Abstract: Various embodiments of components, devices, systems and methods are provided for a pneumatic surgical instrument having a probe or an impactor disposed at a distal end thereof and configured to make contact with a selected portion of an orthopedic implant or device. The instrument is configured to generate a shock wave, which is then transferred to the distal end of the probe or impactor, and then into the orthopedic implant or probe.

Abstract: The invention relates to a surgical device, the device comprising a probe part and means to generate a Shockwave in the probes sufficient to separate, adjust of attach two or more, parts when the probe is applied to one of the part in vivo, the arrangement being such as to allow the application of a Shockwave that is regulated in amplitude and repeatable.

Abstract: Devices and methods for use in hip replacement surgery can incorporate computer models of a patient's acetabulum and surrounding bone structure, a first patient-specific jig designed from the computer model and configured to correspond to a final installation position and orientation of a prosthetic him implant, a second patient-specific jig, also designed from the computer model, configured to refine the procedure, if necessary, following use of the first patient-specific jig, and/or a third patient specific jig, designed from the computer model, configured to refine the procedure, if necessary, following use of the first and second patient-specific jigs, allowing the surgeon to properly position and orient the hip prosthesis. Also shown and described are novel devices for implanting an acetabular cup.

Abstract: A controlled force surgical implant impaction instrument is provided which includes a striking assembly, a retaining pin, and an actuator component. The striking assembly is configured to impact a surgical implant. The retaining pin is moveable between a first position and a second position. In the first position, the retaining pin inhibits distal movement of the striking assembly. In the second position, the retaining pin does not inhibit distal movement of the striking assembly. The actuator component includes a reloading channel. The actuator component is movable between a third position and a fourth position. In the third position, the retaining pin is in the first position and the retaining pin cannot be forced along the reloading channel. In the fourth position, the striking assembly can be used to move the retaining pin along the reloading channel.

Abstract: A prosthetic hip installation system comprising a reamer, an impactor, a tracking element, and a remote system. The tracking element can be integrated into the reamer or impactor for providing tracking data on the position or orientation. Alternatively, the tracking element can be housed in a separate module that can be coupled to either the reamer or impactor. The tracking element will couple to a predetermined location. Points in 3D space can be registered to provide a frame of reference for the tracking element or when the tracking element is moved from tool to tool. The tracking element sends data from the reamer or impactor wirelessly. The remote system receives the tracking data and can further process the data. A display on the remote system can support placement and orientation of the tool to aid in the installation of the prosthetic component.

Abstract: A method of implanting a prosthetic component is disclosed that includes attaching a guide rod to the prosthetic component, removably coupling the guide rod to a shaft extending from a handle, and positioning the prosthetic component in an anatomical feature. The method also includes impacting an impaction portion of the handle and uncoupling the guide rod from the shaft, leaving the guide rod attached to the prosthetic component. The method further includes positioning a reamer over the guide rod to create a reamed opening in the anatomical feature.

Abstract: Systems and methods for separating an internal bone fixation device from an introducer are disclosed. In some embodiments, a separation system includes a stabilizer configured to slide over an introducer for delivery of a bone fixation device to a bone cavity, the stabilizer being further configured to score a proximal end of the bone fixation device; and a separator configured to engage the introducer and to provide an impact to the introducer to separate the introducer from the bone fixation device.

Abstract: Surgical tool for knocking out and/or inserting of prostheses (1), in particular joint prostheses, in particular hip and/or shoulder prostheses, with in particular continuously curved head (2) of the tool, which exhibits a passage (3) for the seating of a prosthesis neck (4) and a bolt mechanism, which blocks detachably the neck (4) of the prosthesis in the passage (3), whereby the bolt mechanism exhibits an blocking element (5) intervening in the passage (3), which interference position is adaptable to different diameters of the neck (4) of the prosthesis, whereby an adjusting force is to be applied on the blocking element (5) by means of a adjustment member (6), where the manipulation of the adjustment member (5) is to be arranged by an adjustment element (7) outside of the operation field with distance to the blocking element (5).

Abstract: A slap hammer including an adjustable striking member and a releasable retaining mechanism for releasably retaining a sliding weight is disclosed. One described slap hammer comprises a guide rod having a first end and a second end; a striking member coupled to the second end of the guide rod and movable relative to the first end of the guide rod; a sliding weight slidable along the guide rod between the first end of the guide rod and the striking member; a biasing element positioned between the sliding weight and the first end of the guide rod, the biasing element biasing the sliding weight towards the second end of the guide rod; and a releasable retaining mechanism for releasably retaining the sliding weight against the action of the biasing element.

Abstract: A multi-pin pin impactor and method of use are described. The pin impactor includes a body which can be held by a user and manipulated to re-position the pin impactor during use. First and second pin holders are attached to the body and each include a pin release mechanism effective to releasably retain a pin within the pin holder. An impaction can have a force applied to apply a driving force to a one of the pins. In use, a first pin held by the pin impactor is introduced into an aperture in a surgical instrument mounted on a bone. A force is applied to the pin impactor to drive the first pin into the bone. The orientation or position of the pin impactor is changed to introduce a second pin held by the pin impactor into a second aperture in the surgical instrument without re-loading the pin impactor and a force is applied to the pin impactor to drive the second pin into the bone.

Abstract: A known x-stop implantation instrument is modified to provide a slide hammer mechanism to selectively apply an impact force. Both the axial location of the slide hammer and the angle of the slide hammer may be adjusted. A surgeon, when necessary or desirable, may thus apply an impact force to the forward end of the implement having a least a component of force in the direction of insertion of the x-stop device. The invention permits the surgeon to vary both the position along the shaft where the impact is applied as well as the angle at which the impact is applied relative to the direction of insertion.

Abstract: A prosthetic acetabular cup inserter and impactor has an expandable annular cup engaging element to engage the inner surface of a cup to be inserted in the acetabulum. An expander is provided for expanding the cup engaging element which is connected to one end of a handle via a hollow or partly hollow extension portion. The other end of the handle is provided with an anvil. An elongate operator is located within the extension portion and connected to the cup engaging element. A device is provided for moving the elongate operator to pull the cup engaging element towards the expander.

Abstract: A method of implanting a modular implant having a proximal implant and a distal implant into an anatomic site includes sequentially assembling a plurality of components of an assembly tool on to the proximal and distal implants and holding corresponding tapers of the proximal and distal implants separated by a selected separation distance by the assembly tool. The method also includes impacting the proximal and distal implants to an anatomic depth without changing the separation distance by impacting the assembly tool, and actuating the assembly tool to lock the corresponding tapers of the proximal and distal implants without removing the assembly tool.

Abstract: A slap hammer including an adjustable striking member and a releasable retaining mechanism for releasably retaining a sliding weight is disclosed. One described slap hammer comprises a guide rod having a first end and a second end; a striking member coupled to the second end of the guide rod and movable relative to the first end of the guide rod; a sliding weight slidable along the guide rod between the first end of the guide rod and the striking member; a biasing element positioned between the sliding weight and the first end of the guide rod, the biasing element biasing the sliding weight towards the second end of the guide rod; and a releasable retaining mechanism for releasably retaining the sliding weight against the action of the biasing element.

Abstract: An interbody spinal implant including a body having a top surface, a bottom surface, opposing lateral sides, opposing anterior and posterior portions, a substantially hollow center, a single vertical aperture, and a roughened surface topography on at least the top surface. The posterior portion has a generally rounded nose profile, and has a shorter height than the anterior portion such that the spinal implant comprises a lordotic angle for aligning the spine of a patient. The junctions of the top and bottom surfaces and the anterior portion comprise a sharp edge to resist expulsion of the spinal implant upon implantation.

Abstract: An extender for use in an electro-mechanical surgical system that includes a surgical attachment that may be detachably coupled to an electro-mechanical driver device via a flexible shaft. The extender is a substantially rigid extender that includes a proximal end that may be detachably coupled to a distal end of the flexible shaft. The extender also includes a distal end that may be detachably coupled to the surgical attachment. The extender also includes at least one rotatable drive shaft configured to engage and be secured with a respective rotatable drive shaft of the flexible shaft such that rotation of the respective rotatable drive shaft of the flexible shaft by the electro-mechanical driver device causes the at least one rotatable drive shaft of the extender to rotate, thereby rotating a complementary connector of the surgical attachment so as to operate the surgical attachment.

Abstract: An apparatus for distracting a disc space having an annulus. The apparatus includes a spinal implant having a pre-determined size sufficient to balance frictional fit in the disc space and elongation of the annulus. The implant has a top surface, a bottom surface, opposing lateral sides, and opposing anterior and posterior portions defining a substantially hollow center and a single vertical aperture. At least one of the opposing anterior and posterior portions presents a substantially flat impact face including an opening with an instrument retention feature. The apparatus also includes a rasp, a plurality of distractors, and an instrument able to engage and manipulate the spinal implant, the rasp, and the plurality of distractors. The size-specific rasp is adapted to clear the disc space of all soft tissue and cartilage. The plurality of distractors have progressively increasing heights adapted to distract the disc space before use of the spinal implant.

Abstract: An intersomatic cage, an intervertebral prosthesis, an anchoring device and an instrument for implantation of the cage or the prosthesis and the anchoring device are provided. An intersomatic cage or an intervertebral prosthesis fit closely to the anchoring device, which includes a body of elongated shape on a longitudinal axis, of curved shape describing, along the longitudinal axis, an arc whose dimensions and radius of curvature are designed in such a manner that the anchoring device may be implanted in the vertebral plate of a vertebra by presenting its longitudinal axis substantially along the plane of the intervertebral space, where the anchoring device is inserted, by use of the instrument, through a slot located in at least one peripheral wall of the cage or on at least one plate of the intervertebral disc prosthesis to penetrate into at least one vertebral plate.

Abstract: Various embodiments of components, devices, systems and methods are provided for a pneumatic surgical instrument having a probe or an impactor disposed at a distal end thereof and configured to make contact with a selected portion of an orthopedic implant or device. The instrument is configured to generate a shock wave, which is then transferred to the distal end of the probe or impactor, and thence into the orthopedic implant or probe.

Abstract: A method of implanting a prosthetic component is disclosed that includes attaching a guide rod to the prosthetic component, removably coupling the guide rod to a shaft extending from a handle, and positioning the prosthetic component in an anatomical feature. The method also includes impacting an impaction portion of the handle and uncoupling the guide rod from the shaft, leaving the guide rod attached to the prosthetic component. The method further includes positioning a reamer over the guide rod to create a reamed opening in the anatomical feature.

Abstract: Implant removal systems and methods for using the system for removing an implant from a bone are disclosed herein. In an embodiment, a method for removing an intramedullary implant from a bone includes navigating a guidewire into an intramedullary cavity of the bone; inserting the guidewire into a lumen of an intramedullary implant located in the intramedullary cavity of the bone; advancing a removal screw over the guidewire to the intramedullary implant; threading the removal screw into the lumen of the intramedullary implant to engage the removal screw to the intramedullary implant; and applying impaction force on the removal screw to remove the intramedullary implant from the intramedullary cavity.

Abstract: A known x-stop implantation instrument is modified to provide a slide hammer mechanism to selectively apply an impact force. Both the axial location of the slide hammer and the angle of the slide hammer may be adjusted. A surgeon, when necessary or desirable, may thus apply an impact force to the forward end of the implement having a least a component of force in the direction of insertion of the x-stop device. The invention permits the surgeon to vary both the position along the shaft where the impact is applied as well as the angle at which the impact is applied relative to the direction of insertion.

Abstract: Extraction instruments and systems for use in revision arthroplasty are provided. The extraction instruments are shaped and configured to fit within the typically tight confines in which revision arthroplasty is performed, and to enhance the surgeon's control over the axis, quantum and speed of the force that is required be applied to disrupt a bone-to-prosthesis bond. This enables completion of a revision arthroplasty to proceed more quickly, and with reduced risk that unwanted movements might cause accidental injury to nearby vital structures.

Abstract: An impacting device for inserting, positioning and/or removing an implant and/or performing other impacting applications. The impacting device may have a head having at least one recess. The recess may have a insertion channel and a locking chamber. In one embodiment, the insertion channel and the locking chamber may be connected by an axial channel. The recess may pass through a lateral surface of the head so that the base surface may remain cohesive or unobstructed. A guide means, such as a guide rod, may be positioned though the recess so that the head may be moveable on the guide means and not disengage the guide means. A shaft having a handle may be attached to the head to assist a surgeon in moving the head on the guide means.

Abstract: A method for controlling the mutual angle between the parts of an artificial hip joint during an operation for insertion of the artificial hip joint, is described. The stem of the femoral hip prosthesis is fastened permanently or removable in the usual manner in the proximal end of the femur. A tool for controlling of the mutual angle between the stem of the prosthesis and the cup of the prosthesis is fastened to the stem. The femur of the patient is then oriented in a predefined position and the cup is then brought into its intended position by means of the femur of the patient and the mentioned tool. A tool for controlling the mutual angle between the parts of the artificial hip joint is also described.

Abstract: A method and devices for facilitating fixating and joining of bone fractures utilizing expandable devices that are positioned within the bone and across the fracture site. The stress from the expanded may enhance and expedite bone healing.

Abstract: A surgical instrument for holding and inserting a connection member of an osteosynthesis device into a retainer of a bone anchorage element comprises a distal end, a proximal end and a first connection portion at a distal end. The first connection portion comprises a connection member receptacle for receiving at least a portion of the connection member. The instrument further comprises a locking mechanism which is transferable from a release position, in which the instrument is releasable from the connection member, to a connection position, in which the instrument can be connected to the connection member. Moreover, an osteosynthesis device comprising at least two bone anchorage elements and at least a connection member is proposed, which further comprises a surgical instrument for holding and inserting the connection member into at least one retainer of the bone anchorage elements.

Abstract: An apparatus and method for implanting a prosthesis includes implanting a first component into a recess in a bone. The first component defines a main body defining a receiving portion and a locating bore. A second component is located into engagement with the first component, the second component defining a passage therethrough. A rod is inserted through the passage defined on the second component and into the locating bore of the first component. A handle associated with the rod is slidably actuated into contact with the second component to matingly lock the first component to the second component.

Abstract: A slap hammer including an adjustable striking member and a releasable retaining mechanism for releasably retaining a sliding weight is disclosed. One described slap hammer comprises a guide rod having a first end and a second end; a striking member coupled to the second end of the guide rod and movable relative to the first end of the guide rod; a sliding weight slidable along the guide rod between the first end of the guide rod and the striking member; a biasing element positioned between the sliding weight and the first end of the guide rod, the biasing element biasing the sliding weight towards the second end of the guide rod; and a releasable retaining mechanism for releasably retaining the sliding weight against the action of the biasing element.

Abstract: A spine distraction implant alleviates pain associated with spinal stenosis and facet arthropathy by expanding the volume in the spine canal and/or neural foramen. The implant provides a spinal extension stop while allowing freedom of spinal flexion.

Abstract: A tool for separating an acetabular shell of a hip prosthesis from the surrounding pelvic bone includes a fixture which attaches to the acetabular shell and has a chisel guide mounted on it. A chisel associated with the chisel guide is curved to conform to the outer periphery of the acetabular shell, and the chisel guide causes the chisel to circumscribe the acetabular shell as the chisel is inserted between the acetabular shell and the pelvis.

Abstract: An instrumentation set may include insertion instruments for forming an implant between bone structures. The insertion instruments may include a spreader and a separator. The bone structures may be vertebrae. Implant members may be attached to the spreader and positioned between the bone structures. The separator may be inserted into the spreader to establish a desired separation distance between the implant members. Connectors may be inserted into the implant members to join the implant members together and form the implant. The insertion instruments may be removed. A seater may be used to set the position of the connectors relative to the implant members to inhibit disassembly of the implant.

Abstract: A tool for implanting an augment into a cavity in bone can include a proximal portion and a distal portion. The proximal portion can include a handle. The distal portion can include an adjustment member and an augment interface portion. A shaft can be interconnected between the proximal and distal portions. An engagement portion can be configured at the augment interface portion and coupled to the adjustment member. Movement of the adjustment member can urge the engagement portion in a direction outboard relative to the shaft. A related method can include securing an augment to the tool by locating an augment interface portion of the tool at an engagement site defined on the augment. The adjustment member can be moved on the tool in a first direction, thereby urging an engagement portion of the tool into secured engagement with the engagement site of the augment.

Abstract: Disclosed is a surgical extractor (20) for surgically removing intervertebral prostheses that are provided with two support plates (3, 4) with one respective joint part (5, 6). The inventive extractor (20) comprises two legs (21, 21?) which are interconnected in a prong-shaped manner, can be inserted into an intermediate space between the two support plates (3, 4), and each support at least one locking element (22, 22?) at the free end thereof. Said at least one locking element (22, 22) allows for insertion into the intermediate space between the two support plates (3,4) in a first position while protruding from the intermediate space in a vertical direction in a second, locked position. The two legs (21, 21?) are connected to a common extraction means (24, 25, 26) for transmitting a tractive power to the legs (21, 21?) in the longitudinal direction thereof.

Abstract: In one aspect, a bone anchor assembly is provided. The bone anchor assembly includes a bone anchor, a crown member, a saddle, and a sleeve. The bone anchor assembly is configured such that the bone anchor is moveable with respect to the saddle when the sleeve is positioned around the saddle and the bone anchor is locked relative to the saddle by compression of the head portion of the bone anchor between the crown member and a seat of the saddle. In another aspect, a system for orthopedic implantation is provided. The system includes an elongated member, a compression member, and a bone anchor assembly. In another aspect, a method of assembling a bone anchor assembly is provided.

Abstract: A dynamic screw system for stabilizing a vertebral body includes a bone screw adapted to connect to the vertebral body, the bone screw including an open concave head, a connecting element coupled to the bone screw, a joint element coupled around a middle cylindrical portion of the connecting element, an elongated bar element coupled to the upper spherical portion of the connecting element, and a pin adapted to fit inside the elongated bar element and a slot of the connecting element. The connecting element may include an upper spherical portion including a first diameter, a middle cylindrical portion including a second diameter less than the first diameter, and a lower spherical portion having a plurality of outwardly expandable legs adapted to lock into the open concave head of the bone screw.

Abstract: The present invention provides an implant that can be inserted on top of a previously placed spinal fixation element. The implant includes a bone anchor and a connector body. The bone anchor includes a proximal head and a distal shaft extending along a longitudinal axis configured to engage bone. The connector body is configured to engage the proximal head of bone anchor and engage a spinal fixation element offset from longitudinal axis of the bone anchor shaft. Because, the implant is inserted over the spinal fixation element, direct visualization of the surgical site is available during insertion. In addition, the implant may provide tactile or audible feedback indicating that the spinal fixation element has been engaged by the implant.

Abstract: A spinal implant provides support for desired parts of the spine. The implant can provide support in fusion situations. The spinal implant includes a pair of elongated members and a variable length cross-link. A variable length cross-link apparatus may couple to the first and second elongated members. Each variable length cross-link device may include a fixed portion having a receiver portion for attachment to a first elongated member. Each variable length cross-link may include a transverse portion. Each variable length cross-link may include an adjustable portion having a receiver portion for attachment to a second elongated member and a transverse portion engaging member. Inserting the transverse portion of the fixed portion into the engaging portion of the adjustable portion may form a cross-link for stabilizing motion between two elongated members. Engaging the adjustable portion at a selected point on the transverse portion establishes a length selected by the surgeon.

Abstract: A dynamic stabilization device is disclosed. The device includes a dual spring member comprising an outer spring and an inner spring that have approximately equal working lengths. The dynamic stabilization device is also configured so that the dual spring member does not undergo stresses greater than an effective fatigue limit that is related to a fatigue limit of the spring.

Abstract: The present invention relates to methods and spinal implant devices for stabilizing a facet joint. In one embodiment, the method includes forming a hole through a facet joint and respective overlapping superior and inferior articular processes of adjacent vertebra which, respectively, include superior articular process and inferior articular process openings. A spinal implant device, such as elongated member, is inserted lengthwise into the hole. The first end portion of the elongated member defines a closed end and the second end portion defines an open end permitting entry into an interior of the member. The interior of the elongated member is filled with a desired material to expand the first and second end portions of the member beyond respective superior articular process and inferior articular process openings of the hole to greater than a desired size of the superior articular process and inferior articular process openings to stabilize the facet joint.

Abstract: A device, or series of devices, for use in stabilizing two or more vertebrae of the spine—specifically, a wire rope which is used with pedicle screws as a dynamic spinal stabilization system, thereby allowing limited motion of the vertebrae. The system may also allow load transfer to an intervertebral bone graft or bone graft substitute.

Abstract: An apparatus and a method for fixing tissue.

Abstract: Multi-level spinal stabilization devices, systems and methods are provided that include at least one multi-level connector, one elongated member with an enlarged head, at least one pedicle screw, and at least one mechanism that supports three degrees of rotational freedom relative to both the elongated member and the pedicle screw each. The mechanism may include universal joint mechanisms or ball and socket mechanisms. In the case of the ball and socket mechanisms, the enlarged head of the elongated member cooperates with a first socket member of the multi-level connector to define a dynamic junction that allows the socket member to move relative to the enlarged head of the elongated member while remaining engaged therewith.

Abstract: A dynamic stabilization, motion preservation spinal implant system includes an anchor system, a horizontal rod system and a vertical rod system. The systems are modular so that various constructs and configurations can be created and customized to a patient.

Abstract: A dynamic stabilization, motion preservation spinal implant system includes an anchor system, a horizontal rod system and a vertical rod system. The systems are modular so that various constructs and configurations can be created and customized to a patient.

Abstract: A dynamic stabilization, motion preservation spinal implant system includes an anchor system, a horizontal rod system and a vertical rod system. The systems are modular so that various constructs and configurations can be created and customized to a patient.

Abstract: A dynamic stabilization, motion preservation spinal implant system includes an anchor system, a horizontal rod system and a vertical rod system. The systems are modular so that various constructs and configurations can be created and customized to a patient.

Abstract: A dynamic stabilization, motion preservation spinal implant system includes an anchor system, a horizontal rod system and a vertical rod system. The systems are modular so that various constructs and configurations can be created and customized to a patient.

Abstract: A dynamic stabilization, motion preservation spinal implant system includes an anchor system, a horizontal rod system and a vertical rod system. The systems are modular so that various constructs and configurations can be created and customized to a patient.

Abstract: A dynamic stabilization, motion preservation spinal implant system includes an anchor system, a horizontal rod system and a vertical rod system. The systems are modular so that various constructs and configurations can be created and customized to a patient.