Abstract: An instrument for inserting and removing an intervertebral spacer into and out from an intervertebral space between adjacent vertebral bones, the spacer having a trunk portion having a longitudinal axis and flange portions at each longitudinal end of the trunk, the instrument including: a shaft having a proximal end and a distal end; the proximal end including a handle; and a holding structure provided at the distal end, which holding structure includes an enclosure within which the trunk of the spacer may be selectively introduced and maintained therein, the holding structure having an opening leading to the enclosure and through which opening the trunk of the spacer may be selectively passed to when forced therethrough.

Abstract: A porous metal intervertebral spacer having at least one angled through hole extending from the side of the implant to a surface which interfaces with a vertebral body end plate such that an interference screw may be driven through the implant and into the bone, thereby securing the implant from undesired motion. In particular, the through holes are tapered to receive a screw and coupling element therethrough such that once fully seated, the screw is locked to the implant by virtue of a coupling element-through hole mutually tapered nesting. The head of the screw is round, as is the interior of the coupling element, thereby allowing the screw to be inserted at various angles relative to the hole without interfering with the proper seating of the coupling element in the through hole.

Abstract: A polyaxial locking cervical screw and plate assembly for immobilization of cervical bones, via fixation to surfaces thereof, including a plate, having a pair of elongated tapered holes in the top and bottom thereof, into which holes elongated coupling elements and screws may be inserted. Each coupling element has an equivalent taper which matches the taper of the holes in the plate, and an interior semi-spherical curvate surface in which the curvate head of the screw may be polyaxially mounted. The coupling elements are initially disposed in the holes in the plate such that they may slide axially therein. The bone screws are inserted through the respective coupling elements until the heads thereof enter the curvate volumes thereof. Once the head is fully seated in the coupling element, advancement of the screw causes the coupling element to crush lock to the plate and to the head of the screw.

Abstract: A spinal electrode for use in spinal cord stimulation having portions which are specifically provided for coupling the electrode to the adjacent spinal tissue so that displacement of the electrode cannot easily occur by normal bodily motion as is a failure mechanism of prior electrode designs. The distal end of the electrode which includes the electrical contacts also includes at least one laterally extending non-electrical portion. The extending portions are provided for receiving a suture or wire therethrough. The laterally extending portions may include a readily identifiable distinguishing feature, such as a color dye or a textural difference, so that it can be readily seen as a safe region through which a suture may be passed. Alternatively (or in addition), the laterally extending portions may include a through hole so that the tip of the electrode may be tied to the spinous process (or other spinal bone) by a wire.

Abstract: A spinal electrode for use in spinal cord stimulation included in a laminar hook so that displacement of the electrode cannot easily occur by normal bodily motion as is a failure mechanism of prior electrode designs. The electrical contacts of the electrode are disposed on the underside of the blade portion of the hook. The head of the hook, which seats above the lamina, is coupled either to the spinous process, or to the head of a hook which is positioned in an opposing orientation. The head of the hook in one embodiment includes a hole through which a wire may be passed to tie the hook to the spinous process, or to the other hook. In a second embodiment, the head of the hook has a notch formed in it so that it may receive an elastomeric band which is used to couple the head of the hook to the spinous process, or to another hook.

Abstract: A polyaxial orthopedic device for use with rod implant apparatus which includes a screw having a head, a tubular body having holes in the top, side and bottom therof, and a rod coupling element. The head of the screw is disposed in the body with the shaft of the screw extending out the bottom hole, such that the body and the screw may initially rotate relative to one another. The rod coupling element has a ball shaped end which seats in the body with the remainder of the rod coupling element extending out of the side hole of the body, such that the rod coupling element and the body are initially polyaxially coupled relative to one another. The ball end of the rod coupling element is disposed on top of the head of the screw. A set screw is provided in the top of the body, the tightening of which causes the ball, head, and body to be crush locked together, thereby preventing further relative motion.

Abstract: A polyaxial orthopedic device for use with rod implant apparatus includes a screw having a curvate head, a cross bar mounting element having a socket into which the head of the screw is initially polyaxially nested. The cross bar mounting element further includes a vertical split which permits the socket to be expanded or compressed via the application of a corresponding force directed at the split. The cross bar mounting element further includes a pair of upwardly extending members which define a trough into which a cross bar element is positioned. The cross bar element includes features which permit the secure fixation of a rod thereto, as well as a selectively slideable element, such as a nut, which may be tightened to apply the compressive force necessary to compress the interior volume onto the head of the screw, thus locking the assembly in place.

Abstract: A polyaxial orthopedic device for use with rod implant apparatus includes a screw having a curvate ball top, a polyaxial head member having a socket into which the head of the screw is initially polyaxially nested, a vertical slot which renders the socket compressible, and a horizontal through hole having a tapered portion on one side of the vertical slot. A rod gripping cross-bar member, which is mounted through the through hole includes an axial split which permits the first end thereof to grip a rod, and then to be clamped onto the rod when the axial slot is narrowed. A nut is provided on the end of the cross-bar member which extend out from the through hole on the opposite end from the rod gripping mechanism.

Abstract: A polyaxial orthopedic device for use with rod implant apparatus includes a screw having a curvate head, a cross bar mounting element having a socket into which the head of the screw is initially polyaxially nested. The cross bar mounting element further includes a vertical split which permits the socket to be expanded or compressed via the application of a corresponding force directed at the split. The cross bar mounting element further includes a pair of upwardly extending members which define a trough into which a cross bar element is positioned. The cross bar element includes features which permit the secure fixation of a rod thereto, as well as a selectively slideable element, such as a nut, which may be tightened to apply the compressive force necessary to compress the interior volume onto the head of the screw, thus locking the assembly in place.

Abstract: A rod, screw, and staple assembly for use in conjunction with anterior or lateral spinal rod implant apparatus includes a vertebral body screw which has a shaft which is insertable into a vertebral bone, a tapered neck, and a head portion which includes a rod receiving channel and an annular recess. The vertebral body staple includes a flat portion which has a hole through it. The hole has a slotted rim which is downwardly sloped so that it may permit the expansion of the hole when a force is applied to it. The screw is advanced into the hole in the staple until the tapered neck thereof snaps through the hole and the rim seats in the annular recess of the screw. This permits the screw and staple to rotate relative to one another, but not to translate axially relative to one another. The staple also includes several barbs which independently hold the staple to the bone surface to which it is to be affixed.

Abstract: A cross-linking member for rigidly coupling interbody fusion devices such that they have reduced tendencies to dislocate subsequent to implantation as well as an interbody fusion assembly which includes at least two interbody fusion devices rigidly coupled together by a cross-linking member.

Abstract: A rod, screw, and staple assembly for use in conjunction with anterior or lateral spinal rod implant apparatus includes a screw having a vertebral body screw which has a shaft which is insertable into a vertebral bone and a head portion which includes a rod receiving channel and a radially extending flange. The vertebral body staple includes a flat portion which has a hole through it. The hole has a rim which is upwardly extending and a concave recess formed in the underside of the flat portion around the hole. The staple also includes several barbs which independently hold the staple to the bone surface to which it is to be affixed. The screw is first inserted into the vertebral bone, and then the staple is mounted over the head portion of the screw, such that the head extends above the annular rim. The rod is then inserted into the rod receiving channel and seats against the uppermost surface of the annular rim.

Abstract: A tubular interbody fusion device having flat upper and lower surfaces including multiple parallel ratcheted blade ridges having opposing orientations, concave exterior side walls, an interior axial bore having inwardly directed ratcheted ridges, and a plurality of through holes extending from the upper and lower surfaces into the interior bore, from the sides into the interior bore, and from the upper and lower surfaces through the side walls.

Abstract: A rod, screw, rod securing member, and staple assembly for use in conjunction with anterior or lateral spinal rod implant apparatus includes a vertebral body screw and rod coupling member which are loosely coupled by virtue of the head of the screw being held within a contractible volume in the base of the rod coupling member. The volume of the rod coupling member is contractible by virtue of a series of slots formed in the base, which also has a tapered exterior surface. The staple includes a flat portion which has a hole through it and several barbs extending downward from it for gripping the surface of the vertebral bone. The hole in the staple has a rim which is upwardly extending and a tapered interior side wall designed to engage the tapered exterior wall of the rod coupling member such that advancement of the staple relative to the coupling member causes the interior volume to compression lock to the head of the screw.

Abstract: A rod, screw, rod receiving member, and staple assembly for use in conjunction with anterior or lateral spinal rod implant apparatus includes a vertebral body screw, staple, and rod receiving member which are initially loosely coupled together such that they may each rotate about a common axis. They are held together by virtue of the head of the screw being held within a tapered axial bore of the rod receiving member and the staple being loosely mounted around the rod receiving member. The lower portion of the rod coupling member is expandable by virtue of a series of slots formed in its lower portion. The screw seats within the axial bore of the rod receiving member such that a rod inserted in the channel of the member seats on the head of the screw. With the rod coupling element and staple combination mounted to the screw, it is driven into the vertebral bone. The member is then rotated into position to receive the rod, which seats on the head of the screw.

Abstract: A compression locking variable length cross-link device having a pair of rod hooking elements, each having coupling ends which are attachable to a rod. The opposing ends of the first of these elements includes a pair of extending members each having a hole; the holes being mutually co-linear. The opposing element of the second element includes a single extending member which has an elongated hole, such that when it is disposed between the pair of extending members of the first element, a linear passage is defined through the three holes. A hinge post is disposed in the co-linear passage; the post having a threaded top portion. The elongated hole permits the first and second elements to be translated relative to one another with the hinge post in place. A nut is engageable with the threaded top of the post, such that if tightened, the pair of extending members deflect inwardly into contact with the single extending member of the second element to crush lock the elements together.

Abstract: The present invention is a polyaxial locking screw plate assembly for immobilization of vertebral bones, via fixation to surfaces thereof. The assembly includes a plate, having an upper portion and a lower portion, each of which has a pair of tapered holes, into which holes coupling elements and bone screws may be inserted. The upper part of the holes further includes an annularly recessed channel in which a snap-ring is disposed. The coupling elements each have an axial taper which matches the taper of the holes, and an interior semi-spherical concave surface in which the semi-spherical head of a bone screw may be polyaxially mounted. The bone screws are inserted through the holes until the coupling element engages and expands the snap-ring.

Abstract: A polyaxial orthopedic device for use with rod implant apparatus includes a screw having a curvate head, a locking collar disposed therearound, and a coupling element having a tapered socket into which both the screw and the collar are securely nested. The locking collar is slotted and tapered, and has a semi-spherical interior volume into which the screw head is initially polyaxially held. The coupling element has an axial bore through which the screw and locking collar may be inserted, and a tapered bottom which provides a radially inward force on the locking collar when forces thereinto. This radially inward force causes the locking collar to crush lock against the head of the screw, therein locking the two at the instant angulation. In an initial disposition, however, the screw head remains polyaxially free with respect to the locking collar, and with the coupling element. The coupling element includes a transverse channel in which a rod may be disposed.

Abstract: A polyaxial orthopedic device for use with rod implant apparatus includes a screw having a curvate ball top, a polyaxial head member having a socket into which the head of the screw is initially polyaxially nested, a vertical slot which renders the socket compressible, and a horizontal through hole having a tapered portion on one side of the vertical slot. A rod gripping cross-bar member, which is mounted through the through hole includes an axial split which permits the first end thereof to grip a rod, and then to be clamped onto the rod when the axial slot is narrowed. A nut is provided on the end of the cross-bar member which extend out from the through hole on the opposite end from the rod gripping mechanism.

Abstract: A hook device for use with support rod implantation apparatus is disclosed which is positionable along the central axis of the posterior surface of the spine and has independently rotationally positionable blade and head portions. The head portion is engageable with a deflecting top cylindrical portion which sits above the lamina. The insertion, and subsequent locking of a rod in the rod receiving channel of the head portion causes the blade portion and the head portions to be compression locked together by virtue of an interference fit.