Abstract: Tools and instruments for use in orthopedic applications for forming openings and/or cavities in anatomical structures, e.g., bone and cartilage structures, are provided. The tools/instruments include a shaft having a distal end and defining a longitudinal axis and a shank disposed at the distal end of the shaft. The shank includes a tapered cutting edge and an adjacent fluted region. The shank is effective to collect and deposit materials generated by a cutting action within an opening or cavity formed thereby. A stop may be mounted with respect to the shaft. The tools/instruments deliver a clean and crisp cut to anatomical structures, thereby facilitating interaction with subsequently delivered plugs and/or implants.

Abstract: A knotless aperture fixation system, and method for use thereof, for securing a flexible material (i.e., suture, cable, fiber tape, or any other suitable flexible material) to a nearby tissue using knotless fixation achieved by a compression fit of the flexible material between two smooth surfaces. The system comprises a cylindrical or spherical flanged sleeve with threaded upper portion and smooth tapered lower portion is used in conjunction with a headless set screw with a bullet-shaped tip to achieve a compression fit of the flexible material between the smooth tapered lower portion of the sleeve and the smooth bullet-shaped tip of the headless set screw. The system may be used in conjunction with an expanded washer with a recessed lip, a flanged washer, or a bone plate with an opening containing a recessed lip.

Abstract: An apparatus for creating an electrical connection with a surgical tool is provided that is capable of engaging the shafts of rotatable surgical tools having varying diameters. In one aspect, the apparatus includes a body of nonconductive material connected to a pair of spaced, electrical contact members that provide two spaced points of contact with the tool shaft. In another aspect, a contact arm is provided which pivots within a slot formed within a housing to receive larger diameter tool shafts. Additionally, the contact arm closes an opening on the housing and resiliently shifts to an open position as the contact arm is brought into engagement with the tool shaft. A method of connecting a conductor assembly to a rotatable tool shaft is also provided which includes using tension in the conductor assembly to resist rotation of a gripping end of the assembly connected to a rotatable tool.

Abstract: A bone screw assembly includes a tulip-shaped seat, a bone fixation device, a ring-shaped washer, a rod and a cap. The tulip-shaped seat comprises a through opening dimensioned to receive the bone fixation device and a horizontal channel dimensioned to receive the rod. The washer is placed into the seat on top of the bone fixation device head and comprises first and second side tabs and a first pair of upward extending projections separated by a first gap and a second pair of upward extending projections separated by a second gap. The side tabs interface with a groove formed in the bottom portion of the seat. The rod is placed within the channel and positioned within a groove formed on the top surface of the washer. The cap includes first and second projections extending downward from its bottom surface and each of the first and second downward projections comprises first and second sidewise extending ridges.

Abstract: An apparatus for creating an electrical connection with a surgical tool is provided that is capable of engaging the shafts of rotatable surgical tools having varying diameters. In one aspect, the apparatus includes a body of nonconductive material connected to a pair of spaced, electrical contact members that provide two spaced points of contact with the tool shaft. In another aspect, a contact arm is provided which pivots within a slot formed within a housing to receive larger diameter tool shafts. Additionally, the contact arm closes an opening on the housing and resiliently shifts to an open position as the contact arm is brought into engagement with the tool shaft. A method of connecting a conductor assembly to a rotatable tool shaft is also provided which includes using tension in the conductor assembly to resist rotation of a gripping end of the assembly connected to a rotatable tool.

Abstract: An elongated member forming a spinal support rod is implantable adjacent the spine of a patient, and includes an axial span or spans for spanning respective spinal levels to promote efficacious spinal support/stabilization. As with conventional spinal support rods used in connection with lumbar fusion and other related procedures, the elongated member extends in an axial direction, and is substantially dimensionally stable, both radially and axially. The elongated member is further capable of bending, flexing, and/or deflecting laterally (e.g., along any and/or substantially all transverse directions) to an extent that preserves at least some spinal motion. Such elongated members can include axial spans that manifest a radially segmented geometry relative to the axial direction, include a sleeve and a series of structural members or a coil spring enclosed within the sleeve, and/or include a coil spring and a restraining element passing at least partially through the coil spring.

Abstract: An elongated member forming a spinal support rod is implantable adjacent the spine of a patient and includes an axial span or spans for spanning respective spinal levels to promote efficacious spinal support/stabilization. The axial span manifests a double helical geometry. The axial span has a rod-like profile of a diameter similar to conventional spinal support rods used for lumbar spinal fusion, and provides for use across multiple spinal levels and with multiple adjustable attachment points for associated spine attachment devices, such as pedicle screws, to accommodate different patient anatomies.

Abstract: An elongated member forming a spinal support rod is implantable adjacent the spine of a patient and includes an axial span or spans for spanning respective spinal levels to promote efficacious spinal support/stabilization. The axial span has an axially articulable geometry, and manifests an angulation mechanism along one or more transverse directions of at least seven degrees across a given spinal level. The angulation mechanism may be associated with joints between structural elements assembled in serial along the axial span, or via a common connection between such structural elements and a restraining element. Rotation between such structural elements can be global. The axial span may have a rod-like profile of a diameter similar to conventional spinal support rods used for lumbar spinal fusion, and provides for use across multiple spinal levels and with multiple adjustable attachment points for associated spine attachment devices to accommodate different patient anatomies.

Abstract: An assembly and method for attaching a medical device, or other structure, to a bone, according to which two projections are formed on one end of a driver that extend in two corresponding recesses, respectively, formed in the head of the screw to drivingly engage the driver and the screw.