Abstract: A surgical system including a combination instrument for breaking of tabs of a reduction connector and providing a counter torque for a driver is disclosed. The combination instrument may have an elongated rigid structure and include an internal shaft and a magazine portion configured to store at least one tab of a reduction connector. The combination instrument may further include a cut-out portion configured to retain the at least one tab within the magazine portion. In some embodiments, the driver may be configured to be inserted into the internal shaft of the combination instrument. In some embodiments, the driver is rotatable within the internal shaft of the combination instrument and configured to drive a set screw within the reduction connector. Disclosed drivers may be manual drivers or powered drivers. Some embodiments, may include a collar or a cap from which the broken off tabs may be ejected.

Abstract: A surgical system including a combination instrument for breaking of tabs of a reduction connector and providing a counter torque for a driver is disclosed. The combination instrument may have an elongated rigid structure and include an internal shaft and a magazine portion configured to store at least one tab of a reduction connector. The combination instrument may further include a cut-out portion configured to retain the at least one tab within the magazine portion. In some embodiments, the driver may be configured to be inserted into the internal shaft of the combination instrument. In some embodiments, the driver is rotatable within the internal shaft of the combination instrument and configured to drive a set screw within the reduction connector. Disclosed drivers may be manual drivers or powered drivers. Some embodiments, may include a collar or a cap from which the broken off tabs may be ejected.

Abstract: The invention provides improved instruments and related methods for percutaneously delivering a revision implant to a surgical site in a spine of a patient having an existing implant installed therein. In one aspect, a percutaneous delivery instrument is provided with an inner shaft with a threaded portion at its distal end to engage a percutaneous revision implant, an outer sleeve with a hollow cavity, hinges, and features to engage the percutaneous revision implant at its distal end, and a translator in which the outer sleeve is disposed. The percutaneous delivery instrument may be employed to deliver and install a percutaneous revision implant to extend the existing implant such that it spans additional portions of the spine.

Abstract: A percutaneous revision implant for percutaneously revising an existing implant located in the spine of a patient may include, for example, extending the existing implant construct to span additional portions of the spine of the patient. The percutaneous revision implant comprises a proximal end portion and a distal end portion. The proximal end portion comprises a connector having two opposable walls joined at one end to define a cavity having a first longitudinal axis. The cavity is suitable to receive and engage a rod of the existing implant. The percutaneous revision implant of the invention permits a medical practitioner to extend an existing implant construct without significantly disrupting or removing the existing implant or its component parts. A method of using same is also provided.

Abstract: The invention provides improved instruments and related methods for percutaneously delivering a revision implant to a surgical site in a spine of a patient having an existing implant installed therein. In one aspect, a percutaneous delivery instrument is provided with an inner shaft with a threaded portion at its distal end to engage a percutaneous revision implant, an outer sleeve with a hollow cavity, hinges, and features to engage the percutaneous revision implant at its distal end, and a translator in which the outer sleeve is disposed. The percutaneous delivery instrument may be employed to deliver and install a percutaneous revision implant to extend the existing implant such that it spans additional portions of the spine.

Abstract: A percutaneous revision implant for percutaneously revising an existing implant located in the spine of a patient may include, for example, extending the existing implant construct to span additional portions of the spine of the patient. The percutaneous revision implant comprises a proximal end portion and a distal end portion. The proximal end portion comprises a connector having two opposable walls joined at one end to define a cavity having a first longitudinal axis. The cavity is suitable to receive and engage a rod of the existing implant. The percutaneous revision implant of the invention permits a medical practitioner to extend an existing implant construct without significantly disrupting or removing the existing implant or its component parts. A method of using same is also provided.