Abstract: A flush syringe assembly comprises a barrel including a cylindrical side wall having an inside surface defining a chamber for retaining fluid, an open proximal end and a distal end having a passageway therethrough in fluid communication with the chamber. A plunger including an elongate body portion having a stopper at its distal end is provided. The stopper is slidably positioned in fluid-tight engagement with the inside surface of the barrel for driving fluid out of the chamber through the passageway. The stopper includes a distal portion and a proximal portion separated by a spring element and configured to compress when fluid is being driven through the passageway by motion of the plunger and to continue to drive fluid through the passageway after motion of the plunger has stopped.

Abstract: An expandable implant (210, 410) includes top and bottom plates (220, 250, 420, 450) having angled inner surfaces (222, 252, 422, 452) that interact with expansion members (300, 302, 500, 502). The expansion members (300, 302, 500, 502) may be situated on an actuator (280, 480), and may include at least one vertical projection (312, 314, 512, 514) for interacting with a recess (230, 430) in the plates (220, 250, 420, 450). In some instances, rotation of the actuator (280, 480) in opposing directions about a longitudinal axis may cause the expansion members (300, 302, 500, 502) to move toward or away from one another, thereby resulting in separation or collapse of the top and bottom plates (220, 250, 420, 450). Pins (316, 516) may also be associated with the expansion members (300, 302, 500, 502) and received in respective slots (318, 518) in the plates (220, 250, 420, 450).

Abstract: A prosthetic intervertebral spacer is disclosed. The spacer preferably includes a body and an interface extending away from the body for use during implantation of the spacer. The interface can be a rail including a neck portion connected to the body and a lip portion connected to the neck portion. The lip portion can be wider than the neck portion in a direction extending between the top and bottom surfaces of the implant. Methods of implanting the spacer and tools used during such procedure are also disclosed.

Abstract: An insertion tool for positioning intervertebral spacers into disc spaces. The insertion tool has a proximal end and a distal end, a T-handle secured to the proximal end and a pair of alignment rails extending to the distal end. The insertion tool includes a handle secured to the proximal end of the guide rails, and a shaft that extends through the handle, whereby the shaft has a threaded portion that extends to the T-handle. The insertion tool also includes a blocker that is secured to the distal end of the shaft. The blocker includes stop arms that guide the blocker through the guide rails and toward the distal end of the shaft. The blocker may be provided in a plurality of different sizes corresponding to the sizes of the implants to be inserted into a disc space. A lock is provided for locking the implant to the shaft.

Abstract: A method of inserting an expandable intervertebral implant is disclosed. The implant preferably includes first and second members capable of being expanded upon movement of first and second wedges. The first and second wedges, while being capable of moving with respect to each other and the first and second members are also preferably attached to the first and second members. In addition, the first and second wedges are preferably capable of moving only in a first direction, while movement in a second direction is inhibited. The first and second wedges are also preferably prevented from torsionally moving with respect to the first and second members.

Abstract: An expandable implant (210, 410) includes top and bottom plates (220, 250, 420, 450) having angled inner surfaces (222, 252, 422, 452) that interact with expansion members (300, 302, 500, 502). The expansion members (300, 302, 500, 502) may be situated on an actuator (280, 480), and may include at least one vertical projection (312, 314, 512, 514) for interacting with a recess (230, 430) in the plates (220, 250, 420, 450). In some instances, rotation of the actuator (280, 480) in opposing directions about a longitudinal axis may cause the expansion members (300, 302, 500, 502) to move toward or away from one another, thereby resulting in separation or collapse of the top and bottom plates (220, 250, 420, 450). Pins (316, 516) may also be associated with the expansion members (300, 302, 500, 502) and received in respective slots (318, 518) in the plates (220, 250, 420, 450).

Abstract: A method of inserting an expandable intervertebral implant is disclosed. The implant preferably includes first and second members capable of being expanded upon movement of first and second wedges. The first and second wedges, while being capable of moving with respect to each other and the first and second members are also preferably attached to the first and second members. In addition, the first and second wedges are preferably capable of moving only in a first direction, while movement in a second direction is inhibited. The first and second wedges are also preferably prevented from torsionally moving with respect to the first and second members.

Abstract: An expandable intervertebral implant and tool for use in implanting same are disclosed. The tool is useful in retaining the implant in a non-expanded state throughout insert of the implant between adjacent vertebral bodies. Among other elements, the tool includes a rod, a sleeve placed over the rod, and a locking knob attached to the rod and the sleeve to fix them with respect to each other. This construct preferably aids in preventing movement of the various components of the implant, including first and second members and first and second wedges. A method of attaching inserting the implant through the use of the tool and attaching the tool to the implant are also disclosed.

Abstract: A prosthetic intervertebral spacer is disclosed. The spacer preferably includes a body and an interface extending away from the body for use during implantation of the spacer. Methods of implanting the spacer and tools used during such procedure are also disclosed.

Abstract: An expandable intervertebral implant and tool for use in implanting same are disclosed. The tool is useful in retaining the implant in a non-expanded state throughout insert of the implant between adjacent vertebral bodies. Among other elements, the tool includes a rod, a sleeve placed over the rod, and a locking knob attached to the rod and the sleeve to fix them with respect to each other. This construct preferably aids in preventing movement of the various components of the implant, including first and second members and first and second wedges. A method of attaching inserting the implant through the use of the tool and attaching the tool to the implant are also disclosed.

Abstract: An insertion tool for positioning intervertebral spacers into disc spaces. The insertion tool has a proximal end and a distal end, a T-handle secured to the proximal end and a pair of alignment rails extending to the distal end. The insertion tool includes a handle secured to the proximal end of the guide rails, and a shaft that extends through the handle, whereby the shaft has a threaded portion that extends to the T-handle. The insertion tool also includes a blocker that is secured to the distal end of the shaft. The blocker includes stop arms that guide the blocker through the guide rails and toward the distal end of the shaft. The blocker may be provided in a plurality of different sizes corresponding to the sizes of the implants to be inserted into a disc space. A lock is provided for locking the implant to the shaft.

Abstract: A flush syringe assembly comprises a barrel including a cylindrical side wall having an inside surface defining a chamber for retaining fluid, an open proximal end and a distal end having a passageway therethrough in fluid communication with the chamber. A plunger including an elongate body portion having a stopper at its distal end is provided. The stopper is slidably positioned in fluid-tight engagement with the inside surface of the barrel for driving fluid out of the chamber through the passageway. The stopper includes a distal portion and a proximal portion separated by a spring element and configured to compress when fluid is being driven through the passageway by motion of the plunger and to continue to drive fluid through the passageway after motion of the plunger has stopped.

Abstract: An I.V. flush syringe assembly includes a barrel having an inside surface defining a chamber for retaining fluid, an open proximal end and a distal end with a passageway therethrough in fluid communication with the chamber. An elongate plunger having a proximal end, a distal end and a stopper is slidably positioned in fluid-tight engagement with the inside surface of the barrel for drawing fluid into and out of the chamber by movement of the stopper relative to the barrel. The plunger includes anti-reflux structure for minimizing stopper deflection when fluid has been delivered from the chamber and the stopper is being forced against the distal end of the chamber.

Abstract: An I.V. flush syringe assembly includes a barrel having an inside surface defining a chamber for retaining fluid, an open proxima end and a distal end with a passageway therethrough in fluid communication with the chamber. An elongate plunger having a proximal end, a distal end and a flexible stopper is slidably positioned in fluid-tight engagement with the inside surface of the barrel for drawing fluid into and out of the chamber by movement of the stopper relative to the barrel. The barrel includes anti-reflux structure for holding said stopper in a partially deflected position after has been delivered from the chamber and the stopper is being force against the distal end of the chamber.

Abstract: A positive displacement flush syringe includes a barrel having a chamber for retaining fluid and an elongate tip extending distally therefrom having a passageway therethrough in fluid communication with the chamber. A plunger having a stopper which is slidably positioned in said chamber for driving fluid out of the chamber by movement of the stopper relative to the barrel is provided. Further, structure is provided to move fluid distally in the passageway after fluid has been delivered from the chamber and the stopper is in contact with the distal wall of the chamber.

Abstract: An I.V. flush syringe assembly includes a barrel having an inside surface defining a chamber for retaining fluid, an open proximal end and a distal end including a distal wall with an elongate tip extending distally therefrom having a passageway therethrough in fluid communication with the chamber. A plunger having an elongate body portion and a stopper slidably positioned in fluid-tight engagement with the inside surface of the barrel is provided. Anti-reflux structure for controlling stopper deflection when fluid has been delivered from the chamber and the stopper is in contact with the distal wall is provided.

Abstract: An I.V. flush syringe assembly includes a barrel having an inside surface defining a chamber for retaining fluid, an open proximal end and a distal end including a distal wall with an elongate tip extending distally therefrom having a passageway therethrough in fluid communication with the chamber. A plunger having an elongate body portion and a stopper slidably positioned in fluid-tight engagement with the inside surface of the barrel is provided. Anti-reflux structure in said barrel is provided for controlling stopper deflection when fluid has been delivered from the chamber and the stopper is in contact with structure on the distal wall.

Abstract: A method of making a flush syringe assembly comprises providing a plurality of syringe barrels having a chamber with a conically-shaped distal wall and providing a plurality of stoppers having a conically-shaped distal surface. The method further includes selecting a stopper from the plurality of stoppers and a barrel from the plurality of barrels so that the total included angle of the distal wall of the selected barrel is greater than the total included angle of the selected stopper distal surface, and inserting the selected stopper into the chamber of the selected barrel.