Abstract: A cerebral aneurysm clip for ligating a cerebral aneurysm includes a first ligation part having a first hole and having a closed end shape in which an edge of the first hole is closed; a second ligation part having a second hole and having a closed end shape in which an edge of the second hole is closed; and a tong part connected with the first and second ligation parts and applying a force such that they may be ligated on the cerebral aneurysm. The first and second ligation parts are arranged to face each other, such that the first and second ligation parts are ligated on both sides, respectively, with the cerebral aneurysm therebetween, the first and second holes communicate with each other, and the cerebral aneurysm is positioned and ligated in the first and second holes.

Abstract: The present invention provides a percutaneous vascular surgical system for performing endovascular/neurovascular interventions, the system incorporating a sheath having a proximal end and a distal end and defining a main lumen extending between the proximal and distal ends, an auxiliary lumen also defined by the sheath, a reversibly inflatable balloon located about the sheath adjacent the distal end and in fluid communication with the auxiliary lumen, a syringe selectively connectable to the main lumen to create suction through the main lumen, and a vessel closure device for the closure of the arteriotomy, the surgical system and method of the invention having utility in a large number of percutaneous vascular procedures such as carotid artery stenosis or neurovascular interventions and enabling four procedures to be performed with one system, being percutaneous access, emboli removal, flow reversal and arteriotomy closure.

Abstract: An LAA exclusion clip includes first and second clip struts and a bias device. The clip struts together define a heart-proximate side, a heart-distal side, bias and open clip ends, each strut having a tissue-contacting surface disposed opposite one another. The bias device includes a first biasing portion connecting the first and second clip struts, disposed on the heart-proximate side of the clip struts, and crossing over from the first clip strut to the second clip strut at the heart-proximate side of the first and second clip struts adjacent the bias clip end. The bias device includes a second biasing portion connecting the first and second clip struts, disposed on the heart-distal side of the first and second clip struts, and crossing over from the first clip strut to the second clip strut at the heart-distal side of the first and second clip struts adjacent the bias clip end.

Abstract: A sphincter augmentation device includes a plurality of interlinked bodies and a pair of device ends configured to releasably couple together to secure the bodies in a loop formation sized to fit around an internal anatomical passageway of a patient. The device further includes a plurality of resilient members, with each resilient member extending between an adjacent pair of the bodies. The resilient members are configured to elastically deform to permit the device to transition between a radially contracted state and a radially expanded state. The resilient members bias the device toward the radially contracted state in which the device exerts an inwardly directed force on the anatomical passageway to selectively limit passage of fluids therethrough. The device further includes an expansion limiting member that extends between and is slidably received by an adjacent pair of the bodies, and is configured to limit radial expansion of the device.

Abstract: An embolic protection device and medical procedure for positioning the device in the aortic arch is disclosed. The device and method effectively prevent material from entering with blood flow into side branch vessels of the aortic arch. The device is a collapsible embolic protection device devised for temporary transvascular delivery to an aortic arch of a patient, wherein the device has a protection unit that comprises a selectively permeable unit adapted to prevent embolic material from passage with a blood flow into a plurality of aortic side branch vessels at the aortic arch. The protection unit is permanently attached to a transvascular delivery unit at a connection point provided at the selectively permeable unit, and a first support member for the protection unit that is at least partly arranged at a periphery of the selectively permeable unit. In an expanded state of the device, the connection point is enclosed by the first support member or arranged at said support member.

Abstract: Devices, systems, and methods for treating vascular defects are disclosed herein. One aspect of the present technology, for example, includes an occlusive device comprising a mesh having a low-profile state for intravascular delivery to the aneurysm and a deployed state, the mesh comprising a first end portion, a second end portion, and a length extending between the first and second end portions, and a first lateral edge, a second lateral edge, and a width extending between the first and second lateral edges. The mesh may have a predetermined shape in the deployed state in which (a) the mesh is curved along its width, (b) the mesh is curved along its length, and (c) the mesh has an undulating contour across at least a portion of one or both of its length or its width. The mesh is configured to be positioned within the aneurysm in the deployed state such that the mesh extends over the neck of the aneurysm.

Abstract: Devices, systems, and methods for treating vascular defects are disclosed herein. One aspect of the present technology, for example, includes an occlusive device comprising a mesh having a low-profile state for intravascular delivery to the aneurysm and a deployed state, the mesh comprising a first end portion, a second end portion, and a length extending between the first and second end portions, and a first lateral edge, a second lateral edge, and a width extending between the first and second lateral edges. The mesh may have a predetermined shape in the deployed state in which (a) the mesh is curved along its width, (b) the mesh is curved along its length, and (c) the mesh has an undulating contour across at least a portion of one or both of its length or its width. The mesh is configured to be positioned within the aneurysm in the deployed state such that the mesh extends over the neck of the aneurysm.

Abstract: An occlusion balloon device includes a shaft comprising at least one inflation lumen and an inflatable balloon, the inflatable balloon having a plurality of independently inflatable and deflatable balloon portions and being in communication with the at least one inflation lumen. A method and a system comprising the occlusion balloon device enable assessment and treatment of a perforation in a vessel of a patient.

Abstract: Devices, systems, and methods for treating vascular defects are disclosed herein. One aspect of the present technology, for example, includes an occlusive device comprising a mesh having a low-profile state for intravascular delivery to the aneurysm and a deployed state, the mesh comprising a first end portion, a second end portion, and a length extending between the first and second end portions, and a first lateral edge, a second lateral edge, and a width extending between the first and second lateral edges. The mesh may have a predetermined shape in the deployed state in which (a) the mesh is curved along its width, (b) the mesh is curved along its length, and (c) the mesh has an undulating contour across at least a portion of one or both of its length or its width. The mesh is configured to be positioned within the aneurysm in the deployed state such that the mesh extends over the neck of the aneurysm.

Abstract: A method of correcting an alignment between bones of a foot may involve positioning a first cutting slot of a bone cutting guide over a first metatarsal and inserting a first fixation pin through a first fixation aperture of the bone cutting guide and into the first metatarsal. The method may also involve inserting a cutting member through the first cutting slot to remove a portion of the first metatarsal and adjusting an alignment of the first metatarsal relative to a first cuneiform. In some examples, the method further includes positioning a second cutting slot of the bone cutting guide over the first cuneiform and inserting a second fixation pin through a second fixation aperture of bone cutting guide into the first cuneiform.

Abstract: A cutting block for use in a bone osteotomy procedure is disclosed, and includes a first cutting guide surface, a second cutting guide surface, and a third cutting guide surface. The first, second, and third cutting guide surfaces are adapted to be temporarily affixed to a bone having a first side and a second side such that the first cutting guide surface is disposed on the first side of the bone, and such that the second cutting guide surface and third cutting guide surface are disposed on the second side of the bone forming an angle therebetween.

Abstract: This invention relates to a surgical device for preparing the knee joint of a patient undergoing to partial knee replacement. The device is patient specific and has information about implant size, alignment and bone cut. This device consists of two parts, one is related to femoral template and the other one is related to tibial template. The femoral template positioned to a predefined location on the femur bone based on virtual planning of the surgery on specific software using 3D imaging. The femoral template allows to perform the posterior distal cut, drill and detect the location of the two holes relevant to the distal cut and implant pegs, while the tibial template allows the surgeon to make the tibial horizontal and vertical cuts; beside that, it has double slots which allows the surgeon to make extra bone removal if needed or when deciding to use larger size of polyethylene insert.

Abstract: A bone fragment and osteomedullary tissue harvesting system that includes a harvesting device, a collection vessel and tubing. The harvesting device includes a needle portion and a handle portion. The needle portion that has a needle bore that extends through at least part of the needle portion. The handle portion is operably attached to the needle portion. The handle portion includes a connection port and a vacuum control mechanism that are in communication with a handle bore that extends through the handle portion. The needle bore is in communication with the handle bore. The vacuum control mechanism includes a vacuum aperture that extends through a surface of the handle portion and is in communication with the handle bore. The collection vessel is capable of receiving aspirated bone fragments and tissue. The tubing operably connects the connection port and the collection vessel.

Abstract: Cutting instruments and related methods are disclosed herein in which the diameter of the retrograde cutting blade can be adjusted to any of a plurality of diameter settings, allowing the same instrument to be used to form holes of different diameters. The limit diameter can be preset such that, during the cutting operation, the user need not be concerned with selecting the appropriate diameter, but rather can simply deploy the cutting blade until the preset limit is reached. Cutting instruments are also disclosed in which the retrograde cutting blade is distinct from the forward drilling tip and protected within a cavity formed in the body of the instrument when not in use, as are instruments in which the user is given visual and/or tactile feedback to confirm desired positioning of the cutting blade.

Abstract: A method of assembling an orthopaedic surgical instrument may include selecting a surgical reamer for use in resecting a portion of a patient's bone. The method may also include aligning an outer sleeve of a stem trial component with a distal end of a shaft of the surgical reamer. The method may also include advancing the outer sleeve into engagement with the distal end of the reamer shaft. The method may also include advancing a central rod of the stem trial component along a passageway defined in the outer sleeve into engagement with the distal end of the reamer shaft. The method may also include threading the central rod into the distal end of the reamer shaft to couple the stem trial component to the surgical reamer for use in resecting the portion of the patient's bone.

Abstract: A surgical system comprises a handpiece and a battery. The handpiece includes a body, a handpiece controller, and a handpiece connector with a first coupler, a handpiece voltage terminal, and a handpiece data terminal. The battery has a housing, a cell, a battery controller, and a battery connector with a second coupler to rotatably engage the first coupler, a battery voltage terminal, and a battery data terminal. The second coupler receives the first coupler at an initial radial position and permits rotation to a first secured radial position and a second secured radial position. Rotation from the initial radial position to the first secured radial position engages the voltage terminals to transmit power between the cell and the handpiece controller, and rotation to the second secured radial position engages the data terminals to communicate data between the controllers while maintaining engagement between the voltage terminals.

Abstract: A motor-driven orthopedic impacting tool is provided for orthopedic impacting in the hips, knees, shoulders and the like. The tool is capable of holding a broach, chisel, or other end effector, which when gently tapped in a cavity with controlled percussive impacts, can expand the size or volume of an opening of the cavity or facilitate removal of the broach, implant, or other surgical implement from the opening. A stored-energy drive mechanism stores potential energy and then releases it to launch a launched mass or striker to communicate a striking force to an adapter in either a forward or reverse direction. The tool may further include a combination anvil and adapter and an energy adjustment mechanism to adjust the striking force the launched mass delivers to the adapter in accordance with a patient profile.

Abstract: This disclosure provides an apparatus, system and method for pregnant guide pin drill passer. The pregnant guide pin drill passer includes a drill shank removably to transfer a rotational force of a drill; a drill neck to translate the rotational force from the drill shank to the drill bit; the drill bit to use the rotational force to create a bone tunnel in a bone; a hole finisher to embed bone dust into a surface of the bone tunnel; an eyelet to receive a first end of a suture after the drill shank is removed from the drill, pull the first end of the suture through the bone tunnel when the drill shank is pulled through the bone tunnel, and remove the suture from the eyelet.

Abstract: Disclosed is a positioning instrument that includes: two branches equipped at the proximal end thereof with an opposite jaw between which the graft is positioned, the two branches moving closer to one another by a translation movement; and a drill bush including a first hole and a second hole, separated by a distance and sized for the passage and guidance of a bone drill bit. Also disclosed are an instrument kit as well as a method for attaching a graft.

Abstract: Disclosed herein are systems and methods to remove material of interest, including blood clots, from a body region, including but not limited to the circulatory system for the treatment of pulmonary embolism (PE), deep vein thrombosis (DVT), cerebrovascular embolism, and other vascular occlusions.

Abstract: Rolling tractor tube mechanical thrombectomy apparatuses that may be deployed from out of a catheter in situ are described herein. These apparatuses may be delivered out of a catheter from a collapsed delivery configuration within the catheter to a deployed configuration out of the catheter, in which the same catheter is re-inserted between a tubular tractor and an elongate puller. In particular, any of these methods and apparatuses may be adapted to work with a tractor tube having an open end that is biased open, including using an annular bias.

Abstract: Transcatheter device for the treatment of calcified native heart valve leaflets comprising an outer hollow shaft (5), an inner hollow shaft (4) slidingly contained within said outer shaft (5) and an axle body (6) slidingly contained within said inner shaft (4); wherein the device comprises a commissure debridement system (7), located at the distal end of the axle body (6), that is made of at least two radially expandable arms (7) that are adapted to be inserted in and aligned with native commissures.

Abstract: A medical-technical instrument includes a first instrument branch, a second instrument branch, and a bearing element coupling the instrument branches in a superimposed closure. The branches contact each other in a closure portion in an operation pivot region via mutually facing contact surfaces so that the branches in the operation pivot region contact each other with their respective contact surfaces, and the branches are positionable in a cleaning position outside the operation pivot region. The bearing element is fixed at an end portion on the first instrument branch and has a head widening conically in a continuous or stepped manner. The head penetrates a continuously or stepped conical passage opening in the second instrument branch. The passage opening is an elongated hole, and the bearing element is rotatably positionable in the elongated hole and translationally fixedly received.

Abstract: A surgical device may include a disposable needle assembly, a reusable handle assembly, and a retractable slide. The handle assembly may include a ratchet mechanism, a locking mechanism, an arming mechanism, and a cage. A method for inserting and releasing the disposable needle assembly from the reusable handle assembly is also disclosed herein.

Abstract: A jawed surgical instrument has a jawed part on the distal end formed with two jaw branches, at least being pivotally supported. A handle actuating the jawed part is on the proximal end. The instrument includes a blade assembly reversibly displaceable in the axial direction for cutting tissue between branches, and a shaft designed as a tube. The jawed part and blade assemblies are actuatable by elements passing through the shaft. The jaw actuating element is longitudinally displaceable, from the handle, in the direction of the shaft. The blade actuating element is longitudinally displaceable in the direction of the shaft by a throw lever system. The throw lever system includes an actuating element, a coupling member, and a throw lever. The blade actuating element is longitudinally displaceable within the shaft in the shaft direction by actuating the actuating element.

Abstract: The present invention provides a coronary artery bypass surgery treatment tool or the like including a flexible tube, a suction cup in which an opening portion is formed to communicate with the flexible tube and which is provided at a distal end of the flexible tube, a joint portion which has a suction path, a male connector which is provided in one of a proximal end of the flexible tube and a distal end of the suction path of the joint portion, and a female connector which is provided in the other thereof and is detachably connected to the male connector.

Abstract: A circumcision device is provided by the present invention. The device comprises two jaws (1, 2) configured to crush a foreskin (3) between them along a crush region transverse to a foreskin and transverse to a general direction in which a penis being circumcised extends. The jaws are movable between an open inoperative position and a closed operative position in which a clamping and crushing force may be exerted to promote hemostasis within the crush region. The device includes a cutting assembly (7, 8, 9) capable of traversing and severing a crushed foreskin within or adjacent the crush region. The invention to a glans penis protector comprising a handle (41) separable from a transverse glans penis engaging cover (43) so that the handle can be separated from the glans penis engaging cover during a circumcision procedure.

Abstract: In embodiments herein, a non-invasive surgical trigger finger repair device is provided. The device includes a proximal end including a component for coupling to a filament, a blunted distal end, an elongated straight section extending from the distal end toward the proximal end, and a curvilinear section between the elongated straight section and the proximal end, wherein manipulation of the device and targeting of the distal end occurs by movement of the curvilinear section and/or the proximal end.

Abstract: A system and method for nerve decompression comprise a knife unit having a parallel upper limb and lower limb terminating proximally at the cap of the tubular sheath and a triangular shaped surgical cutting blade disposed vertically in between the upper limb and the lower limb. Upper limb and lower limb extend distally beyond the cutting blade and have open slots to facilitate proper positioning and engaging of the tissue while allowing visualization of less routing structure. The knife receives the probe head of an endoscope just behind cutting blade for proper visualization and illumination. The guiding system comprises a handle unit and a pair of parallel guides with long open slots that act as a cannula of adjustable diameter. The open slots on parallel guides facilitate 360 degree visualization of the surroundings and also prevent derailing of endoscopic knife unit while passing through it.

Abstract: Methods for fragmenting atherosclerotic material within a zone of attention within a blood vessel are provided. An intravascular catheter device includes a balloon and a plurality of incising devices spaced apart about an outer surface of the balloon and extending parallel with a longitudinal axis of the balloon. The balloon is manipulated along a guide wire to a distal portion of the zone of attention. The balloon is inflated and retracted along the zone of attention to incise and fragment the atherosclerotic material. The balloon is deflated.

Abstract: Two part laparoscopic tools and surgical methods using such tools are presented. The tools and methods enable use of multiple surgical tools each having wide tool heads to be used in a body cavity using a single wide trocar and one or more narrow incisions, thereby reducing surgical risk and enhancing patient comfort and shortening recovery time. Additional instruments for facilitating laparoscopic surgery are also presented.

Abstract: A surgical cannula assembly includes an elongated cannula member, first and second expandable members mounted to respective proximal and distal portions of the cannula member, and a fluid-transfer assembly. The fluid-transfer assembly includes proximal and distal flanges coupled to the proximal portion of the cannula member. The first expandable member is disposed between the proximal and distal flanges such that movement of one of the proximal or distal flanges along the cannula member adjusts a pressure applied by the proximal and distal flanges on the first expandable member to transfer an inflation medium between the first and second expandable members.

Abstract: Powered drivers (10) for inserting an intraosseous device (160) into a bone and associated bone marrow are disclosed. Some of the powered drivers (10) may include a housing (12) having a distal end (14) and a proximal end (16); a motor (18) disposed in the housing (12); a driveshaft (34) extending outward from the distal end (14) of the housing in a direction away from the proximal end (16); a gearbox (32) coupled to the motor (18) and to the driveshaft (34) such that activation of the motor (18) causes the driveshaft (34) to rotate; and a power source (40) configured to power the motor (18). A guard member (50) may be pivotably connected to the housing (12) and movable between a protective position and a non-protective position. The guard member (50) may be configured to cover the intraosseous (10) needle assembly in the protective position and to expose the intraosseous (10) needle assembly in the non-protective position.

Abstract: Apparatus is provided for puncturing a fossa ovalis of a heart, the apparatus including a catheter shaped to define a catheter lumen, and a puncturing element slidably disposed within the catheter lumen. The puncturing element is configured to be deployed from a distal portion of the catheter and to puncture the fossa ovalis. The apparatus is shaped to define one or more orifices configured to facilitate positioning of the puncturing element by directing a flow from the apparatus of one or more streams of a contrast agent at an angle of at least 10 degrees with respect to a distally-pointing vector that is parallel to a longitudinal axis of the catheter at the one or more orifices. Other embodiments are also described.

Abstract: A fixation device includes a first anchor portion configured to join to a first bone portion, a second anchor portion configured to join to a second bone portion, and an intermediate component that extends between the first anchor portion and the second anchor portion. The intermediate component is configured to expand, contract, and angulate enabling constrained movement of the second bone portion with respect to the first bone portion. The second anchor portion has a larger configuration relative to the first anchor portion, thereby preventing the second bone portion from depressing below the first bone portion.

Abstract: The purpose of the present invention is to provide a spinal fusion implant capable of preserving turning properties of vertebral bodies, and in addition, capable of preventing false screwing (false insertion) of screws. Connection plates 3 constituting a spinal fusion implant 101 each have, on a ventral-side surface 3b, a convex-shaped portion 8 that is fitted into a concave-shaped portion of an intervertebral joint 53. In addition, a center hole 3d through which a center rod 4 is slidably inserted is formed on a side surface of the connection plate 3, such that the center of the hole is positioned closer to the back side than a virtual line L1 connecting midpoints on arc-shaped contour lines C of the concave-shaped portions of the adjacent intervertebral joints 53 when viewed from the head side of a human body.

Abstract: A segmented rod assembly for aligning a spine including a plurality of vertebrae, including a rod, including a plurality of segments, the plurality of segments having at least a first segment arranged to be connected to a first vertebra of the spine, the first segment including a first body and at least one tang extending from the first body, and a second segment arranged to be connected to a second vertebra of the spine, the second segment including a second body and at least one channel arranged in the second body, wherein the at least tang is operatively arranged to engage the at least one channel, and at least one tensioning member arranged within the plurality of segments, the at least one tensioning member having a first end secured to the first segment and a second end.

Abstract: A bone screw system includes a bone screw having a tulip that forms a seat for a longitudinal support for surgical connection of adjacent bone screws. The tulip has a tulip thread into which a clamping screw is screwed. The clamping screw has a clamping screw thread for locking the longitudinal support by clamping within the seat. The clamping screw thread is provided on the run-in side with a thread chamfer. The thread chamfer is introduced to the clamping screw thread while chamfering a thread elevation in the radial direction.

Abstract: An intervertebral implant for spondylolisthesis correction includes a superior side with serrations angled superiorly and toward the implant insertion direction, an inferior side with serrations angled inferiorly and opposite the implant insertion direction, and an instrument connection feature. An instrument for connection to the implant includes an implant connection feature movable between unlocked and locked states, and a friction-reducing feature movable between disengaged and engaged states. The instrument has a first state, in which the implant connection feature is in the unlocked state and the friction-reducing feature is in the disengaged state; a second state, in which the implant connection feature is in the locked state and the friction-reducing feature is in the engaged state; and a third state, in which the implant connection feature is in the locked state and the friction-reducing feature is in the disengaged state. Methods of apparatus assembly and surgery are disclosed.

Abstract: A method of adjusting a distance between a first surgical rod and a second surgical rod includes providing a surgical rod connector having a housing with first and second ends and a longitudinal passage extending between the first end and the second end. The method also includes positioning the first surgical rod in the first end and positioning the second surgical rod in the second end. The method further includes mounting an anchor mechanism to the surgical rod connector and applying a force on the anchor mechanism and a corresponding force on one of the first and second surgical rods to distract the first and second surgical rods relative to one another.

Abstract: The invention relates to an extension device for a bone anchor, in particular for a bone screw, in particular for a pedicle screw, in particular in minimally invasive spinal surgery, the device having an axial longitudinal direction, a peripheral direction concentric therewith, and a radial direction, wherein the extension device extends in the axial longitudinal direction and engages, by means of a radial projection, an engageable region on the head of the bone anchor in the longitudinal direction and also in the radial direction and can be supported against the head of the bone anchor in the opposite direction so that the extension device can thereby be fixed to the head of the bone anchor so as to be detachable, yet also rigid in the longitudinal direction and non-rotatable.

Abstract: A reduction sleeve for facilitating insertion of a spinal rod into a rod-receiving channel formed in a bone fixation element. The reduction sleeve may include a through-bore sized and configured to receive the bone fixation element and a substantially transverse channel sized and configured to receive the spinal rod. The channel being substantially aligned with the rod-receiving channel formed in the bone fixation element so that, once the bone fixation element has been inserted into the reduction sleeve, the spinal rod can pass through the aligned channels. The reduction sleeve may also include at least one break-off point or region for facilitating breaking and removal of the reduction sleeve once the spinal rod has been clamped into the rod-receiving channel of the bone fixation element.

Abstract: A compressive intramedullary rod includes first and second concentric shafts configured to engage with each other in a telescopic manner along a longitudinal axis, through a screw mechanism integrated in the first concentric shaft. The screw mechanism includes a bolt in an upper portion for mounting onto the first concentric shaft, and an externally threaded rod in a lower portion for engaging with an internally threaded first channel of the second concentric shaft. The second concentric shaft includes a second channel extending along corresponding length, and the externally threaded rod portion includes a third channel extending along corresponding length. Further, the second channel fully aligns with the third channel, when first and second concentric shafts engage in a telescopic manner upon rotation of the screw mechanism. The first and second concentric shafts include first and second set of guide holes for coupling to proximal and distal fragments of bone.

Abstract: Disclosed is a combined intramedullary and extramedullary bone stabilization and alignment system, which includes both methods and apparatuses for the alignment and stabilization of a first bone or piece of bone to a second bone or piece of bone. Embodiments of the system may include an implant device which has an elongated framework within the intramedullary portion and an extramedullary portion which are cannulated. The cannulated aspect of the framework includes a wire aperture through both the intramedullary portion and the extramedullary portion.

Abstract: A bone plate includes locking holes that re configured to threadedly mate with locking screws to fix the bone plate to an underlying bone. Some of the locking holes are standard-type locking holes. Alternatively or additionally, some of the locking holes are variable-angle locking holes. The bone plate defines a collection cavity in the locking holes that are configured to collect shavings that can be produced if the bone screw is cross threaded in the locking hole.

Abstract: To replace costal cartilage that has been surgically removed, a surgeon can implant a flexible element to connect a rib to the sternum. In some examples, the flexible element can be formed from a material having a selected durometer (e.g., a measure of material stiffness or hardness), and can be shaped to have a selected geometry (e.g., cross-sectional size and shape), to match the flexibility (e.g. resistance to bending) of the natural costal cartilage. The flexible element can connect to the rib via a rib bracket, which can be rigid, and can attach to a sternal end of the rib via one or more fasteners. The flexible element can connect to the sternum via a sternum bracket, which can also be rigid, and can also attach to the sternum via one or more fasteners. The fasteners can be screws, nails, staples, or others.

Abstract: A pectus bar assembly including a bar support and a pectus bar. The bar support can include a fastener and a fabric. A fabric can encircle a first rib and a second rib of a human ribcage. The fabric can include a first free end securable to the fastener and a second free end securable to the fastener to tension the fabric around the first rib and the second rib. The pectus bar can include an elongate body. The elongate body can include an anterior side and a posterior side opposite the anterior side. The posterior side can be supported by the bar support between the first rib and the second rib.

Abstract: An osteo-implant including two end portions, at least one middle structure, and a plurality of connection portions is provided. The middle structure is disposed between the two end portions and includes a plurality of middle portions. The middle portions are connected to the two end portions through the connection portions. When the two end portions are moved relatively along an axial direction of the osteo-implant, the two end portions drive the middle portions to push with each other and have displacements along a radial direction of the osteo-implant through the connection portions, such that an outer diameter of the osteo-implant is increased by the middle portions.

Abstract: A bone screw comprising a shaft having a wall, the wall including a minor diameter and at least one thread having an external thread form. The thread form including a first portion comprising a crest of the thread form and a second portion extends between a minor diameter of the thread form and the first portion. The first portion having a solid configuration relative to the second portion. In some embodiments, systems, spinal constructs, surgical instruments and methods are disclosed.

Abstract: The present invention is a fastener (30). The current fastener (30) is particularly useful in surgical procedures. Among other things, the surgical fastener (30) is provided with a conduit (50, 210) to dispense or carry biocompatible substances.