Abstract: Closure devices for sealing a puncture and methods of sealing a puncture are described herein. A closure device may be used to position a sealant in a puncture. The sealant may be provided in a sheath which is retracted to expose the sealant in the puncture. A support member may be advanced to compress the sealant. The device may have a lock that prevents the support member from advancing prematurely. The lock may be unlocked when the sheath is at least partially retracted. The device may have an actuator that controls movement of the sheath and the support member. The lock may remain in a locked position until the sheath is at least partially retracted.

Abstract: An intervertebral prosthesis includes a body having first and second spaced apart major surfaces defining a longitudinal axis; a first aperture opening at one of the first and second major surfaces; a first anchoring element including a shaft having proximal and distal ends; a translator element coupled to the proximal end of the first anchoring element and having an engagement element that is releasibly engageable with a distal end of an external shaft element that enters the body through an aperture. The shaft element applies forces to the translator to: (i) move along a longitudinal axis within the body, (ii) translate the proximal end of the first anchoring element parallel to the longitudinal axis, and (iii) push the first anchoring element out through the first aperture.

Abstract: An intervertebral prosthesis includes: a body including first and second spaced apart major surfaces defining a longitudinal axis extending substantially normal to said surfaces and at least anterior and posterior sidewalls extending therebetween, the first and second major surfaces for engaging endplates of first and second vertebral bones of a spine; an aperture extending from within the body, transversely to the longitudinal axis, and opening at a major surface; an anchoring element disposed within the aperture and including a threaded shaft; and a gear disposed adjacent to and in meshed, threaded communication with the threaded shaft of the anchoring element such that rotation of the gear causes rotation of the anchoring element, and a driving rotational force on the gear causes the anchoring element to rotate, deploy from the body, and thread into a vertebral bone transverse to the longitudinal axis of the body.

Abstract: A spinal stabilization system may include a pair of structural members coupled to at least a portion of a human vertebra with connectors. Connectors may couple structural members to spinous processes. Some embodiments of a spinal stabilization system may include fasteners that couple structural members to vertebrae. In some embodiments, a spinal stabilization system, provides three points of fixation for a single vertebral level. A fastener may fixate a facet joint between adjacent vertebrae and couple a stabilization structural member to a vertebra. Connectors may couple the structural members to the spinous processes of the vertebrae. Use of a spinal stabilization system may improve the stability of a weakened or damaged portion of a spine. When used in conjunction with an implant or other device, the spinal stabilization system may immobilize vertebrae and allow for fusion of the implant or other device with vertebrae.

Abstract: An intervertebral prosthesis includes a body having first and second spaced apart major surfaces defining a longitudinal axis; a first aperture opening at one of the first and second major surfaces; a first anchoring element including a shaft having proximal and distal ends; a translator element coupled to the proximal end of the first anchoring element and having an engagement element that is releasibly engageable with a distal end of an external shaft element that enters the body through an aperture. The shaft element applies forces to the translator to: (i) move along a longitudinal axis within the body, (ii) translate the proximal end of the first anchoring element parallel to the longitudinal axis, and (iii) push the first anchoring element out through the first aperture.

Abstract: A method includes: making a first incision in a patient defining a first lateral direction to a first lateral side of the patient's spine; inserting an intervertebral prosthesis through the first incision and into an intervertebral space of the spine in the first lateral direction; locating the intervertebral prosthesis between an endplate of a first vertebral bone of a spine, and an endplate of an adjacent, second vertebral bone of the spine; closing the first incision; making a second incision in the patient defining a second lateral direction to a second lateral side of the patient's spine, opposite to the first direction and the first lateral side; reversing the locating of the intervertebral prosthesis from the endplate of the first vertebral bone of the spine, and from the endplate of the adjacent, second vertebral bone of the spine; removing the intervertebral prosthesis from the intervertebral space of the spine from the second lateral direction and out through the second incision; and closing the sec

Abstract: A spinal stabilization system may include a pair of structural members coupled to at least a portion of a human vertebra with connectors. Connectors may couple structural members to spinous processes. Some embodiments of a spinal stabilization system may include fasteners that couple structural members to vertebrae. In some embodiments, a spinal stabilization system, provides three points of fixation for a single vertebral level. A fastener may fixate a facet joint between adjacent vertebrae and couple a stabilization structural member to a vertebra. Connectors may couple the structural members to the spinous processes of the vertebrae. Use of a spinal stabilization system may improve the stability of a weakened or damaged portion of a spine. When used in conjunction with an implant or other device, the spinal stabilization system may immobilize vertebrae and allow for fusion of the implant or other device with vertebrae.

Abstract: A spinal stabilization system may include a pair of structural members coupled to at least a portion of a human vertebra with connectors. Connectors may couple structural members to spinous processes. Some embodiments of a spinal stabilization system may include fasteners that couple structural members to vertebrae. In some embodiments, a spinal stabilization system, provides three points of fixation for a single vertebral level. A fastener may fixate a facet joint between adjacent vertebrae and couple a stabilization structural member to a vertebra. Connectors may couple the structural members to the spinous processes of the vertebrae. Use of a spinal stabilization system may improve the stability of a weakened or damaged portion of a spine. When used in conjunction with an implant or other device, the spinal stabilization system may immobilize vertebrae and allow for fusion of the implant or other device with vertebrae.

Abstract: A method includes: making a first incision in a patient defining a first lateral direction to a first lateral side of the patient's spine; inserting an intervertebral prosthesis through the first incision and into an intervertebral space of the spine in the first lateral direction; locating the intervertebral prosthesis between an endplate of a first vertebral bone of a spine, and an endplate of an adjacent, second vertebral bone of the spine; closing the first incision; making a second incision in the patient defining a second lateral direction to a second lateral side of the patient's spine, opposite to the first direction and the first lateral side; reversing the locating of the intervertebral prosthesis from the endplate of the first vertebral bone of the spine, and from the endplate of the adjacent, second vertebral bone of the spine; removing the intervertebral prosthesis from the intervertebral space of the spine from the second lateral direction and out through the second incision; and closing the sec

Abstract: An intervertebral prosthesis includes: a body; a first aperture extending from within the body and opening; a first anchoring element disposed within the first aperture and including a shaft having proximal and distal ends, where the proximal end of the first anchoring element includes a first portion of a first articulation mechanism; and a drive mechanism having: (i) a threaded shaft defining a longitudinal axis thereof and a head at a proximal end of the threaded shaft, (ii) a translator element having a threaded bore in threaded engagement with the threaded shaft.

Abstract: An intervertebral prosthesis includes: a body; a first aperture extending from within the body and opening; a first anchoring element disposed within the first aperture and including a shaft having proximal and distal ends, where the proximal end of the first anchoring element includes a first portion of a first articulation mechanism; and a drive mechanism having: (i) a threaded shaft defining a longitudinal axis thereof and a head at a proximal end of the threaded shaft, (ii) a translator element having a threaded bore in threaded engagement with the threaded shaft.

Abstract: An intervertebral prosthesis includes: a body; a first aperture extending from within the body and opening; a first anchoring element disposed within the first aperture and including a shaft having proximal and distal ends, where the proximal end of the first anchoring element includes a first portion of a first articulation mechanism; and a drive mechanism having: (i) a threaded shaft defining a longitudinal axis thereof and a head at a proximal end of the threaded shaft, (ii) a translator element having a threaded bore in threaded engagement with the threaded shaft, and a coupling element having a corresponding second portion of the first articulation mechanism, where the first and second portions of the first articulation mechanism engage one another such that the first anchoring element articulates relative to the a translator element.

Abstract: An intervertebral prosthesis includes: a body; a first aperture extending from within the body and opening; a first anchoring element disposed within the first aperture and including a shaft having proximal and distal ends, where the proximal end of the first anchoring element includes a first portion of a first articulation mechanism; and a drive mechanism having: (i) a threaded shaft defining a longitudinal axis thereof and a head at a proximal end of the threaded shaft, (ii) a translator element having a threaded bore in threaded engagement with the threaded shaft, and a coupling element having a corresponding second portion of the first articulation mechanism, where the first and second portions of the first articulation mechanism engage one another such that the first anchoring element articulates relative to the a translator element.

Abstract: A spinal stabilization system may include a pair of structural members coupled to at least a portion of a human vertebra with connectors. Connectors may couple structural members to spinous processes. Some embodiments of a spinal stabilization system may include fasteners that couple structural members to vertebrae. In some embodiments, a spinal stabilization system, provides three points of fixation for a single vertebral level. A fastener may fixate a facet joint between adjacent vertebrae and couple a stabilization structural member to a vertebra. Connectors may couple the structural members to the spinous processes of the vertebrae. Use of a spinal stabilization system may improve the stability of a weakened or damaged portion of a spine. When used in conjunction with an implant or other device, the spinal stabilization system may immobilize vertebrae and allow for fusion of the implant or other device with vertebrae.

Abstract: A spinal stabilization system may include a pair of structural members coupled to at least a portion of a human vertebra with connectors. Connectors may couple structural members to spinous processes. Some embodiments of a spinal stabilization system may include fasteners that couple structural members to vertebrae. In some embodiments, a spinal stabilization system, provides three points of fixation for a single vertebral level. A fastener may fixate a facet joint between adjacent vertebrae and couple a stabilization structural member to a vertebra. Connectors may couple the structural members to the spinous processes of the vertebrae. Use of a spinal stabilization system may improve the stability of a weakened or damaged portion of a spine. When used in conjunction with an implant or other device, the spinal stabilization system may immobilize vertebrae and allow for fusion of the implant or other device with vertebrae.

Abstract: An intervertebral prosthesis includes: a body; at least three apertures extending from within the body; at least three anchoring elements disposed within the at least three apertures; and a drive mechanism operating to simultaneously push the at least three anchoring elements out through the apertures, where: a first deployment direction of a first of the anchoring elements includes: (i) a first substantial directional component in one of an anterior and posterior direction of the body; and (ii) a second substantial directional component parallel to the longitudinal axis of the body; a second deployment direction of a second of the anchoring elements includes: (i) a first substantial directional component in one of an anterior and posterior direction of the body; and (ii) a second substantial directional component parallel to the longitudinal axis of the body and opposite to the second substantial directional component of the first deployment direction of the first anchoring element; and the drive mechanism o

Abstract: An apparatus for inserting an intervertebral prosthesis within a spine of a mammal includes: a handle including a drive nut operating to produce rotational torque in response to user-input about a central axis; a first drive shaft including a proximal end in communication with the drive nut, receiving rotational torque therefrom, and imparting rotational torque to the first drive shaft about a first axis, which is laterally offset from the central axis; and a distal end of the first drive shaft including a first drive head; and a chuck disposed at a distal end of the tool for engaging the intervertebral prosthesis during implantation, wherein the first drive shaft extends through the chuck and the first drive head engages a first gear of the intervertebral prosthesis, such that rotation of the first gear causes rotation and deployment of a first anchoring element of the intervertebral prosthesis.

Abstract: An intervertebral prosthesis includes: a body; at least three apertures extending from within the body; at least three anchoring elements disposed within the at least three apertures; and a drive mechanism operating to simultaneously push the at least three anchoring elements out through the apertures, where: a first deployment direction of a first of the anchoring elements includes: (i) a first substantial directional component in one of an anterior and posterior direction of the body; and (ii) a second substantial directional component parallel to the longitudinal axis of the body; a second deployment direction of a second of the anchoring elements includes: (i) a first substantial directional component in one of an anterior and posterior direction of the body; and (ii) a second substantial directional component parallel to the longitudinal axis of the body and opposite to the second substantial directional component of the first deployment direction of the first anchoring element; and the drive mechanism o

Abstract: A method of inserting an intervertebral prosthesis into an intervertebral space between respective endplates of adjacent first and second vertebral bones of a spine, includes: placing the intervertebral prosthesis into the intervertebral space, the intervertebral prosthesis including: a body including first and second spaced apart major surfaces and at least one sidewall extending therebetween, the first major surface for engaging the endplate of the first vertebral bone, and the second major surface for engaging the endplate of the second vertebral bone, and the first and second major surfaces defining a longitudinal axis extending substantially normal to said surfaces; and simultaneously pushing at least three anchoring elements from within the body of the intervertebral prosthesis out through at least three respective apertures in the body and into at least one of the first and second vertebral bones, without rotating the at least one anchoring element about an axis thereof.

Abstract: A system and method for inserting an implant into a cavity is disclosed, which may include advancing an implant insertion instrument toward a pair of adjacent bodies, the implant insertion instrument having two opposed ramps, wherein each ramp has a distal tip and wherein the longitudinal axes of the opposed ramps are separated by an initial angle; inserting the distal tips of the opposed ramps between the adjacent bodies, thereby creating an initial interbody cavity between the adjacent bodies; expanding the interbody cavity while maintaining the initial angle between the longitudinal axes of the opposed ramps; placing the implant in a final location between the adjacent bodies; transferring a compressive force urging the adjacent bodies together from the opposed ramps to the implant; and extracting the implant insertion instrument from the interbody cavity.