Abstract: A femoral prosthesis system is provided which includes femoral prosthesis and an instrument for inserting/extracting the femoral prosthesis. The femoral prosthesis includes a stem and a neck portion. The stem includes a proximal end portion which defines a proximal stem axis. The neck portion is located proximally of the proximal end portion. The neck portion includes a proximal surface and an insertion/extraction cavity which extends distally from the proximal surface. The insertion/extraction cavity is configured to couple with the insertion/extraction instrument. The insertion/extraction cavity defines an insertion/extraction cavity axis which, when projected onto a coronal plane including the proximal stem axis, is not parallel with the proximal stem axis. The insertion/extraction instrument includes a distal end portion configured to couple with the insertion/extraction cavity.

Abstract: Surgical instrumentation for use in placing an implant into a disc space between a pair of spinal vertebrae may include: (a) a distractor having a distal end that may be placed into the disc space between the pair of spinal vertebrae; (b) an inserter for use in moving the implant toward the disc space between the pair of spinal vertebrae; and, (c) a distractor/inserter rail/groove interconnection that interconnects the distractor and the inserter for relative movement thereby.

Abstract: An extender comprises a first extension including a first wall and extending between a proximal end and a distal end. The first wall defines an axial cavity including a distal portion, at least one ramp and a proximal portion. A second extension includes a projection. The projection is disposable in a first position with the distal portion of the axial cavity and the distal end of the first extension is disposed in a non-expanded orientation. The projection is slidably engageable with the at least one ramp for movement to a second position such that the projection is disposed with the proximal portion of the axial cavity and the distal end of the first extension is disposed in an expanded orientation. Methods of use are disclosed.

Abstract: An extender comprises an outer member including a lateral opening, first and second extensions defining first and second axial cavities, the axial cavities including a first portion, a second portion and a third portion. An inner member includes a body defining a tab, first and second arms having first and second projections. The inner member is configured for axial translation relative to the outer member between a first position, a second position and a third position. The tab is movable into at least one locking cavity of the lateral opening to fix the inner member relative to the outer member. Methods of use are disclosed.

Abstract: An intervertebral fusion cage that is adapted to contain an inserter within its inner volume during insertion of the cage.

Abstract: A prosthetic inserter includes an inserter head having at least first and second bosses, at least one of the bosses movable from a first position to a second position, that couple the inserter to a femoral provisional component via a pair of corresponding apertures, such as drill holes, within the articulating surfaces of a selected one of a series of femoral provisional components. Each provisional component of the series is capable of having different aperture distances measured between a respective pair of apertures. The bosses of the inserter are biased into an engagement position in which the inserter can be secured to a femoral provisional component to eliminate the need for an external engagement force to be supplied to the inserter.

Abstract: A handling device for handling an augmentation implant is proposed, comprising an elongated housing having an axial through-bore for accommodating a sonotrode of an ultrasound applicator, and a lateral opening for inserting a pin magazine with an augmentation pin, wherein the axial through-bore and the lateral opening are connected to each other. The handling device further comprises a distal implant portion for fastening a proximal end of the augmentation implant at the housing, and a proximal tool portion for driving and/or augmenting the augmentation implant.

Abstract: A surgical instrument and method are provided for removal of a spinal implant from the intervertebral disc space. The instrument includes a carriage body for interfacing with the implant, a housing for interfacing with the vertebrae, and a handle portion having a first portion rotatably coupled with a proximal end of the housing and a second portion rotatably engageable with a proximal attachment portion of the carriage body. A central passage of the housing extends between the proximal end and a distal engagement surface of the housing. The central passage is dimensioned to mate with the carriage body. Rotation of the handle portion about an axis causes translational movement of the carriage body along the axis. A modular inserter/distractor apparatus and method and an anchor remover and method are also provided.

Abstract: Aspects of the claimed invention relate generally to devices for delivering bone graft compositions to implants that have been positioned between vertebral bodies during surgery and methods of using such devices. Embodiments of the invention provide ease of bone graft delivery in situ while providing an environment for the mixing of bone graft, insertion of the bone graft, and packing of the graft into the voids above and below the implant.

Abstract: An impacting device for inserting, positioning and/or removing an implant and/or performing other impacting applications. The impacting device may have a head having at least one recess. The recess may have a insertion channel and a locking chamber. In one embodiment, the insertion channel and the locking chamber may be connected by an axial channel. The recess may pass through a lateral surface of the head so that the base surface may remain cohesive or unobstructed. A guide means, such as a guide rod, may be positioned though the recess so that the head may be moveable on the guide means and not disengage the guide means. A shaft having a handle may be attached to the head to assist a surgeon in moving the head on the guide means.

Abstract: A surgical tool for removing a portion of an implant is provided that includes a housing, a motor contained within the housing and coupled to the housing, and an output shaft having a distal end and a proximal end opposite the distal end, wherein the proximal end is coupled to the motor and the distal end has an opening configured to rotatably engage an implant. The surgical tool further includes a counter-torque sleeve extending around the output shaft having a proximal end and a distal end opposite the proximal end, wherein the proximal end is coupled to the housing and the distal end is configured to couple to the implant relative to the counter-torque sleeve. Upon a rotational force to the implant, the forces transmitted by the output shaft and the counter-torque sleeve are balanced by the coupling of the output shaft and counter-torque sleeve through the housing.

Abstract: A bone graft compaction pliers with removable inserts defines a bone graft harvesting and deployment system applicable to a wide variety of bone graft sized for use with bone anchors such as those employed in ACL repair. Cannulated bone anchors for encouraging bone regrowth employ an anchor with a axial cannulated bore and a plurality of fenestrations surrounding the bore to facilitate bone regrowth. A variety of sizes of single use inserts corresponding to a bone graft shape, or diameter, engage a single compaction pliers for forming various sized bone grafts from a single tool. A transparent transfer tube and corresponding base receives the formed bone graft for length adjustment, and engages protrusions on the recipient bone anchor for aligning the transfer tube to the anchor for disposing the bone graft into the cannulated bore of the anchor.

Abstract: An orthopaedic surgical instrument includes an anchor configured to be coupled to a prosthetic tibial component, a shaft coupled to the anchor, and a separator coupled to the shaft. The separator is configured to move along the shaft between a first position in which the separator is spaced apart from the prosthetic tibial component and a second position in which the separator is positioned between the tibial tray and the sleeve of the prosthetic tibial component.

Abstract: Instruments for use in implanting an orthopedic ankle prosthesis includes a center-transfer instrument and a number of bone cutting blocks. A method of using such instruments is also disclosed.

Abstract: An apparatus and modeling method of the present invention includes the successive steps of generating cartographic data representative of points belonging to a glenoid surface; distinguishing from among the cartographic data a first group of cartographic data corresponding to a first part of the glenoid surface, the first surface part being situated farthest down in the vertical direction in relation to the scapula; calculating from the first group of cartographic data a first ellipsoid portion that coincides substantially with the first surface part; and obtaining a theoretical glenoid surface from the first ellipsoid portion. By virtue of the theoretical glenoid surface obtained by this method, it is possible to assist the surgeon in optimizing the position of implantation of a glenoid component and to produce a glenoid component “made to measure” for the scapula that is to be fitted with a prosthesis.

Abstract: A method of supporting a defect in the tissue of a living being includes the steps of: a) providing a delivery instrument that includes an elongated instrument, at least one barrier element, and a plurality of connecting members; b) inserting the elongated instrument into the tissue at or near the defect; c) deploying the barrier element from the delivery instrument into tissue at or near the defect, the barrier element having at least one connecting member attached thereto; d) extending at least one passage means from the delivery instrument; e) engaging at least a portion of the at least one connecting member with the at least one passage means, whereby the at least one passage means causes the at least one connecting member to pass through the tissue, and f) withdrawing the elongated instrument from the tissue, thereby deploying and securing the barrier element to support the tissue.

Abstract: An assembly tool for assembly of a first component of a prosthesis to a second component of the prosthesis for use in joint arthroplasty is provided. The tool includes a first member in contact with the first component and a second member connected to the second component. The first member defines a first member longitudinal axis. The first member and the second member provide for the assembly of the first component of the prosthesis to the second component of the prosthesis. The second member provides relative motion of the second member with respect to the first member when the second member is rotated relative to the first member about the first member longitudinal axis. The first member and the second member have relative motion features adapted to reduce friction that cooperate with each other to provide the relative motion of the first member with respect to the second member.

Abstract: An apparatus for inserting an intervertebral prosthesis within a spine of a mammal includes: a handle including a drive nut operating to produce rotational torque in response to user-input about a central axis; a first drive shaft including a proximal end in communication with the drive nut, receiving rotational torque therefrom, and imparting rotational torque to the first drive shaft about a first axis, which is laterally offset from the central axis; and a distal end of the first drive shaft including a first drive head; and a chuck disposed at a distal end of the tool for engaging the intervertebral prosthesis during implantation, wherein the first drive shaft extends through the chuck and the first drive head engages a first gear of the intervertebral prosthesis, such that rotation of the first gear causes rotation and deployment of a first anchoring element of the intervertebral prosthesis.

Abstract: An insertion handle for medical implants includes a handle with an elongate shaft extending therefrom and connection means for the implant disposed at the end of the shaft opposite the handle. The connection means includes a pivotable attachment for the implant that is controlled remotely from the handle. Both angle of the implant with respect to the handle and shaft as well as the attachment may be separately controlled and adjusted. Remote angular adjustment facilitates insertion of implants in to small surgical sites because the orientation of the implant may be repeatedly, remotely adjusted as the implant is inserted. Connectors may also be provided at the engagement surface between the handle and implant in order to provide communication with the implant or surgical site. The connectors also may serve as torque bearing members to avoid the need for separate torque bearing means such as keyways and the like.

Abstract: A surgical implant inserter compressor is shown having a plurality of jaws and is adapted to permit at least one or both jaws to move generally parallel with respect to each other or move along an axis wherein the jaws remain in a plane that is generally perpendicular to that axis. The surgical implant inserter compressor is adapted for implanting at least one or a plurality of plates onto a pair of spinous processes and is adapted to distribute the clamping force with which the implants engage the spinous processes. The surgical implant inserter compressor may be adapted to permit one or both jaws to float or pivot to accommodate different anatomical structures, such as spinous processes that are not aligned, are of different sizes or shape and the like. An optional tool guide for guiding a tool to drive a lock to lock the plates together is also shown.

Abstract: A surgical system for positioning a prosthetic component on an anatomy of a patient includes a surgical tool configured to engage the prosthetic component, a force system configured to provide at least some force to the surgical tool, and a controller programmed to compare a target pose of the prosthetic component and an actual pose of the prosthetic component engaged by the surgical tool and generate control signals that cause the force system to allow movement of the surgical tool within a range of movement and provide haptic feedback to constrain a user's ability to manually move the surgical tool beyond the range of movement. The haptic feedback resists movement of the surgical tool by the user that would cause substantial deviation between at least one aspect of the actual pose of the prosthetic component and a corresponding aspect of the target pose of the prosthetic component.

Abstract: Devices, systems, and methods for driving an implant into bone to a predetermined depth are described herein. In one embodiment, a medical driver tool is provided that includes a housing having a proximal end configured to receive an impacting force, an elongate shaft extending distally from the housing and having a distal tip configured to drive an implant into bone, and a release mechanism coupled between the housing and the elongate shaft. The release mechanism can have an engaged position in which the elongate shaft is axially immovable relative to the housing and a disengaged position in which the elongate shaft is axially movable relative to the housing. The release mechanism can be configured to move from the engaged position to the disengaged position in response to a force applied to move at least a portion of the release mechanism proximally relative to the housing.

Abstract: A method of performing vertebral facet fusion by lateral approach and related devices. The lateral approach to facet fusion involves identifying the lateral mass and introducing any of the fixation methods known or described herein laterally at one or more facets through the use of a Kirschner wire guide, a cannulated bone drill and cooperatively cannulated staple guide. A surgical bone staple have a perforated bridge is used across the lateral facet joint where fixation is required. Where fusion is desired, a bone screw have lateral perforations of the shank is inserted through the cannulated staple guide and bridge perforation at the joint to promote fusion. A staple cap and graft container for overlay grafting may be utilized for additional fusion. The method involves less surgical time, reduced blood loss and discomfort for the patient as compared to the posterior approach.

Abstract: A surgical instrument for inserting an implant is shown. The instrument has a housing having a first end and a second end, a rotatable drive member having an elongated member comprising a grip that is associated with the first end, an implant holder having a securing member that extends through the second end and that is adapted to receive and hold the implant. A universal joint couples the implant holder and the elongated member and is adapted to permit a user to rotatably drive the implant holder when the implant holder is in a pivoted position.

Abstract: This disclosure describes devices and methods for performing spinal surgical procedures. In some embodiments, a method may include positioning at least a portion of at least one surgical instrument in at least one naturally occurring orifice of a human by a user. In some embodiments, a method may include accessing an interior space of the human using at least one of the surgical instruments. The method may include performing at least a portion of a spinal surgical procedure using at least one of the surgical instruments positioned in at least one of the naturally occurring orifices of the human. The method may include removing at least one of the surgical instruments from at least one of the naturally occurring orifices upon completion of at least a portion of the spinal surgical procedure.

Abstract: A rod coercer for use in spinal fixation procedures is provided. The rod coercer can be pivoted in a first direction to fixedly grip an implant, and pivoted in a second direction to reduce a rod into the implant. In one embodiment, the rod coercer includes first and second articulating handle branches, first and second rod contacting arms extending from the first and second handle branches, first and second implant gripping arms pivotally interconnected with the first and second handle branches, and means for releasably locking the handle branches and the implant gripping arms in a closed and locked position. In another embodiment, the implant gripping arms of the rod coercer can be secured to each other by a flexible retainer.

Abstract: A dilator for adapted to implant a graft in a bone. The dilator includes a hollow frusto conical configuration having a distal and proximal end, a continuous tapered outer surface extending from said distal end to said proximal end of said dilator, the continuous tapered outer surface configured to engage a bone in order to radially expand the bone outwardly as the dilator is advanced into an opening, one end of dilator having a cross-section less than the cross-section of the opening for insertion into the opening, and the other end of the dilator having a cross-section greater than the cross-section of the opening so that insertion of the body member in the opening expands the opening.

Abstract: A method of delivering a fusion cage to an intervertebral disc space bounded by adjacent vertebral endplates, comprising the step of delivering the fusion cage into the disc space without contacting its teeth to the vertebral endplates during delivery, wherein a sheath is interposed between a cage surface and the endplates to prevent contact therebetween during delivery.

Abstract: A humeral prosthesis includes a stem component and a humeral head component. The humeral head component has a configuration that is similar to the curvature of the humeral head to allow the head to reconstruct the anatomy of the damaged humerus. The stem component is threaded and cannulated and engages the humeral head component. The stem component is configured to be inserted within the humeral diaphyseal channel. When engaged the humeral head component and the stem component form an articulated joint allowing the humeral head component to articulate with respect to the stem component.

Abstract: A system and method for detecting and measuring changes in angular position with respect to a reference plane is useful in surgical procedures for orienting various instruments, prosthesis, and implants with respect to anatomical landmarks. One embodiment of the device uses dual orientation devices of a type capable of measuring angular position changes from a reference position. One such device provides information as to changes in position of an anatomical landmark relative to a reference position. The second device provides information as to changes in position of a surgical instrument and/or prosthesis relative to the reference position.

Abstract: A method for inserting an intervertebral disc prosthesis into a space between two vertebrae involves inserting the prosthesis partway into the space under constraint to prevent endplates of the prosthesis from articulating, releasing the prosthesis from constraint, and inserting the unconstrained prosthesis farther into the space. In some embodiments, the method involves grasping the prosthesis with a grasping device to insert the prosthesis partway under constraint, loosing the grasping device to release the prosthesis from constraint, and pushing the prosthesis farther into the disc space using the grasping device and/or one or more separate pusher devices. A system includes a grasping device, at least one separate pushing device, and optionally a vertebral spreading device and/or a vertebral midline indicator device.

Abstract: A surgical instrument is disclosed comprising a base having a tray, a first member and a second member. A first and second top arm are coupled near the proximal end of the base. At least one bottom finger is coupled to the distal end of the first member and at least one top finger is coupled to the distal end of the first top arm. At least a first lifting arm is located between the first member and the first top arm, said lifting arm comprising a cam for engaging the first top arm. Rotation of an adjustment member positioned near the proximal end of the first member engages at least one lifting arm. As the lifting arm moves towards the distal end of the first member, the cam engages and lifts the first top arm, displacing the first top finger to a separation distance from the bottom finger.

Abstract: Various embodiments of components, devices, systems and methods are provided for a pneumatic surgical instrument having a probe or an impactor disposed at a distal end thereof and configured to make contact with a selected portion of an orthopedic implant or device and drive the implant into a hole or void formed in a patient's bone. The instrument is configured to generate a shock wave, which is then transferred to the distal end of the probe or impactor, and hence into the orthopedic implant, thereby causing the implant to be driven into contact with portions of the void or hole.

Abstract: An orthopaedic prosthetic inserter used for the implantation of double mobility cup implants is described. The inserter consists of a drive train, a C-shaped housing, and a prosthetic cup engaging subassembly. The subassembly comprises an impaction plate, a grasping plate and a domed nose. When activated by the drive train, a plurality of hook ends extending from the grasping plate latch onto the cup of the prosthetic to hold and manipulate the prosthetic cup during implantation.

Abstract: A prosthesis delivery and implantation system for tissue repair is disclosed. The implantation system includes provisions for manually applying a prosthesis to a treatment area. This system may be applied to heal any imperfections in various different types of tissue. The system also provides provisions for independently inserting two end portions of the prosthesis into tissue.

Abstract: A surgical assembly according to an exemplary aspect of the present disclosure includes, among other things, a housing, a first arm extending outside the housing and a linkage assembly housed by the housing and connected to the first arm. Movement of the linkage assembly inside the housing is linked to movement of the first arm outside of the housing.

Abstract: A prosthetic acetabular cup inserter and impactor has an expandable annular cup engaging element to engage the inner surface of a cup to be inserted in the acetabulum. An expander is provided for expanding the cup engaging element which is connected to one end of a handle via a hollow or partly hollow extension portion. The other end of the handle is provided with an anvil. An elongate operator is located within the extension portion and connected to the cup engaging element. A device is provided for moving the elongate operator to pull the cup engaging element towards the expander.

Abstract: Interbody implant systems and methods of implant interbody implants are described. In one aspect, an implant includes a body have a distal end portion and a proximal end portion and a first articulation surface formed at a proximal end of the proximal end portion, An insertion instrument includes an elongate shaft having a proximal end portion and a distal end portion; and a second articulation surface formed at a distal end of the distal end portion. The second articulation surface is configured to interface with the first articulation surface. An attachment member is configured to connect the implant to the insertion instrument. The attachment member is actuatable to compress the first and second articulation surfaces together in a locked configuration with sufficient force to prevent relative rotation between the first and second articulation surfaces.

Abstract: A system for accessing a surgical target site and related methods, involving an initial distraction system for creating an initial distraction corridor, and an assembly capable of distracting from the initial distraction corridor to a secondary distraction corridor and thereafter sequentially receiving a plurality of retractor blades for retracting from the secondary distraction corridor to thereby create an operative corridor to the surgical target site, both of which may be equipped with one or more electrodes for use in detecting the existence of (and optionally the distance and/or direction to) neural structures before, during, and after the establishment of an operative corridor to a surgical target site.

Abstract: The present disclosure relates to an anchor. The anchor includes an outer member including a body having an inner cavity, wherein the inner cavity includes a proximal portion configured for receipt of a delivery device and a distal portion having area of increased diameter. The anchor also includes an inner member coupled to the outer member, wherein the inner member includes a proximal portion having a projection configured for receipt in the area of increased diameter and a distal portion having a transverse through hole. A delivery device and method for tissue repair are also disclosed.

Abstract: An orthopaedic surgical instrument includes a patella drill guide having a first bracket, a second bracket coupled to the first bracket and moveable relative to the first bracket. The second bracket includes a drill plate having a plurality of guide holes defined therein.

Abstract: A system and method for substantially simultaneous co-insertion of an implant, such as a cage and plate. An inserter is secured to the cage and plate and is used to hold the components while implanting the components during a surgical procedure.

Abstract: A bone graft delivery system can include an elongate tube, a handle having a trigger, and a tip. The trigger is actuated to deliver bone graft material through the tube. The tip has one or more openings to deliver the bone graft material to a desired location and includes a surface suitable to act as a rasp for decorticating bone. A method for delivering bone graft material to a desired surgical location includes providing a bone graft delivery device, positioning the device adjacent the surgical location, decorticating bone, and delivering bone graft material to the surgical location.

Abstract: A kit for use in performing a trail reduction in joint arthroplasty is provided. The kit includes a trail stem assembly including a first component, a second component selectably moveable with respect to the first component, and a fastener for securing the first component to the second component. The kit also includes an articulating trial component removeably fixedly secured to the trail stem assembly and a driver for cooperation with the fastener to secure the first component to the second component. The kit also includes a handle. The handle has a first feature for permitting the driver to pass through the handle and a second feature for orientably connecting the handle to the articulating trial component.

Abstract: A fixation assembly having a driver, a holding sleeve, and an alignment mechanism is disclosed. The driver may include a driver body and a coupling extending from a distal end of the driver body. The holding sleeve may have a holding sleeve body, a channel extending through the holding sleeve body, and a fixation element coupler disposed at a distal portion of the holding sleeve body. The channel may be configured to receive the driver, and the fixation element coupler may be configured to temporarily hold a fixation element. The alignment mechanism may extend from the holding sleeve, and may have at least one alignment member configured to engage an underlying structure to which the fixation element is to be affixed so as to align the fixation element and driver assembly with respect to the underlying structure.

Abstract: Instrumentation for implanting an artificial intervertebral disc includes static trials and a dynamic trial for determining the appropriate size of disc to be implanted, static trial holders for manipulating the static trials, inserter/impactors for inserting and removing the static trials and for inserting the artificial intervertebral discs, repositioners/extractors for repositioning and extracting the static trials or the artificial intervertebral discs, and a leveler for setting the proper position of the artificial intervertebral disc. Methods for using the same are also disclosed. Features for artificial intervertebral discs and intervertebral spacer devices useful for manipulation by the instrumentation are also disclosed.

Abstract: A head holder for holding and tensioning the head of a bone screw, particularly a pedicle screw, is provided. Also provided is a ratcheting connector for connecting to the head holders while permitting rotational movement of the head holder when engaged with the ratcheting connector. Also provided is a flex arm connector for connecting multiple ratcheting connectors across multiple vertebral bodies. A tool set for managing and/or correcting spinal deformities, such as scoliosis, including at least one or more head holders and one or more ratcheting connectors is provided.

Abstract: Various embodiments of components, devices, systems and methods are provided for a pneumatic surgical instrument having a probe or an impactor disposed at a distal end thereof and configured to make contact with a selected portion of an orthopedic implant or device. The instrument is configured to generate a shock wave, which is then transferred to the distal end of the probe or impactor, and then into the orthopedic implant or probe.

Abstract: An inserter can be used to implant a distractible intervertebral body fusion device into a disc space and expand the device. The inserter includes a shaft frame and a drive shaft assembly for expanding the device and a support shaft assembly for stabilizing the device extending distally from the shaft frame. A drive housing can be operably connected to the shaft frame and extend outwardly from shaft frame distal of a proximal end of the shaft frame. Drive housing can have an internal passage that provides access into the shaft frame to a proximal end of the drive shaft assembly. An actuation tool can be disposed with the drive housing with a distal end extending through the access into the shaft frame to interface with the proximal end of the drive shaft assembly such that activation of the actuation tool rotates the drive shaft assembly to expand the device.

Abstract: A surgical instrument for acetabular cup implantation includes an acetabular cup, a shell body and a drive shaft. The drive shaft includes a drive rod and a handle bar. The handle bar engages the pivot for angular displacement having forward position and backward position. In the forward position the drive rod rotates the acetabular cup forward, and in the backward position the drive rod shifts backward resulting in the acetabular cup engaged the extension portion. Accordingly, the operator rotates the handle bar to control the acetabular cup inserting into the position of acetabulum. The rotation of the handle bar results in the gripping or releasing of the acetabular cup or insert from the invention. Thus the invention provides a clear and ergonomic instrument for medical personnel concerning the operation of acetabular cup implantation.