Abstract: Improved fixation or stabilization of implants is achieved via one or more deployable spikes or anchors. The deployable spikes or anchors may be present in the implant in a nested, collapsed, or retracted position while the implant is inserted into the human body, and may then be deployed (e.g., into adjacent bone) after the implant is in place, thereby fixing the implant's location against unwanted movement. Such fixation or stabilization of the implant may reduce patients' pain, may improve overall short-term and long-term stability of the implant, and may improve osteo-integration into the implant.

Abstract: A porous implant design method includes defining a design volume for a porous implant, a load to be borne by the design volume, and an objective function solution characteristic related to the design volume. Next, the load is divided into a plurality of sub-loads and an optimization procedure is performed: until all sub-loads have been applied, one of the plurality of sub-loads is applied to the material in the design volume, material from the design volume is removed such that remaining material within the design volume is capable of bearing one of the plurality of sub-loads while satisfying the objection function solution characteristic; the remaining material defines a void space without material, the void space is set as a new design volume for any remaining sub-loads, the new design volume is set as being full of material. Then, the remaining material from each cycle of the optimization is combined.

Abstract: Systems and methods for measuring and applying a spinal compression force are provided. Some implementations of the systems and methods include a compression instrument having one or more compressors or gauges. In some cases, the compressor is configured to apply the spinal compression force to a spine of a patient. In some cases, the gauge is configured to measure the spinal compression force. Other implementations are discussed herein.

Abstract: Systems and methods for providing a secure and durable implant are disclosed. For example, the systems and methods may include securely attaching an anchor to an implant body. In some cases, the anchor has an anchor head. In some cases, a coupler for coupling to the implant body is configured to receive the anchor. Some implementations of the disclosed systems and methods include a rivet for attaching the anchor to the coupler. In some implementations at least one of the anchor head and the rivet includes a projection, while the other includes a socket configured to receive the projection. Other implementations are discussed herein.

Abstract: A porous implant design method includes defining a design volume for a porous implant, a load to be borne by the design volume, and an objective function solution characteristic related to the design volume. Next, the load is divided into a plurality of sub-loads and an optimization procedure is performed: until all sub-loads have been applied, one of the plurality of sub-loads is applied to the material in the design volume, material from the design volume is removed such that remaining material within the design volume is capable of bearing one of the plurality of sub-loads while satisfying the objection function solution characteristic; the remaining material defines a void space without material, the void space is set as a new design volume for any remaining sub-loads, the new design volume is set as being full of material. Then, the remaining material from each cycle of the optimization is combined.

Abstract: A surgical implant includes a deployable, retractable, or removable ramped nose. During insertion of the implant, the ramped nose is deployed such that the ramped nose can serve to distract a space into which the implant is inserted. At some point during or after insertion, the ramped nose can be collapsed and removed or retracted so that it does not extend beyond the space into which the implant is inserted, while the implant extends at full height throughout the space into which the implant is inserted. The implant includes an implant body having a deployable ramped nose adapted to selectively extend from the body and transition from a first height proximate the implant body to a second, shorter, height distal from the implant body. The deployable ramped nose is adapted to distract an implant site upon insertion of the implantable medical device.

Abstract: An expanding, conforming interbody implant includes a plurality of superior and a plurality of inferior segments. The segments are adapted to individually expand, contact, and conform to endplates of vertebral bodies to distribute forces equally over the implant and across the vertebral endplates. Once a proper extension of the segments has been achieved, the segments are locked in position. The implant has a stiffness that approximates the stiffness of bone, and the implant minimizes problems with subsidence, endplate fractures, and stress shielding.

Abstract: An expandable interbody spacer includes a first endplate surface located on a first side of the spacer and adapted to contact a vertebral endplate surface of a first vertebral body, a second endplate surface located on a second, opposed, side of the spacer and adapted to contact a vertebral endplate surface of a second, opposed, vertebral body and an expansion mechanism adapted to selectively apply a distracting force between the first endplate surface and the second endplate surface, whereby actuation of the expansion mechanism causes the spacer to transition between a compressed insertion configuration to an expanded fusion configuration. The spacer also includes one or more of a deformable surface, a porosity to promote bone on-growth or through-growth, a stiffness substantially equivalent to cortical bone, and structure distributing loads through the spacer substantially without transferring the loads through higher-stiffness structures.

Abstract: An expanding, conforming interbody implant includes a plurality of superior and a plurality of inferior segments. The segments are adapted to individually expand, contact, and conform to endplates of vertebral bodies to distribute forces equally over the implant and across the vertebral endplates. Once a proper extension of the segments has been achieved, the segments are locked in position. The implant has a stiffness that approximates the stiffness of bone, and the implant minimizes problems with subsidence, endplate fractures, and stress shielding.

Abstract: A surgical implant includes a deployable, retractable, or removable ramped nose. During insertion of the implant, the ramped nose is deployed such that the ramped nose can serve to distract a space into which the implant is inserted. At some point during or after insertion, the ramped nose can be collapsed and removed or retracted so that it does not extend beyond the space into which the implant is inserted, while the implant extends at full height throughout the space into which the implant is inserted. The implant includes an implant body having a deployable ramped nose adapted to selectively extend from the body and transition from a first height proximate the implant body to a second, shorter, height distal from the implant body. The deployable ramped nose is adapted to distract an implant site upon insertion of the implantable medical device.

Abstract: A porous implant design method includes defining a design volume for a porous implant, a load to be borne by the design volume, and an objective function solution characteristic related to the design volume. Next, the load is divided into a plurality of sub-loads and an optimization procedure is performed: until all sub-loads have been applied, one of the plurality of sub-loads is applied to the material in the design volume, material from the design volume is removed such that remaining material within the design volume is capable of bearing one of the plurality of sub-loads while satisfying the objection function solution characteristic; the remaining material defines a void space without material, the void space is set as a new design volume for any remaining sub-loads, the new design volume is set as being full of material. Then, the remaining material from each cycle of the optimization is combined.

Abstract: Orthopedic plates (including anterior cervical plates), plate systems, and methods of use allow orthopedic screws to be placed with full visualization. This allows screw placement without use of specialized locating instruments or pins. The new plates are introduced to the surgical wound after the screws are placed and are secured by a press or interference fit. Because the screws are placed before the plates are introduced, the screws function as attachment points for distraction implements. The new plates and plate systems obviate the need to achieve a particular position and angulation of screws. The screws allow more angulation, and plate eyes adjust to screw position. Plate eyes translate to match the effective plate size to the screw placement, thereby allowing each plate to fit multiple screw spacings. Plates are adapted to adjust to bone remodeling or subsidence. Screw eyes can slide to maintain graft contact and compression.

Abstract: An expanding, conforming interbody implant includes a plurality of superior and a plurality of inferior segments. The segments are adapted to individually expand, contact, and conform to endplates of vertebral bodies to distribute forces equally over the implant and across the vertebral endplates. Once a proper extension of the segments has been achieved, the segments are locked in position. The implant has a stiffness that approximates the stiffness of bone, and the implant minimizes problems with subsidence, endplate fractures, and stress shielding.

Abstract: An implant inserter is adapted to secure and facilitate insertion of a surgical implant. The implant has an inserter attachment interface having a narrow external opening at a surface thereof and a broader internal opening. The implant inserter includes a handle and an inserter shaft. The implant inserter also includes a pair of flexible tabs extending from a distal end of the inserter shaft with laterally extending protrusions adapted to extend into the broader internal opening and an expansion shaft adapted to selectively extend between the flexible tabs whereby the expansion shaft prevents flexion of the flexible tabs such that the laterally extending protrusions secure the surgical implant, and whereby when the expansion shaft does not extend between the flexible tabs, the flexible tabs can be flexed inwardly to cause the laterally extending protrusions to have a narrower profile that is able to be passed through the narrow external opening.

Abstract: An expandable interbody spacer includes a first endplate surface located on a first side of the spacer and adapted to contact a vertebral endplate surface of a first vertebral body, a second endplate surface located on a second, opposed, side of the spacer and adapted to contact a vertebral endplate surface of a second, opposed, vertebral body and an expansion mechanism adapted to selectively apply a distracting force between the first endplate surface and the second endplate surface, whereby actuation of the expansion mechanism causes the spacer to transition between a compressed insertion configuration to an expanded fusion configuration. The spacer also includes one or more of a deformable surface, a porosity to promote bone on-growth or through-growth, a stiffness substantially equivalent to cortical bone, and structure distributing loads through the spacer substantially without transferring the loads through higher-stiffness structures.

Abstract: Improved fixation or stabilization of implants is achieved via one or more deployable spikes or anchors. The deployable spikes or anchors may be present in the implant in a nested, collapsed, or retracted position while the implant is inserted into the human body, and may then be deployed (e.g., into adjacent bone) after the implant is in place, thereby fixing the implant's location against unwanted movement. Such fixation or stabilization of the implant may reduce patients' pain, may improve overall short-term and long-term stability of the implant, and may improve osteo-integration into the implant.

Abstract: A self-retaining screwdriver includes an elongate inner driver rod and an outer sleeve disposed about the inner driver rod and having a distal end, the distal end having a plurality of fingers. Each of the fingers includes a retention feature. The retention feature may be formed as an area of thickening of the finger, whereby an effective diameter of the outer sleeve at the retention features of the fingers is increased. When the inner driver rod is disposed within the outer sleeve with a distal portion of the inner driver rod extended as far as the retention feature, the presence of the inner driver rod prevents the fingers from being radially displaced inwardly. When the inner driver rod is at least partially withdrawn, the distal portion of the inner driver rod does not extend to a distal end of the fingers, and the fingers can be radially displaced inwardly.

Abstract: A method of tailoring a spinal implant to correspond to a specific patient's needs includes: pre-operatively evaluating a patient to determine a desired spinal segment response; and modifying one or more features of flexures of an implant to provide the desired spinal segment response. Modifying one or more features of flexures of the implant can include modifying one or more of a thickness, width, length and/or shape of the features of the flexures. Various systems for executing the methodologies taught herein are also provided.

Abstract: Orthopedic implants, particularly interbody spacers, have a combination of correct pore size and stiffness/flexibility. When the implants have the proper pore size and stiffness, osteocytes are able to properly bridge the pores of the implant and then experience a proper compressive load to stimulate the bone cells to form bone within the pores. An implant includes a body formed of an osteoconductive material and having a stiffness of between 400 megapascals (MPa) and 1,200 MPa. Additionally, the body includes a plurality of pores having an average size of between 150 microns and 600 microns. The pores permit the growth of bone therein. The body is formed of packs of coils which may be formed using an additive manufacturing process and using traditional orthopedic implant materials such as titanium and titanium alloys while still achieving desired stiffness and pore sizes of the implants.

Abstract: A coupling assembly for use in surgical constructs includes a first body and a second body. One of the first body and the second body includes a male member and an other of the first body and the second body includes a female member. The male member is sized and shaped to be received within the female member and the female member has an internal bore sized and shaped to receive the male member therein. One of the male member or the female member includes one or more engagement features formed therewith or attached thereto. The engagement features are operable to provide a gripping interface between the male member and the female member to couple the male member and the female member one to another.