Abstract: The present invention relates to a surgical screw connection system (100) for use in the region of the pelvic bone. The surgical screw connection system (100) comprises or consists of at least one rod (10) with a first end section (11) and a second end section (13). The rod (10) is cannulated throughout and the first end section (11) consists of or comprises a first threaded section (111). The present invention also relates to an instrument set (200), a treatment set and a method for securing a locking nut (21).

Abstract: A dual-trajectory pedicle screw system includes an internally threaded sleeve and including first part and cylindrical second part, the first part being recessed to form a space, and the second part including projections on top; a main screw including a universal head and a first conic member, the universal head including first and second threaded holes, the first threaded hole being inclined at a first angle, the second threaded hole being inclined at a different second angle, bottom of the universal head being a convex and rotatably disposed in the space; and an auxiliary screw including external threads threadedly secured to the first or second threaded hole so that the auxiliary screw is secured to the main screw at the first or second angle with respect to the main screw, a second conic member extending downward from the external threads, and a fitting member on top of the external threads.

Abstract: Disclosed is a medical device having a first implant portion having a proximal end, a second implant portion connected to the first implant portion, the second implant portion having a distal end, and a driver assembly removably connected to the distal end, the driver assembly comprising a drill connected to the distal end at a connection.

Abstract: The invention is directed to orthopedic fixation devices that comprise a coupling element and a bone fastener, whereby the bone fastener can be loaded into the coupling element through the bottom of a bore in the coupling element. The orthopedic fixation devices described herein can include modular locking clamp assemblies that can be fixed onto fasteners that are already implanted in bone. The modular locking clamp assemblies can include polyaxial locking clamp assemblies, as well as monoaxial locking clamp assemblies.

Abstract: An implant assembly includes a first implant member, a second implant member, and a contractible element that is connected between the first and second implant members. The first implant member is configured to be placed against a first bone portion, and the second implant member is configured to be placed against a second bone portion. The contractible element is fixed at a first end to one of the first and second implant members, and movable at a second end with respect to one of the first and second implant members so as to induce tension in the suture, thereby providing a compressive force against the first and second bone portions. The second end can then be fixed with respect to the first and second implant members. The contractible element can contract in length in response to bodily fluids, thereby ensuring adequate post-operative compression. An instrument is also disclosed that is configured to implant the first and second implant members adjacent the first and second bone portions, respectively.

Abstract: A system for non-invasively adjusting the curvature of a spine includes a housing having a first end and a second end, a first rod having a first end telescopically disposed within a cavity of the housing along a first longitudinal axis at the first end of the housing and having a first threaded portion extending thereon, and a second end configured to be coupled to a first portion of a spinal system of a subject, a second rod having a first end telescopically disposed within the cavity along a second longitudinal axis at the second end of the housing and having a second threaded portion extending thereon, and a second end configured to be coupled to a second portion of the spinal system of the subject, a driving member rotatably disposed within the cavity and configured to be activated from a location external to the body of the subject.

Abstract: Instruments and systems for performing spinal fixation are provided. The instruments and system configured to position and force fit a hook onto a pedicle bone. The systems include a hook and an instrument. The instrument includes a handle and a rod fixedly mounted to a distal end of the handle. The instrument includes a hook support portion having a hood. The hood includes an opening, a support wall, a post and a threaded knob. The support wall is configured to support the hook. The post has a bottom surface dimensioned similar to that of a spinal rod. The threaded knob is mounted within the opening of the hood and engages a pair of threaded sidewalls of a rod support portion of the hook so as to pull the hook into a fixed engagement with the post, securing the hook support portion to the post.

Abstract: Assemblies of one or more implant structures make possible the achievement of diverse interventions involving the fusion and/or stabilization of lumbar and sacral vertebra in a non-invasive manner, with minimal incision, and without the necessitating the removing the intervertebral disc. The representative lumbar spine interventions, which can be performed on adults or children, include, but are not limited to, lumbar interbody fusion; translaminar lumbar fusion; lumbar facet fusion; trans-iliac lumbar fusion; and the stabilization of a spondylolisthesis.

Abstract: A medical screw system configured to facilitate determination of when the screw system is desirably set in a bone during implantation of the screw at a surgical site. The screw system includes a screw and a washer having a central ring surrounding a head receiving pocket configured for receiving the head of the screw, a plurality of arms spaced around and extending outwardly from the ring, the arms each having a bone contacting surface that engages the bone when the screw is implanted into the bone, and a groove defined between the arms and an exterior of the central ring. The groove is configured to enable the arms to flex when the screw system becomes desirably set into the bone to provide a visual indication that the screw is desirably set in the bone.

Abstract: An implant includes an elongate threaded portion defining a first central longitudinal axis and a groove. The groove defines a second longitudinal central axis that extends in the same direction as the first central longitudinal axis. A blade portion extends from the elongate threaded portion and has a taper terminating at a point.

Abstract: A surgical instrument for seating a pedicle screw may comprise a driver head, a pressure ring, or at least one guide element. The driver head may be configured for removably connecting to the pressure ring or the at least one guide element, or a pressure ring and at least one guide element. The removable connection of the pressure ring or the at least one guide element from the driver head may be twistable or slidable for purposes of exchanging the pressure ring or the at least one guide element from the driver head. The pressure ring or at least one guide element is configured to operatively engage the pedicle screw and transfer motion of the surgical instrument to the pedicle screw.

Abstract: Endosseous screw (1) for fixing a plate (102) to a bone site (300), comprising an at least partially threaded shaft (2), insertion means for inserting the screw into a bone site and a distal portion (33) provided for engaging said plate to fasten it to said bone site and comprising a head (3) having facets (30) defining an external peripheral profile provided for engagement with a tubular manipulating wrench, to allow the screw (1) to be extracted from the bone site (300) into which it has been inserted, wherein the facets (30) are curvilinear and the external peripheral profile defined by same facets (30) has a convex barrel-like shape, in order to allow a stable coupling between the tubular manipulating wrench and said profile, which is maintained during the untightening phase of screw from plate, even when said tubular manipulating wrench is oriented in an inclined direction with respect to a longitudinal axis (x) of the endosseous screw (1).

Abstract: A device and method for fixating soft tissue to hard tissue with the aid of a suture anchor and a suture or with the aid of a headed anchor, wherein the anchor is forced into the hard tissue and then anchored therein by in situ liquefaction of a material having thermoplastic properties. The device includes a vibration tool and the anchor and possibly a support element, wherein the anchor includes an anchor foot and a thermoplastic sleeve. The thermoplastic sleeve includes the material having thermoplastic properties. The anchor foot has a distal end suitable for being forced into hard tissue and it is connected to the distal end of the vibration tool and the thermoplastic sleeve sits on a proximal face of the anchor foot , the vibration tool and/or a proximal portion of the anchor foot extending into or through the thermoplastic sleeve.

Abstract: The present disclosure provides a cannulated bone screw system including a screw with a threaded portion, a non-threaded portion, and a first plurality of teeth spaced apart from a screw head; and a washer with an interior portion with a second plurality of teeth and an opening and an outer portion with a plurality of spikes. The first plurality of teeth are on an inferior convex surface; wherein the second plurality of teeth are on a superior concave surface; and wherein the first plurality of teeth and the second plurality of teeth are operable to mate to prevent the screw from backing out of the washer while allowing the cannulated bone screw system to conform/pivot in order to accommodate different bone morphologies.

Abstract: A retaining mechanism is disclosed, which comprises a plate including a first surface adapted to engage with an implant and a second opposing surface, the plate having mechanically-weakened areas, such that the plate is compressible from a first dimension to a second reduced dimension via the weakened areas, wherein the plate includes at least one ledge adapted to engage with a recess in the implant to prevent a fixation member inserted into the implant from backing out. A tool is also disclosed for compressing and inserting the retaining mechanism into engagement with the implant, as are respective methods of compression and insertion of the retaining mechanism into engagement with the implant.

Abstract: An orthopaedic fixation apparatus includes a first retainer section and a second retainer section. The second retainer section is separable from the first retainer section. A first fastener is insertable into a first opening and a second fastener insertable into a second opening. A retention member is engageable with the first fastener and with the second fastener. The retention member is elongated and flexible. The retention member contacts and extends at least partially around a head portion of the first fastener and extends to a head portion of the second fastener, and also contacts and extends at least partially around a head portion of the second fastener.

Abstract: A system and method for pressing fragments of a fracture against each other includes a compression device comprising a hollow shaft. The system has an inner engagement portion for engaging an outer feature of a screw head arranged at a distal end of the shaft. The system has a supporting element with a contact surface adapted to abut on one of the fragments, and a joint is provided between the supporting element and the hollow shaft. The joint is formed so as to allow a rotation of the shaft about a longitudinal axis thereof relative to the supporting element. Additionally, the joint is formed to allow a pivot movement of the supporting element relative to the shaft.

Abstract: Methods and devices are provided for securing a bone graft to a bone in a manner that ensures compression between the bone graft and bone. In one embodiment, a bone graft is positioned adjacent to a bone surface, a post is implanted in the bone, with the bone graft extending around a portion of the post, and a locking element is applied to the post to compress the bone graft into intimate contact with the bone.

Abstract: Devices are disclosed for treating the vertebral column. A fastener having a fastener head comprising a screw lumen and fastener shaft is provided. In some embodiments, an external groove and one or more openings between the screw lumen and an external groove are provided. An expandable member is located at least partially in the external groove and protrudes through the one or more openings into the screw lumen. Alternative fixation systems and screw retaining assemblies are also contemplated.

Abstract: A bone plate and plating system are for use of the same are disclosed. The bone plate includes a body having a span sufficient to overlap a portion of a bone. A screw hole extends through the body in order to receive a bone screw to attach for engaging the plate to the bone. The screw hole includes a counterbore having a beveled surface that intersects at a pinch point a bore having a conical surface of revolution that transitions into the bone engaging surface of the body. The beveled surface includes a variable geometry defining interleaved and rotationally-spaced contact and non-contact bone screw regions.

Abstract: A bone fastener includes a proximal member having an inner surface that defines an implant cavity and an outer surface including a first threaded portion configured for penetrating fixation with tissue and a second portion. The proximal member defines a longitudinal axis. An intermediate member includes an inner surface extending between a proximal portion connected with the second portion and a distal portion. A distal member includes an outer surface extending between a proximal portion disposed with the distal portion of the intermediate member and a distal portion configured for penetrating fixation with tissue. The distal member is configured for axial translation relative to the intermediate member. Methods of use are disclosed.

Abstract: An implant for fusing adjacent bones is disclosed. The implant includes an elongate threaded member and a flexible portion extending from the elongate threaded member. The flexible portion includes a plurality of prongs configured to be reversibly compressed toward an axis defined by the elongate threaded member.

Abstract: An implant is disclosed including an elongate threaded portion and a blade extending from the elongate threaded portion. The blade having a taper terminating at a point and a biasable cantilever formed in a central portion of said blade and with a free end that protrudes from at least one surfaces when the cantilever is unbiased.

Abstract: Disclosed is a clamping element for setting a bone fracture. The element comprises a flexible and substantially non-plastically deformable continuous loop inside which at least two fixing elements can be pushed through, and an extension element of alterable length that can be inserted into and is expandable inside the continuous loop in such a manner that in order to enable the extension element to apply forces to the fixing elements, said forces being directed towards each other, a predetermined tensile stress can be generated over the circumference of the continuous loop. Also disclosed is a setting device comprising the clamping element.

Abstract: The present disclosure provides methods and devices that allow for rotational control, compression and fusion of the ankle as required for treatment while providing additional mobility in the movement of the foot. The devices of the present disclosure are configured to go through the talus and tibia for fusion of ankle joint while avoiding the calcaneus and subtalar joint. According to a first aspect, exemplary embodiments of the present disclosure are curved to provide sufficient area for rotational control and compression of the ankle bones. According to a second aspect, exemplary embodiments of the nails of the present disclosure are configured to be placed at an angle with respect to the intramedullary canal.

Abstract: Methods of stabilizing the sacroiliac joint by placing an expandable device in the joint to generate laterally opposing forces against the iliac and sacral surfaces of the SI joint to securely seat the device in a plane generally parallel to the SI joint. The expandable device is coated with or otherwise contains a bone material to promote fusion of the joint. The expandable device used in methods of the present invention can be, for example, an expandable cage, a balloon, a balloon-expandable stent or a self-expanding stent.

Abstract: In an implantable medical device, a locking mechanism with enhanced frictional stabilization comprises a substantially spherical elongating spring adapted to expand from a collapsed state to an elongated state, wherein the spring volume is increased in the elongated state for increasing a frictional contact with a surrounding surface. A screw or other protruding element is inserted into the spherical elongating spring for driving the expansion thereof. Locking methods include the expansion of a spring within an aperture of a device body for increasing frictional stabilization therein.

Abstract: An anchor-in-anchor fixation system is provided for securing underlying structure, such as bone. The fixation system includes a first bone anchor having a shaft for fixation to underlying bone, and a head that defines an internal bore. A second bone anchor extends through the bore and into underlying bone. A fixation assembly is also provided that includes one or more fixation systems coupled to an auxiliary attachment member configured for long bone fixation, spinal fixation, or fixation of other bones as desired.

Abstract: Present invention depicts a poly-porous (micropore) hollow screws as diffusion chamber filled with core matrix for targeted delivery of growth factors and bone marrow stem cells. The screws comprise at least two parts: the distal part of the screw consists of the tip of the screw made of poly porous material and hollow inside proximally. It has threaded navel attached to the threaded nipple of the distal part of the proximal screw which has the screw head and is made of the solid material of the same kind. The screw head had hexagonal recess targeted for screw driver insertion. Assembly of screw created a chamber in the middle of the screw. The chamber is filled with core matrix consisting of gelatin nano-particles pre-impregnated with BMPs (BMP2/BMP7 for bone or BMP12 for tendon, ligament) and fibrin sealants or Chitosan dispersed with bone marrow stem cells and/or other growth factors. Bioactive protein core material is prepared during the surgery and filled the chamber of the screw by the surgeon.

Abstract: An apparatus for distributing the load caused by the insertion of a fastening device into bony tissue is disclosed. In one embodiment, the apparatus comprises a crown having a plurality of protrusions. The protrusions may have any desired physical properties, and function to obtain purchase in the bony tissue. Preferably, the crown includes an opening that is selectively engageable with a spherical head of the fastening device. The opening preferably comprises a spherical curvature that allows the surfaces of the spherical head and the opening to maintain flush contact, even when the fastening device is inserted into the bony tissue at a non-orthogonal angle. When the fastening device is inserted into the bony tissue, the crown distributes the load over a wider section of the bone, allowing the bone to maintain its structural integrity.

Abstract: A cannulated compression screw is used as an orthopedic implant and has a threaded distal end with an insertion tip that includes at least one and preferably two, three or four flutes to allow the screw to be self-tapping. Optionally, the screw also includes one or more reverse cutting flutes proximal to the insertion tip. The distal threads are cancellous threads having a generally constant minor diameter and a generally constant major diameter and a generally constant thread pitch. An intermediate portion of the screw is non-threaded and the proximal end includes a compression wedge or taper that has at least one, and preferably two to five flutes that terminate before the top of the screw. The proximal end further includes a radiused bevel to the terminal surface that includes a hexagonal torque driving recess. The diameter of the non-threaded shaft section is constant distal from the compression wedge to the distal tip where it defines the minor diameter of the threaded portion.

Abstract: An implant is disclosed including an elongate threaded portion and a blade portion extending from the elongate threaded portion. The blade portion has a taper terminating at a point.

Abstract: A two-part screw system for use in bone repair and joint replacement includes a first portion and a second portion capable of mating with the first portion. The first portion includes a thread for engaging cancellous bone within a portion of a bone on one side of a fracture. The second portion is coupled to a retention mechanism that couples a portion of the bone on opposite sides of the fracture to a portion of the bone having the first portion of the two-part screw.

Abstract: An improved polyaxial mechanism is disclosed. The mechanism preferably works in conjunction with a bone plate and fixation mechanism, such as a screw, rod, or the like. The improved polyaxial mechanism increases the strength of the locking among the locking mechanism, fixation mechanism, and bone plate. In addition, the improved polyaxial mechanism allows for easy locking among the elements, as well as more difficulty in unlocking the elements. A method for utilizing the improved polyaxial mechanism is also disclosed.

Abstract: A screw back-out prevention mechanism for a bone fixation system is provided. The mechanism, when engaged, either locks or retains the screws of the bone fixation system in place thereby preventing the screws of the bone fixation system from backing out of the bone, and in turn reducing the risk of device separation or failure in the bone fixation system.

Abstract: The various embodiments disclosed herein relate to implantable devices for the treatment of syndesmosis injuries. More specifically, the various embodiments include systems, devices, and methods for implantation of an implantable device having at least one bone anchor for treating such injuries.

Abstract: A bone anchoring device includes a shaft for anchoring in a bone and a head, the shaft including a first section having a plurality of barb elements, the barb elements being elastically deformable relative to the body of the shaft, and a second section including a bone thread for engagement with the bone. The first section is located near the tip of the shaft and allows insertion by pushing whereas the second section provides enhanced resistance against pull-out.

Abstract: A screw assembly (10) for insertion into a bone region (12A) (12B) includes a screw body (14) and a washer (16). The screw body (14) includes a distal end (218), a proximal end (224), and a distal threaded area (220), and a proximal threaded area (226). The distal threaded area (220) is positioned near the distal end (218) and the proximal threaded area (226) is positioned near the proximal end (224). The washer (16) includes a washer threaded area (238) that engages the proximal threaded area (226) to selectively secure the washer (16) to the screw body (14). With this design, the washer (16) can be selectively attached to the screw body (14) and different sized washers (16) can be alternatively and selectively secured to the screw body (14). As a result thereof, the person inserting the screw assembly (10) can pick the washer (16) size best suited to retain the bone region (12A) (12B) in which the screw assembly (10) is being inserted.

Abstract: Spinal implants and methods for spinal stabilization and/or fusion are provided. Exemplary implants described herein can be configured for delivery to a facet joint to stabilize and/or fuse the facet joint, and can optionally be anchored within the pedicle for added fixation. The implant can optionally 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 is provided.

Abstract: Spinal implants and methods for spinal stabilization and/or fusion are provided. Exemplary implants described herein can be configured for delivery to a facet joint to stabilize and/or fuse the facet joint, and can optionally be anchored within the pedicle for added fixation. The implant can optionally 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 is provided.

Abstract: An implant for fusing adjacent bones is disclosed. The implant includes an elongate threaded member and a flexible portion extending from the elongate threaded member. The flexible portion includes a plurality of prongs configured to be reversibly compressed toward an axis defined by the elongate threaded member.

Abstract: An implant is disclosed including an elongate threaded portion and a blade portion extending from the elongate threaded portion. The blade portion has a taper terminating at a point.

Abstract: A loading unit for use with a surgical stapling apparatus is provided and includes a tool assembly having a cartridge assembly and an anvil assembly that are movable in relation to one another; a surgical buttress releasably secured to a tissue contacting surface of the anvil assembly and/or the cartridge assembly, wherein each surgical buttress is secured to the anvil assembly and/or the cartridge assembly by at least one anchor; a release assembly associated with the anvil assembly and/or the cartridge assembly; and a drive assembly slidably translatable through the tool assembly between proximal and distal positions, wherein the drive assembly actuates the release assembly to thereby release the anchor to free the surgical buttress from the anvil assembly and/or the cartridge assembly.

Abstract: A bone fixation device comprises a rod extending from a proximal end located external to the body in an operative configuration to a distal end comprising an increased diameter tip sized and shaped to be received in a subchondral layer in the operative configuration and a first bushing slidably received over the rod, a distal portion of the first bushing comprising a plurality of arms separable from one another to spread radially outward from the rod as the first bushing is moved distally over the tip of the rod in combination with a cannulated element slidably received over the rod, the cannulated element sized and shaped to engage a proximal end of the first bushing, a portion thereof located external to the bone in the operative configuration so that a distally directed force applied thereto moves the first bushing distally over the rod spreading the arms radially outward.

Abstract: There are provided systems and methods for positioning a connecting member adjacent the spinal column that include one or more anchor assemblies having an anchor engageable to bony structure and an extended receiver having a guide portion and an implantation portion. A connecting member is movable along the guide portion from a location outside the patient to the implantation portion in the patient, where the connecting member is secured to the anchor assembly with an engaging member. The guide portion is formed as a single unit with but separable from the implantation portion to provide a modified low-profile anchor assembly after implantation of the connecting member.

Abstract: A fixation device for securing tissue to a bone. The fixation device includes an anchor having a hollow body defining a longitudinal passage, and a plug configured to be received in at least a portion of the passage. The body comprises a cylindrical portion and a tapered tip portion. The cylindrical portion comprises a plurality of thin-walled window covers such that after implantation the window covers are resorbed first relative to other portions of the cylindrical portion for defining a plurality of apertures on the cylindrical portion.

Abstract: Apparatuses for attaching tissue to bone are provided. In one exemplary embodiment, the apparatus includes an expandable body defining a bore, an expander pin having a shaft sized to be received in the bore of the expandable body, and an insertion shaft slidingly disposed in the bore of the expandable body and in a bore of the expander pin. The body is configured to expand laterally into and attach to bone when the expander pin is driven into the expandable body. The body includes a proximal main member having a distally extending threaded projection and a harder, distal tip member having a threaded recess in a proximal surface thereof such that the projection is threadedly interengageable with the recess. The expansion of the body by way of the expander pin can occur when the proximal main member and distal tip member are threadedly engaged. The insertion shaft is releasably secured to the expandable body and extends distally beyond the expandable body.

Abstract: The present disclosure relates to a fixation device. The fixation device includes a base portion including a first leg, a second leg, and a groove located between the first and second legs and a top portion extending from the base portion. A tissue repair device and a method of tissue repair are also disclosed.

Abstract: A method for attaching soft tissue to bone. The method includes forming a bore in a bone, placing the soft tissue adjacent to the bone and above the bore, at least partially inserting a fixation device into the bore, and delivering biologic material through the soft tissue at an interface area between the soft tissue and the bone.

Abstract: A bone plate has an upper surface, a lower surface, and at least one first hole extending through the upper and lower surfaces. The first hole has two or three vertically separate regions, each region communicating with or abutting an adjacent region. The first hole has a first unthreaded upper region, which has a curved inward taper from the plate's upper surface toward the plate's lower surface. The first hole has a second threaded middle region, which has a conical inward taper from the plate's upper surface toward the plate's lower surface. A third unthreaded lower region has a conical outward taper from the plate's upper surface toward the plate's lower surface. The bone plate may be straight, curved, or include a combination of both straight and curved segments.