Abstract: A bone anchoring system having a flexible member with a first end and a second end opposite the first end. A fastener provided at a first end of the flexible member for retaining the flexible member within a bone. A rigid member is provided to ensure movement or pull-through of the flexible member does not occur.

Abstract: An assembly for remotely manipulating a patient's spine. A compressor/distractor mechanism attaches to spinal anatomy or vertebral screws on adjacent vertebrae at a spinal surgical site on a patient's spine. A flexible cable is operatively connected to the compressor/distractor mechanism and to a control mechanism. The control mechanism manipulates the flexible cable, controlling the compressor/distractor mechanism to compress or distract the vertebrae. A rotatable surgical table with a remote control can be used in place of the compressor/distractor mechanism and the control mechanism. The rotatable surgical table can rotate the patient to place the spinal surgical site in a desired compressed or distracted position, and to place the patient in a desired orientation with respect to a horizontal reference plane.

Abstract: The present invention generally relates to methods and device for treatment of spinal deformity, wherein at least one tether is utilized to maintain the distance between the spine and the an ilium to (1) prevent increase in abnormal spinal curvature, (2) slow progression of abnormal curvature, and/or (3) impose at least one corrective displacement and/or rotation.

Abstract: A surgical instrument comprises a first member defining a cavity and including a locking surface disposed with the cavity. The locking surface is engageable with a longitudinal member to fix a tether with the first member. A second member includes an inner surface that defines a longitudinal passageway configured for disposal of a surgical driver engageable with a spinal construct. The second member further includes at least one mating element being engageable with the spinal construct. An actuator is connected with the members and is configured to incrementally tension the tether. Systems, implants and methods are disclosed.

Abstract: Provided is a wire stretcher, which is an apparatus which compresses the portion of the k-wire getting out behind the squeezing apparatus, the k-wire being passed through the wire retainer fitted on the bone surface, by rotating the holding part subsequent to being passed through the wire stretcher, thanks to the k-wire channel therein, and which enables, by rotating the outer body, the inner body with which the compressed k-wire is connected and the mid body to advance together in direction X, thereby stretching the k-wire.

Abstract: A target apparatus for aligning a surgical drilling instrument that includes a pointer mechanism for arranging at a location on a bone where a drilled hole that is to be formed is intended to emerge, a guide mechanism for guiding the surgical drilling instrument, and an adjustable connection mechanism with a first end, which is connected to the guide mechanism, and a second end, which is connected to the pointer mechanism. The adjustable connection mechanism comprises a first component, a second component and a locking mechanism. The second component is movable relative to the first component along a predetermined path. The first component is elastically deformable by the locking mechanism such that the second component can be locked relative to the first component by clamping.

Abstract: A tissue fixation system is provided for dynamic and rigid fixation of tissue. A fastener connected with an elongate fastening member, such as a cable, wire, suture, rod, or tube, is moved through a passage between opposite sides of tissue. A medical device is used to secure the fastener to the elongate fastening member. The medical device includes a tensioning mechanism for tensioning the elongate fastening member. As crimping mechanism is used to secure the fastener to the elongated member, where a cutting mechanism cut the excess portion of the elongated member.

Abstract: Various embodiments relate to a mini cable tensioner for introducing tension on a cable, the mini cable tensioner including a tensioning tube, a tensioning grip, including a collet opener as an internal structure of the tensioning grip, a tensioning unit, including a collet axially positioned in a cone sheath, a tensioning rod having a proximal end connected to an end stop nut and a distal end connected to the cone sheath, a tensioning nut rotatable on the tensioning rod, an inner spring configured to actuate the collet in a first direction, and an outer spring configured to actuate the tensioning rod in a second direction, the second direction being opposite to the first direction.

Abstract: Surgical cable passer instruments and methods for passing surgical cable around a bone through a surgical incision are disclosed. First and second handle tube portions comprise respective cable guide tubes and handle extensions. A proximal portion of the cable guide tube portions is fixed to a distal portion of the respective handle extension. Each handle tube portions comprise a cannula extending between a near port at a proximal end and a far port at a distal end for passage of surgical cable therebetween. Arc segments of a first cable guide tube and a second cable guide tube define a bone aperture therebetween for passing around a bone. A releasable hinge portion joins a first handle tube portion and a second handle tube portion at distal ends of a first and second handle extension.

Abstract: In accordance with one aspect of the present disclosure, an instrument for tensioning a surgical cable is provided that includes a rotary tensioner that is rotatable in a tensioning rotary direction to apply tension to the surgical cable. The instrument further includes a body supporting the rotary tensioner, a pawl portion of the body configured to be received at least partially in a recess of a ratchet gear of the rotary tensioner, and a living hinge portion of the body supporting the pawl portion.

Abstract: The instruments and methods of the present disclosure include an outer shaft, an inner shaft, a roller, and an actuator. In some examples, the outer shaft includes a lumen extending from a proximal end to a distal end. The inner shaft is disposed within the lumen. The roller rotatably is coupled with the distal end at an axis and configured to engage the fixation rod. The actuator operably couples with the inner shaft to translate the inner shaft within the lumen and cause rotation of the roller to impart linear movement on the fixation rod.

Abstract: A method and instrument for tensioning a flexible tie used for fastening an implant on a bony element by forming a first loop around it. In some embodiments, the instrument comprises a shaft having a distal end configured for contact with a rod, a moving part slidably engaged with the shaft, a holder connected to the moving part and configured to hold an end of the flexible tie, and a tension control member comprising a trigger that pivots relative to the moving part. In some embodiments, the method comprises coupling the end of the flexible tie to the instrument and squeezing the trigger to shorten the first loop of the flexible tie around the bony element, causing the moving part and the holder holding the end of the flexible tie to move in translation away from the distal end of the shaft, thereby exerting tension on the flexible tie.

Abstract: Methods and devices are disclosed for manipulating the tongue. An implant is positioned within at least a portion of the tongue and may be secured to other surrounding structures such as the mandible and/or hyoid bone. In general, the implant is manipulated to displace at least a portion of the posterior tongue in an anterior or lateral direction, or to alter the tissue tension or compliance of the tongue. Methods and devices for adjusting a glossopexy system are also disclosed. Adjusting a distance between two body-engaging structures can be performed without disengaging a tether from either of the body-engaging structures in some embodiments.

Abstract: A control handle for a surgical tool, e.g., an irrigated ablation catheter for use with a fluid side arm, has a housing defining an interior cavity and having a port through which the component can extend into the interior cavity. The housing has a detachable plug covering at least a portion of the port and being at least partially surrounded by a recessed groove to facilitate detachment of the plug from the housing. The recessed groove may be formed on an outer surface of the housing and there may be a second recessed groove on an inner surface of the housing generally tracing the first groove. The plug may also include a hinge to allow the plug to be arranged at an angled position relative to the housing without being fully detached from the housing.

Abstract: An articulating wire passer for passing a surgical wire around a bone broadly comprises a handle, rigid guide section, support guide, trigger, push rod, articulable member, tensioner, and wire catcher. The articulable member includes a number of pivotable segments configured to be advanced from an extended position to an engaged position via ratcheting action between the trigger and push rod. Tension in the surgical wire induced by the tensioner causes the pivotable segments to pivot as they advance from the rigid guide section and thus draw the surgical wire around the bone. The wire catcher allows the user to retrieve the surgical wire from the articulable member on the other side of the bone.

Abstract: Opposite ends o a loop of surgical wire extending around an internal body part are joined by a connector, with the first end being rigidly fastened to the connector and with the second end then being pulled into place within a wire puller having a capstan that is rotated by squeezing a handle, preferably until the second end of the wire breaks, leaving one piece of wire in the wire puller and the other piece of the wire, extending to the loop, fastened within the connector. As the wire is tightened by the wire puller, a locking structure within the connector is deflected by contact with the tip of the wire puller into a shape preventing further movement off the wire within the connector.

Abstract: Devices, systems, and methods are provided for ligament repair procedures, and can be used to establish a location and trajectory for forming a bone tunnel in bone. One exemplary embodiment of a surgical guide for using in a ligament repair procedure includes a guide arm and a carriage that can be selectively locked along the guide arm to define an angle of the bone tunnel. The guide arm also defines a location of a distal end of the bone tunnel. In some embodiments the carriage is configured to have a bullet side-loaded into it, and the bullet can be used to define a location of a proximal end of the bone tunnel. The present disclosure also provides for a gage that limits the distance a drill pin that drills the bone tunnel can travel. A variety of other, devices, systems, and methods are also provided.

Abstract: A spinal implant comprises a fastener including a head and defining a longitudinal axis. A member is configured for disposal of the head and defines an inner groove configured for disposal of a band that is engageable with the head to connect the fastener and the member. The member is moveable relative to the longitudinal axis. The member defines a passageway configured for disposal of a tether. Systems, spinal constructs, surgical instruments and methods are disclosed.

Abstract: The present invention provides a tensioning ancillary instrument (5) for tensioning an elongate element to fasten an implant on a portion of bone, by surrounding said portion of bone at least in part, said instrument (5) comprising a body (6) having proximal and distal ends (6a, 6b), the distal end (6a) being provided with a device for bearing against the implant, said body (6) extending along a longitudinal axis (L). The instrument (5) further comprising a carriage (7) that is movable along the longitudinal axis (L), and a fastener device (8) for fastening to the elongate element (2).

Abstract: The present invention is directed at minimally invasive systems in which the proximal end portion of the working channel has either zero or a limited range of movement in the lateral direction. A first embodiment has a slidable collar attached to a pair of flanges, wherein movement of the collar is bounded by an annular frame. A second embodiment has a substantially spherical element attached to the tube. A third embodiment has a plurality of caps. A fourth embodiment is adapted for a larger working channel.

Abstract: Instruments and methods for surgical transosseous attachment to a bone include a guide able to guide the formation of intersecting bone tunnels and a passer able to pass a member through the bone tunnels.

Abstract: A spinal fixation device is provided, comprising a body member having a first side and an opposite second side, and an elongate flexible strap having a first section and a second section. The first section of the strap is attached or attachable to attachment means of the body member arranged at a first location thereof. The second section of the strap is sized and shaped to pass through a passageway arranged at a second location of the body member. The strap has a series of teeth and the passageway of the body member has a latch configured for engaging one of the teeth. The teeth and the latch are configured to allow a movement of the second section of the strap through the passageway in a tightening direction from the first side to the second side of the body member, and to prevent a movement of the second section in the opposite direction.

Abstract: Devices, methods and systems for stabilizing at least a portion of the spinal column are provided. Devices include anchors and coupling members for engaging an elongate member. Systems include an elongate member sized to span a distance between at least two vertebral bodies and being at least partially formed of a flexible material. A number of anchors and coupling members are used to secure the elongate member to each of the vertebral bodies. The anchors can be compressed towards one another and the elongate member secured thereto and/or the elongate member can be tensioned to provide corrective forces to the spine.

Abstract: Various methods and devices are provided for tensioning a tether. In one embodiment, a tether tensioning device is provided and includes an elongate shaft adapted to be positioned adjacent to a bone anchor implanted in bone, and a tensioning mechanism pivotally associated with the elongate shaft and adapted to couple to a tether seated across the bone anchor and to pivot relative to the elongate shaft to apply a tensioning force to the tether.

Abstract: Devices and methods for implantation of an orthopedic device between skeletal segments using limited surgical dissection. The implanted devices are used to adjust and maintain the spatial relationship(s) of adjacent bones. Depending on the implant design, the motion between the skeletal segments may be increased, limited, modified, or completely immobilized.

Abstract: The present invention in some embodiments thereof, relates to bone material removal devices (2100), for example, devices which change effective diameter. In some embodiments, a bone removal device comprises an expandable portion. In some embodiments, the expandable portion comprises one or more bone removing elements such as cutting teeth (2106). In some embodiments, a cutting tooth is movable between an open position, in which it is configured to widen a bore in a bone, and a closed position. In some embodiments, a cutting tooth of the bone removal device is formed with a curved, such as convex, cutting face (2114).

Abstract: The present invention is directed at minimally invasive systems in which the proximal end portion of the working channel has either zero or a limited range of movement in the lateral direction. A first embodiment has a slidable collar attached to a pair of flanges, wherein movement of the collar is bounded by an annular frame. A second embodiment has a substantially spherical element attached to the tube. A third embodiment has a plurality of caps. A fourth embodiment is adapted for a larger working channel.

Abstract: A facet fixation device formed from an anchor screw and a collet or facet screw that is secured to adjacent pedicles. The anchor screw has an aperture for receipt of a first end of a guide wire or polyaxial based facet screw. The collet includes a unidirectional attachment mechanism wherein a wire can be drawn to a desired position to fix the distance between the anchor screw and the collet. Excess wire can then be removed.

Abstract: Devices, systems, and methods are provided for ligament repair procedures, and can be used to establish a location and trajectory for forming a bone tunnel in bone. One exemplary embodiment of a surgical guide for using in a ligament repair procedure includes a guide arm and a carriage that can be selectively locked along the guide arm to define an angle of the bone tunnel. The guide arm also defines a location of a distal end of the bone tunnel. In some embodiments the carriage is configured to have a bullet side-loaded into it, and the bullet can be used to define a location of a proximal end of the bone tunnel. The present disclosure also provides for a gage that limits the distance a drill pin that drills the bone tunnel can travel. A variety of other, devices, systems, and methods are also provided.

Abstract: An implantable device for controlling rotational growth is disclosed. The implantable device comprises a first screw and a second screw inserted using minimally invasive surgical procedures and positioned within holes created by guiding members. The first screw is positioned in an metaphyseal section and the second screw is positioned in a epiphyseal section in distal femur. The implantable device comprises a cable drawn through the first screw and the second screw. Further, the implantable device comprises a cotter or a thin screw inserted in the first screw to lock the cable. The implantable device modifies longitudinal growth and generates rotational movement due to torque generation, thereby promoting the rotational growth of the bone.

Abstract: Devices, systems, and methods are provided for ligament repair procedures, and can be used to establish a location and trajectory for forming a bone tunnel in bone. One exemplary embodiment of a surgical guide for using in a ligament repair procedure includes a guide arm and a carriage that can be selectively locked along the guide arm to define an angle of the bone tunnel. The guide arm also defines a location of a distal end of the bone tunnel. In some embodiments the carriage is configured to have a bullet side-loaded into it, and the bullet can be used to define a location of a proximal end of the bone tunnel. The present disclosure also provides for a gage that limits the distance a drill pin that drills the bone tunnel can travel. A variety of other, devices, systems, and methods are also provided.

Abstract: The present application generally relates to orthopedic stabilization systems, and in particular, to systems including clamps. The clamps can be used in addition to or to replace hooks that grasp onto bone members, such as the lamina. One example of such a clamp is an in-line clamp that includes a central opening for receiving a rod member, a first opening for receiving a set screw and a second opening for receiving an elastic member therethrough. Another example of such a clamp is an off-set clamp that includes an upper plate, a bottom plate, and an opening for receiving a rod therein. The upper plate can be separated from the bottom plate to make space for an elastic member that can be secured within the plates. Tulip clamps that utilize one or more elastic members are also provided.

Abstract: A surgical instrument comprises a first member that defines a cavity and includes a locking surface disposed with the cavity. The locking surface is engageable with a longitudinal member to fix the longitudinal member with the first member. A second member includes at least one mating element that is engageable with a spinal construct. An actuator is connected with the members that incrementally tensions the longitudinal member. Systems, implants and methods are disclosed.

Abstract: A method of gradually aligning a spine having a plurality of vertebra, including: forming a hole in a vertebra of the spine; placing a tube having a proximal end and a distal end, the tube arranged to extend into or through the hole, the tube having an inflatable balloon secured to the distal end; extending a cable within the tube, the cable having an anchor tip or an array; inflating the inflatable balloon against an external surface of the vertebra and enclosing the anchor tip or array; releasably attaching an external leverage support to the proximal end of the tube; pulling the cable and the inflated balloon toward the external leverage support; and, attaching the cable to the external leverage support.

Abstract: A closure system may secure a first bone portion to a second bone portion. The closure system may include a band, a locking terminal, and a tensioning device. The band may be adapted to be looped around the first and second bone portions. The locking terminal may fixedly engage a first portion of the band and selectively fixedly engage a second portion of the band. The tensioning device may include a body and a threaded rod. The threaded rod may be received in the body and may engage the band such that movement of the threaded rod relative to the body moves the second portion of the band relative to the first portion of the band.

Abstract: A subcutaneous implantable device for aligning a spine having a plurality of vertebrae including a first brace assembly secured to a first vertebra of the spine, a second brace assembly secured to a second vertebra of the spine, a rod secured by the at least two brace assemblies, the rod arranged for limited sliding movement within the at least two brace assemblies, a gear mechanism attached to the rod, a control means attached to the gear mechanism, and a cable fixedly secured to a third vertebra of the spine by an anchor. The third vertebra is located between the first and second vertebrae, and the cable is arranged for pulling the third vertebra towards the rod. A subcutaneous implantable device for gradually lengthening a bone.

Abstract: A surgical alignment system 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: An ablation device and methods for use thereof including a support structure adapted to support an ablation structure within an alimentary tract of a patient are provided. The support structure includes a longitudinal support with a longitudinal axis and a rotational support. The rotational support is adapted to permit at least part of the ablation structure to rotate with respect to the longitudinal support's longitudinal axis.

Abstract: A spinal screw assembly adapted to be secured to a vertebrae for providing securement across at least two vertebrae. The assembly includes a pedicle screw having a substantially spherical head portion, a threaded shaft portion, and an engagement surface in the head portion for driving said screw into the vertebrae, and a body member comprising a tower portion having an open top, a break-away section for manipulation of the screw upon implantation into the vertebrae, a base body at a proximal region of the body member and a break zone which acts as a transition between the base body and the tower portion. A resealably securable setscrew within the body member secures and fully contains the rod within said assembly. The break-away section remains completely outside a wound and is removed or broken off once the screw has been fully assembled inside the vertebrae.

Abstract: A spinal construct includes a spinal rod and a reduction member connected with the spinal rod and engageable with a tether connected to the spinal rod. The reduction member is translatable relative to the tether to dispose the spinal rod with a fastener configured for penetrating tissue. Systems and methods are disclosed.

Abstract: A method for attaching an elongated object to bone, the method comprising: forming a hole in the bone; positioning a loop of the elongated object in the hole; advancing a surgical wire into the bone so that the surgical wire is directed toward a location within the interior of the loop; and severing the surgical wire intermediate its length so as to create a distal portion and a remainder portion and, if the distal portion of the surgical wire does not extend through the loop, further advancing the distal portion of the surgical wire so that it extends through the loop.

Abstract: A method for fusing bones using a guide pin and a fastener is disclosed. The method includes inserting a guide pin into two bones. The guide pin including at least one radial marking. The method also including imaging the two bones and guide pin and analyzing the position of the at least one radial marking of the guide pin relative to the two bones. In addition, the method includes selecting a fastener, inserting a drill over the guide pin, drilling an opening through at least one of the two bones, and inserting the fastener into the opening. The guide pin may include an exterior surface with a first end and a second end, a cutting edge at the first end, and at least one radial marking near the first end. A system including a guide pin, a fastener, and a drill is also disclosed.

Abstract: The present disclosure relates to a guide assembly. The guide assembly includes a guide having a body having a first set of marks and a joint including at least one through hole, the joint configured for sliding along the length of the body; and a first surgical device having a second set of marks, wherein the guide is coupled to the first surgical device and a longitudinal axis of the through hole is co-radial with a mark of the second set of marks when the joint is located at a mark of the first set of marks. Other guides are also disclosed.

Abstract: A medical device for safely and effectively removing a clip or a suture from a heart valve is operable in association with a guidewire for positioning the device in proximity to the heart valve. The apparatus may include a blade for cutting a tissue bridge including the clip and an arrangement for removing the tissue bridge from the heart valve. The apparatus may include two arms that secure the clip. The blade may be deployed to core out a central portion of a tissue bridge, including the clip or the suture, from the heart valve. The blade may be activated by an actuator. A retrieval member may be configured to capture the tissue bridge and the clip or suture after excision by the blade.

Abstract: A clamp housing assembly and method for providing stabilization as a bone anchor during an operation. The assembly includes a housing, a locking element and a band. The housing defines a longitudinal axis, a center recess, and at least one slot. The housing has two opposing arms extending from a base. At least a portion of the inside surface of each arm may be threaded and at least a portion of the outside surface of each arm may be planar. The locking element is positionable within the recess in a co-axial relationship to the housing. The band is sized for travel along a predetermined path defined in part by the at least one slot in the housing.

Abstract: A clamp housing assembly and method for providing stabilization as a bone anchor during an operation. The assembly includes a housing, a locking element and a band. The housing defines a longitudinal axis, a center recess, and at least one slot. The housing has two opposing arms extending from a base. At least a portion of the inside surface of each arm may be threaded and at least a portion of the outside surface of each arm may be planar. The locking element is positionable within the recess in a co-axial relationship to the housing. The band is sized for travel along a predetermined path defined in part by the at least one slot in the housing.

Abstract: A minimally invasive intervertebral body retaining cage insertion device is a cage insertion device for inserting a cage between adjacent vertebrae by using a screw driver for inserting a spine-retaining pedicle screw as a shaft.

Abstract: A facet fixation device formed from an anchor screw and a collet or facet screw that is secured to adjacent pedicles. The anchor screw having an aperture for receipt of a first end of guide wire or polyaxial based facet screw. The collet includes a unidirectional attachment mechanism wherein a wire can be drawn to a desired position to fix the distance between the anchor screw and the collet. Excess wire can then be removed.

Abstract: A pin guide for the surgical operation of an avascular necrosis of a femoral head includes a guide body having a central pin guide hole extending along a centerline of the guide body and a plurality of side pin guide holes formed so as to make a specified angle with the central pin guide hole. The side pin guide holes are radially arranged around the central pin guide hole at a front side of the guide body and joined to the central pin guide hole at a rear side of the guide body.

Abstract: The channeled bone plate includes a substantially rigid and elongated member for use in stabilizing and splinting fractured sections of a broken bone. This elongated member includes a bottom surface and a top surface, with at least one transverse channel formed from the bottom surface. The transverse channel has a size and shape to at least partially accommodate selective insertion of a cable to permit flush mounting of the bottom surface of the elongated member to the fractured sections of the broken bone simultaneously with flush wrapping of the cable around an external surface of the fractured sections of the broken bone. The elongated member and the cable cooperate to support the broken bone as an implant splint.