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Means for use in bone reperation

Subclass of:

606 - Surgery

606001000 - INSTRUMENTS

606053000 - Orthopedic instrumentation

Patent class list (only not empty are listed)

Deeper subclasses:

Class / Patent application numberDescriptionNumber of patent applications / Date published
606087000 Osteotomy jig or fixture 386
606092000 Device for the application of bone cement 221
606086000 Tool for installing or removing spinal positioner or stabilizer 182
606096000 Drill or pin guide 150
606099000 Prosthesis insertor or extractor 141
606104000 Screw or pin placement or removal means 119
606090000 Joint distractor 113
606102000 Gauging or measuring device 73
606091000 Acetabular cup positioner 48
606103000 Wiring aid 31
606105000 Bone compression or distraction 9
606086000 Tool for installing or removing cortical plate 8
606101000 Nail or plate bender 4
20110270262Systems, Devices and Methods for Bending an Elongate Member - Systems, devices and methods are provided for bending an elongate member used in a medical procedure. In one form, the device includes a bending mechanism having a plurality of engaging members are selectively positioned relative to a receiving area. In one embodiment, a first set of engaging members is positioned in a select arrangement, and a second set of the engaging members is movable relative to the select arrangement of the first set of engaging members to compressingly engage the elongate member to bend the elongate member to a desired shape/contour. The device also includes a heating element configured to apply heat to one or more portions of the elongate member to facilitate bending. In one form, the elongate member is formed of a heat deformable material, and heat is applied to soften one or more portions of the elongate member to provide added flexibility to facilitate bending.11-03-2011
20090222020Surgical Bending Forceps and Bending Forceps System - Bending forceps (09-03-2009
20110092981BENDING TOOL AND METHOD FOR RESHAPING A BONE PLATE - A bending tool is provided for reshaping a bone plate that is preassembled with a pair of spaced-apart threaded, cylindrical elements removably attached to the bone plate and extending above the top surface of the bone plate. The bending tool has a handle and a distal head attached to the distal end of the handle. The distal head has a cavity that is sized and shaped to fit over the pair of spaced-apart threaded, cylindrical elements. The user, while holding the bone plate, may manually apply a leverage force to the bending tool while the cavity of the distal head is fitted over the pair of spaced-apart threaded, cylindrical elements to transmit a sufficient, regionalized bending moment to the bone plate through the pair of threaded, cylindrical elements to reshape the bone plate.04-21-2011
20110264100Bone Plate Bender System - A pair of plate benders are provided for bending a bone plate. Each bender includes a lever arm having a first end and a second end. The first end includes a fulcrum for placement on the upper surface of the plate, and a foot insertable through the oblong screw hole to contact the lower surface of the plate. The second end includes a cut-out with a central divider. The cut-out has a length dimensioned to extend widthwise about the plate at the location of the oblong screw hole with the divider extending into the oblong screw hole for stability. The second end may also be provided with a deep slot that accommodates the thickness of the plate. In use, plate benders with such structure can be used in pairs to longitudinal bend the plate; bend the plate in plane; or twist the plate along its axis.10-27-2011
Entries
DocumentTitleDate
20120172939Electric Motor Driven Tool For Orthopedic Impacting - An orthopedic impacting tool comprises a motor, a linear motion converter, an air chamber, a compression piston, an impacting element, an anvil element, and a broach adapter. The compression piston may cause the impacting element to apply controlled force on a broach adapter to create a precise opening for subsequently disposing a prosthesis in a patient. The tool may further comprise a detent for holding the impacting element in a position until a sufficient pressure is applied to release the impacting element. The tool allows forward or backward impacting for expanding the size or volume of the opening or for facilitating removal of the broach and tool from the opening. A force adjustment control of the tool allows a user to increase or decrease the impact force. A light source and hand grips improve ease of operation of the tool.07-05-2012
20090054934EXPANDABLE FILLERS FOR BONE CEMENT - Methods, systems, and mixtures deliver a bone cement to a void in a bone, and provide an expandable filler for expanding the volume of the bone cement. The void in the bone is accessed and a bone cement material is introduced into the void in the bone. An expandable filler is introduced into the void in the bone. The introduction of the filler can take place simultaneously with the introduction of the bone cement or before or after the bone cement. The expandable filler can be expanded and the bone cement can be allowed to set.02-26-2009
20100152793TRANSCORPOREAL SPINAL DECOMPRESSION AND REPAIR SYSTEMS AND RELATED METHODS - A system and method are provided for making an access channel through a vertebral body to access a site of neural compression, decompressing it, and repairing the channel to restore vertebral integrity. System elements include an implantable vertebral plate, a guidance device for orienting bone cutting tools and controlling the path of a cutting tool, a bone cutting tool to make a channel in the vertebral body, a tool for opening or partially-resecting the posterior longitudinal ligament of the spine, a tool for retrieving a herniated disc, an implantable device with osteogenic material to fill the access channel, and a retention device that lockably-engages the bone plate to retain it in position after insertion. System elements may be included in a surgery to decompress an individual nerve root, the spinal cord, or the cauda equina when compressed, for example, by any of a herniated disc, an osteophyte, a thickened ligament arising from degenerative changes within the spine, a hematoma, or a tumor.06-17-2010
20110196435DEVICE AND METHOD FOR BONE ADJUSTMENT OPERATING WITH WIRELESS TRANSMISSION ENERGY - A method and a device for bone adjustment in a mammal is presented, wherein a device is implanted in the body of said mammal, said device being a device exerting a force to anchoring devices anchored in said bone. The method and device has utility in therapeutic and cosmetic bone adjustments, including the lengthening, reshaping and realigning of bones, joints or vertebra, for example in the correction of congenital deformations, restorative orthopaedic surgery and the like.08-11-2011
20110196432METHOD AND SYSTEM FOR COMPRESSION AND FIXATION OF TENDON TO BONE - Methods and devices may be used to compress and fix soft tissue to bone. Exemplary embodiments described including methods of fixing tendon to bone in an anterior cruciate ligament replacement surgery. Through compressing tendon in situ within bone, tendons may be fixed to bone while limiting axial movement of tendons and adverse effects on tendon tension.08-11-2011
20100082073Methods and Compositions for Stabilization of a Vertebra - Compositions and methods are provided for stabilization and treatment of vertebrae, and in particular for stabilization and treatment of a vertebra having a fracture. Compositions are provided that stabilize and heal a fracture while facilitating healing and reducing the chance for re-injury to the vertebra or adjacent vertebra. Methods include elevation of the vertebra to facilitate healing under reduced pressure situations and include leverage points to elevate the fracture before or during composition insertion.04-01-2010
20090062871BALLOON CANNULA SYSTEM FOR ACCESSING AND VISUALIZING SPINE AND RELATED METHODS - Balloon cannula systems may be used for accessing and visualizing the spine and related methods of treatment, including a forward-looking balloon system for creating a working space and the balloon system having atraumatic dissection capability to allow visualization in spine. The devices and methods described may be used, for example, to perform annulus repair, herniated disc excision, and denervation of neurological tissue; to dispense pharmacological agents and/or cell or tissue therapy agents; to diagnose disc degeneration and bony degeneration, spinal stenosis, and nucleus decompression, and to perform disc augmentation.03-05-2009
20100076506INSTRUMENTATION AND METHODS FOR USE IN IMPLANTING A CERVICAL DISC REPLACEMENT DEVICE - Instrumentation for implanting a cervical disc replacement device includes cervical disc replacement trials for determining the appropriate size of replacement device to be implanted, an insertion plate for maintaining the elements of the replacement device in fixed relation to one another for simultaneous manipulation, an insertion handle for attachment to the insertion plate for manipulation of the elements, an insertion pusher for releasing the insertion handle from the insertion plate, a drill guide that cooperates with the insertion plate to guide the drilling of tap holes for bone screws to be placed through bone screw holes in the flanges of the replacement device, clips that are applied to the flanges after placement of the bone screws to resist screw backout, and a clip applicator for applying the clips to the flanges.03-25-2010
20100076505HIP SURGERY SYSTEMS AND METHODS - Orthopedic systems and methods are provided for use in preparing joints for implants. Specifically, hip preparation systems and methods are disclosed which can include a surgical orientation device. The hip preparation systems and methods can be used, for example, to orient the hip during the procedure, determine the orientation of an anatomical plane or planes, and orient a prosthetic component or components.03-25-2010
20100076501METHOD AND DEVICE FOR BONE REGENERATION - The invention is directed to a method for adapting a bone graft implantable into a host bone for promoting host bone regeneration, the method comprising providing a bone graft comprising bone material and having a surface contactable with a host bone; and adapting at least a portion of the surface to produce a surface roughness similar to the roughness of a fracture surface of bone. Also included is a bone graft having at least a portion of a bone graft surface with a surface roughness similar to that of a fracture surface of bone, a device for adapting bone material having a plurality of impact tips to contact a surface of the bone material to be adapted to produce a bone material surface roughness similar to the roughness of a fracture surface of bone, and use of a device to adapt a surface of a bone material, the device having an impact tip arranged to contact the surface of the bone material to adapt the surface to produce a surface roughness similar to the roughness of a fracture surface of bone.03-25-2010
20100076502Curvilinear spinal access method and device - A curvilinear spinal access device having an expandable working portal. The device includes a slide having a channel with an open top and a movable top sized to cover the open top of the channel forming an expandable working portal with a proximal end and a distal end. The movable top can be moved between a closed position and an open position, wherein in the closed position the movable top blocks direct visualization between the proximal end and the distal end of the expandable working portal and in the open position movement of the movable top results in direct visualization from the proximal end to the distal end of the expandable working portal.03-25-2010
20120245646BONE COMPACTOR - A bone compacting device for compacting cancellous bone within a bone cavity, the bone compacting device including a body having a plurality of segments, wherein each segment is adjacent to at least one adjacent segment between a first end and a second end of the body, and wherein each of the plurality of segments is independently expandable to contact the cancellous bone.09-27-2012
20120245645NAVIGATION AND POSITIONING SYSTEMS AND GUIDE INSTRUMENTS FOR JOINT REPAIR - A system and associated instruments for locating, and accurately and controllably delivering, a device to an area sufficiently near a bone defect using anatomical landmarks is provided. The instruments allow the surgeon to navigate to the area around the bone defect quickly and easily, while also facilitating proper insertion of the device. In some embodiments, the defect is located on a femur. Guide instruments having a plurality of device portals are also provided for use as standalone instruments or as accessories to the system. In addition, a protective guide sleeve is provided for the insertion of small diameter devices.09-27-2012
20100010549 DEVICE AND METHOD OF MINIMALLY INVASIVE EXTRACAPSULAR LIGAMENTOUS AUGMENTATION FOR CANINE STIFLE LIGAMENT INJURIES - The present invention relates to the field of veterinary medicine. In particular, methods and devices are described for augmenting ligaments of the canine stifle joint. In some embodiments, the medial or lateral collateral ligaments are augmented or replaced using an implantable device containing biodegradable matrix containing microparticles.01-14-2010
20130041417SPIRAL ASSEMBLY TOOL - An assembly tool for assembly of a first component of a prosthesis to a second component of the prosthesis for use in joint arthroplasty. The tool includes a first member operably associated with the first component and a second member operably associated with the second component. The second member includes a cap having a threaded recess and further includes a threaded rod adapted to engage the threaded recess so as to move the second member relative to the first member and the threaded rod is made of a harder metal than the threaded recess.02-14-2013
20130041416POSITIONING SYSTEMS AND METHODS FOR IMPLANTING AN ENERGY ABSORBING SYSTEM - Positioning instruments and related methods are described for implanting an energy absorbing system for treating joints. The positioning instruments and methods allow the energy absorbing system to be positioned at a joint such that the desired motion will occur for the particular design of a particular energy absorbing system which is to be implanted. The positioning instruments include a locating instrument for locating an anatomical feature and a target location for implantation of the energy absorbing system, a verification instrument for verification of the target location, a placement guide for guiding placement of a part of the energy absorbing system, and positioning device for aligning portions of the energy absorbing system.02-14-2013
20100100142INTRODUCER WITH DISSECTION FUNCTION FOR PECTUS EXCAVATUM REPAIR OPERATION - Disclosed herein is an introducer with a dissection function for correction of pectus excavatum, which can form a passageway in the chest to insert a correcting metal bar thereinto in an operation to correct pectus excavatum, which is a sort of chest deformity. The introducer includes: an induction pipe having a hollow cross-section and made of a rigid material, the induction pipe being curved longitudinally; and an observation part joined to an end portion of the induction pipe, the observation part having a hollow cross-section and a transparent wall body.04-22-2010
20100106203METHODS AND APPARATUSES FOR FACILITATING PERCUTANEOUS FUSION - A delivery mechanism comprising a dilator, catheter, lumen or the like is provided to allow a filler material to be injected to a gap in a partially fused intervertebral disc space to allow correction of the incomplete, partial, or deteriorated fusion.04-29-2010
20100106202System and method for distal radioulnar joint resurfacing with dynamic fixation - A joint resurfacing system for repairing defects in the articular surface of the distal radioulnar joint. The system includes a hemiarthroplasty implant device for the ulna resulting in minimal removal of the underlying bone. The implant device includes a curved body, an interior surface and an opposed exterior surface, where the interior surface is coupled to an articular surface of an ulna bone. The system also includes a fixation device having a threaded end with the threaded end coupled to the implant device in order to apply a compressive force on the implant device. the fixation device may be selected from either a dynamic fixation device or a static screw device.04-29-2010
20090036936TRANSLAMINAR APPROACH TO MINIMALLY INVASIVE LIGAMENT DECOMPRESSION PROCEDURE - Provided herein is a method for treating spinal stenosis comprising percutaneously accessing the epidural space from a first side of the spine. The first side of the spine is located on one side of the medial plane with respect to the spinal cord. A tissue removal tool is then advanced through the first side of the epidural space into the other side of the epidural space, where the other side of the epidural space is located on the other side of the medial plane of the spinal cord. Once the tissue removal tool is located on the second side of the medial plane, stenosis can be reduced using the tissue removal tool.02-05-2009
20100094361FLEXIBLE TREPHINE AND METHOD OF REMOVING A BOWED IMPLANT FROM A BONE - A flexible trephine includes a flexible section that is formed of a spring member. The trephine is tubular and includes a central passage so that the trephine can coaxially fit over a longitudinal implant while force is applied to the trephine. The trephine has an annular cutting head for removing bone that surrounds the implant, so that the implant can be removed. The trephine is urged in the longitudinal direction of the implant while fitted coaxially on the implant so that the implant can be separated from the bone. The flexible section of the trephine allows the trephine to conform to and follow a bowed implant. The cutting head can include multiple teeth or a single osteotome.04-15-2010
20130046353OVAL TUNNEL DILATORS - A dilator apparatus having a body having a proximal end and a distal end and a longitudinal axis defined therethrough, and a dilation member coupled to the distal end of the body, the dilation member having a dilation body and a first distal nose coupled to the dilation body. Further, the width of the dilation body is larger than a width of the first distal nose.02-21-2013
20090043345Methods and devices for interbody spinal stabilization - Methods and instruments for preparing a disc space and for forming interbody devices therein are provided. The instruments include distractors having enlargeable portions positionable in the disc space for distracting the disc space. The enlargeable portions can also provide form about or against which an interbody device of a first material is placed. A second material may be placed in the disc space in the space previously occupied by the distractors.02-12-2009
20100004702Tibial Augmentation Guide - A guide for use in making tibial augmentation cuts is disclosed. The guide is preferably for use subsequent to an initial cut being made. A method of utilizing the guide, as well as making the initial cut is also disclosed.01-07-2010
20100004701METHODS AND APPARATUS FOR DEPLOYING SPINOUS PROCESS CONSTRAINTS - A surgical tool for deploying an implant includes an elongate outer shaft having a proximal end, a distal end and a central channel therebetween. An elongate inner shaft is at least partially slidably received in the central channel and an actuator mechanism is operatively coupled with either the outer or inner shaft. The tool also includes a piercing element that is coupled with the outer shaft and releasably coupled with the implant.01-07-2010
20100131021LOCATING A BONE AXIS - A technique for locating an axis of a bone, which extends through the centre of rotation of the bone around a joint between that bone and another bone, involves a. moving the bone in a plane about the said joint, between a first point and a second point, b. locating a third point which is equidistant from the first and second points, and c. locating the axis which passes through the third point, perpendicular to a line which connects the first and second points. The invention provides an instrument for performing this technique.05-27-2010
20130066387ORTHOPAEDIC FIXATION SYSTEM, TARGETING DEVICE FOR SUCH A FIXATION SYSTEM AND ORTHOPAEDIC FIXATION METHOD - An orthopaedic fixation system includes an anchoring element, which can be anchored to a bone and can be connected to a further anchoring element by means of a stabilisation element. The anchoring element may include a stabilisation element seating, into which the stabilisation element can be guided. The orthopaedic fixation system may also include an extension device for the anchoring element having a longitudinal extent with a proximal section and a distal section. The distal section can be detachably fixed to the anchoring element. The fixation system may further include a holding device with a probe seating for an extracorporeal ultrasound probe and a coupling device for coupling the holding device to the proximal section of the extension device. A targeting device for a fixation system and an orthopaedic fixation method are also described.03-14-2013
20120116469BONE REGENERATION DEVICE FOR BONES, AND METHOD OF USE - A method of stimulating bone regeneration in a discontinuous section of a long bone in a subject requiring same, comprising the step of applying to said discontinuous section of the bone an effective vacuum for an effective length of time. A device for carrying out the method consisting of a sealable tubular-shaped sleeve or cuff that fits snugly and sealably around the bone section to be treated and that can be evacuated via a port that is integral to the sleeve or port.05-10-2012
20120116468ALIGNMENT GUIDE - A surgical instrument alignment guide comprising a mount (05-10-2012
20100087878DEVICE AND METHOD TO ACCESS THE ANTERIOR COLUMN OF THE SPINE - Methods and devices are configured to permit a surgeon to access the anterior column of the spine without significant manipulation of intervening nerve elements.04-08-2010
20100087880Facet Joint Replacement Instruments and Methods - A facet joint replacement system includes an inferior implant with an inferior articular surface, a superior implant with a superior articular surface, and an optional crossbar. The inferior implant and the superior implant are each polyaxially adjustably connected to fixation elements which anchor the implants to adjacent vertebrae. The optional crossbar may be polyaxially adjustably connected to bilateral implants. The system components may be provided in kits which provide components of various sizes and shapes. A set of surgical instruments may facilitate implantation of the facet joint replacement system by providing tools for bone preparation, trialing, implant insertion, implant alignment, and lock-out of modular interconnections.04-08-2010
20130018430METHOD AND APPARATUS FOR DETERMINING ACETABULAR COMPONENT POSITIONING - An instrument for establishing orientation of a pelvic prosthesis comprises a tripod having an angularly adjustable guide rod on it. The tips of the legs define a plane, and the guide rod is set by the surgeon to a defined orientation with respect to this plane on the basis of preoperative studies. In use, two of the legs of the instrument are positioned by the surgeon at defined anatomical locations on the pelvis (e.g., a point in the region of the posterior/inferior acetabulum and a point on the anterior superior iliac spine). The third leg then lands on the pelvis at a point determined by the position of the first two points, as well as by the separations between the third leg and the other two legs. The position of the guide rod then defines with respect to the actual pelvis the direction for insertion of a prosthesis.01-17-2013
20100280561Thermal-Responsive Polymer Networks, Compositions, And Methods And Applications Related Thereto - The invention relates to materials comprising polymer network containing siloxanes or organic-based core structures, preferably the materials have thermal-responsive properties. In some embodiments, the invention relates to an organic core functionalized with polymers. In another embodiment, organic core-polymer conjugates comprise polylactone segments. The organic core-polymer conjugates may be crosslinked together to form a material, and these materials may be functionalized with bioactive compounds so that the materials have desirable biocompatibility or bioactivity when used in medical devices. In some embodiments, the invention relates to silsesquioxane groups functionalized with polymers. In another embodiment, silsequioxane-polymer conjugates comprise polylactone segments. The silsequioxane-polymer conjugates may be crosslinked together to form a material, and these materials may be functionalized with bioactive compounds so that the materials have desirable biocompatibility or bioactivity when used in medical devices. In further embodiments, the invention relates to composite materials that contain a polymer matrix and aggregates, and in some embodiments, methods of making, and methods of using these materials. Preferably, the aggregates are calcium phosphate aggregates. Preferably, the material is resistant to fracture. In further embodiments, the materials are used in surgical procedures of bone replacement. In further embodiments, the materials contain polyhedral silsesquioxanes and/or biodegradable segments11-04-2010
20100004697Disengageable Anti-Return Device for a Rib Distractor - The invention concerns a distraction device (01-07-2010
20110282403BONE GRAFT APPLICATOR - A bone graft applicator for applying bone graft to an orthopaedic implant. The bone graft applicator includes a pair of arms and a bone graft receptacle sized and shaped to be able to receive a portion of the orthopaedic implant within the receptacle. The bone graft receptacle is coupled to each of the pair of arms. The bone graft applicator also includes a linking mechanism. The linking mechanism includes a recess sized and shaped to extend at least partially around the portion of the orthopaedic implant and is coupled to the bone graft receptacle.11-17-2011
20090312807METHODS AND APPARATUS FOR JOINT DISTRACTION - A method of treating a patient's joint having opposing joint surfaces includes providing an elongate member having a proximal end, a distal end and an expandable member near the distal end. The expandable member is positioned in the joint between the joint surfaces and expanded so as to separate the joint surfaces away from one another into a distracted position. The joint is manipulated while in the distracted position so that the joint is distracted and in flexion. A diagnostic or therapeutic procedure is then performed on the joint while maintaining the joint in the flexed and distracted position.12-17-2009
20090240293METHODS AND APPARATUS FOR PERFORMING PROCEDURES IN THE SPINE - Disclosed are methods of accessing and treating the spine, while minimizing trauma to surrounding tissue. A device is introduced through tissue, to an access point on the spine. The device is thereafter advanced axially within the spine, from the access point across a treatment zone. In one application, the access point is on the anterior surface of the spine, and, in another application, the access point is on the posterior surface of the spine. The lumen created through the spine across the treatment zone may be either substantially linear, or curved.09-24-2009
20090082822Transpedicular, Extrapedicular and Transcorporeal Approaches to the Intervertebral Discs - A method of surgically accessing intervertebral disc space involves a less invasive technique than prior procedures. The method avoids violation of the disc annulus and utilizes the annulus for containment of artificial disc material. The less invasive technique results in less blood loss and minimization of surgical trauma. The method includes the steps of identifying a target disc space, preparing portals adjacent the disc space, introducing a guide wire into each of the portals, using the guide wires, removing a core of bone with a trephine along each of the portals, and accessing the intervertebral disc space for performing intradiscal procedures.03-26-2009
20110301655BONE FRACTURE FIXATION SYSTEM - A bone fracture fixation system including a bone plate having a contour that substantially matches the contour of an underlying bone. The bone fracture fixation system can also include a jig that can be moved relative to non-parallel cannulas guided by the jig into operative position relative to a bone plate. In one embodiment, the jig includes grooves which do not completely surround the perimeter of the cannulas guided by the jig. The bone fracture fixation system can also include a jig including guides having a position and orientation which is adjustable relative to other ones of the guides. In one embodiment, the jig includes two portions that can articulate with respect to each other. The bone fracture fixation system can also include a wire bender that can bend a wire greater than 180 degrees so that both ends of the wire can be inserted into a fractured bone.12-08-2011
20110288600TARGETING AN ORTHOPAEDIC IMPLANT LANDMARK - A system for targeting landmarks on devices such as surgical implants is disclosed. The system can include a field generator for generating one or more magnetic fields, an orthopaedic implant located within the magnetic fields, the implant having at least one landmark, a removable probe with a first magnetic sensor, a landmark identifier and a processor. The landmark identifier can contain a second sensor, or, alternatively, the field generator. The processor can utilize sensor data and, if desirable, field generator and other information, to generate and display the position and orientation of the sensor(s) in preferably six degrees of freedom, and thereby, to generate and display the position and orientation of the landmark(s). The system allows for blind targeting of one or more landmarks. The landmark identifier, field generator and/or drill motor may be disposed in an autoclavable housing.11-24-2011
20130190832Three Dimensional Life-Size Model of a Child's Skull And Method Using Said Model - The present invention relates to a method for the manufacture of a three-dimensional life-size model of a human child's skull, as well as to methods using the model. The invention provides method for the manufacture of a child's skull within its first year of life. The method comprises the steps of establishing shape characteristics of a child's skull from the group of features including the horizontal curvature of the forehead, the vertical curvature of the forehead, the width of the forehead, the fronto-nasal angle, the fronto-occipital diameter, the biparietal diameter and the horizontal radius of curvature of the occipital module, selecting one or more of the established features and preparing a three-dimensional model of a child's skull or parts from the skull from the selected features.07-25-2013
20110295329Patient Selectable Joint Arthroplasty Devices and Surgical Tools - A patellar 3-D guidance tool includes a template. The template includes at least one contact surface for engaging a surface of the patella. The at least one contact surface substantially conforms with the surface associated with the patellar. At least one guide aperture directs movement of a surgical instrument, wherein the shape and/or position of the guide aperture is based, at least in part, on three or more anatomic reference points associated with the patellar.12-01-2011
20100211120METHODS AND DEVICES FOR UTILIZING BONDABLE MATERIALS - The invention primarily relates to fastening and stabilizing tissues, implants, and/or bondable materials, such as the fastening of a tissue and/or implant to a bondable material, the fastening of an implant to tissue, and/or the fastening of an implant to another implant. This may involve using an energy source to bond and/or mechanically to stabilize a tissue, an implant, a bondable material, and/or other biocompatible material. The invention may also relate to the use of an energy source to remove and/or install an implant and/or bondable material or to facilitate solidification and/or polymerization of bondable material.08-19-2010
20090099610METHODS OF STABILIZING THE SACROILIAC JOINT - 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.04-16-2009
20110270328Intramedullary Nail Aiming Device - An aiming plate for orienting tools toward target features of an implant. The aiming plate features a first and a second surface and has a reversible attachment mechanism for attaching to an implant to orientate one of the first and second surfaces to face the implant. The aiming plate also features first and second through holes. The first through hole for receiving a tool extends along a first hole axis from the first surface to the second surface. The second through hole for receiving a tool is positioned adjacent the first through hole and extends along a second hole axis from the first surface to the second surface. The through holes arranged so that the first hole axis is divergent with respect to the second hole axis.11-03-2011
20110270327IMPLANT GUIDE AND METHOD OF USE - An implant guide for preparing a bone surface that includes a handle with an attached finger holder and a template head coupled to the handle. The template head is shaped to approximate the outer perimeter of an implant. The implant guide also includes a central opening that has an aperture and hook for receiving a marking device. A relief is positioned adjacent to the aperture to facilitate the engagement between the implant guide and the marking device. The implant guide may include a medial cutting notch and anterior slot for facilitating the preparation of the bone surface. A surgical kit is also disclosed that includes a plurality of implant guides, each having a handle and attached template head. The kit also includes an enclosure that is configured to hold the plurality of implant guides and marking devices. Further disclosed is a surgical method for using the implant guide.11-03-2011
20090177240LONG BONE FIXATION SYSTEM AND METHODS - A method of stabilizing a fractured bone includes: a) providing a first support member in a medullary canal of a fractured bone; b) providing a second support member outside the fractured bone; c) providing a transverse connector adapted to link the first support member to the second support member in an angle-stable connection; d) connecting the transverse connector to the first and second support members in an angle-stable connection; e) providing one or more bone screws adapted to be connected to the second support member in an angle-stable connection; and f) implanting the bone screws such that the shank of the screw is implanted in the fractured bone while the head of the screw is connected to the second support member in an angle-stable connection. The system provides superior fixation of long bones that allows for early functional range of motion without loss of alignment or fixation.07-09-2009
20100114185DISTRACTION TOOL FOR BONE GROWTH - The described embodiments relate to a bone distraction plate device, which is surgically implanted, and a distraction tool for the purpose of growing new bone through the process of distraction. The device comprises a prosthesis housing a screw mechanism that attaches to a threaded post, which extends through tissue from an onlay plate and is surgically placed on the alveolar bone. The distraction tool is used to rotate the screw mechanism to create extension between the tissue and the onlay plate. After a brief, latent period, the screw mechanism is then activated daily using the distraction tool until the desired amount of new bone growth (height and width) is achieved.05-06-2010
20110264153INTRA-ARTICULAR JOINT REPLACEMENT AND METHOD - Methods of implanting a prosthesis to repair a joint include displacing a first bone from the joint formed by an intersection between the first bone and a second bone. An end portion of the first bone is resected to define a resected end. A concavity is formed into the resected end using a shaping tool. The bone is compacted to form a support layer lining the concavity. The prosthesis is implanted in the concavity against the support layer without attaching the prosthesis to the support layer. The joint is reformed with the prosthesis such that the prosthesis remains unattached to the support layer and the first and second bones articulate about the prosthesis.10-27-2011
20100076504Method and Device for Stabilizing Joints With Limited Axial Movement - An apparatus for stabilizing a joint with low relative motion during orthopedic surgery. The apparatus includes a press-fit fastener body and a coupler. The press-fit fastener body has a proximal end and a distal end and is configured to be press-fit into a tunnel in a first bone member. The coupler is located on or is part of the press-fit fastener body and is configured to receive at least one flexible element trailing from at least one suture anchor. At least a portion of the suture anchors are located within a second bone member.03-25-2010
20110196434SYSTEM AND METHOD FOR RETROGRADE PROCEDURE - A system and method may be used for accessing an articular surface and for preparing an implant site on the articular surface. The method may include locating a portion of the articular. An access passage may be drilled towards the articular surface though bone behind the articular surface. An implant site may be excised in the articular surface relative to an axis defined by the access passage.08-11-2011
20110196433Method and System for Identification of a Center of a Vertebral Disc Space and Corresponding Central Axis of a Spinal Column - An apparatus for locating a central axis of a spinal column and method of using the same is disclosed. The apparatus and method includes one or more members capable of spanning a center line which may then be identified by at least one additional member positioned therebetween. Furthermore, the device may contain or be capable of accommodating various additional tools for marking the location of the central axis of a spinal column.08-11-2011
20100268286METHOD FOR SECURING A MEDICAL ELEMENT IN AN IMPLANT, AND MEDICAL ELEMENT - The invention relates to medical element and a method for securing the medical element in an implant, where the medical element has a connecting pin which is received in a receiving recess of the implant, the pin having a projection on at least one wing of a clip element and movable transversally relative to the longitudinal extension and brought into engagement with a radially outwardly facing corresponding depression in a jacket surface of the receiving recess such that the wing is subsequently secured against radial movement by hardening of a curable compound in the receiving recess.10-21-2010
20090149893Cancellous Bone Implant for Cartilage Repair - The invention is directed toward a cartilage repair assembly comprising a shaped allograft construct comprising a cylindrical mineralized cancellous bone base member and a demineralized cancellous bone cap member having a cylindrical top portion and a stem extending from the top portion mounted to the bone base member. The base member has a central bore and a transverse bore which intersect the central bore and the cap member stem has a through going bore which is aligned with the base member transverse bore when the stem is mounted in the central bore to receive a pin member. Milled cartilage particles having a size ranging from 10 to 212 microns are mixed with a biocompatible carrier and a cartilage growth factor, with the mixture being infused in the cap member to generate cartilage growth.06-11-2009
20100069976Intervertebral Prosthesis Placement Instrument - The invention concerns an intervertebral prosthesis placement instrument which can be used to facilitate accurate positioning of a spinal disc prosthesis between adjacent spinal vertebrae. The instrument (03-18-2010
20120035672CERAMIC CUTTING TEMPLATE - A cutting template or a cutting block, preferably to a cutting template or a cutting block for use in medical technology.02-09-2012
20120109229HIP JOINT INSTRUMENT AND METHOD - A surgical instrument for operating hip joint osteoarthritis in a human patient is provided. The hip joint comprises an acetabulum, being a part of the pelvic bone, and a caput femur, being the proximal part of the femoral bone. The surgical instrument is adapted to assist in the operating of the hip joint osteoarthritis from the abdominal side of the pelvic bone of said human patient.05-03-2012
20120109227Bone Collection System - A bone collection system includes a plunger, a tube, and a manifold. The plunger has a bore therethrough, an insertion portion, and an inlet that accepts material being harvested from a patient. The insertion portion includes a filter to prevent passage of bone fragments. The tube accepts the insertion portion, defining a first and a second chamber of the tube. The filter separates the first and second chambers of the tube. The manifold is accepted by the tube, and has an outlet accepted by a suction source. The inlet of the plunger is in fluid communication with the first chamber, the first and second chambers are in fluid communication through the filter, and the second chamber is in fluid communication with the outlet. Material being harvested is drawn through the bone collection system, and bone fragments of the desired size collected in the first chamber.05-03-2012
20120109226SYSTEM AND METHOD FOR ASSISTING WITH ARRANGEMENT OF A STOCK INSTRUMENT WITH RESPECT TO A PATIENT TISSUE - A stock instrument includes at least one guide interacting feature. A lower instrument surface of the stock instrument is placed into contact with the patient tissue. A guide has a lower guide surface contoured to substantially mate with at least a portion of an upper instrument surface of the stock instrument. A predetermined instrument orientation upon the patient tissue is defined, which is preselected responsive to preoperative imaging of the patient tissue. The guide and instrument are mated in a predetermined relative guide/instrument orientation wherein at least one guide interacting feature of the instrument is placed into engagement with at least one instrument guiding feature of the guide. The guide is moved into a predetermined guide orientation with respect to the patient tissue and concurrently the instrument is moved into a predetermined instrument orientation with respect to the patient tissue.05-03-2012
20120109225ORTHOPEDIC IMPLANT INSERTER WITH REMOVABLE JAWS - An orthopedic implant inserter is provided with removable jaws. The jaws are connected to handles of the inserter by retainers. Each retainer includes a shaft and a latch. The shaft is configured to be received within mounting bores of a jaw and the associated handle. The latch is connected to the shaft and movable between a release configuration and a retaining configuration. In the release configuration, the shaft is removable from the mounting bores and the jaw is thereby removable from the associated handle. In the retaining configuration, the shaft is secured within the mounting bores and the jaw is thereby secured to the associated handle.05-03-2012
20100082074EXTENDED ARTICULATION ORTHOPAEDIC IMPLANT - An instrument for use in removal of a prosthetic implant having a hollow generally hemispherical portion having a peripheral rim, the implant for use performing arthroplasty. The instrument includes a body and a first member connected to the body. The first member includes a contact portion for engagement with the rim of the implant at a first position. The instrument also includes a second member connected to the body, the second member being moveable with respect to the first member, the second member including a contact portion for engagement with the implant at a second position, spaced from the first position. The instrument also includes an urging member for urging the contact portion of the first member toward the contact portion of the second member and for urging the contact portion of the first member away from the contact portion of the second member. The urging member includes a first linking member pivotally coupled to the body and the first member, a second linking member pivotally coupled to the body and the second member, a third linking member coupled to the first and second linking members, and a shaft having a longitudinal axis and coupled to the third linking member, such that as the shaft is moved along the longitudinal axis, the first and second linking members pivot relative to the body, thereby causing the first and second members to pivot relative to the body.04-01-2010
20110172724BIOCOMPATIBLE MAGNESIUM MATERIAL - A biocompatible material from which solid structures such as for example screws or plates can be manufactured, which are used for fixing bone fractures or damage and display an adequate mechanical stability. A mixture of apatite and a magnesium alloy, in the form of chips or powder, is ground in a ball mill until a homogeneous mixture forms. The homogeneous mixture is consolidated in a second step. This can be carried out by extrusion or forging. The desired shape can then be extracted from the obtained solid material by machining.07-14-2011
20080312705SURGICAL GUIDING INSTRUMENT - A surgical guiding instrument for a surgical machining tool has a substantially elongated instrument body having a proximal end and a distal end and defining a longitudinal axis. The instrument body carries a guiding device for the machining tool that can be used in minimally invasive surgery. The guiding device is arranged and constructed so as to enable the machining tool to be positively guided by it along a path of movement defined by the guiding device. The path of movement corresponds to a superimposed translational-pivotal movement.12-18-2008
20100087879Method and Apparatus for Wrist Arthroplasty - A method of implanting a distal radial wrist implant relative to a host radius while salvaging at least portions of fractured radial bone can include, determining a size of a host radius. A distal radial component can be selected based on the determination. The distal radial component can have a body that includes a first connection portion. A stem portion can be selected based on the determination. The stem portion can have a second connection portion. Portions of the fractured radial bone can be located around the body. The portions of the fractured radial bone can be secured relative to the body. The first connection portion of the distal radial component can be coupled with the second connection portion of the stem portion. The distal radial implant can be implanted relative to the host radius.04-08-2010
20100087876METHODS FOR LESS INVASIVE GLENOID REPLACEMENT - The invention features a glenoid (shoulder socket) implant prosthesis, a humeral implant prosthesis, devices for implanting glenoid and humeral implant prostheses, and less invasive methods of their use for the treatment of an injured or damaged shoulder.04-08-2010
20090275995BONE TREATMENT SYSTEMS AND METHODS - The present invention relates in certain embodiments to medical devices for treating osteoplasty procedures such as vertebral compression fractures. More particularly, embodiments of the invention relate to instruments and methods for controllably restoring vertebral body height by controlling the geometry of fill material introduced into cancellous bone. A method of treating bone includes injecting a volume of fill material into a bone and selectively modifying a viscosity of the bone filler to control the direction of flow of the fill material within the bone. A system for treating bone using this method includes an introducer for delivering fill material into the bone and an energy source selectively coupleable to the fill material to alter the viscosity of the fill material via an energy emitter in the introducer.11-05-2009
20090281583FEMORAL TROCHLEA PROSTHESES - Various embodiments of femoral trochlea prostheses useable in a knee joint. The knee joint includes a patella and a distal femur with a femoral trochlea, or patello-femoral groove. In one embodiment, a femoral trochlea prosthesis includes a distal tail. In another embodiment, a femoral trochlea prosthesis includes a wing or extension portion. In yet another embodiment, a set of femoral trochlea prostheses includes a plurality of prostheses having differing thicknesses. In still another embodiment, a femoral trochlea prosthesis includes a porous medium on various portions of the prosthesis.11-12-2009
20090287262Method for accessing a spinal facet joint - A minimally invasive method for accessing a facet joint of the spine is provided. Embodiments of the method include creating a small incision directly over the facet joint and to allow direct access and visualization of the joint. A second incision, which may be a puncture wound, is provided at a distance from the first incision. A path between the second incision and the facet joint is then formed which may be curved or substantially straight. The path is preferably configured to intersect both facet surfaces. The path may be formed using an instrument which can be used to drill a hole across the facets, insert a fastener across the facets, or the like.11-19-2009
20090292323SYSTEMS, DEVICES AND METHODS FOR POSTERIOR LUMBAR INTERBODY FUSION - Described herein are stabilization devices, systems and methods to aid in posterior lumbar interbody fusion (PLIF) surgeries. The stabilization devices (“devices”) described herein are typically self-expanding devices that may be implanted into an intervertebral disc and packed with a bone graft or biologic or synthetic material to promote anchoring of the stabilization device and fusion of the vertebrae adjacent to the intervertebral disc.11-26-2009
20090292322METHOD OF REHABILITATING AN ANULUS FIBROSIS - Systems for minimally invasive disc augmentation include an anulus augmentation component and a nucleus augmentation component. Both are suited for minimally invasive deployment. The nucleus augmentation component restores disc height and/or replaces missing nucleus pulposus. The anulus augmentation component shields weakened regions of the anulus fibrosis and/or resists escape of natural nucleus pulposus and/or the nucleus augmentation component. Methods and deployment devices are also disclosed. Methods of closing a defect in an anulus fibrosus of an intervertebral disc using a barrier are also provided.11-26-2009
20090299416Aiming Device - An aiming device for insertion of a Kirschner-wire to treat a target bone, comprises an aiming block permitting placement of a Kirschner-wire against the target bone and a forceps connected to the aiming block, the forceps being configured to clamp to the target bone.12-03-2009
20110202096Spinal Rod and Screw Securing Apparatus and Method - A minimally invasive and open surgery surgical system for implanting spinal screw assemblies to be connected by a spinal rod is disclosed. In one form, the system includes an improved tool device for inserting a cap insert into an initial and final locking of a screw assembly and securing a spinal rod inserted through an incision to a vertebra. In another form, the system also includes a screw fixation system that allows greater variability in thread diameter for orthopedic implant for in the spine, iliac crest, or bones.08-18-2011
20080275512Arthroscopic unicompartmental knee technique and instrumentation - A method and apparatus for arthroscopic unicompartmental knee surgery which include a femoral component and a tibial component. The femoral component is installed in a trough in the femoral condyle formed by using a template, a plurality of drill pins and a plurality of corresponding cutters. The template is aligned with the curvature of the femoral condyle, the two drill pins are passed through the template and drilled into the femur, cutters are advanced over the corresponding drill pins to make holes in the femur, and the remaining hourglass shaped bone is removed with osteotomy pliers to form the trough. A tibial socket for the tibial component is formed in a retrograde manner.11-06-2008
20100292743SURGICAL INSTRUMENT - An instrument (11-18-2010
20100004700METHOD OF TREATING TISSUE WITH A SUSPENSON OF TRICALCIUM HYDROXYAPATITE MICROSPHERES - A method of treating an intervertebral disk according to the present invention can include delivering a composition to treat the intervertebral disk. The composition has a plurality of microspheres, and can comprise tricalcium hydroxyapatite microspheres suspended in a sodium carboxymethyl cellulose gel. The composition results in at least one of sealing the defect, increasing a pressure of the disk, increasing a height of the disk, improving stability of the disk and improving structural integrity of the disk.01-07-2010
20090143830MOLDABLE PASTE COMPOSITION - The invention concerns a novel moldable and/or flowable composition for application to a bone defect site to promote new bone growth at the site. The composition includes a therapeutic material and a carrier comprising means for achieving reverse phase characteristics. In one embodiment, the therapeutic material can be a resorbable alloplastic material and the carrier can be a poloxamer. In a specific embodiment, the resorbable alloplastic material is a biphasic material composed of hydroxyapatite and tricalcium phosphate (HA-TCP), and the carrier is poloxamer 407 (Pluronic® F127). The invention further includes methods for using the novel composition.06-04-2009
20090264942Methods, Materials and Apparatus for Treating Bone and Other Tissue - A method of treating a vertebra, comprising: 10-22-2009
20080288006Endoscopic Bone Debridement - The invention described includes an osteoendoscopic cylinder for tamponading bleeding along a longitudinal canal surface of an osteocentral canal of a femoral neck so as to allow endoscopic visualization of a segment of osteonecrotic bone within a femoral head. The osteoendoscopic cylinder is of a dimension adapted to receive an endoscope therein and includes an inner visual surface and an outer bony contact surface. An orientation mark along the inner visual surface is of a size and dimension to ensure a first visualization thereof with the endoscope. The first visualization is of an effect to allow spatial orientation of the endoscope within the femoral head. A side opening proximally situated thereabout a proximal handle end is of a size and dimension adapted to mount a vacuum apparatus comprising of a transparent tube.11-20-2008
20090264940SURGICAL TOOL - A tool for use during surgery includes a housing including a distal end and a proximal end, a motor disposed within the housing, and an output shaft having a proximal end connected to the motor and a distal end extending from the distal end of the housing. The tool further includes a battery pack contained within the housing, and a passage extending from the distal end to the proximal end of the housing through the output shaft and the battery pack, wherein the passage is defined by an interior surface of the output shaft and a channel through the battery.10-22-2009
20090264941GUIDE SLEEVE FOR ACCESSING A VERTEBRAL BODY AND RELATED METHODS OF USE - Embodiments of the subject disclosure are directed toward surgical devices, and more particularly, to a guide sleeve apparatus and its use thereof, where the guide sleeve apparatus provides access to a vertebral body for use in various therapeutic treatments. Methods of using such guide sleeves for delivering devices and agents via the access provided by the sleeve, as well as methods of employing the guide sleeve in performing various therapeutic treatments, are also provided.10-22-2009
20090264939INSTRUMENT SET AND METHOD FOR PERFORMING SPINAL NUCLECTOMY - A nuclectomy method for creating a nuclear cavity in an annulus located in an intervertebral disc space and for preparing the nuclear cavity to receive an intervertebral prosthesis. The method involves identifying a plurality of regions in at least a portion of the nucleus. A sequence for removing the regions is also determined. At least one annulotomy is formed in the annulus along an annular axis to provide access to the nucleus. A guide system is positioned relative to the annulotomy. The guide system is configured to limit motion of at least one surgical tool relative to the guide system. A portion of the nucleus is removed from a first region using the surgical tool. At least one of the guide system and the surgical tool are configured to remove a portion of the nucleus from a second region. A portion of the nucleus is removed from a second region using the surgical tool.10-22-2009
20080319491PATIENT-MATCHED SURGICAL COMPONENT AND METHODS OF USE - A method of automatically registering a surgical navigation system to a patient's anatomy is provided. The method comprises programming a surgical navigation system with a first spatial relationship between a surgical component and a reference array connected to the surgical component, programming the surgical navigation system with a second spatial relationship between an anatomical feature of a patient and the surgical component, installing the surgical component on the patient such that the surgical component engages the anatomical feature in the second spatial relationship, and locating the reference array with the surgical navigation system. The navigation system automatically recognizes the position of the reference array relative to the patient's anatomy.12-25-2008
20080221628DEVICES AND METHODS FOR SPINE REPAIR - Surgical methods of repairing defects and deficiencies in the spine are disclosed. The methods involve delivering a single part in-situ polymerizing fluid to (i) close a weakened segment or fissure in the annulus fibrosus, (ii) strengthen the annulus, (iii) replace or augment the disc nucleus, or (iv) localize a disc prosthesis. The methods may include placing a delivery conduit adjacent to the repair site and providing a liquid tissue adhesive to bond to and repair a disc defect or deficiency09-11-2008
20120143268SYSTEM AND METHOD FOR ORIENTING ORTHOPEDIC IMPLANTS - A surgical guidance system for properly orienting a surgical instrument, such as an acetabular cup inserter, within a patient relative to a plurality of anatomical reference points includes a support device for retaining the patient, a reference sensor fixedly coupled to the support device and a tool sensor removably coupled to the instrument. The support device preferably includes a plurality of abutment pads that directly contact the plurality of anatomical reference points. A processor is electrically connected to the reference and tool sensors and is programmed to collect spatial orientation data compiled from each sensor. Using the spatial orientation data, the processor determines in real-time the actual orientation of the surgical instrument relative to the anatomical reference points. An indicator, such as a monitor, is electrically connected to the processor and provides a feedback signal that assists the surgeon in properly orienting the instrument relative to a user-defined acceptable range.06-07-2012
20100137923MINIMALLY INVASIVE ORTHOPAEDIC DELIVERY DEVICES AND TOOLS - A tool for working in a cavity to which access is limited is disclosed. The tool has an elongated sheath with a bore and an open end that is positionable within the cavity. A filamentary element is slidably positioned within the bore of the sheath. A portion of the filamentary element is extendible outwardly from the sheath through the open end and into the cavity. The filamentary element may be biased into a curved or helical shape, and may be a loop or may have an awl, a cutting blade, a scoop, hook, balloon or other piece attached to its end.06-03-2010
20120197319INFLATABLE BONE TAMP WITH ADJUSTABLE WORKING LENGTH - An inflatable bone tamp for performing a minimally invasive surgical procedure includes an extension controller for adjusting the relative position between the inner shaft and the outer shaft, thereby allowing the working length of the inflatable structure (e.g., balloon) to be adjusted and set prior to (and/or optionally during) use. The extension controller allows for customization of the inflatable bone tamp performance characteristics to enhance surgical effectiveness for a given physical condition.08-02-2012
20120197320Foraminoplasty Device - Tools, kits and methods for conducting surgeries, such as minimally invasive foraminotomies are provided. The tools are designed to permit practitioners to approach sites in need of a foraminotomy from an anterior posterior angle and thus to remedy pain with decreased discomfort to the patient.08-02-2012
20110208256TRACKED CARTILAGE REPAIR SYSTEM - A system and method for repairing an area of defective tissue reduces the removal of healthy tissue at the margins of the defect. During excision of diseased or damaged tissue, the system tracks the movement and function of a tissue resection tool within a monitored surgical space. This movement is continuously recorded to create a three-dimensional set of data points representative of the excised volume of tissue. This data set is then communicated to a custom implant forming device which creates a custom implant sized to fit the void created by the excision. The system and method of the present disclosure allows a surgeon to exercise intraoperative control over the specific shape, volume and geometry of the excised area. Moreover, the surgeon may utilize a “freehand” resection method to excise only that tissue deemed to be diseased and/or damaged, because the custom-formed implant will accommodate an irregularly-shaped resection volume.08-25-2011
20090030468CEMENT-DIRECTING ORTHOPEDIC IMPLANTS - A cement-directing structure for use in cement-injection bone therapy includes a collapsible, self-restoring braided structure with regions of differential permeability to the bone cement. The regions of differential permeability may be provided by areas where the braided mesh density is greater or lesser than surrounding areas and/or by means of a baffle. After the structure is placed in a void within a bony structure, cement is injected into the interior of the structure then oozes out in preferred directions according to the locations of the regions of differential permeability.01-29-2009
20110208255INTRODUCER DEVICE FOR USE IN NUSS PROCEDURE - An introducer device is for use in Nuss procedure to guide a steel bar in retrieving an insertion route which passes through and between a patient's sternum and heart. The introducer device includes an elongated introducer body and an ultrasonic probe. The introducer body extends in a lengthwise direction to terminate at a leading tip end for coupling the concave steel bar to retrieve the insertion route, and a grip end opposite to the leading tip, and has a curve segment configured to establish the insertion route when the leading tip end is led to pass through and between the sternum and the heart. The curve segment has a concave sternum-side surface and a convex heart-side surface. The ultrasonic probe is coupled to the leading tip end to transmit ultrasonic waves towards the heart and to receive reflected ultrasonic waves traveling from the heart when passing through and between the sternum and the heart.08-25-2011
20090182386SPINAL TISSUE DISTRACTION DEVICES - Spinal tissue distraction devices that include a member which has a pre-deployed configuration for insertion between tissue layers and a deployed configuration in which the member, by change of configuration, forms a support structure for separating and supporting layers of spinal tissue.07-16-2009
20100004699METHODS AND COMPOSITIONS FOR MINIMALLY INVASIVE CAPSULAR AUGMENTATION OF CANINE COXOFEMORAL JOINTS - The present technology relates to methods and devices for augmenting the canine coxofemoral joint. In particular, methods for augmenting the capsule of the canine coxofemoral joint are provided. In some embodiments, augmentation can be performed by injecting an implantable device comprising a biodegradable matrix and microparticles into the capsule. In some embodiments, augmentation can be performed by imbricating an implantable device comprising a biodegradable matrix and microparticles at the capsule.01-07-2010
20100004698METHOD FOR PRODUCING A BONE PROSTHESIS OR A PRE-IMPLANT SIMULATION, AND EQUIPMENT USED - Method for producing a bone prosthesis, comprising forming a surgical guide (01-07-2010
20090177241MULTIPLE PATHWAYS FOR SPINAL NERVE ROOT DECOMPRESSION FROM A SINGLE ACCESS POINT - A method of accessing target tissue adjacent to a spinal nerve of a patient includes the steps of accessing a spine location of the patient by entering the patient through the skin at an access location, inserting a flexible tissue modification device through the access location to the spine location, advancing a distal portion of the first flexible tissue modification device from the spine location to a first exit location, passing through the first exit location and out of the patient, advancing the first or a second flexible tissue modification device through the same access location to the spine location and to a second exit location, and passing through the second exit location and out of the patient.07-09-2009
20130218217DRIVE SYSTEMS AND DEVICES INCORPORATING DRIVE SYSTEMS - A fixation device may be used for supporting and/or stretching an injured body part. An exemplary fixation device uses a thumb wheel control element to provide controlled rotational micromovements of a joint. The control element and its associated drive system allow for movement along a particular axis, while the position remains fixed with relation to the other axis. In addition, the fixation device may incorporate a drive system that introduces a simultaneous longitudinal translation with rotation, in order to provide for a common point of origin of rotation between the fixation device and the affected body part supported by the fixation device.08-22-2013
20110224742METHODS AND DEVICES FOR ACCESSING AND RETRACTING A CAPSULE OF A JOINT - Devices and methods are disclosed herein for accessing the hip joint. A first device can be securely attached to the capsule of a joint. The first device can tent the capsule to increase the volume of the peripheral compartment. A second device can be biased against the first device to pierce the tented capsule and create a portal. Devices and methods are also disclosed herein for distending the capsule of a joint. A distention device may access a portal established within the capsule. The distention device can expand the capsule by applying an expansive force within the peripheral compartment. The distention device can maintain distention of the peripheral compartment while other devices access the joint.09-15-2011
20080306558Apparatus and method of determining acetabular center axis - An apparatus and method is disclosed for aligning the anteversion and the inclination of an acetabular prosthetic cup within an acetabulum of a patient. The apparatus and method comprises calculating the orientation of acetabulum center axis. The acetabular prosthetic cup is aligned relative to the calculated acetabulum center axis. The acetabulum center axis is calculated from selecting rim points located about the acetabulum of the patient.12-11-2008
20110144704DEVICE AND METHOD FOR ASSISTING THE ALIGNMENT OF LIMBS - The present invention provides a device and method for determining the mechanical axis of a patient's limb. The device comprises a light source including a main light source arranged to project a beam of light onto the limb. The beam is adjusted to describe a plane of interest, to allow assessment of the mechanical axis of the limb.06-16-2011
20090054935Spinal Diagnostic Methods and Apparatus - Methods, devices and systems facilitate diagnosis, and in some cases treatment, of back pain originating in intervertebral discs. Methods generally involve introducing one or more substances into one or more discs using a catheter device. In one embodiment, a patient assumes a position that causes back pain, and a substance such as an anesthetic or analgesic is introduced into the disc to determine whether the substance relieves the pain. Injections into multiple discs may optionally be performed, to help pinpoint a disc as a source of the patient's pain. In some embodiments, the catheter device is left in place, and possibly coupled with another implantable device, to provide treatment of one or more discs. A catheter device includes at least one anchoring member for maintaining a distal portion of the catheter within a disc.02-26-2009
20090093853System For Forming A Tendon-Bone Graft - A system for forming a tendon-bone graft. The system can include at least one support that is adapted to support the tendon-bone graft. The system can further include at least one clamp that is adapted to engage the tendon-bone graft to clamp the tendon-bone graft to the at least one support. The system can also include at least one cutting member that is operable to resect the tendon-bone graft. The at least one cutting member or the at least one support can be moveable relative to the other of the at least one cutting member or the at least one support to resect the tendon-bone graft.04-09-2009
20090222052System For Forming A Tendon-Bone Graft - A system for forming a tendon-bone graft. The system can include a support member that is adapted to support the tendon-bone graft. The system can further include a first clamp that is adapted to engage the support member and the tendon-bone graft to orient and hold the tendon-bone graft on the support member in a first direction, and a second clamp that is adapted to engage the tendon-bone graft to clamp the tendon-bone graft to the support member in a second direction. The system can also include a shaping member that is operable to resect the tendon-bone graft. The shaping member can be moveable relative to at least one of the first clamp and the second clamp to resect the tendon-bone graft.09-03-2009
20120197321INFLATABLE BONE TAMP WITH PREDETERMINED EXTENSIBILITY - An inflatable bone tamp for performing a minimally invasive surgical procedure includes an inner shaft that incorporates a longitudinally extensible section. The predetermined longitudinally extensible section permits greater control over the elongation of the inflatable portion of the inflatable bone tamp, thereby allowing performance characteristics to be tailored to specific procedures and/or situations. The predetermined longitudinally extensible section can be implemented in various ways, such as a spring, elastomer, or mechanical linkage, among others.08-02-2012
20090254132DEVICES AND METHODS FOR THE TREATMENT OF BONE FRACTURE - Devices and methods for treating bones having bone marrow therein, or other targeted anatomical locations, including bones that are weakened, suffering from or prone to fracture and/or disease. The disclosed devices desirably prepare the targeted anatomical site for a flow of filling/stabilizing and/or therapeutic material, and then provide for control of the flow of material within the targeted anatomical site, measure the volume of material delivered to the site of interest, and prevent the placement of materials in unintended locations. Once material has been delivered, some or all of the flow control devices can be removed from the targeted anatomical site.10-08-2009
20100274299VERTEBRAL SURFACE PREPARATION INSTRUMENT - An instrument for preparing a surface of a vertebra, such as a vertebral endplate, for receipt of a spinal disc implant. The instrument includes a working tool with implements on one or more surfaces of the working tool that act on the vertebral surface. The instrument includes a rotary-to-linear translation system to cause the working tool to move; for example, from side-to-side, top-to-bottom, or along a path that includes side-to-side and top-to-bottom aspects. The rotary-to-linear translation system may include a drive shaft having a cam pin at a distal end, and a cam follower slot at an anterior end of the working tool.10-28-2010
20090259263APPARATUS AND METHODS OF FIXATING BONE - Apparatus and methods of fixating bone include repairing or remodeling a hard tissue defect with a composite bone structure. The composite bone structure includes at least two hard tissues or bones and a scaffold material fixed together by an adhesive component. The apparatus and methods include positioning the hard tissues/bones, conforming the scaffold material to at least a portion of a surface of the hard tissues/bones, contacting the adhesive component with the hard tissues/bones and the scaffold material, and changing the material state of the adhesive component to another material state at which the adhesive component fixes together the hard tissues/bones and the scaffold material, thereby forming a composite bone structure having a desired rigidity.10-15-2009
20100049260EXTENDED ARTICULATION ORTHOPAEDIC IMPLANT - A cutting guide for removal of bone during arthroplasty. The cutting guide includes a housing having a first portion and a second portion. The first portion includes an attachment mechanism adapted to couple the housing to the bone during arthroplasty and the second portion including a wall defining a continuous path. A blade for cutting the bone is also included, such that the blade slides along the arcuate recess, cutting the bone in a shape matching the continuous path.02-25-2010
20100191296Bone Tamp Apparatus and Method - A tamping apparatus 07-29-2010
20100191295ANNULUS REPAIR SYSTEM - An annulus repair system is provided. This repair system may cover a hole or opening in the annulus or repair a defect or damage to the annulus. In one embodiment, the annulus repair system comprises a blocking component that covers a hole in the annulus, a stabilizing component that helps stabilize the blocking component and a suturing material that connects the two components together. In certain embodiments, the annulus repair system may further comprise a cannula for guiding the blocking component, the stabilizing component and at least a portion of the suturing material through body tissue and into the disc space. Methods for utilizing the annulus repair system of the present invention also are provided.07-29-2010
20100217337SYSTEM FOR TREATING PROXIMAL HUMERAL FRACTURES AND METHOD OF USING THE SAME - Various embodiments of the present invention provide systems and methods for treating a proximal humeral fracture. A system according to one embodiment includes a longitudinal member configured to be received within the humeral shaft. The system includes a jig assembly configured to be coupled to the longitudinal member, wherein the jig assembly includes at least one hole defined therethrough that is configured to guide placement of at least one hole in the humeral shaft, and wherein the hole formed in the humeral shaft is configured to align with at least one hole in the humeral implant such that the jig assembly is configured to locate the position of the humeral implant in the humeral shaft.08-26-2010
20100217336Computerized Planning Tool For Spine Surgery and Method and Device for Creating a Customized Guide for Implantations - A system for planning a spine surgery, comprising a haptic interface capable of providing force feedback to the user and a computer adapted to simulate a surgical procedure by responding to inputs from the haptic interface and outputting haptic feedback to the haptic interface is provided.08-26-2010
20100217338Patient Specific Surgical Guide Locator and Mount - A resection guide locator includes a bone engagement portion with surfaces that are complementary to the surface topographies of a bone to be resected during surgery. A housing includes a socket defined by a resilient annular wall that is sized and arranged so to accept a resection guide by press-fit to thereby position and hold the resection guide within the socket. The resection guide is maintained in a predetermined, preferred position while the surfaces are releasably locked in position on the bone. A method is disclosed for forming and using the resection guide locator.08-26-2010
20100241178INFLATABLE MEDICAL DEVICES - Inflatable medical devices and methods for making and using the same are disclosed. The inflatable medical devices can be medical balloons. The balloons can be configured to have a through-lumen or no through-lumen and a wide variety of geometries. The device can have a high-strength, non-compliant, fiber-reinforced, multi-layered wall. The inflatable medical device can be used for angioplasty, kyphoplasty, percutaneous aortic valve replacement, or other procedures described herein.09-23-2010
20110112589SYSTEM AND METHOD FOR FACILITATING HIP SURGERY - A system and method for use during hip surgery includes a position frame that is removably secured to the patient's femur. The system further includes a tracking unit and navigation engine that establish a pelvic coordinate system and, with the patient's leg placed in a predetermined orientation, capture the location of the femoral position frame within the pelvic coordinate system. The system further includes an image generator configured to display one or more images for directing the surgeon to return the patient's leg to the predetermined orientation following a trial reduction based upon the previously captured position. A leg change determination engine compares the current, post-reconstruction position of the femoral position tracking frame with the previously captured, pre-reconstruction position to derive leg length, offset, and anterior-posterior change values. The change values are then provided to the surgeon for evaluating the suitability of the trial reduction.05-12-2011
20110118796Systems and methods for the fixation or fusion of bone - Various bone fixation/fusion devices are sized and configured to be placed across fracture fragments or between bones that are to be fused.05-19-2011
20100125303METHODS AND APPARATUS FOR REPLACING BIOLOGICAL JOINTS USING BONE MINERAL SUBSTANCE IN A SUSPENDED STATE - The present disclosure provides methods and apparatus for replacing biological joints, but applies also to the fixation of any solid implant for use in dental or orthopaedic applications. In general, an ideal amount of bone mineral substance is applied to the implant prior to going in to the operating room. Next, the setting (e.g., drying) process is suspended with a coating and/or a chemical. Once the implant(s) are needed in the operating room, the setting process is resumed. In this manner, the bone mineral substance does not need to be applied in the operating room, the surgeon does not need to “race the clock,” and each implant is placed with the ideal amount of bone mineral substance in the ideal consistency.05-20-2010
20130218216ROBOTIC ARMS - A device for treating fractures of a bone comprises a plurality of arms, each extending from a proximal end to a distal end and movable in a three-dimensional space, the proximal end of each arm coupled to a frame and a plurality of couplings, each of the couplings coupled to a distal end of each of the plurality of arms, the coupling lockingly receiving a bone fixation element secured to a corresponding bone fragment such that each of the arms is coupled to a corresponding fragment of the bone in combination with a mechanical unit moving each of the arms relative to the frame and a controller receiving data corresponding to a desired final position of the fragments relative to one another and controlling the mechanical unit to move the arms relative to one another to achieve the desired final position of the bone fragments relative to one another.08-22-2013
20100137924TOOL - In an alignment guide for use in femoral head surgery, a cannulated rod is supported by, and is adjustable with respect to, a support member of the alignment guide. The guide also includes two jaws, an anterior jaw and a posterior jaw, with each jaw having a proximal end connected to the support arm, and a distal end for clamping, in use, to the neck of the femur. At least one of the jaws is movable from a first open position to a second clamping position.06-03-2010
20120245647Patient-Specific Guide for Acetabular Cup Placement - Provided is a preoperatively designed guidance tool for intraoperative use during acetabular cup replacement surgery, comprising: a patient-specific template having at least one surface that registers with a selected surface of the patient's acetabulum; and a guide portion that provides an orientation or a position and orientation of an acetabular cup according to a preoperatively planned orientation or position and orientation. The guidance tool may further comprise a verification tool that cooperates with the guide portion and includes at least one mating surface that registers with a selected surface of the patient's anatomy, wherein correct positioning of the verification tool on the patient's anatomy confirms correct orientation of the patient-specific template in the patient's acetabulum. Also described herein are methods of acetabulum cup replacement surgery, and methods for transferring a preoperatively planned orientation or position and orientation of an acetabular cup to a patient during acetabulum cup replacement surgery.09-27-2012
20110130795SURGICAL GUIDE SYSTEMS AND METHODS FOR PROSTHETIC JOINTS - A surgical system for assisting in the implanting of a glenoid component of a shoulder prosthesis in a patient includes a guide having guide features for guiding application of the bone preparation tool to the glenoid and a series of graphic representations of the glenoid component shown being implanted on the glenoid with different implant positions, each of which is associated with one of the graphic representations.06-02-2011
20090318982METHODS OF INJECTING CALCIUM BASED NEUTRAL AND BIORESORBABLE BONE GRAFTS - An injectable and moldable putty comprising biodegradable calcium-based compounds including calcium sulfate, hydroxyapatite, and tricalcium phosphate is invented. The putty hardens into a solid body when mixed with water, saline, serum, or other neutral aqueous solutions. The hardening time of the putty can be tailored in order to meet the specific requirements of various dental or orthopedic applications. The pH of the putty is neutral during and after mixing. The invented putty may be used as bone graft, bone implant, or implantable drug delivery device.12-24-2009
20120143267SYSTEM AND METHOD FOR ASSOCIATION OF A GUIDING AID WITH A PATIENT TISSUE - A patient tissue includes a primary patient tissue area and an anatomically differentiated bordering secondary patient tissue area. An apparatus is at least partially customized responsive to preoperative imaging of the patient tissue. Means are provided for mating with the primary patient tissue area in a preselected relative orientation. Means are provided for fixing a first landmark to the primary patient tissue area in at least one of a predetermined marking location and a predetermined marking trajectory. Means are provided for fixing a second landmark to the secondary patient tissue area in at least one of a predetermined marking location and a predetermined marking trajectory. A method of associating a plurality of landmarks with a patient tissue is also provided.06-07-2012
20120143269SURGICAL INSTRUMENT - Embodiments disclosed herein provide a surgical instrument comprising an elongate member, a support for engaging a rod receiving element, and a connection between the elongate member and the support. This connection comprises a pivotal articulation, and the elongate member is connected to the support via the pivotal articulation so as to be able to pivot independently around at least two perpendicular axes. The elongate member is also longitudinally movable with respect to the support. The elongate member has, at a first end, a device for holding a rod. Embodiments disclosed herein also provide methods of using this surgical instrument.06-07-2012
20090105775CANNULA WITH LATERAL ACCESS AND DIRECTIONAL EXIT PORT - The present invention generally provides a cannula system that is readily maneuverable in an operating room setting, can be used to expose different instrumentalities to a target site, and has directional capabilities to allow the user to treat multiple quadrants or areas of a target site. The present invention provides cannula systems including these different instrumentalities as well as methods of operating these cannula systems and methods of treating orthopedic conditions using these cannula systems.04-23-2009
20100305625SURGICAL INSTRUMENT FOR FIXING A CLAMP TO A BONE FIXATION DEVICE - A surgical instrument for moving a clamp relative to a bone anchor to properly position and secure the clamp to the bone anchor. The surgical instrument including a housing, a socket assembly, a manipulating assembly, a gripping assembly and a reduction assembly.12-02-2010
20090036937Method and Apparatus for the Treatement of the Intervertebral Disc Annulus - The present invention provides methods and devices for treating the annulus of an intervertebral disc. The methods and devices can employ an expandable treatment device which is deployed at least partially in the subannular space. Fixation devices and methods are also disclosed, which help to secure the treatment device in place.02-05-2009
20130138163ULTRASONIC ORTHOPEDIC TAPER DISSOCIATION DEVICE AND METHOD - A dissociation device comprises a transducer configured to produce acoustic vibration selected to be sufficient to dissociate a male portion from an engaged female portion of a medical device, a power source configured to supply power to the transducer, and a processor for controlling the transducer. The transducer can be configured to produce ultrasonic acoustic vibration. The male portion of the medical device can comprise a male taper and the female portion can comprise a corresponding female taper.05-30-2013
20110112588SYSTEMS AND METHODS FOR VERTEBRAL OR OTHER BONE STRUCTURE HEIGHT RESTORATION AND STABILIZATION - A method for stabilizing a bone structure including directing first and second expandable members in contracted state to a first location within the bone structure. The expandable members are expanded, forming first and second cavities within the bone structure. The first expandable member is then transitioned back to the contracted state while maintaining the second expandable member in the expanded state. The first expandable member is removed, and curable material delivered into the first cavity. The second expandable structure is contracted and removed. A curable material is delivered into the second cavity. A height of the bone structure is restored via expansion of the two expandable members, and is retained throughout the procedure first by the second expandable member during delivery of curable material into the first cavity, and then by the hardened material in the first cavity during removal of the second expandable member.05-12-2011
20130144350SURGICAL INSTRUMENT FOR IMPACTING AND EXTRACTING A SHAPING INSTRUMENT AND A SHAPING INSTRUMENT USEABLE THEREWITH - A surgical instrument including a shaping instrument for shaping a bone as well as an impaction/extraction device for use with the shaping instrument is disclosed.06-06-2013
20100331902Hip file carrier with a movable jaw - File carrier which is intended to carry a file for filing bone of the medullary canal of the femur; a fixed jaw and a movable jaw are arranged at the distal end of the intermediate portion and there are provided means which are intended to control the movement of the movable jaw relative to the fixed jaw between a closed state in which the file is fixed in position on the file carrier and an open state in which the file is released from the file carrier; the position of the movable jaw in the open state is displaced in the mediolateral direction relative to the position of the movable jaw in the closed state.12-30-2010
20110213429Patient Selectable Joint Arthroplasty Devices and Surgical Tools - Disclosed herein are methods, compositions and tools for repairing articular surfaces repair materials and for repairing an articular surface. The articular surface repairs are customizable or highly selectable by patient and geared toward providing optimal fit and function. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty.09-01-2011
201100466863-DIMENSIONAL SILK HYDROXYAPATITE COMPOSITIONS - Described herein are methods and compositions comprising a mixture of silk polymer and hydroxyapatite. The methods described herein can be used to prepare a mixture of silk polymer and hydroxyapatite and further provide mixtures that can be molded into a desired shape. Also encompassed herein are compositions comprising a mixture of silk polymer and hydroxyapatite having a desired shape, which can further be implanted, for example, to facilitate bone healing or tooth structure or support. Such compositions can also include agents, such as therapeutic agents, or cells.02-24-2011
20090062872BALLOON CANNULA SYSTEM FOR ACCESSING AND VISUALIZING SPINE AND RELATED METHODS - Balloon cannula systems may be used for accessing and visualizing the spine and related methods of treatment, including a forward-looking balloon system for creating a working space and the balloon system having atraumatic dissection capability to allow visualization in spine. The devices and methods described may be used, for example, to perform annulus repair, herniated disc excision, and denervation of neurological tissue; to dispense pharmacological agents and/or cell or tissue therapy agents; to diagnose disc degeneration and bony degeneration, spinal stenosis, and nucleus decompression, and to perform disc augmentation.03-05-2009
20090062870METHOD OF ARTHROSCOPIC OSTEOCHONDRAL RESURFACING USING PRP STRENGTHENED WITH FIBRIN GLUE - Methods of arthroscopic resurfacing of a joint utilizing a biological component strengthened with fibrin glue. The biological component is selected from the group consisting of PRP, bone marrow aspirate (BMA) and autologous conditioned plasma (ACP). The biological component/fibrin glue composition may be inserted (by injection or by employing a biologic resurfacing mold, for example) into a transosseous tunnel in the vicinity of the defect to be repaired. Upon insertion at the defect site, the biological component/fibrin glue composition is designed to coagulate and solidify within few minutes, to advance the healing of the damaged tissue and tissue growth. The biological component/fibrin glue composition may optionally comprise components such as growth factors, antiseptic chemicals and/or antibiotics and/or electrolytes, or hormones or site-specific hybrid proteins, among others.03-05-2009
20110245885Protection Sleeve Retention Device - A system for inserting an implant into a bone comprises a base, a first arm coupled to and extending away from the base in a first direction, a distal end of the first arm configured to removably attach to an implant so that the base is in a desired orientation relative thereto. The system also comprises a second arm extending away from the base in alignment with a target structure of the implant and including a first aiming hole through which the target structure is to be accessed. The system also comprises a protection sleeve and a first aiming hole configured such that, in a first orientation, the protection sleeve is frictionally locked within the first aiming hole and, when rotated therewithin to a second configuration, the protection sleeve is free to move therethrough.10-06-2011
20110213430Patient Selectable Joint Arthroplasty Devices and Surgical Tools - Disclosed herein are methods, compositions and tools for repairing articular surfaces repair materials and for repairing an articular surface. The articular surface repairs are customizable or highly selectable by patient and geared toward providing optimal fit and function. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty.09-01-2011
20110213432Guidewire And Method For Surgical Procedures - A surgical guide wire or K-wire and method of use are provided. The K-wire, or guide wire, has opposite end portions and a shank portion in between. One end portion has a deformable end portion that, once outside of a confining guide passage, can be deformed to present a projected forward facing area that is larger than the transverse cross section of the K-wire, or guide wire, while in the passage. The increased area will provide increased resistance to additional forward axial movement into the surgical site.09-01-2011
20100222830Apparatus and Method for Manipulating a Flexible Strand and Soft Tissue Replacement During Surgery - An apparatus and method is disclosed for performing a surgery, such as an orthopedic surgery. The apparatus can include a guide portion and an alignment portion. The guide portion can assist in positioning the alignment portion to assist in aligning an implant. The implant can be aligned and positioned to hold a graft relative to a bone portion.09-02-2010
20100198277PERCUTANEOUS TECHNIQUE AND IMPLANT FOR EXPANDING THE SPINAL CANAL - The present invention expands a spinal canal by drilling a cylindrical passage in each pedicle of a vertebra, making a circumferential pedicle cut (osteotomy) through each pedicle from within the passage, separating each pedicle cut by inserting an implant into the passage which distracts the pedicle cut to expand the spinal canal, and securing each pedicle cut, allowing the vertebra to heal with the spinal canal expanded. The implant includes an outer sleeve, an inner bolt, and expandable flanges. The outer sleeve includes an upper portion and a lower portion, with the expandable flanges connected to the lower portion and housed within the upper portion. Rotation of the inner bolt causes the upper and lower portions of the outer sleeve to separate, causing the pedicle cut to widen and the expandable flanges to radially extend into and stabilize the widened pedicle cut to effectuate expansion of the spinal canal.08-05-2010
20100198275FORCE SENSING DISTAL FEMORAL ALIGNMENT SYSTEM AND METHOD OF USE - Devices, systems, and methods are provided for facilitating the aligning and balancing of the knee during total knee replacement surgery. A femoral assembly is engaged with a distal femur. The positions of medial and lateral portions of the femoral assembly relative to a stationary portion of the femoral assembly can be separately adjusted to adjust the alignment of the knee. A force sensor will be provided to sense the forces in the medial and lateral portions of the knee, and the medial and lateral portions of the femoral assemblies will be adjusted so that the sensed forces are balanced. The alignment of the knee is visually verified using a knee alignment verification member coupled to the femoral assembly. The knee alignment verification member may emit laser beams along the mechanical axes of the femur and tibia, or the knee alignment verification member may couple to alignment rods aligned along these axes.08-05-2010
20100198276FASTENER ASSEMBLY - An improved fastener apparatus includes an outer sleeve which is moved into a patient's body tissue. A distal end portion of the outer sleeve is expanded in the patient's body tissue. An inner sleeve is moved axially through the outer sleeve and a distal end of the inner sleeve is expanded in the patient's body tissue. The fastener apparatus may be provided with an external thread convolution on either or both of the inner and outer sleeves. During expansion of the distal end portion of either the inner or outer sleeve, a proximal end portion of the outer sleeve may be gripped and pulled to offset forces applied to the distal end portion of one of the sleeves. Although inner and outer sleeves may advantageously be utilized, the fastener apparatus may be constructed with only a single sleeve or three or more sleeves if desired. A secondary fastener assembly may be moved through a main fastener assembly.08-05-2010
20100057144RAIL-BASED MODULAR DISC NUCLEUS PROSTHESIS - A method and apparatus for repairing a damaged intervertebral disc nucleus in a minimally invasive manner utilizes a modular disc prosthesis preferably comprised of at least three modular segments and at least two rails that operably connect adjacent modular segments. In one embodiment, each modular segment includes a harder inner portion and a softer outer portion. Preferably, the rails operate to slidably connect and interlock adjacent modular segments. A stem portion of the rails that extends outside the periphery of the body of the prosthesis is removable after implantation such that the modular segments form an implanted unitary device that closely mimics the geometry of the disc nucleus cavity.03-04-2010
20090312805Methods and compositions for articular repair - Disclosed herein are methods and compositions for producing articular repair materials and for repairing an articular surface. In particular, methods for providing articular repair systems. Also provided are articular surface repair systems designed to replace a selected area cartilage, for example, and surgical tools for repairing articular surfaces.12-17-2009
20090312806Formed in Place Corpectomy Device - An inflatable corpectomy device comprises a balloon, which defines a cavity for receiving a hardenable media. The device can be inserted in an un-inflated form into a space formerly occupied by a diseased or damaged vertebrae bone. When inflated with a hardenable material, the device expands and fills the space. Various bone anchors or plates can be used in combination with the inflatable device to bridge the space and stabilize the spine while the device hardens.12-17-2009
20100069974ARTHROSCOPIC BONE TRANSPLANTING PROCEDURE, AND MEDICAL INSTRUMENTS USEFUL THEREIN - Described is an arthroscopic bone transplanting procedure for transplanting a section of a first bone to a second bone. The described procedure is particularly useful for the treatment an anterior shoulder instability, where the first bone is the coracoid and the second bone is the glenoid. Also described is a kit of medical instruments particularly useful in such a procedure.03-18-2010
20100057145Disc Repair System - A repair system including a closure prosthesis and deployment device, and associated methods for repairing any imperfection including a flaw, hole, tear, bulge, or, in some cases, a deliberate cut or incision in any tissue including an intervertebral disc. The prosthesis has first and second side portions with a connecting central portion, and is designed to span an imperfection with opposite ends positioned on opposite sides of the imperfection. The prosthesis may include anchoring features including barbs and/or members that extend transversely. The deployment device can include a cannula for positioning the prosthesis near the imperfection, and, in some cases, a mechanism that may cause the two sides of the prosthesis to be deployed in a specific order.03-04-2010
20090216285Bone Resurfacing System and Method - The present disclosure relates to bone resurfacing. One embodiment includes a method for preparing an implant site in bone, comprising establishing a first working axis extending from said bone; establishing a second working axis extending from said bone, the second working axis is displaced from the first working axis; creating a first socket in the bone by reaming about the first working axis; and creating a second socket in the bone, adjacent the first socket, by reaming about the second working axis.08-27-2009
20090216284BALLOON CANNULA SYSTEM FOR ACCESSING AND VISUALIZING SPINE AND RELATED METHODS - Balloon cannula systems may be used for accessing and visualizing the spine and related methods of treatment, including a forward-looking balloon system for creating a working space and the balloon system having atraumatic dissection capability to allow visualization in spine. The devices and methods described may be used, for example, to perform annulus repair, herniated disc excision, and denervation of neurological tissue; to dispense pharmacological agents and/or cell or tissue therapy agents; to diagnose disc degeneration and bony degeneration, spinal stenosis, and nucleus decompression, and to perform disc augmentation.08-27-2009
20100069975METHODS AND COMPOSITIONS FOR FUSING BONE DURING ENDOSCOPY PROCEDURES - A method of and compositions for fusing or welding bones in vivo and in a fluid medium wherein an implant bone is provided, the implant bone and/or a receiving bone is treated to expose organic component and to de-fat, an interfacing agent is added between receiving bone segments to be fused or welded, and the implant and receiving bone are fused or welded in vivo, in a fluid medium, utilizing electromagnetic energy. The interfacing agent may include collagen, a hydrophilic polymer and a therapeutic agent.03-18-2010
20100057142METHOD AND APPARATUS FOR FIXING A GRAFT IN A BONE TUNNEL - A method and apparatus for fixing a ligament in a bone tunnel by cross-pinning the ligament in the bone tunnel.03-04-2010
20100057143INTERIOR AND EXTERIOR SUPPORT SYSTEM FOR INTERVERTEBRAL DISC REPAIR - Methods of reinforcing anulus fibrosis tissue within an intervertebral disc include the implantation of a repair device comprising one or more support members. The device may be anchored to the surrounding tissue. The device may be compressible and delivered in a minimally invasive manner.03-04-2010
20110152954BROACH HANDLE WITH FLEXURE SPRING - An instrument for holding a surgical tool or bone implant includes a handle with a bearing surface formed in one end for engaging the surgical tool. An elastically deformable plate is mounted on the handle body the plate having a catch element formed on a leading end thereof adapted to engage a coupling element formed on the surgical tool. The elastically deformable plate includes a cam follower formed in a recess thereon and includes a deformable spring section intermediate the can elements and the plate end with the catch element. An elongated pivotable loading member is rotatably mounted on the handle body. The loading member includes a cam surface for engaging the cam follower surface on the deformable plate. The cam surface on the loading member is shaped to elastically deform the elastically deformable plate section in a direction away from the plate catch element to thereby load and maintain a connecting force between the plate and the surgical tool or bone implant.06-23-2011
20110098760Soft Tissue Spacer - An orthopedic tissue spacer comprising a body portion having first and second ends, an outer surface and a longitudinal axis, at least one of the ends configured to engage a first bone segment, wherein at least a portion of the body portion is flexible and the outer surface is configured to resist tissue adhesion thereto.04-28-2011
20110098759EXPANDABLE DEVICE FOR BONE MANIPULATION - An expandable bone tamp for performing a minimally invasive surgical procedure includes a coil connected between an inner shaft and an outer shaft. Rotating the inner shaft relative to the outer shaft can then cause the coil to expand or collapse around the inner shaft. The coil allows large expansion forces to be generated by a structure Thant can pass through a small cannula. The rotation of the inner shaft relative to the outer shaft can be performed manually (e.g., via a crank handle) for good tactile control, or can be performed using a motor or other assist mechanism to increase the expansion force output. The coil can either be withdrawn after use, or can be left in the patient to provide additional post-procedure support.04-28-2011
20110071580System and Method for Installing an Annular Repair Rivet Through a Vertebral Body Port - 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.03-24-2011
20120035673OSTEOARTHRITIS TREATMENT AND DEVICE - A method for treating arthritis of a joint includes identifying a bone lesion in a bone adjacent to the joint; and implanting in the bone a reinforcing member in or adjacent to the bone lesion. A kit for conducting the method includes: (a) at least one reinforcing member having a proximal face adapted to face the joint, a distal face adapted to face away from the joint, and a wedge-shaped edge adapted to pierce bone, wherein the at least one reinforcing member is planar and sterile; and (b) a container adapted to maintain the at least one reinforcing member sterile. Another kit includes: (a) a sterile fluid; (b) a syringe for injecting the fluid into a bone; (c) a curing agent adapted to cure the fluid to polymerize and/or cross-link; and (d) a container adapted to maintain the sterility of contents of the container.02-09-2012
20110077696DEVICE AND METHOD FOR THE AMELIORATION OF RECESSES - The invention describes a device (03-31-2011
20110077695SURGICAL POSITIONERS - Surgical positioners may include platforms, surgical item positioners and/or surgical references as well as methods for using stabilizer platforms, surgical item positioners and/or surgical references. Stabilizer platforms may include low profile platforms rigidly mounted to portions of an individual's anatomy. Various items may be secured and/or stabilized by the stabilizer platform, including support platforms as well as surgical references. Support platforms may stabilize and assist surgeons in using, navigating, aligning and positioning surgical items. Surgical references may include modular fiducial systems that may be secured to stabilizer platforms, support platforms, surgical items and/or directly to portions of an individual's anatomy.03-31-2011
20110071581Surgical Tools for Arthroplasty - Disclosed herein are methods, compositions and tools for repairing articular surfaces repair materials and for repairing an articular surface. The articular surface repairs are customizable or highly selectable by patient and geared toward providing optimal fit and function. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty.03-24-2011
20120123487SPINAL INSTRUMENTS WITH SET SCREW LOADING AND RETENTION APPARATUS AND METHODS OF USE - A spinal instrument with a set screw loading and retention mechanism includes a first tube, a screw slot, and a retention mechanism. The first tube includes an inner lumen disposed concentric and proximate to a head portion of a bone screw. The screw slot is disposed along a portion of the first tube at a distance from the head portion of the bone screw and is configured for loading of a set screw for locking a spinal rod within the head portion of the bone screw. The retention mechanism is disposed along at least a portion of the inner tube configured to selectively retain the set screw. In other features, the first tube includes either an internal rod reduction tube or a screw extender tube.05-17-2012
20110060376MEDICAL INSTRUMENTS FOR DIAPLASIS - A medical instrument includes a shaft and a movable element. The shaft has a first end having an engaging member. A second end of the shaft has a stopping member. The movable element is configured to move along the shaft. The medical instrument can be used to reduce a fracture. In use, this may include engaging a fractured bone segment with the engaging member and moving the movable element along the shaft towards the stopping member to create a force on the stopping member when the movable element comes in contact with the stopping member.03-10-2011
20110034963SUPPORT ORTHOPAEDIC DEVICE FOR A KNEE JOINT - Support orthopaedic device (02-10-2011
20110029026Micro-Structure Particles For Load Bearing Bone Growth - The present disclosure relates to methods of facilitating bone growth. The method may include positioning a device around at least a portion of a bone exhibiting a defect, the device capable of retaining bone segments and micro-structured particles. The method may also include applying micro-structure particles within the device to the defect, wherein each of the micro-structure particles include at least one pore therein. In addition, the method may include aligning at least a portion of the micro-structure particles and applying a polymer to the particles and solidifying the polymer.02-03-2011
20120065694WEDGE SHAPED CATHETER BALLOONS FOR REPAIR OF DAMAGED VERTEBRA - A balloon catheter tube assembly having an outer catheter tube and a concentric inner catheter onto which a generally wedge shaped balloon is attached. The catheter assembly is inserted into a damaged and compressed vertebra. Upon entry, the generally wedge shaped balloon is inflated to create a generally wedge shaped cavity. To create an optimum cavity, the inner catheter is connected to the generally wedge shaped balloon at a favorable position on either the toe or heel of the generally wedge shaped balloon. After the generally wedge shaped cavity is created, the generally wedge shaped balloon is removed and the generally wedge shaped cavity is filled with bone cement.03-15-2012
20110213428Patient Selectable Joint Arthroplasty Devices and Surgical Tools - Disclosed herein are methods, compositions and tools for repairing articular surfaces repair materials and for repairing an articular surface. The articular surface repairs are customizable or highly selectable by patient and geared toward providing optimal fit and function. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty.09-01-2011
20120277811BONE TAMP AND METHODS OF USE - A system comprises an inflatable bone tamp including a plurality of linearly aligned expandable bodies. The system further comprises an elongated tubular shaft extending through the plurality of linearly aligned expandable bodies. The elongated tubular shaft includes a shaft wall and an interior partition structure. The system further comprises a plurality of channels extending through the shaft, each of the channels formed by a segment of the shaft wall and the interior partition structure and each of the channels in communication with the respective one of the plurality of expandable bodies via openings in the shaft. Each of the expandable bodies is independently inflatable.11-01-2012
20120277812Polarization Device and Implantation Device - The invention relates to a device for polarizing at least two spatially separated, at least partially electrically conductive implants. The device includes a coil having a first pole and a second pole, a first contact device associated with the first pole for electrically contacting a first implant, and a second contact device associated with the second pole for electrically contacting a second implant. The coil may be arranged directly or indirectly on or in the first implant and carried by the first implant. The second contact device may include a flexible electrical line which allows the second implant to be contacted in a manner such that the coil may be arranged in a spatially separated manner from the second implant.11-01-2012
20120203291SPINAL FIXATION ROD ADJUSTMENT SYSTEM AND METHOD - An instrument for adjusting a fixation rod within a head member of a screw assembly includes a distal portion, a first arm, a first recess, and an actuation member. The distal portion includes a rod engagement surface that engages the fixation rod. The first arm extends from the distal portion towards the head member at a first angle. The first recess is disposed along the first arm at a first distance from the rod engagement surface. The actuation member extends proximally from the distal portion and positions the first recess relative to a first projection on the head member.08-09-2012
20100274300Bone grafting material packing instrument - A bone graft material condensing instrument comprising a longitudinally extending handle and a laterally extending distal head having an upper surface bounded by vertically extending substantially flat sides and a flat horizontally extending lower surface.10-28-2010
20110178561HYBRID FUSION/ARTHROPLASTY APPARATUS AND METHODS - The present embodiments relate to a joint treatment device for improved treatment of a diseased joint. The joint treatment device comprises first and second components, which are coupled to first and second bone portions, respectively, at the joint. The first component and the second component are configured to be coupled together in a first configuration to promote fusion of the joint, and further are configured to be coupled together in a second configuration to promote arthroplasty of the joint. Additionally, a screwdriver is disclosed that may advance the first and second component simultaneously or independently. Further, a joint distraction device is disclosed, which may be used to vary spacing between the first bone portion and the second bone portion at the joint.07-21-2011
20080249580Methods and Instruments of Reducing a Fracture - An instrument for reduction of a bone fracture is disclosed. The instrument includes an orthopaedic surgical implant (10-09-2008
20100318139METHOD AND APPARATUS FOR ARTHROSCOPIC ROTATOR CUFF REPAIR USING TRANSOSSEOUS TUNNELS - There is provided a device for use in making an arthroscopic rotator cuff repair comprising an awl having a gripping portion and a shaft for transmitting force to a hooked bone-penetrating portion for forming bone tunnels, the bone-penetrating portion having a sharp tip. The awl may also function as a suture passer and comprise an eyelet situated below the tip for receiving a suture and passing it through the curved bone tunnel. A kit comprising a suture passer of substantially the same shape and of a size as the awl is also provided to pass suture through the bone tunnel formed by the awl. The suture passer is preferably blunt. Methods of using the device and kit are also provided. The method may comprise piercing the bone in a first and second location to form a bone tunnel of substantially continuous curvature and passing a suture therethrough.12-16-2010
20080255624Methods and devices for multipoint access of a body part - Disclosed are methods and devices for accessing body parts using a plurality of access points to facilitate the repair of such body parts. The multipoint access devices and methods of the present invention may facilitate manipulating tools and materials that can be used in the repair of bone and other body parts. In certain embodiments, the multipoint access and repair devices of the present invention may be used for sectioning and repair of a vertebral body or an intervertebral disc. Additionally, methods and devices for emplacing an expandable barrier structure are disclosed.10-16-2008
20080255623Osteochondral allograft cartilage transplant workstation - The invention is directed toward a portable surgical workstation and kit of accessory devises for cartilage implant formation comprising a base, a vise assembly mounted to the base, the vise assembly comprising a fixed jaw member and a moveable jaw member, each jaw member defining grasping surfaces for holding a bone workpiece. A shaft drive is threadably connected to the moveable jaw member and rotatably mounted in the fixed jaw member for transporting the moveable jaw toward and away from the fixed jaw. An articulated guide assembly is mounted to the fixed jaw member, the articulated guide means including a sleeve member and a plurality of moveable interconnected members selectively rotatable on a ball joint. A miter assembly defining a slot of a width to receive a surgical saw is mounted to at least one of the jaw members. The kit of accessory devices comprises a plurality of different diameter bushings which fit in the sleeve member and a plurality of different diameter cylindrical core cutter assemblies sized to fit in each respective sized bushing and a donor cutter guide adapted to fit in said sleeve.10-16-2008
20110054550METHOD FOR IMPLANTING A HIP FRACTURE NAIL SYSTEM - An instrument system is provided for positioning an internal fixation prosthesis and guiding a cannulated bone drill during a surgical, radioscopic procedure for the repair of a fractured bone of a patient. The instrument system includes a target wire, a handle formed from a radio translucent material having a target hole for guided passage of the target wire along a target axis. The target axis coincides with the intersection of a first plane and a second plane orthogonal to the first plane. The instrument system also includes a nose component attached to an end of the handle and removably connectable to the prosthesis. The nose component includes an alignment sight formed from a radio-opaque material. When the prosthesis is connected to the nose component and the target wire is positioned through the target hole along the target axis, the image of the guide wire may be radioscopically viewed along a first line of sight contained in the first plane to bisect the image of the alignment device, thereby providing a first visual reference to the user for directing the first guide wire into the desired portion of the bone while holding the prosthesis in a desired position relative to the bone.03-03-2011
20110125202INSTRUMENTATION FOR MOBILE BEARING PROSTHETICS - Knee prosthesis instrumentation including an insertion tool and a removal tool. The insertion tool may include an offset to provide clearance from a femoral component of the knee prosthesis. The removal tool may be wedge shaped to at least partially encircle a post of the knee prosthesis for removal. A mallet may be used with the instruments to provide additional force for prosthesis insertion or removal. A slide hammer may be incorporated into the instruments themselves.05-26-2011
20110125201COORDINATE MAPPING SYSTEM FOR JOINT TREATMENT - A coordinate mapping system is provided for locating a defect in a bone. The system comprises a positioning instrument for controlled delivery of a device to a target site, the instrument comprising a main body and a rail extending from the main body, the rail including a series of indicia corresponding to predefined grid lines, and a template configured to overlay an image of a bone having a defect at the target site, the template including a predefined grid for determining a set of coordinates to locate the target site using the positioning instrument. A method of accessing a target site near a defect in a bone using the radial coordinate mapping system is also provided.05-26-2011
20110125200NAVIGATION AND POSITIONING INSTRUMENTS FOR JOINT REPAIR AND METHODS OF USE - An instrument for controlled delivery of a device to a target area near a defect of a bone is provided. The instrument comprises a guide frame having a plurality of device portals, each portal defining a trajectory. The guide frame further includes visual markers for aligning the guide frame to an anatomical landmark on the bone to be treated. The instrument also includes a holder for releasable attachment with the guide frame. Each device portal is configured to provide accurate and controlled delivery of the device to the target area. In one example, the markers are radiopaque, and are visualized through fluoroscopy. A method of using the instrument is also provided.05-26-2011
20110137358Derotation Apparatus For Treating Spinal Irregularities - Treatment of spinal irregularities, including, in one or more embodiments, derotation apparatus and systems that can be used to reduce the rotation of vertebral bodies. Derotation apparatus that may comprise a tube assembly comprising an inner sleeve and an outer sleeve disposed over the inner sleeve. The inner sleeve may have a distal end for attachment to an implant. The tube assembly may further comprise a handle assembly. The tube assembly may further comprise a ball joint assembly disposed between the tube assembly and the handle assembly. The ball joint assembly may comprise a ball joint configured for attachment to a coupling rod.06-09-2011
20110137357SURGICAL METHOD FOR IMPLANTING A PERMANENT PERCUTANEOUS ELECTRICAL CONNECTION DEVICE - The invention relates to a surgical method for positioning a permanent percutaneous electrical connection device in a receiving bone site of a patient, the patient being a human being or an animal, and the device comprising, on the one hand, a plate-implant integrating at least one fixed electrical connection port and, on the other hand, a percutaneous electrical connection abutment designed to be coupled to the electrical connection port, the method comprising the following successive steps: 06-09-2011
20100305626ADHESIVE COMPLEX COACERVATES AND METHODS OF MAKING AND USING THEREOF - Described herein is the synthesis of adhesive complex coacervates. The adhesive complex coacervates are composed of a mixture of one or more polycations, one or more poly anions, and one of more multivalent cations. The polycations and polyanions in the adhesive complex coacervate are crosslinked with one another by covalent bonds upon curing. The adhesive complex coacervates have several desirable features when compared to conventional bioadhesives, which are effective in water-based applications. The adhesive complex coacervates described herein exhibit good interfacial tension in water when applied to a substrate (i.e., they spread over the interface rather than being beaded up). Additionally, the ability of the complex coacervate to crosslink intermolecularly increases the cohesive strength of the adhesive complex coacervate. The adhesive complex coacervates have numerous biological applications as bioadhesives and drug delivery devices. In particular, the adhesive complex coacervates described herein are particularly useful in underwater applications and situations where water is present such as, for example, physiological conditions.12-02-2010
20110257694AUGMENTATION - A method of anchoring an implant in hard tissue, and/or hard tissue replacement material, includes the steps of providing an initial opening in the hard tissue, providing a thermoplastic augmentation element, a tool and a counter element, compressing the augmentation element between the tool and the counter element while energy is coupled into the tool and while a periphery of a liquefaction interface of the tool and the augmentation element and/or of a liquefaction interface of the augmentation element and the counter element is in the opening, thereby liquefying material of the augmentation element at the liquefaction interface(s) to yield liquefied material, causing portions of the liquefied material to penetrate into structures of the hard tissue, allowing the liquefied material to harden and to thereby become augmentation material, removing the tool and the counter element, and anchoring the implant in the opening including at least some of the augmentation material.10-20-2011
20100179605KNEE ALIGNER FOR SURGERY - Generally described the invention relates to methods and apparatuses for aligning the lower extremities of a patient with a mechanical axis. More specifically, the present invention provides an exoskeleton or external framework that positions a patient's leg into a desired mechanical axis in preparation for surgery or other medical treatment.07-15-2010
20090171402Long-Nosed Crimp Pliers for Use in Orthopedics - Cable and crimp assembly kits for fixing bone fractures include long-nose crimp pliers that have a pair of operating handles and connected opposed long jaws. The long jaws are designed to hold and crush a wire crimp. The jaws are long and narrow enough to be able to insert and crush a crimp through a small incision, such as used by a known wire passer tool, at a deeply located bone without spreading or opening wider the small incision. The long-nosed pliers can be used with a crimp alone or with a crimp and an intermediate part that provisionally holds a tension applied to an associated cable or wire.07-02-2009
20090171403METHOD FOR THE FIXATION OF BONE STRUCTURES - The invention facilitates the fixation of bone fractures. In a particular embodiment, a method for fixing bone fractures comprises the steps of: inserting a head component coupled to a wire through a first bone portion and anchoring the head component in a second bone portion, inserting a cap over the wire toward the head component until the cap contacts the second bone portion, and applying pressure to the wire using a tensioner to reduce the distance between the first bone portion and the second bone portion. The excess wire beyond the cap can then be removed.07-02-2009
20100121390PARTIAL OR COMPLETE PROSTHETIC REPLACEMENT ARTHROPLASTY OF THE DISTAL RADIOULNAR JOINT - System, including methods, apparatus, and kits, for replacement of at least one surface region of a distal radioulnar joint using at least one prosthesis. In some embodiments, the system may provide restoration of normal, unconstrained biomechanics of the joint, which may preserve rotation and translation and ensure durability of the joint.05-13-2010
20100121389Method of preparing a femur for implantation of a femoral implant - A method of preparing a distal femur for implantation of a femoral implant is described. The distal femur is resected to accommodate placement of a trial implant thereon. The trial implant is then placed against the resected distal femur to locate an optimal position for the femoral implant. The trial implant comprises one or more apertures through which holes are drilled in the distal femur and into which trial pegs are inserted into the distal femur to secure the trial implant to the distal femur. The surgeon then evaluates whether the holes in the femur are located appropriately to securely implant the femoral implant onto the femur. The trial implant is ultimately removed in favor of a final implant.05-13-2010
20100114184FLEXIBLE TOOLS FOR PREPARING BONY CANALS - Apparatus is provided that includes a surgical tool, which includes a proximal shaft, a distal rod, and a target sight. A proximal end of the distal rod is coupled to a distal end of the proximal shaft such that the distal rod articulates with the proximal shaft. The target sight includes an aiming element, which is coupled to the distal rod and extends toward the proximal shaft, and which is indicative of an alignment of the distal rod with respect to the proximal shaft. Other embodiments are also described.05-06-2010
20120310293SURGICAL INSTRUMENT AND METHOD OF USE FOR INSERTING AN IMPLANT BETWEEN TWO BONES - The surgical instrument includes a handle assembly and an elongate body that has first and second ends with the first end being located adjacent to the handle assembly and the second end being moveably connected to an implant engagement assembly. The surgical instrument also has a length control mechanism that includes a gripping portion, a drive shaft and a gear assembly. The surgical instrument further has a locking mechanism that includes a gripping portion, a connecting rod and a coupling end. The length control mechanism functions to adjust the overall length of an implant that is held by the implant engagement assembly before being implanted in vivo. The locking mechanism operates to secure the overall length of the implant following final length adjustment and implantation. A surgical method for using the surgical instrument, a method of fabrication and a spinal implant insertion kit is also disclosed.12-06-2012
20120150243Computerized Planning Tool For Spine Surgery and Method and Device for Creating a Customized Guide for Implantations - A system for planning a spine surgery, comprising a haptic interface capable of providing force feedback to the user and a computer adapted to simulate a surgical procedure by responding to inputs from the haptic interface and outputting haptic feedback to the haptic interface is provided.06-14-2012
20100191298APPARATUS AND METHOD FOR THE EXTRAMEDULLARY LOCATION OF THE MECHANICAL AXIS OF A FEMUR - A surgical instrument and method determine the orientation of the mechanical axis of a femur. The instrument may include a rod with a first end of the rod rotatably secured at a first point on the surface of distal femur that corresponds to center of the knee joint so that the first end is coincident with the mechanical axis. The connection between the first end of the rod and the distal end of the femur defines a first point of rotation. The second end of the rod is slideably received within a sleeve that is rotatably connected to a support positioned distally away from the distal end of the femur. The connection between the sleeve and the support defines a second point of rotation. When the distance between the first and second points of rotation is minimized, a line drawn therebetween is coincident with the mechanical axis of the femur.07-29-2010
20100191297SYSTEMS AND METHODS FOR INJECTING BONE FILLER INTO THE SPINE - A method for strengthening a spinous process comprises positioning a framework over an outer surface of the spinous process, the framework comprising a mesh connected to a frame. Bone filler is distributed over the mesh so that the bone filler contacts the mesh and contacts the spinous process. The bone filler is allowed to cure. A jig is positioned at the spinous process so that a slot through the jig is exposed to a side of the spinous process. A cannula is oriented so that the cannula is receivable in the slot, and insertable into the spinous process through the slot. Bone filler is injected into the spinous process by way of the cannula, with the injection terminating when a desired amount of bone filler has been injected into the spinous process. The cannula is then removed and the bone filler allowed to cure within the vertebra. The above steps can also be accomplished simultaneously or in any order. Further, bone filler injected into the spinous process can also contact the mesh as the bone filler passes at least partially through the spinous process.07-29-2010
20110190831STEERABLE BALLOON CATHETER - A balloon catheter can include an actively steerable element for adjusting the configuration of the balloon after placement at a target location. By coupling the actively steerable element to the balloon, any articulation of the actively steerable element will also re-configure the position of the balloon, thereby enabling greater control over procedures that make use of such a balloon catheter. The active steering capability can also enhance the material manipulation capabilities of the balloon catheter, and enable operations and actions that are not possible with a non-steerable balloon catheter.08-04-2011
20110190832APPARATUS AND METHODS FOR BONE ACCESS AND CAVITY PREPARATION - Apparatus and methods for preparing the interior of a bone for therapy. The therapy may include therapy for a bone fracture. The apparatus and methods may involve orienting a surgical instrument for proper deployment in the interior of the bone. An instrument guide may be positioned and retained against translation along, and rotation about one or more of three substantially orthogonal axes. Apparatus placed exterior to the bone may register the guide to a region inside the bone that is designated for preparation or treatment. One or more broaching members may be used to prepare the region for treatment. A broaching member may be expandable inside the bone. A broaching member may be flexible such that it broaches bone having a relatively lower density and it leaves bone having a relatively higher density substantially intact.08-04-2011
20110264154EXPANDABLE ARTHROPLASTY PLATES10-27-2011
20110264152Insertion Tool Assembly - Insertion tool assemblies for positioning an implant at a target location in a patient. Insertion tool assemblies that comprise first and second jaw portions configured to engage an implant; a sleeve assembly coupled to the first and second jaw portions; and a handle coupled to the sleeve assembly.10-27-2011
20100030285INTERVERTEBRAL PROSTHETIC DEVICE FOR SPINAL STABILIZATION AND METHOD OF IMPLANTING SAME - A method of implanting a spinal prosthesis comprises inserting a first member between superior and inferior spinous processes associated with respective superior and inferior vertebrae. The superior and inferior vertebrae are separated by an intermediate vertebra. The method further includes inserting a second member through a channel in the first member. After the second member is inserted, the method requires removing the second member from the channel and inserting a third member through the channel. The third member has a different stiffness than the second member. Finally, the method requires anchoring the third member to the intermediate vertebra, while the third member is inserted through the channel. The third member is anchored at first and second locations disposed on respective first and second lateral sides of the intermediate vertebra.02-04-2010
20100030284COATED TEXTILES - A textile material (02-04-2010
20100023068METHOD OF IMPLANTING A SHOULDER PROSTHESIS ASSEMBLY - A shoulder prosthesis assembly includes a metaglenoid element (01-28-2010
20100023066Method for Removal of Bone01-28-2010
20100023065TISSUE ACCESS DEVICE WITH ALIGNMENT GUIDE AND METHODS OF USE - An access assembly for use during a medical procedure including accessing a selected bone structure or target tissue, includes a cannula and stylet with an alignment guide removably attached to the cannula. The alignment guide shows the relative alignment between the access assembly and the viewing axis of an imaging system, thereby making placement of the access assembly more accurate. Once a desired alignment is achieved, the access assembly may then be advanced further towards the target tissue until a desired placement is achieved.01-28-2010
20110218585APPARATUS AND METHODS FOR BONE REPAIR - Apparatus and methods for repairing a bone. The apparatus and methods may involve transferring a mechanical load from a first bone fragment to a second bone fragment. For example, the first bone fragment may be at the end of the bone. The second bone fragment may be in the diaphyseal region of the bone. The bone fragment at the end of the bone may be separated by a fracture from the bone fragment in the diaphyseal region of the bone. The fracture may interfere with transmission of the load from the bone fragment at the end of the bone to the bone fragment in the diaphyseal region of the bone. Transmission of the load across the fracture by the apparatus may promote healing of the fracture.09-08-2011
20110218584Patient Selectable Joint Arthroplasty Devices and Surgical Tools - Disclosed herein are methods, compositions and tools for repairing articular surfaces repair materials and for repairing an articular surface. The articular surface repairs are customizable or highly selectable by patient and geared toward providing optimal fit and function. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty.09-08-2011
20110218583Assembly Tool for Modular Implants and Associated Method - An assembly tool comprises in an assembled configuration a proximal implant fastener, a distal implant fastener, and a compression member. The assembly tool is operable to hold in the assembled configuration a proximal implant partially engageable with a distal implant during implantation and axial impaction. Axial impaction is exerted through the compression member of the assembly tool. The assembly tool is also operable to securely lock the tapers of proximal and distal implants after impaction by rotating the compression member.09-08-2011
20110218582Method and Apparatus for Implanting a Modular Femoral Hip - An insertion system for implanting a prosthetic component includes a handle, a shaft, and a guide rod. The handle includes an impaction portion. The shaft extends from and is fixed to the handle. The guide rod is removably coupled to the shaft and includes a proximal end adapted to be rotationally fixed within the impaction portion and a distal end adapted to attach to the prosthetic component.09-08-2011
20100016907REPLACEMENT OR SUPPLEMENTATION OF A NUCLEUS PULPOSUS USING A HYDROGEL - A nucleus pulposus of an intervertebral disc is supplemented or replaced by an elongated, physiologically fully hydrated hydrogel prosthesis inserted into the central region of an intervertebral disc, where it can fold upon itself to form a prosthesis body within the central region of the annulus fibrosus. The hydrogel prosthesis may have expanded portions that assist in preventing expulsion of the prosthesis through the insertion aperture. An instrument for inserting the prosthesis has a cutter for severing the elongated prosthesis within the central region of the intervertebral disc after a sufficient amount has been implanted.01-21-2010
20100016906DEVICE AND METHOD TO ACCESS THE ANTERIOR COLUMN OF THE SPINE - Devices and methods for delivery of inter-vertebral implants that do not require extensive dissection of normal tissues or significant retraction of the nerve elements are disclosed. The devices and methods provide ease of use as well as a safe and familiar surgical approach that maximizes the likelihood of optimal device placement within the inter-vertebral space.01-21-2010
20100094363INSTRUMENT KIT AND METHOD FOR PERFORMING MENISCAL REPAIR - An instrument kit for performing a repair procedure on a meniscal tear in a knee for use in combination with a mechanical repair device is disclosed. The instrument kit includes at least one template including an elongate body defining X, Y and Z axes. The elongate body adapted for insertion in a knee of the patient to approximate a path to a meniscal tear within the knee. The elongate body has a length defining the X-axis. The instrument kit including a first template having a linear elongate body, a second template having a distal end portion which is offset in a direction of the Y-axis, and a third template having a distal end portion which is offset in a direction of the Z-axis.04-15-2010
20110152955Bone Separator - A bone spreader includes two tubular pin holders which are connected to one another by a parallel guide system, and two pins that are configured to be connected to the bone parts that are to be spread apart. In order to give the bone parts that are to be spread apart a more secure position in relation to one another, at least one of the pin holders is provided with a locking device for a pin located in the pin holder. This locking device includes a locking finger which is movable tangentially with respect to the pin holder and which, in the locking position, engages in a transverse groove of the associated pin and can be formed by a pivotably mounted hook.06-23-2011
20110307021BONE CAVITY SUPPORT STRUCTURE ASSEMBLY - An assembly for deploying a stranded support structure implant within a bone cavity to support the bone which defines the cavity comprises a support structure implant and an insertion tool. The support structure implant is formed from interlaced wires which extend from a first end of the structure towards an opposite second end. The structure flares outwardly from the first end to a maximum transverse dimension at a wide point between the first and second ends, and tapers inwardly between the wide point and the second end to a constant cross-section throat portion at the second end. The structure includes (i) a clip for controlling the spacing between the wires at the first end of the structure, in which the clip carries one of a spigot and a socket, and (ii) a ring clamp at the second end to retain the wires at the second end, in which the ring clamp has at least one clamp engagement formation. The insertion tool includes a probe end which carries the other of a spigot and a socket, so that the probe end and the clip can engage one another by means of the cooperating spigot and socket. An actuator moves the probe end relative to the tool engagement portion to cause the length of the implant to increase and its width to decrease.12-15-2011
20110307020MAGNETIC TARGETING SYSTEM AND METHOD OF USING THE SAME - The present invention describes a magnetic targeting system suitable for guiding a biocompatible device to a target area within the body (in vivo) and method of using the same. The system includes a targeting member having a steering material and is attached to the biocompatible device. The system also includes at least one anchoring member constructed and arranged for the inclusion of a magnetic material effective for influencing the traversal of the steering material, in vivo. The magnetically influenced anchoring member interacts with the targeting member such that the biocompatible device is positionable relative to the target area.12-15-2011
20110066194Fastening System for Internal Fixation - A bone fracture fixation system comprises a bone plate configured to bear against a proximal surface of the bone and a plurality of elongated tension elements, each sized to pass through an opening in the bone plate and through the bone from the proximal surface to a distal surface thereof. Each tension element is anchored to the bone and maintained in tension by a distal anchor attached to said tension element and configured to engage the distal surface of the bone and a proximal anchor engageable between the bone plate and the tension element. In one method for fixation of a bone fracture, the bone plate is positioned on a proximal surface of the bone while the tension element is introduced into the bone and through an opening in the bone plate from an opposite distal surface of the bone.03-17-2011
20110009913ORBIT DISTRACTOR - In one aspect, an apparatus for correcting osseous development deficiencies at orbital level in persons includes a halo-like structure for fixing to a cranium, a union plate between the halo-like structure and the distractor, and the orbital distractor itself, which is supported by the halo-like structure and fixed to the orbit.01-13-2011
20120209339DEVICE FOR SPINAL FUSION - An improved device for filling a void created in the lamina during spinal surgery including a top layer, a bottom layer and a body portion. The body portion is attached to the top layer and the bottom layer and includes a compliant mesh portion. The compliant mesh portion includes a bone material with bone morphogenetic protein (BMP) growth factor entrained thereon. The body portion is adapted to be conformable to a void left in a vertebral space after a surgeon has performed a laminectomy or hemi-laminectomy procedure. The flexible top layer has a periphery larger than that of the bottom layer such that the body portion has a section that is oblique or perpendicular to another section of the body portion or the top layer to define a flange. A method of using the device is also disclosed.08-16-2012
20120004692Remotely Adjustable Tissue Displacement Device - The invention relates to an apparatus for displacing tissue within the body, wherein the apparatus includes two or more attachment members selectively displaceable with respect to each other via a driving member. The driving member preferably is rotatable and is caused to rotate by a magnetic actuator that can be activated by a magnetic field from outside the body.01-05-2012
20120004691Bone And Tissue Marker - The present invention concerns a marker for bones, particularly for marking irregularities in the femoral head. There is described a surgical instrument having a shaft including a handle towards a proximal end and an arm towards a distal end. The arm includes a template, and the arm and/or template further includes tissue marking means for marking differences in the curvature of a tissue surface.01-05-2012
20120010670METHOD AND APPARATUS FOR ACCESSING THE INTERIOR OF A HIP JOINT, INCLUDING THE PROVISION AND USE OF A NOVEL INFLOW ACCESS CANNULA - An inflow access cannula system for allowing an instrument to access a remote surgical site, wherein the instrument comprises a distal portion having a smaller diameter and a proximal portion having a larger diameter, the system comprising: 01-12-2012
20100036443Systems and methods for spinal fixation - A spinal stabilization system, method, and a surgical kit having a surgical extender apparatus for implanting a surgical screw are disclosed. The extender includes a housing having a distal end and a proximal end, a hollow interior passageway disposed between the distal end and the proximal end, a channel disposed along an exterior surface of the housing at least partially between the distal end and the proximal end and configured to at least partially expose the hollow interior passageway, an interior locking mechanism disposed on an interior surface of the housing and substantially adjacent the proximal end, wherein the interior locking mechanism is configured to allow attachment of at least one surgical tool, and at least one flexible member disposed substantially adjacent the distal end. The housing is configured to accommodate placement of a surgical screw implant. The surgical screw implant is secured to the housing using a mating feature in the surgical screw implant. The at least one flexible member is configured to retain the surgical screw implant. The mating feature is configured to control axial movement of the surgical screw implant.02-11-2010
20110093024METHOD AND APPARATUS FOR BONE REMOVAL - Methods and apparatus for surgical treatment of vertebrae, comprising a brush-like tamp component for addressing cancellous bone and a slider component that may be distally advanced over the brush-like tamp component while both are (preferably) aligned within a working cannula providing access to a drill channel within the vertebrae. Distal advancement of the slider creates a combination of it and the brush-like component. A handle provides mechanical advantage.04-21-2011
20110093023Surgical implant guide and method of manufacturing the same - The present invention illustrates a method of manufacturing a surgical implant guide to increase the precision, safety and reliability of the surgery. First the present invention plans an invasive position for implanting an implant, and then, plans an invasive path for the implant to invade from the invasive position of an affected tissue, and finally, produces an implant guide based on the invasive position, the invasive path, and the shapes of the implant and the affected tissue. The surgical implant guide includes a coupling portion matching the shape the affected tissue, and a guiding portion matching the shape of the implant, the invasive position, and the invasive path. When the coupling portion is disposed on the affected tissue, the guiding portion is aligned with the invasive position, so that the implant is implanted in the affected tissue under guidance of the invasive path.04-21-2011
20110166612DEVICE FOR USE IN SURGICAL TREATMENT OF FUNNEL CHEST AND METHOD OF TREATMENT07-07-2011
20120016427OSTEOSYNTHESIS DEVICE - An osteosynthesis device is provided. The device includes a first screw for attaching a first holding base to a first section of a bone, a second screw for attaching a second holding base to a second section of the bone, and a rigid linking element mutually connecting the first and second bases. Either the first screw or the first base has a cavity for receiving a bracket of an associated position-marking device.01-19-2012
20120022604METHOD AND INTERNAL APPARATUS FOR DETERMINING FINAL POSITION OF DENTATE SKELETON IN ORTHOGNATHIC SURGERY - A skeletal positioning method and apparatus includes a splint having a main body coupled to a skeletal structure of a patient and a positioning guide having a skeletal footplate, a splint footplate, and an arm coupling the skeletal footplate and the splint footplate, the skeletal footplate including at least one aperture formed therein and the splint footplate including a means for releasably coupling the positioning guide to the splint, wherein a relative position and orientation of the skeletal footplate and the splint footplate is pre-determined to align a portion of the skeletal footplate with a pre-defined portion of the skeletal structure of the patient.01-26-2012
20110093025BONE CAVITY CREATION AND METHOD WITH MAGNETIC FORCE RETRIEVABLE BEADS - The present invention discloses a method of using beads to create a cavity in a bone, which includes introducing beads into a bone by applying a pressure on said beads, wherein the beads are metallic beads able to be attracted by a magnet; and withdrawing the beads from the bone by magnetic force. Preferably, a pocket is disposed in the bone prior to the introduction of beads, and the introduction and withdraw of the beads are carried out with respect to said pocket.04-21-2011
20120065695MEDICAL WIRE - The present invention provides a medical wire capable of significantly reducing the risk of its frontal end to puncture an anterior wall of a bone and to move out of the bone, thereby greatly improving safety of a surgery. The medical wire includes an end composed of a material that deforms to increase resistance during advancement in the bone and substantially regains initial shape during retreat from the bone.03-15-2012
20120109228REDUCED INVASIVITY FIXATION SYSTEM FOR TRACKERS IN COMPUTER ASSISTED SURGERY - The invention relates to a surgical navigation device, for the purpose of adjusting a cutting plane to a desired position with respect to a bone of a patient, the device comprising:05-03-2012
20110066193Surgical Tools for Arthroplasty - A patellar 3-D guidance tool includes a template. The template includes at least one contact surface for engaging a surface of the patella. The at least one contact surface substantially conforms with the surface associated with the patellar. At least one guide aperture directs movement of a surgical instrument, wherein the shape and/or position of the guide aperture is based, at least in part, on three or more anatomic reference points associated with the patellar.03-17-2011
20110106187Instruments and methods for stabilization of bony structures - The present invention relates to methods and instruments for placing a brace or connecting element into an animal subject for engagement with anchors secured in the animal subject. The installation instrument includes anchor extensions coupled to the anchors. The instrument is movable with respect to the anchors to position the connecting element in a position more proximate the anchors.05-05-2011
20110106186BONE FRAGMENT EXTRACTION - Methods and structures for removing a bone fragment from a body of a patent. A method can include advancing a distal portion of an orthopedic extraction device into a bone fragment disposed in a bone mass in the body of the patient, and actuating one or more deployable members of the distal portion of the device positioned in the bone fragment so as to engage the bone fragment with the device. With engagement between the device and bone fragment, a force or torque to the device so as to remove the bone fragment from the bone mass of the patient.05-05-2011
20110106185APPARATUS AND METHOD FOR APPLYING SUSTAINED TENSION ON A TETHER - Apparatus for applying sustained tension on tether in treatment site includes a positioning mechanism, gripping mechanism and pressurized fluid actuated mechanism. The positioning mechanism is operable to position the pressurized fluid actuated mechanism at a fixed distance relative to treatment site, and to engage a target at treatment site and secure the tether proximate to the target. The gripping mechanism is operable to selectively grip the tether and maintain tether when tether is held in tension. The pressurized fluid actuated mechanism is selectively operable to apply desired pulling force on gripping mechanism directed away from treatment site so as to transmit and apply in a sustained manner the desired pulling force on the tether independently from the tether displacement and place it under desired level of tension while the tether is being secured.05-05-2011
20110106184ANTERIOR INFLATION BALLOON - An inflatable bone tamp for performing a minimally invasive surgical procedure includes an inflatable structure that exhibits an outwardly tapering expansion profile. The outward taper can beneficially allow the inflatable bone tamp to exert greater targeted force in difficult environments. For example, in a vertebra with a compression fracture, the outwardly tapering expansion profile of the inflatable bone tamp can result in greater lifting force being applied to the endplates of the vertebra, thereby increasing the likelihood of restoring the height lost due to the compression fracture.05-05-2011
20100063554Interbody fusion grafts and instrumentation - This invention relates to implants formed from donor bone for use in lumbar interbody fusion procedures and instruments for performing such procedures. The implants are formed to include a concave surface formed from a portion of the medullary canal of a long bone. The concave surface defines a recess in the implant that serves as a depot for osteogenic material. Specific instruments for inserting the implants prepared according to this invention and for preparing the intervertebral space to receive the implants are also provided.03-11-2010
20090043344METHODS FOR REPAIRING DEFECTS IN BONE - A method for repairing defects in bones that may be used to remove a surface defect from the articulating surface of a bone. In one embodiment, a passage is formed in the bone and extending to an articulating surface of the bone, resulting in the removal of bone stock from the bone. By aligning the passage to intersect with the defect in the bone, the creation of the passage itself results in the removal of the defect from the articulating surface of the bone. A biocompatible material may then be inserted through the passage to replace the removed bone stock and may be formed to substantially replicate the shape of the articulating surface of the bone.02-12-2009
20100094362Surgical instrument for tensioning plate-shaped engaging elements with respect to each other - In a surgical instrument for tensioning two plate-shaped engaging elements with respect to each other at opposite sides of bone portions, a first engaging element carrying next to each other at a spacing from each other two pin-shaped or rod-shaped connecting members which pass through openings in the second engaging element, with a supporting surface for engagement on the side of the second engaging element that faces away from the first engaging element, and with a tensioning device engaging the connecting members for displacement of the connecting members and consequently of the first engaging element in the direction towards the second engaging element, to enable an individual adjustment of the engaging elements to the shape of the bone portions, it is proposed that the surgical instrument comprise next to each other two grip elements, each releasably connectable to a connecting member, and that the tensioning device engage the grip elements through a compensating element which, upon tensioning of the tensioning device, allows a differently sized displacement of the two grip elements and consequently of the two connecting members.04-15-2010
20100094360PRESERVATION AND RESTORATION OF CRANIAL BONE FLAPS - Methods are provided for preserving and restoring cranial bone flaps. In one aspect, the method to preserve a cranial bone flap includes cleaning a cranial bone flap, washing the cranial bone flap with a sterile saline solution including gentamycin, and washing the bone with a sterile saline solution including vancomycin. The cranial bone flap may be dried, wrapped, and packaged before being stored in a freezer. The fixing method may include removing the preserved cranial bone flap from a freezer and unwrapping the preserved cranial bone flap from any wrappings. A previous wound may be opened for insertion of the preserved cranial bone flap. The preserved cranial bone flap may be washed with a sterile saline solution including gentamycin and a sterile saline solution including vancomycin. The edges of the previous wound may be refreshed by nipping free margins to expose diploic spaces, and the preserved cranial bone flap may be fixed in place within the previous wound.04-15-2010
20100087877METHODS OF IMPLANTING GLENOID INLAY - The invention features a glenoid (shoulder socket) implant prosthesis, a humeral implant prosthesis, devices for implanting glenoid and humeral implant prostheses, and methods of their use for the treatment of an injured or damaged shoulder.04-08-2010
20100249858SURGICAL INSTRUMENT AND METHOD OF USE FOR FACILITATING POSITIONING OF AN OSTEOCHONDRAL PLUG - A surgical instrument and method are provided for positioning an osteochondral plug within a bone defect site. The instrument includes an elongate shaft, a ribbon, an elongate sleeve and a locking mechanism. The shaft has proximal and distal ends, with the distal end being shaped to contact the osteochondral plug. The ribbon extends along two sides of the shaft and around the distal end, forming a loop that is used to secure the osteochondral plug to the distal end. The sleeve is movably mounted to the shaft for reciprocating relative thereto between retracted and extended positions. The sleeve includes a slot that allows for visualization and cutting of the ribbon. The locking mechanism locks the ribbon in place and thereby controls the size and tension of the loop that surrounds the osteochondral plug, securing it to the distal end of the shaft.09-30-2010
20100249857SURGICAL APPARATUS - A surgical apparatus (09-30-2010
20120215268APPARATUS FOR RETAINING BONE - An apparatus (08-23-2012
20120215267ELECTRIC MOTOR DRIVEN TOOL FOR ORTHOPEDIC IMPACTING - An orthopedic impacting tool comprises a motor, a linear motion converter, an air chamber, a compression piston, a striker, a detent and a broach adapter. The compression piston may cause the striker to apply controlled force on a adapter to create a precise opening for subsequently disposing a prosthesis in a patient. The detent may hold the striker in a position until a sufficient pressure is applied to release the striker. The tool allows forward or backward impacting for expanding the size or volume of the opening or for facilitating removal of the broach and tool from the opening. A force adjustment control of the tool allows a user to increase or decrease the impact force. A light source and hand grips improve ease of operation of the tool.08-23-2012
20120136402SYSTEM AND METHOD FOR ORIENTING ORTHOPEDIC IMPLANTS - A surgical guidance system for properly orienting a surgical instrument, such as an acetabular cup inserter, within a patient relative to a plurality of anatomical reference points includes a support device for retaining the patient, a reference sensor fixedly coupled to the support device and a tool sensor removably coupled to the instrument. The support device includes a plurality of abutment pads that directly contact the plurality of anatomical reference points. A processor is electrically connected to the reference and tool sensors and is programmed to collect spatial orientation data compiled from each sensor. Using the spatial orientation data, the processor determines in real-time the actual orientation of the surgical instrument relative to the anatomical reference points. An indicator is electrically connected to the processor and provides a feedback signal that assists the surgeon in properly orienting the instrument relative to a user-defined acceptable range.05-31-2012
20120136401Medical Procedure Involving Protective Pad - 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.05-31-2012
20120136400METHOD FOR CO-PROCESSING COMPONENTS IN A METAL INJECTION MOLDING PROCESS, AND COMPONENTS MADE VIA THE SAME - A method comprising molding a first component from a first feedstock comprising a first material powder and a first binder, molding a second component from a second feedstock comprising a second material powder and a second binder, placing the first component and the second component in physical communication with each other in order to form an assembled component, removing the first binder and the second binder from the assembled component and performing a sintering operation on the assembled component so as to bond the first component and the second component together.05-31-2012
20110184478SYSTEMS AND METHODS FOR THE FIXATION OR FUSION OF BONE - A joint between two bone segments is fused by passing an elongated, rectilinear bone fusion device over a guide pin across the joint and into tight engagement within bores formed in the bone segments, to thereby restrict movement of the elongated bone fusion device across the joint. The elongated, rectilinear bone fusion device also provides bony in-growth within the bores along the exterior surface of the bone fusion device.07-28-2011
20110184477Aiming Arm for Locking of Bone Nails - An aiming arm (07-28-2011
20100174328Method and compostion for repair and reconstruction of intervertebral discs and other reconstructive surgery - By providing an elastic form stable material which is capable of being delivered directly to a specific desired location within a living creature and providing increased strength and rigidity to the injected location, disorders of the intervertebral disc of a living creature are able to be effectively treated. Treatment of defects or voids in soft tissue is achieved with a variation of the subject material specific to each application. In the preferred method, the elastic form stable material is injected directly into the affected area, thereby achieving the desired result.07-08-2010
20100174327METHOD OF AND APPARATUS FOR DETERMINING THE MECHANICAL AXIS OF A FEMUR - The invention relates to a device for determining the mechanical leg axis of a femur. Said device is provided with a shaft (07-08-2010
20100305624BONE FIXATION TOOL - A tool and a method are provided for driving a bone pin into a fractured bone to stabilize the fractured bone by maintaining the fractured bone in a reduced state. The tool may be a handheld device including a cartridge having at least one passageway that receives the bone pin. The tool may also include a pneumatically-powered piston having a needle that is sized for receipt within the passageway of the cartridge, the needle applying sufficient force to the bone pin to drive the bone pin out of the cartridge and into the fractured bone.12-02-2010
20130172948CLAVICLE BENDING TEMPLATES - A reference guide tool for conforming a bone plate can include a series of bone templates, each having a distinct three-dimensional shape that replicates portions of various clavicles. Each bone template of the series of bone templates can have a plate engaging surface that is configured to engage a bone plate and provide a reference for the bone plates during structural modification of the bone plate.07-04-2013
20100049258SINGLE TUNNEL DOUBLE BUNDLE POSTERIOR CRUCIATE LIGAMENT RECONSTRUCTION - The present invention provides a method of performing posterior cruciate ligament replacement. Specifically, a graft tissue is harvested from a patient and single tunnels are prepared in each of the tibia and the femur of the patient. The graft is secured in the femoral tunnel and separated into a posterior cruciate medial bundle and a posterior lateral bundle. The bundles are inserted through the tibial tunnel. During insertion the posterior lateral bundle is positioned in a posterior lateral position in the tibial tunnel while the posterior cruciate medial bundle is positioned in a posterior cruciate medial position in the tibial tunnel. The posterior cruciate medial bundle is then tensioned while the patient's knee is in approximately 90 degrees of flexion, and the posterior lateral bundle is tensioned while the patient's knee is approximately in full extension. Each of the bundles is then secured in the tibial tunnel.02-25-2010
20120179215INTRACORPOREAL DEVICE FOR MOVING TISSUE - A device for moving tissue inside the body, in particular bone tissue, may include a reference part, a transport part which is slidably mounted relative to the reference part; a threaded rod pivotably mounted relative to the reference part, a control shaft, driving means connecting the control shaft to the threaded rod, a connecting nut between the transport part and the threaded rod, the connecting nut being mounted onto the threaded rod and being rotatably guided relative to the reference part, and means for converting the movement of the connecting nut along the threaded rod into a movement of the transport part relative to the reference part. In order to limit the longitudinal translation of said threaded rod relative to the reference part, a first abutment and a second abutment rigidly connected to the threaded rod respectively cooperate with a first bearing and a second bearing, these bearings being rigidly connected to the reference part and being placed at a distance from one another between the abutments. The connecting nut is movable along the threaded rod between the first bearing and second bearing.07-12-2012
20120253414Apparatus For Controlling a Load on a Hip Joint - An apparatus and related method for controlling a load on a human hip joint during normal gait while preserving motion. The approach is intended to treat osteoarthritis of the hip without substantially resisting an angular displacement associated with full mobility of the pelvis and femur bones.10-04-2012
20120259375LOW COST LOW PROFILE INFLATABLE BONE TAMP - An inflatable bone tamp for performing a minimally invasive surgical procedure includes a shaft having a primary region and a reduced diameter region, and an inflatable structure surrounding at least a portion of the reduced diameter region. The reduced diameter region of the shaft allows the deflated size of the inflatable structure to be minimized, while at the same time eliminating the need for the conventional dual lumen balloon catheter construction.10-11-2012
20100049259METHOD FOR VERTEBRAL ENDPLATE RECONSTRUCTION - Embodiments relate generally to tissue anchors and methods of delivering same to the intervertebral disc or other sites within the body. In some embodiments, the anchors provide increased pull-out resistance, stability and/or contact with tissue involving a reduced amount of penetration. In some embodiments, delivery methods are minimally invasive and can include linear, lateral, and off-angle implantation or driving of anchors along, against or within tissue surfaces. Several embodiments disclose anchors and anchoring systems that effectively reconstruct or augment vertebral endplate surfaces.02-25-2010
20120265260TIGHTENING DEVICE FOR BONE FASTENING CABLE - A bone-tying cable tightening device is disclosed which makes itself unusable after having been used a predetermined number of times. The device includes a grip portion, a rod-like member, a knot-supporting means at the tip, and a cable-holding means to grip and hold the two arms of a cable, and is provided with a sliding block mounted around the rod-like member and connected to a pulling means, and an operation lever, wherein the cable-holding means includes (a) a longitudinal through groove defined in the upper part of the sliding block, (b) a locking recess which extends at the rear end the through groove, either transversing the cross section of the through groove or containing the cross section of the through groove, and whose width in the cross section thereof widens in the rearward direction, and (c) a backward biased locking member which is provided movably back and forth behind the locking recess on the upper side of the sliding block and so made that its forward movement is blocked when it fits in the locking recess, and wherein the device further includes a pull-releasing means which can be operated to release the one-way detent means for the pulling means, and a release locking means to lock the one-way detent means in a released state after the pull-releasing means has been operated a predetermined number of times.10-18-2012
20120232602OSSEOINTEGRATION SYSTEM FOR A LONG BONE - An osseointegration system for a long bone comprises a sleeve system comprising at least two osseointegrated sleeves being mutually uncoupled in the sense that respective ones of the sleeves do not prevent one another to perform transverse displacements relative to one another; a stem arranged for being, in said operation condition, received within the at least two osseointegrated sleeves in such manner that at least low amplitude to-and-fro axial sliding displacements of the stem relative to said sleeves are allowed; at least one fitting collar; and retaining means arranged for realizing that in said operation condition the stem is retained by the long bone.09-13-2012
20110004260ARTHROSCOPIC TIBIAL SIZER - An arthroscopic tibial sizer provided with a collapsible loop (for example, a nitinol loop) and a pin indicator located at about the center of the collapsible loop. The collapsible loop is formed of a flexible wire (for example, nitinol wire) and is designed to collapse so that it can be inserted through an arthroscopic portal and into the joint, and then to expand out to its original diameter once inside the joint space, for visual sizing. The collapsible loop may be provided in various diameters (i.e., 14, 17 or 20 mm, for example) to match various implant sizes. The pin indicator indicates the center of the loop and provides identification of the center of the tibial defect.01-06-2011
20110004259REFERENCE FRAME FIXATOR - A device for positioning a fiducial marker (01-06-2011
20120239098SYSTEM AND METHOD FOR BONE ANCHOR REMOVAL - Systems and methods for bone anchor removal include a removal guide and a removal instrument. The removal guide includes grooves for guiding the removal instrument to the anchors, and for guiding removal of the anchor. The removal instrument includes a distal working end with a grasping feature designed to engage a portion of the bone anchor and an engagement feature designed to engage the grooves of the removal guide for anchor removal.09-20-2012
20120330368ZYGOMATIC ELEVATOR DEVICE AND METHODS - A surgical elevator device that can be used in the reduction of bone fractures, particularly facial bone fractures, and even more particularly zygomatic arch fractures. The elevator device enables accurate measurement of the depth of insertion of the device into tissue space and provides tactile control of fracture location and reduction. In one embodiment, the elevator device comprises a groove on an elevator element for receiving a bone structure. The groove can be formed by a pair of parallel ridges. A projection extending from the elevator provides a pivot point for applying a controlled force to the bone to reduce the fracture. A preferred embodiment further comprises a method of reducing a bone fracture, such as a zygomatic arch fracture.12-27-2012
20110046685SURGICAL INSTRUMENT FOR FITTING A KNEE PROSTHESIS - Surgical instrumentation according to embodiments of the present invention may be configured to permit a surgeon to adjust external rotation of a femur according to two or more adjustment criteria selected from the group consisting of: (a) peroperative measurement of a value of the external rotation; (b) setting the external rotation to a preoperatively predetermined rotation value; (c) a position of a Whiteside line; (d) a position of a biepicondylar line; and (e) a position of an internal condyle.02-24-2011
20120271366PATIENT-SPECIFIC FRACTURE FIXATION INSTRUMENTATION AND METHOD - An instrument for internal bone fracture fixation includes a shaft having a distal portion and a patient-specific bone holder coupled to the distal portion. The bone holder has a three-dimensional curved and patient-specific bone engagement surface designed during a preoperative plan based on a medical scan of a patient to match and conform to an outer surface of a bone fragment of the patient in only one position.10-25-2012
20120323287IMPLANT TO STRESS BONE TO ALTER MORPHOLOGY - An implant operable to alter morphology of a long bone can comprise a first longitudinal member, a second longitudinal member, and an adjusting member. The first longitudinal member can have a bone attachment end and a first connecting end. The second longitudinal member can have a second bone attachment end and a second connecting end. The adjusting member can connect to both of the first and second connecting ends. The adjusting member can be selectively moveable from a first implanted position where the first and second connecting ends are fixed to respective ends of the long bone and spaced apart a first distance to a second implanted position where the first and second connecting ends are fixed to the respective ends of the long bone and spaced apart a second distance. The second distance is less than the first distance causing a long bone to be compressed between the first and second bone attachment ends.12-20-2012
20110213427Patient Selectable Joint Arthroplasty Devices and Surgical Tools - Disclosed herein are methods, compositions and tools for repairing articular surfaces repair materials and for repairing an articular surface. The articular surface repairs are customizable or highly selectable by patient and geared toward providing optimal fit and function. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty.09-01-2011
20110238126DEVICE FOR THE DISPLACEMENT OF TISSUES, ESPECIALLY BONE TISSUES - Device for displacing tissues inside the organism, e.g. bone tissues, comprising an index part (09-29-2011
20120330367Orthopedic Check and Balance System - A configurable check and balance system is provided to assess and report orthopedic measurements, including bone cut angles, trial inserts, extension gaps and prosthetic fit. The system can be configured for cut-check, trial-check, alignment and balance, dynamic distraction, and prosthetic trial fit. The measurements can be provided with respect to an anatomical coordinate system defined according to a positioning of a sensorized mechanical plate with respect to one or more referenced anatomical landmarks. In one example, the cut-check provides measurement of varus/valgus angle and anterior/posterior slope for distal femur cuts and proximal tibia cuts. The cut-check permits a surgeon to check bone cuts made by mechanical jigs, guides or patient specific implants (PSI). It also provides distance measurements. Other embodiments are also disclosed.12-27-2012
20110276100ALIGNMENT GUIDE - An alignment guide is provided having a shaft with a longitudinal axis and a guide arm having a first portion, a second portion and a third portion. The first portion is attached to the shaft and configured to be rotatable about a first axis substantially perpendicular to the longitudinal axis. The second portion extends from the first portion at a first predetermined angle along a second axis. The third portion extends from the second portion at a second predetermined angle.11-10-2011
20120101536SURGICAL INSTRUMENT - A bone plate fixing device comprises a first bone contacting element with a rod-shaped connecting member and a second bone contacting element displaceable on the connecting member. The connecting member has a first portion with a first diameter and a second portion comprising a protruding projection, the protruding projection being located towards a proximal end of the connecting member and having a second diameter that is greater than the first diameter. The protruding projection may comprise at least two teeth. The depth of the at least two teeth may be less than half the difference between the first diameter and the second diameter.04-26-2012
20120101535BONE REPAIR PUTTY - A bone repair material is described that is of putty-like consistency, particularly useful for repairing dental bony defects such as those caused by bone loss resulting from moderate or severe periodontitis, augmenting of bony defects of the alveolar ridge, filling tooth extraction sites, or sinus elevation grafting. The repair material includes a porous, resorbable particulate that is bone-derived or derived from bone-like hydroxyapatite or synthetic hydroxyapatite; and, a resorbable carrier, such as high molecular weight polysaccharides, such as hyaluronic acid. A high concentration of particulate in the putty enhances bone repair and requires a high concentration of carrier to retain the putty at the defect site. For a particulate density of about 1.2 g/cc such as PEPGEN P-15® Bone Graft, a preferred formulation comprises about 55% percent by weight of the putty suspended in a hyaluronic acid gel of about 1.4×1004-26-2012
20120290020MICROFRACTURE PICK FOR FEMORAL HEAD - The present teachings provide one or more surgical implements for repairing damaged tissue, such as cartilage on the femoral head. A microfracture pick system for repairing cartilage on a femoral head is provided. The system can include a handle having a proximal end and a distal end. The system can also include an arcuate arm shaped to extend from the distal end of the handle and adapted to extend around the femoral head. The arcuate arm can have a distal tip extending toward the handle along a longitudinal axis of the handle. The system can also include an impaction member at the proximal end of the handle.11-15-2012
20100168804Sternal Reconstruction System - A flexible cable for sternal reconstruction, the cable including first and second ends, the first end of the cable including a crimp fitting member, and the crimp fitting member including a flattened disk-like head. Also provided are methods for sternal reconstruction including wrapping a flexible cable having first and second ends around the sternum, tensioning the flexible cable to a desired tension and securing the tensioned cable, wherein the first end of the cable includes a crimp fitting member, and the crimp fitting member includes a flattened disk-like head.07-01-2010
20130013009Apparatus and Methods for Separating Internal Bone Fixation Device from Introducer - Apparatus and methods for separating an internal bone fixation device from an introducer are disclosed herein. A device for separating an internal bone fixation device from an introducer includes a functional portion having an outer shaft surrounding and controlling operation of a cutting mechanism; and a control portion having an actuating mechanism for initiating activation of the outer shaft.01-10-2013
20130013008Devices and Methods for Bone Alignment, Stabilization and Distraction - An embodiment of a bone stabilization and distraction system of the present disclosure includes a light-sensitive liquid; a light source for providing light energy; a light-conducting fiber for delivering the light energy from the light source to cure the light-sensitive liquid; a delivery catheter having a proximal end in communication with the light-conducting fiber and the light-sensitive liquid, an inner lumen for passage of the light-conducting fiber, and an inner void for passage of the light-sensitive liquid; and an expandable body removably engaging a distal end of the delivery catheter, wherein the expandable body has a closed end, a sealable open end, an inner cavity for passage of the light-sensitive liquid, an external surface and an internal surface, and wherein the expandable body has an insertion depth with a fixed dimension, a width with a fixed dimension, and a thickness with a changeable dimension.01-10-2013
20130013010LIGHT SOURCE - Disposable light sources are disclosed herein. A device for connecting a fiber to a light source includes a light source, light director to focus light from the light source, the light director surrounding at least a portion of the light source, a power source providing energy to the light source, and a connector communicating light from the light source to a catheter.01-10-2013
20130013007COMBINATION DIRECTIONAL AND NON-DIRECTIONAL BONE TAMP - A minimally invasive surgical system can include a cannula having a side port and an open distal end, and an expandable bone tamp. The bone tamp includes an elongate shaft coupled to an expandable element. The elongate shaft has a length adapted to align the expandable element with the side port or extend the expandable element completely beyond the distal opening of the cannula. In this manner, the cannula and bone tamp enable either directional (i.e., through the side port) or non-directional (i.e., completely outside the cannula) bone tamping.01-10-2013
20100137925METHOD AND INSTRUMENTS FOR POSITIONING HUMERAL COMPONENT DURING SHOULDER ARTHROPLASTY - The present invention relates to a set of tools and accessories used for properly positioning a stemmed humeral component, and/or a humeral stem provisional, within a canal in the humerus. The set of tools and accessories includes one or more fin clamps that are configured to be temporarily attached to a fin on the humeral component or the provisional; a ruler that is configured to be attached to the arm of the fin clamp, a fixation pin and pin driver configured to be used with the other tools for marking a position on the humerus; and one or more sleeves that are configured to slide over the stem of the humeral stem provisional to maintain it in the desired position.06-03-2010
20100131022CANAL SIZER AND ASSOCIATED METHOD - An instrument for measuring the medullary canal of a long bone in order to determine the proper size for a stem centralizer is provided. The instrument includes an elongated central portion defining opposed first and second ends and a contact portion. The contact portion extends from the first end or the second end of the elongated central portion. The contact portion has a contact area for contact with the medullary canal and defines a relief area for providing clearance between the instrument and the medullary canal.05-27-2010
20130018429Coupling Devices and Methods of Using the Same - In one embodiment, a medical device includes an elongate member, a first coupler, and a second coupler. The elongate member has a first end portion, a second end portion, and a side portion. The side portion of the elongate member has a first receiving portion and a second receiving portion. The first receiving portion is configured to receive a first support member. The second receiving portion is configured to receive a second support member. The first coupler is coupled to the elongate member and is configured to engage the first support member to help retain the first support member within the first receiving portion. The second coupler is coupled to the elongate member and is configured to engage the second support member to help retain the second support member within the second receiving portion.01-17-2013
20110160780Bone breaking instrument - In an internal sinus manipulation procedure for augmenting bone of a dental patient between a bony floor of the patient's sinus and a raised portion of the patient's sinus membrane, a process for removing bone fragments extending laterally into an upward channel adjacent its upper end comprising selecting a bone breaking instrument including longitudinally elongated handle and a laterally extending head secured to an upper end of the handle and including a substantially flat lower surface that is inclined upwardly and laterally toward the handle at an angle of less that 90 degrees, inserting the selected instrument upward into the channel with the head of the instrument above a bone fragment and with its flat lower surface hooking over the fragment and pulling down on the handle to break off the bone fragment.06-30-2011
20130023942IMPLANT RETAINING LOOP AND GUIDE WIRE EXTENSION - A surgical assembly, the assembly including a first guidewire, a second guidewire, in which each of the first guidewire and the second guidewire are configured to be received by a bone block, a first suture loop, a second suture loop, a first locking component, and a second locking component, in which the first locking component is coupled to the first suture loop and the second locking component is coupled to the second suture loop.01-24-2013
20100036444ORTHOPAEDIC SURGICAL METHOD FOR PERFORMING A PATELLOFEMORAL ARTHROPLASTY PROCEDURE - A method and instrumentation for performing a patellofemoral arthroplasty orthopaedic procedure includes coupling an anterior cutting block to a femur of a patient such that the cutting block references local anatomy of the femur. The anterior cutting block is used to perform a number of bone cuts to establish a trochlear cavity in the femur. The trochlear cavity is formed such that a trochlear prosthesis may be inset into the cavity and substantially flush with the surrounding cartilage. A finishing burring guide and burr bit may be used to detail the shape and/or size of the trochlear cavity. Additionally, a trochlear drill guide may be used to facilitate establishing peg holes in the patient's femur to receive corresponding pegs of the trochlear prosthesis.02-11-2010
20100023067METHOD AND APPARATUS FOR USE IN BALANCING LIGAMENTS OF A KNEE - An apparatus for use in performing an orthopaedic surgical procedure on a patient includes at least one femoral paddle and a tibial paddle. At least one of the femoral paddle and the tibial paddle is movable away from the other. The apparatus also includes a sensor configured to generate a signal indicative of a force applied to the femoral paddle or the tibial paddle. The apparatus may be communicatively coupled to a computer assisted orthopaedic surgery system.01-28-2010
20110313478SURGICAL GUIDING DEVICE FOR RECONSTRUCTION OF ANTERIOR CRUCIATE LIGAMENT - A surgical guiding device is provided for reconstruction of the anterior cruciate ligament, including a guide arm and a guide hook extending away from the arm. The guide arm is constructed in the form of an arc, supports a mounting that is slidable on the guide arm and has a fixing device for an alignment wire that is separate from the mounting.12-22-2011
20130131740LIGAMENT SCREW ATTACHMENT DEVICE - A bone block assembly including a bone block having a proximal end, a distal end, a central axis defined therethrough, and a hole formed therethrough, and a threaded screw having a proximal end, a distal end, and a first eyelet formed on the proximal end of the threaded screw, the threaded screw configured to be received within the hole of the bone block. The first eyelet of the threaded screw is, at least partially, exposed on the proximal end of the bone block when the threaded screw is fully engaged with the bone block. The first eyelet of the threaded screw is configured to receive a suture.05-23-2013
20130131741SYSTEMS, DEVICES, AND METHODS FOR ANCHORING ORTHOPAEDIC IMPLANTS TO BONE - Methods, devices, and systems for delivering and attaching flexible implants to a bone or joint surface. An implant container includes a first component for surrounding and enclosing an implant and a second component adapted for maintaining, supporting, and conforming the shape of the implant. The implant container designed to have at least one component attachable to the implant and to a delivery instrument or tool. The implant container component having a material allowing transmission of light through a thickness of the container and a thickness of an attached implant to cure an adhesive placed between the implant and a bone surface. Additionally, embodiments described provide delivery instruments and tools for attaching implants and implants within containers to a joint or bone surface.05-23-2013
20130144352System for assessing a fit of a femoral implant - A system for virtually planning a size and position of a prosthetic implant for a bone on a patient includes a database containing pre-defined form factor information for a plurality of different implants and a circuit for obtaining surface shape information of the bone. The system further includes a circuit for defining baseline location parameters for an implant location in relation to a virtual representation of the bone based on the surface shape information and a circuit for assessing a fit calculation of each implant in relation to the virtual representation of the bone based on the form factor in formation and a plurality of fit factors at each of a plurality of incremental positions in relation to the bone. Still further, the system includes a circuit for selecting a best fit implant size and position from all of the fit calculations.06-06-2013
20130144351Surgical Guide Device - A surgical guide device comprises first and second limbs pivotally connected together, with a respective guide sleeve pivotally attached to each limb. Each guide sleeve has a bore through the sleeve that can guide a drill bit or bone fixing for insertion into a fragmented bone portion. The device has an orientation mechanism adapted to change the orientation of the guide sleeves relative to the limbs as the limbs move relative to one another, so as to maintain the orientation of the guide sleeves relative to one another during pivotal movement of the limbs.06-06-2013
20110213431Patient Selectable Joint Arthroplasty Devices and Surgical Tools - Disclosed herein are methods, compositions and tools for repairing articular surfaces repair materials and for repairing an articular surface. The articular surface repairs are customizable or highly selectable by patient and geared toward providing optimal fit and function. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty.09-01-2011
20110230921Bone grafting material packing instrument - In an internal sinus manipulation procedure for augmenting bone of a dental patient between a bony floor of the patient's sinus and a raised portion of the patient's sinus membrane, employing a bone graft material condensing instrument comprising a longitudinally extending handle and a laterally extending distal head having an upper surface bounded by vertically extending substantially flat sides and a flat horizontally extending lower surface and placed within the raised portion of the patient's sinus membrane to condense a previously placed bone graft forming material upon a turning thereof.09-22-2011
20100286733MENISCAL DEVICE - A device for sizing and implanting meniscus graft tissue includes a curvilinear tray having an inner curvature edge and an outer curvature edge opposite the inner curvature edge, a top surface and a bottom surface opposite the top surface, and at least one opening formed therethrough between the top surface and the bottom surface to capture at least one element configured to releasably secure the meniscus graft tissue to the curvilinear tray; and an elongated handle extending from the curvilinear tray and including an angled shaft terminating in a handle end.11-11-2010
20100298894Patient-Specific Joint Arthroplasty Devices for Ligament Repair - Disclosed herein are methods, compositions and tools for repairing, replacing or otherwise treating bone ligaments using devices designed from patient-specific information, including without limitation, surgical alignment instruments that have a surface that conforms to at least a portion of a patient's bone, cartilage or other component of the joint or ligament being treated.11-25-2010
20120283793QUADRICEPS TENDON STRIPPER - A cutting implement includes a V-shaped blade portion that defines an aperture through which a quadriceps tendon may pass as a doctor harvests the tendon through a minimally invasive procedure.11-08-2012
20110301654HIP RESURFACING - A method of locating an acetabular cup implant (12-08-2011
20120290019METHODS AND DEVICES FOR VALIDATING THE POSITION OF PATIENT-SPECIFIC DEVICES - The present invention relates to methods for validating the correct position of a patient-specific device on a chosen anatomy of the human body as well as such patient-specific devices. More specifically, the devices are provided with a fitting tool which allows in alignment of the patient-specific device with one or more predetermined patient-specific landmarks.11-15-2012
20100076503BONE IMPLANT - A method of long bone strengthening and a composite implant for such strengthening. Also disclosed is a kit for building a composite implant in-situ in long bones. In an exemplary embodiment of the invention, the implant comprises a plurality of rigid tensile rods, in matrix of cement and surrounded by a partially porous bag.03-25-2010
20120016428BUNION CORRECTION METHOD AND DEVICE - In one aspect of the invention, a method includes locating an anchor attachment point on a first elongated bone with a first bone axis, locating a second anchor attachment point on a second elongated bone with a second bone axis, the second bone axis being misaligned relative to the first bone axis and the bones being separated by an articulating joint. The method further includes mounting a tensioning implant between the two attachment points and biasing the first and second01-19-2012
20120029581Apparatus for Identifying Femoral Head Center - An apparatus for identifying, during total knee replacement surgery, a position of a center of a femoral head of a patient within a plane parallel to a frontal plane, comprises a marking plate placed to cover, in a direction perpendicular to the frontal plane, a site where the femoral head center of the patient's body is located; a pivotal arm having a pivotal shaft arranged to extend in a direction perpendicular to the frontal plane; and a marker attached to the pivotal arm, for depicting a circular arc on the marking plate according to rotation of the pivotal arm; the pivotal shaft being placed at a distal end of a femur of the patient, a distance from the pivotal shaft to the marker in a direction parallel to the frontal plane being equal to a preliminarily measured distance from the distal end of the femur to the femoral head center.02-02-2012
20130204310PECTUS BAR STABILIZER - A pectus bar stabilizer assembly and method includes a first base part separable from a second base part. The first and second base parts combine to define a channel therebetween. A pectus bar is received by the channel and a retainer assembly retains the pectus bar in the channel.08-08-2013
20120095518BONE CEMENT FORMULA AND BIORESORBABLE HARDENED BONE CEMENT COMPOSITES PREPARED WITH THE SAME - The present invention provides a bone cement formula having a powder component and a setting liquid component, wherein the powder component includes a calcium sulfate source and a calcium phosphate source with a weight ratio of the calcium sulfate source less than 65%, based on the total weight of the calcium sulfate source and the calcium phosphate source, and the setting liquid component comprises ammonium ion (NH04-19-2012
20100069973Bending Tools for Bone Plates and Methods of Using Bending Tools - Plate shaping tools may be attached to a plate having pre-assembled guides while the plate is located on the bone to effect alteration of the plate shape in an effective and precise manner. The tools are designed such that a drill and K-wires can be inserted through the guides while the tools are coupled to the guides.03-18-2010
20090177239CERVICAL PLATE INSTRUMENT KIT - The present invention provides an apparatus, method and kit for placing and securing an implant to vertebral bodies of a spine. The apparatus may have an implant engaging base having implant engaging limbs coupled to a handle and an aligning member pivotally coupled to the handle by a spring loaded collar where the aligning member may be rotated and locked into fixed positions. The aligning member may receive a cannula for guiding instruments and tools into the surgical field. A method is presented which includes turning locking screws to frictionally engage rounded screws to secure the implant to the vertebral bodies. Flats on the head of the locking screws may be turned by a screwdriver having corresponding flats dispositioned to align in a coaxial manner to the flats on the heads of the locking screws. A kit is presented including the apparatus, the screws, and the screwdriver.07-09-2009
20090005822METHOD AND APPARATUS FOR PERCUTANEOUSLY SECURING A BONE SCREW AND A BONE PLATE TO A BONE OF A PATIENT - A method of percutaneously implanting a first component and a second component of an orthopaedic assembly into a body of a patient includes the steps of securing a first instrument to the first component, and advancing the first component into the body of the patient. The first instrument is advanced into the body of the patient such that a portion of the first instrument extends out of the body. A second instrument is secured to the second component, and the second component is advanced into the body of the patient. The second instrument is advanced into the body of the patient such that a portion of the second instrument extends out of the body. A third instrument is advanced into contact with both the first instrument and the second instrument so as to position the first component and the second component in a predetermined position relative to one another. An instrument assembly for percutaneously implanting an orthopaedic assembly is also disclosed.01-01-2009
20080234766CRANIOSPINAL FUSION METHOD AND APPARATUS - A method for effecting reduction, stabilization and enhancement of fusion of the human cranio-cervical junction, which may be performed in order to relieve mechanical stresses imparted to the spinal cord and brainstem as a result of an abnormal clivo-axial angle, includes steps of achieving the correct craniocervical relationship, of effecting a fusion of a first portion of a bone forming material based structural member to a human cranium, and effecting fusion of a second portion of the bone forming material based structural member to a least one portion of a human cervical spine. Fusion of the bone forming material based structural member to the human cranium may be promoted through the use of plate member that is shaped to define a graft accommodation space between the plate member and the cranium.09-25-2008
20110106183Plate Holding Bone Forceps and Method of Use - A device for the positioning of a bone plate against a bone comprises first and second arms pivotally connected at a first joint, distal ends of the first and second arms defining a gripping surface for gripping the bone therebetween, proximal portions of the first and second arms extending in a first plane. An extension member couples to the first and second arms at the first joint and includes a first section extending distally from the first joint parallel to the first plane and a second section extending distally from the first section angled relative to the first section so that when the first and second arms are in a desired configuration gripping the bone, the second section extends parallel to the bone. A compression mechanism couples to the second section and includes a compression member and a coupling member being movable toward and away from the second section.05-05-2011
20130103105DEVICE FOR FACILITATING THE APPLICATION OF A FIXING PLATE TO THE RELATIVE SCREW FOR THE MINIMALLY INVASIVE STABILIZATION OF PERTROCHANTERIC FEMORAL FRACTURES WITH SLIDING SCREW-PLATE SYSTEMS - The present invention concerns a device (04-25-2013
20130103104ARTHROSCOPE GUIDE - A guide for guiding the distal end of an arthroscope above the surface of a bone plate is disclosed. The guide is located on top of the bone plate. It has a body with cutouts and/or grooves to guide the arthroscope. Furthermore the arthroscope has a ball shaped slider close to its distal end. This slider is adapted to interface with the guide and allows movement of the distal end of the arthroscope along the cutouts or grooves.04-25-2013
20100318138Surgical Tool And Method - A medical device and method. The medical device includes a handle portion, a shank portion, a guide channel and a flexible guide device. The shank portion has a non-linear portion adjacent a distal end. The device is useful in performing medical procedures in the pre-sacral area of a human patient. After inserting the guide device, the shank may be removed leaving the guide device in place and a second medical device can be inserted into the site of interest using the guide device for guidance. The medical procedure can be performed using the second medical device.12-16-2010
20110184476FEMORAL RING LOADER - An instrument for inserting an implant between vertebral bodies, including a holder adapted to hold the implant during insertion of the implant between the vertebral bodies, a retractor adapted to retract the holder away from the implant after the insertion, and a guard adapted to prevent the implant from being removed from between the vertebral bodies during the retraction.07-28-2011
20110208253MINIMALLY INVASIVE TISSUE PROSTHESIS IMPLANTING DEVICE AND METHOD - A tissue prosthesis delivery device (08-25-2011
20100121388Monorail System - Systems for improved methods of performing a spinal fusion procedure that include a monorail instrument having a sliding platform for additional instrumentation to allow controlled delivery of various instruments for disc preparation and implant insertion in order to protect the medial neural structures of the spine. The monorail instrument engages other instruments, including various instruments utilized to prepare the disc space as well as spinal fusion implants, for guided and controlled insertion into the disc space. The monorail instrument may be a distractor, and may include flutes for preparation of the disc space.05-13-2010
20100076500INSERTION TOOL AND GUIDE SYSTEM - An insertion tool has a curved fastener guide for allowing a user to safely insert bone fasteners and associated tools at the surgical site for securing an implant device to a bone body. The insertion tool has an elongate cannula and attachment shaft coupled to the distal end of the fastener guide. The attachment shaft can be docked to an implant device and the insertion tool can be used to locate the implant device at the surgical site. The fastener guide can be aligned with fastener holes in the implant device for accurate placement of the bone fasteners.03-25-2010
20100100138Endoscopic Insturments and Mehod for Delivery of Spinal Implant - Instruments and methods for the installation of spinal implants (04-22-2010
20130035729BAYONET COUNTER-TORQUE WRENCH - A counter-torque wrench for use with spinal implantation systems is provided wherein the counter-torque wrench engages a spinal implant rod and a bone screw body in a manner to promote a perpendicular alignment between the longitudinal axis of the rod and the longitudinal axis of the bone screw body, and a co-linear alignment between the longitudinal axis of the bone screw body and the longitudinal axis of the wrench body. The counter-torque wrench may comprise a handle attached to a first end of the counter-torque wrench body and a rod engaging member attached to a second end of the counter-torque wrench body. The rod engaging member may comprise generally opposing slots, wherein each slot comprises a prong extending into each slot, the prong creating a generally L-shaped slot, and a pocket formed by a curved feature of each slot. The opposing slots may be sized and shaped to releasably attach to the spinal implant rod in an engaged position perpendicular to the counter-torque wrench body when the counter-torque wrench is rotated in a counter-clockwise direction.02-07-2013
20130041415Systems and Methods for Minimally Invasive Surgical Procedures FO Systems - One nonlimiting embodiment of the present application is directed to a system for positioning a connecting element adjacent one or more bones or bony portions, such as the spinal column, through a minimally invasive surgical approach. The system generally includes a number of bone anchors engageable to the one or more bones or bony portions and a number of anchor extenders removably engaged to the bone anchors. A connecting element inserter instrument is engageable with one of the anchor extenders and is movable along a longitudinal axis of the anchor extender. As the inserter instrument is moved along the longitudinal axis toward the bone anchors, a leading end of the connecting element is rotated away from the longitudinal axis and the connecting element is positioned at a location adjacent the number of bone anchors in a minimally invasive surgical procedure. However, in other embodiments, different forms and applications are envisioned.02-14-2013
20100106201Load Distribution Crown - 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.04-29-2010
20100331900SURGICAL TOOLS FOR TREATMENT OF SPINAL STENOSIS - Described herein are pullwire handle devices for securing to a tissue-penetrating pullwire. In some embodiments, the device includes a handle body, a pullwire lock configured to removably lock the pullwire handle device onto a pullwire within the handle body, and a tip containment element configured to retain the distal tip of the pullwire. In some embodiments, the handle body further comprises a storage chamber configured to store a distal portion of the pullwire. Also described herein are methods for capturing a pullwire using a pullwire handle device. In some embodiments, the method includes the steps of inserting the distal end of a pullwire into the pullwire handle device, advancing the pullwire further into the pullwire handle device while the distal portion of the pullwire is contained within the pullwire handle device, and locking the distal portion of the pullwire within the pullwire handle device.12-30-2010
20090138055Spacer insertion instrument - A percutaneous and minimally invasive instrument for inserting an interspinous process spacer into a patient is disclosed. The insertion instrument includes a first assembly connected to a handle assembly. The first assembly includes an inner shaft located inside an outer shaft and configured for relative translational motion with respect to the outer shaft. The relative translational motion causes one of the outer or inner shafts to move with respect to the other and thereby deflect at least one prong formed on one of the inner or outer shafts wherein such deflection causes engagement with a juxtapositioned interspinous spacer. The instrument further includes a driving tool configured for removable insertion into a proximal end of a passageway of the instrument. The driving tool has a distal spacer engaging portion configured to engage that part of the spacer requiring activation for deployment of the spacer from at least one undeployed configuration to at least one deployed configuration and vice versa.05-28-2009
20100094359PIVOTING IMPLANT HOLDER - A medical inserter tool is provided for introducing medical implants into a surgical site, preferably using minimally invasive techniques. The inserter tool can have a variety of configurations, but in general, the inserter tool should be effective to engage and manipulate the implant into two or more positions. In an exemplary embodiment, the tool includes an elongate shaft having proximal and distal ends and defining a longitudinal axis extending therebetween, and a pivoting element that is coupled to the distal end of the shaft and that is adapted to engage a spinal implant. In use, the pivoting element is movable between first and second positions to allow an implant to be introduced through a percutaneous access device in a lengthwise orientation, and to be manipulated subcutaneously to be positioned in a desired orientation.04-15-2010
20130046352LAMINAR HOOK INSERTION DEVICE - A surgical hook insertion device includes an elongate body defining a lumen therethrough and an actuation assembly. The elongate body has a retaining portion configured and dimensioned to releasably retain a laminar hook therein. The actuation assembly includes an actuation rod and an actuator member. The actuation rod is slideably disposed within the lumen of the elongate body. The actuator member is operatively coupled with the actuation rod and is slideably mounted on the elongate body, wherein the actuation assembly is transitionable between a first position in which a portion of the actuation rod engages the laminar hook releasably disposed in the retaining portion and a second position in which the actuation rod disengages the laminar hook.02-21-2013
20090043343Method and Apparatus for Enhanced Delivery of Treatment Device to the Intervertebral Disc Annulus - The present invention provides methods and devices for enhancing the delivery of treatment devices for treating the annulus of an intervertebral disc. The methods and devices may employ delivery support elements to delivery tools used to deliver expandable treatment devices to the intervertebral disc. Fixation devices and methods are also disclosed, which may help to secure the treatment device in place.02-12-2009
20090306727IMPLANTING A TISSUE PROSTHESIS12-10-2009
20090093852SPINAL STABILIZATION TREATMENT METHODS FOR MAINTAINING AXIAL SPINE HEIGHT AND SAGITAL PLANE SPINE BALANCE - A proactive spinal treatment method is for maintaining axial spine height and sagital plane spine balance in a spine comprising vertebrae and intervertebral discs between adjacent vertebrae. The method may include collecting a plurality of spinal health parameters relating to predicted spinal degeneration risk for a given patient's spine, and analyzing the plurality of spinal health parameters to generate a proposed stabilizing implantation treatment using a finite element spinal model. The method may further include performing the proposed stabilizing implantation treatment on the given patient's spine to proactively treat the patient to maintain axial spine height and sagital plane spine balance.04-09-2009
20110015685GUIDE FOR SPINAL TOOLS, IMPLANTS, AND DEVICES - A guide device is provided for use with a spinal fixation element that has at least one pair of thru bores formed therein. The guide device generally includes an elongate shaft having a proximal end and a distal end. A guide member is coupled to the distal end of the elongate shaft and it includes at least one pathway extending therethrough, and at least one alignment element that is positioned distal of the guide member. Each alignment element(s) is adapted to interact with a spinal fixation element to position the guide member with respect to the spinal fixation element such that the each pathway in the guide member is aligned with a corresponding thru bore formed in the spinal fixation element. The guide member can then be used to guide tools, devices, and/or implants through each pathway in the spinal fixation element and into bone.01-20-2011
20130066386TOOL FOR USE WITH A BONE ANCHOR, IN PARTICULAR FOR SPINAL SURGERY - A tool is provided for use with a bone anchor, wherein the bone anchor has an anchoring section and a receiving portion for receiving a rod to be connected to the anchoring section and a locking element, the tool comprising a tip portion for engaging the locking element; a mechanism to apply torque to the tip portion comprising a drive shaft and a driven shaft coupled by a gear unit, where the drive shaft has a different axis than the driven shaft, and where the driven shaft comprises an engagement portion configured to connect the driven shaft to the gear unit; and a counter-holding portion for engaging the receiving part, wherein the counter-holding portion is rotatable with respect to the tip portion.03-14-2013
20130066385CONNECTING ELEMENT REDUCTION INSTRUMENT AND METHODS FOR USING SAME - A reduction instrument is releasably engageable with a bone anchor and structured to reduce a connecting element into a receiving member of the bone anchor. The reduction instrument includes a first member, a second member pivotably coupled to the first member, an offset anchor engaging portion, and a reduction member axially displaceable relative to the first and second members. A passage may be positioned between the first and second members which includes a laterally enlarged portion positioned proximal to the anchor engaging portion. The reduction member may include a guide member movable along a first interior surface of the first member and facing the second member as the reduction member is axially displaced relative to the first and second members. Methods of use are disclosed.03-14-2013
20120116467SURGICAL INSTRUMENT WITH INTEGRATED COMPRESSION AND DISTRACTION MECHANISMS - Embodiments disclosed herein provide compression/distraction methods and tools useful for fitting a spinal stabilization system in a patient through minimally invasive surgery. The spinal stabilization system may comprise screws anchored in vertebrae. The vertebrae may need to be compressed or distracted. One embodiment of an instrument disclosed herein may comprise a shaft for engaging one of the screws through an extender sleeve. A driver may engage another screw through an opening of the instrument. Through this engagement, a surgeon may use the rack and pinion of the instrument to compress or distract one or more levels of the vertebrae in a parallel motion, which can be advantageous clinically in certain situations.05-10-2012
20080294205EXPANDABLE SUPPORT DEVICE AND METHOD OF USE - A deployment system and a method of using the deployment system are disclosed. The deployment system can have an expandable support device that can be used to treat orthopedic injuries. The expandable support device can be deployed with or between bones. The deployment system can be integral with the expandable support device. The deployment system can be designed to release the expandable support device when a specific deployment force is exerted onto the deployment system.11-27-2008
20120191144INSTRUMENT FOR REDUCTION OF A VERTEBRAL ROD AND METHOD OF USE - An instrument and method for reducing a vertebral rod into an anchor attached to a vertebral member. The instrument may include a gripper configured to attach to an anchor, an elongated shaft extending along a longitudinal axis between opposing jaws of the gripper, and a reducing element disposed at least partially outside the first and second jaws of the gripper and configured to engage with the vertebral rod. A release device may also be disposed about the elongated shaft and may be movable relative thereto such that the release device may be selectively engaged with a threaded outer surface of the elongated shaft. The reducing element may therefore be alternatively slidable relative to the gripper or threadably movable relative to the gripper by interaction with the elongated shaft, depending on a position of the release device.07-26-2012
20110282402INSTRUMENTS AND METHODS FOR MANIPULATING VERTEBRA - A method for manipulating a vertebra includes connecting a first bone anchor to a first vertebra, connecting a second bone anchor to a second bone anchor, positioning a spinal rod in a receiving member of the first bone anchor and in a receiving member of the second bone anchor, connecting a first instrument to the receiving member of the first bone anchor, and manipulating the first instrument to rotate first bone anchor and the first vertebra relative to the second vertebra.11-17-2011
20100249856Devices and Methods for Inserting a Vertebral Fixation Member - A device and method for inserting a vertebral stabilization member is disclosed. The stabilization member is releasably clampable to an insertion device between first and second clamping members at a clamping location spaced from a midline of the stabilization member. The insertion device and stabilization member are deliverable through an access sleeve and the stabilization member is rotatably actuatable to position the stabilization member in relation to a bone anchor.09-30-2010
20110295328Method and Apparatus for Performing Spinal Surgery - Implants, instruments, and methods for performing surgical procedures on the spine, including one or more of creating an operative corridor to the spine, delivering implants to the spine, fusing one or more segments of the spine, and fixing one or more segments of the spine.12-01-2011
20110295327BI-DIRECTIONAL FIXATING TRANSVERTEBRAL BODY SCREWS AND POSTERIOR CERVICAL AND LUMBAR INTERARTICULATING JOINT CALIBRATED STAPLING DEVICES FOR SPINAL FUSION - A self-drilling bone fusion screw apparatus is disclosed which includes at least first and second sliding boxes. A first screw member having a tapered end and a threaded body is disposed within the first sliding box, and a second screw member having a tapered end and a threaded body disposed within the second sliding box. An adjuster adjusts the height of the sliding boxes. The screw members are screwed into vertebral bodies in order to fuse the vertebral bodies together. A plurality of the self-drilling bone fusion screw apparatuses may be attached together and/or integrated via a plate or cage. Also disclosed is a cervical facet staple that includes a curved staple base and at least two prongs attached to the bottom surface of the curved staple base.12-01-2011
20120191143INSTRUMENTS AND TECHNIQUES FOR ADJUSTING RELATIVE POSITIONING OF BONES OR BONY TISSUES - Systems, methods, devices and instruments for adjusting the relative positioning of bones or bony tissues, such as two or more vertebrae, are provided. More particularly, in one form, an instrument includes first and second end members that are freely movable relative to one another in a first configuration of the instrument, while in a second configuration the first and second end members are only movable relative to one another upon rotation of a displacement member. In one aspect of this and/or other forms, the first and second end members include hook portions that are selectively rotatable relative to one another such that the instrument can be used for compression or distraction of the bones or bony tissues. In another form, techniques for adjusting the relative positioning of bones or bony tissues are provided.07-26-2012
20100211119MULTI-FUNCTIONAL SURGICAL INSTRUMENT AND METHOD OF USE FOR INSERTING AN IMPLANT BETWEEN TWO BONES - The surgical instrument includes a handle and a housing member that has a first end that is fixed to the handle and a second end that is configured to receive an engagement member. The surgical instrument also has an implant holding mechanism that is operatively associated with the housing member and the handle. The surgical instrument further includes a length control mechanism that has a knob, a rod member and a toothed member. The toothed member is fixed to one end of the rod member and the knob is attached to the other end. The surgical instrument also has a locking mechanism that includes a knob and a rod member having a proximal end to which the knob is attached and a distal end that is configured to detachably couple to a locking device. A surgical method for using the surgical instrument and a bone spacing kit is also disclosed.08-19-2010
20100036442CERVICAL BONE PREPARATION TOOL AND IMPLANT GUIDE SYSTEMS - Disclosed herein are various tools and devices for use in spinal surgery. In one embodiment, a spinal guide device is provided having a guide member with a positioning element that is adapted to engage a portion of a vertebra to position the guide member relative to the vertebra. The guide member can also include a retractor guide that is adapted to guide a retractor therethrough to retract tissue adjacent to the distal end of the guide member. Various tissue retractors, bone preparation tools, and spinal implants are also disclosed.02-11-2010
20100114182SURGICAL INSTRUMENTS FOR DELIVERING FORCES TO BONY STRUCURES - Spinal surgical systems, instruments and methods include a surgical instrument with a first member mountable to a first vertebra and a second member mountable to a second vertebra. The first and second members are coupled to one another with a coupling mechanism that allows translation of the first and second members relative to another along a predetermined path. The coupling mechanism also provides a pivot axis about which the first and second members are manipulated relative to one another to deliver forces to the first and second vertebrae.05-06-2010
20100280560Reducing Instrument for Spinal Surgery - An instrument is provided for use in orthopedic surgery for reduction of a connecting member such as a spinal rod toward an implant such as a bone screw. An embodiment of the instrument includes handle portions that are pivotable relative to each other and biased apart, and arm portions pivotable relative to each other and to the handle portions. Distal portions of the arm portions, which may be offset from the arm portions, provide structure for engaging a connecting member and an implant. Squeezing the handle portions force the distal portions of the arm portions together, forcing together the connecting member and the implant. A toothed bar and pawl may be provided to retain the instrument in a squeezed state.11-04-2010
20100100141Methods and Apparatus For Intervertebral Disc Prosthesis Insertion - 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.04-22-2010
20100100140INSERTION TOOL FOR A VERTEBRAL DEFECT DEVICE - An insertion tool for a vertebral defect device having upper and lower openings includes a first finger sized and shaped to cooperatively engage the upper opening. A second finger is sized and shaped to cooperatively engage the lower opening. An outer surface of each finger is shaped to match a contoured shape of the vertebral defect device proximate to the respective finger to allow a smooth insertion of the vertebral defect device between a pair of adjacent vertebrae. A driving member is sized and shaped to engage a body of the vertebral defect device, such that during insertion the driving member is driven to push the vertebral defect device between the pair of adjacent vertebrae.04-22-2010
20100100139REMOVAL OF PROSTHESES - An apparatus to aid removal of a prosthetic implant (04-22-2010
20090281582INSTRUMENT FOR THE REDUCTION OF A ROD INTO POSITION IN A PEDICLE SCREW - Instruments for reducing spinal stabilization rods into position in pedicle screws or other bone anchors placed on a spine. In some embodiments, instruments are provided which include inner and outer extensions adapted for engaging, respectively, pedicle screws and rods. Handles of the instrument can engage a parallel action compressor which actuate the extensions. The handles may be offset from the extensions by a distance in a direction along a longitudinal axis of the extensions, in a direction perpendicular thereto, or a combination thereof. Instruments of some embodiments can include locking, or ratchet, mechanisms extending between the handles. A biasing member may bias the handles apart from each other and assist in engaging the locking or ratchet mechanism. Surgical instrument kits including rod reduction instruments are provided by some embodiments. According to some embodiments, methods for reducing spinal stabilization rods into their desired positions are also provided.11-12-2009
20100087875Anterior impacted bone graft and driver instruments - Instrument and implants are disclosed which provide for insertion of an implant into an intervertebral disc space from multiple approaches to the spine. Specifically, as a preferred aspect of the invention the implant includes a tapered portion and the implant may be inserted from multiple approaches to the spine with the orientation and taper properly oriented in the disc space regardless of the approach.04-08-2010
20110172722Motion Segment Repair Systems and Methods - Various methods and devices are provided for implanting a motion segment repair system. In particular, exemplary methods and devices are provided for implanting a spinal disc implant and/or a PDS device using a posterior surgical approach, including methods and devices for distracting adjacent vertebrae using a posterior surgical approach, methods and devices for posteriorly introducing a spinal implant into a disc space between adjacent vertebrae, and methods and devices for coupling a PDS device to the adjacent vertebrae to provide a complete motion segment repair system that is implanted using a posterior surgical approach.07-14-2011
20110172723MULTI-DIRECTIONAL ROD REDUCER INSTRUMENT AND METHOD - A surgical reducing instrument is used to position an elongated implant element in a desired position relative to one or more of the bone anchors of a spinal implant system. The reducing instrument includes a mounting member that is mounted to the anchor and extends along a first longitudinal axis and an implant reducing member pivotally linked to the mounting member that extends along a second longitudinal axis that is offset from and variably positionable relative to the first longitudinal axis about a pivot axis. The reducing member contacts the implant element and includes a manipulation portion to move the implant element along the second longitudinal axis and can maintain contact to move the implant element toward the bone anchor when the reducing member is pivoted relative to the mounting member about the pivot axis.07-14-2011
20110208254MINIMALLY INVASIVE METHOD AND INSTRUMENT FOR THE REDUCTION OF A ROD INTO POSITION IN A PEDICLE SCREW - Minimally invasive methods and instruments for reducing spinal stabilization rods into pedicle screws. In some embodiments, a method comprises positioning an instrument over a pedicle screw where a rod remains proud. A distal end of a first extension of the instrument is engaged with a collar of the pedicle screw. A second extension of the instrument is moved in translation relative to the first extension until a distal end of the second extension contacts the rod. This translation is accomplished by manipulating a pair of handles of the instrument. The rod is urged into the collar of the pedicle screw by application of force on the rod through the distal end of the second extension. The rod can be locked in the collar of the pedicle screw using a set screw passed through a passage in the first extension of the instrument.08-25-2011
20080281364SYSTEMS, DEVICES AND METHODS FOR STABILIZING BONE - Described herein are devices, systems, and methods for treating bone, particularly for restoring bone dimension in compression fractures. Self-expanding stabilization devices for repairing bone may include two or more continuous curvature of bending struts that extend from a central shaft in the deployed configuration. The stabilization device may be attached to an inserter. An inserter may be used to hold the stabilization device in a collapsed delivery configuration so that it can be inserted into bone. In use, the stabilization device may be part of a system or kit for installing the device into a bone region and allowing it to expand to correct a bone fracture.11-13-2008
20080228233INSTRUMENT FOR MANIPULATING SPINAL IMPLANT SYSTEM - Instruments are provided herein for reducing the lateral distance between a spinal rod anchored to a spine and a coupling device. The instruments permit a rod to be shifted into a coupling device that is not in alignment with other coupling devices secured to the rod because of rotational deformities causing one or more vertebrae to be shifted with respect to at least one other vertebra.09-18-2008
20080288005Orthopedic implant rod reduction tool set and method - A tool set for implanting a rod in a human spine in conjunction with bone screws. The tool set includes a pair of end guide tools that receive opposite ends of the rod in channels and under manipulation by a surgeon facilitate transport of the rod toward the bone screws attached to the guide tools. Intermediate guide tools having guiding pass through slots are utilized to guide intermediate locations along the rod toward associated bone screws. An attachment structure operably connects the guide tools to the bone screws. The guide tools each include a lower guide and advancement structure to allow a closure top with mating structure to be rotated and driven downward against the rod and to cooperate with similar structure in the bone screw to seat and lock the rod therein. A method utilizing the tool set allows a surgeon to percutaneously implant the rod in the patient.11-20-2008
20080312704INSTRUMENTATION AND ASSOCIATED TECHNIQUES FOR MINIMALLY INVASIVE SPINAL CONSTRUCT INSTALLATION - A spinal fixation installation assembly includes an elongate member having a trailing end. The elongate member, which could be a rigid member, is configured for travel in a first direction along an elongate portion of a first bone anchor coupled to a spine. The elongate member is also configured to travel in a second direction between the first bone anchor and a second bone anchor also coupled to the spine. A cord member is coupled to the trailing end of the elongate member. In one aspect of this embodiment, a spine rod is coupled to the cord member at its leading end and is configured for travel in the first and second directions. The elongate portion of one or more of the bone anchors may extend percutaneously from the spine, while the spine rod may be releasably coupled to the cord member.12-18-2008
20100137922VARIABLE ANGLE SPINAL SURGERY INSTRUMENT - An instrument for use in a procedure for inserting a spinal implant between human vertebrae may include a shaft and an end member. The end member may rotate with respect to the shaft. An angle of the end member with respect to the shaft may be varied when the end member is in a disc space between the human vertebrae. The instrument may include a slide for securing the end member at selected angles relative to the shaft. The end member may be separable from the shaft when the end member is in a selected orientation with the shaft. An instrument kit may include a shaft assembly and modular end members for various steps in a surgical procedure, such as disc space preparation, disc space evaluation, and spinal implant insertion.06-03-2010
20080306557Inserter for a spinal implant - An inserter for implanting a spinal implant such as an intervertebral spacer into a spinal disc space is disclosed. The inserter comprises a jaw assembly connected to a shaft assembly that is connected to a handle assembly. The shaft assembly includes an angled portion in which the distal end of the instrument is displaced from the proximal end of the instrument affording the clinician a more unobstructed view of the operative site. The user operates the handle assembly at the proximal end to open and close the jaw assembly to thereby connect to and release from the intervertebral spacer.12-11-2008
20090157125Spinal Rod Reducer and Cap Insertion Apparatus - A medical instrument apparatus and method is provided for positioning and securing a spinal rod to a coupling device anchored to a vertebra. A reducer assembly shifts the spinal rod into place within the coupling device and a cap inserter assembly shifts a cap member into locking engagement with the coupling device to secure the spinal rod therein.06-18-2009
20090138056METHODS AND DEVICES FOR MINIMALLY INVASIVE SPINAL FIXATION ELEMENT PLACEMENT - Minimally invasive methods and devices for introducing a spinal fixation element into a surgical site in a patient's spinal column are provided. In general, the method involves advancing a spinal fixation element in a first, lengthwise orientation along a pathway extending from a minimally invasive percutaneous incision to a spinal anchor site. As the spinal fixation element approaches the spinal anchor site, the fixation element can be manipulated to extend in a second orientation, which is preferably substantially transverse to the first orientation, to position the fixation element in relation to one or more spinal anchors.05-28-2009
20090143828Methods and Devices For Minimally Invasive Spinal Connection Element Delivery - A device for delivery of a spinal rod to a bone anchor includes an inner tube and an outer tube disposed about at least a portion of the inner tube. The inner tube is adjustable relative to the outer tube along the longitudinal axis of the outer tube between a first position and a second position in which the distal end of the inner tube contacts the bone anchor. A spring is interposed between the inner tube and the outer tube to bias the inner tube distally. A locking member is coupled to the outer tube and is adjustable between a proximal position in which the locking member is spaced apart from the inner tube and a distal position in which the locking member inhibits proximal axial motion of the inner tube relative to the outer tube.06-04-2009
20090143829ACCESS DEVICE FOR MINIMALLY INVASIVE SURGERY - A retractor has a proximal portion comprising a first side portion having a first longitudinal edge and a second side portion having a second longitudinal edge. The first and second portions being movable relative to each other such that the first and second longitudinal edges can be positioned in close proximity to each or spaced apart by a selected distance. A distal portion has an outer surface and an inner surface partially defining a passage. The distal portion is capable of having a configuration when inserted within the patient wherein the cross-sectional area of the passage at a first location is greater than the cross-sectional area of the passage at a second location, wherein the first location is distal to the second location.06-04-2009
20110224740Implantation Tools for Interspinous Process Spacing Device - Various embodiments described herein provide devices and associated methods for treating spinal disease by implanting one or more interspinous process spacing devices. In one embodiment, an interspinous process spacing device includes a first attachment side and a second attachment side, whereby each attachment side includes one or more slots formed in the outer surface and oriented proximate one end for receiving fasteners extending inwardly from a second interspinous process spacing device. The device further includes a spacer tray positioned between the first attachment side and the second attachment side, the spacer tray extending from the first attachment side and slideably insertable through a tray slot formed in the second attachment side, wherein the spacer tray is adapted to retain adjacent spinous processes in a spaced apart orientation. The device further includes securing means for securing the second attachment side relative to the first attachment side, wherein, upon securing the second attachment side relative to the first attachment side, the interspinous process spacing device is engaged with the adjacent spinous processes.09-15-2011
20090054933INSTRUMENTS AND METHODS FOR TENSIONING A SPINAL TETHER - Various methods and devices are provided for tensioning a tether. In one embodiment, a tether tensioning device is provided and includes an elongate shaft adapted to be positioned adjacent to a bone anchor implanted in bone, and a tensioning mechanism pivotally associated with the elongate shaft and adapted to couple to a tether seated across the bone anchor and to pivot relative to the elongate shaft to apply a tensioning force to the tether.02-26-2009
20120197318Rod Coercer - A rod coercer for use in spinal fixation procedures is provided. In one embodiment, the rod coercer includes a handle having at least one rod contacting arm extending therefrom; an implant gripping assembly pivotally interconnected with the handle; and first and second implant gripping levers interconnected with the implant gripping assembly and including first and second protrusions biased to engage corresponding recesses of the implant. The protrusions can be selectively retracted from the recesses of the implant by pivoting the implant gripping levers.08-02-2012
20090082821TIGHTLY BINDING DEVICE FOR BONE JOINING CABLE - A bone-tying cable tightening device with improved easiness of handling of is disclosed. The device comprises a grip portion, a rod-like member extending forward, a knot-supporting means at the tip, a cable-holding means to grip and hold the tow arms together, and a sliding block mounted around the rod-like member and connected to a pulling means, and an operation lever to drive the pulling means, wherein the knot-supporting means has smooth supporting faces on the both sides of which the two arms can be hooked away from each other and laterally above the rod-like member, wherein the cable-holding means comprises (a) a longitudinal through groove defined in the upper part of the sliding block, (b) a locking recess which extends, at the end of the through groove, either transversing the through groove in its cross section or covering the cross section of the through groove along its central axis, and whose width in its cross section widens in the rearward direction, (c) a backward biased locking member which is provided movably back and forth behind the locking recess on the upper side of the sliding block, and is so made that its forward movement is blocked when it fits in the locking recess.03-26-2009
20120078316Methods and Devices for Minimally Invasive Spinal Fixation Element Placement - Minimally invasive methods and devices for introducing a spinal fixation element into a surgical site in a patient's spinal column are provided. In general, the method involves advancing a spinal fixation element in a first, lengthwise orientation along a pathway extending from a minimally invasive percutaneous incision to a spinal anchor site. As the spinal fixation element approaches the spinal anchor site, the fixation element can be manipulated to extend in a second orientation, which is preferably substantially transverse to the first orientation, to position the fixation element in relation to one or more spinal anchors.03-29-2012
20120078315INTERVERTEBRAL INSERT SYSTEM - A system for delivering fluid to a space between two vertebrae is provided. The system includes a tool and an insert configured to be implanted in the space between two vertebrae. The tool includes a proximal end, a distal end and a structure at the distal end configured to be coupled to the insert. The tool further includes a first opening located near the proximal end of the tool, a second opening located near the distal end of the tool, and a passage extending between the first opening and the second opening. The first opening, the passage and the second opening provide a fluid delivery path from the proximal end to the exterior of the tool near the distal end. The second opening is positioned relative to the structure such that fluid is permitted to be delivered from the tool directly into the space between the two vertebrae.03-29-2012
20090105774ROD INSERTION INSTRUMENT AND METHOD OF USE - An insertion tool for inserting a spinal rod into a patient is provided. The insertion tool includes an upper body portion defining a first longitudinal axis, a handle assembly extending from the upper body portion, an elbow member connected to a distal end of the body portion, a lower body portion defining a second longitudinal axis, and a drive mechanism extending between the handle assembly and the lower body portion for controlling the selective engagement of the spinal rod. The lower body portion extends from the elbow and is configured to selectively engage a spinal rod.04-23-2009
20090210017ANTERIOR LUMBAR INTERBODY GRAFT INSERTER - An anterior lumbar interbody graft (ALIG) inserter includes prongs at the tip of the inserter which can optionally grasp, and thus insert, anterior and anterior-lateral grafts.08-20-2009
20090248092Posterior Intervertebral Disc Inserter and Expansion Techniques - Insertion and expansion devices for use in inserting motion discs, and associated methods of use.10-01-2009
20090240292Spinal Rod Guide For A Vertebral Screw Spinal Rod Connector Assembly - A spinal rod guide and/or guide assembly is provided for mounting a spinal rod onto a spinal rod holder/connector of a vertebral bone screw. The spinal rod guide is configured to extend between an opening in a patient's body and the spinal rod holder of the vertebral bone screw assembly, to receive a spinal rod therein, and thereafter accurately guide the spinal rod into the spinal rod holder. The spinal rod guide is defined by a first elongated arc portion and a second elongated arc portion to define a guide tube for the introduction and placement of additional spinal rod components onto the spinal rod connector, particularly, but not necessarily, for securing the spinal rod into the spinal rod connector. The elongated arc portions are mountable or initially attached onto a top of a spinal rod holder of a spinal rod bone screw assembly. The elongated arc portions (tube) define first and second longitudinal slots extending from a top of the elongated arc portions to a bottom of the elongated arc portions. The two longitudinal slots are situated such as to be diametrically opposite one another. Each longitudinal slot aligns with a spinal rod slot of the spinal rod holder to thereby allow easy placement of the spinal rod into the spinal rod holder. Thereafter, the defined elongated tube provides direct communication and alignment with the top of the spinal rod holder in order to receive a spinal rod connector drive screw for securing the spinal rod into the spinal rod holder.09-24-2009
20090254131SYSTEMS AND METHODS THAT FACILITATE MINIMALLY INVASIVE SPINE SURGERY - A system and method that facilitates minimally invasive spine surgery. The system includes screw preparation instruments that include a targeted guide with a laser attached to a fluoroscope, at least one polyaxial screw and rod guidance instruments that selectively insert the at least one polyaxial screw within the spine. The screw preparation instruments include an awl, a hand-held drill or tap, a ball-tipped probe, a cannulated depth gauge ruler, and a hexagonal screwdriver. Each screw preparation instrument have respective handles marked with a targeting guide oriented along respective central axes of the instruments. The rod guidance instruments include a rod with a tapered tip, a T-handle rod holder, a T-handle alignment guide, an alignment marker sleeve, a flexible alignment marker with a polyaxial head, and a template rod.10-08-2009
20100160985SPINAL IMPLANT APPARATUS, METHOD AND SYSTEM - An apparatus, method and system for the treatment and management of spinal defects and inserting a spinal implant into an implantation space is described. The system may include a slotted implant, a distractor and an inserter and be employed in posterior lumbar or thoracic surgery.06-24-2010
20100160983INSERTION INSTRUMENT FOR ANTERIORLY INSERTING INTERVERTEBRAL SPINAL IMPLANTS - An implant inserter for use in ALIF spine surgery, wherein the inserter has a flexible bracket, biased closed, onto which two long blades can be removably attached.06-24-2010
20100160984Insertion tool for Inter-body Vertebral Prosthetic Device With Self-Deploying Screws - An apparatus for inserting an intervertebral prosthesis within a spine of a mammal includes: a handle disposed at a proximal end of the tool and including a drive nut operating to produce rotational torque in response to user-input about a central axis; a first drive shaft including proximal and distal ends; the 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 the distal end of the first drive shaft including a first drive head; and a chuck disposed at a distal end of the tool and being sized and shaped to engage 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.06-24-2010
20090275994APPARATUS AND METHODS FOR INSERTING FACET SCREWS - A method includes inserting a bone fixation device into a patient's body. The bone fixation device includes a first member and a second member movably coupled to the first member. A passageway is defined within a bone tissue after the bone fixation device is inserted and while the bone fixation device is disposed within the patient's body. At least a portion of the first member of the bone fixation device is disposed within the bone tissue along the passageway. The second member of the bone fixation device is moved relative to the first member of the bone fixation device.11-05-2009
20100152792INSERTION TOOL FOR USE WITH INTERVERTEBRAL SPACERS - An instrument for holding an intervertebral spacer, the instrument comprising a shaft having a proximal end and a distal end, the proximal end forming a handle and the distal end forming a spacer engaging subassembly, the spacer engaging subassembly comprising at least one selectively expanding and contracting enclosure into which at least a portion of the spacer is introduced when the engaging subassembly is expanded and an actuating mechanism, extending from the proximal end to the distal end, by which the spacer member engaging subassembly may be selectively expanded and contracted.06-17-2010
20100152790Spinal Stabilization Installation Instrumentation and Methods - A system for installing a vertebral stabilization system. The system includes an installation tool including a handle portion and a shaft extending distally from the handle portion. The shaft includes a conduit and a staple mechanism. The system also includes a flexible implant member extending along the conduit configured to be advanced out from a distal end of the shaft, and a staple housed in the staple mechanism. The staple is configured to secure the flexible implant member to a vertebra. The handle portion is configured to selectively advance the flexible implant member from the shaft and to selectively actuate the staple mechanism.06-17-2010
20100262198Instrument set for inserting a stabilization system into the spinal column of a body - An instrument set for inserting a stabilization system into a vertebral column of a body incorporates means for inserting anchoring elements (10-14-2010
20100185248Rod Coercer - 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 rod coercer includes a single handle having first and second implant gripping arms connected by a bridge and pivotally attached to the handle, and spring-loaded implant gripping arms for gripping sides of an implant. In another embodiment, the rod coercer includes an adjustable rod contacting arm which can be adjusted to a desired angle with respect to the handles of the coercer. In another embodiment, the rod coercer includes pivotally interconnected handle branches, each of which is divided into upper and lower branch portions which are pivotally interconnected with each other, an implant gripping assembly extending from the lower branch portions of the handle branches, and a rod contacting arm slidably and pivotally coupled to the upper and lower branch portions. In another embodiment, the implant gripping arms of the rod coercer of the present invention are secured to each other by a flexible retainer.07-22-2010
20100262200Methods and instrumentation for vertebral interbody fusion - Methods and instrumentation for vertebral interbody fusion are provided. Sleeve assemblies can be provided with a reduced width portion adjacent the distal end to limit the amount of retraction of the surrounding vascular and neural structures required for the procedure. A sleeve assembly can be provided with a guide sleeve removably engaged to a guide sleeve housing. The guide sleeve can be removed during surgery to improve the surgeon's viewing of the operative site while the guide sleeve housing maintains disc space distraction. Methods and instruments for inserting and using the guide sleeve housing are also provided.10-14-2010
20120197317QUICK RELEASE SPINAL IMPLANT INSERTION DEVICE - This invention is a novel, quick release spinal implant inserter, insertion device or holder/dispenser. It has the advantage of providing enhanced surgeon control of the prosthesis insertion process including the ability to insert and manipulate intervertebral spinal fusion implants or devices of many different sizes.08-02-2012
20100241177Delivery Apparatus For Use With Implantable Medical Devices - An apparatus for delivering an intravertebral implant into a vertebral body of a vertebra. The apparatus includes a cannula operatively connected to a housing wherein the cannula is adapted for insertion into the vertebral body. The housing includes a drive system for advancing a guide member through the cannula, out of a distal end opening of the cannula and into the vertebral body. Further, the drive system also selectively or simultaneously advances a pushing element that is adapted to push an intravertebral implant along the guide member so that the guide member guides the implant through the cannula, out of the distal end opening of the cannula and into the vertebral body for implantation.09-23-2010
20110112587INSTRUMENT FOR INSERTION AND DEPLOYMENT OF FEATURES ON AN IMPLANT - A surgical instrument for inserting an implant includes a first shaft having an axial bore and including a distal end configured to actuate a first feature of a spinal implant and a second shaft extending through the axial bore of the first shaft and including a distal end configured to actuate a second feature of the spinal implant. Rotation of the first shaft in a first direction actuates the first feature and causes rotation of the second shaft in a second direction to actuate the second feature.05-12-2011
20100228303Electromagnetically guided spinal rod system and related methods - An electronically guided spinal rod system for the placement of a spinal rod into the heads of pedicle screws and other types of bone fixation systems includes a bone screw inserter having rod access slots extending longitudinally for a length along the screw inserter, a rod detection system coupled to the rod access slots and a rod pusher for inserting a spinal rod through the rod access slots. The electronically guided spinal rod system insures that the spinal rod will be accurately positioned while allowing the operator complete freedom to choose its specific path into the screw inserter rod access slots.09-09-2010
20100222829SPINAL PLUG FOR A MINIMALLY INVASIVE JOINT FUSION SYSTEM - A frustum shaped body has an aperture in a top surface and a pair of first and second opposed apertures in a side surface, first and second horizontal internal channels connect both the first and second opposed apertures. A vertical channel from the top aperture connects with the first and second channels. After the body is inserted into a hole in a facet joint, compatible synthetic or biologic material is inserted into the vertical channel until the material exits from the first and second apertures in the side surface. At least one pair of flanges on a portion of an exterior side surface of the body acts as a detent to hold the body in place within the facet joint hole.09-02-2010
20100222828SPINAL FIXATION ELEMENT ROTATION INSTRUMENT - A spinal fixation element rotation instrument with two lever arms is provided. The lever arms are connected to each other at distal ends thereof. The second lever arm rotates relative to the first lever arm. The distal ends of the first and second lever arms are adapted to couple to a spinal fixation element. The distal ends of the lever arms may have a dual ratchet feature that prevents rotation in a set direction. When one arm rotates back and forth, the other arm is held stationary. As a result, the spinal fixation element rotates in a predetermined direction and is prevented from rotating back toward its initial position. The direction of the rotation of the spinal fixation element may be set using knobs or switches provided at a proximal end of one or both of the lever arms.09-02-2010
20130218215METHOD FOR SACRO-ILIAC STABILIZATION - Configurations are described for conducting minimally invasive medical interventions utilizing elongate instruments and assemblies thereof to stabilize and/or fixate a sacro-iliac joint. In one embodiment, a tool assembly may be advanced from a posterior approach into the SI junction and configured to create a defect defined at least in part by portions of both the sacrum and the ilium, the defect having a three dimensional shape defined in part by at least one noncircular cross sectional shape in a plane substantially perpendicular to the longitudinal axis of the tool assembly. After a defect is created, the tool assembly may be retracted and a prosthesis deployed into the defect.08-22-2013
20090259262SURGICAL TOOL - Provided herein is a surgical tool for performing a distraction or compression procedure that includes a first member and a second member pivotally connected together at a pivot point and configured to be moved between a first position and a second position about a common axis defined by the pivot point. The surgical tool further includes a first leg connected to the first member and a second leg connected to the second member, the first leg and the second leg extending from the pivot point and terminating at respective distal ends, wherein the first leg comprises a first portion that is displaceable between a first position and a second position independent of the position of the first member and the second member.10-15-2009
20080312703INSTRUMENTATION AND ASSOCIATED TECHNIQUES FOR MINIMALLY INVASIVE VERTEBRAL ROD INSTALLATION - Spinal fixation systems may be installed utilizing instruments and techniques alone or in combination with selectively attached extension members mounted on vertebral anchors to extend percutaneously from the spine. The surgical procedures associated with this invention involve making small, discrete incisions for the placement of select vertebral anchors. The extension members retract soft tissue, muscle and the like to thereby provide visibility and access to the head of the anchor. Instrumentation is utilized to deliver and install components such as a spine rod, set screw and other required hardware to the anchors. Once a spine rod or other components are secured to the pedicle screws, the instrumentation and extension members are removed from the patient.12-18-2008
20090105773METHOD AND APPARATUS FOR INSERTION OF AN INTERSPINOUS PROCESS DEVICE - A method of inserting an implant between adjacent interspinous processes that includes, in one embodiment, providing an implant that is configurable to a collapsed configuration and to an expanded configuration, collapsing the implant, providing the collapsed implant in a positioning device, positioning a distal end of the positioning device in a patient such that the distal end is located between a pair of adjacent interspinous processes, and pushing the collapsed implant through the positioning device while removing the positioning device from the patient such that the implant is inserted between and adjacent to the interspinous processes to hold the adjacent vertebrae in a corrected position.04-23-2009
20100312290Bone Blocks and Methods for Inserting Bone Blocks Into Intervertebral Spaces - A bone block for insertion into a patient's intervertebral space. A method for inserting a bone block into a patient's intervertebral space, comprising: supporting the bone block in an inserter; advancing the inserter into the intervertebral space; rotating the inserter, thereby separating adjacent vertebrae; separating the bone block and the inserter with a push rod; and removing the inserter from the intervertebral space.12-09-2010
20110112586METHODS AND DEVICES FOR PORTAL FIXATION TO THE SPINE - A method and device for attaching a curvilinear access device having a movable top and an expandable working portal to the spine, the attachment including a holding arm assembly, posterior tang, anterior tang and/or a portal fixation pin.05-12-2011
20100331901Percutaneous Vertebral Stabilization System - The present invention relates to a system for percutaneously installing a vertebral stabilization system. A first anchor is positionable within a body of a patient through a first percutaneous opening and a second anchor is positionable within a body of a patient through a second percutaneous opening. A stabilization member is positionable within the body of a patient through the first percutaneous opening to engage and connect the first and second anchors.12-30-2010
20110040342Method and apparatus for delivering an intervertebral disc implant - A method for implanting a prosthetic spinal disc nucleus in an intervertebral disc nucleus space includes providing a disc nucleus implant instrument having a passageway for passing a prosthetic disc nucleus and a dilator for dilating an opening in a disc annulus. The prosthetic disc nucleus has a first configuration and a second configuration, and is positioned in its second configuration in the passageway of the disc nucleus implant instrument and passed through the dilator and into the disc nucleus space while in its second configuration. The disc nucleus implant is caused or allowed to assume its first configuration when implanted.02-17-2011
20100152791Minimally invasive instruments and methods for preparing vertebral endplates - Instruments and methods for treating vertebral endplates are disclosed. The instrument includes one or more treatment members movable from a reduced profile position for insertion to the operative site to a deployed position for providing treatment to the vertebral endplates.06-17-2010
20100228302SPINAL ROD MANIPULATOR INSTRUMENT - An instrument for manipulating a spinal fixation rod includes a gripping section for engaging a spinal implant and a lever body pivotally attached to the gripping section. A rod carrier extends from one side of the lever body and is adapted to push a spinal fixation rod downwardly into the spinal implant.09-09-2010
20100198274Intervertebral disc inserting device - With limited nutrients within the avascular disc, the water-retaining proteoglycans begin to diminish, resulting in dehydration, flattening and/or bulging of the disc. The flattened disc causes segmental instability, eroding the facet joints and causing pain.08-05-2010
20100131020VERTEBRAL IMPLANT INSERTER AND METHOD OF USE - A surgical installation tool to insert a vertebral implant into a patient includes an elongated handle and a head attached to one end. The vertebral implant may be attached to the head. The head may include an engagement member that is movable between engaged and released positions. The engagement member may be outwardly biased so that it naturally rests in the released position. The engagement member may be inwardly movable from the released position to the engaged position. A reactive force caused by the inward deflection may supply the attachment force between the installation tool and the vertebral implant. The attachment between the vertebral implant to the installation tool may be maintained while the engagement member is in the engaged position.05-27-2010
20100069972INSTRUMENTS AND METHODS FOR ADJUSTING SEPARATION DISTANCE OF VERTEBRAL BODIES WITH A MINIMALLY INVASIVE SPINAL STABILIZATION PROCEDURE - A spinal stabilization system may be formed in a patient. In some embodiments, a minimally invasive procedure may be used to form a spinal stabilization system in a patient. Bone fastener assemblies may be coupled to vertebrae. Each bone fastener assembly may include a bone fastener and a collar. Extenders may be coupled to the collar to allow for formation of the spinal stabilization system through a small skin incision. The extenders may allow for alignment of the collars to facilitate insertion of an elongated member in the collars. An elongated member may be positioned in the collars and a closure member may be used to secure the elongated member to the collars. An adjuster may be used in conjunction with the extenders to change a separation distance between the bone fastener assemblies.03-18-2010
20110098758Implant manipulation and storage tools - There is disclosed a manipulation and storage tool for receiving and manipulating a partially dehydrated intervertebral disk. Manipulation and storage tool is configured to receive the disk and manipulate it into a smaller overall size and subsequently insert it into a temporary storage or sleeve device for later use. Manipulation and storage tool generally includes a manipulation assembly which is movably mounted with respect to a guide assembly. The guide assembly includes a throughbore and a slot for receiving the disk into the throughbore as well as a sleeve holder mounted at a distal end designed to retain a storage device or sleeve into which the manipulated disk is inserted. The manipulation assembly generally includes a drive member having an elongated shaft movably mounted within the bore of the guide assembly and at least one manipulation member for pin positioned adjacent the slot to manipulate the implant in response to movement of the drive member relative to the guide assembly. Preferably, the drive member and guide assembly are inter-connected by a drive rod having a chive pin which guides the motion of drive member with respect to the guide assembly in response to rotation of the drive member to manipulate the disk and insert it into the sleeve. There is also disclosed an insertion tool for receiving an assembled sleeve and disk and inserting the manipulated disk into an intervertebral disk space. Methods of use of the manipulation and storage tool and the inserter tool are also disclosed. There is also disclosed an implant folding and storage device including an implant folding device having a pair of jaws configured to fold an implant therebetween. An implant transfer device is provided to move the folded implant from within the implant folding device and into an implantation tube. There is also disclosed a novel surgical instrument assembly for receipt of a folded implant and installation of the implant into a portion of the body.04-28-2011
20110087298ROD REDUCTION DEVICE - A rod reduction device includes a rod reducing member, an anchoring member, and a sleeve. The rod reducing member is configured to engage a spinal rod. The anchoring member is configured to removably attach to a bone anchor. The sleeve defines a longitudinal axis and is operably associated with the rod reducing member and the anchoring member. The sleeve is rotatable with respect to the anchoring member for longitudinally translating the rod reducing member relative to the anchoring member.04-14-2011
20110152953SURGICAL GUIDE INSTRUMENT AND METHOD FOR WORKING THE ARTICULAR PROCESSES OF VERTEBRAL BODIES - A surgical guide instrument for use on the articular processes of vertebral bodies. At the distal end of the guide instrument, there are two plier heads, which are designed for a plier movement relative to each other. A guide rail is provided, which defines a guide axis for a reamer. The guide rail is pivotable about a first pivot axis, such that the guide axis, with the pivoting movement about the first pivot axis, spans a work sector, and such that the work sector intersects an imaginary connecting line between the plier heads.06-23-2011
20110152952Surgical Implant Insertion Apparatus and Method - A surgical implant insertion device including an inner shaft; shaft threading coupled to the inner shaft; a rotating knob including a channel bored therethrough and internal threading lining the channel, where the internal threading configured to mate with the shaft threading; an actuator including an actuator body and a translation cavity cut through the actuator body and an inner shaft cavity cut through the actuator body, where the inner shaft cavity wraps around the inner shaft; an outer sleeve covering the inner shaft and coupled to the rotating knob; and a base connector wrapping around the outer sleeve, the base connector comprising a pair of connecting arms configured to loosely mate with the translation cavity of the actuator and pivoting and translating the actuator in response to a linear force.06-23-2011
20110060375EXPANDABLE INTRODUCER SYSTEM AND METHODS - An expandable introducer with embodiments that may include a fastener, tubular member, sleeve and combinations thereof. The sleeve may have a wall with an inner surface and an outer surface. The sleeve may include a slit through the wall, which may allow the sleeve to be decreased in diameter for implantation and/or increased in diameter after implantation for alignment. The sleeve may include two slits in the tubular wall thereby forming two semi-tubular members. The semi-tubular members may be placed separately at the implantation site then aligned to form a tubular member. The tubular member may include threads, pebbles, bumps, ridges, hills, openings and combinations thereof.03-10-2011
20110034961SPINAL ROD REDUCTION INSTRUMENTS AND METHODS FOR USE - Methods and devices are provided for reducing a spinal fixation element into a spinal implant element. In one exemplary embodiment, a spinal rod reduction device is provided for reducing a spinal fixation element into a spinal implant element. The spinal rod reduction device can include a fastener engaging member for engaging at least a portion a spinal implant element, a reduction member for engaging at least a portion of a spinal fixation element, and a handle assembly mated to the reduction member. The handle assembly can be designed in such a way that actuation of the handle assembly causes movement of the reduction member relative to the fastener engaging member and the movement of the reduction member reduces the spinal fixation element into the spinal implant element. Two different styles of spinal rod reduction devices are discussed in detail. Various techniques are also provided for reducing a spinal fixation element into a spinal implant element.02-10-2011
20110034962Spinal Rod Approximator - Spinal rod approximator for seating a stabilizing rod in a rod-receiving portion of a spinal implant and inserting closure mechanism is provided. In one embodiment, a spinal rod approximator is provided including a body with gripping branches, inserter shaft, threaded collar, and outer sleeve.02-10-2011
20110257692Low Friction Rod Persuader - Instruments are provided for shifting elongate members, such as spinal rods, with respect to coupling members of spinal fixation systems. The instruments include a low friction drive mechanism having one or more rolling elements that ride along a helical groove or track in order to transform rotational movement of a drive member into linear shifting of a reducer member that shifts the elongate member. A one-way locking mechanism may be provided to selectively prevent unwanted counter-rotation of the low friction drive mechanism. The one-way locking mechanism may include annular ratchet teeth arranged on the exterior of the drive member and a ratchet pawl located adjacent to the teeth and selectively engageable therewith.10-20-2011
20120065693SYSTEMS AND METHODS FOR COMPRESSING AND DISTRACTING VERTEBRAE OF THE SPINAL COLUMN - Spinal surgical systems include a compressor mountable to a first vertebra and positionable relative to a fulcrum mountable to a second vertebra. The compressor and fulcrum are manipulated relative to one another to compress the first and second vertebrae. The systems further include a distractor mountable to a first vertebra and positionable relative to a fulcrum mountable to a second vertebra. The distractor and fulcrum are manipulated relative to one another to distract the first and second vertebrae.03-15-2012
20120277810INSTRUMENT FOR POSITIONING AN INTERVERTEBRAL IMPLANT FOR THE FUSION BETWEEN TWO VERTEBRAL BODIES OF A VERTEBRAL COLUMN - An instrument positions an intervertebral implant for the fusion between two vertebral bodies of a vertebral column. The instrument may include a handle having a proximal and a distal end, a locking shaft extended from the distal end of the handle, and a grasping head at the distal end of the shaft. The locking shaft may be cannulated, and a stem may be hosted inside the cannulated shaft passing through the handle. The stem may be free to rotate with respect to the locking shaft, or vice versa, while the grasping head may be formed at the distal end of the stem with a couple of prongs or clamps toward the other according to an angular relative rotation of the stem with respect to the locking shaft. The instrument may allow the surgeon to grip a corresponding implant with a simple rotation movement of his hand.11-01-2012
20120277809TEMPLATES AND METHODS - Embodiments of the invention include templates and methods for evaluating the appropriate size and shape for a medical implant. In particular, some embodiments include expandable templates and methods for evaluating appropriate size and shape for implantation of a spinal rod.11-01-2012
20120277808INSTRUMENT AND METHOD FOR REDUCING ELONGATE CONNECTING ELEMENTS - One non-limiting embodiment is directed to a reduction instrument releasably engageable with a bone anchor and structured to reduce a connecting element into a receiving member of the bone anchor. The reduction instrument includes a first member and a second member laterally movable relative to the first member between a first position for receiving a portion of the bone anchor and a second position for engaging the reduction instrument with the bone anchor. The reduction instrument also includes an actuating member axially displaceable relative to the first and second members. Additionally, the second member is moved between the first and second positions upon displacement of the actuating member relative to the first and second members, and the second member extends substantially parallel to the first member as it is moved between the first and second positions.11-01-2012
20100004696Orthopedic implant rod reduction tool set and method - A tool set for implanting a rod in a human spine in conjunction with bone screws. The tool set includes a pair of end guide tools that receive opposite ends of the rod in channels and under manipulation by a surgeon facilitate transport of the rod toward the bone screws attached to the guide tools. Intermediate guide tools having guiding pass through slots are utilized to guide intermediate locations along the rod toward associated bone screws. An attachment structure operably connects the guide tools to the bone screws. The guide tools each include a lower guide and advancement structure to allow a closure top with mating structure to be rotated and driven downward against the rod and to cooperate with similar structure in the bone screw to seat and lock the rod therein. A method utilizing the tool set allows a surgeon to percutaneously implant the rod in the patient.01-07-2010
20100004695SYSTEM AND METHOD FOR MANIPULATING A SPINAL CONSTRUCT - A system and device for manipulating a spinal construct is provided. For example, the manipulation device can include a drive member to be disposed within a first surgical sleeve extending from a first vertebra, and a coupling member positioned adjacent a second surgical sleeve. In one embodiment, at least one of the drive member and the coupling member can be releasably engaged to an actuation mechanism. In one aspect, the actuation mechanism can include a floating and/or auto-locking pivot point thereby allowing a user to quickly and easily position the manipulation device relative to the adjacent surgical sleeves. Additionally, a method of manipulating spinal constructs is also provided.01-07-2010
20120203290METHOD AND APPARATUS FOR SPINAL FIXATION - Fusion of cervical spinal vertebrae with one or more fixation devices can be accomplished with the described tools and methods. For example, a guidewire introducer can include a tubular introducer cannula and a handle. The handle can be angularly offset from the introducer cannula such that positioning of the introducer on the cervical spine does not interfere with a patient's head. A sheath assembly can include inner and outer sheath bodies and a handle. The handle is angularly offset from the sheath bodies such that the sheath assembly can be applied to the cervical spine without interference to the patient's head. The sheath body can be curved or straight. Various tools such as drills, tapping devices, compression tools, and pin release tools can be applied to the cervical spine through the sheath body to apply the fixation device. The tools can include elongate flexible shafts.08-09-2012
20080243194ARTICULATING INSTRUMENTATION FOR DYNAMIC SPINAL STABILIZATION - Dynamic stabilization apparatus and methods in the context of a spinal implant configured to constrain intervertebral movement, where the constraint is meant to eliminate unwanted, non-physiologic motions. The system provides dynamic stability to motion in a compromised spinal joint by allowing motion along a centrode of the instant axis of rotation (IAR) that substantially approximates the normal centrode for the respective spinal joint. The system and method is adapted to provide stabilized motion in a spinal joint such that the IAR shifts cephalad during typical flexion ranges beyond a normal resting range of motion, and shifts posteriorly during typical extension ranges beyond the normal resting range of motion.10-02-2008
20110257693HARD TISSUE ANCHORS AND DELIVERY DEVICES - The present invention provides devices, systems and methods for anchoring medical devices to hard tissues, such as bones or bony structures, particularly vertebrae. By anchoring these medical devices directly to the surrounding hard tissue, the devices are anchored closer to the source of treatment. This provides additional stability and reduces migration of the device at the treatment site. Also, by attaching to hard tissue rather than soft tissue, a stronger attachment is often able to be made.10-20-2011
20110178560SYSTEMS AND METHODS FOR SPINAL ROD INSERTION AND REDUCTION - A guide assembly includes a spinal screw assembly having a bone screw and a spinal rod holder; and a spinal rod guide having first and second elongated arc portions defining a pair of longitudinal slots extending along the first and second arc portions, each of the first and second arc portions further defining at least one recess extending transversely from each of the longitudinal slots, the at least one recess configured to receive at least a portion of a reduction tool to enable reduction of a spinal rod received within the spinal rod holder.07-21-2011
20110054549Reducing instrument for spinal surgery - An instrument is provided for reduction of a rod or other elongated member into an implant, such as a bone screw. In one embodiment, such an instrument includes a rod adjusting assembly pivotably attached to an implant holding assembly. The implant holding assembly can be pivotably connected to an implant, and the rod adjusting assembly is operable to move a rod toward or away from the implant holding assembly. In that embodiment, several motions are possible by the instrument so that relatively small or large movements of a rod with respect to an implant may be made.03-03-2011
20110054548SPINAL IMPLANT DELIVERY METHODS AND DEVICES - Systems and methods for implanting a spinal implant in a spinal column are disclosed. In one example, an illustrative system may include a delivery device including a proximal end region and a distal end region, a spinal implant releasably coupled to the distal end region of the delivery device, and a sleeve disposed about the spinal implant and at least a portion of the delivery device. In some cases, a distal portion of the sleeve may include a predetermined weakened region that may be configured to separate when a force is applied to the weakened region, which in some cases, may be applied with a pull string. In another example, a distal portion of the sleeve may be reverse folded upon itself such that the retractable sleeve rolls off of the spinal implant when the retractable sleeve is retracted.03-03-2011
20100292742Torque Limited Instrument For Manipulating A Spinal Rod Relative to a Bone Anchor - An instrument for adjusting a spinal rod relative to a bone anchor includes a handle connecting a set screw driver with a reduction collar. The handle includes an inner shaft engageable with the set screw driver, an outer shaft engageable with the reduction collar, and a clutch connecting the inner shaft to the outer shaft and permitting selective rotation of the inner shaft relative to the outer shaft, and thus, selective rotation of the set screw driver relative to the reduction collar. The handle clutch may include a spring and a plurality of disc clutch members positioned about the outer shaft. The spring biases the disc clutch members into contact with one another and at least one disc clutch member may rotate relative to an adjacent disc clutch member upon application of a torque to the reduction collar and the outer shaft greater than a preselected torque value.11-18-2010
20100324610Spinal Derotation Instruments and Methods - Derotation instrument assemblies and systems are provided to facilitate positioning one or more vertebrae of a spinal column into a desired alignment. The instrument assemblies and systems include implant holders engageable to respective implants engaged to vertebrae of the spinal column, transverse bridges to connect implant holders associated with a particular vertebra, and inter-level linking assemblies to connect instrument assemblies associated with different vertebrae. Derotation handles can be provided to facilitate application of the alignment forces, while the assemblies distribute the corrective forces to the connected implants and vertebrae.12-23-2010
20100324609SINGLE ACTION ANTI-TORQUE ROD REDUCER - Provided is a novel rod reducing device for use in spinal fixation procedures. The device is capable with a single action of securely grasping the head of a bone screw while reducing a connecting rod into the head of the bone screw and while in position on the bone screw provide a cannula access for a bone screw locking cap and tightening instrument and securing the bone screw during the tightening of the locking cap so as to provide an anti-torque effect. The device is also capable of releasing from the bone screw with a reversal of the single action used to activate the device. A method of using the device and a kit wherein the device is one component is also provided.12-23-2010
20100179604Apparatus and Method for Radiolucent Anatomic Positioning - An apparatus and method includes a first anatomic positioner for migrating a first anatomic part. The first anatomic positioner includes a first tapered arm for applying a motive force and a first arch at a distal end of the first tapered arm for contacting the first anatomic part. The first arch includes a varying width and a varying density where the first arch is asymmetrically offset from the first tapered arm such that a longitudinal axis of the first tapered arm extends through a lower portion of the first arch.07-15-2010
20110040340Instruments and Methods for In Situ Bending of an Elongate Spinal Implant - Systems, instruments and methods are provided for bending an elongate spinal implant used in a medical procedure. In one form, an instrument for bending an elongate spinal implant includes a proximal handle portion and a bending mechanism having an implant engaging member movably coupled to the proximal handle portion. The bending mechanism is operable to articulate the implant engaging member relative to the proximal handle portion while a second implant engaging member associated with the articulating implant engaging member holding the elongate spinal implant in position. In another form, systems and methods are provided to bend in situ an elongate spinal implant associated with an orthopedic construct.02-17-2011
20100121387SURGICAL TOOL FOR TENSIONING A FLEXIBLE MEMBER - A surgical tool for tensioning a flexible member of a vertebral device, the flexible member having at least one end portion to which tension is applied. The surgical tool includes a longitudinal member having a longitudinal axis, a first end provided with an element for securing in rotation at least one end portion of the flexible member with the first end of the longitudinal member, and a second end provided with a handling element. The surgical tool also includes a guiding structure comprising a first end adapted to be applied against the body of the vertebral device, and at least one guiding element for guiding in rotation the longitudinal member about the longitudinal axis. The guiding structure maintains the longitudinal axis of the longitudinal member with respect to the body, whereby the rotation of the longitudinal member with the handling element produces the tensioning of the flexible member.05-13-2010
20100114183IMPLANT INSERTION TOOL - An insertion tool for placing a spinal implant in an intervertebral space includes a handle assembly, a jaw assembly having first and second jaw members movable with respect to each other, and a holding member adapted to hold and release an implant in response to a manipulation of the handle assembly. The holding member is configured to move longitudinally with respect to the jaw assembly upon manipulation of the handle assembly.05-06-2010
20120310292Implantation Tools for Interspinous Process Spacing Device - Various embodiments described herein provide surgical instrument tools, systems and associated methods for treating spinal disease by implanting one or more interspinous process spacing devices. The surgical instruments for implanting an interspinous process spacing device comprise first and second arms which engage opposite sides of an implant device, and have an element for positioning the arms in alignment for securing the implant onto spinal processes.12-06-2012
20100030283SURGICAL INSTRUMENT WITH INTEGRATED COMPRESSION AND DISTRACTION MECHANISMS - Embodiments disclosed herein provide a combination compressor/distractor useful for fitting a spinal stabilization system in a patient through minimally invasive surgery. The spinal stabilization system may comprise screws anchored in vertebrae. The vertebrae may need to be compressed or distracted. One embodiment of an instrument disclosed herein may comprise a shaft for engaging one of the screws through an extender sleeve. A driver may engage another screw through an opening of the instrument. Through this engagement, a surgeon may use the rack and pinion of the instrument to compress or distract one or more levels of the vertebrae in a parallel motion, which can be advantageous clinically in certain situations.02-04-2010
20110218581SYSTEMS AND METHODS FOR MINIMALLY INVASIVE SURGICAL PROCEDURES - One nonlimiting embodiment of the present application is directed to a system for positioning a connecting element adjacent one or more bones or bony portions, such as the spinal column, through a minimally invasive surgical approach. The system generally includes a number of bone anchors engageable to the one or more bones or bony portions and a number of anchor extenders removably engaged to the bone anchors. A connecting element inserter instrument is engageable with one of the anchor extenders and is movable along a longitudinal axis of the anchor extender. As the inserter instrument is moved along the longitudinal axis toward the bone anchors, a leading end of the connecting element is rotated away from the longitudinal axis and the connecting element is positioned at a location adjacent the number of bone anchors in a minimally invasive surgical procedure. However, in other embodiments, different forms and applications are envisioned.09-08-2011
20080294206Apparatus and method for direct vertebral rotation - An instrument for spinal rotation that aligns and holds direct vertebral rotation (DVR) lever arms relative to each other to achieve an initial axial alignment of a segment of vertebrae and allows the final DVR rotation by rotating the instrument and lever arms together. A method of direct vertebral rotation that allows rotating the vertebrae to be aligned relative to each other, and collectively rotating the vertebrae to be aligned relative to adjacent spinal segments by rotating the direct vertebral rotation instrument. A system for direct vertebral rotation having at least two pedicle screws. The system also includes at least two levers attachable to the pedicle screws and a clamping instrument configured to clamp the levers.11-27-2008
20120116466Instruments and Methods for Removing Fixation Devices from Intervertebral Implants - Anchor removal instruments and methods for using the instruments are provided. In some embodiments, an intervertebral implant anchor extractor tool comprises a support, a support retainer configured to hold the support fixed with respect to the implant, an extractor having an anchor retainer, and an extractor guide. An embodiment of a method of using this implant anchor extractor tool comprises the steps of obtaining access to an anchor, grasping the anchor, and applying a withdrawal force on the anchor while applying a countervailing force against the implant or a vertebral structure.05-10-2012
20110093022Instruments and Methods for Bone Anchor Engagement and Spinal Rod Reduction - An instrument for engaging a bone anchor may include a first implant engaging member having a proximal end and a distal end and a second implant engaging member having a proximal end and a distal end. The second implant engaging member may be integrally connected to the first implant engaging member by a pair of opposed integral spring members located proximal to the distal ends of the first and second implant engaging members. Manipulation of the proximal ends of the first and second implant engaging member can cause each of the distal ends to rotate about the pair of opposed spring members to engage at least a portion of a bone anchor. A rod adjusting tool may be connectable to the bone anchor engaging tool and may be axially adjustable relative to the bone anchor tool to adjust a spinal rod relative to the bone anchor.04-21-2011
20110166611COMBINATION DISTRACTER AND INSERTER INSTRUMENT - A combination distracter and inserter instrument is provided. The instrument may comprise a pair of paddles configured to be inserted in between vertebral bodies. Each paddle may be attached at one end to a control handle and terminate at an opposite end in a tapered tip. The instrument may include a movable arm positioned in between the elongate paddles. The movable arm is attached to the control handle and configured at an opposite end to hold an implant for insertion into a disc space between vertebral bodies. In use, the instrument distracts the vertebral bodies with the elongate paddles as the spinal fusion implant is being delivered to the disc space with the movable arm. The instrument may also include a feature that prevents overinsertion of the paddles into the patient's spine, and a feature that prevents overinsertion of the implant into the disc space.07-07-2011
20110166610SYSTEMS AND METHODS FOR STABILIZATION OF BONE STRUCTURES, INCLUDING THOROCOLUMBAR STABILIZATION SYSTEMS AND METHODS - Methods, systems, devices and tools for placing bone stabilization components in a patient are provided. The systems and devices have a reduced number of discrete components that allow placement through small incisions and tubes. More particularly, the present invention is directed to systems and methods of treating the spine, which eliminate pain and enable spinal motion. Methods are also provided for stabilizing the thorocolumbar spine region and for implanting the disclosed systems.07-07-2011
20090149892SYSTEM AND METHOD OF MANIPULATING SPINAL CONSTRUCTS - Systems of manipulating (e.g., compressing or distracting) a spinal construct are provided herein. In general, the system can include a surgical sleeve extending from a vertebra and a fulcrum movably coupled to some component of the system thereby allowing the fulcrum to be positioned at various location along the length of the sleeve. As indicated, the fulcrum can be movably coupled to virtually any component of the system. For example, the fulcrum can be movably coupled to the surgical sleeve, to a manipulation device sized and configured to receive the surgical sleeve, to a driver configured to apply a manipulation force, etc. Additionally, methods for manipulating a spinal construct are also provided herein.06-11-2009
20120158071METHODS AND APPARATUS FOR INSERTION OF VERTEBRAL BODY DISTRACTION AND FUSION DEVICES - An introducer can be used to implant a distractible intervertebral body fusion device into a patient's disc space and expand the device. Introducer includes a body 06-21-2012
20100121386Progressive Reduction Instrument for Reduction of a Vertebral Rod and Method of Use - An instrument and method for reducing a vertebral rod into an anchor attached to a vertebral member. The instrument may include a gripper and an attached reduction member that includes a handle and shaft. The gripper is configured to attach to an anchor and may include an asymmetrical shape to accommodate the anatomy of a patient and a funneled capturing space to facilitate reduction of the vertebral rod. The reduction member may be configured to apply a reduction force to the vertebral rod at the various axial and lateral medial positions within the capturing space. The reduction member may also provide for course and fine movement of the shaft during the movement of the vertebral rod.05-13-2010
20100121385ROD REDUCER INSTRUMENT FOR SPINAL SURGERY - A rod reducer instrument is configured to be secured to a fixation element and to force a rod into engagement with the fixation element. The rod reducer instrument can have a pliers to secure the rod reducer to the fixation element and a threaded shaft with a handle and a pusher member. The pliers can form a threaded channel that engages the threaded shaft and directs a movement of the shaft. The threaded shaft can translate a rotational movement at the handle into a linear movement at the pusher member and in this way force a rod into engagement with a fixation element.05-13-2010
20110066192Expandable Ring Intervertebral Fusion Device - An expandable tube having a substantially semicircular unexpanded shape is inserted into the disc space after the disc material has been removed therefrom. A plurality of expandable lockable rings are passed over this tube in their unexpanded states and positioned along the anterior edge of the endplates. The tube is then expanded, thereby forcing the rings to expand. The rings hold their final expanded configuration via a one-way locking mechanism. Once sufficient distraction is achieved and the rings locked, the tube is collapsed and removed, thereby leaving the expanded, locked rings behind to support the disc space.03-17-2011
20110040341ARTHROPLASTY REVISION DEVICE AND METHOD - A surgical instrument for revising/removing an artificial disc or removing/replacing a core of an artificial disc includes a pair of tips, each tip having a pair of tines and a stop defining a proximal end of each tine. The stop of at least one tip is abutted against an interior surface of an implanted endplate of an artificial disc, whereby tines of the tip can support the artificial disc. The tip is separated from another, opposing tip, whereby opposing implanted endplates, each of which is supported by pairs of tines of a tip, are separated, thereby distracting vertebrae between which the endplates are implanted. Upon distracting the disc space, the core can be revised or removed from between the endplates of the artificial disc. Following core removal, the endplates of the artificial disc are revised (repositioned), removed or replaced.02-17-2011
20080234765ROD REDUCTION METHODS AND DEVICES - The present invention provides methods and devices for reducing a rod disposed within or adjacent to a rod-receiving head of a spinal implant. In general, a rod reduction device is provided that can removably mate to the rod-receiving head of a spinal implant and be effective to reduce a rod disposed within or adjacent to the rod-receiving head. In an exemplary embodiment, the rod reduction device can include a clamping member that is adapted to removably mate to a rod-receiving head of a spinal implant and a rod-reducing arm that is rotatably matable to the clamping member. The rod-reducing arm can be configured such that rotation of the arm with respect to the clamping member is effective to reduce a rod into the rod-receiving head of the spinal implant that is mated to the clamping member.09-25-2008
20120232601SURGICAL TOOL FOR ADJUSTING A SPINAL IMPLANT - A surgical instrument and/or method of using a surgical instrument during spinal surgery. The surgical instrument may find particular applicability to spinal implants for the intervertebral disc space that require relative rotation between parts in order to change the height of the implant. The instrument includes a knob that rotatable and selectively longitudinally moveable relative to a handle section. In a forward position, turning the knob turns a drive shaft that is coupled to the rotatable actuator of the implant, and causes the implant to expand or retract depending on the direction of rotation. In the rearward position, the drive shaft is retracted, and turning the knob turns a coupling shaft, distinct from the drive shaft, for decoupling the implant from the instrument.09-13-2012
20120316609SURGICAL INSTRUMENT FOR SECURING A SPINAL ROD - A surgical instrument for assembling a spinal rod to a plurality of anchoring members includes first and second levers that are pivotally, and optionally removably, connected for rotation about a pivot axis. The first lever has a hollow guide tube forming a first handle section and a first distal end section, with a first longitudinal bore extending therethrough. The second lever has a second handle section, a second distal end section, and an intervening second intermediate section that interconnects the two in offset fashion. The second distal end section has a second longitudinal bore. The longitudinal bores accept bone anchor heads. Pivoting of the levers relative to each other about the pivot axis causes the bone anchors to move toward or away from each other. The first and second bores may be configured to mate with bone screw assemblies having extended tabs.12-13-2012
20120215266SINGLE ACTION ANTI-TORQUE ROD REDUCER - A rod reducing device includes an elongate member, a pair of jaw members, a sleeve having a cam pin, and an actuation lever. Translation of the cam pin along the inner surfaces of the jaw members pivotally moves the jaw members between a receiving position in which distal end portions of the respective jaw members are widened and an engaging position in which the distal end portions of the respective jaw members are move toward each other to engage the head of the bone screw. The actuation lever is movable between an open in which a distal end portion of the sleeve is disposed proximal of the distal end portions of the jaw members and a closed position in which the distal end portion of the sleeve is disposed distal of the distal end portions of the jaw members for reducing the connecting rod.08-23-2012
20120083853DEVICES, SYSTEMS, AND METHODS FOR PERFORMING SPINAL SURGERY - A manipulation device includes a body portion, a plurality of articulatable legs, and at least one lock member. The legs extend from the body portion. Each of the legs is configured to engage a surgical instrument at a distal end thereof. Each of the legs is transitionable between an unlocked condition, wherein the leg is free to articulate, and a locked condition, wherein the leg is fixed in position. The at least one lock member is operably disposed within the body portion and is coupled to at least one of the articulatable legs. The lock member is rotatable relative to the body portion between an unlocked position and a locked position for transitioning the at least one articulatable leg coupled thereto between the unlocked condition and the locked condition.04-05-2012
20120083852INSTRUMENT FOR INSERTING SURGICAL IMPLANT WITH GUIDING RAIL - A prosthetic intervertebral spacer is disclosed. The spacer preferably includes a body and an interface extending away from the body for use during implantation of the spacer. Methods of implanting the spacer and tools used during such procedure are also disclosed.04-05-2012
20120136399Devices and Methods For Treating Bone - A device is disclosed for reducing a vertebral compression fracture, comprising a superior end plate and an inferior end plate disposed along a vertical axis. The superior end plate and the inferior end plate are slidably separable in a vertical direction along the vertical axis. An interior chamber is provided in fluid communication with a port extending from an exterior to the interior chamber. The device is deployable within a vertebral body and expandable within the vertebral body by injecting a flowable material into the interior chamber thereby displacing the superior and inferior end plates along the vertical axis.05-31-2012
20110184475System, instrumentation and method for spinal fixation using minimally invasive surgical techiques - A cable threader device for passing a guide cable between pedicle screws during minimally invasive spinal surgery, the device comprising a handle with a trigger mechanism, the handle mounted onto an elongated shaft having a curved free end with a detachable curved lead member retained in telescoping manner on the end of the body. The guide cable is affixed to the lead member, the instrument is inserted into a first screw tower, the trigger mechanism is activated to advance the lead member into the adjacent tower, and the lead member and guide cable are retrieved through the second tower. Alternatively, the lead member is a hollow sleeve and the guide cable is pushed through the lead member.07-28-2011
20100262199IMPLANT INSERTION TOOL - An apparatus for inserting a spinal implant includes a first elongate member and a second elongate member operatively connected to each other. The first elongate member includes a first jaw member disposed at a distal portion thereof. The first jaw member defines a first longitudinal axis. The second elongate member includes a second jaw member disposed at a distal portion thereof. The second jaw member defines a second longitudinal axis. The first and second elongate members are adapted to move the first and second jaw members between a first position where the first and second longitudinal axes are oriented substantially parallel to each other and a second position where the first and second longitudinal axes are oriented at an acute angle with respect to each other. The apparatus further includes a locking mechanism adapted to fix a relative position of the first and second elongate members.10-14-2010
20100174326METHODS AND DEVICES FOR MINIMALLY INVASIVE SPINAL FIXATION ELEMENT PLACEMENT - Minimally invasive methods and devices for introducing a spinal fixation element into a surgical site in a patient's spinal column are provided. In one embodiment, a dissection tool is provided for separating muscles along a muscle plane without causing damage to the muscles. The dissection tool can also include a lumen extending therethrough for receiving a guide wire. The tool allows the guide wire to be positioned relative to a vertebra, and once properly positioned, the tool can be removed to allow a spinal anchor to be delivered along the guide wire and implanted into the vertebra.07-08-2010
20120172938SPINAL STABILIZATION INSTALLATION INSTRUMENTATION AND METHODS - A system for installing a vertebral stabilization system. The system includes an installation tool including a handle portion and a shaft extending distally from the handle portion. The shaft includes a conduit and a staple mechanism. The system also includes a flexible implant member extending along the conduit configured to be advanced out from a distal end of the shaft, and a staple housed in the staple mechanism. The staple is configured to secure the flexible implant member to a vertebra. The handle portion is configured to selectively advance the flexible implant member from the shaft and to selectively actuate the staple mechanism.07-05-2012
20120172937Pedicle locator instrument - A manually operated pedicle locator instrument measures the static permittivity of matter to locate pedicles in vertebral or bony structures. The locator senses and compares the dielectric constants of the pedicle and the surrounding matter. When the operative component of the locator, the component which contains controlled capacitors, is placed over non-pedicle material, the locator will sense one dielectric constant. However, when it is placed over a pedicle, there is a different dielectric constant. The locator operates on this capacitance difference generated by differences in density. Circuitry in the locator senses this change and sends the change signal to indicator lights located on the locator. A switch on the locator allows the surgeon to select different levels of capacitance in order to identify thicknesses of different bony structures, i.e. structures in cervical, thoracic, and lumbar vertebral bodies.07-05-2012
20120221063DEVICES AND METHODS FOR INTER-VERTEBRAL ORTHOPEDIC DEVICE PLACEMENT - The disclosure relates to devices and methods for implantation of an orthopedic device between skeletal segments using limited surgical dissection. The implanted devices are used to adjust and maintain the spatial relationship(s) of adjacent bones. Depending on the implant design, the motion between the skeletal segments may be increased, limited, modified, or completely immobilized.08-30-2012
20120316608FLEXIBLE GUIDE WIRE - The present invention relates generally to flexible guide wires, and, more particularly, to a flexible guide wire that can be attached to a surgical site and pulled taut to provide a guide for the introduction of instruments and implants to the surgical site, but cannot be pushed towards the surgical site without the wire bending so that there is no advancement of the tip of the flexible guide wire further into the surgical site or bony structure.12-13-2012
20100049257SPLIT THREAD ORTHOPAEDIC IMPLANT IMPACTOR - A method of connecting an impactor to an orthopaedic implant includes the steps of: providing the impactor including a shaft having a proximal end and a distal end, a trigger pivotably connected to the distal end, the trigger including a cam end, a push rod within the shaft and connected to the cam end of the trigger and a threaded pair connected to an end of the push rod opposite the trigger; providing the orthopaedic implant including a threaded hole; locating the threaded pair within the threaded hole; pivoting the trigger; linearly displacing the push rod; and radially expanding the threaded pair to engage the threaded hole.02-25-2010
20120179214System for Pushing and Pulling Surgical Implants into Position in Vivo Via a Tether - The present invention describes a system suitable for guiding a biocompatible device to a target area within the body (in vivo) and method of using the same. The system includes a targeting member being constructed of, or having a steering material, which can be coupled to a biocompatible device. The system further includes one or more devices which are used to maneuver the targeting member into position prior to attachment of the biocompatible device. The biocompatible device is traversed into position through the passageway created by the targeting member and secured to one or more anchoring members.07-12-2012
20120179213Method And Apparatus For Facilitating Navigation Of An Implant - The present invention describes a targeting system suitable for guiding a biocompatible device to a target area within the body (in vivo) and method of using the same. The system includes a targeting member that is attached to the biocompatible device and may optionally include a steering material. The system includes a passer element located at the distal end of a wand. The wand includes a trigger like member adjacent a hand grip. Actuation of the trigger like member will result in a pivotal movement of the passer element that positions the targeting member such that the connected biocompatible device is positionable relative to the target area.07-12-2012
20100010548Instruments and Method of Use for Minimally Invasive Spine Surgery in Interspine Space Through Only One Side - The present disclosure provides a save and single method, as well as a new instrumentation to improve the technique of the minimally invasive spine surgery in only one side with the use of hooks and a new interspinal device of improved stabilization which is placed to decrease the pressure on the affected disk, fastening the intervertebral space and achieving the segmentary stability.01-14-2010
20120253413INSTRUMENTS AND METHODS FOR MANIPULATING A SPINAL FIXATION ELEMENT - An instrument for manipulating a spinal fixation element relative to a bone anchor includes a bone anchor grasping mechanism, a first adjustment mechanism, and a second adjustment mechanism. The bone anchor grasping mechanism includes a first arm having a distal end configured to engage an opening provided in the bone anchor. The first adjustment mechanism includes a second arm pivotally connected to the first arm. The second arm has a distal end configured to engage an opening provided in the bone anchor and is operable to adjust a spinal fixation element in a first direction upon pivoting relative to the first arm. The second adjustment mechanism is removably and replaceably coupled to the bone anchor grasping mechanism and is movable relative to the bone anchor grasping mechanism to adjust the spinal fixation element in a second direction, perpendicular to the first direction, relative to the bone anchor.10-04-2012
20120253412ADJUSTABLE APPARATUS AND METHODS FOR INSERTING AN IMPLANT - Methods and apparatus for inserting an implant into an intervertebral cavity between adjacent vertebral bodies provide for: adjust an initial height between inner surfaces of respective first and second ramps of an inserter; simultaneously sliding first and second ramps of the inserter, and the implant, proximally, toward distal ends of the first and second ramps, such that the vertebral contact surfaces of the respective first and second ramps separate and distract the vertebral bodies and receive the implant into the intervertebral space with no compressive loading, while holding an initial angle between the ramps substantially constant; reversing the sliding of the first and second ramps to permit the vertebral bodies to compressively load the implant, again while holding the initial angle therebetween substantially constant; and withdrawing the distal ends of the first and second ramps from the intervertebral space.10-04-2012
20090187220Pedicle dart system - Minimal Invasive Spine Surgery (MISS) as a surgical approach is increasingly utilized because of the advantages it offers over conventional spine surgery. The smaller incision results in decreased tissue damage, less blood loss, decreased hospital stay & faster postoperative recovery. The drawbacks of MISS are the long learning curve of working through a smaller incision, longer length of surgery, & potential higher complication rate due to compromised visual field. These limitations can be overcome by more effectively using imaging and navigational devices. The pedicle device simplifies the hardest part of MISS instrumented fusion of conventional pedicle screw insertion by introducing a percutaneous temporary device to locate and create the channel for later conventional pedicle screw implantation using available imaging techniques. This results in faster conventional pedicle screw insertion with precision, thereby decreasing implantation error and minimizing soft tissue injury and blood loss, as well as neurological, vascular, and dural injuries and complications.07-23-2009
20120259374Flexible Anchor Extenders - There is disclosed a system for positioning a connecting element adjacent one or more bones or bony portions, such as the spinal column, through a minimally invasive surgical approach. The system generally includes at least one bone anchor engageable to the one or more bones or bony portions and at least one anchor extender removably engaged to the bone anchor. A connecting element is movable along a longitudinal axis of the anchor extender. In response to movement of the connecting element along the longitudinal axis toward the bone anchor, the anchor extender flexes, bends or otherwise reconfigures to allow a leading end of the connecting element to be rotated away from the longitudinal axis so that the connecting element can be positioned in a transverse orientation to the longitudinal axis along the one or more bones or bony portions at a location adjacent the bone anchor.10-11-2012
20090018593ROD REDUCTION DEVICE AND METHOD OF USE - Provided is a novel rod reducing device including a screw jack mechanism that is moveably engaged with an elongated grasping fork assembly, the screw jack mechanism having an elongated threaded portion, the elongated threaded portion being connected at its most distal end to a rod contact member, which is positioned in sliding circumferential contact with each of the two opposing elongated grasping members and the most proximal end of the elongated threaded portion terminating in a controlling member, which can be activated in a measured and controlled manner. A method of using the device is also provided.01-15-2009
20120239097ROD REDUCER - A rod reducer is adapted for inserting a rod into position within an orthopedic device. The rod reducer is configured for use with one hand and does not obstruct the surgeon's view of the surgical field during use.09-20-2012
20120239096INSTRUMENT AND METHOD FOR SPINAL COMPRESSION AND DISTRACTION - An instrument for multilevel compression and distraction of vertebrae in a spinal column includes a first arm, a second arm, a third arm, a linking member, and a coupler. The first arm includes a distal end with a first aperture for receiving a first screw extender that attaches to a first vertebra. The second arm includes a distal end with a second aperture for receiving a second screw extender that attaches to a second vertebra. The third arm includes a distal end with a third aperture for receiving a third screw extender that attaches to a third vertebra. The linking member pivotally links proximal ends of the first, second, and third arms. The coupler positions the distal ends of the first arm and the second arm relative to the third arm to compress and distract the first vertebra and the second vertebra relative to the third vertebra.09-20-2012
20120265259FIXATION ASSEMBLY - 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.10-18-2012
20120271365ROD REDUCER APPARATUS FOR SPINAL CORRECTIVE SURGERY - Spinal rod reduction apparatuses, systems, and methods are provided. In various examples, a rod reduction apparatus includes a first threaded member (10-25-2012
20110238125METHOD AND INSTRUMENT FOR TENSIONING A FLEXIBLE TIE - A method and instrument for tensioning a flexible tie used for fastening an implant on a bony element by forming a first loop around it. In some embodiments, the instrument comprises a shaft having a distal end configured for contact with a rod, a moving part slidably engaged with the shaft, a holder connected to the moving part and configured to hold an end of the flexible tie, and a tension control member comprising a trigger that pivots relative to the moving part. In some embodiments, the method comprises coupling the end of the flexible tie to the instrument and squeezing the trigger to shorten the first loop of the flexible tie around the bony element, causing the moving part and the holder holding the end of the flexible tie to move in translation away from the distal end of the shaft, thereby exerting tension on the flexible tie.09-29-2011
20100234905FACET JOINT RESURFACING IMPLANT AND ASSOCIATED SURGICAL METHODS - The present invention provides devices and methods for resurfacing a facet joint of a spine of a patient, including: a first portion that is selectively coupled to an opposed surface of a superior facet of the facet joint of the spine of the patient; and a second portion that is selectively coupled to an opposed surface of an inferior facet of the facet joint of the spine of the patient; wherein the first portion is allowed a predetermined degree of movement with respect to the second portion. These devices and methods find applicability to other anatomical joints as well.09-16-2010
20100168803Flexible Guide for Insertion of a Vertebral Stabilization System - An installation system for installing a vertebral stabilization system. The system includes an implant guide and an insert. The implant guide includes a handle and a shaft extending from the handle. The distal end of the shaft is configured for engagement with a head portion of a vertebral anchor. The shaft has flexibility characteristics allowing the shaft to flexibly bend between a first configuration and a second configuration. The insert is slidably disposed along the shaft of the implant guide. The insert inhibits the shaft from bending from the second configuration to the first configuration.07-01-2010
20130013006Intervertebral disc prosthesis and instrumentation for insertion of the prosthesis between the vertebrae - The present invention relates to an intervertebral disc prosthesis and insertion instrumentation, the prosthesis comprising at least first and second osseous anchoring means, the first osseous anchoring means disposed proximal to the periphery of the plate on which it is situated and the second osseous anchoring means being offset along the antero-posterior axis, the second osseous anchoring means comprising a basal portion and a sharp-edged portion of width narrower than the basal portion. The instrumentation comprises a rod fitted with at least two feet forming a clip and sliding in a tube, sliding the rod in the tube, in the direction of the manipulation end, causing closing of the clip by contact between the exterior of the feet and a truncated portion of the tube and sliding the rod in the tube, in the direction of the prehension end, causing opening of the clip by contact between an axis and the interior of the feet of the rod.01-10-2013
20120150242METHOD FOR PLACING SPINAL IMPLANTS - A process for utilizing a spinal implant guide made using a diagnostic imaging tool to facilitate implantation of a device in the spine. The spinal implant guide preferably has a body designed to conform to certain predetermined, patient-specific anatomical vertebral landmarks. The guide may be fitted to the anatomical vertebral landmarks pre-operatively and/or during a surgical procedure using 3-point fixation technique to thereby substantially demarcate an optimal alignment, trajectory and angulation for the spinal implant device.06-14-2012
20120150241Bone Cage Placement Device - A bone cage placement device used to insert and position a bone cage in the disc space. Once the bone cage is positioned, a selector tool is inserted into the center aperture of the bone cage placement device. The end of the selector tool has a cam lift driving feature which is used to rotate the cam lift of the bone cage and expand the bone cage to the desired height. The selector tool is removed, and a graft placement tool and plunger are used to insert bone graft material into the plug. An end plug installation tool and installer are then used to insert an end plug to prevent leakage of material from the bone cage. The bone cage is released from the bone cage placement device, which is then removed from the patient's body.06-14-2012
20130172947DIRECT VERTEBRAL ROTATION TOOL AND METHOD OF USING SAME - 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.07-04-2013
20080221626Force limiting persuader-reducer - An apparatus and method for advancement of a spinal rod in a spinal implant, wherein the apparatus includes a body and a handle attached to the body. A shaft is slidably attached to the body, the shaft is coupled to the handle and has a first end adapted to engage the spinal rod. At least one retractor blade is attached to the body and the spinal implant. The operation of the handle results in the shaft persuading the spinal rod in the spinal implant. The force exerted by the shaft on the spinal rod is limited to a pre-selected force. The apparatus can also be operated in a non-limiting mode when a reduction retractor blade is used.09-11-2008
20080234764Artificial functional spinal unit system and method for use - Insertion methods for placing dynamic interbody devices between a first vertebra and a second vertebra using a posterior approach are provided. In an embodiment, the insertion method may be based on the first vertebra. A bridge assembly may be attached to tap shafts positioned in the first vertebra. The bridge assembly may establish an insertion angle of implants into a disc space between the vertebrae. In an embodiment, the insertion method may be based on the position of expandable trials positioned between the vertebrae. The trials may be positioned and a bridge assembly may be coupled to the expandable trials and taps positioned in the first vertebra. One or more posterior stabilization systems may be coupled to the vertebrae after insertion of the dynamic interbody devices between the vertebrae.09-25-2008
20080221627SURGICAL INSTRUMENT FOR MOVING VERTEBRAE - A surgical instrument extendable through a cannula for moving a first bone portion relative to a second bone portion includes a first portion having a longitudinal axis engageable with a first member connected with to the first bone portion. A second portion is engageable with a second member connected with the second bone portion. The second portion is movable relative to the first portion from a first position toward a second position to move the first and second bone portions away from each other. An actuator connected with the second portion moves the second portion relative to the first portion in a direction extending transverse to the longitudinal axis.09-11-2008
20130096637Percutaneous Instrumentation and Surgical Procedure - An instrument for assisting in guiding a spinal connector or rod through one or more spinal implants placed in the spine includes a main assembly having the ability to accurately guide a rod through the implants by way of rotation and translation. By introducing the rod via rotation, the tip of the rod can be located very accurately deep in soft tissue for percutaneous applications. Once inside the first implant, the rod tip can be advanced by translation and rotation to the next implant. The number of implants connected in this manner is only limited to the length and curvature of the rod introduced. However, an advantage to the instrument is the ability to handle multiple length rods of different curvatures by adjustments to the instrument.04-18-2013
20130103103SURGICAL SYSTEM METHODS FOR SPINAL ACCESS - A dilator includes a first portion and a second portion movable between a first position and a second position. The first portion includes a first wall that defines a first cross section and a first cavity. The second portion includes a second wall that defines a second cross section, which is less than the first cross section, and a second cavity. The second portion dilates and/or dissects tissue adjacent a surgical site. In the first position, the second cavity provides direct visualization of the surgical site and the first cavity supports an instrument. In the second position, the second cavity is expandable such that the instrument is movable along the longitudinal axis in the second cavity. Methods of use are disclosed.04-25-2013
20130103102Curved Spacer and Inserter - The present teachings provide one or more surgical implements for repairing damaged tissue, such as in the case of a spinal fixation procedure. A cross connector system for use during a spinal fixation procedure is provided. The system includes at least one bridge defining a coupling bore and having a pair of downwardly extending arms for coupling to a first fastener. The system includes a contoured bar having a first end offset from a second end, and a bore having a central axis. The system includes an expansion ring received within the bore, and a locking device received through the expansion ring and the coupling bore. The locking device is operable in a first state in which the contoured bar is movable about the central axis of the bore and in a second state in which the contoured bar fixed relative to the central axis of the bore.04-25-2013
20130123865SPONDYLOLISTHESIS CORRECTION APPARATUS AND METHOD - An apparatus and method are provided that allow for the realignment and stabilization of adjacent vertebrae. An implant of this invention both repositions adjacent vertebrae and remains in situ to maintain the new position. The implant has two halves which are interlocked such that they can slide horizontally with respect to each other. Movement of the implant halves and their respective positions are controlled by set screw within the implant. The implant includes radial anchors which fit into alignment slots made in the misaligned vertebra by the disclosed method. The set screws are used to advance the halves of the implant which in turn move the misaligned vertebrae back into correct positions. The correct position of the vertebrae is locked in place through a nut and a plate.05-16-2013
20110313477Surgical Instrument and Method for the Distraction or Compression of Bones - A surgical instrument for the distraction or compression of bones or bone portions comprises a pair of elongate cross members pivotally coupled for relative movement having at one end a respective pair of handles and at the other end a respective pair of jaws. The jaws are generally parallel to each other and define a first plane within which the jaws are relatively movable, the space on both sides of the plane defining a work space between the jaws. The instrument further comprises a fulcrum supported by at least one of the cross members projecting into the work space and having an axis spaced from the jaws.12-22-2011
20110313476Apparatus and Method for Detecting a Connecting Rod During Percutaneous Surgery - An apparatus for detecting the presence of a connecting rod during percutaneous spinal surgery comprises a tubular member and an elongate strip extending therethrough. The strip has a flag at the proximal end and an elastically flexible rod detection tip projecting outwardly from the distal end for contacting a connecting rod. The strip is supported in the tubular member for pivoting movement relative to the longitudinal axis of the member. A biasing member biases the strip to a first position in which the flag is adjacent a first side of the tubular member and the detection tip at the distal end is adjacent an opposite second side. Upon application of a force to elastically flex the detection tip, in which the force is sufficient to overcome the bias, the flag is shifted to a second position adjacent the second side of the tubular member.12-22-2011
20110313475Introducer for Inserting a Connecting Rod into a Spine - An introducer is provided for inserting a connecting rod into tissue of a spine that comprises an outer sleeve with an actuatable rod attachment portion at a distal end thereof to releasably pivotally attach to a connecting rod, and an elongate inner shaft movable translationally within the outer sleeve. The proximal end of the shaft is coupled to an actuation mechanism for selectively translating the inner shaft. The distal end of the shaft includes a rod engagement surface that is movable y the actuation mechanism to a first position to engage a cooperative engagement surface on the rod to hold the rod in a selected locked orientation, to a second position to space the rod engagement surface from the cooperative engagement surface of the rod to allow pivoting of the rod, and to a third position to release the rod from the outer sleeve.12-22-2011
20130144349MINIMALLY INVASIVE TOOL TO FACILITATE IMPLANTING A PEDICLE SCREW AND HOUSING - A minimally invasive tool to facilitate implanting a pedicle screw and housing is provided. The minimaly invasive tool includes a first sleeve having flexible tabs that couple to a housing and a second sleeve slidably engaged in the first sleeve. The second sleeve provides reinforcing such that the first and second sleeve provide counter torque for driving the pedicle screw.06-06-2013
20110224741Device and Method for Treatment or Evacuation of Intervertebral Disc or Vertebral Body - A method of positioning an S-shaped elongated tool in an intervertebral disc or a vertebral body. The S-shaped elongated tool has shape memory properties and retains its predetermined arcuate shape when no pressure or force is applied to it.09-15-2011
20110245884Reducing Instrument for Spinal Surgery - An instrument is provided for use in orthopedic surgery for reduction of a connecting member such as a spinal rod toward an implant such as a bone screw. An embodiment of the instrument includes handle portions that are pivotable relative to each other and biased apart, and arm portions pivotable relative to each other and to the handle portions. Distal portions of the arm portions, which may be offset from the arm portions, provide structure for engaging a connecting member and an implant. Squeezing the handle portions force the distal portions of the arm portions together, forcing together the connecting member and the implant. A toothed bar and pawl may be provided to retain the instrument in a squeezed state.10-06-2011
20130150905Rod Holder - A rod holder for inserting a rod for spinal instrumentation into a patient. The rod may be inserted through the same incision used for fixing pedicle screws, so that an additional incision may not be required. The rod holder may include a body, a slide that slidably mates to a side of the body, and a ram that actuates the slide.06-13-2013
20130150906SYSTEM AND METHOD FOR A LOCKABLE POLYAXIAL DRIVER TOOL - A polyaxial driver system for inserting and setting the angular orientation of an implant includes an elongated component and a distal component. The elongated component extends along a main axis and includes an elongated tubular sheath and an elongated shaft disposed within the tubular sheath. The distal component is pivotally connected to a distal end of the elongated shaft and includes a tubular body extending along the main axis and a spherical head dimensioned to fit and move freely within the tubular body. A proximal end of the elongated shaft includes a first set of outer threads and a proximal end of the elongated tubular sheath includes inner threads shaped and dimensioned to engage the first set of outer threads of the elongated shaft. Rotating the elongated tubular sheath clockwise or counter-clockwise moves the elongated shaft forward or backward along the main axis, respectively.06-13-2013
20120283792ANTERIOR LUMBAR INTERBODY GRAFT INSERTER - An anterior lumbar interbody graft (ALIG) inserter includes prongs at the tip of the inserter which can optionally grasp, and thus insert, anterior and anterior-lateral grafts.11-08-2012
20130184771ACCESS ASSEMBLY FOR ANTERIOR AND LATERAL SPINAL PROCEDURES - Briefly, the present invention is directed to methods and instrumentation for performing surgery on the spine along its lateral aspect (side) and generally by a lateral, anterior or an anterolateral surgical approach, such that the instruments enter the body from an approach that is other than posterior and make contact with the spine along its lateral aspect. The present invention provides for the entire surgical procedure to be performed through a relatively small incision and may be performed in either the thoracic or lumbar spine.07-18-2013
20130158611RETRACTION TUBE FOR USE WITH CAPLESS PEDICLE SCREW - A retractor system and method for locating and placing a polyaxial screw while substantially simultaneously retracting tissue is shown and described. The retractor has a channel that facilitates introducing a rod into the polyaxial screw. Various embodiments are shown, including one which utilized a reducer for moving the rod in the retractor.06-20-2013
20120029580ORTHOPEDIC IMPLANT SYSTEM - A surgical instrument is configured to introduce a spinal fixation rod into a vertebral implant such that once the spinal fixation rod is engaged with the surgical instrument and the surgical instrument is put into a retention configuration, the spinal fixation rod cannot be removed from the surgical instrument until the spinal fixation rod is properly located and oriented with respect to the surgical construct and the surgical instrument is released from the retention configuration. The surgical instrument for introducing a spinal fixation rod includes a surgical instrument body with an actuator, and an engagement assembly at opposing ends and a transfer assembly extending between the actuator and the engagement assembly. The surgical instrument can also be used as part of a method for introducing a spinal fixation rod. Additionally, the surgical instrument can be part of a kit for introducing a spinal fixation rod, the kit including a plurality of spinal fixation rods of varying shapes and sizes.02-02-2012
20120095517DOUBLE THREADED GUIDANCE OR STIFFENING WIRE FOR MULTIPLE USE VERTEBRAL AUGMENTATION (VA) BALLOON - A catheter device that includes a double-threaded guidance wire that allows multiple use of a compliant cavity creation device (i.e., treatment of more than one level). The double-threaded guidance wire may be connected with the luer part of the device and a distal part of the balloon using a threaded engagement to avoid lengthening of the inner tube, avoid lengthening of the balloon, and to limit the plastic deformation of the system in axial direction. In other implementations, the double-threaded guidance wire may be reconnected to the distal part of the balloon with a distal thread of the double-threaded guidance wire in order to restore the nominal length.04-19-2012

Patent applications in class Means for use in bone reperation

Patent applications in all subclasses Means for use in bone reperation