Abstract: A method of performing a bunion surgery to correct an alignment between a first metatarsal and a first cuneiform may involve aligning a bone cutting guide with a joint between the first metatarsal and the first cuneiform. The bone cutting guide can have a joint plate offset from a guide feature, with the joint plate extending downwardly relative to the guide feature. The process of aligning the bone cutting guide with the joint may involve inserting the joint plate into the joint. The method may involve using the guide feature of the bone cutting guide to guide a cutting tool to cut a leading edge of the first metatarsal and adjusting an alignment of the first metatarsal relative to the first cuneiform using a bone positioning device. The method may also involve fixing a position of the first metatarsal relative to the first cuneiform with a bone connector.

Abstract: A method of reducing a fractured bone of a patient is disclosed. The method may include generating a fractured bone surface image from image data of the fractured bone structure of the patient. A reduced bone surface image of the fractured bone structure of the patient may be formed. In some embodiments, an implant image may be superimposed in an installation position on the reduced bone surface image. A patient specific jig image may be superimposed proximate the implant image and the bone image, according to the installation position of the implant. In some embodiments, control data from the patient specific jig image may be generated.

Abstract: Surgical reduction tool assemblies may be used for achieving compression between bone fragments or across joints when performing arthrodesis procedures, bone fracture procedures, etc. The reduction tool assemblies may be used to reduce a gap between bone fragments or between bones of a joint prior to attempting to achieve final compression with a bone plate.

Abstract: Disclosed is a system to assist in a procedure. During the procedure an object may be moved relative to a subject, such as being positioned and/or placed within a subject. The system and related method may be used to assist in displaying and/or determining a pose of the object relative to a subject, such as rigid portions of a subject.

Abstract: A multi-level compressor/distractor instrument that provides both linear and lordotic/kyphotic induced compression and distraction.

Abstract: A trial implant is provided. The implant includes a central portion. The central portion includes a top articulating surface extending between a first end and a second end and having a convex shape, a bottom surface configured to at least partially contact a first resected surface of a bone, and a first side surface extending between the top articulating surface and the bottom surface. The first side surface is sloped such that a width of the top articulating surface is greater than a width of the bottom surface. The implant further includes a first outer portion extending laterally from the central portion. The first side surface and the first outer portion are separated by a first opening shaped such that up to four resected surfaces of the bone are visible when the trial implant is seated on the bone.

Abstract: A lateral disc cutter for morcellating and decorticating tissue of an intervertebral disc from between adjacent vertebrae. The device can be arranged in a retracted configuration for insertion via an access tube, and in an extended configuration for cutting of tissue in the target region. The blades may be extended to contact the concave endplate in an orientation that is substantially parallel to a mid-plane of the intervertebral disc. Blades of the device may be configured with a convex profile that substantially conforms to the concave shape of the endplate for enhanced contact length between the blade and the endplate. In some embodiments, the blades are configured for removal and replacement without need for tools, with the blades selectively determining a maximum displacement width of the morecellator assembly.

Abstract: A bone positioning guide may be used as part of a bunion correction procedure. The bone positioning guide can include a bone engagement member configured to be positioned on a medial side of a first metatarsal of a foot and a tip separated from the bone engagement member by a distance effective to position the tip on a lateral side of a second metatarsal and in an intermetatarsal space between the second metatarsal and a third metatarsal. The bone positioning guide can also include a mechanism operable to reduce the distance between the bone engagement member and the tip, thereby causing the first metatarsal to move in at least a transverse plane to reduce an intermetatarsal angle between the first metatarsal and the second metatarsal.

Abstract: In one embodiment, a non-invasively adjustable spinal system for treatment of a subject having spondylolisthesis includes a first implantable actuator having at least one anchoring structure, the anchoring structure configured to facilitate securement of the first implantable actuator to a portion of the sacrum of the subject. The non-invasively adjustable spinal system can further include an adjustment element, configured to be coupled to the first implantable actuator, the adjustment element having an engagement structure configured to engage at least one transverse process of a lumbar vertebra of the subject. The non-invasively adjustable spinal system can further include a driving element, wherein remote activation of the driving element causes movement of the adjustment element in relation to the first implantable actuator.

Abstract: The present disclosure includes systems, methods, kits, and individual tools (e.g., trial sizers and delivery devices) for medical procedures involving a soft-tissue allograft for the correction of skeletal impairments (e.g., misalignments, arthritis, etc.).

Abstract: A bone shortening osteotomy apparatus is configured to provide positive retention of the bone portions as the two cut bone portions are retracted. The apparatus utilizes a bone plate with a compression block detachable attached in a fixed position and a sled assembly that is slidably engaged with the bone plate. A jacking screw extends from the sled to the compression block to draw these two components together. K-wire barrels coupled to the sled converge to direct K-wires into bone. Sled guide pins extend between the sled and the compression block and preferably on opposing sides of the jacking screw to ensure straight movement of the sled toward the compression block. A cutting guide has guide slots for guiding a cutting implement through the bone. A slot wedge may be inserted through the guide slot after cutting the bone to stabilize the cutting guide and bone for subsequent cutting.

Abstract: A bone plate according to an exemplary aspect of the present disclosure includes, inter alia, a body portion. The body portion includes a first slotted portion extending at least partially through the body portion and a plurality of teeth adjacent the first slotted portion for engaging a driver in the first slotted portion. The body portion also includes a second slotted portion extending at least partially through the body portion and a ramped portion at least partially surrounding the second slotted portion. The ramped portion tapers from an outer surface of the body portion toward an inner surface of the body portion.

Abstract: A bone positioning guide may be used as part of a bunion correction procedure. The bone positioning guide can include a bone engagement member configured to be positioned on a medial side of a first metatarsal of a foot and a tip separated from the bone engagement member by a distance effective to position the tip on a lateral side of a second metatarsal and in an intermetatarsal space between the second metatarsal and a third metatarsal. The bone positioning guide can also include a mechanism operable to reduce the distance between the bone engagement member and the tip, thereby causing the first metatarsal to move in at least a transverse plane to reduce an intermetatarsal angle between the first metatarsal and the second metatarsal.

Abstract: Disclosed is a dental implant distractor, including an implant module and a traction module. The implant module includes an implant, a sealing screw, and a base body. The traction module includes a connecting screw rod, a traction screw rod, an inner sleeve, and an outer sleeve; the connecting screw rod is threadedly connected to the base body; the traction screw rod is located below the connecting screw rod; the inner sleeve is provided below the base body. This apparatus can automatically complete the installation of the base body and the sealing of the connecting screw rod after traction is completed; since the installation of the base body and the sealing do not need to be performed again, operation steps are simplified, the clinical operation difficulty is reduced, and the problem of slippage of an upper bone section to the original position is avoided.

Abstract: A compact ultrasonic transducer for an ultrasonic surgical instrument includes a proximal casing defining a hollow interior and a piezoelectric rod array including a plurality of piezoelectric rods radially spaced-apart from one another and arranged in a longitudinally-oriented direction. The piezoelectric rod array is disposed within the hollow interior. The compact ultrasonic transducer further includes a distal horn including a distal connector configured to engage a waveguide. The distal horn is configured to engage the proximal casing to enclose the piezoelectric rod array within the hollow interior. An ultrasonic surgical instrument including the compact ultrasonic transducer is also provided.

Abstract: An ultrasonic transducer for an ultrasonic surgical instrument includes a proximal hub, a piezoelectric rod array including a plurality of piezoelectric rods spaced-apart from one another and disposed in parallel and longitudinally-extending orientation relative to one another, and a distal horn including a distal connector configured to engage a waveguide. The proximal hub and the distal horn are configured to engage one another to retain the piezoelectric rod array therebetween under compression.

Abstract: In one embodiment, an adjustable implant system includes a bone anchor having first and second ends, a bone engagement surface adjacent the first end, and a housing extending between the first and second ends. The adjustable implant system can further include a non-invasively actuatable driving element within the housing and coupled to an adjustment component configured to couple to a flexible elongate tension member which is capable of engaging a patient's soft tissue (e.g., rotator cuff or ACL). Non-invasive actuation of the driving element can cause the adjustment component to change the amount of tension on the flexible elongate tension member and consequently on the patient's soft tissue. The adjustable implant system can include an external adjustment device configured to be placed on or adjacent the patient's skin and comprising at least one energy transferring component configured to energize/actuate the driving element inside the housing of the adjustable implant.

Abstract: A crystallized bioabsorbable polymer scaffold comprises a polymer composition of poly (L-lactide-co-tri-methylene-carbonate) or poly (D-lactide-co-tri-methylene-carbonate) or poly (L-lactide-co-?-caprolactone) or poly (D-lactide-co-?-caprolactone) in the form of block copolymers of blocky copolymers, wherein the scaffold is cold-bendable.

Abstract: A method of reducing a fractured bone of a patient is disclosed. The method may include generating a fractured bone surface image from image data of the fractured bone structure of the patient. A reduced bone surface image of the fractured bone structure of the patient may be formed. In some embodiments, an implant image may be superimposed in an installation position on the reduced bone surface image. A patient specific jig image may be superimposed proximate the implant image and the bone image, according to the installation position of the implant. In some embodiments, control data from the patient specific jig image may be generated.

Abstract: A method includes providing first and second instruments. First and second fasteners are attached with vertebrae. First fasteners are connected with first and second constructs. Second fasteners are connected with a third and fourth constructs. The first construct is connected with a body of the first instrument and the second construct is connected with another body of the first instrument. The third construct is connected with a body of the second instrument and the fourth construct is connected with another body of the second instrument. Joints of the instruments are tightened. At least one of the instruments is selectively distracted. At least one of the instruments is selectively compressed. The spinal constructs are removed from the fasteners. The first fasteners are connected with a first spinal rod. The second fasteners are connected with a second spinal rod. In some embodiments, spinal constructs, implants, systems and kits are disclosed.

Abstract: A cervical spine plate attachment system includes a cervical spine plate that has a first surface configured to rest upon a first vertebra and a second vertebra, a second surface opposite the first surface and facing away from the first vertebra and the second vertebra, and a plurality of holes configured to receive fasteners to secure the cervical spine plate to the first vertebra and the second vertebra. The system also includes an alignment guide that detachably mounts to the cervical spine plate. The alignment guide comprises a pair of bars that rest upon the second surface of the cervical spine plate when the alignment guide is mounted to the cervical spine plate. The system also includes a fastener configured to secure the alignment guide to the cervical spine plate.

Abstract: Disclosed is a bone cutting and shortening system and the method of using the same, the system comprising a bone plate and a cutting guide adapted to slidingly engage by inserting the cutting guide into the bone plate from the overhead direction, the cutting guide adapted to facilitate parallel cutting planes on a bone at precisely ascertainable offset distances, and the bone plate adapted to stabilize the shortened bone after cutting.

Abstract: Methods of correcting a spinal deformity, including securing a first rod on a first side of a spine, securing an anchor on a second side of a spine, securing a lateral coupling between the rod and the anchor, translating and/or derotating the spine and securing a second rod on a second side of the spine to provide secondary stabilization to the spine.

Abstract: A surgical access system includes a connector including an arm, a coupling element, a rod, and a ridged slider. The arm includes first and second notched sections disposed in opposed lateral sides thereof. The coupling element includes a body section defining an opening therethrough, and opposed tabs protruding therefrom that are configured to receive the second notched section therebetween such that the arm is pivotably coupled to the coupling element. The rod includes a shaft having a plurality of angled grooves defined partially along a length thereof. The rod extends through the opening of the coupling element and the first notched section of the arm. The ridged slider includes a first surface having a plurality of ridges extending along a partial length thereof. The ridged slider extends through the coupling element with the plurality of ridges operably engaged with the plurality of angled grooves of the rod.

Abstract: System and methods for transversely displacing structures in the body can include a device for displacing structures in a patient's body, the device having: a handle; a first longitudinal member fixed in position relative to the handle; a second longitudinal member coaxial with the first longitudinal member, the second longitudinal member movable relative to the first longitudinal member between a retracted position and an extended position; and at least one resilient blade extending from a proximal end to a distal end, the proximal end of the at least one resilient blade mechanically fixed in position relative to the second longitudinal member; wherein the distal end of the at least one resilient blade is engaged with the first longitudinal member when the second longitudinal member is in its extended position and disengaged from the first longitudinal member when the second longitudinal member is in its retracted position.

Abstract: A vertebral assist device for monitoring, supporting, stabilizing, and adjusting vertebrae. An embodiment of the vertebral assist device includes: a plurality of vertebral support sections, each of the plurality of vertebral support sections configured to support a respective vertebra of a patient; an actuating system for interconnecting each adjacent pair of the plurality of vertebral support sections, the actuating system dynamically controlling an alignment of the plurality of vertebral support sections; and a control system for actively monitoring the alignment of the plurality of vertebral support sections and for directing the actuating system to dynamically adjust the alignment of the plurality of vertebral support sections until an alignment goal is achieved.

Abstract: Novel tools and techniques are provided for implementing medical simulation, and, in particular, for implementing medical simulation to simulate a medical instrument entering and maneuvering in a body of a person. A medical simulation system comprising a medical instrument detection unit, a medical instrument tracker unit, a braking unit may be provided. The medical simulation detection unit may determine when a medical instrument is interacting with the system. The tracking unit may track the movement and position of the medical instrument. The braking unit may be used to engage the medical instrument and simulate haptic effects. A medical simulation containment system for the medical simulation system may also be provided.

Abstract: Provided is a super wing nut bolt. The super wing bolt comprises a head, two wings that extend transversely from opposite sides of the head, a tightening hole that passes perpendicular through the head between the two wings, a tightening slot in a first top surface of the head, a polygonal-sided shaft that extends downward from the head and a threaded hole that passes axially through the shaft.

Abstract: Provided are a super wing nut and a super wing bolt that may be used both separately and in conjunction with each other. The super wing nut comprises a head, two wings that extend transversely from opposite sides of the head, a tightening hole that passes perpendicular through the head between the two wings, a tightening slot in a top surface of the head, a polygonal sided shaft that extends downward from the head, and a threaded shaft that extends downward from the polygonal sided shaft. The super wing bolt comprises a head, two wings that extend transversely from opposite sides of the head, a tightening hole that passes perpendicular through the head between the two wings, a tightening slot in a first top surface of the head, a polygonal-sided shaft that extends downward from the head and a threaded hole that passes axially through the shaft.

Abstract: The preferred embodiment of the present invention is generally described as a lordotic pre-sacral rod implant, or implant construct, for use in association with spinal fusion procedures. In an embodiment, the lordotic pre-sacral rod implant incorporates a washer configured to press against the endplate of the L5 vertebral body and thereby force the vertebral bodies of the lumbosacral junction into a lordotic orientation.

Abstract: A method for bone reconstruction includes aligning a first hone with a second bone using a plurality of guidewires to correct rotational deformity of the first and second bones. A first module of a targeting apparatus is positioned in proximity to the first bone. A tip of the first module is engaged with the first bone. A second module of the targeting apparatus is positioned in proximity to the second bone. A tip of the second module is engaged with the second bone. Alignment of the first module and the second module is secured. The alignment is verified using a guidewire, the guidewire wire is inserted through a passage extending through the second module. A length between the first bone and the second bone is determined using a depth gauge. An implant is selected based on the determined length for delivery along the passage extending through the second module.

Abstract: A system for reducing deformities of the vertebrae in the spine includes a first reduction assembly, a second reduction assembly, and a reduction drive assembly. The first reduction assembly is configured for attachment to a first reduction tower that attaches to a first vertebra. The second reduction assembly is configured for attachment to a second reduction tower that attaches to a second vertebra. The reduction drive assembly includes an arcuate rack gear operably coupling the first reduction assembly to the second reduction assembly to translate the first reduction assembly relative to the second reduction assembly along an arcuate path in a first plane.

Abstract: An insertion instrument is configured to eject one or more of anchor bodies across an anatomical gap so as to approximate the gap. The insertion instrument can include a single cannula that retains the pair of anchor bodies in a stacked relationship, or a pair of adjacent cannulas that each retains respective anchor bodies. The insertion instrument can be actuated so as to eject the anchor bodies into respective target anatomical locations.

Abstract: The present application relates to a double blade for a surgical retractor having a base body with a substantially cylindrical mounting mandrel for mounting the double blade on a surgical retractor, and at least two blade elements that are so mounted on the base body as to be rotatable and/or displaceable through at least a certain angular range with respect to the base body. Moreover, the present application relates to a blade arrangement in which a double blade is connected to a connecting element of a further double blade, or a single blade. In this case, the at least one double blade or, optionally, the single blade is rotatable with respect to the connecting element. In addition, the application relates to a retractor with a double blade, a blade arrangement or a blade assembly comprising double blades and a blade arrangement.

Abstract: The present invention relates to a mandibular resection template including a central component which is prepared for attachment to a segment, for example a symphysis segment of a jawbone, such as a mandible or maxilla. At least two separating tool guide portions are present at the central component, a positioning aid being provided between the two or more separating tool guide portions in order to obtain a spatially correct orientation of the mandibular resection template with respect to the jawbone.

Abstract: Selectively lockable holding arrangements for a surgical access assembly are disclosed. One holding arrangement includes a body portion, an engagement barrel and a retaining member configured as a hook at a distal end of the body portion. The engagement barrel is position on a proximal end of the body portion and is configured to be selectively rotated about the body portion when operatively connected to a surgical holding arrangement. A rotation brake is mounted on the body section. The rotation brake is selectively operable to lock the engagement barrel against rotation.

Abstract: An intervertebral implant may include a superior exterior surface, an inferior exterior surface, a first exterior lateral surface, and a second exterior lateral surface. The first and second exterior lateral surfaces may be substantially transverse to the superior and inferior exterior surfaces. The implant may further include a first curved end wall at a first longitudinal extremity of the body. The first curved end wall may include a bore configured to receive a first shaft of a tool. Additionally, the implant may include a second curved end wall at a second longitudinal extremity of the body and an elongated slot extending from a portion of the first curved end wall to a portion of the first exterior lateral surface.

Abstract: In one embodiment, a non-invasively adjustable spinal system for treatment of a subject having spondylolisthesis includes a first implantable actuator having at least one anchoring structure, the anchoring structure configured to facilitate securement of the first implantable actuator to a portion of the sacrum of the subject. The non-invasively adjustable spinal system can further include an adjustment element, configured to be coupled to the first implantable actuator, the adjustment element having an engagement structure configured to engage at least one transverse process of a lumbar vertebra of the subject. The non-invasively adjustable spinal system can further include a driving element, wherein remote activation of the driving element causes movement of the adjustment element in relation to the first implantable actuator.

Abstract: Examples of the invention relate to methods, implants, and instruments for compressing first and second bone portions or a bone portion and an implant together.

Abstract: A compression plate kit that allows for manual compression of a bone discontinuity includes a bone plate, two or more reduction screws, and a compression clamp. The compression clamp can include engagement members configured to engage the reduction screws, thereby allowing a practitioner to compress a bone discontinuity by manually closing the compression clamp. One or more implementations of a kit of the present invention can provide a practitioner with physical or tactile feedback during the compression of a bone discontinuity, and thus, provide the practitioner with the ability to better control the compression and spacing of bone portions during a reduction.

Abstract: A bone plate is provided including a top and bottom surface. The bottom surface may be adapted to contact bone. The bone plate may further include a plurality of apertures, wherein each aperture includes an annular sidewall and a lip adjacent to the bottom surface of the bone plate. The bone plate may also include at least one slot, wherein the slot includes a sidewall and a lip adjacent to the bottom surface of the bone plate. A bone plate system and method of use are also provided.

Abstract: Instrumentation and methods are provided for orthopedic surgery, including bone distraction. The application describes a bone distraction system that can be used to both distract and retract, or increase and decrease, a gap between first and second bone segments. The instrumentation can include any one of, or any combination of, a distractor, a ratchet, a first footplate, a second footplate, a first torque application instrument, and a second torque application instrument.

Abstract: A spinal procedure includes attaching a first reduction instrument to a first guide assembly and a second guide assembly. The first reduction instrument includes a fixed attachment assembly and a translating attachment assembly that cooperatively interfaces the fixed attachment assembly. The first guide assembly is attached to a first pedicle and the second guide assembly is attached to a second pedicle. The first reduction instrument is moved to reduce an orientation of the spine, while imaging a reduction of the orientation of the spine. An angle and position of the first reduction instrument is locked upon achieving a desired reduction. The spine may then be fused.

Abstract: One or more techniques and/or systems are disclosed for a system for distraction osteogenesis of long bones. Selectively adjustable drive magnets disposed in the system can be used to distract the device. An external drive device generating a magnetic field may be used to rotate the drive in externally.

Abstract: The invention relates to a medical instrument for temporarily coupling to at least two instruments, comprising a first coupling device for temporarily coupling to a first shank- or sleeve-shaped instrument and a second coupling device for coupling to a second shank- or sleeve-shaped instrument, wherein the first coupling device and the second coupling device are arranged or formed so as to be pivotable relative to each other, which medical instrument comprises a main body on which the first coupling device is guided and held so as to be pivotable about a point of rotation that in particular is spatially remote from the main body, which medical instrument comprises a first guide device for guiding a movement of the first coupling device along a circular path, wherein the first guide device is arranged or formed at least partially on the main body.

Abstract: A dynamic subsidence plate is described having a first plate member and a second plate member in sliding engagement that may infinitely subside between a first and second assembled position. The plate includes a lock assembly associated with the first and second plate members. The lock assembly includes a ramp portion, an interference portion, and a bearing member situated between the ramp portion and the interference portion. The lock assembly of the plate is configured to allow movement of the first member with respect to the second member in a first direction in an infinite number of positions between a first assembled position and a second assembled position. Further, the lock assembly alternatively prevents movement of the first member with respect to the second member in an opposite second direction between the first and second assembled positions.

Abstract: A ratcheting epiphysiodesis plate comprises a female base half having a ratchet arm and a male sliding half having a series of ratchet teeth, the male sliding half being slidably connected to the female base half with the ratchet arm engaging the ratchet teeth, one of the female and male sliding halves including a first fixation element receiving hole for receiving therethrough a fixation element for binding the plate to a bone.

Abstract: A surgical tool and method for separating a femoral cup or a femoral ball from an implanted femoral implant without disturbing the femoral implant. The tool is comprised of upper and lower lever arms which turn on an adjustable fulcrum. The upper lever arm has a distal end adapted to engage a femoral cup or a femoral ball and the distal end of the lower lever arm engages the implant. Proximal ends of the lever arms engage a drive assembly which is used to cause the distal ends to move away from one another thereby separating the femoral cup or ball from the femoral implant.

Abstract: A method of treating a patient's joint having opposing joint surfaces includes providing an elongate member having a proximal end, a distal end and an expandable member near the distal end. The expandable member is positioned in the joint between the joint surfaces and expanded so as to separate the joint surfaces away from one another into a distracted position. The joint is manipulated while in the distracted position so that the joint is distracted and in flexion. A diagnostic or therapeutic procedure is then performed on the joint while maintaining the joint in the flexed and distracted position.

Abstract: A crystallized bioabsorbable polymer scaffold comprises a polymer composition of poly (L-lactide-co-tri-methylene-carbonate) or poly (D-lactide-co-tri-methylene-carbonate) or poly (L-lactide-co-?-caprolactone) or poly (D-lactide-co-?-caprolactone) in the form of block copolymers of blocky copolymers, wherein the scaffold is cold-bendable.