Abstract: An expandable implant including a base member including a top surface, a first end, and a second end, and defining a central cavity positioned between the first end and the second end. The expandable implant further including an adjustable member including a top surface and at least one control channel, wherein the adjustable member is adjustably coupled to the base member and movable between a first, collapsed position, and a second, expanded position, a control shaft received by the base member, wherein manipulation of the control shaft causes relative movement of the adjustable member relative to the base member, and at least one control member coupled to the control shaft and received by the control channel, wherein manipulation of the control shaft causes the control member to translate along the control channel.

Abstract: A guide assembly includes a spinal screw assembly having a bone screw and a spinal rod holder; and a spinal rod guide having first and second elongated arc portions defining a pair of longitudinal slots extending along the first and second arc portions, each of the first and second arc portions further defining at least one recess extending transversely from each of the longitudinal slots, the at least one recess configured to receive at least a portion of a reduction tool to enable reduction of a spinal rod received within the spinal rod holder.

Abstract: An adjustable implant includes a body portion including a first end, a second end including a bull nose, and a sidewall extending from the first end to the second end, a hook coupled to the body portion, the hook including a first hook portion extending from the body portion in a first direction, and a second hook portion extending from the first hook portion in a second direction that is different from the first direction, a first wing coupled to the first end of the body portion, and a second wing coupled to the body portion such that the distance between the first wing and the second wing is adjustable by a user, wherein the first and second wings include inward facing surfaces configured to be positioned adjacent portions of bone of a patient.

Abstract: Bone compression screws are characterized by a two-piece compression screw assembly comprising a screw component and a sleeve component. The screw component has external male bone screw threading at a distal end, external male machine screw threading on a proximal end, and a smooth shank between the threaded distal and proximal ends. The screw component may be solid, cannulated, slotted, fenestrated, fluted, helically fluted, or any combination thereof. The sleeve component has external male bone screw threading with a pitch that can be equal to, smaller than, or greater than the thread pitch of the screw component, an internal bore extending from a proximal end of the sleeve component to the distal end of the sleeve component and sized for reception over the proximal end of the screw component. Internal female machine screw threading is configured to mate with the external male machine screw threading of the screw component.

Abstract: A guide assembly includes a spinal screw assembly having a bone screw and a spinal rod holder; and a spinal rod guide having first and second elongated arc portions defining a pair of longitudinal slots extending along the first and second arc portions, each of the first and second arc portions further defining at least one recess extending transversely from each of the longitudinal slots, the at least one recess configured to receive at least a portion of a reduction tool to enable reduction of a spinal rod received within the spinal rod holder.

Abstract: An expandable implant includes a base member, an adjustable member adjustably coupled to the base member and movable between a first, collapsed position, and a second, expanded position, a control assembly including a control shaft, wherein manipulation of the control shaft causes relative movement of the adjustable member relative to the base member, wherein the base member and the adjustable member are coupled together at least in part via the control assembly such that the control shaft is rotationally fixed relative to the base member and the adjustable member, and the adjustable member is resiliently compressible relative to the base member.

Abstract: An expandable implant includes an upper portion configured to engage a first portion of bone, a bottom portion configured to engage a second portion of bone, a control assembly coupled to the upper portion and the bottom portion and configured to control relative movement between the upper portion and the bottom portion, wherein the control assembly includes a front portion and a control member, wherein the front portion has an aperture configured to receive the control member, wherein the control member includes a head, and wherein a portion of the head is positioned outside of the aperture as the implant is expanded between a first, collapsed orientation and a second, expanded orientation.

Abstract: An adjustable spine distraction implant alleviates pain associated with spinal stenosis and facet arthropathy by expanding the volume and/or cross sectional area in the spinal canal and/or neural foramen. The adjustable implant provides a spinal extension inhibitor. The implant includes elliptical or oval shaped adjustable member or spacer for positioning between and adjustably spacing apart the spinous processes.

Abstract: A spinal interbody cage implant includes a cage, an endplate, and flexible barbs. The endplate is separately attached to the cage and is configured to receive, hold and direct a flexible barb into an upper vertebral surface and a flexible barb into a lower adjacent vertebral surface. Each proximal leg of the cage is configured to receive the endplate, and has a lateral bore that receives a pin which retains the endplate. The endplate directs a first flexible barb upwardly toward an upper vertebral surface, and directs a second flexible barb downwardly toward a lower vertebral surface. Each flexible barb has a proximal head, a shaft extending from the head with a bore extending from the head to its distal end. Teeth are provided along the exterior surface of the shaft with two flats disposed on opposite sides thereof with a slit extending from the distal end towards the head.

Abstract: Hand orthotics are provided for protecting and/or supporting phalanges, metacarpals and/or ligaments of the hand providing thin, lightweight, moldable devices that form to the digits of and to the hand to provide shock absorption and limited range of motion in flexion and extension movements of the digits of the hand, but mitigate or prevent hyperextension. Each orthotic has several plates of thermal plastic, pre-molded carbon fiber or the like that are generally, if not entirely, inflexible and interlinked through limited range of motion hinges, overlapping, and/or abutting plates that accommodate stability and protection. The plates are contained within, on top, underneath, or permutations of these, a form fitting material (e.g. neoprene or vinyl) to maintain a tight fit to the hand, digits and wrist. A thumb plate is hinged to an upper or lower hand plate of the device and includes a loop for receiving the thumb.

Abstract: An implant and method for spinal facet joint stabilization uses a wedge and plate adapted to accept prongs of a surgical instrument for installing the implant into a posterior spinal facet joint. The wedge has an anterior end with a threaded bore. A notch in each lateral side of the plate aligns with a groove in each lateral side of the wedge. Each notch and groove pair receives a prong of the surgical instrument to hold the wedge and plate during implantation. A superior tube of the surgical instrument supports a superior rod having an end configured for installing a bone screw attaching the plate to the superior vertebra of the spinal facet joint. An inferior tube of the surgical instrument supports an inferior rod having an end configured to attach to the threaded bore of the wedge along with the plate during introduction of the implant into the spinal facet joint, and installing the set screw to attach the plate to the wedge.

Abstract: Systems and methods for an incentive system are provided. One embodiment relates to a system including a processing circuit and a communications interface. The processing circuit includes an inventory module configured to track an inventory of medical devices, a usage module configured to generate usage data in response to use of one or more of the medical devices, an ordering module configured to generate a purchase order based on the usage data, the purchase order involving two or more parties, and a billing module configured to determine whether each party is eligible to use an incentive system, determine incentive options available to each eligible party, provide the associated incentive options to each eligible party, receive at least one incentive option selection, and generate transaction details for the purchase order based on the at least one selection.

Abstract: Arthroplasty implants replace an articulating surface of a bone joint such as bone joints of the foot, and is characterized by a three-component device comprising a bone screw, a button, and a cap. The button incorporates knurling on its distal end to fixate onto bone, a center hole, a spherical pocket to mate with the bone screw for stabilization, and a proximal retention structure to mate with the cap. The bone screw incorporates distal bone (cortical) threads or threading, a spherical head, and a drive structure used to insert the bone screw through the hole of the button and into the bone (e.g. a distal segment of the first metatarsal). The cap incorporates a distal mating structure that retains the cap onto the button, a proximal smooth spherical head that mates with the distal surface of the bone (e.g. a phalange bone), and a tang that prevents rotation after implantation.

Abstract: A laminar fixation system includes a laminar fixation implant and a laminar fixation implant tensioning tool for use with laminar fixation tape for retaining a spine rod relative to a vertebra of the spine. The laminar fixation implant has a hook at one end thereof that defines an arcuate pocket for holding a spine rod, a threaded angled bore with a set screw that contacts and fixes a spine rod received in the arcuate pocket, a passage extending through the hook for receiving laminar fixation tape, and a fixation plate disposed in a sidewall of the arcuate pocket of the hook and abutting the passage, whereby pressure exerted on the fixation plate by the spine rod presses against and fixes the laminar fixation tape in the passage relative to the laminar fixation implant.

Abstract: A spinal implant for immobilizing the C1 vertebra with respect to the C2 vertebra of the spine provides controlled coupling between the C1 and C2 vertebrae, and includes a C1 component attachable to the C1 vertebra, two C2 components attachable to the C2 vertebra, and a transverse element. The C1 component has two wings each of which retains a rod holder that rotates and translates for capturing a C2 component rod. Each C2 component has a hook for connection with a side of the C2 vertebra lamina and a rod for attachment to one of the rod holders of the C1 component. Each C2 component receives and secures the transverse connector which holds position of the C2 components relative to one another. Each C2 component may include a plate configured for compression against the C2 vertebra spinous process, with each plate including spikes to aid in preventing construct migration.

Abstract: An expandable implant includes a top support configured to engage a first portion of vertebral bone, a bottom support configured to engage a second portion of vertebral bone, and a control assembly coupled to the top support and the bottom support and configured to control relative movement between the top support and the bottom support. The control assembly includes a control member including a head and a body portion. The head includes a recess and the body portion includes at least one access port in fluid communication with the recess to enable delivery of fluid to an interior of the implant via the recess and at least one access port.

Abstract: An expandable implant including a base member including a top surface, a first end, and a second end, and defining a central cavity positioned between the first end and the second end. The expandable implant further including an adjustable member including a top surface and at least one control channel, wherein the adjustable member is adjustably coupled to the base member and movable between a first, collapsed position, and a second, expanded position, a control shaft received by the base member, wherein manipulation of the control shaft causes relative movement of the adjustable member relative to the base member, and at least one control member coupled to the control shaft and received by the control channel, wherein manipulation of the control shaft causes the control member to translate along the control channel.

Abstract: An expandable implant includes a top support configured to engage a first portion of vertebral bone, a bottom support configured to engage a second portion of vertebral bone, and a control assembly coupled to the top support and the bottom support and configured to control relative movement between the top support and the bottom support. The control assembly includes a control member including a head and a body portion. The head includes a recess and the body portion includes at least one access port in fluid communication with the recess to enable delivery of fluid to an interior of the implant via the recess and at least one access port.

Abstract: An expandable implant includes an upper main support, a lower main support, an upper pivoting support, and a lower pivoting support. The upper main support and the upper pivoting support are configured to engage a first portion of bone, and the lower main support is coupled to the upper main support and configured to engage a second portion of bone. The upper main support is adjustable relative to the lower main support to adjust height of the implant. The upper pivoting support is rotatably movable relative to the upper main support. The lower pivoting support is coupled to the upper pivoting support, configured to engage the second bone portion, and is rotatably movable relative to the lower main support. Adjusting the upper main support relative to the lower main support causes adjustment of the upper pivoting support relative to the lower pivoting support.