Abstract: In one embodiment, a spinal stabilization apparatus includes a vertebral anchor having a head portion and a bone attachment portion. An elongate, flexible guide is removably coupled to the head portion of the vertebral anchor and has a channel extending longitudinally thereof and communicating with a slot in the head portion of the anchor. An elongate cord may be received within the channel to facilitate inserting and securing a spacer between pairs of anchors installed into adjacent vertebrae of a person's spine.

Abstract: An artificial facet joint includes a spinal implant rod and a connector. The connector includes a screw and a rod connecting member having structure for engagement of the rod. The rod connecting member is pivotally engaged to the screw. The rod may also be held slideably within the connector enabling the rod to be moved relative to the connector.

Abstract: There is provided a modular polyaxial pedicle screw assembly that includes various components which may be configured in various manners so as to provide different functionalities to the pedicle screw assembly. This advantageously decreases surgery time, reduces repetitive and tedious surgical steps, and allows for streamlining inventory of expensive medical equipment. In one embodiment, a pedicle screw assembly includes a pedicle screw, a rod holding element, a polyaxial insert, a rod, and a set screw. The pedicle screw includes a threaded shaft and a cap. The rod holding element includes a screw hole, an insert bearing area, a chamber, chamber walls, a saddle area, and a threading area. The insert is disposed within the chamber, and the insert defines a bearing surface, an upper surface, side walls and a receiving area.

Abstract: A spinal implant including a stabilization member coupled to an elongate member is herein provided. The implant can be configured for placement within a facet joint in an intra-facet or trans-facet configuration. Also, the implant can include a fusion-promoting bioactive material thereby providing a single device capable of spinal stabilization and/or fusion. Furthermore, a method of placing such an implant within a facet joint in an intra-facet or trans-facet orientation is hereby provided.

Abstract: A fastener and a bone fixation assembly for the internal fixation of vertebral bodies such as a pedicle screw is provided which allows a detachable tulip to be provisionally locked to a pedicle screw in a first position, while securely locking the tulip assembly to the pedicle screw when in a second position. According to one exemplary embodiment, the tulip assembly includes a tulip body, a coupling saddle, and an expansion ring serving as a fastener. The fastener secures the tulip body to the pedicle screw, while the coupling saddle provides a means to provisionally lock the tulip body at an angle relative to the pedicle screw via an interference fit. Incline planes on the walls of the tulip body provide means to rotationally lock a rod within the tulip assembly, and fully lock the tulip assembly to at an angle relative to the pedicle screw.

Abstract: An implant for resurfacing a joint and a driver for the implant. The inserter attaches to the head of the implant. The inserter is designed to facilitate the handling and insertion of an implant at a surgical site. The inserter is provided with a plurality of arms that securely engage a plurality of indents on the edge or periphery of the implant.

Abstract: An implantable medical device may include an implant member having an aperture extending therethrough. An anchor member may be configured to extend through the aperture. A locking ring may be supplied to inhibit back-out of the anchor member.

Abstract: Coupling assemblies and systems and methods are provided with an anchor member movably coupled with a receiver member extending along a receiver axis. A seat member is movable in the receiver member to assume any one of a plurality of orientations corresponding to an orientation of a connecting element extending through the receiver member transversely to the receiver axis.

Abstract: A pedicle screw and rod assembly is provided which has a low profile in the final position. The pedicle screw includes a screw having a threaded portion and a head portion. A tulip body is positioned on the head portion of the screw. A tulip saddle is coupled to the tulip body and positioned to retain the tulip assembly on the pedicle screw. Wedge members are inserted in between the tulip body and the tulip saddle, causing the saddle to compress and thereby retain a rod within the tulip assembly. Colored wedge members alert a surgeon as to whether the system is in a locked or unlocked state. The top of the tulip assembly is approximately equal in height to, or lower than the rod itself. This provides a low profile pedicle screw and rod assembly since the rod itself will be the uppermost member of the completed assembly.

Abstract: A spinal screw assembly providing an adjustable securement of a fixation rod across at least two vertebrae. The assembly includes a pedicle screw having a spherical head portion, a threaded shaft portion and a tool engagement surface in the head portion for use in driving the screw into a vertebrae. The head portion of the screw is positioned in a body member adjacent a curvilinear surface disposed about an aperture in the end of the body member such that the shaft portion of the screw extends therethrough and the curvilinear inner surface abuts and mates with the head portion of the screw so as to define a ball joint therewith. The body member additionally defines a pair of opposed parallel slots therein adapted to receive a portion of the fixation rod and a locking cap bears against the fixation rod to releasably secure the rod within the assembly.

Abstract: A spinal stabilization system generally comprises first and second anchor members configured to be secured to first and second vertebrae within a patient's body, a flexible element secured to the first anchor member, and a rigid element secured to the second anchor member. An end portion of the rigid element is coupled to an end portion of the flexible so that the system is able to provide both rigid and dynamic stabilization. The coupling is maintained even if the flexible element relaxes after a period of time within the patient's body.

Abstract: The pedicle screw (1) for intervertebral support elements (3) consists of a shaft (10) and a head (2) comprising at least two parts (20, 22). The head is formed as a securing means for at least one support element (3). Each support element consists of a piece of a cable-like band (31) and a cylindrical support body (30) with an axial lumen (31? containing the band. The band is securable outside end surfaces (32) of the support body in the head. The head is formed with a contact surface (23) via which a pressure stress can be exerted on the support body in the band direction, and indeed using the band and in cooperation with a further pedicle screw.

Abstract: A implantable interference device configured for intra-facet placement within a facet joint is provided. The device includes a shank capable of engaging opposing faces of the facet joint. The shank can further include a head extending from a proximal end of the shank wherein the head is configured to engage and/or buttress opposing faces of the joint, and also configured for preventing over-insertion of the device. Optionally, at least a portion of the shank can include or be formed of a fusion-promoting bioactive material. Further, a method for providing fixation of a facet joint by intra-facet placement of an interference device within the facet joint is provided.

Abstract: A spinal stabilization system includes at least two anchors having a bone attachment portion and a head portion and a flexible assembly coupled to the anchors. The flexible assembly includes a flexible cord, at least two connectors slidably mounted to the flexible cord, and at least one spacer slidably mounted to the cord between adjacent connectors. Each connector couples with a head portion of an anchor. The flexible assembly may be assembled and appropriately adjusted outside the body prior to it being coupled to the anchors. In addition, the connectors may include angled outer surfaces that provide enhanced engagement with the ends of the spacer. A method of stabilizing the spine includes securing anchors to the spine, assembling a flexible assembly outside the body, and coupling the flexible assembly to the anchors. The method may further include providing connectors with angled surfaces to provide enhanced engagement with the spacer.

Abstract: The invention relates to a pedicle screw for implants for the correction and stabilization of the spinal column, having a head part (4) disposed on the one axial end of a threaded shaft (2), to which part a shackle part (3) can be connected, which part has a shackle accommodation (5) for a rod (6) that can be fixed in place on the head part (4). A threaded bore (8) is formed in the shackle part (3), to accommodate a thread that is assigned to the head part (4).

Abstract: There is provided a modular pedicle screw assembly that includes various components which may be configured in various manners so as to provide different functionalities to the pedicle screw assembly. This advantageously decreases surgery time, reduces repetitive and tedious surgical steps, and allows for streamlining inventory of expensive medical equipment. In one embodiment, a pedicle screw assembly includes a pedicle screw, a rod holding element, an insert, a rod, and a set screw. The pedicle screw includes a threaded shaft and a cap. The rod holding element includes a screw hole, an insert bearing area, a chamber, chamber walls, a saddle area, and a threading area. The insert is disposed within the chamber, and the insert defines a bearing surface, an upper surface, side walls and a receiving area.

Abstract: A polyaxial bone screw assembly includes a threaded shank body member having an upper portion with an internal drive and, alternatively, a laterally extending alignment rib or fin. The bone screw assembly also includes a lockable receiver coupling member, an open retainer ring member having a slit or gap and a compression insert member. An inset conical or cylindrical surface on the shank upper portion frictionally engages a similarly shaped inner surface of the retainer ring. The receiver includes a restrictive lower opening that allows for uploading the shank upper portion and compressed retainer ring into the receiver cavity, but prevents passage of the retainer ring out of the receiver once the ring inner surface engages the conical surface of the shank upper portion.

Abstract: In one embodiment, a spinal stabilization apparatus includes a vertebral anchor having a head portion and a bone attachment portion. An elongate, flexible guide is removably coupled to the head portion of the vertebral anchor and has a channel extending longitudinally thereof and communicating with a slot in the head portion of the anchor. An elongate cord may be received within the channel to facilitate inserting and securing a spacer between pairs of anchors installed into adjacent vertebrae of a person's spine.

Abstract: A bone anchoring device includes an anchoring element having a shank to be anchored in a bone or a vertebra, a receiving part connected to the shank the receiving part having a first end opposite to the shank and a second end facing the shank, a longitudinal axis passing through the two ends, a bore coaxial with the longitudinal axis extending from the first end through at least a portion of the receiving part and a substantially U-shaped recess for receiving a rod The U-shaped recess forms two free legs extending in the direction of the first end, the legs are provided with an internal thread. A locking device for securing the rod in the receiving part is provided which includes an external thread cooperating with the internal thread.

Abstract: A mechanism for separating the driver tip (28) of a driver tool (27) from an orthodontic bone screw (25) is shown. The mechanism includes a driver sleeve (36) formed with a female thread (38) that is threaded onto a male threaded portion (39) of the driver tool adjacent to the driver tip with the sleeve adapted to engage and push-off the head of the bone screw when rotated sufficiently.

Abstract: The present invention relates generally to medical/dental devices for fixing bone fractures, anchoring of bones, or anchoring of prosthetics to bones. The device generally relates to molly bolts, expandable screws, or devices/screws with expansion or locking mechanisms. More particularly, the present invention concerns an implant assembly which includes a tubular body portion that can be positively secured within a bore in a bone or prosthetic by expander mechanism at both ends of the tubular body portion.

Abstract: The present invention relates to a device for the stabilization of the spine comprising at least two pedicle screws and at least one interjacent linking member. The present invention further relates to pedicle screws which combine the advantages of a monoaxial screw with those of a polyaxial screw by avoiding the drawbacks of these screw types. This objective is achieved due to the fact that the screw head is supported on the screw shank such that it cannot be moved for providing an optimal reducibility of the vertebrae, wherein a movable ball element is present in the screw head, which facilitates the introduction of the linking member and fixates the same once the introduction has been effected.

Abstract: A polyaxial bone screw assembly includes a threaded shank body having an upper portion, a receiver, a compression insert and an articulation structure made from at least two discrete pieces. The shank upper portion cooperates with the compression insert to place the retainer in frictional engagement with the receiver. The geometry of the retainer structure pieces corresponds and cooperates with the external geometry of the shank upper portion to frictionally envelope the retainer structure between the capture structure and an internal surface defining a cavity of the receiver.

Abstract: Embodiments of the present invention provide rotationally asymmetric bone screws. Embodiments of the present invention provide mechanisms that reduce the bending stiffness of conventional shaft bone screws in order to yield a less-rigid fixation construct. Such a less-rigid construct enables a controlled amount of motion at a fracture site which in turn promotes bone healing. As a means to reduce the bending stiffness of positive-locking bone screws, embodiments of the present invention provide a bone screw having a non-circular cross-section over parts of the screw length and/or longitudinal slots along at least a portion of the bone screw.

Abstract: Assemblies, systems and components for a hybrid jointed bone screw system. A receiver member having an upper opening and a lower opening also includes an internal mating bone anchor interface channel at the bottom. A bone anchor is loaded into the lower internal mating bone anchor interface opening of the receiver member, and an anchor pin is “pushed” through the receiver member and through the bone anchor head to retain the bone anchor member. The bone anchor is capable of single-axial positioning throughout a range of motion of about 180 degrees. An elongated member may be placed in the upper channel of the receiver member and a compression retaining member applied via the upper opening. The compression retaining member presses down on the elongated member, which presses down on a floor of the upper channel, locking the elongated member between the retaining member and the receiver member floor.

Abstract: Disclosed is a spine fixation apparatus, more particularly, a pedicle screw implanted into a spine and an operating device for the pedicle screw capable of easily inserting a rod to a head section of the pedicle screw in order to securely fix the spine. The pedicle screw has a head section including a recess part defined by first and second sidewalls, a screw section, and a support unit formed at an upper portion of the recess part of the head section while connecting the first sidewall to the second sidewall. The operating device has a screw coupling rod having an elongated pipe shape, a body having a first side coupled to the screw coupling rod, a rotating member having a first end coupled to a second side of the body in such a manner that a second end of the rotating member rotates about the first end thereof, and a rod receiver coupled to the second end of the rotating member.

Abstract: The present invention provides devices, systems and methods for anchoring medical devices to hard tissues, such as bones or bony structures, particularly vertebrae. By anchoring these medical devices directly to the surrounding hard tissue, the devices are anchored closer to the source of treatment. This provides additional stability and reduces migration of the device at the treatment site. Also, by attaching to hard tissue rather than soft tissue, a stronger attachment is often able to be made.

Abstract: A system and methods for performing spinal fixation, including a spinal fixation system with at least rod member having shaped ends, at least two pedicle screws capable of receiving the shaped ends of the rod member, and a system for percutaneously introducing the rod member and pedicle screws to perform spinal fixation.

Abstract: An enclosure device connecting a pedicle fixation device with an elongated spinal fixation member. The enclosure device can include an enclosure member and an elongated guide member affixed to the enclosure member and defining a fracture region for breaking off the guide member from the enclosure member. The enclosure member can have a spherical outer surface rotatably received within a receiver portion of the pedicle fixation device. The enclosure member can include an internal bore capable of slidably receiving the fixation member.

Abstract: An implant is described having a shaft (1) and a holding element (3; 30) connected therewith for connecting with a rod (100). A recess is provided in the holding element. The recess has a U-shaped cross section for accommodation of the rod and two free legs (7, 8; 32, 33) at one end which include an inner thread (9; 34). A closure element (20; 36) fixes the rod inserted into the U-shaped recess. The closure element has an outer thread cooperating with the inner thread of the legs. An abutment is provided at or in the holding element (3; 30) to limit tilting of the closure element about the rod at the time of final tightening of the closure element in the holding element. As a result thereof it is possible to keep the wall thickness of the receiver member small in spite of the large forces acting at the time of final tightening. The invention is applicable to both monoaxial screws and polyaxial screws as well as bone hooks.

Abstract: A spine stabilization system having a dynamic screw comprises at least one bone anchor assembly comprising a receiver member and a bone engaging member pivotably connected to the receiver member. A bearing is provided in the receiver member that engages a portion of the bone engaging member. An elongated connecting member is connected to the receiver member. A retention member insert is provided within the receiver member between the elongated connecting member and the bearing. The retention member is configured to secure the bearing within the retention member.

Abstract: A polyaxial bone screw assembly includes a receiver, a shank, an articulation structure for retaining the shank in the receiver and a compression insert for engagement with a longitudinal connecting member such as a rod. The articulation structure includes substantially spherical convex and concave surfaces that slidably engage both shank and receiver surfaces to provide compound articulation between the receiver and the shank. The receiver includes inwardly directed spring tabs engaging the insert and prohibiting rotation of the insert within the receiver.

Abstract: A spinal implant system comprises at least two fixation elements, each including a threaded bone-engaging portion, and at least two corresponding receiver members, each including two branches defining a U-shaped channel configured to receive an elongated member. The receiver members are positionable in both open and closed positions. The system further comprises at least one elongated member configured to be positioned in the channels. Additionally, the system comprises at least two snap-fit caps configured to snap on to the receiver members near the top surfaces of the corresponding branches to substantially lock the receiver members in closed positions and capture the elongated member in the channels.

Abstract: A polyaxial bone screw assembly includes a threaded shank body having an upper portion with a laterally extending lug and a retainer having an inner cam track for receiving the lug and thus attaching the shank upper portion to the retainer within a receiver. The retainer may be a closed or open ring. The receiver has a cavity and a U-shaped cradle defining a channel for receiving a longitudinal connecting member such as a spinal fixation rod. The retainer has an external surface that mates with an internal surface of the receiver, providing a ball joint.

Abstract: A bone plate system for internal fixation of bone fractures includes a bone plate having a plurality of bone plate holes. The holes are constructed to receive either a non-locking, locking, or variable-angle locking bone screw. The holes have discrete columns of teeth or thread segments arranged around the inner surface of the hole for engaging threads on the heads of locking and variable-angle locking bone screws. Conventional locking bone screws engage the bone plate coaxially with the central axis of the bone plate hole. Variable-angle locking bone screws can engage the bone plate at a selectable angle within a range of selectable angles relative to the central axis of the bone plate hole. The head of the variable-angle locking screw is at least partially spherical, and the thread thereon has a profile that follows the arc-shaped radius of curvature of the spherical portion of the screwhead.

Abstract: The present invention generally provides a polyaxial fixation device having a shank with a spherical head formed on a proximal end thereof, and a receiver member having an axial passage formed therein that is adapted to polyaxially seat the spherical head of the shank. The polyaxial bone screw further includes an engagement member that is adapted to provide sufficient friction between the spherical head and the receiver member to enable the shank to be maintained in a desired angular orientation before locking the spherical head within the receiver member.

Abstract: The invention relates to an orthopedic compression screw, in particular a compression screw for osteosynthesis and/or fixation of bone segments (12, 14), with a threaded portion (20) and a screw head (18), the screw head (18) widening conically toward its distal end and the screw being provided along its longitudinal axis (A) with a bore (26) for interaction with an orthopedic guide element, in particular a guide wire, and the periphery of the screw head (18) having at least one flat that forms a plane outer surface (30) preferably extending parallel to the longitudinal axis.

Abstract: A polyaxial bone screw includes a head member and a shank member. The shank has a capture end and an opposite threaded end for threaded insertion into a vertebra. The head has a U-shaped cradle for receiving a spinal fixation rod and a central bore for receiving the capture end of the shank. An expandable retainer ring with a radial split is snapped onto the capture end of the shank to retain it within the head. The retainer ring has a spherical outer surface which forms a ball joint with a spherical socket cavity within the head to enable the head to be angled relative to the shank. A threaded closure plug is tightened within the cradle to clamp the rod into engagement with a knurled dome on the capture end of the shank to secure the rod relative to the vertebra.

Abstract: Pedicle screws are designed to provide polyaxial coupling to pedicles of a vertebra. Intermediate pieces are attached to the pedicles screws and receive extender shafts. Extenders are inserted in the intermediate piece. The extenders project the anatomic points located in the cage outside the patient's body to facilitate proper contouring of a rod. An alignment linkage is used to ensure that the extenders are parallel to each other. The alignment linkage includes a linkage frame, an articulating linkage and a locking member. The articulating linkage has all rotational degrees of freedom and thereby adapts to any varying trajectories of the extenders and distance between the extenders. The alignment linkage includes a locking member with a pop-up indicator. The pop-up indicator notifies the users when the locking member is tightened with two of the extenders in non-parallel configuration.