Abstract: Surgical methods involving cutting and sealing tissue include affixing a first adjunct material to tissue at a treatment site, such as by stapling the adjunct to tissue. A second adjunct material is applied to at least a portion of the first adjunct material such that the second adjunct material interacts with the first adjunct material to form a seal in an area of the tissue covered by at least one of the first and the second adjunct material. The resulting tissue sealing structure, which includes a combination of the two adjuncts, is believed to be superior to the sealing properties of either adjunct alone.

Abstract: Surgical methods involving cutting and sealing tissue include affixing a first adjunct material to tissue at a treatment site, such as by stapling the adjunct to tissue. A second adjunct material is applied to at least a portion of the first adjunct material such that the second adjunct material interacts with the first adjunct material to form a seal in an area of the tissue covered by at least one of the first and the second adjunct material. The resulting tissue sealing structure, which includes a combination of the two adjuncts, is believed to be superior to the sealing properties of either adjunct alone.

Abstract: Surgical methods involving cutting and sealing tissue include affixing a first adjunct material to tissue at a treatment site, such as by stapling the adjunct to tissue. A second adjunct material is applied to at least a portion of the first adjunct material such that the second adjunct material interacts with the first adjunct material to form a seal in an area of the tissue covered by at least one of the first and the second adjunct material. The resulting tissue sealing structure, which includes a combination of the two adjuncts, is believed to be superior to the sealing properties of either adjunct alone.

Abstract: An adjunct material for use with an end effector for a surgical instrument is provided that has different types of features for mating with the end effector. The adjunct is configured to be releasably retained on a jaw, such as a cartridge or anvil, using a plurality of female features formed thereon. Each female feature is configured to encompass a corresponding at least one of male features formed on the jaw in a clearance fit such that the adjunct is able to move with respect to the jaw at least in a first plane parallel to the tissue-facing surface. The male and female features mate such that the adjunct is not retained in a second plane that is perpendicular to the first plane. The adjunct also includes at least one attachment feature configured to releasably retain the adjunct on the jaw.

Abstract: A medical device, comprising a fastening assembly, wherein the fastening assembly includes an adapter defining an opening therethrough, a fastener releasably coupled to the adapter, wherein the fastener includes at least two jaws pivotable relative to one another, the fastener having a first configuration wherein the jaws are open and a second configuration wherein the jaws are closed, and at least one cable coupled to the fastener and the adapter, the at least one cable being configured to apply tension to the fastener to transition between the first configuration and the second configuration while the fastener is coupled to the adapter, and to control release of the fastener from the adapter.

Abstract: A handle assembly for use with a surgical tack applier includes an actuation assembly and an articulation lever assembly configured to articulate an articulation portion of the surgical tack applier. The actuation assembly includes a motor, an actuation rod, and an actuation switch configured to actuate the motor. The actuation rod has a first end operatively coupled to an output shaft of the motor for concomitant rotation therewith, and a second end operatively coupled to a loading unit of the surgical tack applier such that rotation of the actuation rod ejects a surgical tack from the loading unit. The articulation lever assembly includes an articulation rod operatively coupled with an articulation portion of the surgical tack applier such that axial displacement of the articulation rod causes articulation of the articulation portion, and an articulation lever operatively coupled with the articulation rod.

Abstract: A device for treating tissue includes a capsule extending longitudinally from a proximal end to a distal end and including a channel extending therethrough, the capsule releasably coupled to a proximal portion of the device and clip jaws, proximal ends of which are slidably received within the channel of the capsule so that the clip jaws are movable between an open configuration and a closed configuration. Clip jaws are configured so that a distance between the distal ends of the clip jaws in an open configuration is between 15 and 18 millimeters. Clip jaws further include barbs extending from a distal portion thereof.

Abstract: The present invention discloses a hemostatic clip, including an inner sleeve, a transitional inner sleeve, steel micro balls, a clip holder, a ball head pull rod, and clamps. The ball head pull rod is accommodated in the transitional inner sleeve, the transitional inner sleeve is accommodated in the inner sleeve, the inner sleeve is limited between the transitional inner sleeve and the clip holder, the steel micro balls are clamped between the clip holder and the transitional inner sleeve, and the steel micro balls are fixed to the clip holder. By pulling the ball head pull rod, the transitional inner sleeve is driven to move backward, so that a front end of the transitional inner sleeve is elastically deformed, to separate the transitional inner sleeve from the steel micro balls and the clip holder.

Abstract: The application provides a valve clamping system. The valve clamping system includes a pushing device and a valve clip with coatings. The valve clip includes a push rod, the coatings, and a proximal clamping plate, and a distal clamping plate. The proximal clamping plate and the distal clamping plate extend radially outwardly relative to the push rod. The distal clamping plate is connected to the push rod. The proximal clamping plate is arranged between the push rod and the distal clamping plate. A valve holding space is formed between the proximal clamping plate and the distal clamping plate. The push rod is capable of driving the distal clamping plate to be expanded radially. The proximal clamping plate is capable of expanding toward the distal clamping plate by an elastic strain of the proximal clamping plate and is configured to clamp a valve tissue received in the valve holding space.

Abstract: Provided is an implant device with which an implant portion can be stably placed within a blood vessel. The implant device includes a connection coil body having an inner cavity with a first inner diameter; an implant coil body arranged more toward a distal end direction of the implant device than a distal end portion of the connection coil body, and having a second inner diameter; a first wire having a small diameter portion having a first outer diameter, and a large diameter portion having a second outer diameter that is larger than the first outer diameter; and a second wire having a third outer diameter.

Abstract: A vascular occlusion system may include a microcatheter configured to navigate a vasculature, an elongate shaft slidably disposed within a lumen of the microcatheter, the elongate shaft having a lumen extending from a proximal end of the elongate shaft to a distal end of the elongate shaft, a plurality of occlusive medical devices releasably connected to the elongate shaft, and a release wire slidably disposed within the elongate shaft and at least a portion of each of the plurality of occlusive medical devices. The release wire secures each of the plurality of occlusive medical devices to the distal end of the elongate shaft when the release wire is disposed within at least a portion of each of the plurality of occlusive medical devices.

Abstract: A one-way lung valve for sealing fluid passageways in ventilatory airways. The valve includes a frame and a flexible membrane having respective opposed inner and outer surfaces and is supported by the frame. The flexible membrane is configured to transition between a compressed configuration and an occluding configuration in the ventilatory airways. The respective opposed inner and outer surfaces includes one or more features on the inner and/or outer surface to prevent the flexible membrane from forming one or more air gaps when the flexible membrane is in the occluding configuration position.

Abstract: A method of controlling a surgical system includes obtaining a surgical plan containing a plurality of planned cuts, receiving a first cutting tool from a plurality of cutting tools at a surgical device, collecting a first checkpoint by tracking a probe as the probe contacts a first predefined point on the first cutting tool, collecting a second checkpoint by tracking the probe as the probe contacts a second predefined point at a first bone of a patient, automatically selecting a first planned cut from the plurality of planned cuts based on the first checkpoint and the second checkpoint, and, in response to automatically selecting the first planned cut, guiding execution of the first planned cut using the first cutting tool.

Abstract: A femur cutting jig mechanism (FCJM) is provided having a number N1 of spaced apart FCJM contact points that correspond to a number N1 of spaced apart femur contact points on at least one of a medial condyle, a lateral condyle, and a trochlear groove on the patient's knee. The FCJM contact points are positioned in contact with the knee contact points, and a cut bar mechanism is positioned in contact with the FCJM to provide a location and an angular orientation of a cut bar plane that is to be used to resection and remove a selected portion of the patient's, knee. The FCJM is removed from the patient's knee, and a selected portion of the patent's knee is resectioned and removed. The number N1 is at most 12 in some embodiments.

Abstract: A computer-assisted surgery system for guiding alterations to a bone, comprises a trackable member secured to the bone. The trackable member has a first inertial sensor unit producing orientation-based data. A positioning block is secured to the bone, and is adjustable once the positioning block is secured to the bone to be used to guide tools in altering the bone. The positioning block has a second inertial sensor unit producing orientation-based data. A processing system providing an orientation reference associating the bone to the trackable member comprises a signal interpreter for determining an orientation of the trackable member and of the positioning block. A parameter calculator calculates alteration parameters related to an actual orientation of the positioning block with respect to the bone.

Abstract: A protected drill is disclosed. The drill may include a housing, and a drill bit disposed at a distal end of the drill. The drill may have a rotatable drive shaft that is configured for coupling to a driver and a main shaft portion extending in a longitudinal direction through the housing. The drill may further include an angled tip portion disposed at a distal end of the drill, and the angled tip portion may be angled with respect to the longitudinal direction and define a drilling axis of the drill bit. The drill may further include a mechanism configured to transfer a rotational force applied to drive shaft through the angled tip portion to the drill bit. The drill may further include a sleeve configured to protect adjacent structures from lateral edges of the drill bit when the drill bit is rotating.

Abstract: A flexible shaft includes a tubular body extending along a central longitudinal axis and having proximal and distal ends opposite one another. The flexible shaft also includes a slot defined by the tubular body and extending along a helical path around and along at least a portion of the body between the proximal and distal ends. The helical path extends around the portion of the body for a plurality of rotations. The slot defines at least two teeth adjacent one another along a direction parallel to the central axis. Each tooth of the two teeth has a feature. In some implementations, a line extending through center points of the features on the two teeth is angularly offset from the central longitudinal axis. In some implementations, a line parallel to the central longitudinal axis intersects a different point on each feature of the two teeth.

Abstract: A tool for a bone implant includes a sleeve and a transmission rod including a transmission member disposed on an end of a shaft. Another end of the shaft is located outside of the sleeve. The transmission member is received in the sleeve and includes a first compartment and a plurality of first teeth surrounding the first compartment. A drilling rod includes a second compartment and a plurality of second teeth surrounding the second compartment. A coupling portion is disposed between the second compartment and a bit. The coupling portion is coupled with the sleeve. The bit is located outside of the sleeve. Two magnets are disposed in the first and second compartments, respectively. Two same poles respectively of the two magnets face each other.

Abstract: Various surgical devices and methods are disclosed herein. Also disclosed is multi-component prosthesis, which can be used as an ankle prosthesis. One of the disclosed surgical alignment systems includes a guide arm, a ratchet arm frame configured to be coupled slidably to the guide arm, a ratchet arm configured to be coupled to the ratchet arm frame, and a sagittal sizing guide body configured to be coupled to the ratchet arm. The sagittal sizing guide body includes a first radiopaque object disposed at a first position and a second radiopaque object disposed at a second position that is spaced apart from the first position.

Abstract: Once variation of a system for total knee replacement includes: a first alignment guide defining first set of guides that locate a first set of pins on a first bone of a joint in extension and defining a reference surface relative to the first set pin guides; a second alignment guide constrained relative to the first alignment guide by the reference surface and defining a second set of guides, relative to the first set of guides, that locate a second set of pins on a second bone of the joint; a first cut guide located by the first set of pins and defining a first cut plane for resecting the first bone; and a second cut guide located by the second set of pins and defining a second cut plane, linearly offset from the first cut plane, for resecting the second bone.

Abstract: A targeting guide is disclosed includes a handle extending substantially along a longitudinal axis. The longitudinal handle defines one or more burr holes extending from a first side of the handle to a second side of the handle. A head is coupled to a distal end of the longitudinal handle. The head defines a plurality of guide holes sized and configured to receive a k-wire therethrough.

Abstract: Various medical devices are described herein. More particularly, various probes used for performing lithotripsy and methods of performing lithotripsy are described. In an example, a probe comprises an elongate member comprising a proximal end, a distal end, a proximal portion, an intermediate portion, and a distal portion. The proximal portion has an outer diameter that is greater than the outer diameter of the distal portion.

Abstract: The present disclosure relates to electrically controllable surgical tools. In general, surgical devices are provided having an electrically controllable, fingered operating end for use in angiography, endovascular and/or neurological surgery. The finger(s) at the operating end can be made from ionic polymer metal composite (IPMC) material to facilitate control of the finger(s).

Abstract: Apparatus is described that includes a blade assembly (20) for conditioning ex vivo pericardial tissue from which fibers extend. The apparatus includes a blade head (26) that includes a blade a may (28) and a face (30) defining gaps (32) therein. The gaps are dimensioned to facilitate protrusion therethrough of fibers into the blade head, such that movement of the blade array, with respect to the face, shears the fibers. The blade assembly is configured to be used while the tissue and the blade array are submerged in a liquid (140) with the fibers facing upward, and with the face facing downward. The apparatus is configured to provide, while the blade array is submerged in the liquid, a suction force that sucks the liquid into the blade head via the gaps, and discharges a refuse liquid through a lateral exhaust hole (24). Other embodiments are also described.

Abstract: A device and method for establishing retrograde blood flow during recanalization of a vessel having a targeted blockage. While in a collapsed state an occluding component is introduced distally intravascularly traversing the targeted blockage to its distal side. Then, the occluding component transitions to an expanded state having an enlarged diameter forming a seal with an internal wall of the vessel prohibiting anterograde blood flow beyond the expanded occluding component. Retrograde blood flow is thereby established in a region of the vessel bound at one end by the occluding component and at an opposite end by the targeted blockage by dispensing a flushing fluid into the region of the vessel.

Abstract: An apparatus comprises a body assembly, a shaft, an acoustic waveguide, an articulation section, an end effector, an articulation drive assembly, and a locking feature. The shaft extends distally from the body assembly. The waveguide comprises a flexible portion. The articulation drive assembly is operable to drive articulation of the articulation section to thereby deflect the end effector from the longitudinal axis of the shaft. The articulation drive assembly comprises an actuator. The actuator is movable relative to the body assembly to drive articulation of the articulation section. The locking feature is in communication with the actuator. The locking feature is movable between an unlocked state and a locked state. The locking feature is configured to permit movement of the actuator relative to the body assembly in the unlocked state. The locking feature is configured to prevent movement of the actuator relative to the body assembly in the locked state.

Abstract: Rotational atherectomy devices and systems can remove or reduce stenotic lesions in implanted grafts by rotating one or more abrasive elements within the graft. The abrasive elements can be attached to a distal portion of an elongate flexible drive shaft that extends from a handle assembly that includes a driver for rotating the drive shaft. In particular implementations, individual abrasive elements are attached to the drive shaft at differing radial angles in comparison to each other (e.g., configured in a helical array). The centers of mass of the abrasive elements can define a path that fully or partially spirals around the drive shaft.

Abstract: Medical device systems as well as methods for making and using medical device systems are disclosed. An example medical device system may include an advancer including a drive mechanism. A sleeve may be secured to the drive mechanism. A drive shaft may extend through the sleeve. The drive shaft may have a proximal end region secured to the drive mechanism and a distal end region. A rotational device may be coupled to the distal end region of the drive shaft.

Abstract: An atherectomy system includes an atherectomy burr having one or more blood flow enhancement features that permit an increased level of blood flow past the burr relative to a blood flow that would result absent the one or more flow enhancement features. A drive mechanism is adapted to rotatably actuate the atherectomy burr.

Abstract: Mechanical atherectomy and/or thrombectomy devices configured to remove obstructions (e.g., plaque material) of different consistencies and/or sizes from blood vessels. The devices may include a tractor comprising a flexible tube of material that inverts as it rolls over itself while being drawn into the open distal end of a catheter in a conveyor-like motion. The flexible tube can include features that facilitate engagement with the obstruction, enhance smooth tractor motion and/or promote movement control of the device within the blood vessel.

Abstract: A fluid filtration device having an outer cylindrical surface with a first diameter having a longitudinal axis, and an inner cylindrical surface with an inner diameter substantially centered about the longitudinal axis, and a plurality of longitudinal holes substantially parallel to the longitudinal axis arranged between the outer cylindrical surface and the inner cylindrical surface.

Abstract: An evacuation adapter for use with a surgical access device includes a distal section selectively engageable with a proximal section. The distal section and the proximal section each include a base, an outer ring, and an inner ring. Each base defines a central opening. Each outer ring defines at least one opening. Each inner ring defines at least one opening. The outer ring of the proximal section includes a port. The proximal section is rotatable relative to the distal section between a first position where fluid is able to flow from the central opening of the distal section through the port, and a second position where fluid is blocked from flowing from the central opening of the distal section through the port.

Abstract: A surgical access device includes a cannula body, a fixation mechanism, and an illumination mechanism. The fixation mechanism includes a collar, a sleeve, an expandable member, and a distal ring. The illumination mechanism includes at least one light disposed on the expandable member, and a switch. Distal translation of the collar relative to an elongated portion of the cannula body causes the expandable member to move from a first position defining a first gap between a mid-portion of the expandable member and the elongated portion of the cannula body, to a second position defining a second gap between the mid-portion of the expandable member and the elongated portion of the cannula body, the second gap being greater than the first gap.

Abstract: A medical device includes means for covering the proximal opening of a wound retractor. The means for covering includes means for introducing one or more instruments through the means for covering and means for illuminating a zone adjacent the wound retractor.

Abstract: A hair transplanter includes: a needle channel bundle including a center shaft, and a plurality of needle channels coupled to an outer circumference of the center shaft to be slidable up and down; a first spring configured to push down and move forward one of the plurality of needle channels; and a second spring configured to retract the needle channel, which moves forward, in an upward direction, wherein each of the needle channels includes a body portion having a tubular inner space, a needle coupled to a lower portion of the boy portion, and a core shaft disposed in the tubular inner space to be slidable.

Abstract: A steerable surgical device includes tubular body members and at least one moveable joint, with a moveable tray member arranged to permit tissue extraction and a retractable tip member for removal of a sample while a remainder of the surgical device remains in the tissue. A method utilizes sensed SMA electrical properties and sensed compressive force to determine joint deflection that is used with a joint deflection model to map tip position in tissue. Another method for determining position of a tip of a steerable instrument within tissue utilizes transverse ultrasound probe images and image processing together with saved and predicted tip information.

Abstract: A distal tip of a surgical tool includes a tip body and an expandable member that extends around the tip body. The tip body defines an end portion that defines an attachment surface and an elongate member that is configured to be inserted within a tubular shaft of the surgical tool. The elongate member also defines a recessed channel that terminates at the end portion. The expandable member is secured to the attachment surface with a chemical bond and is adjustable between an expanded configuration in which at least a portion of the expandable member extends radially outward from the tip body and a collapsed configuration in which at least the portion of the expandable member is oriented substantially parallel to the tip body.

Abstract: A clamping system includes a first clamp body including a first jaw, a second jaw, and a first aperture configured to receive a bone pin, the first clamp body is configured to receive a first connector rod between the first jaw and the second jaw, a second clamp body coupled to the first clamp body and including a third jaw, a fourth jaw, and a second aperture configured to receive the bone pin, the second clamp body configured to receive a second connector rod between the third jaw and the fourth jaw, and a securing assembly movable between a first position and a second position, such that moving the securing assembly from the first position to the second position reduces a distance between the first jaw and the second and reduces a distance between the third jaw and the fourth jaw.

Abstract: Length-adjustable strut assemblies and external fixation systems utilizing such strut assemblies are disclosed. A strut assembly comprises an externally threaded rod portion including a first externally threaded rod member, and a strut barrel assembly including a strut barrel portion with an internal cavity and an adjustment portion, the rod portion extending within the internal cavity of the strut barrel portion and selectively threadably coupled with at least one key of the adjustment portion. The strut assembly further comprises a first joint assembly at an end of the first externally threaded rod member and a second joint assembly at an end of the strut barrel portion. At least one portion of the second joint is configured to be selectively disassembled from the end of the strut barrel portion to expose the internal cavity of the strut barrel portion and the second end of the rod portion.

Abstract: A coupling device for coupling a rod to a bone anchor includes a receiving part configured to receive a head of the bone anchor, the receiving part having a first end and a second end, a central axis that extends between the first and second ends, and two legs at the first end that define a recess extending in a longitudinal direction transverse to the central axis for receiving the rod, and a monolithic pressure member positionable in the receiving part, the pressure member including a rod support surface and an engagement portion to adjust the pressure member to exert pressure on the head. The engagement portion is positioned farther radially from the central axis in the longitudinal direction than a first portion of the rod support surface, and extends closer axially to the first end of the receiving part than the entire first portion of the rod support surface.

Abstract: A dynamic longitudinal connecting member assembly includes an anchor member having an integral or otherwise fixed elongate core of circular or non-circular cross-section. The core is pre-tensioned and extends through at least one elastic spacer and at least one outer sleeve. The anchor member and the outer sleeve each attach to at least one bone anchor. In operation, the core is held in tension by the spacer.

Abstract: A fixation assembly includes a pedicle screw having a screw head, an elongate tulip head inserted over the pedicle screw, and a swivel rocker inserted into the tulip head. The swivel rocker has an axial through passage extending therethrough, an arcuate concave distal face being contoured to match the screw head, and a saddle shaped proximal face. A rod assembly is seated on the saddle shaped proximal face. A retainer ring secures the tulip head around the screw head. A method of implanting the assembly is also provided.

Abstract: A polyaxial bone anchoring device is provided comprising a bone anchoring element having a shank to be anchored in a bone and a head; a receiving part coupled to the shank and configured to pivotably receive the head, and having a channel for receiving a rod and a longitudinal axis; a pressure member configured to be positioned in the receiving part; a locking member insertable into the channel; wherein the pressure member has a deformable portion; and wherein, when the locking member is advanced into the channel in the direction of the longitudinal axis, the locking member in moveable from a position where it contacts the pressure member resulting in a load applied to the pressure member that clamps the head, to a position where the locking member contacts the pressure member such that the deformable portion is deformed and the locking member contacts the rod and clamps the rod.

Abstract: A receiving part of a bone anchoring device includes a channel adjacent a first end for receiving a bone fixation element, the channel forming two free legs each having an engagement structure for engaging a locking element to lock the bone fixation element in the channel, an outer surface portion, and at least one projection for engaging an instrument to connect the instrument to the receiving part. The projection projects radially outwardly from the outer surface portion, is spaced apart axially from the first end of the receiving part, and has a circumferential width less than a circumferential width of the legs. The projection has a first side wall that faces the first end. At least part of the first side wall is inclined towards the first end as the first side wall extends circumferentially, to form a region of the projection that narrows towards the first end.

Abstract: A modular tensioned spinal screw comprises a bone fastener having a threaded elongate shaft and a spherical head at an upper end of said shaft. A modular yoke for polyaxial attachment to the head of said bone fastener has an inner bore, an upper end configured to receive a connecting rod and a lower end configured to receive the head of the bone fastener. An axially movable radially expandable socket collar, and a saddle having a rod receiving cradle are supported within the yoke bore. A retention pin fixed to the yoke movably supports the saddle and a tension member within the bore. The tension member comprises a resilient biasing element oriented such that upward axial movement of the saddle produces a downward bias force on said saddle to compress the head of the bone fastener between said saddle and said socket collar in a provisional holding position.

Abstract: A polyaxial bone device includes a screw, a screw housing, and a spring. The screw includes a screw head and a shaft that extends from the screw head. The screw housing defines a longitudinal axis and a bore that extends along the longitudinal axis. The screw housing includes a basewall and opposed sidewalls that extend from the basewall. The basewall defines a notch that receives the shaft to increase pivotal movement between the screw and the screw housing relative to the longitudinal axis of the screw housing. The opposed sidewalls define a rod-receiving channel. The screw housing defines a transverse hole in communication with the bore. The spring is supported in the transverse hole and extends therethrough. The spring extends into the bore to frictionally engage the screw head while the screw head is seated in the bore.

Abstract: An instrument for spinal rotation that aligns and holds direct vertebral rotation (DVR) lever arms relative to each other to achieve an initial axial alignment of a segment of vertebrae and allows the final DVR rotation by rotating the instrument and lever arms together. A method of direct vertebral rotation that allows rotating the vertebrae to be aligned relative to each other, and collectively rotating the vertebrae to be aligned relative to adjacent spinal segments by rotating the direct vertebral rotation instrument. A system for direct vertebral rotation having at least two pedicle screws. The system also includes at least two levers attachable to the pedicle screws and a clamping instrument configured to clamp the levers.

Abstract: A gripping and positioning tool for a poly-axial screw insertion guide comprises a handle, a main body connected to the handle positioned at a first end of the main body and a coupling zone positioned at a second end of the main body. The coupling zone is able to vary its position with respect to the insertion guide keeping the application direction of the force applied by the surgeon to said instrument constant.

Abstract: A tool set for implanting bone screws in a human spine, followed by the implantation of a rod into the bone screws includes end guide tools having flexible back wall flaps that receive opposite ends of the rod and intermediate guide tools that hold the rod in intermediate locations between the end guide tools. Both the end and intermediate guide tools include an attachment structure for operably connecting the guide tool to a bone screw. The attachment structure includes an undercut and/or recess so as to resist splaying and separation of the guide tool from an attached bone screw.

Abstract: A cervical plate assembly is disclosed. The cervical plate assembly includes a base plate including: (1) at least two bone screw seats, each bone screw seat including a borehole dimensioned to receive a bone screw, and (2) a first blocking seat positioned between the at least two bone screw seats. The cervical plate assembly includes a blocking mechanism retained within the first blocking seat of the base plate. The blocking mechanism is selectively positionable between a closed position in which the blocking mechanism obstructs at least one bone screw seat to retain a bone screw with the base plate, and an open position in which the bone screw seats are unobstructed.