Abstract: A robotic working line and associated method for the production of cutting bodies for prosthetic surgery instruments starts with hollow untreated components and includes an automated three-dimensional laser cutting station with a first automated operator configured to pick up untreated components from a transport support and supply it to a laser cutting apparatus having a second automated operator provided with a laser cutting head that is configured to make both through holes and optional auxiliary apertures to obtain semi-finished components. An automated grinding station receives the semi-finished components and includes a third automated operator configured to place each of the semi-finished components in cooperation with one or more grinding tools in order to obtain ground components. An automated punching station includes a fourth automated operator to place each of said ground components in cooperation with a press device configured to perform a punching working on each hole.

Abstract: An interbody spinal cage when implanted can be manipulated non-invasively to change dimensions conforming to contours of adjacent vertebral bones. The interbody spinal cage includes a flexible shell that encases multiple variable-length rods. Each of the multiple variable-length rods includes telescoping tubes and an actuator for increasing and decreasing the length of the telescoping tubes. Each of the variable-length rods includes a retention member to limit movements of the telescoping tubes, wherein the retention member can be engaged and disengaged. Both the retention member and the actuator can be operated from outside the body in which the interbody spinal cage is implanted.

Abstract: Disclosed is a height-expandable spinal cage including an upper plate and a lower plate disposed to face each other, a frame disposed between the upper plate and the lower plate, the frame having a space formed therein, a block disposed between the upper plate and the lower plate and configured to be movable in a longitudinal direction inside the frame, and a driving bolt having one end thereof connected to the block to move the block. The height-expandable spinal cage is implanted into an affected area while occupying the minimum height thereof and to be expanded between vertebral bodies.

Abstract: A pivotal bone anchor assembly includes a pre-assembled receiver assembly and a bone anchor with a capture portion uploadable into the receiver assembly through a lower opening. The receiver assembly includes a receiver defining a channel for receiving a rod and an axial bore having a recess and a spherical seating surface above the lower opening. The receiver assembly also includes a retainer operable to capture the capture portion within the axial bore with the bone anchor extending downward through the lower opening, and a pressure insert having an upper surface operable to engage the elongate rod and a lower surface operable to engage the capture portion. The receiver assembly further includes a pair of opposed, semicircular-shaped shaped biasing members in overlapping engagement with the pressure insert and configured to bias the pressure insert against the capture portion to provide a pre-lock friction fit for the pivotal bone anchor assembly.

Abstract: A tissue fixation device including a self-locking construct having a first loop, a second loop, and a first free end. A first tail is coupled to, and extends from, the first loop. A second tail is coupled to, and extends from, the second loop. An anchor is coupled to one of the self-locking construct or the first tail such that one of the self-locking construct or the first tail extend through the anchor.

Abstract: A multi-barrel drill guide and anchor deployment assembly configured to simultaneously accommodate both a drill bit and a driver with a suture anchor. Such a structural configuration allows for the suture anchor to be in position with the anchor driver in a separate but converging pathway/channel in the drill guide and ready for insertion into a pilot hole immediately after the pilot hole is formed by the drill bit.

Abstract: A method of providing a Vertebral Body Replacement (VBR) device for placement into a cervical spine between two endplates of a single vertebra during the course of an anterior spinal surgical procedure upon the cervical spine, wherein the VBR device has been given a PLR product code from the Food and Drug Administration (FDA).

Abstract: Various embodiments of bone ties, bone tie inserters, and methods for treating the spine are provided. The methods can include wrapping the bone tie around transverse processes of adjacent vertebrae to correct coronal plane deformity. The methods can include wrapping the bone tie around the spinous process of one vertebra and around the transverse process of a second adjacent vertebra to achieve rotational correction. The methods can include wrapping the bone tie around the lamina of adjacent vertebrae to achieve sagittal correction. The methods can include applying tension to the bone tie to set the sagittal correction. The methods can include passing the bone tie through a lumen in a vertebral body or a pedicle of the inferior vertebra and the lamina or articular process of the superior vertebra.

Abstract: A spinal implant which is configured to be deployed between adjacent vertebral bodies. The implant has at least one extendable support element with a retracted configuration to facilitate deployment of the implant and an extended configuration so as to expand the implant and effectively distract the disc space, stabilize the motion segments and eliminate pathologic spine motion. The implant has a minimal dimension in its unexpanded state that is smaller than the dimensions of the neuroforamen through which it typically passes to be deployed within the intervertebral space. The implant is provided with a locking system having a plurality of linked locking elements that work in unison to lock the implant in an extended configuration. Bone engaging anchors also may be provided to ensure secure positioning.

Abstract: A bi-directional fixating transvertebral (BDFT) screw/cage apparatus including an intervertebral cage for maintaining disc height, and a method of inserting the same is provided. The intervertebral cage includes a first internal screw guide and a second internal screw guide, a first screw member and a second screw member, and a central screw locking lever coupled to the intervertebral cage, wherein the central screw locking lever prevents the first screw member and the second screw from pulling-out of the first internal screw guide and the second internal screw guide. The central screw locking lever includes a rotatable handle and stem portion, or a screw locking horizontal bracket. A pliers device for inserting and removing the bi-directional fixating transvertebral (BDFT) screw/cage apparatus, a posterior cervical and lumbar facet joint staple, and a staple gun for a posterior cervical and lumbar facet joint staple also are provided.

Abstract: A surgical device for intraoperative angle measurements during surgery. The surgical device includes a shaft having a bone probe configured to remain in contact with cortical bone of the patient while a user orients the shaft to a desired orientation. The device includes a housing having an electronic circuit configured to measure an orientation angle. The electronic circuit may include: an input device configured to receive user input data; a measurement circuit configured to measure a change in orientation of the shaft in relation to a reference axis; a control circuit coupled to the input device and measurement circuit and configured to determine the orientation angle of the shaft relative to the reference axis; and an output device configured to communicate the orientation angle to the user. The device includes a power supply configured to provide power to the electronic circuit.

Abstract: A multi-stage minimally invasive surgical procedure and associated instruments are disclosed. First, the surgical site is prepared. After preparation, the bone screws or anchors are attached to the bone. Subsequent to insertion of the screws, a rod or connecting member is positioned within the yoke portion of the bone screw. Caps are then placed in a pre-lock position within the yokes. The bone screws may be compressed together or distracted along the rod or connecting member, thereby setting the final spacing of the bones or bone segments. Finally the caps are moved to a final lock position to fix the screws to the rod or connecting member to maintain the bones in position relative to each other.

Abstract: An orthopedic instrument, comprising a pair of pivotally-connected arms, extending beyond a pivot axis of a first pivot; a pair of feet mounted to ends of the pair of pivotally-connected arms; and a quadrilateral linkage configured to maintain parallelism between the pair of feet over a range of angles and to selectively alter a distance between the pair of feet.

Abstract: A spinal implant comprises an implant body extending between an anterior surface and a posterior surface. The implant body includes a first vertebral engaging surface and a second vertebral engaging surface. The implant body includes an outer surface that defines an oblique surface. A wall is connectable with the implant body and translatable relative to the oblique surface. Systems and methods are disclosed.

Abstract: The fusion systems include a first fastener, a second fastener, and an elongate member with a first end and a second end. The first end being secured to the first fastener and the second end being secure to the second fastener. The method of assembling a fusion system including obtaining towers, fasteners, and an elongate member; coupling the fasteners to the towers; inserting ends of the elongate member into the fasteners; coupling locking caps to a screwdriver; and screwing the locking caps into heads of the fasteners to secure the ends of the elongate member to the fasteners. The methods of using the fusion systems including exposing a patient's vertebrae and obtaining the fusion system, inserting first and second fasteners into first and second vertebra, and coupling the first fastener and second fastener.

Abstract: A bone anchoring device includes an anchoring element having a shank and a head, a receiving part configured to pivotably receive the head, and a pressure member defining a head receiving recess for pivotably holding the head and having a portion configured to extend to a side opposite a free end of the head and to exert pressure on the side opposite the free end to clamp the head in the receiving part. The head has a first position indication structure configured to engage a second position indication structure of the pressure member when the shank assumes a first angular position, and to disengage from the second position indication structure when the shank is at an angular position different from the first angular position. The second position indication structure is engageable with the first position indication structure without protruding into a profile defined by the head receiving recess.

Abstract: Disclosed are instruments, implants and methods of accessing the spine from an Anterior to the Psoas (ATP) approach, performing a discectomy through an ATP approach and then placing an intervertebral implant via an ATP approach for spinal fusion.

Abstract: Threaded sacro-iliac joint stabilization (e.g., fusion, fixation) implants and methods of implantation and manufacture. Some implants include a threaded distal region, an optionally threaded central region, and an optionally threaded proximal region. The distal, central, and proximal regions have lengths such that when the implant is laterally implanted across a SI joint, the distal region can be positioned in a sacrum, the central region can be positioned across an SI-joint, and the proximal region can be positioned in an ilium.

Abstract: Bottom-loading bone anchor assemblies and components thereof are disclosed that have a reduced profile and can be utilized with bone screws of various size. Bone anchor assemblies of the present disclosure can include a receiver member, a drag retaining ring, and a shank. The retaining ring and shank can be inserted proximally into a bore of the receiver member. The drag ring can have a base and a walled portion extending proximally therefrom. The drag retaining ring can be disposed in a groove of the receiver member with the base forming a seat for the shank head that can hold the shank within the receiver. The walled portion of the drag retaining ring can impart a drag force on the shank head seated in the base to prevent unintended movement between the shank and the receiver member.

Abstract: A novel endonasal method for occipitocervical fusion is provided. This new method provides a minimally invasive advance in the ability of surgeons to treat pathology of the craniocervical junction. The method uses an implant system comprising a body having a spacer section that engages with the occipital condyle and a plate section that engages with the C1 lateral mass. Fasteners fix the plate section with the occipital condyle the plate section with the C1 lateral mass.

Abstract: Spinal implants and methods of extending pre-existing spinal implant constructs. An extension clamp may be connected to an original spinal implant including an elongated rod attached to a portion of the spine without removal of the original spinal implant. The extension clamp may include a yoke and an extension rod extending from the yoke. The yoke may include a first end and a second end, the first end having first and second rod engaging portions and a channel between the first and second rod engaging portions for encompassing a fastener, and the second end being spaced apart from the first end. The first and second rod engaging portions may be configured and dimensioned to secure the extension clamp to the elongated rod.

Abstract: A spinal cage with a wall extending in a longitudinal direction defining an interior space is disclosed. There is also provided a deployable element in movable relation to the spinal cage.

Abstract: A sacroiliac joint implant system includes a primary implant configured to be received in a sacroiliac joint of a patient and a secondary implant configured to couple with the primary implant. The primary implant includes a body extending from a proximal end to a distal end and a plurality of threads extending from the body. The secondary implant includes a first anchor configured to anchor within a sacrum of the patient and a second anchor configured to anchor within an ilium of the patient.

Abstract: A bone joint inserter device for accessing and manipulating a facet joint is provided. The bone joint inserter device improves surgical control in bone anchor location, placement, and insertion into target bone, while the inserter device also improves efficiency in engaging the target bone joint. The surgical instrument provides improved control of cutting device location and orientation, including directional control for precise bone anchor component insertion. Methods to use the bone joint inserter device in surgical procedures are also provided.

Abstract: A kyphoplasty system includes various instruments which can be selectively used in a surgical theater (e.g., during a surgical operation on a patient) or a surgical training environment. The kyphoplasty system can include one or more of a kyphoplasty apparatus, a prone table mat, a connector system, a bone introducer needle, and a biopsy device. The kyphoplasty system may also include a training system for use in the training environment.

Abstract: A bone screw kit includes a support member, a screw, an extension sleeve, a connecting rod, a locking screw, a screw driver and an extension sleeve remover. The support member has two wings. An external wall of one axial end of the screw driver has ribs and one first snap. The first snap has oppositely a first outer diameter and a second outer diameter less than the first outer diameter. A through hole having a second snap is disposed on the locking screw furnished thereinside with grooves. The second snap has a first inner diameter less than the first outer diameter but larger than the second outer diameter. The locking screw and the screw driver are disposed in the support member and the extension sleeve. The extension sleeve having two extension wings sleeves the support member. Engagement structures are provide to engage the wing and the inner extension wing.

Abstract: The invention relates to an intersomatic cage comprising a body and a part that is designed to dilate the intersomatic space between two vertebrae by rotating the cage so that the cage can be inserted into the space. The body has a prism shape with a substantially planar upper surface which can bear against the superior vertebral endplate and a substantially planar lower surface which can bear against the inferior vertebral endplate.

Abstract: A system may be configured to facilitate a medical procedure. Some embodiments may: acquire a scan corresponding to a region of interest (ROI); capture an image of a patient in real-time; identify, via a trained machine learning (ML) model using the acquired scan and the captured image, a Kambin's triangle; and overlay, on the captured image, a representation of the identified Kambin's triangle.

Abstract: The present invention discloses an interspinous process fusion device, a method of fabricating the interspinous process fusion device, and a surgical method for maintaining a space between two spinous processes in a spine of a patient using the fusion device. The interspinous process fusion device including a distal tip member, a middle plate, a proximal plate, an elongate member, and a plurality of movable wings. The elongate member having a first end, a second end, and a longitudinal axis extending between the first and second end. The distal tip member is connected to the first end of the elongate member, the proximal plate is connected to the second end of the elongate member, and the middle plate and plurality of wings are positioned intermediate the distal tip member and the proximal plate along the longitudinal axis to form the interspinous process fusion device assembly.

Abstract: Embodiments are directed to fusion implants, insertion instruments, and methods of using the same for implanting one or more fusion implants across a sacroiliac joint and into an ilium and sacrum for fusing the sacroiliac joint. In some cases, fusion-promoting material may be inserted in the fusion implant for further promoting fusion across the sacroiliac joint. In some cases, neurophysiologic monitoring may be performed as the fusion implants are placed across the sacroiliac joint.

Abstract: A method of stabilizing a spine providing a fixation system, the fixation system including, a bone fastener, and a modular assembly attachable to the bone fastener. The modular assembly includes a tulip element and a ring element positioned in the tulip element to restrict motion between the bone fastener and the tulip element to uniplanar motion.

Abstract: A jointed rod assembly for use in a spinal fixation construct involves a caudal rod portion connectable to an adjustment mechanism, and a cranial rod portion connectable to the adjustment mechanism. The adjustment mechanism is configured to rotate the caudal and cranial rod portions relative to one another about a joint axis that is generally perpendicular to the longitudinal axes of the caudal and cranial rod portions. The caudal and cranial rod portions may be dimensioned to be compatible with other pieces of hardware commonly used for spinal fixation, such as bone anchors (e.g., pedicle screws), occipital plates, reducers, and others. The caudal and cranial rod portions are composed of a strong, rigid, non-absorbable, biocompatible material. The jointed rod assembly may be advantageously used in spinal fixation systems and methods of spinal fixation.

Abstract: Suture delivered patches adapted for interposition, augmentation or repair devices for use in tendon and ligament repair, including rotator cuff repair, have been developed as well as methods for their delivery using suture guided arthroscopic methods. The repair patches may be provided from suitable biocompatible materials. The patches may be delivered using anchored sutures already in use during a surgical repair including, open, minimally invasive, endoscopic, and arthroscopic repair procedures. Additionally, fixation of the suture delivered repair patch is secured along with the normal suture securing workflow of the one or more sutures used to deliver the patch.

Abstract: A customized posterior atlantoaxial reduction fixator with screws and rods, including two supporting-screws, two pulling-screws, two variable cross section fixing rods, a bracing beam, two lock nuts and two pressing rod nuts. Each of the supporting-screws includes a first head and a first body, and each of the pulling-screws includes a second head and a second body; tips of both the first body and the second body are provided with a tapered thread; both the first head and the second head are provided with nail grooves inside, with U-shaped grooves on the sides; each of the a plurality of nail grooves is provided with an internal thread inside; the second head is provided with a long arm nail groove, with an annular recess configured on the middle part of an outer wall.

Abstract: Devices and methods for improved controlled and targeted decortication of the bone of a spinal facet joint are provided. In one aspect, a decortication tool is provided. The decortication tool may include a shaft with proximal and distal end portions. A handle may be connected to the proximal end portion of the shaft. A decortication head may be coupled to the distal end portion of the shaft. In another aspect, a multi-use instrument for use in a spinal system is provided. The instrument may include a body including opposing first and second sides, and opposing first and second surfaces. A cavity may be defined in the body, the cavity being open to the second surface. The instrument may include a bar attached to the second side of the body. A portion of the bar may extend beyond the second surface of the body.

Abstract: A band clamp including a housing; a screw that extends through a top surface of the housing and into a cavity defined by the housing; a band opening located within the housing and configured and dimensioned to receive a band; an inserter opening located within the housing and configured and dimensioned to receive an inserter; and an anvil located within the cavity of the housing is disclosed. A band clamp assembly, an inserter, and an inserter assembly is also disclosed. A method of inserting a band clamp is also disclosed.

Abstract: An expandable implant includes a base member, an adjustable member adjustably coupled to the base member and movable between a first, collapsed position, and a second, expanded position, a control assembly including a control shaft, wherein manipulation of the control shaft causes relative movement of the adjustable member relative to the base member, wherein the base member and the adjustable member are coupled together at least in part via the control assembly such that the control shaft is rotationally fixed relative to the base member and the adjustable member, and the adjustable member is resiliently compressible relative to the base member.

Abstract: An implant including first and second end plates, each of which defines at least one anterior ramped surface and at least one posterior ramped surface. A posterior actuator is positioned between the first and second end plates and has guiding ramp surfaces which correspond with the posterior ramped surfaces. An anterior actuator is positioned between the first and second end plates and guiding ramp surfaces which correspond with the anterior ramped surfaces. An actuator assembly extends between the posterior actuator and the anterior actuator and is configured to selectively move the posterior actuator and the anterior actuator simultaneously, move posterior actuator independently of the anterior actuator, or move the anterior actuator independently of the posterior actuator.

Abstract: Lamina plate assemblies, systems, and methods thereof. A lamina plate assembly may be configured to provide lamina support following laminectomy, for example, in cervical and lumbar cases. The lamina plate assembly may include a generally elongate body having a first free end, a second free end, and a posterior portion disposed between the first free end and the second free end. Different embodiments of securing portions are used to secure the lamina plate assembly to a vertebra.

Abstract: An interbody spacer for a spine includes a housing having a plurality of clearance holes configured to engage bone of the spine. A contact plate including a plurality of apertures is positioned a distance away from the housing configured to engage bone of the spine. A plurality of rivets adjoin the housing and the contact plate. A plurality of springs are included with each spring configured to encircle a respective rivet and translate the distance between the housing and contact plate from a minimum distance to a maximum distance.

Abstract: A rod reducer can comprise a reducing mechanism, a hinge mechanism, a handle mechanism and a bearing mechanism. The reducing mechanism can comprise a first elongate member extending along an axis to engage a bone anchor, and a second elongate member configured to slide along the first elongate member to engage a rod. The hinge mechanism can slidably couple the first and second elongate members such that the elongate members can translate against each other. The handle mechanism can comprise handles coupled to the hinge mechanism and configured to cause the first and second elongate members to translate relative to each other. The bearing mechanism can be configured to permit the handles to rotate about the axis independent of the elongate members. Methods of using the rotating rod reducer can include rotating the handles out of the way of adjacent levels of a spinal column being simultaneously reduced.

Abstract: A clamp assembly for orthopedic use having a housing that includes a top surface, a recess, a distal base and a bottom surface, the recess defining a longitudinal axis and extending through the housing from the top surface through the distal base and toward the bottom surface, and at least two through slots, each one of being disposed at a bottom or a side a surface of the housing. The assembly including a securement assembly positionable within the recess in a co-axial relationship to a mating surface on the recess, and a band sized for travel along a predetermined path defined in part by the through slots in the housing, wherein at least one of the through slots is a starting point for travel of the band along the predetermined path.

Abstract: Modular orthopedic implants, associated instruments, and navigation methods. The modular orthopedic fixation assembly may include a modular bone fastener and a modular tulip head configured to be installed separately. The modular bone fastener may be installed and tracked with a screw extender instrument having an outer sleeve and an inner shaft coupled to the bone fastener. The screw extender instrument may continue to track the location and orientation of the bone throughout the surgical procedure for navigational integrity. The modular tulip head may be assembled to the bone fastener with a head inserter instrument, which ensures the modular head is properly seated on the installed bone fastener.

Abstract: Prostheses and methods are described for stabilizing dysfunctional sacroiliac (SI) joints. The prostheses are sized and configured to be press-fit into surgically created pilot SI joint openings in dysfunctional SI joint structures. The prostheses have a pontoon shape with opposed elongated partially cylindrical sections connected by a bridge section. The bridge section can have various shapes, such as an offset, arched structure, to accommodate the delivery and/or positioning of a primary or supplemental support member or device between the first and second elongated sections, such as a sacral-alar iliac (S2AI) screw or surgical dowel member.

Abstract: A spinal fixation device for securing two stabilizing rods to bone has a threaded shaft for fastening to bone, a primary rod coupling head and a secondary rod coupling head. The first rod coupling head is connected to the threaded shaft and has a side wall and a cavity for receiving a rod, the cavity being open toward a top of the first rod coupling head. In a neutral position of the first rod coupling head, the first rod coupling head extends symmetrically around the longitudinal axis of the threaded shaft. The second rod coupling head is rotatably connected to the first rod coupling head, around an axis of rotation that is disposed at an angle that is not perpendicular to the longitudinal axis of the threaded shaft when the first rod coupling head is in the neutral position.

Abstract: A surgical system includes an implant support engageable, in operation of the system, with a receiver of a bone fastener having a shaft fixed with vertebral tissue. The receiver being connectable to at least one extender tab. The implant support including a connector being releasably engageable with the at least one extender tab. The implant support further including an adaptor. At least a portion of the adaptor being movable relative to the connector to releasably engage a surgical instrument to distract and/or compress the vertebral tissue. Surgical instruments, constructs, implants and methods are disclosed.

Abstract: An implantable, modular spine stabilization system that allows for multi-level treatment of the spine by providing either rigid fixation or dynamic stabilization at different levels to be treated is provided. This modular spine stabilization system may be configured to span multiple spine levels, and have a curvature that closely matches the curvature of the spine over those multiple levels to be treated. Further, the modular spine stabilization system allows adjustment of the curvature of the overall system such that the system may be adapted for a patient for a customized fit. Instruments are also provided for the assembly and/or implantation of the modular spine stabilization system. The associated instruments may include instruments for adjusting the curvature of the system to the patient, and for implanting the curved system into the patient. The instruments may be configured for implantation of the system in a minimally invasive surgery.

Abstract: An implantable prosthesis that includes a biased coiling member and a conforming coiling member. The biased coiling member may be biased to curve from a substantially linear configuration to a nonlinear configuration. The conforming coiling member may be engaged with and curved by the biased coiling member from the substantially linear configuration to the nonlinear configuration. The biased coiling member may define a longitudinal axis when in the substantially linear configuration. The biased coiling member and the conforming coiling member may move relative to each other along the longitudinal axis. The prosthesis may be implanted in a surgical procedure that minimizes incision sizes and may be considered less invasive than typical implant procedures, especially spinal implant procedures.

Abstract: A methodology for grafting together adjacent bony structures is provided using an implant device having an endplate with an inner disc portion and outer ring portion spaced from the inner disc portion by a connecting wall disposed there between. An endplate interior surface includes a retaining structure for securing the endplate to one of the bony structures, and endplate an exterior surface has an integrally formed socket. A ball-joint rod has a longitudinally extending body and an end, and at least a portion of the ball-joint rod end is curvilinear in shape. The curvilinear ball-joint rod end is rotatably disposed in the endplate socket to fixedly interconnect the bony structures.

Abstract: The disclosure provides a tool for implanting an interphalangeal implant, an implant retainer for an interphalangeal implant, and a method for preparing an implantation tool for an implantation of an interphalangeal implant. The tool for implanting an interphalangeal implant comprises a limb support for supporting a limb, a driving rod, wherein the driving rod is movable for moving an interphalangeal implant towards the limb support, and an actuation mechanism for actuating the implant driver.