Abstract: A system for implanting a bone fixation system including an implant head inserter associated with each hook member and positionable relative to one of the elongate members to engage the hook member with the elongate member; a preliminary locking instrument associated with each implant head inserter and configured to engage the respective elongate member and lock the position of the hook member and implant head inserter relative to the elongate member; a compressor assembly configured to engage the implant head inserters and compress them toward one another; a path creation tool configured to be extended through holes in the hook members to define a connector member path between the hook members; and a rod introduction instrument configured to support the connector member and direct it through the connector member path. Methods of implanting a bone fixation system are also provided.

Abstract: The shim-type implant for distraction and fusion of cervical facet joints is provided. The implant has a generally box-like shape with a blunt leading edge that may be centered or offset to the inferior face. The implant may include a graft window for enhanced osseous through-growth after implantation. The implant is coated with hydroxyapatite (HA) and/or tri-calcium phosphate (TCP) to allow for osteo-conduction, is porous, and has a roughened surface with serrations on the superior and inferior faces. The implant may be fabricated from a titanium or tantalum alloy. In an embodiment, a set of tools is provided with a chisel and one or tongs and one or more decorticators for inserting the implant.

Abstract: A revision connector that is configured to couple a new spine fixation rod to a previously implanted spine fixation rod that is secured to a plurality of vertebrae. The previously implanted spine fixation rod may be received in a first rod receiving channel of the revision connector. The revision connector may include a linkage that is received in a second rod receiving channel of another revision connector. For example, the another revision connector may couple to the new spine fixation rod such that the revision connector is coupled to the new fixation rod. A bone anchor may not directly connect either of the revision connector or the another revision connector to underlying vertebra. Also, the new spine fixation rod can be implanted and secured to vertebra that are caudal and/or cranial with respect to the previously secured vertebrae.

Abstract: A spinal implant includes a first member having an arcuate portion and a second member having an arcuate portion. The first member is connected with a first portion of vertebrae and the second member is connected with a second portion of vertebrae such that the second portion of vertebrae is disposed at a first angle relative to the first portion of vertebrae in a sagittal plane of the vertebrae. A ratchet is disposed with the members such that the first member is incrementally movable relative to the second member from the first angle to a selected angle of the second portion relative to the first portion in the sagittal plane. Systems, implants and methods are disclosed.

Abstract: Various implementations include an anterior cervical fixation plate for fixating portions of a cervical spine to facilitate bone fusion. The plate includes a first portion, a second portion, and a bridge. A first surface of the first portion and a first surface of the second portion each define two fastener openings extending from the first surface of the first portion to a second surface of the first portion. The first side and the second side of the centrally located bridge each extend from the second side of the first portion to the first side of the second portion. The second side of the first portion, the first side of the second portion, and the first side of the bridge define a first window. The second side of the first portion, the first side of the second portion, and the second side of the bridge define a second window.

Abstract: A polyaxial bone anchoring device includes a receiving part with two legs defining a recess for receiving a rod and a pressure member for exerting pressure on a head of a bone anchoring element in the receiving part, the pressure member having an engagement portion. The engagement portion can extend at least partially into a leg and is directly engageable from outside the bone anchoring device to move the engagement portion axially for adjusting the pressure member from a non-locking position where the head is pivotable to a locking position where the head is clamped. When the pressure member is in the locking position and the engagement portion is free from any outside axial forces, a first contact surface of the receiving part cooperates with a second contact surface of the pressure member to hold the pressure member in the locking position.

Abstract: There are provided tissue repair laminates containing at least two biodegradable polyurethane foam layers and a polyurethane structural layer. The biodegradable polyurethane is derived from biodegradable polyols. The laminates resist shrinkage under in vivo conditions and possess desirable mechanical properties such as high tensile strength. The laminates find use in, for example, the repair of tissue or muscle wall defects.

Abstract: The present patent application is directed to compositions and shaped structures implantable into mammalian bodies, the compositions and shaped structures having localized bioactive surfaces.

Abstract: A single device desirably configured for use at complete cut location of an open door laminoplasty surgical site, and to be adjustable in size and orientation so that they may be adapted to the site at the time of surgery. The device is a one-piece construct of a base with an integrated spacer, with an extension hingedly connected to the base. The base and spacer are integrally formed of material that is not bone or bone-like, such as titanium. The spacer is devoid of void or open areas and includes arched proximal ends.

Abstract: The device for treating early onset scoliosis includes first and second tubes having first and second rods slidably disposed therein. The first tube is adapted for fixation to at least one middle vertebra of a patient's spine such that an open end thereof faces upward and a closed end thereof faces downward. The second tube is also adapted for fixation to at least one middle vertebra such that an open end thereof faces downward and a closed end thereof faces upward. A lower end of the first rod is positioned within the first tube and is resiliently biased. An upper end of the first rod is adapted for fixation to at least one upper vertebra. An upper end of the second rod is positioned within the second tube and is resiliently biased. A lower end of the second rod is adapted for fixation to at least one lower vertebra.

Abstract: A surgical instrument includes a body member and a leg having a first end integrated with and extending from the body member. A head cavity is in the leg portion to hold a head. A channel is formed along a longitudinal length of the leg. An elongated rocker assembly includes an elongated lever arm coupled within the channel about a fulcrum and a spring actuation. A projection of the arm projects in a direction of the head cavity. A rocker slide lock has a collar slidably coupled around the body member and having a first position located between the body member and the actuation tab, such that a portion of the collar is under the actuation tab to limit pivotal motion of the rocker assembly, and a second position having a clearance from under the actuation tab.

Abstract: Implant assemblies, systems, and methods for stabilizing a joint between a superior vertebra and an inferior vertebra may include a plate member coupled to an interbody spacer with at least one fastener that extends superiorly or inferiorly from the implant assembly to anchor within a vertebral body and stabilize the joint. Inserters and methods of insertion may also be included to facilitate fixation of various implant assemblies within the intervertebral space of the joint between the superior vertebra and the inferior vertebra.

Abstract: A compressor/distractor instrument that provides internal set screw engagement for threaded reduction capabilities while also providing bending support of the screw extenders during compression or distractor manipulation. Threaded reduction is performed by engaging compressor/distractor support tubes at the proximal end with a compressor/distractor driver. A removable locking pull pin secures the left and right handles of the compressor/distractor driver together during use, and removal of the pin releases the compression and tension built up in the device for ease of removal.

Abstract: A bone fixation system includes a bone fastener and a tower including a frangible or detachably linked distal section with a thread formed on an inner surface thereof, the tower having at least one flexible section and at least one rigid section to accommodate and/or mitigate tower interference and/or collision during surgical procedures. The distal section can desirably be separated and/or detached from the tower to function as a head locking unit of the bone fixation assembly, with the detached distal section capable of accommodating set screws, fixation rods and/or other spinal hardware.

Abstract: A pivotal bone anchor assembly includes a receiver having a cavity for receiving the head of a shank, a first channel for receiving an elongate rod, and an axial bore extending upward from a bottom opening of the receiver to a discontinuous thread adjacent a top of the receiver with opposed alignment members protruding inwardly beneath the discontinuous thread. The assembly also includes a pressure insert having a second channel for receiving the underside of the elongate rod, a lower surface for applying downward pressure on the shank head, and an outer cylindrical surface with opposite elongate recesses. The pressure insert is loaded into a first position within the axial bore and then rotated into a second position in which the opposed alignment members become positioned within the opposite elongate recesses to hold the second channel of the pressure insert in alignment with the first channel of the receiver.

Abstract: A pedicle screw system applicable to affixation medical systems is provided. The system comprises a screw tulip comprising a rod receiving channel configured to receive a spinal rod, a shank configured to anchor the screw tulip and spinal to a pedicle. A bushing disposed between an interior surface of the screw tulip and a first end of the shank, wherein the first side of the bushing channel is defined by a top edge of a first wall of the bushing, a second side of the bushing channel is defined by a top edge of a second wall of the bushing, and the bushing channel is set at an angle defined by the top edge of the first wall and the top edge of the second wall.

Abstract: A spinal-surgery system having a rod receiver and/or a cap. The cap has a cylindrical body, opposing splay-resisting flanges, and an opposing rotation-preventing/rotation-resisting wings, each wing having a lateral rotation-preventing surface and a lateral rotation-resisting surface. A receiver proximal end forms a wing-receiving cavity having a lateral rotation-preventing side and a lateral rotation-resisting side. Each flange has a proximal-facing cap splay-resist surface, and a distal-facing cap pop-on surface. Each receiver proximal protrusion has a proximal-facing sloped receiver pop-on surface, and a distal-facing sloped receiver splay-resist surface. Each rotation-preventing surface contacts a corresponding rotation-preventing side and each rotation-resisting surface contacts a corresponding rotation-resisting sides when the cap is popped on. The rotation-preventing surfaces contacting the rotation-preventing sides prevents cap rotation in a first direction.

Abstract: Device for fixing a bony structure to a support member, the device comprising a first connecting member which comprises: a main body provided with a first passage configured for receiving the support member, and with a first opening configured for passing a flexible member therethrough; and a rod fixed to and/or monobloc with the main body and protruding therefrom. The device further comprises a first flexible member passing through the first opening of the main body and extending beyond the main body for attachment to the bony structure.

Abstract: A prosthesis for spinal surgery includes a spacer adapted to be secured into the bone and attached to one of a plurality of configuration plates. The configuration plates are interchangeable and each one is configured to utilize a different combination of bone screws, anchors or both. The prosthesis may further include a retaining mechanism to prevent bone screws and/or anchors from backing out.

Abstract: A partial endoprosthesis device preserves the motion of a vertebral joint for implant into a spinal segment and includes an articular portion having a thickness that increases in the direction of introduction between the articular facets. The articular portion is elongated along a longitudinal axis with a opposite first and second faces. The first face has a central protrusion that is configured so that, by implanting the device with the articular portion inserted between an upper articular facet of a lower vertebra and a corresponding lower articular facet of upper vertebra adjacent to the lower vertebra, and with the first face in contact with either the upper or lower articular facet, and with the second face in contact with the other articular facet, the articular portion, with the first face, pushes against the first articular facet and finally becomes integral by osteointegration with the lower articular facet.

Abstract: An anti-splay bone anchor is provided. The anti-splay bone anchor comprises a screw shank, a screw head and a locking cap member as the primary components. The screw head comprises a first opposing member having a first profile and a second opposing member having a second profile; a through hole for receiving the screw shank there-through. The locking cap member comprises a body, a through hole, a set screw and a first and a second tab. The through hole has threads on the inner surface which is adapted to threadably receive the set screw having threads on the outer surface. The first tab and the second tab, each extending radially outward from the locking cap member, have a third and a fourth profile which are complimentary to the first profile and the second profile, respectively.

Abstract: Implementations described herein include devices and systems for attenuation of increased spinal flexion loads post-fusion that include a transition member. The transition member may have a tension component coupleable to a fused vertebra of a plurality of fused vertebra of a fusion implant and to an adjacent unfused vertebra. The tension component may be tensionable to a selected value. The tension component may modulate a flexion range of motion of the adjacent unfused vertebra as a function of the selected value of tension of the tension component. The transition member may attenuate spinal flexion loads on adjacent unfused vertebra post-operatively.

Abstract: A flexible plastic, resin or polymer material forming a trial plate for use is surgery of bones including spine and extremities. The trial plate having at least one radio opaque region and guides for positioning. A kit may be provided containing at least one flexible trial plate.

Abstract: An apparatus is provided for fusing bones of the human body. The apparatus comprises a bone plate which generally is a member having one or more fixation apertures, configured to receive fasteners, and an insert aperture. The bone plate comprises a semi-rigid material, such as a biocompatible metal or Polyetheretherketone (PEEK), possessing a tensile strength suitable for immobilizing bones. A convertible insert is configured to be retained within the insert aperture. The convertible insert is configured to optimally direct a fastener towards a chosen point of purchase for fixating or compressing bones. In some embodiments, the insert is configured to direct a fastener at an oblique angle relative to a plane of the fusion plate. In some embodiments, the insert is configured to direct a fastener at a substantially right angle relative to the fusion plate.

Abstract: Methods and devices for the tailored restraint of two separate bones, in which the bones are generally permitted to rotate relative to one another, or move toward each other, but are restrained from separating beyond a predetermined, fixed distance. In some embodiments, the restraint is provided by compressing a tether into a notched groove.

Abstract: A system for fastening soft tissue to bone includes a bone screw having a threaded shaft and a screw head having an underside with malleable protuberances that project toward a distal end of the threaded shaft. A fixation plate is coupled with the threaded shaft. The fixation plate has a proximal face that opposes the underside of the screw head, a distal face that faces away from the underside of the screw head, an outer peripheral edge that extends between the proximal and distal faces, a central opening for receiving the threaded shaft, and protrusions spaced from one another around the outer peripheral edge that extend distally beyond the distal face of the fixation plate. The system includes an insertion tool having a handle and a tubular shaft extending distally from the handle.

Abstract: The disclosure relates to medical devices and methods of manufacturing medical devices. An orthopedic screw includes an inner core member having a head having a first outer diameter, a tip having a second outer diameter, and a body extending between the head and the tip and having a third outer diameter that is less than the first outer diameter and the second outer diameter. An outer body member is disposed circumferentially around the body of the inner core member and defines an outer body member external thread. The tip of the inner core member can define an inner core member external thread that forms an interrupted thread with the outer body member external thread.

Abstract: A surgery guiding bone plate comprises a guiding bone plate. The guiding bone plate comprises a first bone plate and a second bone plate, wherein a guiding groove is formed between the first bone plate and the second bone plate. The surgery guiding bone plate also comprises a fixing and clamping device connected to the first bone plate and the second bone plate. The fixing and clamping device can clamp and fix a flap opening-up instrument, and can guide a doctor to a preset cutting position and a drilling position by means of the guiding bone plate, so as to improve the precision of surgery positioning.

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

Abstract: A bone fastener includes a distal member having a proximal portion and a closed distal tip. The distal member includes an outer surface engageable with a first cortical surface and a second cortical surface. The proximal portion includes an inner surface that defines a longitudinal cavity and at least one fenestration in communication therewith. Systems, spinal constructs, surgical instruments and methods are disclosed.

Abstract: A bioabsorbable tissue support is inserted into a tissue of a subject during, or after, puncture of the tissue. The bioabsorbable tissue support includes a material that is gradually absorbed into the punctured tissue in time, and disappears. The bioabsorbable tissue support may be inserted standing alone, or in association with a permanent or temporary non-bioabsorbable tissue support, may define the shape of the punctured hole, and/or may release useful or ornamental chemicals into the punctured tissue. The chemical may include an antibacterial material, an antifungal material, an antimicrobial material, topical anesthetic, a temporary or permanent dye material, and/or an antiproliferative agent. The non-bioabsorbable tissue support may include a self-expanding material that enlarges the size of the puncture in time. The bioabsorbable tissue support may have the form of a tube and/or a mesh of variable peripheral shapes, be elongated, and/or have attachable and detachable end plates and pointed tips.

Abstract: A polyaxial bone anchoring device includes a receiving part with two legs defining a recess for receiving a rod and a pressure member for exerting pressure on a head of a bone anchoring element in the receiving part, the pressure member having an engagement portion. The engagement portion can extend at least partially into a leg and is directly engageable from outside the bone anchoring device to move the engagement portion axially for adjusting the pressure member from a non-locking position where the head is pivotable to a locking position where the head is clamped. When the pressure member is in the locking position and the engagement portion is free from any outside axial forces, a first contact surface of the receiving part cooperates with a second contact surface of the pressure member to hold the pressure member in the locking position.

Abstract: Disclosed is a fixation system and method. The system and method may fix a selected member to a subject during a procedure. The selected member may include a tracking device or registration member.

Abstract: In some embodiments, a connector can be configured to couple a first fixation element (e.g., a first rod) to a second fixation element (e.g., a second rod). One or both of the first and second fixation elements can be included with the connector, or one or both can be separately provided. In some instances, at least one of the fixation elements is previously implanted in a patient. The connector can provide one or more degrees of freedom between the first and second fixation elements. The connector can also include a locking element configured to (1) lock one or more of the fixation elements to the connector, and (2) lock one or more of the degrees of freedom between the fixation elements. The connector can be configured to snap onto or otherwise engage a fixation element in a manner that provides tactile and/or audible feedback to the surgeon.

Abstract: A medical instrument has a connector configured for being fixed to a spine support, and a rib support connected to the connector and configured for supporting the rib. The medical instrument has a pair of an upper hook and a lower hook provided on the rib support. One of the upper hook and the lower hook is fixed to the rib support so as to be vertically adjustable. The rib support is connected to the connector to be movable in a direction along the rib.

Abstract: A bone plate includes: a band-shaped body section that is fixed along a longitudinal direction of the tibia; a transverse section that is fixed along a direction intersecting the longitudinal direction of the tibia; a joining section for joining the body section and the transverse section; and screw holes. The body section, the joining section, and the transverse section have a curved surface shape, a first plane on which the axial line of a screw hole in the joining section is disposed and a second plane on which the axial line of a screw hole in the body section is disposed are substantially parallel to each other, the angles between a straight line connecting a longitudinal direction upper-end portion and lower-end portion of the bone plate and the first plane and the second plane are predetermined angles, and an axial line and an axial line are at twisted positions.

Abstract: Embodiments of the present invention are directed to an occipital plate for fixating the occipital/cervical junction between cranium and the spine configured to provide multi-axial adjustment for the rod connectors including Anterior/Posterior movement, Medial/Lateral movement and Converging/Diverging movement. Some embodiments of the present invention use a variety of components to achieve a range of motion in several different axes. This extended range of motion allows the plate to adapt to the surrounding anatomy as well as making it more facile to adapt to a posterior rod fixation system.

Abstract: The present disclosure provides a modular instrument system for accessing a site within a patient's body, such as for example, to inject or remove material. In one exemplary embodiment, an access device is coupled to an adapter and power drilled into a site within a patient. Once the access device is in position, the adapter may be further attached to other instruments, or to an injection or extraction system. The adapter may accommodate various other connectors to make the instrument system compatible with a variety of other surgical instruments and tools.

Abstract: The present application relates to a cross pin fixator device comprising a plate member with spherical cavities that are open to the front and to the back of the plate, collapsible pin holder members having a central channel for insertion of a bone pin, the collapsible pin holder member being press-fit into the spherical cavities, and bone pins individually inserted into the central channel of a pin holder. The application also relates to a method for treating a fracture of the proximal humerus using the proximal humerus cross pin fixator and to a kit for treating a fracture of a bone.

Abstract: Occipital-cervical fixation equipment comprising: an occipital plate able to be fixed to an occipital portion of the skull of a patient; at least two longitudinal lateral bars able to be arranged in a sagittal direction alongside the spinous processes of the vertebrae of the patient, each longitudinal lateral bar extending between an occipital end portion and a vertebral end portion; a first fixation means configured to fix the occipital end portion of each longitudinal lateral bar and the occipital plate; a second fixation means configured to fix the longitudinal lateral bars to a patient's vertebra; a transverse connector; the third fixation means configured to fix the occipital end portion of the longitudinal central bar to the occipital plate; and the fourth fixation means configured to fix the lateral end portions of the cross bar respectively to one of two longitudinal lateral bars. Other aspects are disclosed and claimed.

Abstract: A spinal cage for implantation between two adjacent vertebrae includes a polymer composition that includes a polyetherimide.

Abstract: A polyaxial bone screw assembly includes a threaded shank body having an integral upper portion receivable in an integral receiver, the receiver having an upper channel for receiving a longitudinal connecting member and a lower cavity cooperating with a lower opening. A friction fit compression insert (some with lock and release feature), a planar split retaining ring and a shank upper portion cooperate to provide for pop- or snap-on assembly of the shank with the receiver either prior to or after implantation of the shank into a vertebra. The shank and receiver once assembled cannot be disassembled and the receiver and insert may include aligned tool receiving apertures for lock and release of the polyaxial mechanism.

Abstract: A polyaxial bone screw assembly includes a threaded shank body having an integral upper portion receivable in an integral receiver, the receiver having an upper channel for receiving a longitudinal connecting member and a lower cavity cooperating with a lower opening. The receiver can have crimp tabs, but is devoid of spring tabs and collet-like flexible structures. A down-loadable compression insert (some with lock and release feature), a down-loadable friction fit split retaining ring and an up-loadable shank upper portion cooperate to provide for pop- or snap-on assembly of the shank with the receiver either prior to or after implantation of the shank into a vertebra. The shank and receiver once assembled cannot be disassembled. The receiver and insert include aligned tool receiving apertures for lock and release of the polyaxial mechanism.

Abstract: A load sharing bone plate has a plurality of directional apertures configured to effectively support and share the load with a fractured bone to promote healing. A load sharing bone plate may have a body portion that is thinner and be configured to be secured with smaller fasteners than conventional bone plates. A load sharing bone plate has a plurality of directional apertures, configured to direct a fastener is a specific orientation, such as in an oblique angle to the length and/or in an oblique angle to the width of the bone plate. A load sharing bone plate may be configured with a load sharing extension on at least one end that is configured to reduce stress concentration at the end of the bone plate. A load sharing extension may have a tapered thickness and/or width from the body portion to the extended end.

Abstract: A polyaxial bone screw assembly includes a threaded shank body having an integral upper portion receivable in an integral receiver, the receiver having an upper channel for receiving a longitudinal connecting member and a lower cavity cooperating with a lower opening. A friction fit compression insert (some with lock and release feature), a planar split retaining ring and a shank upper portion cooperate to provide for pop- or snap-on assembly of the shank with the receiver either prior to or after implantation of the shank into a vertebra. The shank and receiver once assembled cannot be disassembled and the receiver and insert may include aligned tool receiving apertures for lock and release of the polyaxial mechanism.

Abstract: An expandable support device for tissue repair is disclosed. The device can be used to repair hard or soft tissue, such as bone. The expandable support device can have interconnected struts. A method of repairing tissue is also disclosed. The expandable support device can be inserted into a damaged bone and radial expanded. The radial expansion of the expandable support device struts can cause the struts to cut mechanically support and/or the bone.

Abstract: A method of treating a patient who requires surgical implantation of an orthopedic implant is described. The method includes the steps of: determining the DEXA scan T-score of the patient's native bone at a site of surgical implantation where the implant will be in contact with the patient's native bone; retrieve from among three or more implants of the same type an implant that has a density that is closest to the density of the patient's native bone at the site of surgical implantation based on the DEXA scan T-score of the patient's native bone; and implanting the retrieved implant in the patient to the exclusion of the other two or more implants.

Abstract: A prosthetic implant for restoring lamina after a laminectomy. The implant is generally a lamina-sized construct having a hollow interior. The lamina removed during the laminectomy may be converted to autologous bone that may then be placed inside the hollow interior of the implant. The implant may then be secured to the spine at the site of the laminectomy so that lamina restoration can occur as the hollow interior of the implant solidifies with bone growth.

Abstract: A system including anchors, anchor components, and anchor assemblies and subassemblies that are adapted for attachment to a bony structure of a clinical subject. For example, two or more such anchors in the form of screws may be affixed to bones, for example, vertebral structures such as the pedicle, and each anchor is connected to a stabilizer such as a surgical rod that is inserted between the anchors. The anchors and assemblies are novel in many respects owing to their modular nature and height adjustability, which in contrast to conventional systems, allows the anchors to be provided to a surgeon in modular, sub assembled and fully assembled form to enable a broad array of choices in devising the optimal plane for surgical bone fixation.

Abstract: The present subject disclosure provides a novel design for devices and methods for straightening a curved spine by using a reduction tool to move the spine with respect to an attached bone plate.