Abstract: In one aspect, a bone plate system is provided that includes a bone plate body having a throughbore and a bone screw. The bone plate system includes a slider slidably connected to the bone plate body to slide between a clearance position wherein the slider permits a bone screw head portion to be advanced into the throughbore and seated against the bone plate body and an interference position wherein the slider inhibits bone screw back out from the throughbore. The bone plate system includes a resilient pin and the slider has a surface configured to deflect the resilient pin as the bone screw head portion shifts the slider from the interference position toward the clearance position. The deflected resilient pin urges the slider from the clearance position toward the interference position upon the bone anchor head portion seating against the bone plate body in the throughbore.

Abstract: A force measuring apparatus is described. The apparatus includes a force concentrator. The force concentrator is configured to attach to a loadbearing medical device and to produce a transverse force related to an eccentric axial force applied to the loadbearing medical device. A bending stiffness of the force concentrator is different from a bending stiffness of the loadbearing medical device.

Abstract: A folding anterior cervical locking plate system for stabilizing the cervical spine in a spinal fusion procedure. The plate system has at least two plate sections hinged together by a hinge structure at adjacent ends for pivoting movement of the plate sections relative to one another through at least 90° in each of two directions. A first hole in each plate section enables visualization of the underlying graft. A locking plate spans adjacent ends of the plate sections and holes in the locking plate are aligned with holes in adjacent plate sections so pedicle screws inserted through the holes in the locking plates extend through the holes in the plate sections to secure the system to the vertebral bodies and stabilizes the cervical spine. In one embodiment the locking plate slides in guide channels on opposite side edges of the plate sections.

Abstract: A retaining mechanism for use in affixing a stratum to bone is disclosed. The mechanism comprises a stratum comprising a first surface, a second surface, and a hole extending between the two surfaces. The hole has a central longitudinal axis extending substantially perpendicular to the two surfaces. The retaining element comprises a first position that permits a fastener to be passed through the hole, a second position that at least partially overlaps the hole, and a spring element. The spring element is configured to engage the stratum, configured to move in a direction substantially perpendicular to the central longitudinal axis of the hole when the retaining element moves between its first and second positions, and configured to engage the retaining element to help maintain the retaining element in its second position to help prevent inadvertent backing out of the fastener after it has been fully inserted into the hole.

Abstract: A fixing apparatus for cervical vertebrae in which in which a fixing plate is made to be in proximity with cervical vertebrae and screws are inserted into the cervical vertebrae through screw holes formed in the fixing plate, includes an opening and closing member that opens and closes the screw holes while being moved between a closing position for covering the screw holes and an opening position for opening the screw hole on the fixing plate.

Abstract: An anterior cervical plate system is provided. The cervical plate includes a retention ring with a deflectable flange that is upwardly spaced from the top surface of the ring and configured to prevent an inserted bone fastener from backing out of the plate. The plate includes a locking pin having a camming surface and a blocking surface. When the camming surface is moved into position adjacent to the flange, the flange is free to flex out of the way of a bone screw being inserted into or removed from the plate. When the blocking surface is positioned adjacent to the flange, outward deflection of the flange is prevented to retain the bone screw inside the plate. The locking pin is rotated through a camming surface to bring a blocking surface against the flange deflecting the flange onto the head of the bone screw.

Abstract: A surgical plate device that incorporates a screw locking mechanism in each screw hole by which the surgical plate device is affixed to a bony segment. The screw locking mechanism includes a tab structure emanating from an interior portion (or either surface) of the surgical plate that is biased into a portion of the corresponding screw hole. When a screw is inserted into the screw hole, the head of the screw temporarily biases the tab structure out of the screw hole, until the head of the screw passes below the plane of the tab structure, at which point the tab structure rebounds into the previously occupied portion of the screw hole, thereby covering a portion of the head of the screw and preventing it from “backing out.

Abstract: The present invention provides systems and methods for bone fixation and in particular, systems and methods for fusion of human cervical spine from the anterior aspect. To that end, some of the embodiments of the invention are directed to plate systems for aligning and maintaining adjacent cervical vertebrae in a selected spatial relationship during spinal fusion of such vertebrae.

Abstract: A bone plate having at least one screw hole adapted to receive a bone screw, a blocker having a blocking end for blocking a bone screw from further backout of bone the blocker being predisposed in a blocking position wherein the blocking end at least partially overlaps a portion of the screw hole, the blocker being moveable from the blocking position by contact with the bone screw during insertion of the bone screw into the screw hole, and a blocker fixation element having an open orientation at which the blocker can move from the blocking position and a closed orientation preventing substantial movement of the blocker from the blocking position. The blocker fixation element cannot be moved to the closed orientation unless the screw head passes the blocker, thereby revealing that the blocker fixation element is in position to prevent substantial movement of the blocker.

Abstract: A retaining mechanism for use in affixing a stratum to bone is disclosed. The mechanism comprises a stratum comprising a first surface, a second surface, and a hole extending between the two surfaces. The hole has a central longitudinal axis extending substantially perpendicular to the two surfaces. The retaining element comprises a first position that permits a fastener to be passed through the hole, a second position that at least partially overlaps the hole, and a spring element. The spring element is configured to engage the stratum, configured to move in a direction substantially perpendicular to the central longitudinal axis of the hole when the retaining element moves between its first and second positions, and configured to engage the retaining element to help maintain the retaining element in its second position to help prevent inadvertent backing out of the fastener after it has been fully inserted into the hole.

Abstract: A device for supporting and/or assisting in bone fusion, particularly in the spine, is described. A plate member is provided, along with two or more attachment members that are anchorable to bones. In one embodiment, the plate member has a slot near one end and an aperture at another end. The attachment members include threaded posts for connection to the plate member via the latter's slot(s) and aperture(s). Alternatively, attachment members need not have a threaded post, and attachment members may be connected to the plate member via a bone bolt or similar fixation member. The slot(s) allow a single plate member to be used for a variety of operative situations and anatomies. A device for repositioning bones and a method for using the disclosed devices is also described.

Abstract: A retaining mechanism for use in affixing a stratum to bone is disclosed. The retaining mechanism comprises a stratum, a retaining element and a spring element. The stratum comprising a first surface, a second surface, and a hole extending between the first surface and the second surface, wherein the second surface is configured to engage at least a portion of the bone. The retaining element comprises a first position that permits a fastener to be passed through the hole, and a second position that at least partially overlaps the hole. The spring element is configured to engage the stratum and configured to engage the retaining element such that the spring element helps maintain the retaining element in its second position so as to help prevent inadvertent backing out of the fastener after the fastener has been fully inserted into the hole.

Abstract: A spinal interbody implant has a bone screw retention mechanism that prohibits bone screws from backing out after the bone screws are installed. A bone screw retention plate is received in a plate retention area of the implant to provide a barrier that keeps the installed bone screws from backing out of their bone screw pocket. The bone screw retention mechanism consists of a retention plate and a configured plate retention area in a face of the implant body. Retention plate fasteners may be used to retain the configured plate. In one form, the bone screw retention mechanism consists of a retention plate, a configured plate retention area in a face of the implant body, and a retention plate bolt. In another form, the bone screw retention mechanism consists of a retention plate, a configured plate retention area in a face of the implant body, and a retention plate bolt.

Abstract: The present invention relates generally to medical devices and methods for use in spinal surgery. In particular, the disclosed devices relate to a spinal fixation system and an intervertebral spinal implant assembly sized and dimensioned for the lumbar spine implantable via an anterior or anterolateral approach. The devices include an implant, bone screws, and an improved locking mechanism to prevent the back out of screws.

Abstract: A retaining mechanism for use in affixing a stratum to bone is disclosed. The mechanism comprises a stratum comprising a first surface, a second surface, and a hole extending between the two surfaces. The hole has a central longitudinal axis extending substantially perpendicular to the two surfaces. The retaining element comprises a first position that permits a fastener to be passed through the hole, a second position that at least partially overlaps the hole, and a spring element. The spring element is configured to engage the stratum, configured to move in a direction substantially perpendicular to the central longitudinal axis of the hole when the retaining element moves between its first and second positions, and configured to engage the retaining element to help maintain the retaining element in its second position to help prevent inadvertent backing out of the fastener after it has been fully inserted into the hole.

Abstract: A bone plate having at least one screw hole adapted to receive a bone screw, a blocker having a blocking end for blocking a bone screw from further backout of bone the blocker being predisposed in a blocking position wherein the blocking end at least partially overlaps a portion of the screw hole, the blocker being moveable from the blocking position by contact with the bone screw during insertion of the bone screw into the screw hole, and a blocker fixation element having an open orientation at which the blocker can move from the blocking position and a closed orientation preventing substantial movement of the blocker from the blocking position. The blocker fixation element cannot be moved to the closed orientation unless the screw head passes the blocker, thereby revealing that the blocker fixation element is in position to prevent substantial movement of the blocker.

Abstract: A spinal implant for stabilizing first and second vertebrae. The spinal implant includes an intervertebral spacer and a bone stabilization member configured to be coupled to the intervertebral spacer. The bone stabilization member includes a plurality of bone screw openings and a plurality of bone screws extendable through the bone screw openings to secure the bone stabilization member to the vertebrae. A retention member, which is slidably coupled to the bone stabilization member, is linearly slidable between a first position and a second position while coupled to the bone stabilization member. In the first position, each of the bone screws is permitted to be inserted into the bone screw openings, and in the second position the retention member at least partially covers each of the bone screw openings to prevent a bone screw from backing out of the respective bone screw opening.

Abstract: A bone plate screw-blocking system and method that comprises a plate with at least two bone screw receiving holes, blocking elements, bone screws, and a tool capable of simultaneously actuating at least two blocking elements. The plate includes an upper surface and a lower surface with bone screw receiving holes that extend through both surfaces of the plate. The bone screws couple the plate to the bone via the bone screw receiving holes. The blocking elements are movably positioned proximate each bone screw receiving hole. In an initial unblocked position, the blocking elements do not cover the bone screw receiving holes. Upon movement into final blocked positions, the blocking elements cover at least a portion of the bone screw receiving holes and preferably extend over at least a portion of the bone screw during use.

Abstract: A method and apparatus is provided for use in spinal fusion procedures. A one or two piece interbody fusion device has a fusion bearing component designed to bear the axial loading from the end plates of adjacent vertebrae. An optional retention piece prevents migration of the load bearing device. One or more fasteners secure the retention device to the vertebrae above and below the load bearing device. The fasteners cause the end plates of the vertebrae to compress the end plates to the load bearing device to facilitate proper fusion. An anti-backout mechanism prevents the fasteners backing out.

Abstract: An occipital plate may include a central section, a pair of angled sections, and attachment assemblies comprising slide members configured to move along slots in the angled sections, and posts coupled to the slide members. Each post has a first and second cross dimensions. The first cross dimension of each post is less than a first cross dimension of a slide member. The second cross dimension of each post is approximately equal to a second cross dimension of a slide member. Rods may be coupled to the occipital plate at a variety of angles with respect to a midline of the plate. The angular adjustability may accommodate any misalignments in the rods. Further, the position of the attachment assemblies relative to the midline is adjustable to thereby provide for medial-lateral adjustability when attaching the rods to the occipital plate as part of an occipito-cervico-thoracic construct.

Abstract: An assembly for rigid bone fixation includes a plate and a screw. The screw can be rotated freely within the plate in a non-locking configuration to secure the plate against the bone. A locking mechanism is engaged to prevent the screw from moving relative the plate. In one embodiment, the plate includes a threaded portion and a non-threaded portion. The screw head rotates within the non-threaded portion to tighten the screw and pull the plate against the bone. The locking mechanism can include a moveable nut that rotates within the threaded portion of the plate to lock the screw and plate in a locking mode. The locking mechanism can include a second screw to actuate and expansion portion of screw inserted into the bone. The assembly can be used for rigid fixation of bones that experience cyclic loads, such as the sternum and mandible. Methods of rigid bone fixation are also described.

Abstract: A bone-anchored surgical mesh has slot-like anchoring members that allow for the variable placement of screws and other bone fasteners. This permits the surgeon discretion in the placement of bone fasteners used to attach the mesh to the patient's bone. The elongate openings of the anchoring members allow for a sliding motion between the bone fasteners and the anchoring members, and facilitates positioning and articulation of the mesh. The anchoring members may include bushings to aid the sliding motion of the anchoring member on the bone fastener. In one embodiment, the mesh consists of shorter modular strips that overlap each other such that a single bone fastener is passed through two overlapping anchoring members to lock the two modular mesh strips together. Additional modular mesh strips can be added on at either end, as desired, to provide the desired length of dural coverage.

Abstract: A bone plate, having a bone screw and a rotatable lock for retaining the bone screw in place, includes a retainer element and/or a stop element. The retainer element inhibits the lock from being pushed off of the bone plate, while the stop element limits the rotational range of motion of the lock.

Abstract: There are provided orthopedic fixation systems for attachment of a rod to bone. In an embodiment, plate having top and bottom surfaces includes at least one pocket formed through the surfaces to engage an anchor to bone. At least one arm extends from the longitudinal section of the plate. A housing portion has a base configured for slideable engagement with a course defined in the arm to allow selective positioning of the housing portion. The housing defines a passageway for slideable engagement with a rod to allow selective positioning of the rod. A ring has an inner surface for engagement with the housing portion and a lower surface for engagement with the plate. Locking apparatus is configured for engagement with the arm, housing, and rod to allow selective fixation of (1) the housing along the arm and (2) the rod and the housing with respect to one another.

Abstract: Bone treatment plate assemblies, methods of fabrication, and methods of use. Such assemblies comprise spring structures assembled to bone treatment plates. The spring structure comprises elongate bands, and springs between the bands, urging the bands against structure of the plate. Spring width is less than spring height and/or one or more protuberances extending from the band or bands cooperate with one or more detents in the plate thereby to arrest longitudinal movement of the spring structure with respect to the plate.

Abstract: A retaining mechanism for use in affixing a stratum to bone is disclosed. The retaining mechanism comprises a stratum, a retaining element and a spring element. The stratum comprising a first surface, a second surface, and a hole extending between the first surface and the second surface, wherein the second surface is configured to engage at least a portion of the bone. The retaining element comprises a first position that permits a fastener to be passed through the hole, and a second position that at least partially overlaps the hole. The spring element is configured to engage the stratum and configured to engage the retaining element such that the spring element helps maintain the retaining element in its second position so as to help prevent inadvertent backing out of the fastener after the fastener has been fully inserted into the hole.

Abstract: A bone plate screw-blocking system and method that comprises a plate with at least two bone screw receiving holes, blocking elements, bone screws, and a tool capable of simultaneously actuating at least two blocking elements. The plate includes an upper surface and a lower surface with bone screw receiving holes that extend through both surfaces of the plate. The bone screws couple the plate to the bone via the bone screw receiving holes. The blocking elements are movably positioned proximate each bone screw receiving hole. In an initial unblocked position, the blocking elements do not cover the bone screw receiving holes. Upon movement into final blocked positions, the blocking elements cover at least a portion of the bone screw receiving holes and preferably extend over at least a portion of the bone screw during use.

Abstract: A kind of bone plate gimbal lock pressure device. The body of the bone plate (1) has a microscler slippery hole (2), in which there has a locking slider (3); on the slider (3) there is a cone-shaped screw hole (3-3) with a cone-head screw (4) inside. The shapes at two inside sides of the microscler slippery hole (2) cross section are internal arc-shaped, and the shapes of the two sides of the locking slider (3) are correspondingly external arc (3-1); in the middle of the locking slider (3) there is a notch (3-2). The locking slider (3) can slide in the microscler slippery hole (2) to meet the pressure requirement, and also can sway from side to side to adjust the direction of the cone-head screw (4) according to the requirement. The two sides of the locking slider (3) are arc; after tightening the screw (4), the arc contact will make the locking slider (3) not take off.

Abstract: In an exemplary embodiment, the present invention provides an orthopedic plate blocking assembly that can be used for the fixation or fastening of an orthopedic plate to bone tissue. In particular, the present invention, in one embodiment, provides an orthopedic plate having a plurality of cavities where each cavity is configured and dimensioned to receive a bone anchoring member. The orthopedic plate further provides a blocking mechanism having a plurality of blocking members that block the bone anchoring members to prevent the bone anchoring members from “backing out” of cavities once the bone anchoring members are finally seated in the cavities.

Abstract: Bone treatment plate assemblies, methods of fabrication, and methods of use. Such assemblies comprise spring structures assembled to bone treatment plates. The spring structure comprises elongate bands, and springs between the bands, urging the bands against structure of the plate. Spring width is less than spring height and/or one or more protuberances extending from the band or bands cooperate with one or more detents in the plate thereby to arrest longitudinal movement of the spring structure with respect to the plate.

Abstract: A plate (1) includes blocking elements (4b, 5, 6) including: at least one slot (5) comprising a first portion opening into the hole (2) and a second portion extending over a section of this hole (2), at a distance from the edge defining this hole (2), this slot (5) thereby isolating a portion of material (6); this portion (6) has a first part (6a) with a radially increased thickness and a second part (6b) having a radially reduced thickness; this part (6b) has a thickness such that the portion (6) may be radially mobile between a withdrawn position and an active position; a pad (4b) engaged in the slot (5), able to be moved in such a way as to bring the portion of material (6) from its withdrawn position to its active position.

Abstract: Implant for the cervical spine comprising an anterior plate (1) for maintaining a bone graft, bone anchorage screws (6,7,8) for the plate and means (22) for blocking the screws and preventing any migration of the screws, characterized in that the blocking means comprises at least one slide (22) slidably mounted on the plate so as to be applicable on at lease one anchorage screw head (15,16). The slide cooperates with means (33,34) for retaining the slide on the head of the screw. The slide may be formed by a thin platelet (22a) which is provided with lateral flanges (25) and is slidable in a complementary cavity (18) provided in the plate (1) while being flush with the surface of the plate (1). The plate (1) includes ramps (26) for retaining the slide (22) on which the flanges (25) are slidable, the slide (22) being slidable to a position in which it at least partly overlaps the heads of the associated screws (6 or 7) and is locked in position by suitable means.

Abstract: A bone plate screw-blocking system and method that comprises a plate with at least two bone screw receiving holes, blocking elements, bone screws, and a tool capable of simultaneously actuating at least two blocking elements. The plate includes an upper surface and a lower surface with bone screw receiving holes that extend through both surfaces of the plate. The bone screws couple the plate to the bone via the bone screw receiving holes. The blocking elements are movably positioned proximate each bone screw receiving hole. In an initial unblocked position, the blocking elements do not cover the bone screw receiving holes. Upon movement into final blocked positions, the blocking elements cover at least a portion of the bone screw receiving holes and preferably extend over at least a portion of the bone screw during use.

Abstract: A sliding bone support plate assembly comprises at least first and second plates which slide with respect to each other, varying the length of the plate assembly by plate-on-plate sliding after bone screws mount the plate assembly to vertebrae in a recipient. The plates comprise cooperating sliding structures which cooperate with each other to interconnect the plates to each other and to facilitate sliding movement of the plates with respect to each other. Such sliding accommodates varying the length of the plate assembly, and relieving stress which would otherwise be imposed on the plate assembly by post-procedural settling of respective vertebrae to which the plates are mounted without requiring any movement of a plate with respect to a bone to which that plate is mounted. The plate assembly is fabricated using bio-compatible, bio-stable materials which are safe for extended use in a living human, and which are not generally assimilated.

Abstract: Disclosed are systems and methods for spinal fusion and particularly, anterior cervical plating systems with a toggle pivotally mounted to a bone plate with at least two degrees of freedom of movement. In a particular embodiment, each toggle plate is slidably attached and pivotally mounted to the bone plate by a locking screw having an axis such that in at least one slidable position each toggle plate can pivot relative to the axis of the locking screw in the bone plate.

Abstract: A fixation assembly is described, comprising a fixation plate having an upper surface, a lower surface, a longitudinal axis, and a first opening extending from the upper surface through to the lower surface; a first resilient element extending through at least a portion of the first opening; wherein the first opening is configured to receive a first bone fastener, the first bone fastener having a head and a shaft; wherein the first resilient element is deflectable from a first condition to a second condition; and wherein the first resilient element is configured to engage at least a portion of the head of the first bone fastener when the first bone fastener is at least partially inserted into the first opening. A method of use is also described.

Abstract: A bone plate for use in anterior cervical spinal fixation has interlocking components to prevent dislodgement of the plate due to anatomical forces. The plate is formed in the shape of a block letter C and the exposed surface is smooth to prevent trauma to internal body tissue. The plate spans the intervertebral space with each end attached to an adjacent vertebrae by bone screws threadably engaged with the bone. The distal ends of the bone screws The plate has a screw lock in each end for preventing the locking screws from backing out.

Abstract: A medical implant is provided that includes a bone plate having an aperture therethrough. The aperture receives a portion of the bone anchor. A retention mechanism is coupled to the bone plate. The retention mechanism includes a retainer and a biasing member. The biasing member is operatively engaged with at least the retainer. The insertion of the bone anchor in the aperture causes the retainer to move to a first position and elastically deform the biasing member. The biasing member causes the retainer to move to the second position to retain the bone anchor in the bone plate.