Abstract: An operating device (42) for a robot-assisted surgery system (10) comprising a manually actuatable operating element (124) as well as an interface (100) for attaching the operating device (42) to a holding unit (50). When attached to the holding unit (50), the operating element (124) is rotatable relative to the interface (100) about three axes of rotation (106, 114, 126) running orthogonally to each other, these three axes of rotation (106, 114, 126) intersecting in a common point of intersection (150).

Abstract: Described herein is a surgical device configured for performing minimally invasive surgical procedures through a single incision via an introducer that allows one or more robotic main arm and two to four robotic secondary arms to be inserted into the insufflated surgical site. The main arm is capable of being inserted into and withdrawn from the insufflated surgical site autonomously, having the surgical tool at its distal end replaced autonomously, having five degrees of freedom, and having a diameter larger than that of a secondary arm. The secondary arms are capable of being inserted into and withdrawn from the insufflated surgical site autonomously and having four degrees of freedom. In the preferred embodiment the introducer is configured to allow one main arm and four secondary arms. In other embodiments the introducer allows for one or more main arms of varying diameters and one or more secondary arms of a smaller diameter.

Abstract: An articulating device element and methods of operation thereof, including a compensating force enhancement for compensating for any unwanted friction and/or other such resistance forces experienced by the device when being manipulated.

Abstract: A sterile stand for supporting surgical instruments or medical tools such as needles, cannulas, syringes and an injection needle assembly. The stand includes a base member having one or more support tubes extending upwardly therefrom. The support tube is configured to receive a portion of the surgical instrument extending downwardly thereinto. The base member also has a receptacle positioned thereon for receiving an injection needle assembly therein. The base member is configured to receive the lower end of one or more syringes.

Abstract: A package assembly for an elongate surgical device in which two or more elongate surgical devices are secured and oriented in a coiled configuration so that a distal end of a first elongate surgical device may be inserted into a proximal end of a second elongate surgical device. In this assembly, the elongate surgical devices remain in a protected coiled state in the package while in the sterile field and so that a medical professional may prep the elongate surgical devices without removing from the package prior to use. In this package assembly, the elongate surgical devices reduce space required and eliminate the risk of damage to the devices and/or the chance of the elongate surgical devices become unsterile prior to use.

Abstract: Systems, apparatuses, and methods of and for an ophthalmic illumination system are disclosed. In an exemplary implementation, an ophthalmic illumination system includes a collimator having at least one lens. The system includes a first mirror arranged to reflect light towards the collimator. The first mirror is configured for use with a first light source that emits a first light beam having a first parameter. The system includes a second mirror arranged to reflect light towards the collimator. The second mirror is configured for use with a second light source emitting a second light beam having a second parameter that is different than the first parameter. The second mirror is shaped and arranged to cause a reflected portion of the second light beam to have the first parameter. The first mirror and the first light source, and the second mirror and the second light source, are separately usable with the collimator.

Abstract: Medical software tools platforms utilize a surgical display to provide access to specific medical software tools, such as medically-oriented applications or widgets, that can assist surgeons or surgical team in performing various procedures. In particular, an endoscopic camera may register the momentary rise in the optical signature reflected from a tissue surface and in turn transmit it to a medical image processing system which can also receive patient heart rate data and display relevant anomalies. Changes in various spectral components and the speed at which they change in relation to a source of stimulus (heartbeat, breathing, light source modulation, etc.) may indicate the arrival of blood, contrast agents or oxygen absorption. Combinations of these may indicate various states of differing disease or margins of tumors, and so forth. Also, changes in temperatures, physical dimensions, pressures, photoacoustic pressures and the rate of change may indicate tissue anomalies in comparison to historic values.

Abstract: A tissue marking system for marking a tissue sample includes at least one container and at least one ink stored in the container. The at least one ink may include a plurality of inks each of a different colored and may be sterile or non-sterile. The ink has a viscosity of from 85 ku to 115 ku such that when applied to a tissue surface having adjacent tissue margins, the ink does not migrate onto an adjacent tissue surface.

Abstract: The tool for treatment of interdental surfaces includes a strip (10) having an abrasive field (12) on at least one of its longitudinal sides (11). The field is situated at a distance (A) from the apical edge (11a) of the longitudinal side, the longitudinal side being blank between the apical edge and the field.

Abstract: A system for repositioning teeth comprises a plurality of individual appliances used with braces. The appliances are configured to be placed successively on the patient's teeth and to incrementally reposition the teeth from an initial tooth arrangement, through a plurality of intermediate tooth arrangements, and to a final tooth arrangement. The appliances may be substituted with braces as appropriate to optimize the treatment of the teeth.

Abstract: An orthodontic anchor system may include an anchor system having an anchor system distal end and an anchor system proximal end. The anchor system may include an aligner receptacle, an aligner housing, an anchor mechanism, and an elastic band receptacle. The aligner housing may be configured to house an aligner. The anchor mechanism may be configured to house an elastic band. The aligner housing may be configured to house the aligner without requiring a modification of the aligner.

Abstract: Methods of taking an impression or scan of a patient's oral cavity without requiring removal of a healing cap coupled within the implant in the subgingival void. The method may include providing an anatomical healing cap received within the subgingival void of a given tooth position, where the anatomical healing cap is coupled into an implant in the void. A scanning body or an impression post is inserted into an open end (e.g., the hollow core) of the anatomical healing cap, in-situ, with the anatomical healing cap positioned in the subgingival void, and the implant thereunder (or thereover for a maxillary tooth position). The scanning body or impression post is used as a reference in making the impression or scan. Because this is done without requiring removal of the healing cap, further collapse of the gingival tissue surrounding the void is prevented.

Abstract: The impression jig comprises a main body having an inner channel and a head having an inner channel and adapted for being releasably attached to said main body, wherein the inner channel of the main body is provided with threads and at its lower end portion, with an inner positioning surface, and wherein the inner channel of the head is provided with threads and at its upper end portion, with an inner positioning surface. The impression jig further comprises a tubular screw adapted for guiding through the inner channel of the main body and the inner channel of the head, said tubular screw having an inner channel, and wherein the outer surface of the tubular screw is provided with first threads at an upper section thereof and with second threads at a predetermined distance from a lower section thereof.

Abstract: A medical method of affixing an element to a surface of dentine, tooth enamel, bone tissue, or corresponding substitute material. The method includes the steps of: providing an attachment composition, the attachment composition having a mixture of: a thermoplastic component; and a hardenable (for example curable) component. The hardenable component is different from the thermoplastic component. The method further includes the steps of: positioning the attachment composition relative to the surface of dentine, tooth enamel, bone tissue, or corresponding substitute material; and activating the attachment composition to attach to the surface or to attach to the element positioned relative to the surface. The step of activating the attachment composition includes activating the attachment composition by means of mechanical vibration.

Abstract: A flexible dental prosthesis system including: a longitudinally elongated flexible screw having a first end suitable for being fitted by means of threading in a dental implant and a second open end that can be inwardly deformed having a threaded hole on its inside and a projecting flange on its outside; a transmucosal post with a through hole suitable for inserting the flexible screw; and an upper connection element having a hole at one of its ends suitable for being coupled on the second end of the flexible screw by means of an inner recess in said hole corresponding with the projecting flange on the outside of the second end of the flexible screw.

Abstract: Structure enabling continuous angular adjustment for fixing a single dental device to an implant. The structure is formed from a ringwise tiltable threaded shank and a fixing unit for fixing the threaded shank to the implant. The fixing element is formed from an insertion piece and an intermediate piece. The lower end of threaded shank is placed between the end of the insertion piece and the upper end of the intermediate piece. A fixing nut is mounted on the threaded shank. The intermediate piece and the insertion piece are secured to each other by a joining element. The joining element is provided with lower corners and upper corners. A coupling body is installed on the joining element. A mould or the frame is fixed to the coupling body by the fixing nut.

Abstract: A dental prosthesis with a threaded crown on a post and core includes a dental implant, a post and core having a portion adapted to be inserted into the implant and another portion protruding from the implant, a screw and a crown, the implant being adapted to be fixed to a bone and the post and core being adapted to be fixed to the implant with a thread, the crown being fixed to the post and core with the screw, wherein the post and core provides a connection element between the implant and the crown, a separation area being provided between the area where the post and core is housed in the crown and the area where the post and core is housed in the implant, and wherein the portion of the post and core protruding from the implant does not feature a diameter increase.

Abstract: Methods and apparatuses for generating a model of a subject's teeth. Described herein are intraoral scanning methods and apparatuses for generating a three-dimensional model of a subject's intraoral region (e.g., teeth) including both surface features and internal features. These methods and apparatuses may be used for identifying and evaluating lesions, caries and cracks in the teeth. Any of these methods and apparatuses may use minimum scattering coefficients and/or segmentation to form a volumetric model of the teeth.

Abstract: Embodiments are directed to an imaging apparatus, which in an embodiment includes a light source to provide light, optics, a translation mechanism and a detector. The optics include focusing optics to perform focusing of the light onto a non-flat focal surface and to direct the light toward a three dimensional object. The translation mechanism adjusts a location of at least one lens of the focusing optics to displace the non-flat focal surface. The detector measures intensities of returning light that is reflected off of the three dimensional object, wherein the intensities of the returning light are measured for a plurality of locations of the at least one lens for determination of positions of a plurality of points of the three dimensional object. Detected positions of one or more of the plurality of points are adjusted to compensate for the non-flat focal surface.

Abstract: A method of generating a three-dimensional virtual model of an intraoral object includes capturing, by an imaging apparatus for performing intraoral scans, surface scan data of the intraoral object while changing a position of at least one lens of focusing optics of the imaging apparatus, wherein the surface scan data comprises depth data for a plurality of points of the intraoral object. The method further includes adjusting the depth data for one or more of the plurality of points based at least in part on the position of the at least one lens associated with the depth data for the one or more of the plurality of points. The method further includes generating the three-dimensional virtual model of the intraoral object using the adjusted depth data.

Abstract: A dental all-ceramic restoration and manufacturing method thereof; the outer surface of the dental all-ceramic restoration has neither visible marks remaining from the removal of the connecting bars (7) nor local grinding traces and chipping, and is smooth with uniform structure. The manufacturing method thereof is wet-forming or milling. No connecting bars are needed to connect the dental restoration bodies (3) with a surrounding mould blank or ceramic blank. This eliminates the need for manually cutting off the connecting bars (7) to separate the forming body from the surrounding ceramic blank, further grinding and polishing process to treat the excessively rough outer surface, and thereby reducing the risk of chipping and premature failure. In the manufacturing processes thereof, the hardened ceramic green body (2) made by wet-forming technique has more homogenous microstructure and less particle packing defects than the dry-pressed blanks and partially sintered blanks.

Abstract: A denture-securing device is provided that is usable to substantially secure a denture within a mouth. The denture-securing device includes at least one absorbent and flexible pad installable on a first side and an opposite second side of a denture that is affixable to a human gum. The at least one pad comprises an embossed outer side configured to face a human gum when the pad is installed on the denture. The denture-securing device may be used with top dentures, bottom dentures, or other configurations of dentures. The denture-securing device may advantageously secure dentures without requiring use of adhesives. The denture-securing device may also reduce the likelihood of food getting under dentures, provide a firm yet soft and comfortable fit, and minimize rocking of lower dentures. The denture-securing device may advantageously be secured to gums using a suction fit through saliva or other sources of moisture.

Abstract: A power toothbrush having a vibration compensation system, the toothbrush including a toothbrush housing (72), and an actuator which includes a stator (74) having a first moment of inertia and a rotor (76) having a second moment of inertia, at the end of said rotor is mounted a bristle member. A first spring element (86) having a first spring constant connects the stator to the housing, while a second spring element (88) having a second spring constant connects the rotor to the housing, wherein the ratio of the first and second spring constants is substantially the same as the ratio of the first and second moments of inertia.

Abstract: An oral appliance is provided for delivering a medicament to at least a portion of teeth and/or soft tissue areas inside a mouth. The oral appliance contains an interior surface having a medicament disposed in or on at least a portion of and/or the entire interior surface of the oral appliance. The interior surface of the oral cavity is formed to fit contours of at least the portion of the teeth and/or soft tissue areas inside the oral cavity and is configured for holding the medicament in contact with at least the portion of the teeth and/or soft tissue areas inside the oral cavity to deliver the medicament to strategic areas in need of treatment. In some embodiments, computer, network and computer readable storage media are provided.

Abstract: A compactable vaginal pessary for managing pelvic organ prolapse is provided. The compactable pessary easily expands once inside a patient's vagina, remaining firmly anchored in the vaginal cavity during movement, thereby effectively countering the effects of any prolapsing organ. In a first embodiment, the vaginal pessary employs an expandable and collapsible frame member, while in a second embodiment; the frame member is an open, substantially cone-shaped, collapsible frame member that is biased to an open position. In a third embodiment, the compactable vaginal pessary is a yieldably extensible, self-retracting pessary. The vaginal pessary of the present invention may be easily inserted and removed by a patient on a daily basis, or as needed, thereby facilitating good hygiene and thus reducing or eliminating common pessary related complications.

Abstract: A device for the reconstruction of the rotator cuff including a flat element having at least two opposite ends and adapted to be connected to at least one of the damaged tendons of the rotator cuff of a patient at the ends; the flat element being entirely made of biodegradable and resorbable material.

Abstract: The artificial blood vessel comprises a cortex layer, a fibroblast layer, a smooth muscle cell layer, an endothelial cell layer and an inner cavity. According to the artificial blood vessel, the endothelial layer, the smooth muscle cell layer, the fibroblast layer and the cortex layer are orderly arranged in a three-dimensional space by utilizing integrated technologies of plasma spraying, electrospraying, electrospining, intra-mold pouring and 3D printing; anticoagulant activity of the artificial blood vessel is enhanced by adopting an anticoagulation factor; step-by-step induced differentiation of stem cells in the artificial blood vessel is realized by adopting a growth factor controlled release method; and the artificial blood vessel is cultured by a pulsatile reactor, so that the artificial blood vessel structurally and functionally simulates natural animal blood vessels and provides a corresponding substitute for vascular transplantation and repair.

Abstract: Sealable and repositionable implant devices are provided with one or more improvements that increase the ability of implants such as endovascular grafts to be precisely deployed or re-deployed, with better in situ accommodation to the local anatomy of the targeted recipient anatomic site, and/or with the ability for post-deployment adjustment to accommodate anatomic changes that might compromise the efficacy of the implant. A surgical implant includes an implant body and a selectively adjustable assembly attached to the implant body, having adjustable elements, and operable to cause a configuration change in a portion of the implant body and, thereby, permit implantation of the implant body within an anatomic orifice to effect a seal therein under normal physiological conditions.

Abstract: A method of reproducing a biological object includes 3D-imaging the object and generating a mold using a 3D printer; obtaining cells from a donor site on the object; preparing a live cell suspension using the cells from the donor site; forming a scaffold in the mold with collagen and seeding the scaffold with live cells, growing the cells in the mold and curing the collagen; and surgically implanting the object into a living subject, where the cells continue to live in the living subject.

Abstract: An intraocular lens insertion apparatus includes a distal end member which is inserted through an incision in an eyeball of a patient, an opening member provided for the distal end member through which an intraocular lens is ejected, and an indicator provided for the distal end member. The indicator is used for indicating that an entire part of the opening member is inside a cornea of the eyeball or inside a sclerocornea of the eyeball with respect to an external flap of the incision.

Abstract: A heart valve prosthesis includes a downstream first axial end (6) and an upstream second axial end (8) and a stitching ring (10) extending in an arcuate manner for stitching in a blood vessel. The arcuate course of the stitching ring (10) is formed by three arcs (12) and three transition regions (14). At each end of two of the arcs (12) transition into each other. The stitching ring (10) has a movable tab (18) at at least one of the three transition regions (14). The movable tab (18) can be selectively directed toward the first axial end (6) or folded over toward the second axial end (8).

Abstract: Valved conduits are provided that include a leaflet construct coupled between two portions of a conduit. Each leaflet has a free edge and a leaflet attachment edge. The leaflet attachment edge is disposed between a first conduit distal end and a second conduit proximal end that are coaxial therebetween defining a junction.

Abstract: A prosthetic apparatus for implantation in a native mitral valve includes a main body for placement within the native mitral annulus. The main body is compressible to a radially compressed state for delivery into the heart and is self-expandable from the compressed state to a radially expanded state for implantation. A valve structure is mounted within a lumen of the main body and preferably forms three leaflets made of pericardium. An atrial sealing member is disposed along an atrial portion of the main body and ventricular anchors are coupled to a ventricular portion of the main body. The atrial sealing member impedes the flow of blood between the main body and the native annulus. The ventricular anchors are positioned outside the main body for capturing native mitral valve leaflets between the main body and the ventricular anchors.

Abstract: An assembly for delivering a prosthetic heart valve to a native heart valve is disclosed. The assembly includes a self-expanding prosthetic heart valve formed with an expandable metallic stent and a flexible valvular structure. The assembly also includes a delivery apparatus having a delivery sleeve. The delivery sleeve includes a selectively steerable section and a distal portion for retaining the prosthetic heart valve in a compressed state. A handle is coupled to a proximal end of the delivery sleeve and a pull wire extends from the handle to the steerable section of the delivery sleeve. The handle preferably includes a rotatable portion for actuating the pull wire and thereby selectively controlling a curvature of the steerable section during advancement through the patient's vasculature. In preferred embodiments, the steerable section includes a flexible metallic tubular portion formed with a plurality of circumferentially extending openings.

Abstract: Devices and methods for delivering a sutureless valve (5) to repair a defective native valve are described herein. The devices and methods are particularly useful in minimally invasive procedures.

Abstract: Embodiments of the present disclosure are directed to prosthetic valves and methods of use thereof. In one implementation, a prosthetic valve for implantation within a native mitral valve may be provided. The prosthetic valve may include an annular valve body having an atrial end, a ventricular end, and an intermediate portion between the atrial end and the ventricular end. Atrial anchoring arms and ventricular anchoring legs may extend from the intermediate portion of the valve body. At least one atrial anchoring arm may extend radially outward beyond a terminal end of at least one ventricular anchoring leg. The atrial arms and the ventricular legs may be devoid of lateral interconnections therebetween beyond locations of connection to the intermediate portion. At least one atrial anchoring arm may extend in the generally radially outward direction from a single location of connection to the intermediate portion of the valve body.

Abstract: This application relates to methods, systems, and apparatus for replacing native heart valves with prosthetic heart valves and treating valvular insufficiency. In a representative embodiment, a support frame configured to be implanted in a heart valve comprises an annular main body formed by a plurality of angled struts, the main body including a plurality of peaks formed by the intersection of respective adjacent struts. The support frame further comprises one or more leaflet-engaging mechanisms configured to engage leaflets of the heart valve. The support frame can be radially expandable and collapsible.

Abstract: An implantable device for improving or remedying valvular incompetence, comprising a sealing body and at least one anchoring element (2) fastened thereto, by means of which the sealing body is able to be fastened in the heart, preferably in the atrium of the heart, wherein the sealing body comprises at least one cavity (6), which is also able to be filled with a fluid after implanting the sealing body and preferably not able to be emptied independently, and wherein, furthermore preferably, the sealing body remains expanded with constant volume during the cardiac phases as a result of the filling, characterized in that a plurality of cavities (6) are disposed about a main body (1) of the sealing body lying in the direction of longitudinal extent of the sealing body, or a single cavity (6) surrounds a main body (1) of the sealing body lying in the direction of longitudinal extent of the sealing body, wherein the main body (1) is embodied as a tube which is able to be bent out of the linear extent thereof and in

Abstract: A mitral valve repair system includes a delivery sheath, a mitral valve repair device, and an actuator. The mitral valve repair device is disposed in the delivery sheath in an extended condition. The mitral valve repair device is movable out of the delivery sheath while in the extended condition. The actuator is coupled to the mitral valve repair device, such that retracting the actuator reduces a length of the mitral valve repair device from the extended condition.

Abstract: A system for implanting a repair device onto a native valve of a natural heart to repair the native valve of a patient during a non-open-heart procedure. The system includes a surgical delivery instrument, a valve repair device, and a gripper control mechanism. The surgical delivery instrument has at least one lumen. The valve repair device is configured to be delivered through the lumen of the surgical delivery instrument and to attach to a native valve of a patient. The valve repair device includes a pair of paddles, and a pair of gripping members. The paddles are movable between an open position and a closed position. The paddles and the gripping members are configured to attach to a native valve of the patient. The gripper control mechanism is configured to independently move the first and second gripping members.

Abstract: A device for containing bone graft material includes an outer sleeve including a first proximal longitudinal split extending along a length thereof and a first distal longitudinal split extending along a length thereof and an inner sleeve connected to the outer sleeve via at least one strut so that a bone graft collecting space is defined therebetween, the inner sleeve including a second distal longitudinal split extending along a length thereof in combination with an interstitial mesh extending circumferentially between the inner and outer sleeves to hold graft material in the bone graft collecting space, the interstitial mesh including a third longitudinal split extending along a length thereof so that a distal side of the device may be spread open to open the distal longitudinal slot from the outer sleeve, through the interstitial mesh and the inner sleeve to a space radially within the inner sleeve.

Abstract: The present invention is directed generally to (1) an articulating junction, and articulation method thereof, wherein articulation is facilitated by a plurality of magnetic particles; (2) an articulating junction, and articulation method thereof, wherein the stability and fluidity of the junction is based, at least in part, on the magnetic field(s) of the plurality of magnetic particles; and (3) reducing the resistance to articulation and/or increasing the structural integrity and support, of the articulating junction, via electro-magnetism. Further, the present invention is directed generally to the synergistic combination of magnetic particles and preferred bio-implant-materials and additive-manufacturing methods along with Baker correlation codes. Further, the present invention is directed to an artificial joint for implantation into a living body and methods for constructing such an artificial joint.

Abstract: An anchor for securing an implant within bone. In one embodiment, the anchor is used to aid in securing an acetabular cup within an acetabulum. The anchor may be implanted within an ischial defect of the pelvis, and is attached to an outer surface of the acetabular cup shell. The anchor is made at least in part of, and may be made entirely of, a porous metal material to facilitate the ingrowth of surrounding bone into the anchor for osseointegrating the anchor into the surrounding bone. The anchor may be secured to the acetabular shell by a screw fastener or by cement, for example. The anchor may be secured to the acetabular shell before the anchor and the acetabular shell are together implanted into the acetabulum, or the anchor may be implanted into the ischial defect, followed by seating the acetabular shell in the acetabulum and then securing the acetabular shell to the anchor.

Abstract: A reverse total hip prosthesis is characterized by a femoral cup component and an acetabular ball component and is used for reconstruction of a hip joint. The prosthesis reverses the mechanics across the joint medializing the center of rotation, preventing dislocation in a posterior direction. Both ball and socket portions of the components lie outside of bone enabling larger sizing of the femoral and acetabular components improving stability, regardless of the size of the patient's anatomy. A method for reverse hip prosthesis implantation eliminates reaming through the base of the acetabulum preserving acetabular bone stock.

Abstract: A prosthetic head with a body having the shape of a cup shaped as a hemispherical cap provided with an external surface, an internal surface and a lower edge shaped as a circumference, fixing means to fix the prosthetic head to the cotyle, and a projection abutting from the internal surface of the prosthetic head in such manner to define an annular step, and a truncated-conical portion obtained in the internal surface of the body of the prosthetic head starting from the lower edge of the prosthetic head, the truncated-conical portion of the prosthetic head being suitable for being coupled in conical coupling mode with a truncated conical part of an insert intended to be inserted in the prosthetic head. he projection is shaped as a portion of a spherical cap.

Abstract: A vertebral body system and method having a polyaxial fastener receiving member, adjustable width plates and a pedicle screw having a pedicle threaded portion and a threaded portion for fastening to the vertebral body.

Abstract: The present invention provides an expandable fusion device capable of being installed inside an intervertebral disc space to maintain normal disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. The fusion device described herein is capable of being installed inside an intervertebral disc space at a minimum to no distraction height and for a fusion device capable of maintaining a normal distance between adjacent vertebral bodies when implanted.

Abstract: An intervertebral implant frame that is configured to be attached to a spacer body can include a pair of arms that extend longitudinally from a support member such that the arms extend substantially around the spacer body. The arms may be configured to expand, crimp, or otherwise engage the spacer body to thereby hold the spacer body to the frame. The spacer body may be made from bone graft.

Abstract: Osteogenesis scaffold such as for spinal fusion or an intermedullary nail includes a number of arcuate struts. The scaffold may have a functional modulus of elasticity that is a result of the modulus of the material of the struts together with the architecture of the struts, and may be within the range of 5 GPa and 75 GPa. An anisotropy of a physical property such as stiffness, compressive strength or elastic modulus corresponds to the same physical property of native bone in the vicinity of the intended implantation site.

Abstract: A spinal interbody device, system and method can include an interbody device configured to stabilize or otherwise support adjacent vertebrae. The interbody device can include a central opening and can be shaped as a trapezoid as viewed from a position on the central axis located above a superior or upper surface of the interbody device. In addition, the upper surface of the interbody device can include at least one keel or spike to facilitate locking of the interbody device with adjacent vertebrae. The at least one spike can be removable and can be adjustable relative to the superior or inferior surface(s) when installed.