertebral space, a second endplate configured to engage a vertebral endplate of a second vertebra opposite the first end plate in the intervertebral space, a core between the first and second endplates, and an annulus surrounding the core and connecting a perimeter of the first endplate to a perimeter of the second end plate. In embodiments, the annulus can include a portion that extends inwardly between the first and second core plates to the spacer.

Abstract: In accordance with at least one aspect of this disclosure, a flexible fastener includes, a shaft having a proximal end and a distal end spaced apart along a longitudinal axis and a land surface winding helically around the shaft. An interior pocket extends in an axial direction inside the shaft, radially inward from the land surface. A flexure opening extends through the shaft in the radial direction from the land surface to an inward facing surface of the interior pocket. The flexure opening extends helically about the longitudinal axis to provide for flexure of the shaft, of the land surface, and of the external thread. A torque driver is seated in the interior pocket, the toque driver having a torque face configured to abut a torque face of the interior pocket to develop toque along the shaft when a driving torque is applied to the proximal end of the shaft.

Abstract: Disclosed are aspects of exemplars of torque-limiting devices, methods and mechanisms exemplars methods may include placing an actuator in a tool containment interface of a handle; movable mounting a tool portion with an actuation catch and a work piece engaging region (WER) in the interface; applying sufficient force to the movable mounting to the handle may be via pins, guides and slots. Said catch may be one of a body catch and a lever catch; and, the actuator terminates on one of a ball shaped end that forms and interface with the body catch and a force lever that forms an interface with the lever catch.

Abstract: The disclosure includes a connection method to fluidly connect a fluid pathway in a handle is formed co-linearly or axially and connects to a lumen through a tool and shaft. The body and movable latch may be an integral single molded plastic part connected by a flexible. In operation actuating the movable latch to raise or lower a latching beak within a corresponding open guide in the plastic body. The shaft fits into a shaft guide in the body which intersects the beak guide to temporarily latch the shaft to the body via a mounting fixture the shaft with the beak; and, wherein the body has a face end and a tail end.

Abstract: In accordance with at least one aspect of this disclosure, a surgical rod cutter assembly includes a first blade member including a first open notch in a first end thereof. The first open notch spans across a first ingress axis, along which a rod is inserted for cutting. A first rotation bore is defined through the first blade member, a linkage of the first blade member extends away from the rotation bore on a first linkage axis, and the first rotation bore intersects the first linkage axis.

Abstract: Provided herein is a scaffold for growing bone, comprising a randomized porosity pattern typical of native trabecular bone. The present disclosure also provides a medical device comprising a scaffold disclosed herein.

Abstract: Disclosed are aspects of a hybrid plastic and co-molded metal cutting head and a method of forming same. The method includes forming a metal rasp head having a fluid pathway therethrough and molding an elongated body with support into the rasp head via said fluid pathway wherein the fluid pathway into one or more sides.

Abstract: Disclosed are aspects of exemplars of torque-limiting devices, methods and mechanisms. Exemplary methods may include placing an actuator in a tool containment interface of a handle, the interface being fluidly connected to an adjustment interface and adjustable via a fixation fastener; movably mounting a tool portion with an actuation catch and a work piece engaging region (WER) in the interface; applying sufficient force to the movable mounting to the handle may be via pins, guides and slots. Said catch may be one of a body catch and a lever catch; and, the actuator terminates on one of a ball shaped end that forms an interface with the body catch and a force lever that forms an interface with the lever catch.

Abstract: Disclosed are aspects of exemplars of torque-limiting devices, methods and mechanisms exemplars methods may include placing an actuator in a tool containment interface of a handle; movable mounting a tool portion with an actuation catch and a work piece engaging region (WER) in the interface; applying sufficient force to the movable mounting to the handle may be via pins, guides and slots. Said catch may be one of a body catch and a lever catch; and, the actuator terminates on one of a ball shaped end that forms and interface with the body catch and a force lever that forms an interface with the lever catch.

Abstract: Cutting guides for use in orthopedic surgery are disclosed. In some embodiments, the cutting guides comprise monolithic polymer cutting blocks with one or more slots and guide inserts to allow for the provision of various desired surgical cuts to a bone by a cutting saw. In other embodiments, the cutting guides may comprise adjustable guide bars with one or more slots and inserts to allow for various desired surgical cuts to a bone. The location and directionality of the cuts may be configured to match the geometry of a surgical implant.

Abstract: Disclosed are aspects of exemplars of torque-limiting devices, methods and mechanisms exemplars methods may include placing an actuator in a tool containment interface of a handle; movable mounting a tool portion with an actuation catch and a work piece engaging region (WER) in the interface; applying sufficient force to the movable mounting to the handle may be via pins, guides and slots. Said catch may be one of a body catch and a lever catch; and, the actuator terminates on one of a ball shaped end that forms and interface with the body catch and a force lever that forms an interface with the lever catch.

Abstract: Aspects of novel connection systems and methods are disclosed herein. A partially hollow nose is configured to one of connect a pathway to a body catch to accept a quick connect body (QCB) or mate with a connection system configured to be inserted into a shaped cavity in the nose; and, a quick connect module (QCM) and the nose are configured to cooperate to accept insertion of the QCB through the side wall of the nose into the body catch of the QCM; wherein the QCB affixes the QCM into the nose; and, wherein pushing on the button at one end of the QCB compresses the integral biasing arm of said QCB opening a catch and release interface to accept a tool.

Abstract: The present invention relates to an apparatus and method for near-simultaneous and integrated delivery of bone graft material during the placement of surgical cages or other medical implants in a patient's spine. The integrated fusion cage and graft delivery device according to various embodiments delivers and disperses biologic material through a fusion cage to a disc space and, without withdrawal from the surgical site, may selectively detach the fusion cage for deposit to the same disc space. The integrated fusion cage and graft delivery device is formed such that a hollow tube and plunger selectively and controllably place bone graft material and a fusion cage in or adjacent to the bone graft receiving area. In one embodiment, the integrated fusion cage is an expandable integrated fusion cage. In another embodiment, the bone graft material is loaded into a breech area in the hollow tube.

Abstract: The present disclosure relates to a system, apparatus and method for near-simultaneous and integrated delivery of bone graft material during the placement of surgical cages or other medical implants in a patient's spine. The integrated fusion cage and graft delivery device according to various embodiments delivers and disperses biologic material through a fusion cage to a disc space and, without withdrawal from the surgical site, may selectively detach the fusion cage for deposit to the same disc space. The integrated fusion cage and graft delivery device is formed such that a hollow tube and plunger selectively and controllably place bone graft material and a fusion cage in or adjacent to the bone graft receiving area. The system also includes a cover plate that secures to the fusion cage.

Abstract: The present invention relates to an apparatus, system and method for delivery of bone graft material in a patient's spine. The graft delivery device according to various embodiments delivers and disperses biologic material to a disc space and without withdrawal from the surgical site. In various embodiments, the graft delivery device includes an elongate hollow tube configured to receive bone graft material, a plunger adapted to extend in the elongate hollow tube and urge the bone graft material through the elongate hollow tube, and an injection device (such as a syringe) configured to contain the bone graft material therein and to connect to an open proximal end of the elongate hollow tube, to discharge the bone graft material from the first injection device into the elongate hollow tube.

Abstract: The present invention relates to an apparatus, system and method for delivery of bone graft material in a patient's spine. The graft delivery device according to various embodiments delivers and disperses biologic material to a disc space and without withdrawal from the surgical site. In one embodiment, the graft delivery device includes a plunger with a distal end configured to bend relative to a longitudinal axis as bone graft material is delivery to the disc space. The plunger can include two arms that extend generally parallel to the longitudinal axis. The graft delivery device may selectively deliver a fusion cage for deposit to the same disc space.

Abstract: Cutting guides for use in orthopedic surgery are disclosed. In some embodiments, the cutting guides comprise monolithic polymer cutting blocks with one or more slots and guide inserts to allow for the provision of various desired surgical cuts to a bone by a cutting saw. The location and directionality of the cuts may be configured to match the geometry of a surgical implant.

Abstract: Cutting guides for use in orthopedic surgery are disclosed. In some embodiments, the cutting guides comprise monolithic polymer cutting blocks with one or more slots and guide inserts to allow for the provision of various desired surgical cuts to a bone by a cutting saw. In other embodiments, the cutting guides may comprise adjustable guide bars with one or more slots and inserts to allow for various desired surgical cuts to a bone. The location and directionality of the cuts may be configured to match the geometry of a surgical implant.

Abstract: The present invention relates to an apparatus, system and method for delivery of bone graft material in a patient's spine. The graft delivery device according to various embodiments delivers and disperses biologic material to a disc space and without withdrawal from the surgical site. In one embodiment, the graft delivery device includes a plunger with a distal end configured to bend relative to a longitudinal axis as bone graft material is delivery to the disc space. The plunger can include two arms that extend generally parallel to the longitudinal axis. The graft delivery device may selectively deliver a fusion cage for deposit to the same disc space.