Abstract: A system and method are provided for making an access channel through a vertebral body to access a site of neural compression, decompressing it, and repairing the channel to restore vertebral integrity. System elements include an implantable vertebral plate, a guidance device for orienting bone cutting tools and controlling the path of a cutting tool, a bone cutting tool to make a channel in the vertebral body, a tool for opening or partially-resecting the posterior longitudinal ligament of the spine, a tool for retrieving a herniated disc, an implantable device with osteogenic material to fill the access channel, and a retention device that lockably-engages the bone plate to retain it in position after insertion. System elements may be included in a surgery to decompress an individual nerve root, the spinal cord, or the cauda equina when compressed, for example, by any of a herniated disc, an osteophyte, a thickened ligament arising from degenerative changes within the spine, a hematoma, or a tumor.

Abstract: The invention includes a system and methods for performing surgery on a spinal disc. The system includes an implantable bone plate with an access port to accommodate a bone cutting device, a spinal repair device insertable through the access port of the bone plate configured to occupy a surgically-formed vertebral channel from an anterior surface of the host vertebral body to a site central to an end plate of the host vertebral body, a trajectory control sleeve engageable to the bone plate to direct the trajectory of a cutting device, and a cutting device engageable within the trajectory control sleeve. Methods are directed to forming a vertebral channel and restoring the vertebral body and disc with devices that both repair the bone and the disc.

Abstract: The invention includes a system and methods for performing surgery on a spinal disc. The system includes an implantable bone plate with an access port to accommodate a bone cutting device, a spinal repair device insertable through the access port of the bone plate configured to occupy a surgically-formed vertebral channel from an anterior surface of the host vertebral body to a site central to an end plate of the host vertebral body, a trajectory control sleeve engageable to the bone plate to direct the trajectory of a cutting device, and a cutting device engageable within the trajectory control sleeve. Methods are directed to forming a vertebral channel and restoring the vertebral body and disc with devices that both repair the bone and the disc.

Abstract: A system for performing surgical repair of the spine includes a distractor and a permanently implanted bone plate system. A surgical repair methodology is also disclosed that employs an implanted bone plate system with a substantially void internal volume which is attached to adjacent vertebrae subsequent to the distraction and/or adjustment of curvature of the vertebrae and prior to the excision of disc and/or end plate tissue through the bone plate. The device further facilitates the subsequent delivery of an interbody repair device for the purpose of either fusion or dynamic stabilization, such as by disc arthroplasty. The plate may be permanently implanted, such as when a fusion between the attached vertebral bodies is desired, but it need not be permanently implanted.

Abstract: A system for performing surgical repair of the spine includes a distractor and a permanently implanted bone plate system. A surgical repair methodology is also disclosed that employs an implanted bone plate system with a substantially void internal volume which is attached to adjacent vertebrae subsequent to the distraction and adjustment of curvature of the vertebrae and prior to the excision of disc and/or end plate tissue through the bone plate. The device further facilitates the subsequent delivery of an interbody repair device for the purpose of either fusion or dynamic stabilization, such as by disc arthroplasty.

Abstract: A system and method are provided for making an access channel through a vertebral body to access a site of neural compression, decompressing it, and repairing the channel to restore vertebral integrity. System elements include an implantable vertebral plate, a guidance device for orienting bone cutting tools and controlling the path of a cutting tool, a bone cutting tool to make a channel in the vertebral body, a tool for opening or partially-resecting the posterior longitudinal ligament of the spine, a tool for retrieving a herniated disc, an implantable device with osteogenic material to fill the access channel, and a retention device that lockably-engages the bone plate to retain it in position after insertion. System elements may be included in a surgery to decompress an individual nerve root, the spinal cord, or the cauda equina when compressed, for example, by any of a herniated disc, an osteophyte, a thickened ligament arising from degenerative changes within the spine, a hematoma, or a tumor.

Abstract: A system for performing surgical repair of the spine includes a distractor and a permanently implanted bone plate system. A surgical repair methodology is also disclosed that employs an implanted bone plate system with a substantially void internal volume which is attached to adjacent vertebrae subsequent to the distraction and/or adjustment of curvature of the vertebrae and prior to the excision of disc and/or end plate tissue through the bone plate. The device further facilitates the subsequent delivery of an interbody repair device for the purpose of either fusion or dynamic stabilization, such as by disc arthroplasty. The plate may be permanently implanted, such as when a fusion between the attached vertebral bodies is desired, but it need not be permanently implanted.

Abstract: The invention includes a system and methods for performing surgery on a spinal disc. The system includes an implantable bone plate with an access port to accommodate a bone cutting device, a spinal repair device insertable through the access port of the bone plate configured to occupy a surgically-formed vertebral channel from an anterior surface of the host vertebral body to a site central to an end plate of the host vertebral body, a trajectory control sleeve engageable to the bone plate to direct the trajectory of a cutting device, and a cutting device engageable within the trajectory control sleeve. Methods are directed to forming a vertebral channel and restoring the vertebral body and disc with devices that both repair the bone and the disc.

Abstract: A removably insertable surgical apparatus is configured for insertion between adjacent vertebrae during spinal surgery and adjusted in-situ to produce varying degrees of distraction, neural-decompression, lordotic, kyphotic and/or scoliotic adjustment in the spine.

Abstract: A retractor system and associated method are provided to manage soft tissue around a spinal surgical field. The system includes a hollow retractor with proximal and a distal apertures and an internal circumferential surface connecting the apertures, the surface and the apertures defining an operating volume and the area of the distal aperture defining an operating field. The system may further include other elements such as a handling tool to facilitate placement and removal of the retractor, a bone cutting tool, a trajectory control sleeve to guide the bone cutting tool, and/or an implantable bone plate upon which to position the retractor. A method for spinal surgery, particular from an anterior approach, includes positioning the retractor at a surgical site, and performing a medical procedure through the operating volume provided by the retractor.

Abstract: The invention relates to a system and methods for retracting soft tissue during spinal repair or reconstruction procedures, particularly procedures within intervertebral sites of degenerated discs and associated neural compression. A retractor system includes an implantable bone plate, two or more retractor blades, the bone plate and retractor blades being mutually engageable; and a mechanism to adjust the retractor blade relative to the bone plate. In some embodiments, the retractor system may be applied to span more than one intervertebral space. An implanted retractor system provides an aperture for a clear operating field, and protects collateral tissue. A method for retracting soft tissue to facilitate spinal surgery includes securing a bone plate to adjacent vertebral bodies, engaging one or more retractor blades to the bone plate; and adjusting the angular position of the retractor blade relative to the bone plate so as to retract tissue lying external to the bone plate.

Abstract: A system and method are provided for making an access channel through a vertebral body to access a site of neural compression, decompressing it, and repairing the channel to restore vertebral integrity. System elements include an implantable vertebral plate, a guidance device for orienting bone cutting tools and controlling the path of a cutting tool, a bone cutting tool to make a channel in the vertebral body, a tool for opening or partially-resecting the posterior longitudinal ligament of the spine, a tool for retrieving a herniated disc, an implantable device with osteogenic material to fill the access channel, and a retention device that lockably-engages the bone plate to retain it in position after insertion. System elements may be included in a surgery to decompress an individual nerve root, the spinal cord, or the cauda equina when compressed, for example, by any of a herniated disc, an osteophyte, a thickened ligament arising from degenerative changes within the spine, a hematoma, or a tumor.

Abstract: A system for performing surgical repair of the spine includes a distractor and a permanently implanted bone plate system. A surgical repair methodology is also disclosed that employs an implanted bone plate system with a substantially void internal volume which is attached to adjacent vertebrae subsequent to the distraction and adjustment of curvature of said vertebrae and prior to the excision of end plate tissue there-through. The device further facilitates the subsequent delivery of an interbody repair device for the purpose of either fusion or dynamic stabilization, such as by disc arthroplasty.

Abstract: A modular rearview mirror assembly for vehicles incorporates one or more integrated subassembly modules or carrier members to which are connected separate electrical components such as lamps, reflectors, switches, plug receptacles and the like to simplify mirror assembly and provide integral support, electrical connections, and an electrical distribution network for the mirror assembly having added, electrically operated features. The carrier member includes a circuit member secured to and/or at least partially encased or encapsulated within a support body such that electrical connections extend therefrom. Preferably, the carrier member may include recesses at opposite ends for receiving and supporting reflectors thereon to prevent vibration while allowing interchangeability for different vehicle types. The carrier member may form a stop for a toggle actuator to limit the movement of the mirror housing between day and night positions in the event a prismatic mirror element is included.

Abstract: An interior rearview mirror system for a vehicle includes an interior rearview mirror assembly having a reflective element having a field of view rearward of the vehicle when the interior rearview mirror assembly is attached at a portion of the interior of the vehicle. A directional information display is viewable to a driver of the vehicle. A compass sensor is preferably disposed in the mirror housing behind the reflective element such that adjustment by the driver to set the rearward field view of the reflective element moves the compass sensor in tandem with movement of the reflective element. The interior rearview mirror assembly comprises a video camera having a field of view that encompasses one of (i) the windshield of the vehicle and (ii) the driver of the vehicle.

Abstract: An interior rearview mirror system for a vehicle includes an interior rearview mirror assembly having a field of view rearward of the vehicle when the interior mirror assembly is attached at a portion of the interior of the vehicle. The interior mirror assembly includes at least one pivot element enabling a driver of the vehicle to adjust the rearward field of view of the reflective element to that driver's desired setting and the interior mirror assembly comprises a mirror support having a mounting portion for attaching the interior mirror assembly to the portion of the interior of the vehicle. The mirror support includes at least one pivot element and the reflective element is disposed in a mirror housing.

Abstract: An interior rearview mirror system for a vehicle comprises an interior rearview mirror assembly having a reflective mirror element. The reflective element may be a variable reflectance reflective element having a reflectivity which is variable in accordance with a voltage applied thereto or a prismatic reflective element. The reflective element has a field of view rearward of the vehicle when the interior mirror assembly is attached at a portion of the interior of the vehicle. The interior mirror assembly includes at least one pivot element enabling a driver of the vehicle to adjust the rearward field of view of the reflective element to that driver's desired setting, and the interior mirror assembly has a mirror support having a mounting portion for attaching the mirror assembly to a portion of the interior of the vehicle and the mirror support includes at least one pivot element.