Abstract: Methods of promoting bone healing or regeneration by locally administering insulin mimetic agents to patients in need thereof and new uses of insulin-mimetic compounds for accelerating bone-healing processes are disclosed. Bone injury treatment and void filler devices, products and kit suitable for local administration of insulin-mimetic agents or compositions thereof to patients in need of such treatment are also disclosed.

Abstract: The present invention relates to systems and methods for treatment of the spine. Preferred embodiments utilize a tool system to remove tissue from the intervertebral space, a system for delivery of inflatable membranes or balloons into the intervertebral space and a fluid management system to provide for controlled delivery of fluids into the balloons. A visualization system can also be used to observe tissue removal and balloon placement.

Abstract: A spinal cage is provided to be implanted in an intervertebral disc space. The spinal cage includes a first segment and a second segment movably connected with each other. The first segment is slidable with respect to the second segment, so as to elongate the spinal cage from a retracted state to an extended state.

Abstract: A cannulated screw having a resilient balloon structure capable of supporting compressive and cyclic loads. The balloon provides an artificial disc prosthesis by use of the balloon that mimics the properties of the natural disc by maintaining the intervertebral disc space through a full range of natural motion, absorbing shocks and permitting a natural range of motion.

Abstract: This specification describes technologies relating to an intervertebral disc prosthesis used to strengthen and stabilize the spine. Implementations of the technology described herein comprise a surgical device that is implanted through a small surgical incision into a portion of a human intervertebral disc, various support tools used to insert such a surgical device, and a method by which the device is used to strengthen and stabilize the spine.

Abstract: An inflatable balloon for diagnostics and treatment of diseased discs or fractured bones. The balloon is a multi-volume balloon comprised of a plurality of adjustable and expandable single volumes. Further disclosed are methods of forming, expanding, and implanting the multi-volume balloon for proper placement and stabilization of the diseased discs or fractured bones. Still further disclosed are kits for aligning and stabilizing a bone, disc, or spinal motion segment.

Abstract: Coiled spinal implants for disc, vertebral body, and spinal motion segment replacement or reconstruction comprise a plurality of loops and spaces between the loops, with the loops formed of a hollow material and having a plurality of apertures or a longitudinal gap that extend(s) through the sidewalls of the loops and into the hollow center. The coiled implants include one or more balloons within the hollow center, the spaces between the coil loops, and/or within the central void that the coil surrounds. Filling the balloon expands the loops and thereby increases the height of the coil. Bone graft material or bone cement may be deployed from the apertures or gap.

Abstract: An inflatable and implantable balloon for treatment of degenerative disc disease, bones, lesions, spinal deformities and spinal motion segment instabilities. The balloon is comprised of adjustable and expandable volumes. Further disclosed are methods of forming, inserting, expanding, and implanting the multi-volume balloon for proper placement and stabilization of the spinal lesion or disease. Still further disclosed are kits for aligning and stabilizing elements of the spine.

Abstract: A spinal implant for insertion between adjacent vertebrae to function as a disc prosthesis. The prosthesis is formed from two plates fastened to adjacent vertebrae facing each other. The facing sides of the plates have a donut shaped cushioning coupler to replicate the displaced disc material. Stabilizing links are positioned along the edge of the plates to prevent over compression of the shaped cushioning coupler in a bending moment. Adjustable mounting brackets are used to secure the implant to the spine.

Abstract: Prosthesis for inserting into a damaged intervertebral disc. The prosthesis has an elongated tubular main prosthesis body with a length to fit laterally from one side of a disc to the other at its mid-plane. The main prosthesis body is composed of two parts transversely oriented and has a vertical height deliberately greater than the height of normal disc space. Heads having a vertical height greater than the vertical height of the main prosthesis body are mounted on the ends of the main prosthesis body.

Abstract: The embodiments provide a method for treating an intervertebral disc having a nucleus pulposus and an annulus fibrosis, using one or more superabsorbent polymers. Additionally, the embodiments provide a method for bulking up an intervertebral disc having a nucleus pulposus and an annulus fibrosis, using one or more superabsorbent polymers. The methods comprise introducing an amount of the superabsorbent polymers into the intervertebral disc space without removing nucleus pulposus or annulus fibrosis material.

Abstract: An intervertebral implant having a three-dimensional body and a securing plate. The intervertebral implant also includes a front plate (8) displaceably disposed as an insert with a front side of the three-dimensional body.

Abstract: An assembly for replacing a vertebral disc. The assembly includes an implant and a device for positioning the implant between two adjacent vertebrae. The implant includes a body having an internal compartment enclosed by an outer wall, and an endoskeleton coupled to the body. The device includes a cannula, a container coupled to the cannula, the container having a first end and a second end, a plunger threadingly coupled to the cannula and to the first end of the container, and a conduit coupled to the second end of the container and in fluid communication with the body of the implant. The implant is positioned within the cannula in an undeployed state and is deployed within a vertebral disc to receive a biological fluid in a second state.

Abstract: A method for repairing a defect in the annulus of an intervertebral disc uses a port through a vertebra adjacent the disc for passage of a rivet insertion tool to place a first part of a two-part annulus repair rivet against an internal surface of the annulus adjacent the defect. A separate rivet insertion tool places a second part of the annulus repair rivet on an external surface of the annulus adjacent the defect. The first and second parts are secured together, repairing the defect.

Abstract: An expansion band includes a first layer, a second layer, a shrinking layer for shrinking the first layer and the second layer, a bond line for sealing the first layer and the second layer to form an inner space therein and dividing the inner space into a plurality of air passages which communicate with each other, and an air nozzle communicate with the air passage. The shrinking layer includes a third layer overlapped on the second layer and a plurality of elastic bands extended between the second and third layers.

Abstract: A pliable band or hoop that is flexible to normal handling, but cannot stretch circumferentially once it has reached the limits of its circumferential length. The band may have a structural portal to be used for filling, or it may simply be constructed of a fabric-like material that allows a fill tube to perforate its walls to allow for filling. In the latter case, the perforated wall tends to self-seal once the fill tube is withdrawn. The band may be flat or tubular in cross-section. However, unlike a balloon, the band does not require either a bottom or a top, as we found that a top and bottom are unnecessary when using a band or hoop to enclose material injected into a reamed out intervertebral space.

Abstract: Disclosed are methods and devices for restoring or establishing nutrient flow to the nucleus pulposa. An implant comprises a nutrient flow path for extending between a source of nutrients and the nucleus pulposa. The implant is positioned within the patient such that a first end is in nutrient flow communication with a subject nucleus pulposa, and the source end is positioned in nutrient flow communication with a source of nutrients.

Abstract: The method for preventing extravasation of bone cement used in balloon kyphoplasty involves first forming a void in a vertebral body. A pair of unfilled balloons are then inserted into the void in the vertebral body. An injection tube or catheter is inserted through an inlet port of each of the balloons, and the balloons are filled with bone cement. The injection tubes are then removed from the inlet ports. The bone cement is preferably provided in the form of pellets or granules. The inlet ports are each provided with a seal, such as an elastic band mounted thereabout, or the like, allowing the inlet port to be automatically sealed as soon as the corresponding injection tube is withdrawn. The device includes at least the balloon and the seal, but may be furnished as a kit that also includes the bone cement and injection tube.

Abstract: A method of performing at least one surgical procedure is disclosed. The method includes: preparing a patient for a first surgical procedure; making a first incision through the skin of the patient in accordance with the first surgical procedure; exposing a target area for the first surgical procedure through the first incision; performing a step of the first surgical procedure on the target area for the first surgical procedure; placing a protective pad with a fluid pocket between a vulnerable anatomical part and the target area for the first surgical procedure; and closing the first incision in accordance with the first surgical procedure with the protective pad between the vulnerable anatomical part and the target area. A protective system for facilitating revision surgery is also disclosed.

Abstract: An implant assembly includes an implant configured to be placed in a living body; an elongated body that includes a pulling unit, the pulling unit being configured such that a portion of the pulling unit is locatable outside the living body when the implant is placed in the living body, and the pulling unit being connectable to the implant and pullable to move the implant to a placement position; and a guide device configured to allow for an a percutaneous introduction of the elongated body into the living body.

Abstract: A spinal fixation system includes a pedicle screw having a longitudinal axis. A fixation element is configured to connect the pedicle screw to at least one additional pedicle screw. A coupling mechanism includes a pedicle screw securing device adapted to secure the coupling mechanism to the pedicle screw and a fixation element securing device configured to secure the coupling mechanism to the fixation element. A fastening mechanism is configured to fasten both the pedicle screw securing device and the fixation element securing device. The fastening mechanism is located along the longitudinal axis of the pedicle screw.

Abstract: The present disclosure relates to an intervertebral fusion cage that is equipped with generally planar elements disposed on at least one of the top, bottom or lateral wall of a fusion cage, such planar elements reversibly covering at least one opening to prevent leakage of fusion promoting material.

Abstract: An anti-adhesion sheet for placement upon the anterior wall of a vertebral body, wherein the sheet has a radius of curvature that is less than that of the anterior wall of the vertebral body.

Abstract: The present invention is directed to the field of prosthetic devices. More particularly, one embodiment of the present invention is directed to an artificial disc that can be used as a replacement for an intervertebral disc (e.g., a human intervertebral lumbar disc, a human intervertebral cervical disc and/or a human intervertebral thoracic disc).

Abstract: An intervertebral implant having an upper and a lower closing plate designed to engage the vertebral end plates. The implant has a deformable body between the closing plates. Between the deformable body and closing plates are cover plates. A plurality of fiber windings run between the cover plates to hold together the cover plates and the deformable body.

Abstract: An inter-vertebral disc prosthesis intended for percutaneous deployment comprises an expandable annular enclosure and an expandable nuclear enclosure. The expandable annular enclosure incorporates a reinforcing annular band along its periphery and is filled with in-situ curable rubber. The expandable nuclear enclosure is filled with a gas. The nuclear prosthesis further incorporates a novel, integrally molded sealing valve assembly and is stretchable and collapsible into a minimal profile for ease of insertion into a specially designed delivery cannula, and is inflation-assisted expandable into an inter-vertebral disc in which complete percutaneous nuclectomy has been performed.

Abstract: Embodiments of the invention include expandable medical implant systems and methods. The systems may include devices to reinforce a tube through which a fill material may be moved at least in part into expandable medical implants. In some embodiments, an implant replaces one or more of vertebral bodies, portions of vertebral bodies, discs, and portions of discs of the spine.

Abstract: The invention provides a method of correcting numerous bone abnormalities including bone tumors and cysts, avascular necrosis of the femoral head, tibial plateau fractures and compression fractures of the spine. The abnormality may be corrected by first accessing and boring into the damaged tissue or bone and reaming out the damaged and/or diseased area using any of the presently accepted procedures or the damaged area may be prepared by expanding a bag within the damaged bone to compact cancellous bone. After removal and/or compaction of the damaged tissue the bone is stabilized.

Abstract: A system for distributing bone graft material in an intervertebral disc space is provided having a central beam having a proximal portion having an end, a grafting portion having a top and a bottom, a distal portion having a end, a central beam axis, a graft distribution channel having an entry port at the end of the proximal portion, a top exit port at the top of the grafting portion, and a bottom exit port at the bottom of the grafting portion. These systems can also include a laterovertically-expanding frame operable for a reversible collapse from an expanded state into a collapsed state. The expanded state, for example, can be configured to have an open graft distribution window that at least substantially closes upon the reversible collapse.

Abstract: A device is provided that is non-rigid, i.e., flexible and/or malleable, in a first form, and then transformable after insertion to an in vivo site into a rigid, or hardened, form; a cure-initiating energy is applied to the device; and the device is then positioned in the in vivo site where it hardens to provide a load-bearing function or other structural and/or mechanical function. The device includes a biocompatible sheath and a curable material sealed within the sheath. The curable material is provided in a first form that provides flexibility to the device and is structured to rigidize in a second form after application of a quantity of an initiating energy to the material.

Abstract: Inflatable multi-chambered devices are provided for repairing or replacing spinal discs and distracting neighboring vertebral elements. Also included are cushioning devices that may be used in a joint replacement device cushioning system. Further included are kits and systems that include such devices, methods for making such devices, and methods of treating patients in need of such devices. Examples further include cosmetic augmentation and restoration devices.

Abstract: A device includes a first reservoir configured to include a degradation agent, a second reservoir configured to include an osteogenerative agent, and a controller configured to selectively initiate access to the first reservoir or the second reservoir.

Abstract: A device includes a sensor configured to determine a condition associated with a nucleus pulposus, a reservoir configured to include a first agent capable of affecting the condition associated with the nucleus pulposus, a control element configured to provide access to the reservoir, and a controller in communication with the sensor and the control element. The controller is configured to manipulate the control element to provide access to the reservoir in response to the condition determined by the sensor.

Abstract: An inter-vertebral disc prosthesis intended for percutaneous deployment comprises an expandable annular enclosure and an expandable nuclear enclosure. The expandable annular enclosure incorporates a reinforcing annular band along its periphery and is filled with in-situ curable rubber. The expandable nuclear enclosure is filled with a gas. The nuclear prosthesis further incorporates a novel, integrally molded sealing valve assembly and is stretchable and collapsible into a minimal profile for ease of insertion into a specially designed delivery cannula, and is inflation-assisted expandable into an inter-vertebral disc in which complete percutaneous nuclectomy has been performed.

Abstract: Vertebral body replacement apparatuses, systems, and methods are provided. In various examples, an implantable device is configured to be inserted between a first vertebral body and a second vertebral body. The implantable device includes a first endplate configured to contact the first vertebral body. A second endplate is configured to contact the second vertebral body. An expansion bladder is disposed between and coupled to the first endplate and the second endplate. The expansion bladder includes a first chamber and a second chamber. The first chamber and the second chamber are sealed from fluid communication with one another. An injection port is disposed through one of the first endplate or second endplate. The injection port includes a first channel in fluid communication with the first chamber and a second channel in fluid communication with the second chamber.

Abstract: A spinal distracter and stabilizer has resilient, conformable bone contacting sections which are separated by an expandable chamber that extends from one of the sections, and which forms a ratchet with the section, ensuring that once expanded by being filled with a substance, cannot contract absent intervention by a medical practitioner. The stabilizer may be filled with a material which solidifies, after which some or all of the device may biodegrade. The device may also be provided in separable portions to facilitate implantation. The conformable sections distribute the distraction and stabilizing force evenly over the bone surface, reducing the incidence of disruption to the integrity of the bone.

Abstract: A protective cover prevents undesired leakage of materials out of a spinal implant. In one embodiment, the implant is a lateral interbody fusion implant that accommodates biologically active material to promote bone ingrowth. The protective cover prevents unintended migration of the biologically active material out of the implant and into surrounding tissue.

Abstract: A prosthesis system comprises plates that can be positioned against vertebrae and a selected resilient core that can be positioned between the plates to allow the plates to articulate. The selected resilient core can be chosen from a plurality of cores in response to patient characteristics, such as age and/or intervertebral mobility, such that the prosthesis implanted in the patient is tailored to the needs of the patient. The plurality of cores may comprise cores with different resiliencies, and one of the cores can be selected such that the upper and lower plates articulate with the desired shock absorbing resiliency and/or maximum angle of inclination when the one selected core is positioned between the plates.

Abstract: A flexible prosthetic cover shaped to form a replacement nucleus pulposis for an intervetebral disc with an aperture for the introduction of filling material therein, and an elongate introducer member configured to pass into the aperture is provided. The cover has a strengthened portion substantially opposite the aperture for engaging the distal end of the member, the strengthened portion and the distal end being arranged to interlock, for facilitating orientation of the cover, for example so as to prevent relative rotation there between.

Abstract: A bone implant device includes a barrel having a sharpened distal end for advancing into bone and a proximal end portion configured to engage a driver end for advancing and turning the barrel to implant the barrel into bone. A channel is formed longitudinally through at least a portion of the barrel and is open ended on the proximal end portion. A permeable material is disposed within the channel that permits fluid communication therethrough between the distal end and the channel. Methods of use are disclosed.

Abstract: A spinal facet joint implant suitable for minimally invasive implantation and capable of transitioning from a compact first configuration to an expanded second configuration is made of a swellable and compressible fluid absorbing polymer. The implant is dimensioned and configured, while in the first configuration, to fit within the lumen of a surgical needle. In the expanded, second configuration, the implant exerts pressure within the facet joint which helps keep the facet joint from collapsing and anchors the implant in place. A spinal facet joint implant herein may also be dimensioned and configured to occupy a portion of the capsule of a facet joint. A spinal facet joint implant for treating inflammation made from a fluid absorbing polymer absorbs and sequesters inflammatory agents as it absorbs synovial fluid in situ. Methods of making and implanting a spinal facet implant are provided.

Abstract: Disclosed herein are methods and devices for repairing articular surfaces. The articular surface repairs are customizable or highly selectable by patient and geared toward providing optimal fit and function.

Abstract: A surgical implant for repairing an intervertebral disk. The implant includes an inflatable bladder and an externally threaded inlet port connected to the bladder. The inlet port has a threaded bore through which a filler is admitted into the bladder to inflate it. A setscrew is screwed into the threaded bore for plugging the threaded bore to retain the filler in the bladder.

Abstract: An expandable intervertebral implant (10) includes superior (20) and inferior (30) bone contacting members and at least one vertical wire netting (50) interconnecting the superior and inferior bone contacting members. The superior and inferior bone contacting members include at least two bone contacting components interconnected via one or more lateral wire nettings such that the implant is vertically and laterally expandable in situ from a first insertion configuration to a second expanded configuration. The vertical and lateral wire netting are preferably constructed of a plurality of individual link members. The present invention also preferably relates to an associated method of manufacturing the intervertebral implant such that the intervertebral implant can be manufactured as an integral component or part.

Abstract: The present invention provides both a device and a method. The device is a human made replacement for the soft discs in the spine. A fabric pouch encloses a central hydraulic element made up of small soft beads. Two pouches with beads are implanted into a prepared disc space to function as an intervertebral disc. The method is conversion of the device into a fusion element.

Abstract: A nucleus replacement mimics a native annulus in shape and function for use in partial disc arthroplasty. The nucleus replacement includes a jacket having a compartment, a first anchoring limb on one side of the compartment, and a second anchoring limb on an opposite side of the compartment. The jacket is insertable into a disc space through an operating channel in at least one of the vertebral pedicle and the vertebral body. A shock absorbing material is injectable into the compartment after installing the jacket into the disc space. The shock absorbing material has characteristics that absorb loads on the replacement.

Abstract: The present invention is directed to a porous or permeable containment device for implanting into the interior volume of a targeted vertebral body for use in restoring the anatomy of the targeted vertebral body. The containment device is expandable from an insertion configuration to an expanded configuration via, for example, a bone filler material. The containment device preferably permits the bone filler material to flow out of the containment device via, for example, one or more pores, one or more flow-directing tentacles, etc. so that the bone filler material may interdigitates with the surrounding bone tissue. The containment device is preferably configured to have a pre-determined, ‘dog-bone’ shape, when in the expanded configuration.

Abstract: An intervertebral implant has an implant structure providing a fixation surface for fixation to the endplate of a vertebral body. The fixation surface includes two bone contact regions at different heights in an axial direction. A transition between the two contact regions has a stepped form including at least two steps.

Abstract: The embodiments provide a method for treating an intervertebral disc having a nucleus pulposus and an annulus fibrosis, using one or more polyelectrolyte materials. Additionally, the embodiments provide a method for bulking up an intervertebral disc having a nucleus pulposus and an annulus fibrosis, using one or more polyelectrolyte materials. The methods comprise introducing an amount of the polyelectrolyte materials into the intervertebral disc space without removing nucleus pulposus or annulus fibrosis material.

Abstract: Systems are provided for reducing the complexity and invasiveness of spinal stabilization procedures and provide an expandable device deliverable to a spinal implantation location. The expandable device can be delivered through a minimally invasive access portal and expanded at the implantation location to manipulate one or more bony structures or maintain a configuration of one or more bony structures.