Entries |
Document | Title | Date |
20080208258 | Methods and instruments for endoscopic interbody surgical techniques - This invention relates to methods and instruments for performing a surgical procedure in a disc space between adjacent vertebrae. A cannula is inserted to create a working channel through the skin and tissue of a patient using a transformational approach to the disc space. A viewing element is used to visualize working end of the cannula and the disc space. A facetectomy is performed through the working channel to access the disc space. The disc space is prepared with various instruments, such as distractors, shims, chisels and distractor-cutters that extend through the working channel. At least implant is inserted into the disc space. The procedure allows bi-lateral support of the adjacent vertebrae with the at least one implant inserted via a unitary, minimally invasive approach to disc space. | 08-28-2008 |
20080234747 | Resorbable Release Mechanism for a Surgical Tether and Methods of Use - The present application is directed to tethers and methods of use. The tether is attached with anchors to bony members within the patient. The tether applies a tensile force to the bony members to reduce and/or eliminate the abnormality of the bony members. The tether includes a release mechanism with a resorbable material that initially maintains the tether in a shortened orientation. The release mechanism is eventually releases the tether to a lengthened orientation. The release mechanism may prevent the need for a subsequent surgery to release tension from the tether as the patient grows. | 09-25-2008 |
20080269805 | Methods for correcting spinal deformities - The present application discloses methods for treating spinal deformities. One embodiment includes inserting an elongated corrective member into the patient. During insertion, the corrective member is operatively attached to a first vertebral member that applies a first corrective force to correct a first vertebral member alignment. The corrective member is further inserted into the patient and subsequently operatively attached to a second vertebral member that applies a second corrective force to correct a second vertebral member alignment. The corrective member is further inserted and subsequently operatively attached to a third vertebral member that applies a third corrective force to correct a third vertebral member alignment. The embodiment may further include operatively attaching the corrective member to additional vertebral members to correct further misalignment. In one embodiment, a second member is attached to the vertebral members after they have been aligned to maintain the alignment. | 10-30-2008 |
20080294200 | Spinous process implants and methods of using the same - Devices and methods for performing a procedure within a spine are disclosed herein. In one embodiment, a method includes disposing an implant adjacent a side of a spinous process. A first portion of the implant is placed over a top side of the spinous process in a lateral direction. A second portion of the implant is placed under a bottom side of the spinous process in a lateral direction such that at least a portion of the spinous process is disposed within an interior region defined by the implant. In another embodiment, an apparatus includes an implant configured to be coupled to a spinous process. The implant has an outer surface configured to contact at least one of a second implant or an interspinous-process spacer. A closure member is coupled to the implant and has an open configuration and a closed configuration to secure the implant to the spinous process. | 11-27-2008 |
20090012568 | SYSTEM AND METHOD FOR PROVIDING SURGICAL ACCESS TO A SPINE - A system for accessing a spine from a curved postero-lateral approach may include a curved cannula positioned along a curved path from an opening in the skin to a location proximate the spine. A guide member may be first inserted to establish the path between the tissues and fascia, and one or more intermediate cannulas may be temporarily inserted over the guide member to dilate the tissues prior to insertion of the main cannula. An interbody device may be implanted in an intervertebral space through the cannula. The system may include a guide bar removably coupled to a targeting post. The targeting post may be inserted adjacent the spine to provide a target, and the guide bar may be removably attached to the guide member, to guide it along the path to the target location. An external support arm may be secured to any other component of the system. | 01-08-2009 |
20090069850 | DEVICE FOR STRAIGHTENING AND STABILIZING THE VERTEBRAL COLUMN - A device for straightening and stabilizing the vertebral column, particularly for stabilizing broken vertebrae, includes a supporting implant which is plastically expandable by internal pressure. The supporting implant can be placed into the interior of a vertebral body which has been fractured under compression or between adjacent vertebral bodies. A pressure balloon to which pressure fluid can be admitted may be arranged in the interior of the supporting implant for producing the internal pressure. | 03-12-2009 |
20090105766 | Systems, Devices and Methods for the Correction of Spinal Deformities - Provided herein are systems, devices and methods for the correction of spinal deformities with the use one or more implantable rods configured to apply a corrective force to the spine. Methods of minimally invasive implantation of a corrective system are provided, such as where the corrective system is attached only to the spinous process of one or more vertebral bodies. Various corrective systems as well as components thereof are also provided. | 04-23-2009 |
20090112267 | DEVICES AND METHODS FOR THE TREATMENT OF SPINAL DISORDERS - Devices and methods for treating a damaged intervertebral disc to reduce or eliminate associated back pain. Dynamic bias devices and reinforcement devices are disclosed, which may be used individually or in combination, to eliminate nerve impingement associated with the damaged disc, and/or to reinforce the damaged disc, while permitting relative movement of the vertebrae adjacent the damaged disc. | 04-30-2009 |
20090118767 | Flexible Member with Variable Flexibility for Providing Dynamic Stability to a Spine - The present invention relates to spinal support devices and, more specifically, to a flexible member having variable flexibility for use with a dynamic stabilization system or implant to provide dynamic stability to a person's spine. The flexible member generally includes a first material having a first portion including a first material having a first elasticity and a second portion including a second material having a second elasticity greater than the first to provide the flexible member with a variable flexibility. | 05-07-2009 |
20090125066 | FACET STABILIZATION SCHEMES - The present invention relates to methods of stabilizing a facet joint, wherein the facet joint comprises an inferior articular facet of the superior level, a superior articular facet of the inferior level, and an interfacet space that is defined between the opposing faces of the inferior and superior articular facets. These methods of stabilization may be achieved through a variety of applications and devices. In addition, the stabilization may be provided with various degrees of compression sufficient to stabilize the facet joint. | 05-14-2009 |
20090138050 | NEUROPHYSIOLOGICAL APPARATUS AND PROCEDURES - Neurophysiological instruments and techniques are improved through various enhancements. Stimulation of an instrument is possible while it is advancing into the spine or elsewhere, alerting the surgeon to the first sign the instrument or device (screw) may be too near a nerve. A directional probe helps surgeons determine the location of the hole in the pedicle. Electrically insulating sleeves prevent shunting into the soft tissues. According to a different improvement, the same probe to be used to stimulate different devices, such as screws and wires. Electrical impulses may be recorded from non-muscle regions of the body, including the spine and other portions of the central nervous system as opposed to just the extremities. | 05-28-2009 |
20090177235 | Apparatus and methods for bone, tissue and duct dilatation - Apparatus and methods are disclosed for medical treatment comprising bone, tissue or duct dilatation using inflatable dilatation elements together with apparatus and techniques for tensioning, stretching, folding, and/or wrapping the dilatation elements externally as well as in situ to facilitate insertion, positioning and withdrawal procedures. | 07-09-2009 |
20090177236 | Apparatus and methods for bone, tissue and duct dilatation - Apparatus and methods are disclosed for medical treatment comprising bone, tissue or duct dilatation using inflatable dilatation elements together with apparatus and techniques for tensioning, stretching, folding, and/or wrapping the dilatation elements externally as well as in situ to facilitate insertion, positioning and withdrawal procedures. | 07-09-2009 |
20090182382 | SURGICAL INSTRUMENTS AND TECHNIQUES FOR PERCUTANEOUS PLACEMENT OF SPINAL STABLIZATION ELEMENTS - Systems and methods for positioning a connecting element adjacent the spinal column in minimally invasive procedures include instruments that guide the connecting element from a location remote from one or more anchors to a location proximate to the one or more anchors. The instruments include extensions mountable to anchors, and inserter instruments mountable to the connecting element for positioning the connecting element adjacent the anchors in a minimally invasive procedure. The inserter instruments need not be mounted to the anchors or to the anchor extensions, and are operable independently thereof to position the connecting element into the patient along a minimally invasive insertion path from a location remote from the anchor extensions. | 07-16-2009 |
20090198281 | SYSTEM AND METHOD FOR INSERTION OF FLEXIBLE SPINAL STABILIZATION ELEMENT - A method of inserting a spinal stabilization system into a patient generally comprises inserting a first positioning tool through a first location on a patient's skin and along a path generally toward a first vertebral anchor, coupling an end of the first positioning tool to the first vertebral anchor, positioning at least a portion of a delivery device over a connecting element, and inserting the delivery device and the connecting element through the patient's skin at the first location and along at least a portion of the first positioning tool. The first positioning tool is configured to facilitate directing the delivery device and connecting element generally toward a second vertebral anchor within the patient's body. | 08-06-2009 |
20090198282 | SPINAL IMPLANT AND METHOD FOR RESTRICTING SPINAL FLEXION - A spinal implant system for restricting flexion of a spine includes an elongate band proportioned to engage at least two spinous processes. During use, the band is positioned engaging the spinous processes at a spinal segment of interest, where it restricts flexion at the segment. The length and tension of the band may be adjustable following to implantation using percutaneous or transcutaneous means. | 08-06-2009 |
20090198283 | METHODS AND APPARATUS FOR VASCULAR PROTECTION IN SPINAL SURGERY - Methods and apparatus provide for: coupling an elongate guide substantially at a first end to at least one vertebral body of a spinal column of a patient; and extending a second end of the guide to a structure of the patient spaced in an anterior direction away from the at least one vertebral body towards an entry incision. | 08-06-2009 |
20090216280 | Methods for Correction of Spinal Deformities - A method of treating a spinal column shape deformation includes fixing at least two fixation screw assemblies to respective vertebrae, sliding a rod between the arm extensions on each of the fixation screw assemblies, swinging the channels of the screw assemblies relative to the fixation screws so that the channels become less inclined to the axes of the fixation screws, and so that the rod is located generally posteriorly of the spinal column, locking the channel against swinging relative to the screw, rotating the rod about its axis relative to at least one of the channels, and locking the rod against movement relative to the channel. | 08-27-2009 |
20090216281 | INSTALLATION SYSTEMS FOR SPINAL STABILIZATION SYSTEM AND RELATED METHODS - A system for implantation of a spinal stabilization system includes a vertebral anchor having a top portion. The top portion has a perimeter and a first engaging element. The first engaging element has a first longitudinal axis that is generally parallel to a second longitudinal axis of the top portion. The perimeter extends around the second longitudinal axis. The system also includes a driving tool that has a second engaging element that is configured to cooperate with the first engaging element to substantially restrict rotation of the driving tool relative to the top portion about the second longitudinal axis. The first engaging element is configured to slidably receive the second engaging element in a direction along the first longitudinal axis, and the second engaging element is configured to extend substantially within the perimeter of the top portion. | 08-27-2009 |
20090222044 | Minimally Invasive Retractor Screw and Methods of Use - A device, system and method for orthopedic spine surgery using a novel screw-based retractor, disclosed herein, that allows for access to the spine through a minimally or less invasive approach. The retractor device is designed as an integrally formed part of the tulip of a pedicle screw assembly with opposed arms of the retractor spread apart to open the wound proximally. The arms are removed by separating the arms from the tulip and pulling it out of the wound. The retractor device is intended to be made of a stiff material, sterile packaged and disposable after one use. A system and method for using the retractor and performing a minimally invasive spine surgical procedure are also disclosed. | 09-03-2009 |
20090222045 | Minimally Invasive Retractor and Methods of Use - A device, system and method for orthopedic spine surgery using a novel screw-based retractor, disclosed herein, that allows for access to the spine through a minimally or less invasive approach. The retractor device is designed as a co-molded part of the tulip of a pedicle screw assembly with opposed arms of the retractor spread apart to open the wound proximally. The arms are removed by separating the arms from the tulip and removing them from the incision. The retractor device is intended to be made of a relatively stiff material, sterile packaged and disposable after one use. A system and method for using the retractor and performing a minimally invasive spine surgical procedure are also disclosed. | 09-03-2009 |
20090222046 | Minimally Invasive Retraction Device Having Removable Blades - A retraction device comprises at least one retracting blade and a pedicle screw. The retracting blade has a distal end having at least one projection with a passage for engaging a retention pin. The pedicle screw has a threaded body and a movable head. The movable head has at least one recess with a channel that can be aligned with the passage of the projection. | 09-03-2009 |
20090248083 | ELONGATED CONNECTING ELEMENT WITH VARYING MODULUS OF ELASTICITY - A spinal system comprising a spinal rod with an outer wall, a proximal end, a distal end, and a first axis extending centrally through the spinal rod between the proximal and the distal ends. The spinal rod comprises a first region having a first modulus of elasticity, a second region having a second modulus of elasticity different from the first modulus of elasticity, and a third region between the first and second region having a modulus gradation ranging from the first modulus of elasticity to the second modulus of elasticity. | 10-01-2009 |
20090287255 | Methods and Devices for insertion of Tethers Through Subcutaneous Screw Heads - A method of securing vertebrae includes inserting a first pedicle screw into a first pedicle of a first vertebra. The first pedicle screw includes a first channel running perpendicular to a first central axis of the first pedicle screw. The first pedicle screw has a first engagement structure. The method further includes inserting a second pedicle screw into a second pedicle of a second vertebra. The second pedicle screw includes a second channel running perpendicular to a second central axis of the second pedicle screw. The second pedicle screw has a second engagement structure. The method also includes inserting a guidewire through the first and second channels, threading a tether attached to an end of the guidewire through the first and second channels, securing the tether to the first pedicle screw, applying tension to the tether, and securing the tether to the second pedicle screw. | 11-19-2009 |
20090312799 | TRANSVERSE CONNECTOR FOR ROD-BASED SPINAL IMPLANTS - A spinal implant system is provided for correcting spinal abnormalities. The system involves connectors configured to fit over spinal implant rods, a transverse rod, and a locking member for fixing each connector to the spinal implant rod and transverse rod. The connector is configured such that when the locking member is in a first position, the transverse rod is temporarily fixed to the connector, and when the locking member is in a second position, both the transverse rod and spinal implant rod are fixed to the connector. | 12-17-2009 |
20090312800 | SYSTEM AND METHOD FOR FACET FIXATION - A spinal fixation element includes a screw and a washer. The screw comprises an elongated body of a first diameter and the body includes a threaded portion at a distal end and a semispherical head of a second diameter at a proximal end. The second diameter is larger than the first diameter. The washer comprises a semispherical through opening of a third diameter at the top, of a fourth diameter in the middle and of a fifth diameter at the bottom. The third diameter is slightly smaller than the second diameter, the fourth diameter is slightly larger than the second diameter and the fifth diameter is smaller than the second diameter. The washer surrounds the semispherical head, is non-removably attached to the semispherical head and is rotatable and positionable at an angle relative to the elongated body. | 12-17-2009 |
20090318974 | Device For Securing Spinal Rods - A device is disclosed for securing a spinal rod to the spine which includes a head portion configured to receive a spinal rod, a locking cap configured to engage the head portion and the spinal rod upon rotation of the locking cap relative to the head portion to secure the position of the head portion relative to the spinal rod, and a fastener portion depending from the head portion and configured to engage the spine. Methods of utilizing such a device are also disclosed. | 12-24-2009 |
20090318975 | Rod Reducer Method - A method of operating a rod reducer includes connecting a cam coupling rod reducer to a screw head of a pedicle screw assembly, wherein spaces in between prongs at a second end of an inner tube of the rod reducer are positioned parallel to a rod of the pedicle screw assembly, and wherein the connection of the cam coupling rod reducer to the screw head indicates a first position of operation; rotating a lever cam of the cam coupling rod reducer until an indication line marked on an outer body of the cam coupling rod reducer moves to a second position of operation; and rotating the lever cam to a third position of operation, wherein the third position of operation indicates that the rod is optimally seated in the pedicle screw assembly, and that the pedicle screw assembly is ready to accept a blocker screw. | 12-24-2009 |
20100010546 | Minimally Invasive Instruments and Methods for the Micro Endoscopic Application of Spine Stabilizers in the Interspinous Space - The present disclosure provides a safe and simple method, as well as a new instrumentation to improve the technique of the minimally invasive spine surgery through micro endoscopy with the use of hooks and a new improved stabilization interspinous device or implant which is placed as an auxiliary in the function of the affected intervertebral disk, by relieving the pressure on spinal nerves. | 01-14-2010 |
20100049255 | BONE ANCHORING DEVICE - A bone anchoring device includes a shank to be anchored in a bone or vertebra, a head, and a receiving part receiving the head for connecting the shank to a rod. The shank and the head are separate parts. The head has a bore with a cylindrical inner surface, a ring-shaped groove provided on the inner surface, and at least one slit extending from the inner surface to the outer surface of the head. The shank has a first portion for anchoring in the bone or vertebra and a second portion with a cylindrical outer surface adjoining a free end. A projection is provided on the cylindrical outer surface which engages with the ring-shaped groove of the head, when the cylindrical second portion of the shank is inserted in the bore of the head. | 02-25-2010 |
20100063548 | Spinal Correction Method Using Shape Memory Spinal Rod - Various methods and devices related to correcting a spinal deformity are disclosed herein. In one embodiment, a method is provided and can include attaching to at least a portion of a patient's spine a spinal correction template having a first configuration, which substantially corresponds to an uncorrected shape of a spine. The spinal correction template can be activated such that the template achieves a second configuration to cause the spine to assume an orientation substantially corresponding to the second configuration of the spinal correction template. The method can further include attaching a primary spinal rod to at least a portion of a spine after the spine achieves a corrected orientation, and removing the spinal correction template. In some embodiments, the method can include inserting a secondary spinal rod in place of the spinal correction template. In one embodiment, the spinal correction template can be formed of a shape-memory alloy such as nitinol. | 03-11-2010 |
20100069965 | DEVICE AND METHOD FOR THE PREVENTION OF MULTI-LEVEL VERTEBRAL EXTENSION - Methods and devices are adapted to limit the extent of vertebral extension between an upper-most vertebral bone and a lower-most vertebral bone wherein a least one additional vertebral bone resides between them. In an embodiment, the limitation of extension occurs while flexion is at least partially maintained within at least one FSU. In other embodiments, flexion may be abolished. | 03-18-2010 |
20100076490 | FACET JOINT BROACHING INSTRUMENT, IMPLANT, AND ASSOCIATED METHOD - The present disclosure relates to a facet joint broaching instrument, implant, and associated method for stabilizing/immobilizing a facet joint of the spine. The instrument is configured to bore a broaching spike through the facet joint to create a bore in the facet joint. The instrument is further configured to remove excess bone material from the broaching operation through the bore. Once a bore is formed through the facet joint, a facet joint implant is positioned through the bore thereby stabilizing and immobilizing the facet joint. In an exemplary embodiment, the instrument includes a pair of handles, a hinge, opposing arms, a broaching spike, and a receiving chamber for excess bone. The present invention further includes the implant for use with the instrument and an associated surgical method for stabilizing and immobilizing a facet joint with the implant and the instrument. | 03-25-2010 |
20100076491 | Intervertebral space implant for use in spinal fusion procedures - An implant assembly is provided for surgical implantation into an intervertebral space, such as for stabilization of vertebrae adjacent the intervertebral space during a spinal fusion procedure. The implant assembly includes a primary segment separate from a secondary segment. These segments are elongate and of sufficiently small cross-section that they can be implanted posteriorly in a minimally invasive manner. The primary segment preferably includes a tunnel and the secondary segment preferably includes a neck with the tunnel and neck sized complementally so that the segments stabilize each other where they intersect with the neck within the tunnel. The entire implant assembly is thus provided which both widens and supports the intervertebral space and is sufficiently rigid to provide adequate support for the intervertebral space as the vertebrae are fusing together. | 03-25-2010 |
20100076492 | SPINOUS PROCESS SPACER IMPLANT AND TECHNIQUE - A spinous process spacer implant and method of use are provided. The implant can be configured to be placed between adjacent spinous processes. The implant can comprise at least one pair of notches that can be positioned such that portions of the adjacent spinous processes are engaged therewithin to maintain a size of a desired space between the adjacent spinous processes. | 03-25-2010 |
20100076493 | Facet 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. | 03-25-2010 |
20100076494 | PEDICLE SCREW ASSEMBLY - A medical device and methods of use thereof are provided for supporting a structure (e.g., bone). A screw assembly is provided that is comprised of a base, an arm, and an interconnection means for coupling the base to the arm. The interconnection means allows the arm to be positionable in a first position that is parallel to a long axis of the base and positionable in a second position that is perpendicular to the long axis of the base. The base is configured for attachment to a structure and the arm configured for attachment to a support structure. A support structure is provided that includes one or more receivers having locking means, which can be configured as an open-ended saddle for attachment to a medical device (e.g., a screw assembly). The support structure is configured to receive one or more medical devices and lock the medical devices to the support structure after installation in a patient. | 03-25-2010 |
20100087868 | Motion Limiting Insert For An Artificial Intervertebral Disc - A spacer for an artificial spinal disc arrangement is provided. The artificial disc arrangement includes an upper plate, a lower plate, and articulating surfaces between the upper and lower plates arranged to permit motion between the upper and lower plates. The spacer has a first surface for contacting the upper plate and a second surface for contacting the lower plate and is of sufficient thickness such that, when disposed between the upper and lower plates, the spacer limits motion between the upper and lower plates. An artificial disc, a method of limiting motion of an artificial disc in a patient, and a method of performing spinal disc surgery are also disclosed. | 04-08-2010 |
20100087869 | DEVICES AND METHODS TO LIMIT ABERRANT MOVEMENT OF THE VERTEBRAL BONES - Methods and devices are configured to attach an orthopedic implant onto a first vertebral bone of a functional spinal unit. A segment of the implant forms an abutment surface with a segment of a second vertebral bone within an unstable, or potentially unstable, vertebral column wherein the abutment surface resists and opposes aberrant movement between the first and second vertebral bones within a horizontal plane. The device may be rigidly attached onto the first vertebral bone but movable relative to the second vertebral bone. | 04-08-2010 |
20100087870 | INSTRUMENTATION 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. | 04-08-2010 |
20100094350 | METHOD FOR ROTATING A VERTEBRA OR VERTEBRAE - A method for rotating a vertebra or vertebrae in a spine that is curved using a vertebral osteosynthesis device that includes polyaxial screws, linking rods, clamping parts, tightening nuts, and set screws. The method includes the steps of: implanting two series of the screws, clamping parts, and linking rods; completely tightening the tightening nuts of a first series of screws on the convex side of the spine curvature; completely tightening the set screws of a second series of screws on the concave side of the spine curvature; tightening the tightening nuts of the second series; and tightening the set screws of the first series. | 04-15-2010 |
20100100131 | SPINAL BUTTRESS PLATE - A spinal buttress plate includes a body having a top surface and a bottom surface and including an annular lip, a ledge, and a pair of teeth. The annular lip defines an opening. The annular lip and the opening are adapted to engage a screw for facilitating the securement of the buttress plate to one or more vertebrae. The ledge defines an aperture. The ledge and aperture are adapted to engage an instrument for positioning the buttress plate adjacent a spinal bone graft. The teeth are disposed in spaced-apart relation on the bottom surface of the body and are positionable within the one or more vertebrae. | 04-22-2010 |
20100100132 | System and methods for improved access to vertebral bodies for kyphoplasty, vertebroplsaty, vertebral body biopsy or screw placement - A method of determining the size and/or placement of screws or other instruments in pedicles during surgery in a selected spinal area, comprising generating a dimensionally true three-dimensional image of the bony spine in the selected spinal area; hollowing out the vertebra in the three-dimensional image with cortical wall thicknesses selected by a surgeon performing the surgery; determining the narrowest cross section (isthmus) within each pedicle; generating a straight line starting at the center of the isthmus and extending inwardly to a point centered within the anterior cortex so that it is positioned concentrically within the pedicle without touching the walls thereof, the line terminating inside the vertebral body a predetermined distance from the anterior inner cortical wall and extending outwardly in the opposite direction to penetrate the posterior pedicle cortex; expanding the line concentrically and radially to a cross sectional size that is less than that of the isthmus, the line being expanded into a cylinder that stops growing when any portion thereof contacts the inner cortical wall of the hollowed out vertebral body, with the exception of the posterior pedicle cortex; and calculating the ideal pedicle screw or instrument diameter, length and/or trajectory based on the dimensions and trajectory of the cylinder generated for each pedicle. Also, a new and improved method for providing access to the interior of a pedicle for a desired transpedicular procedure, and a new and improved pedicle cannula construction are disclosed herein. | 04-22-2010 |
20100100133 | DEVICE AND METHOD FOR CORRECTING A SPINAL DEFORMITY - A method for correcting a spinal deformity is provided. A spinal implant for correcting a spinal deformity includes a multipoint connector that connects to at least one vertebra of a spine at a plurality of locations and a force directing device that applies a force to the vertebra through the multipoint connector. The force directing device may include a rod which extends generally along an axis of the spine and a force directing member which is adjustably coupled to both the rod and the multipoint connector and which applies a corrective force to the at least one vertebra. | 04-22-2010 |
20100106194 | STABILIZING A SPINAL ANATOMICAL STRUCTURE - Methods and devices for stabilizing spinal anatomical structures. Some example methods may include introducing a curved segment of an elongate fastener placement rod adjacent to a spinal anatomical structure, providing a fastener at the leading end of the curved segment, and/or securing the fastener in place with respect to the spinal anatomical structure. | 04-29-2010 |
20100106195 | LOW PROFILE SPINAL TETHERING METHODS - Methods and devices for treating spinal deformities are provided. In one exemplary embodiment, a low-profile spinal anchoring device is provided for receiving a spinal fixation element, such as a tether, therethrough. The device generally includes a staple body that is adapted to seat a spinal fixation element, a fastening element for fixing the staple body to bone, and a locking assembly for coupling a spinal fixation element to the staple body. In one embodiment, the locking assembly includes a washer that is adapted to couple to the staple body such that the spinal fixation is disposed therebetween, and a locking nut that is adapted to engage the staple body to mate the washer to the staple body. | 04-29-2010 |
20100114173 | FLEXIBLE LINKING PIECE FOR STABILISING THE SPINE - Embodiments described herein relate to a connecting member for maintaining the spacing between at least two anchor members screwed into vertebrae and methods for stabilizing the spine using a connecting member. One embodiment of a connecting member can include a first rigid portion, a second rigid portion and a connecting body disposed between the first rigid body and the second rigid body that is more flexible than the first rigid body and the second rigid body. The connecting member can be provided as a preassembled connecting member. | 05-06-2010 |
20100114174 | Systems and Methods for Delivering Bone Cement to a Bone Anchor - A system for delivering bone cement to a bone anchor includes an anchor connection instrument for releasably connecting to a proximal end of the bone anchor. The anchor connection instrument includes a first member coupled to an opposed second member. The first member and the second member have a distal end configured to releasably connect to the proximal end of the bone anchor. The first member is movable between a release position to facilitate release of the anchor connection instrument from the proximal end of the bone anchor and a connect position in which the first member and the second member connect to the proximal end of the bone anchor. A cement delivery tube is positionable in the passage between the first member and the second member of the anchor connection instrument. A bone cement delivery system is coupled to the tube. | 05-06-2010 |
20100114175 | Facet Fusion Implants and Methods of Use - An implant is insertable onto a vertebral facet joint includes a body with an inner surface that mates with one or both articular processes of the facet joint. The inner surface may define an interior cavity that accepts at least a portion of an inferior articular process and a superior articular process forming the facet joint. The body may be constructed of a bone growth material that fuses with the articular processes. The implant may help retain bone growth promoting substance that is inserted between or on articulating surfaces of the facet joint. A receiving portion of an exterior surface of one or both articular process may be prepared to stimulate bone growth. The implant may be placed onto the receiving portion to cover an exterior junction between or on the articulating surfaces of the facet joint. The implant may be secured to one or both of the articular processes. | 05-06-2010 |
20100131011 | SACROILIAC JOINT IMMOBILIZATION - Improved tools and procedures relate to the immobilization of the sacroiliac joint for the treatment of pain associated with the joint. Kits comprise, for example, a guide element and an immobilization element of a biocompatible material with a size and shape suitable for placement within the sacroiliac joint. Suitable immobilization elements include, for example, pins, nails, screws, darts, wedges, shims and hardening material. A bioactive agent can be delivered into the joint to compliment the immobilization and promote healing. Suitable procedures can be done in a less invasive procedure through a cannula or the like. | 05-27-2010 |
20100137915 | METHODS AND DEVICES FOR SPINAL FIXATION ELEMENT PLACEMENT - Minimally invasive methods and devices are provided for positioning a spinal fixation element in relation to adjacent spinal anchors. In an exemplary embodiment, the device is a percutaneous access device that can be coupled to a spinal anchor, and the method includes the step of positioning a spinal fixation element through at least one sidewall opening of at least two percutaneous access devices such that the spinal fixation element extends in a lengthwise orientation that is substantially transverse to the longitudinal axis of each percutaneous access device. The spinal fixation element can then be advanced in the lengthwise orientation to seat the spinal fixation element in or adjacent to the receiver heads of at least two adjacent spinal anchors. A fastening element or other closure mechanism can then be applied to each spinal anchor to engage the spinal fixation element within the receiver heads of the adjacent anchors. | 06-03-2010 |
20100145391 | APPARATUS AND METHOD OF SPINAL IMPLANT AND FUSION - An apparatus and method of performing a minimally invasive posterior spine fusion. More specifically an apparatus with a handle and a forked head on the distal end of the handle is used to grasp implant material and introduce the material to an implant site. The shaft of the apparatus is shaped so as to allow the affixation of a drill guide and drill while simultaneously holding the implant material in the implant site. After removal of the boring tools and assembly of the fusing element, the apparatus can be selectively removed from the implant site. A method of achieving facet joint fusion with near simultaneous fixation is also disclosed. | 06-10-2010 |
20100145392 | APPARATUS AND METHODS FOR VERTEBRAL AUGMENTATION USING LINKED EXPANDABLE BODIES - Implants and methods for osteopathic augmentation and repositioning of vertebrae may comprise a chain having one or more beads or bodies configured for insertion into a vertebral body. The one or more bodies may be expandable. As the chain is inserted into the vertebral body, it may fill a central portion thereof and can push against the inner sides of the endplates of the vertebral body, thereby providing structural support and tending to restore the vertebral body to its original height. The one or more bodies may have a first configuration dimensioned to pass through a catheter or other introducer, and may expand to a second, larger configuration after insertion into the bone in order to secure the chain within the bone. | 06-10-2010 |
20100152778 | Anchoring member with safety ring - A method for osteosynthesis of a spinal column using an assembly including at least a bone anchor, a ring, a connecting member, and a connector, the method including assembling the bone anchor and ring in the connector; positioning an anchoring part of the bone anchor in bone; assembling the connecting member in the connector such that the bone anchor, ring and connecting member are arranged to be tightened against each other in the connector; and tightening of the assembly by applying a force on the connecting member such that the connecting member contacts the ring and a head of the bone anchor. | 06-17-2010 |
20100152779 | INTER-TRANSVERSE PROCESS SPACER DEVICE AND METHOD FOR USE IN CORRECTING A SPINAL DEFORMITY - An inter-transverse process spacer device for placement between two adjacent transverse processes, includes a spacer member with deformable first and second ends and may include a connector. The inter-transverse process spacer device may also include a flexible, fillable container for containing an injectable material that is compressible following implantation. The container is impermeable to the material it will be filled with. A structural mesh, for example, made of PET fabric and interwoven shape-memory alloy wire, provides structure for and containment of the container, as well as shape control of the inter-transverse process spacer device. The material can be injected into the container through a conduit. The inter-transverse process spacer device is sized and configured to allow for placement between adjacent transverse processes to produce a lateral force for correcting a spinal deformity. A method for correcting a spinal deformity using the inter-transverse process spacer device is also disclosed. | 06-17-2010 |
20100152780 | SPINOUS PROCESS ANCHORING SYSTEMS AND METHODS - Devices and methods for anchoring one or more elongate connecting members along the spinal column include a transverse linking member positionable through a spinous process in a generally orthogonal orientation to the sagittal plane. At least one coupling assembly is engageable about an end of the linking member extending from the spinous process. The elongate connecting member is engaged to the coupling assembly in a transverse orientation to the transverse linking member. | 06-17-2010 |
20100168798 | BIOACTIVE COMPOSITES OF POLYMER AND GLASS AND METHOD FOR MAKING SAME - The present invention generally relates to bioactive composites of polymer and glass and, more particularly, to bioactive implants. The present invention also relates to methods of manufacturing bioactive composites. The bioactive composite finds utility in a variety of load-bearing clinical applications including spine, orthopaedic and dental procedures. | 07-01-2010 |
20100174320 | BONE ANCHOR APPARATUS AND METHOD - A bone anchor can include an elongated body and a plurality of separate elements. The bone anchor can be configured to be insertable into bone. The bone anchor can be coupleable to a spine treatment apparatus. The bone anchor can be revisable so that after a treatment interval attached to a spine treatment apparatus, the spine treatment apparatus can be detached and the bone anchor revised by removing the plurality of separate elements from the bone thus allowing a new anchor to be implanted in the bone. | 07-08-2010 |
20100174321 | Methods of Distracting Tissue Layers of the Human Spine - Methods of separating and/or supporting layers of tissue in the human spine. Such methods generally comprise inserting at least a distal end portion of a guide member between layers of tissue in the human spine wherein the distal end portion defines a predetermined shape. A distraction device is advanced over at least the distal end portion of the guide member so that the distraction device substantially assumes the predetermined shape of the distal end portion of the guide member to form a support structure between the tissue layers that separates and/or supports the tissue layers. | 07-08-2010 |
20100179598 | METHOD FOR LOCKING AN ARTIFICIAL FACET BETWEEN TWO VERTEBRAL BODIES - A bone screw ( | 07-15-2010 |
20100185242 | Rod 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 forceps branches, first and second rod contacting arms extending from the first and second forceps branches, and first and second implant gripping arms pivotally interconnected with the rod contacting arms. In another embodiment, the rod coercer includes forceps branches which each include upper and lower forceps branches which pivot with respect to each other, and a rod contacting arm interconnected with one of the forceps branches. In another embodiment, the rod coercer includes pivotable implant gripping arms and a rod contacting arm driven by one of the forceps branches. | 07-22-2010 |
20100185243 | INTERVERTEBRAL IMPLANT FOR THE LUMBROSACRAL ARTICULATION - The invention provides an intervertebral implant for the lumbo-sacral joint, the implant consisting in a spacer suitable for being placed between the fifth lumbar vertebra and the sacral vertebra articulated thereto, the body of said spacer presenting in its top face a groove extending in the midplane of the spacer and suitable for receiving the spinous process of said lumbar vertebra. A longitudinal housing oriented orthogonally to said groove is formed in the bottom face and is suitable for receiving the top portion of the sacral vertebra. The longitudinal housing is defined by an extension and by a tab of width narrower than the width of the body of the spacer. The section of the housing in the midplane of the space is generally U-shaped, being inclined relative to the bottom of the groove. | 07-22-2010 |
20100198263 | DEVICE AND METHOD FOR SPINOUS PROCESS DISTRACTION - An implant for maintaining a given minimum inter-spinous-process spacing includes an implant body with a number of segments hingedly interconnected so as to assume a straightened state for delivery along a conduit and a curved deployed state. An elongated tightening element is anchored at the distal segment of the implant body and passes along a channel extending along the implant body. Tension applied to the tightening element biases the implant body from the straightened state to the curved deployed state. Preferably, when the tightening element is deflected to reach the curved deployed state, a locking arrangement locks the tightening element relative to the implant body, thereby retaining the implant in the curved deployed state. A distal portion of the implant body is preferably formed with a set of lateral projections to inhibit withdrawal of the distal portion between adjacent spinous processes after deployment. | 08-05-2010 |
20100198264 | APPARATUS FOR BRACING VERTEBRAE - An apparatus for bracing a plurality of vertebrae of the human spine has at least two pedicle screws, each having an annular head with an opening therewithin and including a slot therewithin. Each slot extends into the corresponding opening and includes internal threaded portions. A securing screw to be screwed in each slot is provided. A relatively stiff threaded rod is also provided and is to be inserted into the opening in the head of each of the pedicle screws and to be secured by the securing screws. Adjusting nuts are screwed on the rod and at least one cooperates with each head. | 08-05-2010 |
20100198265 | System, Devices and method for augmenting existing fusion constructs - One technique of the present application includes: evaluating a patient having a previously implanted spinal construct and corresponding spinal fusion from an earlier procedure and determining a spinal segment adjacent to the spinal fusion is degenerating after completion of the earlier procedure. After this determination, the previously implanted spinal construct is augmented by attaching a flexible polymer elongated member to the spinal segment adjacent to the spinal fusion with a bone fastener and by coupling the flexible polymer elongated member to one or more elements of the previously implanted spinal construct. In one form, the elongated member is at least partially comprised of polyetheretherketone. | 08-05-2010 |
20100204737 | INTERVERTEBRAL IMPLANT WITH INTEGRATED FIXATION - A system for spinal surgery includes a prosthesis comprising a plurality of bone anchors which engage an intervertebral construct for fusion or motion preservation. The fusion construct comprises a spacer optionally encircled by a jacket. The motion preservation construct may comprise an articulating disc assembly or an elastomeric disc assembly. Any of the constructs may occupy the intervertebral disc space between adjacent vertebrae after removal of an intervertebral disc. The anchors slidingly engage the construct to securely fix the prosthesis to the vertebrae. The anchors and jacket of the fusion construct provide a continuous load path across opposite sides of the prosthesis so as to resist antagonistic motions of the spine. | 08-12-2010 |
20100204738 | CAPLESS MULTIAXIAL SCREW AND SPINAL FIXATION ASSEMBLY AND METHOD - A spinal fixation assembly and capless multi-axial screw system and method are shown. The assembly comprises a receiver having a rotary lock which in one embodiment includes a plurality of channels which urge and lock the elongated member to the screw using a bayonet type connection. | 08-12-2010 |
20100211109 | TACK FOR SPINE FIXATION - A tack for insertion into facets of the human spine is made of one or more bioactive materials. The tack is preferably pushed/impacted axially into holes in said facets, rather than rotated or screwed into said holes/facets. The tack may be installed at the posterior side of the lumbar region of the spine, to either fix facets of two vertebrae together or to fix facets of the lowermost vertebra to facets of the sacrum. The preferred tack may be made with barbs or other protrusions that resist or prevent the tack from backing out of the holes of the facets, or may be made without barbs and without protrusions, other than the natural surface texture or porous texture of the preferred porous metal(s) material. The barb-less and protrusion-less tacks are believed to be effective in remaining inside the holes/facets by virtue of their surface texture, which at least in part results from their porosity. Preferably, the tack is not threaded, and is installed with little, and preferably no, rotation of the tack on its longitudinal axis. | 08-19-2010 |
20100217326 | Method of Treating A Degenerate Spinal Segment - A method of treating a degenerate spinal segment comprises obtaining a first spinal implant configured to apply a first torque to a degenerate spinal segment having an abnormal curvature and a second spinal implant configured to apply a second torque to said degenerate spinal segment. Each of said spinal implants includes; a plurality of contiguous segments in which said contiguous segments form an angle at a location in which two adjacent contiguous segments of the plurality of contiguous segments intersect; and at least one mounting connection configured to connect said spinal implant to a mounting mechanism, said mounting mechanism being configured to attach said spinal implant to said degenerate spinal segment. Said first spinal implant and said second spinal implant are implanted to said degenerate spinal segment so that said first torque and said second torque act to reduce said abnormal curvature. | 08-26-2010 |
20100222823 | Method Of Surgically Implanting A Spinal Implant - A method of surgically implanting a spinal implant comprises obtaining at least one spinal implant configured to apply a torque to a degenerate spinal segment. Said spinal implant includes: a plurality of contiguous segments in which said contiguous segments form an angle at a location in which two adjacent contiguous segments of the plurality of contiguous segments intersect, said contiguous segments configured to apply a torque to said degenerate spinal segment; and at least one mounting connection configured to connect said spinal implant to a mounting mechanism, said mounting mechanism being configured to attach said spinal implant to said degenerate spinal segment. A minimally invasive surgical technique is used to attach said spinal implant to said degenerate spinal segment. | 09-02-2010 |
20100222824 | CONFIGURED AND SIZED CANNULA - A dilator retractor and the dilators that are used for minimally invasive spinal surgery or other surgery are configured to accommodate the anatomical structure of the patient as by configuring the cross sectional area in an elliptical shape, or by forming a funnel configuration with the wider end at the proximate end. In some embodiments the distal end is contoured to also accommodate the anatomical structure of the patient so that a cylindrically shaped, funnel shaped, ovoid shaped dilator retractor can be sloped or tunneled to accommodate the bone structure of the patient or provide access for implants. The dilator retractor is made with different lengths to accommodate the depth of the cavity formed by the dilators. | 09-02-2010 |
20100228296 | IMPLANT FOR MAMMALIAN BONY SEGMENT STABILIZATION - Embodiments of bony region stabilization implants are described generally herein. Other embodiments may be described and claimed. | 09-09-2010 |
20100228297 | SELECTIVE IMPLANTATION KIT AND METHOD INCLUDING TOOL FOR SPACER AND/OR CONTROLLED SUBSIDENCE DEVICE - Kit and associated method with at least one tool for achieving selective implantation. The kit includes a fixation device for implant location intermediate the two bone bodies, a spacer for implant location intermediate the two bone bodies and adjacent the fixation device, and at least one implantation tool. The at least one tool has a portion for engaging and holding at least one of the device and the spacer during implantation of the at least one of the device and the spacer for implant location intermediate the two bone bodies and for releasing the held at least one of the device and the spacer subsequent to implantation. The at least one tool may be a single tool for engaging and holding both. | 09-09-2010 |
20100228298 | Method For Treating A Spinal Deformity - A dynamic stabilization device is disclosed. The device includes a dual spring member comprising an outer spring and an inner spring that have approximately equal working lengths. The dynamic stabilization device is also configured so that the dual spring member does not undergo stresses greater than an effective fatigue limit that is related to a fatigue limit of the spring. Methods for treating a deformity of a spine using a dynamic stabilization device are also disclosed. | 09-09-2010 |
20100234894 | SURGICAL TETHER APPARATUS AND METHODS OF USE - Methods and apparatus for controlling flexion in a spinal segment of a patient include performing a spinal fusion procedure on a pair of adjacent vertebrae in the spinal segment and implanting a constraint device into the patient. Adjusting length or tension in the constraint device allows the constraint device to provide a force a force resistant to flexion of the spinal segment undergoing fusion. The constraint device also modulates loads borne by the spinal segment undergoing fusion or tissue adjacent thereto. | 09-16-2010 |
20100234895 | Dynamic Vertebral Column Plate System - A vertebral column construct for stabilizing a segment of a vertebral column can include first and second plate segments, and a spring connected between adjacent plate segments. The spring can be adapted and configured to provide a predetermined preload between the first and second plate segments. Such a preload can advantageously enhance fusion across a bone graft. Alternatively, the spring can be adapted and configured to resist, by a predetermined degree, loading between the first and second plate segments. A cam can be provided on one of the first and second plate segments, wherein engagement between the cam and the cam surface prevents dynamic connection between the first and second plates. The cam can be adapted and configured to adjust a preload applied between segments, such as by adjusting tension in the spring. | 09-16-2010 |
20100241172 | PEDICLE SCREW INCLUDING STATIONARY AND MOVABLE MEMBERS FOR FACILITATING THE SURGICAL CORRECTION OF SPINAL DEFORMITIES - A pedicle screw for use in the treatment of a spinal deformity includes a head assembly and a fastener portion extending from the head assembly. The pedicle screw includes a head assembly and a fastener portion that extends from the head assembly. The fastener portion extends from the head assembly and is adapted to be secured to a vertebra of a spinal column. The head assembly includes a stationary member and a movable member. The movable member is supported on the stationary member for movement (such as pivoting movement) relative thereto between an opened position and a closed position. When the movable member is in the opened position, the head assembly is adapted to receive a longitudinal member therein for treatment of a spinal deformity. Thereafter, the movable member can be moved to the closed position to properly align the pedicle screw with the longitudinal member. A locking member and a retention member can then be used to maintain the movable member in the closed position. | 09-23-2010 |
20100249849 | METHOD FOR INTERCONNECTING LONGITUDINAL MEMBERS EXTENDING ALONG A SPINAL COLUMN - A method of interconnecting first and second longitudinal members extending along a spinal column of a patient includes inserting an access port into the body of the patient. A transverse connector is moved through the access port. A first end of the transverse connector is connected to the first longitudinal member. A second end of the transverse connector is connected to the second longitudinal member. | 09-30-2010 |
20100268281 | DEVICES AND METHODS FOR INTER-VERTEBRAL ORTHOPEDIC DEVICE PLACEMENT - Within a given spinal segment, the stable vertebral level is identified. Within the lower lumbar spine, that level is most commonly at the sacrum. A bone fastener is rigidly affixed to the stable spinal segment and an interconnecting member is rigidly affixed to the bone fastener so as to form a cantilever construct. Vertebral bodies that exhibit aberrant spinal motion and/or mal-alignment relative to the stable segment are then attached to the interconnecting member using non-rigid bone fastener(s). The motion profile of the dynamic fastener can be varied and may be selected to provide the desired vertebral motion characteristics. The interconnecting member may be rigid or it may be alternatively made rigid parallel to the direction of greatest instability and non-rigid in the other planes. | 10-21-2010 |
20100280554 | Novel V construct and method of spinal stabilization after transforminal lumbar interbody fusion using the construct - A novel spinal stabilization instrumentation construct and method for use after transforaminal lumbar interbody fusion. The instrumentation construct consists of single pedicle screw attached to a translaminar screw with a rod (V construct). The V construct is superior to unilateral pedicle screws (UPS) construct in all movements except right lateral bending and left axial rotation and compares favorably with the unilateral pedicle screws with a translaminar screw. It provides bilateral fixation with minimal implant load and preserves the anatomical integrity of the superior facet joint. The construct offers significant advantages of reduction in surgical time, duration of hospitalization, cost of implants and a possibility of decreased incidence of adjacent segment disease. | 11-04-2010 |
20100280555 | METHOD OF LATERAL FACET APPROACH, DECOMPRESSION AND FUSION USING SCREWS AND STAPLES AS WELL AS ARTHROPLASTY - A method of performing vertebral facet fusion by lateral approach and related devices. The lateral approach to facet fusion involves identifying the lateral mass and introducing any of the fixation methods known or described herein laterally at one or more facets through the use of a Kirschner wire guide, a cannulated bone drill and cooperatively cannulated staple guide. A surgical bone staple have a perforated bridge is used across the lateral facet joint where fixation is required. Where fusion is desired, a bone screw have lateral perforations of the shank is inserted through the cannulated staple guide and bridge perforation at the joint to promote fusion. A staple cap and graft container for overlay grafting may be utilized for additional fusion. The method involves less surgical time, reduced blood loss and discomfort for the patient as compared to the posterior approach. | 11-04-2010 |
20100298885 | FIXATION-BASED SURGERY - A stabilization system includes one or more leverage members configured to be mounted to a vertebra. The one or more leverage members are further configured to allow a user to manipulate the vertebra to a desired position. The stabilization system also includes a mounting bracket configured to mount to the one or more leverage members such that the one or more leverage members are immobilized. The mounting bracket is mounted to a support. | 11-25-2010 |
20100305617 | METHODS AND APPARATUS FOR PERFORMING THERAPEUTIC PROCEDURES IN THE SPINE - Methods and apparatus for forming one or more trans-sacral axial instrumentation/fusion (TASIF) axial bore through vertebral bodies in general alignment with a visualized, anterior or posterior axial instrumentation/fusion line (AAIFL or PAIFL) in a minimally invasive, low trauma, manner and providing a therapy to the spine employing the axial bore. Anterior or posterior starting positions aligned with the AAIFL or PAIFL are accessed through respective anterior and posterior tracts. Curved or relatively straight anterior and curved posterior TASIF axial bores are formed from the anterior and posterior starting positions. The therapies performed through the TASIF axial bores include discoscopy, full and partial discectomy, vertebroplasty, balloon-assisted vertebroplasty, drug delivery, electrical stimulation and various forms of spinal disc cavity augmentation, spinal disc replacement, fusion of spinal motion segments and implantation of radioactive seeds. Axial spinal implants and bone growth materials can be placed into single or multiple parallel or diverging TASIF axial bores to fuse two or more vertebrae, or distract or shock absorb two or more vertebrae. | 12-02-2010 |
20100312282 | DEVICES AND METHODS FOR DYNAMIC FIXATION OF SKELETAL STRUCTURE - The disclosed screw assemblies include a screw that attaches onto the bone, a housing member that connects and inter-locks the bone screw to the rod, and one or more locking members that permit immobilization of various components of the assembly relative to one another while still permitting some relative movement. The bone screws and bone screw assemblies described herein permit flexible stabilization of the spine. | 12-09-2010 |
20100318134 | SYSTEM AND METHOD FOR PERFORMING PERCUTANEOUS SPINAL INTERBODY FUSION - A method of performing percutaneous interbody spinal fusion on adjacent vertebrae in a patient including the steps of: creating an access opening on the patient, the access opening being less than 10 mm wide, using indirect visualization: establishing a surgical path through the access opening via neural monitoring, creating a cavity in a disc space between the adjacent vertebra, evaluating the created cavity, inserting a container sized and configured to fit through the less than 10 mm access opening into the cavity and filling the container with fill material. | 12-16-2010 |
20100324601 | Methods and Devices for Treating a Multi-Level Spinal Deformity - The present application discloses methods for treating a multi-level spinal deformity. The methods may include inserting a tether in a minimally-invasive manner through an entrance incision. The tether is moved along the spine and positioned to reduce and/or eliminate the deformity. Once the tether is positioned along the spine, the tether may be secured to the vertebral members. In one embodiment, the tether includes a rigid section and a flexible section. The tether may be positioned within the spine with the rigid section extending along a first length of the spine and the flexible section extending along a second length of the spine. The different sections provide different corrective forces to the spine to reduce and/or eliminate the spinal deformity. In one embodiment, the rigid section extends along an apex of the spinal deformity. | 12-23-2010 |
20100331890 | Flexible spinal stabilization system and method - Devices, methods and systems for stabilizing at least a portion of the spinal column are provided. Devices include anchors and coupling members for engaging an elongate member. Systems include an elongate member sized to span a distance between at least two vertebral bodies and being at least partially formed of a flexible material. A number of anchors and coupling members are used to secure the elongate member to each of the vertebral bodies. The anchors can be compressed towards one another and the elongate member secured thereto and/or the elongate member can be tensioned to provide corrective forces to the spine. | 12-30-2010 |
20100331891 | SYSTEM AND METHOD FOR SPINAL FIXATION - A system and method of bone fixation are provided for improving the bone growth and stability of the fixated bones. For example, a target site for a bone fixation procedure can be accessed at a facet of a first vertebra using a tissue dilator. Bone material can be disrupting from or at the target site, and a bone fixation device can be installed to fix the first vertebra relative to a second vertebra. The disruption and/or removal of the bone material, such as by rasping facets or a facet joint of the first vertebra and the second vertebra, can tend to promote bone growth. Further, it is contemplated that bone graft material can be inserted at the target site, such as into a joint space formed between facets of the first vertebra and the second vertebra. | 12-30-2010 |
20110009907 | TRANS-PEDICULAR INTERBODY FUSION - A method including affixing an anterior mechanical supportive fastener to anterior portions of adjacent spinal structure by introducing the fastener from a posterior portion of a vertebra and passing the fastener through a curved portion to the anterior portions and fastening the fastener to the anterior portions. | 01-13-2011 |
20110009908 | ORTHOPEDIC SUPPORT LOCATING OR CENTERING FEATURE AND METHOD - Spinal plate positioning system including a spinal plate, centering member and implant, is used to position and center a spinal plate over an implant in an intervertebral space. Implant may include a centering feature which may engage a surface of centering member or spinal plate to aid in placement of spinal plate. | 01-13-2011 |
20110015680 | SYSTEMS AND METHODS FOR INTRAVERTEBRAL REDUCTION - Intravertebral reduction systems are provided to restore a deformed or damaged vertebral body to a desired configuration. The reduction systems can include a plurality of reduction elements sequentially positionable in the intravertebral space for reduction of the same. The reduction systems can also include reduction elements that include a linear insertion configuration and are deformable transversely to the linear insertion configuration in the intravertebral space. | 01-20-2011 |
20110022096 | BONE PLATE SYSTEM AND METHODS OF USING THE SAME - A bone plate locking system including a threaded screw body having a proximal end and a distal end and a plate with a through-hole. The proximal end includes a head. The head includes an upper portion, a groove adjacent the upper portion and a lower portion adjacent the groove, wherein a center-axis of the groove is off-axis to a center-axis of the threaded screw body. A locking ring configured to reside within the groove of the head. The through-hole includes an upper portion, a groove adjacent the upper portion and a lower portion adjacent the groove. The head is receivable in the through-hole. The locking ring is rotatably positioned around the groove of the head such that in an unlocked position the locking ring is outside the groove of the through-hole and in a locked position the locking ring is at least partially within the groove of the through-hole. | 01-27-2011 |
20110040332 | SPINOUS PROCESS SPACER AND IMPLANTATION PROCEDURE - A spinal fixation procedure and system are provided for fixing the spacing of an inferior vertebra relative to a superior vertebra. The procedure for implanting a spinous process spacer can comprise decorticating and/or forming a notch in adjacent spinous processes, measuring the distance between the notches formed in the spinous processes, and inserting an interspinous process implant such that the implant is fitted into the notches of the spinous processes. Other fixation devices, such as bone screws, can also be used for fixing the position of the vertebrae and to create facet fusion. | 02-17-2011 |
20110040333 | Instruments and Methods for Minimally Invasive Spine Surgery - A minimally invasive surgical method includes inserting a first port that defines a first pathway to a first vertebra, advancing a first anchor through the first port to the first vertebra, inserting a second port that defines a second pathway to a second vertebra, advancing a second anchor through the second port to the second vertebra, positioning a first end of a fixation element in the first port, and advancing the first end of the fixation element subcutaneously through an opening in the first port and an opening in second port to the second anchor. A surgical access port includes a proximal end, a distal end, and a sidewall defining a lumen extending from the proximal end to the distal end. The port may include a first opening formed in the sidewall that defines a passageway for medical hardware from the lumen to external to the port. | 02-17-2011 |
20110040334 | INTERVERTEBRAL IMPLANT WITH MOVEMENT RESISTANT STRUCTURE - An implant unit used in surgery has a body made from osteogenic implantable material and including an implant portion and a retaining portion, which is coupled to and extends transversely to the implant portion. The retaining portion is attached to the sidewall of the adjoining vertebral body or mammal bone to prevent displacement of the implant portion relative to the vertebral body or mammal bone and to accelerate fusion therebetween. | 02-17-2011 |
20110046679 | BONE FASTENERS AND METHOD FOR STABILIZING VERTEBRAL BONE FACETS USING THE BONE FASTENERS - A bone fastener for stabilizing bone fragments includes a single or multiple components coupleable with one another and displaceable to a locked position of the bone fastener. | 02-24-2011 |
20110046680 | Laminoplasty System - Fixation devices and methods for stabilization of the lamina after laminoplasty are described. The device comprises of a plate with several holes that receive bone fasteners. The plate is curved at the ends to contour to the vertebral structure and has appendages to engage the displaced lamina in a fixed position. Alternatively, the plate has a bone fusion spacer in the middle to engage and fuse the lamina in the displaced position. Several methods of dynamically stabilizing the lamina after either the open door, double door or expansive laminoplasty technique are provided. | 02-24-2011 |
20110054537 | FUSION METHOD AND PEDICLE ACCESS TOOL - Embodiments described herein provide tools and methods for spinal fusion procedures. One embodiment of a tool can be a pedicle access tool that performs the functions of targeting needle, cannula, tap and awl. The cannula of the tool can be used to guide various tools and bone graft or fusion promoting material to a surgical site for a spinal fusion procedure, such as a posterolateral procedure. In other embodiments, a k-wire can be used as the guide. | 03-03-2011 |
20110054538 | SEGMENTED INSERT FOR INTERVERTEBRAL SUPPORT - A spinal intervertebral support implant, for fusion or for dynamic stabilization purposes. A rod, preferably in the form of a screw, is inserted obliquely from the pedicle of an inferior vertebra into the body of a neighboring superior vertebra, through the disc space. The rod can be anchored into the body of the superior vertebra by means of a force fit or a screw thread. A pile of elements is disposed on the rod in the disc space like a pile of washers, so that the compression load between vertebrae is carried partly by these elements. These elements can be inserted through the bore through which the rod was inserted in a tightly folded configuration, and deployed into their washer-like form only when in position in the intervertebral space, such that there is no need for any additional incisions. | 03-03-2011 |
20110060369 | METHOD AND APPARATUS FOR MANIPULATING MATERIAL IN THE SPINE - Disclosed are surgical tools, tool sets and methods for percutaneously accessing and preparing treatment sites within the spine for subsequent treatment procedures. The treatment site may be an inter-vertebral motion segments in the lumbar and sacral regions of the spine. The tool set may comprise introducer tools and bone dilators for accessing and tapping into a targeted site, such as, for example, the anterior surface of the S | 03-10-2011 |
20110071571 | Spinal Rod Insertion Method - A method includes loading a longitudinal member comprising holes located at distal ends of the longitudinal member into a holder, the holder comprising a tip end comprising a first portion and a second portion, wherein any of the first portion and the second portion comprise a prong tip; a handle end located distally away from the tip end, wherein the handle end comprises a first gripping arm and a second gripping arm; and an engaging member operatively connecting the first gripping arm to the second gripping arm, wherein the engaging member comprises tooth-like features. The method further comprises engaging the tooth-like features of the engaging member with the second gripping arm; and fitting the prong tip of any of the first and second portions of the tip end of the holder into a hole of the longitudinal member. | 03-24-2011 |
20110082506 | CERVICAL PLATE ASSEMBLY - An implantable cervical plate assembly for stabilization of two adjacent spinal vertebras includes a cervical plate and one or more bone fasteners. The cervical plate comprises an elongated asymmetric body having a first straight side surface, a second contoured side surface opposite to the first side surface, front and back surfaces and top and bottom surfaces. The elongated asymmetric body comprises one or more through-openings extending from the front surface to the back surface of the elongated asymmetric body. The one or more bone fasteners are configured to be inserted through the one or more through-openings, respectively, and to be attached to locations in the spinal vertebras, thereby attaching the cervical plate to the spinal vertebras. The through-openings comprise a first diameter at the front surface of the elongated body, a second diameter at the back surface of the elongated body and a third diameter in the area between the front and back surfaces of the elongated body. The first diameter is smaller than the third diameter, thereby forming a lip at the top of the through-openings. The third diameter is larger than the second diameter and the first diameter is larger than the second diameter, thereby forming a groove within the perimeter of the inner wall of the through-openings. The bone fasteners comprise a threaded main body and a head. The threaded main body comprises threads for engaging the spinal vertebras and the head comprises one or more flexible structures configured to be flexed and inserted into the groove and then unflex and remain captured within the groove. | 04-07-2011 |
20110087294 | Systems and methods for the fusion of the sacral-iliac joint - The sacral-iliac joint between an iliac and a sacrum is fused either by the creation of a lateral insertion path laterally through the ilium, through the sacral-iliac joint, and into the sacrum, or by the creation of a postero-lateral insertion path entering from a posterior iliac spine of an ilium, angling through the sacral-iliac joint, and terminating in the sacral alae. A bone fixation implant is inserted through the insertion path and anchored in the interior region of the sacrum or sacral alea to fixate the sacral-iliac joint. | 04-14-2011 |
20110093016 | SPINAL PLATE WITH COMPRESSION LOCKING - A spinal plate system includes a screw, spinal plate and cap. A head of the screw includes a portion of a first sphere that has a first center and a portion of a second sphere that has a second center approximately concentric with the first center. A body of the screw extends from the first sphere. The spinal plate includes an opening through the spinal plate and an associated recess in the spinal plate that is eccentric with the opening. The cap includes an alignment opening and is configured to be rotationally engaged in the recess between a first rotational configuration and a second rotational configuration. In the first rotational configuration, the body threads into a vertebra in a selected trajectory through the alignment opening and the opening in the spinal plate and the head engages at least a portion of the opening in the selected trajectory. In the second rotational configuration, the cap compresses the second sphere into the first sphere approximately through its center such that the head is compressed into the engaged portion of the opening. | 04-21-2011 |
20110098750 | Method For Stabilizing The Spine - Spine stabilization systems and integrated rods are disclosed. One spine stabilization system disclosed has at least four bone anchors and a stabilization member attached to the bone anchors. The stabilization member has first and second elongate portions interconnected by a connector portion. The first and second elongate members extend longitudinally and generally parallel to a central longitudinal axis and connector portion extends transverse to the central longitudinal axis from a first lateral end to a second lateral end. The connector portion is integrally connected to the first and second elongate portions such that there is no relative movement between the lateral ends and the respective elongate portion to which each end is attached. | 04-28-2011 |
20110106169 | Bone Plate Holder - An instrument for holding a bone plate may include a first arm, a second arm connected to and adjustable relative to the first arm, a first connection tip at the distal end of the first arm configured to connect to the first side wall of the bone plate, and a second connection tip at the distal end of the second arm configured to connect to the second side wall of the bone plate. A stabilizing member is connected to the first connection tip. The stabilizing member is distally spaced apart from the first connection tip to form an opening for receiving a portion of bone between the first connection tip and the stabilizing member. | 05-05-2011 |
20110106170 | TACK FOR SPINE FIXATION - A tack for insertion into facets joints of the human spine includes one or more bioactive materials. The tack is preferably pushed/impacted axially into a hole in the facets, rather than rotated or screwed into the hole/facets. For example, the bioactive material may be outer sidewall(s) made of porous material that receives and/or encourages bone growth into its pores. Or, for example, the bioactive material may be osteobiologic material, demineralized bone matrix (DBM), sponge holding bone morphogenic protein (BMP), allograft bone, or other bioactive material inside an interior space of the tack. Apertures may be provided in the outer wall of a hollow tack to allow bone growth into the interior space of the tack. The tack may have a longitudinal passage, so that the tack may be installed on and slid along a guide-wire in percutaneous surgery that is guided by intraoperative imaging navigation. Preferably, the tack is not threaded, and is installed with little, and preferably no, rotation of the tack on its longitudinal axis. | 05-05-2011 |
20110118789 | DEVICES FOR INTRODUCTION INTO A BODY VIA A SUBSTANTIALLY STRAIGHT CONDUIT TO FOR A PREDEFINED CURVED CONFIGURATION, AND METHODS EMPLOYING SUCH DEVICES - A device for introduction into a body in a straight configuration and assuming within the body a predefined curved configuration, includes an elongated element formed from a number of segments interconnected so as to form effective hinges therebetween. When the elongated element is confined to a straight state, the effective hinges transfer compressive forces from each segment to the next so that the elongated element can be pushed to advance it through a conduit. When the elongated element is not confined to a straight state, the effective hinges allow deflection of each segment relative to adjacent segments until abutment surfaces of the segments come into abutment, thereby defining a fully flexed state of the elongated element with a predefined curved configuration. The device can be produced with a wide range of two-dimensional and three-dimensional curved forms, and has both medical and non-medical applications. | 05-19-2011 |
20110118790 | APPARATUS, SYSTEMS, AND METHODS FOR STABLIZING A SPONDYLOLISTHESIS - Assemblies of one or more implant structures make possible the achievement of diverse interventions involving the fusion and/or stabilization of lumbar and sacral vertebra in a non-invasive manner, with minimal incision, and without the necessitating the removing the intervertebral disc. The representative lumbar spine interventions, which can be performed on adults or children, include, but are not limited to, lumbar interbody fusion; translaminar lumbar fusion; lumbar facet fusion; trans-iliac lumbar fusion; and the stabilization of a spondylolisthesis. | 05-19-2011 |
20110118791 | ROD REDUCTION DEVICE - A rod reduction device includes a housing defining a longitudinal axis. The housing has first and second arms extending distally therefrom. The distal ends of the arms are configured to releasably attach to a bone anchor. An anvil is operatively associated with the first and second arms of the housing and translatable along the longitudinal axis for facilitating the insertion of a spinal rod into the bone anchor. The anvil and each arm are positionable between an open position and a closed position. | 05-19-2011 |
20110125192 | Anchor Extenders for Minimally Invasive Surgical Procedures - Systems for positioning a connecting element adjacent the spinal column in minimally invasive surgical procedures include one or more extenders removably engaged to one or more anchors engaged to a bony segment. The anchor extenders provide a reference to the respective anchor locations within the patient even when the anchor is obstructed by skin and/or tissue of the patient. An inserter can be movably mounted to the one or more anchor extenders, or an inserter can be employed without mounting to the one or more anchor extenders. In either form, the inserter is operable to position a stabilization element relative to the anchors for engagement to the anchors to stabilize the bony segment to which the anchors are engaged. At least one of the one or more anchor extenders includes a reduction assembly that is operable to move one or more portions of the bony segment while maintaining the minimally invasive character of the procedure. | 05-26-2011 |
20110130793 | Method 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. | 06-02-2011 |
20110144696 | ATTACHMENT DEVICES AND METHODS FOR SPINAL IMPLANTS - A system for the treatment of a spine generally comprises an implant and an attachment device for securing the implant to a portion of a patient's bone. A first portion of the attachment device is sized for insertion into a hole in the bone, and a second portion of the attachment device is configured to be received in an opening of the implant. The first portion comprises a biocompatible material defined by a network of interconnected pores configured promote bone growth into the first portion. | 06-16-2011 |
20110144697 | PERCUTANEOUS SPINAL IMPLANTS AND METHODS - A method includes moving a spinal implant such that a central portion of the spinal implant is disposed between adjacent spinous processes, radially extending a proximal portion of the spinal implant on a first side of the adjacent spinous processes such that movement of the proximal portion between the adjacent spinous processes is inhibited, and radially extending a distal portion of the spinal implant on a second side of the adjacent spinous processes opposite the first side such that movement of the distal portion between the adjacent spinous processes is inhibited. | 06-16-2011 |
20110152942 | Method and Apparatus for Using a Multi-Hinged Longitudinal Member - A method and apparatus for using a multi-hinged longitudinal member including providing the multi-hinged longitudinal member, including a primary first hinge component pair; and an auxiliary first hinge component pair; providing a primary control device including: a primary control arm pair; and a primary second hinge component pair; providing an auxiliary control device, including an auxiliary second hinge component pair; and an auxiliary control arm pair; creating a primary hinge by connecting each primary first hinge component to a unique primary second hinge component to create a primary hinge; creating a auxiliary hinge by connecting each the auxiliary first hinge component to a unique auxiliary second hinge component to create an auxiliary hinge; rotating the multi-hinged longitudinal member along different axes through manipulation of at least one of the primary control device and the auxiliary control device; and setting the multi-hinged longitudinal member in the desired position. | 06-23-2011 |
20110160775 | Locking Device And Method Employing A Posted Member To Control Positioning Of A Stabilization Member Of A Bone Stabilization System - A locking device and method are provided for a bone stabilization system which includes a bone anchor, a coupling mechanism and a stabilization member, wherein the coupling mechanism couples the stabilization member to the bone anchor. The locking device includes a seating member and a posted member. The seating member is operatively associated with the coupling mechanism for securing the stabilization member within the coupling mechanism, and is configured with an opening therein. The posted member, which includes an interface member and a post extending therefrom, is configured for disposition between the seating member and the stabilization member with the post extending therefrom being received into the opening in the seating member when the seating member is employed to secure the stabilization member within the coupling mechanism. The post is sized to engage and facilitate control of the stabilization member as the seating member operatively engages the coupling mechanism. | 06-30-2011 |
20110166602 | BONE ANCHOR DEVICE - Bone anchoring devices for anchoring medical devices to bones and for reducing bone fractures are provided. The devices include a bone anchor portion designed to allow for bony ingrowth and secure fixation to a bone and an internal fastener designed to resist bony ingrowth and facility easy removal of the fastener from a patient. | 07-07-2011 |
20110166603 | METHOD AND DEVICE FOR PLACING MATERIALS IN THE SPINE - A device and method for removing tissue, and if required, other undesired materials from an intervertebral disc or vertebral body. An elongated arcuate, and preferably S-shaped tool is used to progressively remove material from the interior of the mammalian intervertebral disc or vertebral body. A sheath introduces the elongated tool by a posterior, postero-lateral or lateral approach. The shape of the elongated tool is formed within a guide or lumen of the sheath for transportation through the sheath. The elongated tool assumes its predetermined arcuate shape when no pressure or force is applied to the tool by the sheath as the elongated tool exits the sheath. The device and method allow positioning of new material in the intervertebral disc and/or vertebral body. The new material may be tissue, therapeutic agents, mechanical devices such as spacers, or agents that will fuse vertebral bodies. | 07-07-2011 |
20110166604 | METHOD AND ASSOCIATED INSTRUMENTATION FOR INSTALLATION OF SPINAL DYNAMIC STABILIZATION SYSTEM - In one embodiment, a spinal stabilization apparatus includes a vertebral anchor having a head portion and a bone attachment portion. An elongate, flexible guide is removably coupled to the head portion of the vertebral anchor and has a channel extending longitudinally thereof and communicating with a slot in the head portion of the anchor. An elongate cord may be received within the channel to facilitate inserting and securing a spacer between pairs of anchors installed into adjacent vertebrae of a person's spine. | 07-07-2011 |
20110166605 | POSTERIOR DYNAMIC STABILIZATION OF SPINE - The present invention provides various interspinous vertebral implants and methods for using the same for dynamic stabilization of a spine. The interspinous vertebral implants of the present invention comprise a resiliently compressible body that is adapted for position between adjacent superior and inferior spinous processes, and an anchoring member that is affixed to the superior and the inferior spinous processes posterior to the resiliently compressible body. The anchoring member provides a compressive force while the resiliently compressible body provides a distraction. Without being bound by any theory, it is believed that the combination of the distraction and compressive forces created by interspinous vertebral implants of the present invention result in a rotational moment, which alleviates compression on the intervertebral disk. | 07-07-2011 |
20110166606 | REDUCTION TOOL - A reduction tool for use in posterior spinal fixation to facilitate insertion of a longitudinal spinal rod into a rod-receiving channel formed in a bone fixation element. The reduction tool preferably includes an outer tube sized and configured to transversely receive the spinal rod therethrough, the outer tube being operatively coupled to the bone fixation element, an inner tube operatively coupled to a locking cap and slidably disposed within the outer tube, and a rotatable sleeve for rotatably advancing the inner tube with respect to the outer tube to advance the spinal rod into the rod-receiving channel formed in the bone fixation element and to couple the locking cap to the bone fixation element to thereby secure the rod within the bone fixation element. | 07-07-2011 |
20110172716 | Expandable Spacer and Method For Use Thereof - An expandable implant is disclosed having an adjustable height for insertion between two adjacent bony structures or joint surfaces, for example between two adjacent spinal vertebrae. The implant includes at least one gear associated with at least one threaded shaft. Rotation of the gear engages the threaded shaft to expand the implant. The implant can be inserted in a collapsed configuration and expanded in situ. The invention also provides methods for using the implant to facilitate arthrodesis or fusion of adjacent joint surfaces or spinal vertebrae. | 07-14-2011 |
20110172717 | Spinal Rod Extenders and Methods of Use - A spinal rod assembly may be formed by attaching an extension portion onto a spinal rod that extends along a longitudinal axis. The extension portion may include a rod coupler that attaches to the spinal rod with a first coupling that includes a first degree of rotational freedom and a first degree of translational freedom in positioning the rod coupler relative to the spinal rod along the longitudinal axis. The extension portion may further include an extender rod including an elongated rod body that may be secured to the rod coupler using a second coupling that includes at least a second degree of rotational freedom in positioning the extender rod relative to the rod coupler about an axis substantially perpendicular to the longitudinal axis. The extension portion may be assembled in situ to a spinal rod that has been previously secured to vertebral bodies in a patient. | 07-14-2011 |
20110178555 | BONE COMPRESSION DEVICE - The invention relates to bone compression devices and bone compression systems, and in particular, to bone compression devices and systems for use in connection with vertebrae. The bone compression devices and bone compression systems are disposed, or installed, along at least one bone to maintain the at least one bone in a desired spatial relationship. Broadly, the invention is directed to a bone compression device for placing in communication with at least one bone having a bone radius of curvature, the bone compression device comprising a plate having a pre-formed shape, a deformed shape, and at least one elastic shape therebetween, the pre-formed shape having a pre-formed radius of curvature less than the bone radius of curvature, the deformed shape having a deformed radius of curvature greater than the bone radius of curvature, and at least one of the at least one elastic shapes having an elastic radius of curvature that substantially corresponds to the bone radius of curvature. The invention is also directed to a bone compression system wherein the plate includes a string attached to each end of the plate and a tensioner for facilitating the movement of the plate from the pre-formed shape to the at least one elastic shape. Methods of maintaining a bone in a spatial relationship and methods of contouring the bone compression devices are also disclosed. | 07-21-2011 |
20110184468 | SPINOUS PROCESS FUSION PLATE WITH OSTEOINTEGRATION INSERT - A spinal implant clamps to the spinous processes and provides an osteointegration material between the spinous processes so that there may be osteointegration between the spinous processes and a portion of the implant located in the interspinous space. The implant includes first and second plates, a post that extends between the plates and into at least one of the plates, a locking mechanism for locking the relative positions of the plates, and an osteointegration sleeve. The sleeve is disposed between the first and second plates and has an inner surface defining a longitudinal through-passage that is disposed about an outer surface of the post. The sleeve includes osteointegration material and is distinct from the post. The osteointegration material of the sleeve may be, for example, allograft bone or a bone growth material such as bone morphogenetic protein. Related methods are also described. | 07-28-2011 |
20110184469 | SET SCREW ALIGNMENT TOOL - A surgical instrument for reducing a rod toward a bone fastener and securing it thereto with a set screw having a cylindrical fastener engaging member extending between a proximal end and a distal end. The distal portion of said fastener engaging member being adapted to receive a portion of the rod therein and being further adapted to engage the bone fastener. The instrument further being provided with a coaxial set screw installation member extending between a proximal end and a distal end. The distal end of the set screw installation member being adapted to receive and hold the set screw securely within its distal end. The fastener engaging member and coaxial set screw installation member being operable together to reduce the rod distally into the bone fastener and then rotationally attach the set screw into the bone fastener while holding the rod in contact with the bone fastener. | 07-28-2011 |
20110184470 | BONE SCREW ASSEMBLY - A bone screw assembly includes a first bone screw, second bone screw, and a coupler. The first bone screw defines a first axis and the second bone screw defines a second axis. The coupler is operably associated with the first bone screw and the second bone screw. The coupler is adapted to mount the first bone screw and the second bone screw to adjacent bone structures. The first axis of the first bone screw and the second axis of the second bone screw define an angle therebetween. The first bone screw and the second bone screw are securable to each other. | 07-28-2011 |
20110190825 | SYSTEM AND METHOD FOR STABILIZING A POSTERIOR FUSION OVER MOTION SEGMENTS - A system and method for stabilizing adjacent vertebral bodies that have been fused is provided. The system and method involves transversely securing the bony segments of fused vertebral bodies together. In accordance with one exemplary embodiment, translaminar screws may be employed to transfix the facet joints of one or more motion segments. The motion segment may further include the presence of a spinal fusion implant or other internal fixation device. | 08-04-2011 |
20110190826 | Devices and Methods for Correcting Spinal Deformities - The present application discloses methods for treating a spinal deformity. In one embodiment, an elongated member is attached to vertebral members with fasteners. A separate fastener may attach the elongated member to each of the vertebral members. The elongated member may apply a force to limit growth on one side of the vertebral members, such as a convex side of a scoliotic spine. Each fastener may be constructed to limit a direction of growth of the vertebral member thereby applying a specific, corrective force to the vertebral member. The fasteners may allow relative motion between adjacent vertebral members without losing the attachment between the vertebral members and the fasteners. The net result may be controlled modulation of growth to reduce and/or eliminate the spinal deformity through redirection of growth potential. | 08-04-2011 |
20110190827 | HYBRID SPINAL PLATES - Various spinal plating systems for use in treating spinal pathologies are provided. In certain exemplary embodiments, the spinal plating systems can be configured to allow a surgeon to select a bone screw construct having a particular range of motion for attaching a spinal plate to bone as needed based on the intended use. In one exemplary embodiment, the spinal plating system includes a first bone screw that is polyaxially movable relative to the spinal plate, and a second bone screw that has a range of motion that is substantially limited to a single plane. | 08-04-2011 |
20110190828 | ORTHOPEDIC REVISION CONNECTOR - A connector apparatus for use in orthopedic procedures includes a base portion and an extending leg portion that forms a channel. Part of the base portion can be placed atop or adjacent implanted fixation members (e.g. bone screws), and a locking member can be inserted through the base and into the fixation member to anchor the connector to the fixation member. A rod can be inserted into the channel and fixed to the connector by a set screw. The apparatus is useful in connecting a rod to a fixation member, particularly in situations in which a rod is already connected to the fixation member, as by a previous implantation procedure, for example. | 08-04-2011 |
20110196426 | PERCUTANEOUS ROD INSERTION SYSTEM AND METHOD - Instruments and methods for inserting a spinal fixation rod include various components for inserting a rod with visual guidance. One kit includes a plurality of hollow elongated extension tubes and rod templates. The tube connectors connect the extension tubes in series. Another kit includes a rod guidance instrument having a sleeve. A guide member is attachable to the midsection of the sleeve, and a spinal fixation rod is attachable to the distal end of the sleeve. A method for inserting a spinal fixation rod into a plurality of rod receiving implants includes the steps of contouring a fixation rod to conform to a predetermined shape, contouring a guide member to match the shape of the contoured rod, and guiding the fixation rod into a rod receiving implant by maneuvering the guide member through a guide slot representing the location of the rod receiving implant. | 08-11-2011 |
20110196427 | POLYAXIAL SCREW - A bone-anchoring device is provided. The bone-anchoring device may comprise a screw including a threaded shaft portion configured to engage bone tissue, and a head portion having a cup-shaped cavity. The device may further include a rod connector and a linking member, wherein the linking member includes a spherical head portion configured to engage the cup-shaped cavity of the head of the screw, a widened flange s configured to engage the linking member, and an elongate body extending from the widened flange portion and configured to extend through an opening in the rod connector. | 08-11-2011 |
20110196428 | Method for stabilizing a spine - Spine stabilization devices, systems and methods are provided in which a single resilient member or spring is disposed on an elongate element that spans two attachment members attached to different spinal vertebrae. The elongate element passes through at least one of the two attachment members, permitting relative motion therebetween, and terminates in a stop or abutment. A second resilient member is disposed on the elongate element on an opposite side of the sliding attachment member, e.g., in an overhanging orientation. The two resilient members are capable of applying mutually opposing urging forces, and a compressive preload can be applied to one or both of the resilient members. | 08-11-2011 |
20110196429 | SYSTEM AND METHOD FOR WIRE-GUIDED PEDICLE SCREW STABILIZATION OF SPINAL VERTEBRAE - An improved system and method for positioning screws and rods to immobilize bones is provided. Specifically, the system and method is optimal for performing transforaminal lumbar interbody fusion (TLIF) and other interbody fusions in the spine. The system involves pedicle screws detachably connected to wires that guide rods down to the screws. The wires are strong, narrow, flexible, adjustable in tension, and easily disconnected from the screws after rod placement via a process such as cutting, radiating, burning, dissolving, etc. The use of wires to place the rods avoids the conventional bulky tower apparatuses of the prior art while at the same time enhancing the accuracy of placement. One of the preferred methods involves relying upon the natural lordotic curvature of the spine and the narrow diameter of the wires to insert many elements through a single minimally invasive incision. | 08-11-2011 |
20110202091 | NON-METALLIC IMPLANT DEVICES AND INTRA-OPERATIVE METHODS FOR ASSEMBLY AND FIXATION - This invention relates to orthopedic implants and to methods of treating bone defects. More specifically, but not exclusively, the present invention is directed to non-metallic implants and to methods for intra-operative assembly and fixation of orthopedic implants to facilitate medical treatment. The non-metallic implant assembly can be secured to underlying tissue by a fastener, such as a bone screw, that is capable of swelling on contact with fluid in the underlying tissue. Alternatively, the non-metallic implant assembly can be assembled intra-operatively using a fastener that is adhesively bonded to a bone plate or the bone plate can be deformed using heat, force, or solvents to inhibit withdrawal of the fastener. In preferred embodiments, both the fastener and the bone plate are formed of biodegradable material. | 08-18-2011 |
20110208246 | Spinal Facet Implant with Spherical Implant Apposition Surface and Bone Bed and Methods of Use - Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra. | 08-25-2011 |
20110218575 | METHOD 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. | 09-08-2011 |
20110224733 | DUAL ACTION ROD REDUCING AND LOCKING DEVICE AND METHOD - Provided is a dual action surgical instrument for use in orthopedic surgical procedures that is capable of reducing a rod into position in a rod receiving notch in the head of a bone screw with a first action and subsequently locking the rod into the receiving notch by a second action of the same instrument. A method of using the device is also provided. | 09-15-2011 |
20110230918 | ANTERIOR BRACKET FOR SPINAL FIXATION - A spinal fixation device includes a body defining a proximal surface, a pair of side surfaces, and a pair of angled surfaces extending distally and inwardly from opposite ends of the proximal surface. The proximal surface includes at least one proximal opening. Each angled surface includes at least one screw opening in communication with the proximal opening to define a passage extending through the body. The body is configured for positioning partially within an intervertebral space such that the angled surfaces are disposed in abutting relation with at least a portion of opposed surfaces of the adjacent vertebrae and such that the proximal surface is disposed exteriorly of the intervertebral space to permit insertion of a screw through the screw opening and into one of the opposed surfaces of the adjacent vertebrae. | 09-22-2011 |
20110238120 | METHODS AND DEVICES FOR IMPROVING PERCUTANEOUS ACCESS IN MINIMALLY INVASIVE SURGERIES - A device for use as a portal in percutaneous minimally invasive surgery performed within a patient's body cavity includes a first elongated hollow tube having a length adjusted with a self-contained mechanism. The first elongated tube includes an inner hollow tube and an outer hollow tube and the inner tube is adapted to slide within the outer tube thereby providing the self-contained length adjusting mechanism. This length-adjustment feature is advantageous for percutaneous access surgery in any body cavity. Two or more elongated tubes with adjustable lengths can be placed into two or more adjacent body cavities, respectively. Paths are opened within the tissue areas between the two or more body cavities, and are used to transfer devices and tools between the adjacent body cavities. This system of two or more elongated tubes with adjustable lengths is particularly advantageous in percutaneous minimally invasive spinal surgeries, and provides the benefits of minimizing long incisions, recovery time and post-operative complications. | 09-29-2011 |
20110245879 | METHOD OF CONNECTING TRANSVERSE BEAM AT TRIANGULAR POSITION OF VERTEBRAL LAMINA - A method of connecting a transverse beam at a triangular position of a vertebral lamina applied to a position below a spinous process of a vertebral body and above a lamina of vertebral arch comprises the steps of passing a marked position of a lamina of vertebral arch into a transverse hole; passing a transverse rod into the transverse hole and connecting a connecting element at both ends of the transverse rod separately; connecting a vertical rod to a vertical connecting hole of each connecting element; and connecting and fixing another end of the vertical rod to another vertebral body or between vertebral bodies by a fixing element. | 10-06-2011 |
20110245880 | SPINAL FIXATOR AND METHOD OF USE THEREOF - There is provided an explantable system having at least one pedicle screw, and a fixation plate. The system is a base plate including at least one aperture extending through the base plate screw retaining means sized to fit within the aperture for maintaining screw means therein. The system is designed to be removed after a predetermined period of time. | 10-06-2011 |
20110251647 | METHOD FOR RESURFACING A LUMBAR ARTICULAR FACET - Methods for treating spinal pathologies, and more specifically methods for treating articulating surfaces of facet joints. The methods involve providing artificial articulating surfaces for facet joint articular facets. In addition, various types of rasps may be used to prepare the articulating surfaces prior to placement of the artificial articulating surfaces. | 10-13-2011 |
20110257688 | EXPANDABLE MEDICAL DEVICE AND METHOD - Embodiments of the invention include expandable, implantable devices and methods. Devices may be inserted with a longitudinal biasing force between anatomical structures to be stabilized and then expanded laterally or otherwise filled to provide secure fixation between or among the anatomical structures. In some embodiments, an implant replaces one or more vertebral bodies, or portions of vertebral bodies, of the spine. | 10-20-2011 |
20110264146 | DEVICES FOR INTRODUCTION INTO A BODY VIA A SUBSTANTIALLY STRAIGHT CONDUIT TO FORM A PREDEFINED CURVED CONFIGURATION, AND METHODS EMPLOYING SUCH DEVICES - A device for introduction into a body in a straight configuration and assuming within the body a predefined curved configuration, includes an elongated element formed from a number of segments interconnected so as to form effective hinges therebetween. When the elongated element is confined to a straight state, the effective hinges transfer compressive forces from each segment to the next so that the elongated element can be pushed to advance it through a conduit. When the elongated element is not confined to a straight state, the effective hinges allow deflection of each segment relative to adjacent segments until abutment surfaces of the segments come into abutment, thereby defining a fully flexed state of the elongated element with a predefined curved configuration. The device can be produced with a wide range of two-dimensional and three-dimensional curved forms, and has both medical and non-medical applications. | 10-27-2011 |
20110264147 | METHOD AND APPARATUS FOR SPINAL STABILIZATION - A method and apparatus of limiting at least one degree of movement between a superior vertebral body, an inferior vertebral body, and an intermediate vertebral body that is disposed between the superior and inferior vertebral bodies of a patient. The method can comprise: advancing a distal end of a stabilization device into a pedicle of the intermediate vertebral body; positioning a proximal portion of the stabilization device such that the proximal portion limits at least one degree of movement between the superior vertebral body and the intermediate vertebral body by contacting a surface of the superior vertebral body; and advancing a distal end of a fixation device into a facet of the intermediate vertebral body and into a facet or pedicle of the inferior vertebral body for stabilizing the intermediate vertebral body and the inferior vertebral body. | 10-27-2011 |
20110270317 | Spinal Fixation Device And Technique For Expansion Of The Spinal Canal - A fixation device expands the spinal canal through osteotomies of the dorsal spinal elements (e.g lamina) Fixation is established to the dorsal vertebral elements (e.g. spinous process or lamina), with connection to a fixation device on each side of respective osteotomies. A distracting mechanism dorsally translates the fixated dorsal vertebral elements to expand the spinal canal. The fixation device allows secure fixation of the vertebra in the expanded state to promote bony healing across the osteotomy site. The fixation device can include a dorsal vertebral device (e.g., a transosseous fixation member placed through the spinous process) connected to a vertebral fixation device (e.g., bone screw or rod) by a connecting device with distracting mechanism. The connecting device spans the respective osteotomy, includes the distracting mechanism, and translates (lifts) the dorsal vertebral device from the vertebral fixation device in a dorsal direction to promote spinal canal expansion. | 11-03-2011 |
20110270318 | DEVICE AND METHOD FOR RESILIENTLY LOCKING A SCREW TO A PLATE - A spinal fixation device for stabilizing one or more segments of the human spine and for preventing the dislodgement of intervertebral spinal fusion implants, which remains permanently fixated once applied. | 11-03-2011 |
20110276095 | Double Threaded Orthopedic Screw - An orthopedic screw having a thread with two parts, a distal and a proximal part, each having a different thread configuration. The distal section has a thread with outer dimension and pitch suitable for entry into cancellous bone, while the proximal section has a composite thread comprising (i) a first thread of the same or slightly larger outer diameter as the cancellous thread in the distal section, having the same pitch thereof, and lying on the same helix, and (ii) another thread having a smaller outer diameter but the same pitch as the first thread, but disposed on a helix displaced from that of the first thread, such that it lies between the crests of the first thread. This screw enables optimum fixation strength in a bone or bones having a harder cortical outer section and a softer cancellous inner section. The screw may have an unthreaded central section. | 11-10-2011 |
20110276096 | LOW PROFILE VERTEBRAL STABILZATION SYSTEMS AND METHODS - Skeletal stabilization systems include a base, a longitudinal member, and a retaining member. The base includes an engagement surface with a surface area that is positionable in contact with a bone to atraumatically or traumatically engage the base to the bone. The retaining member engages the base to retain the longitudinal member relative to the base so that the longitudinal member can provide a desired stabilization effect to one or more adjacent bony portions. | 11-10-2011 |
20110282392 | DEGRADABLE CAGE FOR BONE FUSION - A cage for facilitating fusion of bones, such as vertebrae, or fusion of adjacent bone surfaces is disclosed. In one form, the cage includes a plurality of spaced apart walls comprising a biodegradable polymeric material (e.g., polycaprolactone); an osteoconductive mineral coating (e.g., a calcium compound) on at least a portion of the walls; and a bioactive agent (e.g., a bone morphogenetic protein) associated with the polymeric material and/or the coating. The bioactive agent is present in amount that induces ossification between the bones or adjacent bone surfaces. The cage may also include a fixation plate connected to at least one of the walls. | 11-17-2011 |
20110288592 | Side Opening Bone Fastener System - A bone fastener assembly and a method of stabilizing a bone using such an assembly are presented. The bone assembly includes a bone fastener and a connecting member for holding a stabilizing member, such as a rod or plate, wherein the connecting member has a side-opening for accepting the rod therein. Optionally the bone fastener system also permits the bone fastener to pivot relative to a longitudinal axis of the assembly, and is provided with an armature that allows the connecting member to be offset from the longitudinal axis of the bone fastener and for the connecting member to swivel about the longitudinal axis of the assembly. By allowing the rod to be inserted into the connecting member via this side-opening the bone fastener provides a system that is particularly useful for minimally invasive surgeries. | 11-24-2011 |
20110288593 | Method for Stabilizing a Motion Segment of the Spine of a Patient - A dynamic stabilization device includes end caps that define a bore for receiving a corresponding bone screw therethrough. A spacer is engaged between each end cap and a cable passes through each of the components and is placed in tension to couple the spacer between the two end caps. The spacer is formed of a material that allows some flexible movement after implantation. An alternative stabilization device includes a spacer over-molded about two bushings defining the bores. According to a method of use, a stabilization device is passed along guide wires through a small incision. Once the device is in contact with the vertebrae, the bone screws are advanced along the guide wires and driven into the bone. One fastener bore may include a camming surface that causes distraction of the vertebrae as the bone screw is threaded into the vertebral bone. | 11-24-2011 |
20110288594 | Method and Apparatus for Performing Spinal Fusion 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. | 11-24-2011 |
20110295321 | Methods for Correction of Spinal Deformities - A method of treating a spinal column shape deformation includes fixing at least two fixation screw assemblies to respective vertebrae, sliding a rod between the arm extensions on each of the fixation screw assemblies, swinging the channels of the screw assemblies relative to the fixation screws so that the channels become less inclined to the axes of the fixation screws, and so that the rod is located generally posteriorly of the spinal column, locking the channel against swinging relative to the screw, rotating the rod about its axis relative to at least one of the channels, and locking the rod against movement relative to the channel. | 12-01-2011 |
20110295322 | METHODS AND SYSTEMS FOR INCREASING THE BENDING STIFFNESS AND CONSTRAINING THE SPREADING OF A SPINAL SEGMENT - A system for restricting spinal flexion includes superior and inferior tether structures joined by a pair of compliance members. Compliance members comprise tension members which apply a relatively low elastic tension on the tether structures. By placing the tether structures on or over adjacent spinous processes, flexion of a spinal segment can be controlled in order to reduce pain. | 12-01-2011 |
20110295323 | FACET REPLACEMENT/SPACING AND FLEXIBLE SPINAL STABILIZATION - The present invention is related to spinal stabilization devices. More particularly, this invention relates to devices for addressing back pain originating in the facet joints and the spinous processes of the vertebrae. One embodiment of the present invention includes a substantially T-shaped facet implant for insertion between the facets of two successive vertebrae after a desired amount of the articulating surfaces have been resected. The long and flat portion of the T-shaped facet implant is inserted in between the facets and then the wings of the T-shape, also called fixation tabs, are secured to the spine to secure the facet implant into place. The T-shape implant may also be a part of a spinal stabilization system that includes a facet implant, a spinous process spacer, and a flexible connecting member securing the same. | 12-01-2011 |
20110301647 | SYSTEMS AND METHODS FOR PEDICLE SCREW STABILIZATION OF SPINAL VERTEBRAE - The present application is directed to various spinal stabilization systems. The systems can include one or more guiding elements attached to screw members to assist in guiding rod implants and tools to desired locations within a patient. The guiding elements can include a plurality of wires, blades, or tabs. The guiding elements can be capable of criss-crossing or intersecting at or near an incision, such that only a single incision may be needed to perform a surgery. The guiding elements can also include telescoping features that allow the height of the guiding elements to be adjusted in use, thereby allowing multiple telescoping guiding elements to be used with the same incision. | 12-08-2011 |
20110313462 | CONTROL OF INNATE SYSTEMS TO REMODEL SPINAL CANAL CROSS-SECTIONAL AREA - Retracting a resected dorsal portion of a vertabra from a disk bearing ventral portion whereby the spinal canal cross section area of the vertabra is increased and then fixing the separated vertabra portions together while maintaing a gap thereby maintaining the larger cross sectional area. | 12-22-2011 |
20110313463 | Method of Percutaneously Fixing a Connecting Rod to a Spine - A method of attaching an extension to a bone anchor for use in percutaneous spinal surgery is provided that comprises the steps of: providing a bone anchor including a first portion for attachment to a vertebra and a second portion for attachment to a connecting element, the bone anchor including an extension coupling surface; providing an elongate hollow extension having a distal end and a proximal end, the extension having a rotationally movable anchor engaging member projecting radially from the distal end thereof; placing the distal end of the extension adjacent the bone anchor; and rotating the anchor engaging member to engage the extension coupling surface on the anchor and couple the extension and the bone anchor. | 12-22-2011 |
20110313464 | METHOD FOR FIXING A CONNECTING ROD TO A THORACIC SPINE - A method of attaching a curved rod to a plurality of pedicle screws in the thoracic region of the spine is disclosed. Preferably, the method is practiced in a procedure for percutaneously fixing the rod to the pedicle screws through slots formed through a plurality of screw extensions releasably attached respectively to the pedicle screws. The method includes the steps of releasably and pivotally attaching the curved rod to a rod introducer having a handle and holding the rod initially in a fixed position. The rod is introduced in the fixed position through the slots in the extensions with the rod curvature defining a lordotic angle relative to the spine. The rod is released from the fixed position without separating the rod from the introducer. While the rod is in the released position the handle is rotated 180° thereby rotating the rod to a kyphotic angle relative to the thoracic region of the spine. | 12-22-2011 |
20110313465 | METHOD AND APPARATUS FOR SPINAL STABILIZATION - A method and apparatus of limiting at least one degree of movement between a superior vertebrae and an inferior vertebrae of a patient includes advancing a distal end of a stabilization device made of a bio-absorbable material, such as cortical bone, into a pedicle of the inferior vertebrae. A proximal portion of the stabilization device is positioned such that the proximal portion limits at least one degree of movement between a superior vertebrae and an inferior vertebrae by contacting a surface of the superior vertebrae. | 12-22-2011 |
20110313466 | Spinal Facet Bone Screw System - A spinal facet bone screw system provides tactile feedback to the user during installation to aid in determining when one or more components of the spinal facet bone screw system have been installed or implanted. The spinal facet bone screw system has a spinal facet screw and a washer. Tactile installation feedback is provided at an interface between a friction surface of the head of the spinal facet screw and a friction surface of the pocket of the washer to determine when the spinal facet screw has reached its full insertion depth. The bottom or undersurface of the washer that abuts a spinal facet bone or other spinal component during installation may be configured and/or textured to further provide tactile installation feedback as between the washer and the bone or other spinal component. | 12-22-2011 |
20110313467 | Interspinous Dynamic Stabilization Implant and Method of Implanting - Devices and methods for treating spinal disorders and associated discomfort therefrom. In one embodiment, an interspinous implant device is configured for distracting an adjacent pair of spinous processes while permitting relative flexion, lateral bending and side rotation motions between the vertebrae joined to the adjacent pair of spinous processes. A method of treating spinal disorders and associated discomfort therefrom, includes inserting an interspinous device between a pair of adjacent spinous processes such that a superior portion of the device contacts an inferior surface of the relatively superior spinous process of the pair, and an inferior portion of the of the device contacts a superior surface of the relatively inferior spinous process of the pair; and distracting the superior and inferior portions, relative to one another, thereby distracting the spinous processes, whereby vertebrae integral with the spinous processes retain capability of flexion, lateral bending and side rotation motions, relative to one another, after the distraction has been performed. | 12-22-2011 |
20110319941 | Robot Guided Oblique Spinal Stabilization - A robotic system for performing minimally invasive spinal stabilization, using two screws inserted in oblique trajectories from an inferior vertebra pedicle into the adjacent superior vertebra body. The procedure is less traumatic than such procedures performed using open back surgery, by virtue of the robot used to guide the surgeon along a safe trajectory, avoiding damage to nerves surrounding the vertebrae. The robot arm is advantageous since no access is provided in a minimally invasive procedure for direct viewing of the operation site, and the accuracy required for oblique entry can readily be achieved only using robotic control. This robotic system also obviates the need for a large number of fluoroscope images to check drill insertion position relative to the surrounding nerves. Disc cleaning tools with flexible wire heads are also described. The drilling trajectory is determined by comparing fluoroscope images to preoperative images showing the planned path. | 12-29-2011 |
20120010662 | PEDICULAR FACET FUSION SCREW WITH PLATE - Spinal implants and methods for spinal stabilization and/or fusion are provided. Exemplary implants described herein can be configured for delivery to a facet joint to stabilize and/or fuse the facet joint, and can optionally be anchored within the pedicle for added fixation. The implant can optionally include a fusion-promoting bioactive material thereby providing a single device capable of spinal stabilization and/or fusion. Furthermore, a method of placing such an implant within a facet joint is provided. | 01-12-2012 |
20120010663 | Interspinous Ligament Transverse Connector - The present invention includes the steps for creating an access path to the posterior portion of the spine, positioning a first and second elongate rod longitudinally on opposing portions of the spine, piercing a portion of the interspinous ligament with a third elongate rod, and positioning the third elongate rod connecting the first and second elongated rods in a cross connection assembly. The cross connection assembly includes a one-piece connecting body comprising a receptacle facing outwards towards the first rod and away from the second rod and a clamp, and a set screw selectively positioned to securely hold the connecting body to the first rod. The connecting body is disposed substantially between the first and second elongate rods. The clamp allows the connecting body to slidingly engage with the third rod. | 01-12-2012 |
20120010664 | Rod Extension for Extending Fusion Construct - In accordance with embodiments of the present invention, a rod extension for extending a fusion construct is provided. The rod extension allows a surgeon to connect a stabilization rod implant to at least a portion of a patient's spine, and also to connect the stabilization rod implant to an existing implant that has been previously installed in the patient. The existing fusion implant typically includes at least one existing pedicle screw, at least one existing rod, and at least one existing connector interconnecting the existing pedicle screw to the existing rod. The extension implant comprises a rod, an offset beam connected to the rod, and a clamp interconnected to the offset beam, wherein the clamp can be secured to the existing rod, thereby extending the fusion construct. A method of use is also provided. | 01-12-2012 |
20120022597 | Minimally Invasive Surgical System - A multi-stage minimally invasive surgical procedure and associated instruments are disclosed. First, the surgical site is prepared. After preparation, the bone screws or anchors are attached to the bone. Subsequent to insertion of the screws, a rod or connecting member is positioned within the yoke portion of the bone screw. Caps are then placed in a pre-lock position within the yokes. The bone screws may be compressed together or distracted along the rod or connecting member, thereby setting the final spacing of the bones or bone segments. Finally the caps are moved to a final lock position to fix the screws to the rod or connecting member to maintain the bones in position relative to each other. | 01-26-2012 |
20120022598 | SPINAL FIXATION SYSTEM - A method for immobilizing a spine. The method includes the steps of implanting at least one low profile screw assembly into a first portion of the spine, implanting at least one bone screw assembly that is not a low profile screw into a second portion of the spine and connecting a rod to both the at least one low profile screw assembly to the at least one bone screw assembly which is not a low profile screw. | 01-26-2012 |
20120022599 | MINIMALLY INVASIVE SPINAL FIXATION GUIDE SYSTEMS AND METHODS - Methods and devices that utilize segmental fixation between several adjacent vertebrae, thus allowing each vertebrae to be adjusted independently, are provided. In general, the device includes a spinal anchoring element that is adapted to seat at least one spinal fixation element, and a closure mechanism that is adapted to mate to the spinal anchoring element to lock the at least one spinal fixation element in a fixed position relative to the spinal anchoring element. | 01-26-2012 |
20120029573 | Polyaxial Orthopedic Fasteneing Apparatus with Independent Locking Modes - An apparatus is designed to attach an implant to bone in a manner that permits rotational adjustment of the implant about multiple axes prior to securement via the apparatus. The apparatus includes separate rotational and translational fasteners that can be individually locked to independently restrict rotation and translation of the implant relative to the bone. The rotational fastener includes an interpositional member, an expandable engagement member, and a rotational locking member that urges the expandable engagement member to advance along the interpositional member. The resulting expansion of the engagement member causes it to engage the implant. The rotational fastener is slidable along a fixation member implanted in the bone until the translational fastener is applied to restrict relative translation between the rotational fastener and the bone. | 02-02-2012 |
20120035664 | SYSTEM AND METHOD FOR INSERTION OF FLEXIBLE SPINAL STABILIZATION ELEMENT - Insertion of a spinal stabilization element into a patient generally includes positioning a cord within a sheath and inserting the sheath and cord through the patient's body along a path generally toward an anchor member. An advancement member may be mounted on the leading end of the cord to further facilitate this insertion. The sheath is then retracted to expose a first portion of the cord within the patient's body, and the first portion of the cord is moved into a desired position relative to the anchor member. After advancing a spacer over the sheath and cord, the sheath is retracted to expose a second portion of the cord. The second portion of the cord is then moved into a desired position relative to another anchor member such that the spacer is positioned between the two anchor members. | 02-09-2012 |
20120041494 | VERTEBRAL IMPLANT - An implant and method for attaching to vertebral members with the implant including a plate and a cage. The plate is configured to be positioned against and anchored to the bodies of the vertebral members. The plate may also extend into the intervertebral space between the vertebral members. The cage extends outward from the plate and is positioned within the intervertebral space. The implant provides a low profile that is positionable between the bodies of the vertebral members and the lamina/pars/facet joint. The implant may be implanted utilizing a lateral access to the spine. The implant and method may further include just the plate without the cage. | 02-16-2012 |
20120059422 | METHODS FOR COMPRESSION FRACTURE TREATMENT WITH SPINOUS PROCESS FIXATION SYSTEMS - Embodiments presently disclosed generally relate to the treatment of spinal fractures, such as spinal compression fractures. In one embodiment, a method of treating a spinal fracture includes identifying a vertebra having an untreated fracture, coupling a first device to the spinous processes of the vertebra with the fracture and a vertebra positioned directly superior to the fractured vertebra, and coupling a second device to the spinous processes of the vertebra with the fracture and the vertebra directly inferior to the fractured vertebra. | 03-08-2012 |
20120059423 | Deformity Correction Using Neural Integrity Monitoring - A method is provided for detecting neural interference between a bone anchor and a neural element during or subsequent to the application of force on the bone anchor to adjust the orientation of one or more vertebral bodies relative to the spinal column. The method includes engaging at least one bone anchor to the vertebral body and applying force to the bone anchor to adjust the positioning or orientation of the vertebral body. A nerve monitoring system provides an electrical signal and is operable to detect a neural element and its proximity to the bone anchor as a function of a characteristic of the electrical signal. | 03-08-2012 |
20120065688 | LOW-PROFILE ANTERIOR VERTEBRAL PLATE ASSEMBLIES AND METHODS OF USE - Low-profile anterior vertebral plate assemblies and methods of use are disclosed herein. The plate assemblies herein are useful for coupling adjacent vertebral bodies together. Preferred vertebral plates assemblies herein are low-profile, meaning that the assemblies herein are positioned partially within and partially outside of the intervertebral space. Additional teachings are directed to hinged low-profile anterior vertebral plate assemblies that allow slight flexion towards the vertebral bodies in a sufficient amount to prevent kyphosis, and encourage a desired amount of lordosis. | 03-15-2012 |
20120071929 | Linked Bilateral Spinal Facet Implants and Methods of Use - Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra. | 03-22-2012 |
20120071930 | Linked Bilateral Spinal Facet Implants and Methods of Use - Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra. | 03-22-2012 |
20120071931 | METHOD FOR SURGICALLY ATTACHING A VERTEBRAL LAMINAR RECONSTRUCTIVE PLATE - A method for attaching a laminar plate to a vertebra during spinal surgery, especially minimally invasive spinal surgery, to reconstruct the lamina of the vertebra after it has been removed during the surgery and prevent bone re-growth material from entering the spinal canal. The laminar plate can be coupled to, or proximate to, and between a facet and the spinous process by screwing the plate to the bone. | 03-22-2012 |
20120071932 | PEDICLE SCREW ASSEMBLY AND METHODS THEREFOR - A method for stabilizing a spine includes providing a coupling element having upper and lower ends, a rod receiving opening adapted to receive an elongated stabilizing rod, a bore extending through the lower end and a seat surrounding the bore adjacent the lower end; providing a fastener having upper and lower ends, a head having a radial surface, and at least one anchoring element between the lower end of the fastener and the head; assembling the fastener with the coupling element; anchoring the fastener to bone; moving the coupling element relative to the fastener for capturing the elongated stabilizing rod in the rod receiving opening; and urging the captured stabilizing rod toward the head of the fastener so that the rod contacts the head and forces the radial surface of the head against the seat. | 03-22-2012 |
20120078310 | INFINITELY MODULAR PLATE CAGE DEVICE FOR FIXATION OF THE SPINE ABSTRACT - The present invention discloses a device and method of application, combining a cervical plate system with a cervical graft (bone or synthetic) for the safe and efficient stabilization of the cervical spine. The application of a plate to the spine for fixation purposes is widely practiced. The present invention is designed to provide predictable, efficient, and safe fixation of the spine. The present invention is minimally invasive for the anatomical characteristics of the cervical bones or vertebrae. The present invention is designed primarily for use in the cervical spine, but can be applied to any level of application in the spinal column, including the thoracic and lumbo-sacral spine. | 03-29-2012 |
20120083846 | DYNAMIC PLATE WITH INSERTS - A spinal plate that is self-adjusting along its longitudinal axis to accommodate subsidence that may occur and aid in loading the bone graft to promote boney fusion while providing rigid fixation. The spinal plate is configured to inhibit loosening or backing out of bone screws. | 04-05-2012 |
20120089191 | METHODS FOR STABILIZING BONE STRUCTURES - 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, which effectively mimics that of a normally functioning spine. Methods are also provided for stabilizing the spine and for implanting the subject systems. | 04-12-2012 |
20120101530 | PROCESS FOR INTRODUCING A STABILIZING ELEMENT INTO A VERTEBRAL COLUMN - A process for introducing a stabilizing element into a vertebral column, in which the stabilizing element is introduced in such a manner that the stabilizing element connects two adjacent vertebral bodies to one another. | 04-26-2012 |
20120116457 | Stabilizer for assisting stabilization of a spinal implant and method of using the stabilizer - A stabilizer for receiving an end of a spinal implant. The stabilizer includes a gap that creates a socket for receiving the spinal implant. Bodies of the stabilizer are manufactured in a plurality of shapes. A cover is capable of blocking egress of the spinal implant from the socket. | 05-10-2012 |
20120116458 | MODULAR PIVOTABLE SCREW ASSEMBLY AND METHOD - A bone anchor assembly and a rigid extension rod removably coupleable thereto. The bone anchor assembly includes a screw base and a pivoting post. The post has a first recess in a proximal endface thereof, which may have first threads therein. The extension rod has a distal section separated from a proximal section by an intermediate section. The rod distal section has external threads that are threadingly engageable with the threads of the post recess. The rod third section may have external third threads of a different size. The rod intermediate section has an unthreaded exterior. When the extension rod is coupled to the post, an exterior of the second section of the extension rod is aligned with the exterior of the post. Other connection approaches may be used. An optional spacer may also be used to couple the rod to the post. | 05-10-2012 |
20120116459 | Bone Fixation Device and Methods for Use Thereof - A bone fixation device for fixing a first bone to a second bone includes a self tapping screw having an aperture extending along a longitudinal axis of the screw, and a driver having an aperture extending from a proximal end to a distal end along a longitudinal axis of the driver, the distal end being configured to engage the screw such that the aperture of the driver and the aperture of the screw are coaxially aligned, thereby defining a lumen. A guide rod having a tapered tip for piercing bone tissue is shaped and dimensioned to extend through the lumen and configured to fasten to the driver. A blunt-ended rod advances a bioactive agent through the lumen, the blunt-ended rod being dimensioned to extend through the lumen to decrease the injury to vital structures as the screw is advanced into the second bone. | 05-10-2012 |
20120116460 | MINIMALLY INVASIVE RETRACTION DEVICE HAVING REMOVABLE BLADES - A retraction device comprises at least one retracting blade and a pedicle screw. The retracting blade has a distal end having at least one projection with a passage for engaging a retention pin. The pedicle screw has a threaded body and a movable head. The movable head has at least one recess with a channel that can be aligned with the passage of the projection. | 05-10-2012 |
20120116461 | SYSTEM AND METHOD FOR DYNAMIC VERTEBRAL STABILIZATION - An intervertebral stabilization device and method is disclosed. The device preferably includes a planar spring enclosed within a housing. The housing is joined to an articulation component at either end, and the articulation components have couplings connectable to anchoring components which are securable to adjacent vertebrae. The planar spring can flex and retract providing relative motion between the adjacent vertebrae. The articulation components are ball and socket joints which allow the entire assembly to flexibly follow the curvature of the spine. A fusion rod with articulation components and couplings at either end may be substituted for the spring device. The couplings enable interchangeability between a fusion rod assembly and spring assembly, so that dynamic stabilization can occur at one vertebral level and fusion at the adjacent vertebral level. An overhung spring assembly with a sideways displaced housing which allows for a shorter pedicle to pedicle displacement is also disclosed. | 05-10-2012 |
20120123481 | BONE FIXATION DEVICE - This invention relates to a bone fixation device, and more particularly to a bone fixation device being injectable with medical fillings, comprising: a hollow fixation part having a joining end at a proximal end thereof, and an injecting end at a distal end thereof; a cover part being joined with the injecting end of said hollow fixation part; a medical filling being forceable and/or injectable via the injecting end of said hollow fixation part and into said cover part, such that the medical filling is allowed to become lump-like after injecting. | 05-17-2012 |
20120123482 | SPINAL IMPLANT AND METHOD FOR RESTRICTING SPINAL FLEXION - A spinal implant system for restricting flexion of a spine includes an elongate band proportioned to engage at least two spinous processes. During use, the band is positioned engaging the spinous processes at a spinal segment of interest, where it restricts flexion at the segment. The length and tension of the band may be adjustable following to implantation using percutaneous or transcutaneous means. | 05-17-2012 |
20120123483 | METHOD FOR PLACEMENT OF A PEDICLE SCREW AND ROD SYSTEM - A method for placement of a pedicle screw and rod system that has particular application for spinal fusion surgery. The system includes pedicle screws having ball-shaped heads that are threaded through pedicles of adjacent vertebra into the vertebral body. The system also includes two cannulated posts having a head portion with a planar portion and an opening for accepting the head of the pedicle screw in a secure and multi-axial engagement. The system further includes a tube portion that is coupled to the head portion and extends above the patient's skin. The system also includes a lordotic slotted rod that is slid down the tube portions to be positioned on top of the head portions of the posts so that the planar portions are locked within the slot. Bolts are then slid down the tube portions and are threaded to a threaded portion on the planar portion. | 05-17-2012 |
20120130431 | CAPLESS MULTIAXIAL SCREW AND SPINAL FIXATION ASSEMBLY AND METHOD - A spinal fixation assembly and capless multi-axial screw system and method are shown. The assembly comprises a receiver having a rotary lock which in one embodiment includes a plurality of channels which urge and lock the elongated member to the screw using a bayonet type connection. | 05-24-2012 |
20120130432 | Methods and Apparatus for Treating Spinal Stenosis - Surgical implants are configured for placement posteriorly to a spinal canal between vertebral bodies to distract the spine and enlarge the spinal canal. The device permits spinal flexion while limiting spinal extension thereby providing an effective treatment for treating spinal stenosis without the need for laminectomy. The device may be used in the cervical, thoracic, or lumbar spine. Numerous embodiments are disclosed, including elongated, length-adjustable components coupled to adjacent vertebral bodies using pedicle screws. The device is configured for placement between adjacent vertebral bodies and adapted to fuse the lamina, facet, spinous process or other posterior elements of a single vertebra. Preferably, the device forms a pseudo-joint in conjunction with the non-fused vertebra. Alternatively, the device could be fused to the caudal vertebra or both the cranial and caudal vertebrae. | 05-24-2012 |
20120136395 | POLYAXIAL BONE ANCHORING DEVICE WITH ENLARGED PIVOT ANGLE - A polyaxial bone anchoring device includes: an anchoring element having a shaft and a head; a receiving part having a top end, a bottom end, and an accommodation space for accommodating the head, the accommodation space having a lower opening at the bottom end, a sleeve-like insert piece configured to be positioned around a portion of the head, wherein a lower edge of the insert piece extends past the lower opening when the insert piece is seated in the receiving part; a pressure member configured to contact the head to exert pressure onto the head; wherein when the head, the insert piece, and the pressure member are arranged in the receiving part, the insert piece is tiltable with respect to the receiving part and with respect to the anchoring element, and wherein the anchoring element and the insert piece can be locked at respective angles relative to the receiving part. | 05-31-2012 |
20120158066 | ADJUSTABLE CERVICAL PLATE - Modified anterior or posterior fusion plates and interbody fusion devices have been developed that contain slots to allow the use of pins to position and to guide the placement of the plate while the screws are being secured, reducing the likelihood of improper placement and localization of the plate and screws. This reduces the amount of time required for the operative procedure, and prevents inadvertent introduction of the screws for the plate into the former pin holes. This system allows the surgeon to carefully identify the geometry of the vertebral bodies at the outset of the case, when there is no significant bleeding, and when the field is clearly visualized, to determine the placement of the distracting pins. Then, the careful placement of the distracting pins serves as the guide and basis for placement of the plate and screws. | 06-21-2012 |
20120158067 | METHOD FOR DISTRACTING OPPOSING VERTEBRAL BODIES OF A SPINE - A system and method is provided for distracting opposite surfaces from the interior of a bone, such as a vertebral body. A working channel cannula provides a working channel through which an inserter and an injection cannula can simultaneously pass. The inserter transports a plurality of wafers into the interior of the bone to form a load-bearing stack bearing against the opposite surfaces. The injection cannula is used to inject a fluent material into and/or around the stack. In certain embodiments, the fluent material is a load-bearing or hardenable material, such as bone cement. In other embodiments, the fluent material can be a BMP, HAP, or other osteo-inductive, osteo-conductive, or pharmaceutical compositions. A syringe containing the fluent material is engaged to the injection cannula and is operable to inject the fluent material into the vertebral body under controlled pressure. | 06-21-2012 |
20120165876 | APPARATUS FOR SECURING A SPINAL ROD SYSTEM - The present invention includes a method of securing a spinal rod to an anchoring device, including releasably securing a locking cap to a distal end of an insertion instrument, the instrument having an outer tubular body, a rod persuader, and a locking shaft, each of the tubular body, rod persuader and locking shaft having proximal and distal ends and positioned coaxial with one another; positioning the distal end of the insertion instrument, and locking cap, into operative engagement with the spinal rod; engaging the anchoring device with the distal end of the tubular body; rotating the proximal end of the rod persuader to longitudinally advance the locking cap and spinal rod distally towards the anchoring device, the proximal end and the distal end of the rod persuader being rotatable relative to one another; and after the locking cap is advanced, rotating the locking shaft to rotate the locking cap thereby. | 06-28-2012 |
20120165877 | Method For Stabilizing A Spine - Spine stabilization devices, systems and methods are provided in which a single resilient member or spring is disposed on an elongate element that spans two attachment members attached to different spinal vertebrae. The elongate element passes through at least one of the two attachment members, permitting relative motion therebetween, and terminates in a stop or abutment. A second resilient member is disposed on the elongate element on an opposite side of the sliding attachment member, e.g., in an overhanging orientation. The two resilient members are capable of applying mutually opposing urging forces, and a compressive preload can be applied to one or both of the resilient members. | 06-28-2012 |
20120172932 | BONE ANCHORING DEVICE - A bone anchoring device includes a bone anchoring element including a shaft and a head, a receiving part for coupling a rod to the bone anchoring element, the receiving part including a rod receiving portion having a channel with a bottom for receiving a rod, and a head receiving portion to allow introduction and clamping of the head, and a locking ring including at least one projection, wherein the rod receiving portion has at least one cutout, wherein when the head is not locked, the projection is configured to extend through the cutout and into the channel, and wherein a first engagement portion is provided on the locking ring for engaging a second engagement portion at an inner wall of the cutout to hold the locking ring in a first position where the head is pivotable in the head receiving portion but is prevented from removal therefrom. | 07-05-2012 |
20120179206 | ANCHORING MEMBER WITH SAFETY RING - A method for osteosynthesis of a spinal column using an assembly including a bone anchor, a connector and a ring, the method comprising: inserting an anchoring part of the bone anchor into bone, the bone anchor including the anchoring part and a head, the head positioned to be in contact with the connector and ring; inserting a connecting member into the connector; and applying a force to the connecting member such that the connecting member applies the force against the ring and the bone anchor, wherein the head of the bone anchor contacts the connector, ring and connecting member during the application of the force. | 07-12-2012 |
20120184998 | METHODS AND SYSTEMS FOR CONSTRAINT OF MULTIPLE SPINE SEGMENTS - Methods, apparatus and systems for constraining spinous processes to elastically limit flexion of two or more adjacent spinal segments rely on placing a tether structure over at least three adjacent vertebral bodies or two adjacent vertebral bodies and the sacrum. The tether structures may be continuous, for example in the form of a continuous loop, or may be discontinuous, for example in the form of a loop or elongate element having at least two anchor structures for securing in bone. | 07-19-2012 |
20120191136 | METHOD AND APPARATUS FOR SPINAL FIXATION - Disclosed is a fixation device for spinal fixation. The fixation device includes an elongated body comprising a bone anchor at a distal end. An axially moveable proximal anchor is carried by the proximal end of the fixation device. In one embodiment, the device is inserted through a first vertebra and the bone anchor is rotated into positioned within a second vertebra. The proximal anchor is distally advanced with respect to the bone anchor to provide compression across the first and second vertebra. In other embodiments, the device is used to secure stabilization devices across two or more vertebra. | 07-26-2012 |
20120191137 | PERCUTANEOUS COMPRESSION AND DISTRACTION SYSTEM - A compression and distraction shaft assembly applies compression and distraction to bones including vertebrae. Shaft A assembly and shaft B assembly are attached together via a polyaxial fulcrum. The polyaxial fulcrum allows all rotational degrees of freedom between shaft A assembly and shaft B assembly. Such fulcrum, during compression and distraction, does not impart ancillary stresses or motion to vertebrae. An hourglass-shaped bore for engaging pliers is formed in approximately middle of both the shaft A assembly and the shaft B assembly. Distraction pliers having cylindrical tips are used to apply distraction to vertebrae. Once handles are pressed to impart an appropriate amount of distraction to the vertebrae, they are locked in this position. Compression pliers having cylindrical tips are used to apply compression to vertebrae. Once handles are pressed to impart an appropriate amount of compression to the vertebrae, they are locked in this position. | 07-26-2012 |
20120197299 | SPINE SURGERY METHOD AND IMPLANT DEPLOYMENT - A surgical inserter may include an implant deployment mechanism that is adjustable by the surgeon to deploy an implant within the vertebral space and may include a deployment indicator that provides a visual indication to the surgeon regarding the status of implant deployment within the vertebral space. | 08-02-2012 |
20120197300 | Method For Performing Minimally Invasive Surgery - Pedicle screw apparatuses each including a pedicle screw assembly and an attached pedicle screw extender are placed in a true percutaneous manner, thereby overcoming issues resulting from placing pedicle screw assemblies through a retractor. Thus, a retractor can advantageously be built off of the pedicle screw apparatuses, thereby allowing visualization of the spine anatomy directly. Furthermore, such a method for performing surgery ensures ideal placement of the retractor for additional procedures that are often required such as, for example, decompression, interbody device placement, etc. | 08-02-2012 |
20120197301 | SYSTEM AND METHOD FOR SECURING A PLATE TO THE SPINAL COLUMN - The present invention is directed to a drill guide and methods of using a drill guide with a plate having at least one slotted hole extending therethrough. The drill guide positions a bone engaging fastener away from the ends of the slot, allowing compression or distraction of the bony segment to which the plate is attached. | 08-02-2012 |
20120197302 | SYSTEM AND METHOD FOR ORTHOPEDIC IMPLANT CONFIGURATION - Anatomic points within the body are projected outside the body through the use of extenders. The projected points may then be used for measurement, or to facilitate the selection or configuration of an implant that is to be positioned proximate the anatomic points. Such an implant may be a rod for a posterior spinal fusion system. Pedicle screws may be implanted into pedicles of the spine, and may then serve as anchors for the extenders. The extenders may have rod interfaces that receive the rod in a manner that mimics the geometry of the pedicle screws so that the selected or configured contoured rod will properly fit into engagement with the pedicle screws. | 08-02-2012 |
20120215262 | SPINOUS PROCESS SPACER AND IMPLANTATION PROCEDURE - A spinal fixation procedure and system are provided for fixing the spacing of an inferior vertebra relative to a superior vertebra. The procedure for implanting a spinous process spacer can comprise decorticating and/or forming a notch in adjacent spinous processes, measuring the distance between the notches formed in the spinous processes, and inserting an interspinous process implant such that the implant is fitted into the notches of the spinous processes. Other fixation devices, such as bone screws, can also be used for fixing the position of the vertebrae and to create facet fusion. | 08-23-2012 |
20120221060 | METHODS AND APPARATUS FOR STABILIZING BONE - In some embodiments, a method comprises disposing a portion of a flexible fastening band into contact with a first bone portion and into contact with a second bone portion. The portion of the flexible fastening band having a substantially uniform shape configured to substantially compliment a shape of the first bone portion and a shape of the second bone portion. The method further includes inserting the portion of the flexible fastening band into a fastener and advancing the portion of the flexible fastening band through the fastener until the first bone portion and the and the second bone portion are stabilized. | 08-30-2012 |
20120226319 | INTERBODY DEVICE AND PLATE FOR SPINAL STABILIZATION AND INSTRUMENTS FOR POSITIONING SAME - Systems, methods and devices for providing stabilization between first and second vertebrae are provided. More particularly, in one form a system includes an implant configured to be positioned in a disc space between the first and second vertebrae and a freestanding plate for engagement with extradiscal surfaces of the first and second vertebrae. The system also includes an insertion instrument with an engaging portion configured to releasably engage with the implant and the plate such that the implant and plate can be positioned together relative to the first and second vertebrae. In one aspect, an angular orientation of the implant relative to the plate is adjustable when the implant and the plate are engaged by the instrument. In this or another aspect, the implant and plate are held in a contiguous relationship when engaged by the instrument. However, different forms and applications are also envisioned. | 09-06-2012 |
20120232594 | System and Method for Facet Joint Replacement - A system for replacing at least a portion of a natural facet joint includes a fixation member implantable in a vertebra, an inferior facet articular surface and an inferior strut which may be formed separately from the inferior articular surface. The inferior strut has a first end securable to the fixation member and a second end which may comprise a sphere with a hemispherical surface. An attachment mechanism may include a capture feature shaped to receive the second end of the inferior strut, and the mechanism may provide an adjustable configuration, allowing polyaxial adjustment between the inferior articular surface and the second end. A locking member may be actuated to exert force on the second end to provide a locked configuration. The system may further include a superior facet joint implant with a superior articular surface shaped to articulate with the inferior articular surface. | 09-13-2012 |
20120239093 | SPONDYLOLISTHESIS 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 a new position. The implant has an upper half and a lower half, 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 a reduction bar and reduction rod in combination with an internal locking block within the implant. The reduction rod, being connected to a lower half and placed adjacent to the upper half, is rotated to bring the implant halves into alignment. The internal locking block engages to permanently hold the alignment and maintain the new position. A release mechanism for the internal locking block allows for readjustment of the implant halves and realignment of the vertebrae. | 09-20-2012 |
20120239094 | SYSTEM AND METHOD FOR SPINE STABILIZATION USING RESILIENT INSERTS - An apparatus for anchoring a rod to a bone fastener in a spine stabilization system. A first resilient insert may have two deflectable arms and a first channel formed therein. A second resilient insert may have two deflectable arms and a second channel formed therein. A cylindrical body may have a passage, wherein the first resilient insert and the second resilient insert have a width greater than the inner diameter of the cylindrical body when the first resilient insert is in a neutral state. Advancement of the first resilient insert or the second resilient insert into the passage deflects the two deflectable arms inward, causing the width of the first or second channel to decrease, and inhibiting the first resilient insert or the second resilient insert from moving relative to the cylindrical body. | 09-20-2012 |
20120245641 | Devices, Systems and Methods of Attaching Same to the Spine - Systems and method for fixation to a spinal column are described. A system includes a plate having an anterior surface, a posterior surface, a longitudinal axis, a transverse axis and a through hole passing through the anterior and posterior surfaces; and a dynamic fixator interface member configured and dimensioned to connect to the plate within the through hole and to axially slide relative to the plate in directions of the longitudinal axis, and additionally, to rotate relative to the plate in directions about the transverse axis. | 09-27-2012 |
20120253404 | Method for stabilizing a spinal segment - A surgical implant is provided that includes first and second abutment surfaces between which are positioned a force imparting mechanism. A sheath is positioned between the first and second abutment surfaces, and surrounds the force imparting mechanism. The sheath is fabricated from a material that accommodates relative movement of the abutment members, while exhibiting substantially inert behavior relative to surrounding anatomical structures. The sheath is generally fabricated from expanded polytetrafluoroethylene, ultra-high molecular weight polyethylene, a copolymer of polycarbonate and a urethane, or a blend of a polycarbonate and a urethane. The force imparting member may include one or more springs, e.g., a pair of nested springs. The surgical implant may be a dynamic spine stabilizing member that is advantageously incorporated into a spine stabilization system to offer clinically efficacious results. | 10-04-2012 |
20120253405 | Transconnector for Coupling First and Second Spinal Fixation Elements - Transconnector devices and methods of use are provided. A transconnector device has the capability of connecting to elongate spinal fixation elements having various cross-sectional dimensions. The transconnector device is adjustable in three degrees of freedom and is curved to ensure that it maintains a minimum distance posterior of the dura when it is fixed to elongate spinal fixation elements. | 10-04-2012 |
20120253406 | INTERVERTEBRAL IMPLANT WITH INTEGRATED FIXATION - A surgical instrument and method are provided for removal of a spinal implant from the intervertebral disc space. The instrument includes a carriage body for interfacing with the implant, a housing for interfacing with the vertebrae, and a handle portion having a first portion rotatably coupled with a proximal end of the housing and a second portion rotatably engageable with a proximal attachment portion of the carriage body. A central passage of the housing extends between the proximal end and a distal engagement surface of the housing. The central passage is dimensioned to mate with the carriage body. Rotation of the handle portion about an axis causes translational movement of the carriage body along the axis. A modular inserter/distracter apparatus and method and an anchor remover and method are also provided. | 10-04-2012 |
20120265250 | TRANSPEDICULAR ACCESS TO INTERVERTEBRAL SPACES AND RELATED SPINAL FUSION SYSTEMS AND METHODS - According to some embodiments, a method of accessing an intervertebral space of a patient's spine in a minimally invasive manner compromises creating a passage from a posterior end of a pedicle of a vertebral member using a probe, advancing the probe through the pedicle and to a main body portion of the vertebral member, advancing the probe through a superior endplate of the vertebral member and into the intervertebral space and enlarging the passage using at least one tap to create an enlarged passage from a posterior of the pedicle to the intervertebral space. In some embodiments, the enlarged passage traverses at least three cortical layers of the vertebral member. | 10-18-2012 |
20120265251 | CONICAL INTERSPINOUS APPARATUS AND A METHOD OF PERFORMING INTERSPINOUS DISTRACTION - A conical interspinous apparatus includes a distractor comprising an insertion portion and a central engagement groove, the insertion portion having a conical shape which tapers to a tip and is adapted to enable passage of the distractor between two spinous processes of vertebrae, and the central engagement groove is adapted to secure the distractor between the two spinous processes such that the two spinous processes rest in the central engagement groove. The conical interspinous apparatus includes a stabilizer which is adapted to be deployed from within the distractor to secure the two spinous processes within the central engagement groove and an insertion driver detachably coupled to a rear portion of the distractor. A guide wire, having a pointed tip, aids in the insertion of the distractor between the two spinous processes and is configured to guide the insertion of the distractor. | 10-18-2012 |
20120265252 | Prostheses and Methods of Replacement of Natural Facet Joints with Artificial Facet Joint Surfaces - Cephalad and caudal vertebral facet joint prostheses and methods of use are provided. The cephalad prostheses are adapted and configured to be attached to a lamina portion of a vertebra without blocking a pedicle portion of the cephalad vertebra. In some embodiments, the prosthesis is attached with a non-invasive support member, such as a clamp. In other embodiments, a translaminar screw may be used for additional fixation. | 10-18-2012 |
20120271357 | TOOLS AND METHODS FOR THE PREPARATION OF THE FACET JOINT - Methods of fusing a facet joint that include inserting a cannula with a first end of the cannula at the facet joint and a second end positioned away from the facet joint. One or more tools may be inserted through the cannula to contact against and treat one or both vertebral members to enlarge the facet joint. An osteogenic material is then inserted into the enlarged facet joint to facilitate fusion of the first and second vertebral members. | 10-25-2012 |
20120271358 | BONE ALIGNMENT IMPLANT AND METHOD OF USE - A bone alignment implant includes a first bone fastener with a first bone engager that is adapted for fixation into the metaphyseal bone and a second bone fastener with a second bone engager that is adapted for fixation into the diaphyseal bone. A link connecting the two fasteners spans across the physis. Alternatively, the bone alignment implant is adapted for fixation into the diaphyseal sections of two adjoining vertebral bodies. These implants act as a flexible tethers between the metaphyseal and the diaphyseal sections of bone during bone growth. These implants are designed to adjust and deform during the bone realignment process. When placed on the convex side of the deformity, the implant allows the bone on the concave side of the deformity to grow. During the growth process the bone is then realigned. A similar procedure is used to correct torsional deformities. | 10-25-2012 |
20120277801 | Methods and Instruments for Use in Vertebral Treatment - Embodiments of the invention include instruments, implants, and methods for surgically treating facet joints of vertebrae. An instrument may be advanced into one or more facet joints to one or both separate vertebrae and remove tissue from one or more articular processes. A stop on the instrument may be used to terminate advancement of the instrument by contacting a vertebra, and one or more implants may be placed into one or more facet joints. | 11-01-2012 |
20120283782 | TRANSLATABLE CARRIAGE FIXATION SYSTEM - Translational bone fixation assemblies, kits containing such assemblies, and methods of use are described herein. The described assemblies may be used in spinal fusion procedures in which a damaged or diseased disc (or part of a disc) is removed from between a pair of vertebrae and a spinal fusion spacer is placed between the vertebrae. The assemblies may be applied to an anterior portion of the affected vertebrae to span the affected disc space, and may be fixed to the vertebrae using bone screws. The assemblies may function to maintain the vertebrae aligned during the initial period following fixation in which fusion of the spacer to the adjacent vertebrae occurs. The assemblies may also function to share some of the axial spinal load applied to the fusion spacer to prevent extreme subsidence of the spacer into the vertebral body, such as where the patient has poor bone quality. | 11-08-2012 |
20120283783 | USE OF BIOABSORBABLE MATERIAL FOR ANTERIOR EXTRADISCAL CORRECTION OF THORACOLUMBAR PATHOLOGIES - A method of performing a surgical anterior extradiscal correction of a thoracolumbar pathology includes steps of surgically approaching a patient's spine and correcting a thoracolumbar pathology, aligning adjacent vertebral bodies, and securing the vertebral bodies in a desired relative position with anterior instrumentation that penetrates at least one of the vertebral bodies. The anterior instrumentation includes a bioabsorbable element and in one embodiment includes first and second bioabsorbable anchors for penetrating anterior portions of respective first and second sacral, thoracic or lumbar vertebral bodies and bioabsorbable instrumentation that fixedly connects the first bioabsorbable anchor to the second bioabsorbable anchor. This permits the first sacral, thoracic or lumbar vertebral body to be surgically fixed to the second sacral, thoracic or lumbar vertebral body for a predetermined period of time, when the bioabsorbable apparatus will be absorbed by a patient's body. | 11-08-2012 |
20120290012 | LOCKING CAP DISPENSER - An apparatus for dispensing a plurality of locking caps including a barrel and a magazine. The barrel has a longitudinal passage extending through the barrel and a lateral passage extending through the barrel and intersecting the longitudinal passage. A second open end of the barrel is configured to engage a rod receiving head to which one of the locking caps is threadingly connectable. The magazine has a housing with a chamber for receiving a plate carrying a plurality of locking caps. The chamber of the housing is aligned with the lateral passage of the barrel so that the plate is movable from the chamber into the lateral passage so that one of the locking caps is positioned in the longitudinal passage so as to be matingly engageable with a drive tool insertable through the longitudinal passage. | 11-15-2012 |
20120290013 | TAPERED SPINAL ROD - A tapered spinal rod to support the vertebrae of a spinal column. The cross sectional diameter of one end of the tapered spinal rod is larger than the other end. The cross sectional diameter range of the tapered spinal rod is preferably between 6.5 mm and 3 mm. | 11-15-2012 |
20120290014 | Surgical devices for the correction of spinal deformities - A method for installing a surgical device on a spine for applying corrective forces thereon comprises installing at least one anchor on a first vertebra and at least another anchor on a second vertebra. At least one connector is installed on at least one of the first and the second vertebrae. A flexible tether is fixed to one of the anchors. The flexible tether is tensioned about a surface of the at least one connector. The flexible tether is fixed to the other one of the anchors to maintain a tension in the flexible tether to apply corrective forces to the vertebrae interconnected by the tether. A method for installing a staple device with rotational joints in the vertebrae is also provided. | 11-15-2012 |
20120290015 | Spinal Implant Connection Assembly - The present invention provides a connection assembly that can be used to securely connect a spinal implant to a bone anchor. In particular, the present invention preferably provides a spinal implant connection assembly that is able to securely connect the spinal implant to the anchors even when there is a variance in the angle and position of the anchors with respect to the spinal implant. Furthermore, the present invention provides a connection assembly with structure to increase the locking strength of the connection assembly. | 11-15-2012 |
20120310287 | Artificial Disc Device - An artificial disc device for replacing a damaged nucleus is disclosed. In one form, the device may be inserted in components such that the device may be assembled within and retained by the natural annulus therein. In another form, the device may be inserted into the natural annulus in a collapsed or compressed state or arrangement and then be expanded within and retained by the annulus therein. In a further form, the device may be provided with a releasable connection so that the device may be connected in an insertion configuration and may be released in an operable configuration. Insertion tools and methods are also disclosed. | 12-06-2012 |
20120310288 | DYNAMIC VERTEBRAL COLUMN PLATE SYSTEM - A vertebral column construct for stabilizing a segment of a vertebral column can include first and second plate segments, and a spring connected between adjacent plate segments. The spring can be adapted and configured to provide a predetermined preload between the first and second plate segments. Such a preload can advantageously enhance fusion across a bone graft. Alternatively, the spring can be adapted and configured to resist, by a predetermined degree, loading between the first and second plate segments. A cam can be provided on one of the first and second plate segments, wherein engagement between the cam and the cam surface prevents dynamic connection between the first and second plates. The cam can be adapted and configured to adjust a preload applied between segments, such as by adjusting tension in the spring. | 12-06-2012 |
20120323279 | MINIMALLY INVASIVE SPINAL STABILIZATION METHOD - A spinal fixation assembly includes a pedicle rod and pedicle screws which secure the pedicle rod to the spine. Each pedicle screw includes a head configured to receive a portion of the pedicle rod, and a threaded portion extending from a first end of the head and configured to engage a vertebra. The pedicle rod is secured to the head by a fastener. The head includes a breakaway region that defines a location in which at least a first portion of the head can be easily separated from the remainder of the head upon application of sufficient force to the first portion. A minimally invasive method of implanting the spinal fixation assembly is disclosed. | 12-20-2012 |
20120323280 | METHODS, TOOLS AND DEVICES FOR SPINAL FIXATION - A method for spinal rod insertion includes providing a U-shaped hook tool comprising first and second legs, and inserting the first leg into a first location of a first vertebra and then pushing the hook tool along an arc-shaped path until the first leg exits through a second location of an adjacent second vertebra. Next, providing a spinal stabilization rod and a folded flexible wire comprising first and second open ends at the front end and a closed loop end. The closed loop end is attached to a first end of the spinal stabilization rod and the first and second open ends of the folded flexible wire are inserted into an open end of the second leg of the hook, and the folded flexible wire is threaded through the U-shaped hook and the first and second open ends of the flexible wire exit through an open end of the first leg. | 12-20-2012 |
20130012998 | SYSTEMS AND METHODS FOR POSTERIOR DYNAMIC STABILIZATION OF THE SPINE - Devices, systems and methods for dynamically stabilizing the spine are provided. The devices include an expandable spacer having an undeployed configuration and a deployed configuration, wherein the spacer has axial and radial dimensions for positioning between the spinous processes of adjacent vertebrae. The systems include one or more spacers and a mechanical actuation means for delivering and deploying the spacer. The methods involve the implantation of one or more spacers within the interspinous space. | 01-10-2013 |
20130012999 | DEVICE AND METHOD FOR SPINAL SURGERY - Instrumentation for fixing at least two spinal vertebrae by pedicle screw type bone anchoring implants and connecting elements via the posterior or posterolateral approach has at least one bone anchoring element designed to be fixed to a vertebra, pre-mounted with a disposable mounting tube and a sterile sealed packaging. A kit of instruments for inserting or removing a spinal implant, has at least two threaded bone anchoring elements, a rod-type or plate-type connecting element mechanically connecting the bone anchoring elements and locking elements for locking the connecting element in position in relation to the anchoring elements, in order to perform all of the surgical procedures relating to the insertion or removal of the implant, all of the required instruments are disposable and packed in a sterile manner in one or several sealed packagings. | 01-10-2013 |
20130013000 | THERAPY TO ADJACENT MOTION SEGMENTS - Disclosed are methods and apparatus for the provision of spinal therapy to three or more adjacent motion segments accessed through a trans-sacral approach. The spinal therapies include fusion and dynamic stabilization with and without a distraction of the most cephalad motion segment of the two or more adjacent motion segments provided therapy. The disclosure includes methods and apparatus to impart a distraction on a second more caudal motion segment after providing therapy to the more cephalad motion segment. | 01-10-2013 |
20130013001 | METHODS AND APPARATUS FOR MODULAR AND VARIABLE SPINAL FIXATION - A method of spinal fixation includes inserting a plurality of screws into at least three vertebral bodies of a spine, the three vertebral bodies defining first and second disc spaces therebetween, and providing a spinal rod having first and second segments that exhibit different properties of flexibility. The spinal rod is connected to the plurality of screws such that the first segment is associated with the first disc space and the second segment is associated with the second disc space. | 01-10-2013 |
20130018423 | DEVICES AND METHODS FOR POSITIONING A SPINAL FIXATION ELEMENT - Methods for delivering a spinal fixation element to a surgical site are provided herein. More specifically, the method includes delivering a plurality of percutaneous access devices to a corresponding number of spinal locations, inserting a spinal fixation element through tissue, and manipulating the element through opposed sidewall openings formed in each access device. In an exemplary embodiment, the method can be optimized for position of large-scale fixation elements (e.g., greater than about 95 mm in length). In addition, a manipulation instrument configured to position such spinal fixation elements is also provided herein. | 01-17-2013 |
20130023936 | Anterior cervical plate - An anterior cervical plate system is provided. The cervical plate includes a retention ring with a deflectable flange that is upwardly spaced from the top surface of the ring and configured to prevent an inserted bone fastener from backing out of the plate. The plate includes a locking pin having a camming surface and a blocking surface. When the camming surface is moved into position adjacent to the flange, the flange is free to flex out of the way of a bone screw being inserted into or removed from the plate. When the blocking surface is positioned adjacent to the flange, outward deflection of the flange is prevented to retain the bone screw inside the plate. The locking pin is rotated through a camming surface to bring a blocking surface against the flange deflecting the flange onto the head of the bone screw. | 01-24-2013 |
20130023937 | INTERVERTEBRAL IMPLANT - An intervertebral implant includes a first surface configured to engage a first vertebral body, a second surface configured to engage a second vertebral body, a side wall connecting the first surface and the second surface to define a hollow space of the implant, and a rotatable insert configured to be positioned in the space, wherein an elongate opening extends through the side wall into the space, and wherein the insert comprises a spring portion configured to hold the insert in the space by frictional engagement with the side wall and an engagement portion configured to engage with a tool through the opening when the insert is positioned in the space. | 01-24-2013 |
20130030471 | CROSSOVER SPINOUS PROCESS IMPLANT - A device intended for the treatment of spinal stenosis. This device is an inter-spinous spacer that is introduced through a single posterior incision. It uses a single piece insertion technique with a unilateral approach. The surgeon does not need to access the opposite side of the spinous process. It allows the user infinite adjustability in distraction height with a single locking mechanism. | 01-31-2013 |
20130030472 | BONE ANCHORED SURGICAL MESH - A bone-anchored surgical mesh has slot-like anchoring members that allow for the variable placement of screws and other bone fasteners. This permits the surgeon discretion in the placement of bone fasteners used to attach the mesh to the patient's bone. The elongate openings of the anchoring members allow for a sliding motion between the bone fasteners and the anchoring members, and facilitates positioning and articulation of the mesh. The anchoring members may include bushings to aid the sliding motion of the anchoring member on the bone fastener. In one embodiment, the mesh consists of shorter modular strips that overlap each other such that a single bone fastener is passed through two overlapping anchoring members to lock the two modular mesh strips together. Additional modular mesh strips can be added on at either end, as desired, to provide the desired length of dural coverage. | 01-31-2013 |
20130035727 | SURGICAL DEVICES AND METHODS PROVIDING SACROILIAC STABILIZATION - A surgical method is for at least one ilium having an iliac crest and inner and outer tables on opposing sides of the iliac crest. The method may include inserting at least one base into the ilium, where the at least one base has a channel therein. The method may further include inserting a support member through the ilium and through the channel of the at least one base so that the support member extends between the inner and outer tables, and securing the support member to the at least one base. | 02-07-2013 |
20130041412 | FLEXIBLE PEDICLE SCREWS - Various bone screws and methods for accommodating stiffness regions in bone are provided. The bone screw provided generally includes a receiver member configured to receive a fixation element and an elongate shank having different stiffness regions. In one embodiment, the elongate shank can include at least one slot for increasing the flexibility of the slotted portion of the elongate shank. In another embodiment, the elongate shank can be manufactured from materials selected to alter the stiffness of the shank. The different stiffness regions allow the bone screw to mimic the flexibility of bone, reducing the risk of fracture of the bone and/or loosening of the bone screw. | 02-14-2013 |
20130053894 | DEVICES AND METHODS FOR CERVICAL LATERAL FIXATION - Devices and methods are provided for treatment of the cervical spine. The devices and methods allow for treatment to be delivered from a lateral or posterior-lateral location of a subject, proximate to the cervical region of the spine. One exemplary embodiment of a spinal implant includes an elongate cage member and a plate member appended to a proximal end of the cage member. The plate member can be oriented in a manner such that it is asymmetric with respect to a long axis of the cage member. In another exemplary embodiment, an implant includes a cage member having a distal end that has an asymmetrical, bulleted shape such that the distal end is biased towards a superior or cranial direction. In a third exemplary embodiment, an implant includes a spinal fixation element and at least two mounting eyelets formed thereon. Exemplary methods related to implanting spinal implants from a lateral or posterior-lateral location are also provided. | 02-28-2013 |
20130053895 | Bone Plating System and Method - The described apparatus and method include a bone plating system comprising a plate longitudinally extending between a first plate end and a second plate end, wherein the plate further comprises a first plate surface spaced apart from an opposing second plate surface. Further, the bone plating system further includes a first spacer segment longitudinally extending between a first spacer end and a second spacer end, wherein the first spacer segment is shaped to adapt the plate to conform to an adjacent bone segment surface. | 02-28-2013 |
20130053896 | ADAPTABLE SYSTEMS, METHODS, AND DEVICES FOR PERCUTANEOUSLY IMPLANTING A SPINAL SCREW - Systems, devices, and methods for percutaneously implanting a spinal screw provide reduced trauma to soft tissues, less blood loss and postoperative pain, less scarring, and faster mobilization compared to open spinal procedures. The devices and methods provide techniques for percutaneous insertion of pedicle screws or other screws without the use of a guide wire. Screw extenders are paired and include extending branches with elongated portions for extending from a proximal end outside a patient to a distal end. The screw extenders include interlocking tabs and other locking mechanisms at the distal ends that connect at the undersurface of a screw head and include a graduated bilateral locking mechanism to ensure a positive connection between the paired extender branches. The screw extenders are used through a working channel firmly held in place by a table-mounted flexible arm. The screw extenders can be used on available pedicle screw systems to convert their insertion to a percutaneous technique. | 02-28-2013 |
20130066377 | Systems, Devices and Methods for the Correction of Spinal Deformities - Provided herein are systems, devices and methods for the correction of spinal deformities with the use one or more implantable rods configured to apply a corrective force to the spine. Methods of minimally invasive implantation of a corrective system are provided, such as where the corrective system is attached only to the spinous process of one or more vertebral bodies. Various corrective systems as well as components thereof are also provided. | 03-14-2013 |
20130072984 | FENESTRATED BONE SCREWS AND METHODS OF BONE FASTENING AND STABILIZATION - Systems, methods, and apparatuses for bone fixation are presented. In one aspect, presented herein is a screw for bone fixation, an insertion tool, and a method for stabilization across a bone joint of the spine. The bone screw has an elongate shank defining an internal longitudinal passage. The screw has an external threaded surface and a tapered distal end. The insertion tool engages the head of the screw and is used to drive the screw into the desired bone joint. | 03-21-2013 |
20130072985 | SYSTEMS AND METHODS FOR POSTERIOR DYNAMIC STABILIZATION OF THE SPINE - Devices, systems and methods for dynamically stabilizing the spine are provided. The devices include an expandable spacer or member having an unexpanded configuration and an expanded configuration, wherein the expandable member in an expanded configuration has a size, volume and/or shape configured for positioning between the spinous processes of adjacent vertebrae in order to distract the vertebrae relative to each other. The systems include one or more expandable members and an expansion medium for injection within or for filling the interior of the expandable member via the port. The methods involve the implantation of one or more devices or expandable spacers. | 03-21-2013 |
20130072986 | FENESTRATED BONE SCREWS AND METHODS OF BONE FASTENING AND STABILIZATION - Systems, methods, and apparatuses for bone fixation are presented. In one aspect, presented herein is a screw for bone fixation, an insertion tool, and a method for stabilization across a bone joint of the spine. The bone screw has an elongate shank defining an internal longitudinal passage. The screw has an external threaded surface and a tapered distal end. The insertion tool engages the head of the screw and is used to drive the screw into the desired bone joint. | 03-21-2013 |
20130072987 | INSTRUMENTS AND METHODS FOR STABILIZATION OF BONY STRUCTURES - The present invention relates to a brace installation instrument placement that is mounted to anchors secured in an animal subject. The installation instrument includes anchor extensions coupled to the anchors. The instrument is movable with respect to the anchors to position a brace in a position more proximate the anchors. The brace can be indexed for insertion at a predetermined orientation with respect to the installation instrument. Methods and techniques for using the installation instrument are also provided. | 03-21-2013 |
20130085535 | Support device and method - Devices and methods for orthopedic support are disclosed. The device can have a first rigid section hingedly attached to a second rigid section. A tunnel through the bone near the implantation target site can be created. The device can be inserted into and pass through and out of the tunnel to the target site. | 04-04-2013 |
20130096619 | Methods and Systems for Pedicle Access - A method of positioning a device for pedicle access includes securing a clip in an adjustable frame assembly and securing the device in the clip. The method also includes positioning the device at an initial position having a trajectory estimated to allow the device to penetrate a pedicle without damaging the nervous system, and determining whether the trajectory of the initial position is proper to avoid damage. Further, the method includes re-positioning the device to a new position if the trajectory of the initial position is not proper to avoid damage to the nervous system, and determining whether the trajectory of the new position is proper to avoid damage. The method also includes repeating the steps of re-positioning the device and determining whether the trajectory of the new position is proper as required until a proper trajectory is obtained. | 04-18-2013 |
20130096620 | POLYAXIAL BONE ANCHORING DEVICE WITH ENLARGED PIVOT ANGLE - A polyaxial bone anchoring device includes an anchoring element having a shank and a head, a receiving part having a first end and a second end, a central axis, and an accommodation space for accommodating the head, the accommodation space having an opening at the second end, a sleeve-like insert piece configured to be arranged around a portion of the head and to be arranged in and to pivot in the accommodation space, and a pressure member including a portion configured to exert pressure onto the head, wherein the anchoring element and insert piece are pivotable with respect to the receiving part such that respective angles formed by a central axis of the insert piece with the central axis of the receiving part and a central axis of the anchoring element are adjustable, and can be locked by exerting pressure with the pressure member onto the head. | 04-18-2013 |
20130096621 | POLYAXIAL BONE ANCHORING SYSTEM - A polyaxial bone anchoring system includes a receiving part having an accommodation space, a first anchoring element having a first head, a sleeve-like insert piece configured to be arranged around a portion of the first head and to be arranged in the accommodation space, a second anchoring element having a second head, and a pressure member configured to exert pressure onto the first head or the second head, wherein when one of the first anchoring element or the second anchoring element is connected to the receiving part, the connected anchoring element is pivotable relative to the receiving part and can be locked at an angle relative to the receiving part by exerting pressure with the pressure member onto the respective head of the connected anchoring element, and wherein the first bone anchoring element and the second bone anchoring element are configured to be interchangeably connectable to the receiving part. | 04-18-2013 |
20130096622 | POLYAXIAL BONE ANCHORING DEVICE - A polyaxial bone anchoring device includes an anchoring element having a shaft and a head, a receiving part having a first end and a second end, a bore extending from the first end towards the second end, a seat for receiving the head, and at least one threaded through hole transverse to the bore, a pressure element to exert pressure onto the head, such that the head is pivotable and can be locked at an angle relative to the receiving part, the pressure element having at least one hole configured to at least partially align with the through hole, and at least one set screw threadable into the through hole to engage the pressure element at the hole such that a force is exerted by the pressure element onto the head that maintains the head at an adjustable angular position relative to the receiving part by friction. | 04-18-2013 |
20130096623 | POLYAXIAL BONE ANCHORING DEVICE WITH ENLARGED PIVOT ANGLE - A polyaxial bone anchoring device includes a bone anchoring element having a shank and a head, a receiving part including a rod receiving portion, and a head receiving portion having a first end and an open second end with a bounding edge, wherein the head receiving portion is configured to be rotatably connected to the rod receiving portion and is flexible for introduction and clamping of the head, and a locking ring configured to be mounted around the head receiving portion, wherein the head is insertable into the head receiving portion from the second end, is pivotable in the head receiving portion at a larger maximum pivot angle relative to the receiving part at a first location of the bounding edge, and can be locked at an angle relative to the receiving part by compressing the head receiving portion with the locking ring. | 04-18-2013 |
20130096624 | SYSTEM AND METHODS FOR CORRECTING SPINAL DEFORMITIES - A spinal alignment system is disclosed that includes a rod and a plurality of uniplanar screw assemblies that include a screw, a cap, and a housing. The screw and cap are configured such that the relative angular displacement between the screw and the cap is limited to a first limit angle in a first plane and to a second limit angle in a second plane that is perpendicular to the first plane, the second limit angle being larger than the first limit angle. The housing is coupled to the cap and configured to maintain the cap in proximity with the head of the screw. The housing has two elongated elements forming a U-shaped saddle. The alignment system also includes a plurality of locking cap assemblies that capture the rod within the U-shaped saddle and are tightened to fixedly couple the rod to the respective uniplanar screw assemblies. | 04-18-2013 |
20130096625 | SURGICAL ROD SCORER AND METHOD OF USE OF THE SAME - A surgical rod scorer is provided. The surgical rod scorer includes a pair of elongated shaft members that are pivotably coupled to one another and movable from a spaced-apart configuration to an approximated configuration. Each of the shaft members includes a handle member that is configured for gripping by a user and jaw member that is configured to support respective first and second cutting assemblies thereon. The first and second cutting assemblies each include one or more cutting elements thereon configured and dimensioned to score surgical rod when the jaw members are in the approximated configuration and rotated about the surgical rod. | 04-18-2013 |
20130096626 | PIVOTING 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. | 04-18-2013 |
20130096627 | SYSTEM AND METHOD FOR COOLING A SPINAL CORRECTION DEVICE COMPRISING A SHAPE MEMORY MATERIAL FOR CORRECTIVE SPINAL SURGERY - A device and method of correcting a spinal defect in a patient employs the use of shape memory material in a spinal correction device. The shape memory material may be transitioned between a flexible martensitic state to allow shaping of the spinal correction device and a rigid austenitic state to apply corrective forces to the spine. The shape memory material may be transitioned to the flexible martensitic by applying a coolant, such as cold gas, directly or indirectly to the shape memory material to transfer heat away from the material. The cooling device and method may allow for in-vivo shaping of the spinal correction device while inserted in the body and attached to bone anchors by cooling the spinal correction device after insertion. | 04-18-2013 |
20130103094 | SPINAL IMPLANT SYSTEM AND METHOD - A spinal implant system includes a first member including at least one wall, which includes a first axial end surface, a second axial end surface and an outer surface including a locking cavity. A second member includes a first extension defining an inner surface and a second extension defining an inner surface, the inner surfaces defining a first cavity therebetween. At least one of the inner surfaces includes a first angled portion and a second angled portion. A third member is disposed in the first cavity, and includes a first arm and a second arm, at least one of the arms includes a protrusion. The third member is configured for axial translation relative between a first orientation and a second orientation. Methods of use are disclosed. | 04-25-2013 |
20130103095 | Facet Screw System and Method - A facet screw system and method includes an implant assembly having a screw with a removable head, a locking nut, and a collet. An insertion instrument is used to insert the screw, compress the facet joint, locks the implant, and breaks off the head of the screw providing a lower profile implant. | 04-25-2013 |
20130110173 | ATTACHMENT MECHANISM FOR MATERIAL AND BONE | 05-02-2013 |
20130110174 | METHODS FOR INSTALLING A VERTEBRAL CONSTRUCT | 05-02-2013 |
20130116732 | Method for Locking an Artificial Facet Between Two Vertebral Bodies - A bone screw ( | 05-09-2013 |
20130131732 | DYNAMIC ANTERIOR VERTEBRAL PLATE - A spinal fixation system includes a low profile dynamic anterior vertebral body plate and bone screws for the fixation and stabilization of the cervical spine. The system has a locking element through which the bone screw passes and the locking element is capable of movement relative to the plate when the bone screws are fully inserted and in a locked position. | 05-23-2013 |
20130144343 | Sacroiliac Fusion Cage - Devices for sacroiliac joint fusion may be implanted from an anterior, posterior, or lateral approach. Multiple devices may be used in a single fusion procedure. Some examples include blade anchors which extend from a central beam, pin, cage, or body. | 06-06-2013 |
20130150896 | METHODS FOR PERCUTANEOUSLY ATTACHING A CROSS CONNECTOR TO CONTRALATERAL SPINAL CONSTRUCTS - Methods and techniques for attaching a cross connector to a pair of contraterally implanted spinal rods in a patient are disclosed. In one arrangement, the cross connector is subcutaneously placed to interconnect contralaterally to a pair of rod connectors that are percutaneously attached respectively to a pair of rods in existing spinal constructs implanted on opposite sides of spine. | 06-13-2013 |
20130150897 | DYNAMIC CERVICAL PLATE - A dynamic subsidence plate is described having a first plate member and a second plate member in sliding engagement that may infinitely subside between a first and second assembled position. The plate includes a lock assembly associated with the first and second plate members. The lock assembly includes a ramp portion, an interference portion, and a bearing member situated between the ramp portion and the interference portion. The lock assembly of the plate is configured to allow movement of the first member with respect to the second member in a first direction in an infinite number of positions between a first assembled position and a second assembled position. Further, the lock assembly alternatively prevents movement of the first member with respect to the second member in an opposite second direction between the first and second assembled positions. | 06-13-2013 |
20130150898 | VERTEBRAL OSTEOSYNTHESIS ASSEMBLY FORMED BY A VERTEBRAL OSTEOSYNTHESIS MATERIAL AND INSTRUMENTS FOR PLACING SAID MATERIAL - In this assembly; each connecting piece comprises engaging means situated outside said conduit for engaging a connecting bar and outside said conduit for engaging on an anchor member, making it possible to grasp said connecting piece using a handling instrument. The assembly comprises at least one handling instrument comprising engaging means complementary to those comprised by each connecting piece. According to the invention, each anchor member is equipped with a proximal shaft, the length of which is such that it protrudes past the patient's skin after implantation of said anchor member on a vertebra. Each handling instrument is tubular and can be engaged on the proximal shaft of each anchor member so as to allow the movement of a connecting piece grasped by the instrument along the proximal shaft of each anchor member. | 06-13-2013 |
20130172938 | OCCIPITO-CERVICAL FIXATION ASSEMBLY AND METHOD FOR CONSTRUCTING SAME - An implantable orthopedic assembly comprises an occipital plate and one or more repositionable clamping assemblies for securing a stabilizing rod to the plate. When unlocked, the clamping assembly may be laterally and rotationally repositioned along a supporting rail. Locking occurs when a stabilizing rod is secured in the clamping assembly. The rod exerts a force upon a locking component, causing the locking component to exert a force upon the supporting rail. This force pulls a surface of the clamping assembly base into contact with the rail, effectively locking the clamping assembly base at a fixed position. The clamping assembly may further comprise a loading component to exert a stabilizing force on the locking component, keeping the clamping assembly positionally stable while adjustments are made prior to locking. | 07-04-2013 |
20130172939 | PLATE/SCREW LOCKING MECHANISM DEVICES, SYSTEMS AND METHODS - The present disclosure relates, in some embodiments, to locking mechanisms for a fastener (e.g., a bone screw) and associated devices, systems, and methods. According to some embodiments, a lockable bone plate assembly may comprise, for example, a bone plate and a bone screw assembly. A bone plate may comprise, in some embodiments, at least one through hole, the at least one through hole having at least one bone plate hole circumferential recess. According to some embodiments, a bone screw assembly may comprise (a) a bone screw, (b) at least one deployable protrusion, and/or (c) a protrusion driver. The present disclosure further relates, in some embodiments, to methods for bone (e.g., vertebral) fixation. For example, a method may comprise contacting at least a portion of a spine (e.g., cervical spine) of a subject with a lockable bone plate assembly. | 07-04-2013 |
20130172940 | SYSTEM AND METHOD FOR CORRECTION OF A SPINAL DISORDER - A surgical system and method for fusionless correction of a spine disorder are provided. The method comprising the steps of: providing access to a spine; providing a longitudinal element extending between a first end including a first fixation element and a second end including a second fixation element; engaging the first fixation element with a first costovertebral surface and engaging the second fixation element with a second costovertebral surface such that the longitudinal element is disposed in a costotransverse orientation along a selected section of the spine; and preventing growth of the selected section of the spine with the longitudinal element. | 07-04-2013 |
20130184762 | Systems for Spinal Stabilization - Systems, devices and methods related to spinal stabilization are provided. A system can comprise a plurality of cross-links. Each of the cross-links can include a central rod holder that extends substantially along a mid-line of the spine and a pair of extension members extending from the central rod holder. The extension members can be secured to a vertebral body via a fixation device, such as a spinal screw or a hook member having serrations and/or side-cuts. One or more rod members can be extended across the central rod holders of the cross-links, thereby forming a stable spinal stabilization system providing bilateral stress distribution across different levels of the spine. | 07-18-2013 |
20130184763 | ROD REDUCER, COMPRESSOR, DISTRACTOR SYSTEM - A compressor/distractor system for operating on a spine is disclosed. The system includes two rod reducers which each advance a spinal rod into the shoulder portion of a pedicle screw. Each rod reducer includes an inner member, an outer member, and a pair of gripping members. Each outer member receives and advances the spinal rod into the pedicle screw. The outer member also includes a through slot which receives the proximal end of each of the pair of gripping members which may limit the longitudinal translation of the outer member with respect to the inner member. The compressor/distractor system may include a compressor/distractor device which has a compressing, a distracting, and a neutral configuration. A method for using the minimally invasive rod reducers with the compressor/distractor system to secure at least two pedicle screws in desired positions on a spinal rod is also disclosed. | 07-18-2013 |
20130197587 | DEVICE 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. | 08-01-2013 |
20130197588 | BONE FIXATION SYSTEMS AND METHODS OF IMPLANTATION - A bone plate system is adapted to be attached to bone. The system includes a base plate having at least one aperture for location adjacent to a bone member and a bone screw sized to be inserted through the aperture such that the bone screw sits within a seat of the aperture for engaging the bone member. A retainer member is adapted to transition between a deployed state wherein the retainer member at least partially blocks the aperture for retaining the bone screw in the seat, and an undeployed state wherein the bone screw permits the bone screw to be inserted into the aperture. The retainer member automatically transitions to the undeployed state as the bone screw is inserted into the aperture and automatically transitions to the deployed state once the bone screw is seated within the seat. | 08-01-2013 |
20130218209 | SPINAL DYNAMIC STABILIZATION SURGICAL METHOD - A surgical method for distracting adjacent spinal vertebrae or spinal process is disclosed. The steps of the method includes: inserting a device between the adjacent spinal vertebrae or the spinous processes, wherein the device includes at least a main portion and a stabilizing portion; and providing at least two contacts between the device and the adjacent vertebrae or the spinous processes, wherein the contacts are located on a side of vertebrae, or spinous process. | 08-22-2013 |
20130226244 | Implant Inserter - An apparatus for inserting an implant between vertebrae includes a body having a through bore, a central shaft movable within the through bore, the central shaft having a proximal end and a distal end. The apparatus includes a pair of distractor arms having proximal portions and distal portions, the proximal portions pivotally coupled to the body and distal portions for engagement between the vertebrae. Tracking slots are formed in and extend through surfaces of and along a longitudinal axes of the distractor arms and an attachment tip is operably connected to the central shaft, the attachment tip is configured to grip the implant. The apparatus includes a single guide member projecting outward from the attachment tip and the attachment tip is removably connectable to the central shaft in multiple configurations. | 08-29-2013 |
20130226245 | SEMI-CONSTRAINED BONE SCREW - A bone screw for attaching a bone plate to bone includes a shank defining a lumen extending at least partially therethrough from a proximal end thereof, a head defining a lumen therethrough, and a rod member. The rod member is configured for insertion through the lumen of the head and into the lumen of the shank. The rod member is fixedly engageable with the shank and moveably coupled to the head such that both the rod member and the shank are moveable with respect to the head. | 08-29-2013 |
20130226246 | SPINAL 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. | 08-29-2013 |
20130231705 | Bone Plate Holder - An instrument for holding a bone plate may include a first arm, a second arm connected to and adjustable relative to the first arm, a first connection tip at the distal end of the first arm configured to connect to the first side wall of the bone plate, and a second connection tip at the distal end of the second arm configured to connect to the second side wall of the bone plate. A stabilizing member is connected to the first connection tip. The stabilizing member is distally spaced apart from the first connection tip to form an opening for receiving a portion of bone between the first connection tip and the stabilizing member. | 09-05-2013 |
20130238031 | APPARATUS, SYSTEMS AND METHODS FOR ACHIEVING ANTERIOR LUMBAR INTERBODY FUSION - Assemblies of one or more implant structures make possible the achievement of diverse interventions involving the fusion and/or stabilization of lumbar and sacral vertebra in a non-invasive manner, with minimal incision, and without the necessitating the removing the intervertebral disc. The representative lumbar spine interventions, which can be performed on adults or children, include, but are not limited to, lumbar interbody fusion; translaminar lumbar fusion; lumbar facet fusion; trans-iliac lumbar fusion; and the stabilization of a spondylolisthesis. | 09-12-2013 |
20130245692 | SPONDYLOLISTHESIS REDUCTION SYSTEM - A system for reducing deformities in the spine includes a first tower assembly and a second tower assembly. The first tower assembly includes a first tower that couples to a first screw in a first vertebral level, a load transfer ring rotatable coupled to the first tower, and a load transfer link rotatably coupled to the load transfer ring. The second tower assembly includes a second tower that couples to a second screw in a second vertebral level, a load applicator secured to the second tower, and a load transfer member rotatably coupled to the second tower and linked to the load transfer link. The load applicator applies force to the load transfer member to position the first tower assembly relative to the second tower assembly. | 09-19-2013 |
20130245693 | VERTEBRAL FACET JOINT PROSTHESIS AND METHOD OF FIXATION - Devices and methods for altering the spacing and motion at the facet joints of the vertebral column are provided. One embodiment of the invention comprises a prosthesis with surfaces configured to articulate with the facets of the facet joint. A retaining member for anchoring the prosthesis within the facet joint is optionally included. Methods for surgically and less invasively implanting the prosthesis and securing the prosthesis to the articular processes or surrounding soft tissue are also provided. | 09-19-2013 |
20130245694 | APPARATUS 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. | 09-19-2013 |
20130253590 | SIDE-BIASED ORTHOPEDIC FASTENER RETENTION - Methods and devices are disclosed for treating the vertebral column. An integrated fixation plate and spacer having a retaining structure within the screw holes of the fixation plate to resist backout of screws attaching the fixation plate to the bone is provided. A movable joint may be provided between the fixation plate and spacer. In some embodiments, a screw hole insert is also provided to resist shear forces acting between the screw and fixation plate. In some embodiments, an integrated fixation plate and spacer system is provided, comprising two or more integrated fixation plate and spacer implants, wherein the fixation plates of each implant has a complementary configuration to allow attachment of the implants at adjacent intervertebral spaces. Alternative fixation systems are also contemplated. | 09-26-2013 |
20130253591 | Percutaneous posterolateral spine fusion - A method, tools, and system for performing a percutaneous or minimally invasive spine fusion procedure are provided. A trocar and then dilator are used to create a channel for a hollow and longitudinally slit delivery tube. The method includes inserting a decorticator, such as a rasp, via a delivery tube, decorticating a first region of a first bone associated with a spine, and pushing a bone fusion substance via the delivery tube to the region to fuse the first region with a second region of a second bone associated with the spine. The spine fusion may be a posterolateral fusion and the first region may be a transverse process region of a lumber spine. The bone fusion substance may be pushed using a pusher instrument inserted into the delivery tube, and the delivery tube may be removed while the pusher instrument is held in place to direct the bone fusion substance. | 09-26-2013 |
20130261669 | NON-PEDICLE BASED INTERSPINOUR SPACER - Methods for non-pedicle spinal fixation. In some implementations, at least one plate member may be placed between an upper spinous process and a lower spinous process of a spine. At least one scissoring element coupled to the at least one plate member may then be positioned to contact opposing lateral surfaces of the upper spinous process and to contact opposing lateral surfaces of the lower spinous process. The at least one scissoring element may then be locked into place to stabilize the spinous processes. | 10-03-2013 |
20130268007 | SPINAL IMPLANT MEASURING SYSTEM AND METHOD - A method for measuring a spinal implant comprises the steps of: providing a device including a gauge configured to measure an angle in a measuring plane and extending to an engagement surface; disposing the engagement surface with a first selected position of an implant or an anatomy, the first selected position being disposed at a first orientation; calibrating the gauge to a zero angle measurement at the first orientation; disposing the engagement surface with a second selected position of the implant or the anatomy, the second selected position being disposed at a second orientation; and measuring an angle of the second orientation relative to the first orientation such that the gauge determines the angle relative to the zero angle measurement. Various devices are disclosed. | 10-10-2013 |
20130268008 | Zero-Profile Interbody Spacer and Coupled Plate Assembly - An implant for insertion into the disc space between vertebrae. The implant including a spacer portion, a plate portion coupled to the spacer portion, a plurality of bone fixation elements for engaging the vertebrae and a retention mechanism for preventing the bone fixation elements from postoperatively uncoupling from the implant. | 10-10-2013 |
20130274809 | METHODS AND APPARATUS FOR STABILIZING A SPINAL SEGMENT - One or more sutures can be used in spinal applications to hold an intradiscal device in place between two vertebrae or repair a defect in the soft tissue of the spine, such as the annulus fibrosis or the dura. Tension can also be applied to the sutures to stabilize a spinal segment having an intradiscal device to prevent or minimize excessive spinal extension, lateral bending, and axial rotation of the spinal segment. Anchors are placed in two adjacent vertebrae and sutures are passed through each anchor. The sutures can be passed through portions of the intradiscal device, Alternatively, the sutures can be passed through a mesh patch which is held against the vertebrae to hold the intradiscal device in place. Tension is applied to the first and second ends of the sutures and the sutures are welded together. The sutures can be welded in a cross-braced arrangement minimize or prevent extension, lateral bending, and rotation of the spinal segment. For example, the sutures can be welded in a diagonal pattern, a horizontal pattern, a vertical pattern or any combination thereof across the adjacent vertebrae. | 10-17-2013 |
20130274810 | SPINAL FIXATION PLATES - Spinal fixation plates for maintaining adjacent vertebrae in and fixed position are provided. In an exemplary embodiment, the plate includes opposed superior and inferior portions that are angled in a direction anterior to an anterior face of a mid-portion of the plate. The plate also includes a curvature formed therein about a longitudinal axis in a sagittal plane thereof. In use, when the plate is attached to adjacent vertebrae, the angle of the superior and inferior portions and the curvature in the plate are effective to position one or more thru-bores formed in the superior and inferior portions at the anterior rims of the adjacent vertebrae. In another embodiment, a spinal fixation plate is provided that is adapted to engage and mate to a fusion cage or other vertebral implant disposed between adjacent vertebra. The present invention also provides spinal fixation kits or assemblies, and methods for implanting the same. | 10-17-2013 |
20130289624 | Modular Multi-Level Spine Stabilization System and Method - A multi-level spine stabilization system is formed by providing a plurality of securing members, providing a plurality of rod segments configured to extend between the plurality of securing members, selecting a first rod segment from the plurality of rod segments based upon a first distance between a first vertebra and an adjacent second vertebra, selecting a second rod segment from the plurality of rod segments based upon a second distance between the second vertebra and an adjacent third vertebra, attaching a first, a second, and a third of the plurality of securing members to the first, the second, and the third vertebrae, respectively, forming a rod using the first and second rod segment, and attaching the rod to the first, the second, and the third securing members. | 10-31-2013 |
20130289625 | APPARATUS, SYSTEMS, AND METHODS FOR STABILIZING A SPONDYLOLISTHESIS - Assemblies of one or more implant structures make possible the achievement of diverse interventions involving the fusion and/or stabilization of lumbar and sacral vertebra in a non-invasive manner, with minimal incision, and without the necessitating the removing the intervertebral disc. The representative lumbar spine interventions, which can be performed on adults or children, include, but are not limited to, lumbar interbody fusion; translaminar lumbar fusion; lumbar facet fusion; trans-iliac lumbar fusion; and the stabilization of a spondylolisthesis. | 10-31-2013 |
20130304131 | METHODS FOR PERCUTANEOUSLY EXTENDING AN EXISTING SPINAL CONSTRUCT - Methods and techniques for adding an additional spinal construct in a patient are disclosed. In one arrangement the additional spinal construct extends an existing spinal construct ipsilaterally with an inline rod connector in a minimally invasive or preferably, percutaneous procedure. In another arrangement, the ipsilateral extension of an existing spinal construct uses an offset rod connector for receiving an additional spinal rod that may be placed interiorly or exteriorly of the existing spinal construct. | 11-14-2013 |
20130310878 | CERVICAL DISTRACTION/IMPLANT DELIVERY DEVICE - Systems for distracting a facet joint and positioning a permanent implant in the joint are disclosed. The implants serve to retain a distracted position of the facet joint which is achieved with positioning of the leading end of a distraction tool in the facet joint and then distracting or enlarging the joint a desired amount. The permanent implant could be part of the distraction mechanism which can be separated from the delivery tool once the joint has been distracted or an auxiliary implant may be positioned before the distraction mechanism is removed from the distracted joint. The permanent implants can be solid, mechanical devices that may have fixation means thereon to hold them in place or injected fluids such as hydrogels or fluids confined within balloons. | 11-21-2013 |
20130317550 | SPINAL IMPLANT DEVICE WITH FUSION CAGE AND FIXATION PLATES AND METHOD OF IMPLANTING - There is provided a spinal implant device for placement between adjacent spinous processes and a pair of opposing facet joints. The spinal implant device includes a fusion cage, first and second fixation plates and a connector for connecting the cage to the plates. The fusion cage includes a superficial face, a deep face, superior and inferior saddle portions, and opposing cage ends. Each cage end defining a facet fusion surface sized and configured to respectively contact the opposing facet joints. The first and second fixation plate are sized and configured to extend along and in contact with the adjacent spinous processes. A method of implanting the device is provided. In another embodiment the device includes the fusion cage. | 11-28-2013 |
20130317551 | METHODS FOR STABILIZING BONE USING SPINAL FIXATION DEVICES - In one embodiment, the present invention includes a method of stabilizing a spine including providing a coupling element having an uppermost end defining a first plane, a lowermost end defining a second plane, and at least one bore extending from said uppermost end toward said lowermost end, wherein said first and second planes intersect one another, assembling said coupling element with an anchoring element, and after the assembling step, securing said anchoring element in bone. | 11-28-2013 |
20130317552 | METHODS AND DEVICES FOR SPINAL FIXATION ELEMENT PLACEMENT - Minimally invasive methods and devices are provided for positioning a spinal fixation element in relation to adjacent spinal anchors. In an exemplary embodiment, the device is a percutaneous access device that can be coupled to a spinal anchor, and the method includes the step of positioning a spinal fixation element through at least one sidewall opening of at least two percutaneous access devices such that the spinal fixation element extends in a lengthwise orientation that is substantially transverse to the longitudinal axis of each percutaneous access device. The spinal fixation element can then be advanced in the lengthwise orientation to seat the spinal fixation element in or adjacent to the receiver heads of at least two adjacent spinal anchors. A fastening element or other closure mechanism can then be applied to each spinal anchor to engage the spinal fixation element within the receiver heads of the adjacent anchors. | 11-28-2013 |
20130317553 | METHODS AND SYSTEMS FOR CONSTRAINT OF SPINOUS PROCESSES WITH ATTACHMENT - Spinal implants for limiting flexion of the spine are implanted between a superior spinous process and an inferior spinous process or sacrum. The implants include upper straps which are placed over the upper spinous process, while the lower portions of the implant are attached to the adjacent vertebra or sacrum. The attachments may be fixed, for example using screws or other anchors, or may be non-fixed, for example by placing a loop strap through a hole in the spinous process or sacrum. | 11-28-2013 |
20130325071 | Aligning Vertebral Bodies - Misaligned bones on opposite sides of a joint are aligned using a first rigid extension securable to one of the misaligned bones using a particular surgical approach, and a second rigid extension having a contacting surface positionable in contact with the other the two misaligned bones from the same surgical approach. The first and second rigid extensions are moved with respect to each other using a lever, whereby a pulling force is exerted on one of the bones, and a pushing force on the other, thereby aligning the first and second misaligned bones. | 12-05-2013 |
20130331892 | MINIMALLY INVASIVE INSTRUMENT SET, DEVICES AND RELATED METHODS - Methods of applying a locking cap to a bone anchor assembly. The bone anchor assembly includes a bone anchor and an elongate rod. The bone anchor includes a body that defines a channel and has a tissue retractor coupled thereto that defines a partial pathway to the channel. | 12-12-2013 |
20130338717 | MONOAXIAL AND POLYAXIAL PEDICLE SCREWS AND RELATED METHODS - Methods for installing bone anchors, such as pedicle screws or other surgical screws. In some implementations, the surgical screw may be coupled with a connection member, such as a tulip assembly, configured to couple the surgical screw with a stabilization member, such as a spinal fixation rod. The connection member may be initially coupled with the surgical screw in a polyaxial configuration, after which the connection member may be secured to the surgical screw in a monoaxial configuration. The stabilization member may then be coupled and secured with the connection member such that the stabilization member cannot move relative to the connection member. In some implementations, the stabilization member may be locked or secured to the connection member after the connection member has been secured to the surgical screw in a monoaxial configuration. | 12-19-2013 |
20130345757 | Image Guided Intra-Operative Contouring Aid - A method of contouring spinal rods, and systems therefor. The surgeon uses image guided surgery instruments to identify the locations of the screw heads through which the rod will pass. These locations allow a computer to form a best fit line that corresponds to the shape of a rod that can pass through the screw heads. This best fit line is then displayed on a projection table from both its coronal and sagittal views. The surgeon then shapes the rod using these 2-D images as a template. | 12-26-2013 |
20130345758 | POLYAXIAL BONE ANCHORING DEVICE - A polyaxial bone anchoring device is provided, comprising a bone anchoring element having a shank, a head, a receiving part for pivotably receiving the head, and a channel for receiving a rod; a pressure member configured to be arranged in the receiving part and to exert pressure onto and lock the head; a locking assembly insertable into the channel, the locking assembly comprising a first locking member having a bore; a second locking member to be provided in the bore, wherein, when the second locking member is rotated, in a first configuration, the first locking member and the second locking member are rotationally fixed relative to each other and the first locking element is advanced to contact the pressure member and in a second configuration, the second locking member is rotatable within the first locking member and the second locking member is advanced to contact the rod. | 12-26-2013 |
20130345759 | SPINAL ROD LOCKING HOLDER - A spinal rod locking holder includes an outer body, a handle assembly at a proximal end of the outer body, a locking assembly within a distal portion of the outer body, and a sprocket assembly at the distal end of the outer body. The handle assembly includes a moveable handle operatively associated with the sprocket assembly to selectively engage and release an end of a spinal rod. The locking assembly including a bearing operatively associated with a pawl such that when the moveable handle is compressed the bearing extends the pawl into contact with an outer surface of the sprocket assembly. The sprocket assembly including sprocket sections configured to compress against the end of the spinal rod when the pawl engages the outer surface of the sprocket assembly. | 12-26-2013 |
20140005727 | MINIMAL-PROFILE ANTERIOR CERVICAL PLATE AND CAGE APPARATUS AND METHOD OF USING SAME | 01-02-2014 |
20140012321 | PERCUTANEOUS ROD INSERTER - 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 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. | 01-09-2014 |
20140012322 | Bone Screw - The present invention provides a bone screw which can be used for fixation and/or fastening of prosthetic devices or instruments to bone tissue whose structure or dimensions differ from one region to another. In particular, the present invention provides a bone screw which is designed to optimize purchase in both the cancellous and cortical regions of a vertebral body. In an exemplary embodiment, the bone screw has a distal portion and a proximal portion in which the diameter of the thread on the proximal portion of the screw is greater than the diameter of the thread on the distal portion of the screw. | 01-09-2014 |
20140012323 | MULTI-AXIAL BONE PLATE SYSTEM - An orthopedic bone plate system includes a bone plate for placement adjacent one or more vertebral bodies. The system further includes a locking element including a compression member and a fixation member, the compression member having an aperture and a deformable portion. Also included is a bone fastener having a bone engaging portion and a stem portion. The stem is slidably receivable within the aperture of the compression member while the locking member is receivable within an aperture of the bone plate. As the compression member is brought into proximity of a vertebral body along the longitudinal axis of the bone fastener, an increasing force is exerted against the fixation member and translated to the bone plate. The resultant force is translated back to the fixation member to the compression member which causes the deformable portion of the compression member to clamp the bone fastener relative to the bone plate. | 01-09-2014 |
20140012324 | Anterior Cervical Instrumentation Systems, Methods and Devices - Anterior cervical instrumentation systems, methods, and devices are disclosed. Systems may facilitate immobilizing or providing support for the cervical portion of the vertebral column of a patient. A device may comprise a plate having two channels located in a proximal to distal direction, and may further comprise at least one aperture. The device may further comprise attachment elements such as attachment cross-links and spacer cross-links, and fasteners. The plate and the attachment elements may be secured to the vertebrae by passing fasteners through apertures and channels. The length of the plate, position and number of the attachment cross-links, position and number of spacer cross-links and degree of movement may be intraoperatively selected by the surgeon to provide an optimal application and procedural outcome. Uniform components of the devices and systems allow for a more streamlined and simplified method of treating spinal conditions. | 01-09-2014 |
20140012325 | SYSTEMS AND METHODS FOR STABILIZING A FUNCTIONAL SPINAL UNIT - Systems and methods for controlling motion and physiologic load sharing across a functional spinal unit defined by a pair of adjacent vertebrae and an intervertebral disc therebetween are provided. The systems may comprise a first component for repairing or replacing a disc nucleus, without substantially disrupting the annulus. A second component may be provided for attachment to the adjacent vertebrae, the second component being configured to control movement of the vertebrae relative to one another. The first and second components may be configured to cooperate simultaneously to control motion and collectively distribute physiologic load sharing across the functional spinal unit. | 01-09-2014 |
20140012326 | SURGICAL TETHER APPARATUS AND METHODS OF USE - A spinal treatment system includes a constraint device having an upper tether portion, a lower tether portion and a compliance member coupled therebetween. The upper tether portion is coupled with a superior spinous process of a spinal segment in a patient and the lower tether portion is coupled with an inferior spinous process or sacrum of the spinal segment. The length or tension in the constraint device is adjustable so that the construct of the tether portions and the compliance member provides a force resistant to flexion of the spinal segment. The system also includes a first prosthesis coupled with the spinal segment, wherein the constraint device modulates loads borne by the prosthesis or by tissue adjacent thereto. | 01-09-2014 |
20140018860 | PERCUTANEOUS COMPRESSION AND DISTRACTION SYSTEM - A compression and distraction shaft assembly applies compression and distraction to bones including vertebrae. Shaft A assembly and shaft B assembly are attached together via a polyaxial fulcrum. The polyaxial fulcrum allows all rotational degrees of freedom between shaft A assembly and shaft B assembly. Such fulcrum, during compression and distraction, does not impart ancillary stresses or motion to vertebrae. An hourglass-shaped bore for engaging pliers is formed in approximately middle of both the shaft A assembly and the shaft B assembly. Distraction pliers having cylindrical tips are used to apply distraction to vertebrae. Once handles are pressed to impart an appropriate amount of distraction to the vertebrae, they are locked in this position. Compression pliers having cylindrical tips are used to apply compression to vertebrae. Once handles are pressed to impart an appropriate amount of compression to the vertebrae, they are locked in this position. | 01-16-2014 |
20140018861 | Methods for Correction of Spinal Deformities - A method of treating a spinal column shape deformation includes fixing at least two fixation screw assemblies to respective vertebrae, sliding a rod between the arm extensions on each of the fixation screw assemblies, swinging the channels of the screw assemblies relative to the fixation screws so that the channels become less inclined to the axes of the fixation screws, and so that the rod is located generally posteriorly of the spinal column, locking the channel against swinging relative to the screw, rotating the rod about its axis relative to at least one of the channels, and locking the rod against movement relative to the channel. | 01-16-2014 |
20140025121 | SYSTEMS AND METHODS FOR GUIDING ANCHORS FOR FACET FIXATION - Apparatus and methods for spinal surgery include a retractor with an elongated body extending along a longitudinal axis between a distal end and an opposite proximal end. The retractor defines a passage between the distal and proximal ends and a window opening into the passage adjacent to the distal end. The apparatus also includes a guide member extending laterally from the proximal end of the retractor and the guide member includes a body extending along an arc. The body defines a number of trajectories each intersecting the window of the retractor. The apparatus further includes an instrument removably mounted to the guide member and the instrument is movable along the guide member and securable to the guide member in any one of the number of trajectories so that the instrument can be moved along the selected trajectory through the window. | 01-23-2014 |
20140025122 | MAGNETICALLY LEVITATED SPINOUS PROCESS IMPLANTS AND METHODS THEREOF - A device for treatment of the spine comprising one or more vertebral attachments, in which the vertebral attachments contain one or more magnets that provide physiologic attractive or repulsive forces to affect the interaction between adjacent vertebrae. The vertebral attachments may also comprise one or more connecting components that affix the magnets to the vertebrae. In addition, there are methods for treatment of the spine comprising implantation of the device. | 01-23-2014 |
20140031874 | MINIMALLY INVASIVE DEVICES, SYSTEMS AND METHODS FOR TREATING THE SPINE - Devices and methods are provided for surgical retraction with a minimally invasive, maximum access surgical system. The surgical system can include anchor extensions that can be attached to bone screws. The bone screws can be inserted into a pedicle of a vertebral body. A retractor can be attached to anchor extensions connected to adjacent vertebrae on an operational side, and the retractor can be attached to anchor extensions connected to adjacent vertebrae on a contralateral side. The retractor can be used to distract the vertebral disc space between the adjacent vertebrae. | 01-30-2014 |
20140031875 | Transverse Connector - A transverse connector system having a first and a second locking element. The present invention also provides transverse rod having opposing first and second ends, the first end being retained within a portion of the first locking element and the second end being retained within a portion of the second locking element. The first locking element is configured with a connector body for engaging and capturing an elongated rod and a transverse rod simultaneously. | 01-30-2014 |
20140039557 | SYSTEM 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. | 02-06-2014 |
20140039558 | SURGICAL TETHER APPARATUS AND METHODS OF USE - Methods and apparatus for controlling flexion in a spinal segment of a patient include performing a spinal fusion procedure on a pair of adjacent vertebrae in the spinal segment and implanting a constraint device into the patient. Adjusting length or tension in the constraint device allows the constraint device to provide a force a force resistant to flexion of the spinal segment undergoing fusion. The constraint device also modulates loads borne by the spinal segment undergoing fusion or tissue adjacent thereto. | 02-06-2014 |
20140039559 | SYSTEM AND METHOD FOR CORRECTION OF A SPINAL DISORDER - A surgical system and method for fusionless correction of a spine disorder are provided. The method comprising the steps of: providing access to a spine; providing a longitudinal element extending between a first end including a first fixation element and a second end including a second fixation element; engaging the first fixation element with a first costovertebral surface and engaging the second fixation element with a second costovertebral surface such that the longitudinal element is disposed in a costotransverse orientation along a selected section of the spine; and preventing growth of the selected section of the spine with the longitudinal element. | 02-06-2014 |
20140046375 | OCCIPITO-CERVICAL FIXATION ASSEMBLY AND METHOD FOR CONSTRUCTING SAME - An implantable orthopedic assembly comprises an occipital plate and one or more repositionable clamping assemblies for securing a stabilizing rod to the plate. When unlocked, the clamping assembly may be laterally and rotationally repositioned along a supporting rail. Locking occurs when a stabilizing rod is secured in the clamping assembly. The rod exerts a force upon a locking component, causing the locking component to exert a force upon the supporting rail. This force pulls a surface of the clamping assembly base into contact with the rail, effectively locking the clamping assembly base at a fixed position. The clamping assembly may further comprise a loading component to exert a stabilizing force on the locking component, keeping the clamping assembly positionally stable while adjustments are made prior to locking. | 02-13-2014 |
20140052191 | Derotation 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. | 02-20-2014 |
20140058453 | Prosthetic Ligament Having a Helical Bone Fastener - An intervertebral connection system wherein the bone anchor has a helical configuration. Also included is a method of installing a bone fastening connection system, comprising the steps of:
| 02-27-2014 |
20140058454 | Multi-Axial Connection System - A system and method for a multi-axial connection of an apparatus to bone. The system may include a fastener inserted into a body and a head of the fastener held within a chamber of the body through a combination of a retention ring, a pressure cap, a rod, and a compression element. The compression element applies force to the rod which, in turn, pushed on the pressure cap. The force on the pressure cap urges it against the head of the fastener and pushed it against the retention ring. The force on the retention ring causes it to expand to the walls of the chamber. Once the ring can no longer expand within the chamber, the head of the fastener is wedged between the retention ring and the pressure cap. | 02-27-2014 |
20140066991 | BONE FASTENER AND METHODS OF USE - A bone fastener includes a proximal member having an inner surface that defines an implant cavity and an outer surface including a first threaded portion configured for penetrating fixation with tissue and a second portion. The proximal member defines a longitudinal axis. An intermediate member includes an inner surface extending between a proximal portion connected with the second portion and a distal portion. A distal member includes an outer surface extending between a proximal portion disposed with the distal portion of the intermediate member and a distal portion configured for penetrating fixation with tissue. The distal member is configured for axial translation relative to the intermediate member. Methods of use are disclosed. | 03-06-2014 |
20140066992 | Adjacent Level Facet Arthroplasty Devices, Spine Stabilization Systems, and Methods - The invention discloses an implantable facet arthroplasty device suitable for treating adjacent level disease. The device is designed for implantation between a first vertebra and a second vertebra. Components of the device include: a crossbar; a first component having a first attachment mechanism adapted to attach to a first location of a spinal fusion device attached to a first vertebra and a second attachment mechanism adapted to attach to the crossbar; and a second component having a second attachment mechanism adapted to attach to a second location of a spinal fusion device attached to the first vertebra and a second attachment mechanism adapted to attach to the crossbar. The first component articulates relative to the second component and the first vertebra articulates relative to the device itself. | 03-06-2014 |
20140066993 | ADJUSTABLE BONE SCREW ASSEMBLY - A bone screw assembly includes a screw body, including anchor portion and rod-receiving portion, and a rod seat movably mounted in the screw body to allow for controlled angulation between a spinal connection element disposed in the rod seat and the screw body. The rod seat is pivotable in one or more selected directions about one or more axes relative to the screw body. The rod seat may include a first lower rod seat element disposed in a recess of the screw body having a cylindrical bottom surface to facilitate pivoting in a first direction. A second lower rod seat element is stacked on the first lower rod seat element and has a conical bottom surface abutting a top surface of the first lower rod seat element to facilitate pivoting in a second direction. | 03-06-2014 |
20140074170 | Delivery Device With Interior Dilation Element Channel - Described herein are devices and systems that can be used to perform minimally-invasive procedures including dilation, distraction and delivery of an implant. In one aspect, disclosed herein is a surgical access and orthopedic distraction device having a first cannula element including a first elongate portion and a first head portion; and a second cannula element including a second elongate portion and a second head portion. The first and second head portions reversibly mate to define a lip surrounding at least a portion of a proximal access portal of an elongate, tubular working channel formed by the first and second elongate portions. | 03-13-2014 |
20140074171 | 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. | 03-13-2014 |
20140074172 | Transverse Fixation Device For Spinal Fixation Systems - A transverse fixation device is disclosed. The device includes one or more connecting bodies disposed substantially between two elongate rods. Each connecting body includes a receptacle that is capable of engaging with the two elongate rods. A c-ring comprising an outer surface having a spherical curvature is also included. A third rod may be inserted into the c-ring. A clamp included in the connecting bodies may then be disposed about the c-ring and third rod to allow the connecting bodies to slidingly engage with the third rod. | 03-13-2014 |
20140100613 | Percutaneous 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. | 04-10-2014 |
20140100614 | SYSTEM AND METHOD FOR DYNAMIC VERTEBRAL STABILIZATION - An intervertebral stabilization device and method is disclosed. The device preferably includes a planar spring enclosed within a housing. The housing is joined to an articulation component at either end, and the articulation components have couplings connectable to anchoring components which are securable to adjacent vertebrae. The planar spring can flex and retract providing relative motion between the adjacent vertebrae. The articulation components are ball and socket joints which allow the entire assembly to flexibly follow the curvature of the spine. A fusion rod with articulation components and couplings at either end may be substituted for the spring device. The couplings enable interchangeability between a fusion rod assembly and spring assembly, so that dynamic stabilization can occur at one vertebral level and fusion at the adjacent vertebral level. An overhung spring assembly with a sideways displaced housing which allows for a shorter pedicle to pedicle displacement is also disclosed. | 04-10-2014 |
20140107709 | ACCESS AND TISSUE MODIFICATION SYSTEMS AND METHODS - Described herein are methods and systems for precisely placing and/or manipulating devices within the body by first positioning a guidewire or pullwire. The device to be positioned within the body is coupled to the proximal end of the guidewire, and the device is pulled into the body by pulling on the distal end of the guidewire that extends from the body. The device may be bimanually manipulated by pulling the guidewire distally, and an attachment to a device that extends proximally, allowing control of both the proximal and the distal ends. In this manner devices (and particularly implants such as innerspinous distracters, stimulating leads, and disc slings) may be positioned and/or manipulated within the body. Guidewire exchange systems, devices and methods are also described. A guidewire may be exchanged between different surgical devices and may be releaseably or permanently coupled. | 04-17-2014 |
20140114359 | TRANSVERSE CONNECTOR AND RELATED METHODS - A connecting system includes a longitudinal connector having two opposite ends and at least one fastener, configured to couple at least one of the ends of the longitudinal connector to a patient's anatomy. At least one clamping assembly is operable to secure the longitudinal connector to the fastener. The clamping assembly allows adjustment of relative positions of the longitudinal connector and the fastener prior to fixing relative positions of the longitudinal connector and the fastener. | 04-24-2014 |
20140114360 | Minimally Invasive Surgical System - A multi-stage minimally invasive surgical procedure and associated instruments are disclosed. First, the surgical site is prepared. After preparation, the bone screws or anchors are attached to the bone. Subsequent to insertion of the screws, a rod or connecting member is positioned within the yoke portion of the bone screw. Caps are then placed in a pre-lock position within the yokes. The bone screws may be compressed together or distracted along the rod or connecting member, thereby setting the final spacing of the bones or bone segments. Finally the caps are moved to a final lock position to fix the screws to the rod or connecting member to maintain the bones in position relative to each other. | 04-24-2014 |
20140121706 | Spinal implant connection assembly - The present invention provides a connection assembly that can be used to securely connect a spinal implant to a bone anchor. In particular, the present invention preferably provides a spinal implant connection assembly that is able to securely connect the spinal implant to the anchors even when there is a variance in the angle and position of the anchors with respect to the spinal implant. Furthermore, the present invention provides a connection assembly with structure to increase the locking strength of the connection assembly. | 05-01-2014 |
20140121707 | METHODS FOR DELIVERY OF SCREWS FOR JOINT FUSION - Procedures for the fusion of the sacroiliac joint advantageously make use of an implant selected to distract the joint upon insertion and to maintain or increase tension upon insertion. The implant can have a varying structure along its length. In some method described herein for fusing the sacroiliac joint using an implant, an implant is screwed into the sacroiliac joint between the sacrum bone and the iliac bone. The implant comprises a shaft, a tool engagement flange at top end of the shaft, a pointed tip comprising no more than about 20 percent of the length of the screw, and threads spiraling around the shaft. For screws of particular interest, the volume displacement perpendicular to the shaft increases at least about 5 percent from a point adjacent the tip to a point near the top of the shaft. Some of the desirable screw designs can be used in other orthopedic application, especially situations involving varying bone hardness. Useful filler material can be formed from a blend of bone powder and bioactive agents. | 05-01-2014 |
20140121708 | SUBCHONDRAL TREATMENT OF JOINT PAIN OF THE SPINE - Methods for altering the natural history of degenerative disc disease and osteoarthritis of the spine are proposed. The methods focus on the prevention, or delayed onset or progression of, subchondral defects such as bone marrow edema or bone marrow lesion, and subchondral treatment to prevent the progression of osteoarthritis or degenerative disc disease in the spine and thereby treat pain. | 05-01-2014 |
20140135845 | LAMINOPLASTY DEVICES AND METHODS - Laminoplasty plates are engageable to at least one portion of a divided lamina to maintain a desired spacing relative to the spinal canal. The laminoplasty plates include a spacer portion having a first end and a second end that spans a gap formed by at least one of a divided lamina portion. The laminoplasty plates can include a lamina engagement portion at one end for engagement with the divided lamina portion. | 05-15-2014 |
20140142636 | Bone Screw - A bone screw ( | 05-22-2014 |
20140155942 | MINIMAL PROFILE ANTERIOR BRACKET FOR SPINAL FIXATION - A spinal fixation device for securing to a spine includes a body having one or more longitudinal members extending between a pair of wedge members. Each wedge member defines one or more openings therethrough for the reception of a bone screw. The wedge members are disposed on opposite ends of the one or more longitudinal members. One of the wedge members is positionable within a first intervertebral space and the other wedge member is positionable within a second intervertebral space. The one or more longitudinal members define a length that spans one or more vertebrae. The one or more longitudinal members are positionable within the one or more vertebrae when the wedge members are positioned within the respective first and second intervertebral spaces to maintain the body in a minimal profile orientation relative to the spine. | 06-05-2014 |
20140163620 | Interspinous Internal Fixation/Distraction Device - Disclosed are an apparatus for an interspinous fixation and/or distraction of vertebrae and a methodology for minimally invasive implantation of the apparatus in the spine of a patient. The apparatus corresponds to a pair of teardrop shaped lateral wing elements spaced apart by a central core element that may be selectively sized during the implantation process. The wings and central core are held together by a single threaded bolt and locking nut configuration resulting in a simple structure that may be easily implanted with minimal patient discomfort. | 06-12-2014 |
20140172018 | Low Profile Dual Locking Fixation System and Offset Anchor Member - A coupling device for securing an elongate member to the spine is provided. The coupling device comprises a compressible inner member that secures an anchor member therein when the inner member is axially shifted within an outer member. The elongate member is retained within the device by an axially inserted locking member, and may be secured independently of the anchor member. The coupling device and anchor may be configured to provide increased angulation of the anchor with respect to the coupling device. For instance, anchor member may have an offset head portion in order to provide normal pivoting of the coupling device when the anchor is attached to bone at an angle. | 06-19-2014 |
20140172019 | METHODS AND DEVICES FOR IMPROVING PERCUTANEOUS ACCESS IN MINIMALLY INVASIVE SURGERIES - A device for use as a portal in percutaneous minimally invasive surgery performed within a patient's body cavity includes a first elongated hollow tube having a length adjusted with a self-contained mechanism. The first elongated tube includes an inner hollow tube and an outer hollow tube and the inner tube is adapted to slide within the outer tube thereby providing the self-contained length adjusting mechanism. This length-adjustment feature is advantageous for percutaneous access surgery in any body cavity. Two or more elongated tubes with adjustable lengths can be placed into two or more adjacent body cavities, respectively. Paths are opened within the tissue areas between the two or more body cavities, and are used to transfer devices and tools between the adjacent body cavities. This system of two or more elongated tubes with adjustable lengths is particularly advantageous in percutaneous minimally invasive spinal surgeries, and provides the benefits of minimizing long incisions, recovery time and post-operative complications. | 06-19-2014 |
20140180340 | DEVICE AND ACCESSORIES FOR LIMITING FLEXION - A device may be used to limit flexion of the spine without substantially limiting extension of the spine. Various accessories, instruments, and methods may be used to help deploy the flexion limiting device, manipulate, and adjust it. | 06-26-2014 |
20140188175 | Orthopedic Fixation Devices and Methods of Installation Thereof - The present invention is generally directed to orthopedic fixation devices that comprise a coupling element and a bone fastener, whereby the bone fastener can be loaded into the coupling element through the bottom of a bore in the coupling element. The orthopedic fixation devices described herein can include modular locking clamp assemblies that can be fixed onto fasteners that are already implanted in bone. The modular locking clamp assemblies can include polyaxial locking clamp assemblies, as well as monoaxial locking clamp assemblies. | 07-03-2014 |
20140188176 | Method For Stabilizing the Spine - Spine stabilization systems and integrated rods are disclosed. One spine stabilization system disclosed has at least four bone anchors and a stabilization member attached to the bone anchors. The stabilization member has first and second elongate portions interconnected by a connector portion. The first and second elongate members extend longitudinally and generally parallel to a central longitudinal axis and connector portion extends transverse to the central longitudinal axis from a first lateral end to a second lateral end. The connector portion is integrally connected to the first and second elongate portions such that there is no relative movement between the lateral ends and the respective elongate portion to which each end is attached. | 07-03-2014 |
20140194933 | DEVICES AND METHODS FOR STABILIZING TISSUE AND IMPLANTS - An implant for repairing a joint between a first bone and a second bone includes a first section constructed of a substantially rigid material and a graft constructed of soft tissue having a first end and a second end. The first section has a first end surface configured for positioning against the first bone. The graft is configured for stabilizing the first section relative to the first bone. A first fastener is configured for mounting to the graft and the first section to anchor the graft to the first section. A second fastener is configured for mounting to the graft and the first bone to anchor the graft to the first bone. | 07-10-2014 |
20140207193 | SURGICAL SYSTEM AND METHODS OF USE - A surgical system including an expandable device is provided, including an inflatable body and a compliant sleeve. The compliant sleeve includes a distal end, a proximal end, and a cavity extending from the proximal end to the oppositely disposed distal end configured to receive a portion of the inflatable body. The cavity is defined by an inner wall and an outer wall of the compliant sleeve. The distal end of the compliant sleeve forms a closed portion of the cavity and the proximal end includes an opening. | 07-24-2014 |
20140214085 | EXPANDABLE DEVICE AND METHODS OF USE - A surgical system including an expandable device is provided, including an inflatable body, an inner shaft and an outer shaft. The inflatable body has at least one folded segment, which are housed in a distal portion of the outer shaft. The inflatable body is tethered to a portion of the outer shaft. The inner shaft is affixed to a portion of the inflatable body, and is configured to control an axial and/or a radial inflation pattern of the folded inflatable body. | 07-31-2014 |
20140214086 | SURGICAL IMPLANT SYSTEM AND METHOD - A surgical instrument comprises a first member including an inner surface that defines a cavity and an outer surface configured to space tissue. The first member includes a first locking surface. A second member is configured for disposal within the cavity and extends between a first end configured to penetrate tissue and a second end configured to generate a signal representative of a position of the second member. The second member includes a second locking surface. The members are disposable between a first orientation such that the locking surfaces are engaged to resist relative axial translation of the members and a second orientation such that the locking surfaces are disengaged and the second member is axially translatable relative to the first member. Systems and methods are disclosed. | 07-31-2014 |
20140222081 | RETRACTION 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. | 08-07-2014 |
20140222082 | METHOD FOR IMPLANTING AN ELONGATED IMPLANT ALONG A SPINE OF A PATIENT - 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. | 08-07-2014 |
20140222083 | METHODS AND DEVICES FOR SPINAL FIXATION ELEMENT PLACEMENT - Minimally invasive methods and devices are provided for positioning a spinal fixation element in relation to adjacent spinal anchors. In an exemplary embodiment, the device is a percutaneous access device that can be coupled to a spinal anchor, and the method includes the step of positioning a spinal fixation element through at least one sidewall opening of at least two percutaneous access devices such that the spinal fixation element extends in a lengthwise orientation that is substantially transverse to the longitudinal axis of each percutaneous access device. The spinal fixation element can then be advanced in the lengthwise orientation to seat the spinal fixation element in or adjacent to the receiver heads of at least two adjacent spinal anchors. A fastening element or other closure mechanism can then be applied to each spinal anchor to engage the spinal fixation element within the receiver heads of the adjacent anchors. | 08-07-2014 |
20140236240 | SPINAL IMPLANT APPARATUSES AND METHODS OF IMPLANTING AND USING SAME - An adjustable spinal implant device, comprising: a sliding portion provided with a tongue; and, a non-sliding portion provided with a slot adapted for receipt of the tongue; wherein the tongue is slidably and rotatably positioned within the slot. Methods of use include adjusting a spinal implant to an implant site by at least one of sliding and rotating at least a first portion with respect to a second portion of the implant; and, securing the spinal implant to the implant site. | 08-21-2014 |
20140236241 | VARIABLE ANGLE BONE PLATE WITH SEMI-CONSTRAINED ARTICULATING SCREW - In some embodiments, a cervical plate may include an elongate plate which bridges, during use, substantially adjacent vertebrae by anchoring the plate to the vertebrae. The cervical plate may include a plurality of openings extending through the elongate plate. The cervical plate may include plurality of bone fasteners. The bone fasteners may include a head and a shaft. The shaft may be positionable, during use, in the opening such that the shaft engages, during use, at least one of the vertebrae such that the bone fasteners couple the elongate plate to the vertebrae. The cervical plate may include a securing mechanism. The securing mechanism may, when activated, inhibit removal of at least one of the bone fasteners and inhibit movement of at least the shaft of the bone fastener in a lateral direction, while allowing movement of at least the shaft of the bone fastener along a substantially sagittal plane. | 08-21-2014 |
20140236242 | FENESTRATED BONE SCREWS AND METHODS OF BONE FASTENING AND STABILIZATION - Systems, methods, and apparatuses for bone fixation are presented. In one aspect, presented herein is a screw for bone fixation, an insertion tool, and a method for stabilization across a bone joint of the spine. The bone screw has an elongate shank defining an internal longitudinal passage. The screw has an external threaded surface and a tapered distal end. The insertion tool engages the head of the screw and is used to drive the screw into the desired bone joint. | 08-21-2014 |
20140236243 | METHOD FOR IMPLANTING A ROD IMPLANT ALONG A SPINE OF A PATIENT - 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. | 08-21-2014 |
20140236244 | THERAPY DEVICE WITH FIXATED DISTRACTION DISTANCE - Assemblies for implantation across one or more adjacent bones to allow for control of the distance between bone anchors. Control of distance between bone anchors may be provided by one inter-anchor element pushing the pair of bone anchors apart and a second inter-anchor element pulling the pair of bone anchors together. Control of distance between bone anchors may be provided through use of dissimilar thread pitch. Compression of the space between bone anchors through controlled movement of a pair of anchored bone anchors towards one another. | 08-21-2014 |
20140249583 | MINIMALLY INVASIVE SURGICAL TOWER ACCESS DEVICES AND RELATED METHODS - Devices and methods are provided for assisting in spinal stabilization. An access device is provided that includes an outer sleeve, inner sleeve, spring latch and lock nut. The inner sleeve includes compressible grasping elements. The access device can be coupled to a screw head by sliding the outer sleeve relative to the inner sleeve and compressing the grasping elements. The coupled access device and screw can then be delivered to a target location in a patient. After providing two or more access devices, a rod member can be delivered using a rod insertion device. The rod member can serve as a connection between the two screws, and can provide spinal stabilization. An anti-torque device and a persuading device can be used to help ensure that the rod member is placed and secured in a proper location within a patient. | 09-04-2014 |
20140249584 | SEGMENTAL CORRECTION OF LUMBAR LORDOSIS - A stabilizing apparatus for a spine comprising, a plurality of transverse rods, each of the transverse rods attached to a respective vertebra and a single link having an elongated through-hole, the single link enjoining a plurality of the transverse rods, wherein the single link enables longitudinal translation between enjoined transverse rods and substantially prevents lateral translation between enjoined transverse rods. | 09-04-2014 |
20140257402 | SURGICAL SYSTEM FOR POSITIONING A PATIENT AND MARKING LOCATIONS FOR A SURGICAL PROCEDURE - A device for positioning a patient on a surgical table for a surgical procedure includes a main body with a footprint-receiving portion configured to accept and permanently maintain a footprint of at least a portion of a contact tissue of a patient's body. The footprint imposes a desired position of the contact tissue for the surgical procedure. | 09-11-2014 |
20140257403 | METHODS FOR CORRECTING SPINAL DEFORMITIES - The present application is directed to devices and methods for correcting a spinal deformity. A spacer is positioned between processes that extend outward from a pair of vertebral members. A force applicator is operatively connected to apply a force to the vertebral members. The spacer then acts as a fulcrum with the force causing the vertebral members to pivot about the spacer and become aligned in a more desired orientation to eliminate or reduce the deformity. | 09-11-2014 |
20140257404 | METHODS FOR CORRECTING SPINAL DEFORMITIES - The present application discloses methods for treating spinal deformities. One embodiment includes inserting an elongated corrective member into the patient. During insertion, the corrective member is operatively attached to a first vertebral member that applies a first corrective force to correct a first vertebral member alignment. The corrective member is further inserted into the patient and subsequently operatively attached to a second vertebral member that applies a second corrective force to correct a second vertebral member alignment. The corrective member is further inserted and subsequently operatively attached to a third vertebral member that applies a third corrective force to correct a third vertebral member alignment. The embodiment may further include operatively attaching the corrective member to additional vertebral members to correct further misalignment. In one embodiment, a second member is attached to the vertebral members after they have been aligned to maintain the alignment. | 09-11-2014 |
20140257405 | Device and Method For Implanting A Spinous Process Fixation Device - The disclosure provides a device to facilitate the insertion and attachment of an implant that includes a barrel assembly and a plate assembly in an interspinous space. The device comprises a main body, a first arm that is configured to hold the barrel assembly, and a second arm that is configured to hold a locking plate of the plate assembly, wherein the first and second arms are movably attached to the main body. | 09-11-2014 |
20140257406 | Vertical Inline Plate - A spinal plate having an upper surface and a lower surface, the lower surface adapted to contact bone. A plurality of holes extend from the upper surface to the lower surface through the plate which is configured and adapted to receive bone fasteners for fixing the spinal plate to bone. At least one set screw receiving hole adjacent from each one of the plurality of holes, the set screw receiving hole configured to adapt with a set screw. The lower surface of the spinal plate comprises a ridge that protrudes from the underside of the plate and encloses the plurality of holes spaced inward from the perimeter of the spinal plate. | 09-11-2014 |
20140277164 | BONE ANCHORS AND SURGICAL INSTRUMENTS WITH INTEGRATED GUIDE TIPS - Bone anchors and surgical instruments (e.g., bone taps, drivers, etc.) are disclosed herein that include integrated guide tips. Use of these anchors or instruments can eliminate one or more of the steps in a conventional bone anchor installation procedure, improving surgical efficiency and safety. For example, a surgical instrument can include a guide projection configured for insertion through a cannulation formed in a bone anchor when the surgical instrument is coupled to the bone anchor. The surgical instrument can also include various mechanisms for adjusting the position of the guide projection relative to the bone anchor. The guide projection can replace the needle, stylet, and guidewire used in typical insertion procedures. The bone anchor can also include integrated tapping features to eliminate the need for a separate bone tap instrument. Thus, in some embodiments, targeting, tapping, and driving the bone anchor can be performed in a single step. | 09-18-2014 |
20140277165 | Sacroiliac Joint Stabilization Method - A method for treating back pain by stabilizing the sacroiliac joint. The method includes fusing a sacrum bone to an ilium bone or otherwise mechanically immobilizing the sacroiliac joint by inserting at least two implants into voids formed within or between the articular surfaces of each sacroiliac joint of a patient without substantially distracting the joint. The voids are arranged within each joint at either a converging orientation or a diverging orientation. A kit containing the implants and tools required to insert the implants into the joint are also described. | 09-18-2014 |
20140277166 | SURGICAL IMPLANT SYSTEM AND METHOD - A surgical instrument comprises a body. A first member extends between a first end and a second end. A second member extends between a first end connected with the body and a second end. A third member is connected to the first end of the first member and the body to relatively axially translate the second ends. The third member includes a latch and a lock engageable with the latch. The latch is disposable in a locking orientation and a non-locking orientation. Systems and methods of use are disclosed. | 09-18-2014 |
20140277167 | ROD INSERTER AND METHODS OF USE - 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. | 09-18-2014 |
20140277168 | ROD INSERTER AND METHODS OF USE - 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. | 09-18-2014 |
20140277169 | Vertebral Implant - An exemplary implantable device may be used to strengthen and stabilize a human vertebra. The device may include a cannula and support casing. In general, the device may include various interchangeable structures within cannula and support casing. After implantation, the device remains in the vertebral body of the vertebra in order to provide support and stability. Portions of the device remains firmly anchored in the pedicle, preventing the device from shifting. Portions of the device may be additionally secured external to the vertebra to provide additional stability. | 09-18-2014 |
20140277170 | REDUCTION INSTRUMENT, SURGICAL ASSEMBLY INCLUDING A REDUCTION INSTRUMENT AND RELATED METHOD - A surgical instrument for reducing a rod into a saddle of a fixation member includes a distal end for engaging the saddle and a proximal end. A reducing device is disposed between the distal end and the proximal end. The reducing device is operative to reduce the rod into the saddle. The reducing device defines a throughbore. The throughbore provides access there through by a first drive member to secure a plug to the saddle. | 09-18-2014 |
20140277171 | SPINAL FIXATION SYSTEM AND METHOD - A spinal fixation system includes a first plate, a post fixedly attached to the first plate and extending transverse therefrom. A second plate receives the distal end of the post. A locking mechanism is configured to restrict at least one of axial translation and/or orbital rotation of the second plate with respect to the post. The locking mechanism can include a locking nut having two non-concentric cylinders which enable an interference fit between the nut and the post, thus restricting axial translation of the second plate. | 09-18-2014 |
20140277172 | DEVICES AND METHODS FOR DYNAMIC FIXATION OF SKELETAL STRUCTURE - The disclosed screw assemblies include a screw that attaches onto the bone, a housing member that connects and inter-locks the bone screw to the rod, and one or more locking members that permit immobilization of various components of the assembly relative to one another while still permitting some relative movement. The bone screws and bone screw assemblies described herein permit flexible stabilization of the spine. | 09-18-2014 |
20140277173 | Anterior Cervical Instrumentation Systems, Methods And Devices - Anterior cervical instrumentation systems, methods, and devices are disclosed. Systems may facilitate immobilizing or providing support for the cervical portion of the vertebral column of a patient. A device may comprise a plate having two channels located in a proximal to distal direction, and may further comprise at least one aperture. The device may further comprise attachment elements such as attachment cross-links and spacer cross-links, and fasteners. The plate and the attachment elements may be secured to the vertebrae by passing fasteners through apertures and channels. The length of the plate, position and number of the attachment cross-links, position and number of spacer cross-links and degree of movement may be intraoperatively selected by the surgeon to provide an optimal application and procedural outcome. Uniform components of the devices and systems allow for a more streamlined and simplified method of treating spinal conditions. | 09-18-2014 |
20140288605 | IMPLANTS FOR SPINAL FIXATION OR FUSION - The present invention generally relates to bone implants. More specifically, the present invention relates to bone implants used for the fixation or fusion of the sacroiliac joint and/or the spine. For example, a system for fusing or stabilizing a plurality of bones is provided. The system includes an implant structure having stem portion and a head portion, the stem portion having a rectilinear cross sectional area. A tulip or saddle structure can be attached to the head portion, and a rod can be secured within the tulip or saddle structure. | 09-25-2014 |
20140288606 | ODONTOID FRACTURE DYNAMIC COMPRESSION APPARATUS AND METHOD - A cervical fixation system and method for repairing odontoid fractures includes securing an anterior plate to caudal portion of C2 body below the odontoid neck. The anterior plate houses lag screw within a posterior shaft. A cannulated fixation device crosses the fracture site with fixation into the cephalad fragment. The lag screw can be pulled caudally into the plate with a compression screw to apply a compression force across the fracture site. | 09-25-2014 |
20140303675 | Orthopedic Fixation Devices and Methods of Installation Thereof - The present invention is generally directed to orthopedic fixation devices that comprise a coupling element and a bone fastener, whereby the bone fastener can be loaded into the coupling element through the bottom of a bore in the coupling element. The orthopedic fixation devices described herein can include modular locking clamp assemblies that can be fixed onto fasteners that are already implanted in bone. The modular locking clamp assemblies can include polyaxial locking clamp assemblies, as well as monoaxial locking clamp assemblies. | 10-09-2014 |
20140324105 | OCCIPITAL FIXATION ASSEMBLY, SYSTEM AND METHOD FOR ATTACHING THE SAME - An occipital fixation assembly is provided. The occipital fixation assembly includes a first mounting plate configured for placement within a sinus cavity adjacent a rear portion of a skull of a patient. A threaded post extends from the first mounting plate. A coupling member includes an aperture configured to receive the threaded post therethrough. The coupling member includes an offset extension configured to support a surgical rod thereon. A fixation nut configured to threadably engage the threaded post of the first mounting plate is rotatable about the threaded post and translatable therealong. The fixation nut is rotatable with respect to the first mounting plate and the coupling member such that rotation of the fixation nut in a predetermined direction brings the first mounting plate and the coupling member toward one another and into secured engagement with the skull of a patient. | 10-30-2014 |
20140324106 | IMPLANTING APPARATUS AND OPERATING METHOD THEREOF - An implanting apparatus and an operating method thereof are provided. An implanting apparatus used for implanting an intervertebral cage into a location between two adjacent vertebral bodies, wherein the implanting apparatus comprises a sleeve and an extension member. The extension member has a rod and a coupling column, wherein the rod is screwed inside the sleeve, the coupling column is connected to one end of the rod and exposed outside the sleeve, and the axial direction of the coupling column is substantially perpendicular to that of the rod. When one end of the coupling column is disposed on an inner arc surface of a connecting portion of the intervertebral cage and the rod is rotated with respect to the sleeve, the distance between the coupling column and the sleeve is decreased so as to clamp the connecting portion of the intervertebral cage between the coupling column and the sleeve. | 10-30-2014 |
20140324107 | Offset Variable Angle Connection Assembly - A method of securely connecting a spinal implant to a bone anchor by using an offset connection assembly. The variable angle connection assembly is able to securely connect the spinal implant to the anchors even when there is a variance in the angle and position of the anchors with respect to the spinal implant. The connection assembly will not inadvertently lock the components of the connection assembly preventing the relative movement of the components. | 10-30-2014 |
20140330317 | METHOD, SYSTEM, AND APPARATUS FOR MAMMALIAN BONY SEGMENT STABILIZATION - Embodiments of bony region stabilization are described generally herein. Other embodiments may be described and claimed. | 11-06-2014 |
20140330318 | SPINAL 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. | 11-06-2014 |
20140330319 | Adjustable Rod Assembly - An adjustable rod for spinal corrective surgery is provided that includes a first elongate member and a second elongate member, each having rod portions couplable to one or more bone connecting elements and expansion portions slidably moveable with respect to one another. A plurality of holes in each expansion portion are alignable with one another to choose the length of the adjustable rod and a locking element is inserted through a pair of aligned holes to couple the first and second elongate members and secure or fix the length of the expandable rod. | 11-06-2014 |
20140336710 | Device and method for orthopedic fracture fixation - The present invention relates invention relates to devices and methods for the fixation and stabilization of orthopedic fractures and more specifically to stabilization of compression fractures of spinal vertebrae. The systems comprise cannulated orthopedic screws and mechanical expandable implants introducible through the lumen of such screws. In certain embodiments the cannulated implants are expandable within an intraosseous space to introduce scaffold-like structures such that subsequent introduction of a bone cement forms a composite in situ. The devices and methods are also particularly useful for stabilizing the orthopedic screws. | 11-13-2014 |
20140336711 | ELONGATED CONNECTING ELEMENTS FOR MINIMALLY INVASIVE SURGICAL PROCEDURES - Apparatus and methods include an elongate connecting element including a body extending along a longitudinal axis between a first end and an opposite second end. The connecting element includes a first end portion at its first end and a second end portion at its second end. The connecting element includes a length between the first and second ends sized to extend between and be engaged to first and second anchors engageable to bony portions of the spinal column. The first and second end portions are positioned on opposite sides of the first and second anchors and project outwardly from the body of the connecting element to capture the first and second anchors between the first and second end portions. | 11-13-2014 |
20140350607 | LOCKING ASSEMBLY FOR A POLYAXIAL BONE ANCHORING DEVICE - A locking assembly for securing a rod in a polyaxial bone anchoring device includes a first locking element having a first end, a second end, an outer surface with an external advancement structure, an inner wall, an internal advancement structure on the inner wall, and an engagement portion for a tool, and a second locking element having a first end configured to be oriented towards the first end of the first locking element, an opposite second end, an outer surface with an external advancement structure configured to cooperate with the internal advancement structure of the first locking element, and a portion at the second end having a width greater than a greatest width of the external advancement structure of the second locking element, wherein the second locking element is configured to move axially relative to the bone anchoring device at a speed different than the first locking element. | 11-27-2014 |
20140350608 | Bioactive Fusion Device - In a first broad aspect, there is provided herein a bioactive device and system for fusion between two bones, two parts of a bony joint, or a bony defect, such as of the spine. The fusion device includes a screw having a head and a threaded shaft. The fusion device also includes a bone dowel having an internal bore of which at least a distal portion is threaded to engage the threads of the screw shaft. The bone dowel is made of a bone-like, biocompatible, or allograft material to provide a layer of bone-like, biocompatible, or allograft material between the screw and the spinal bone. The device is generally coaxial and is further described in the drawings and description herein. | 11-27-2014 |
20140350609 | METHOD AND SYSTEM FOR TRANS-LAMINA SPINAL FIXATION - A method of providing spinal stabilization is provided herein. More specifically, the method includes positioning a plurality of fixation assemblies within a plurality of vertebrae in a trans-lamina orientation wherein each fixation assembly includes a proximal portion configured to securely receive a stabilization element (e.g., a stabilization rod). The proximal portions of the various fixation assemblies can be aligned so as to secure at least one stabilization element in a desired position (e.g., along and above a midline of the patient's spine, adjacent and parallel to the midline). A system for providing spinal stabilization is also provided which utilizes trans-lamina delivery and positioning of fixation assemblies within target vertebrae thereby providing stronger fixation and a significant reduction in associated tissue damage. | 11-27-2014 |
20140358183 | METHODS AND DEVICES FOR COOLING SPINAL TISSUE - Methods, systems, and devices are disclosed for cooling tissue, and in particular for applying therapeutic hypothermia to the spinal canal, tissue disposed within the spinal canal, and nerve roots extending from the spinal canal. Bone screws, intervertebral implants, stabilization rods, spinous process spacers, and other devices are described which define a chamber through which a chilled fluid, expandable gas, or other coolant means can be circulated, delivered, or activated to cool adjacent tissue. The degree of cooling can be regulated using a controller, which can be configured to increase or decrease the cooling effect based on any of a variety of measured or predicted physiological or thermodynamic properties. Methods are disclosed for implanting cooling instruments and for carrying out various treatment regimens that involve cooling tissue using such instruments. | 12-04-2014 |
20140364916 | METHODS AND APPARATUSES FOR DELIVERING A ROD TO A PLURALITY OF PEDICLE SCREWS - Embodiments include a system that facilitates placement of a rod through receiving portions of screws placed along the spine. The system includes a rod and a cable detachably connectable to the rod to pull the rod through the receiving portions of the screws. Some embodiments include methods and devices for inserting a rod into a plurality of screws and for ex situ templating of a rod. These can include connecting a cable to a rod, inserting the cable through the plurality of screws, and using the cable to pull the rod into position. The methods of ex situ templating of the rod can include contacting a templating member to each of the screws so that a portion of the templating members replicate the relative positioning of the screws and shaping a rod to match the relative positioning of the portion of the templating members. | 12-11-2014 |
20140371797 | Lateral Spinous Process Spacer with Deployable Wings - Interspinous process implants are disclosed. Also disclosed are systems and kits including such implants, methods of inserting such implants, and methods of alleviating pain or discomfort associated with the spinal column. | 12-18-2014 |
20140379032 | SPINAL IMPLANT SYSTEM AND METHOD - A method for treating a spine comprises the steps of: percutaneously delivering a first fastener along a pedicle trajectory disposed in alignment with a first vertebral level of vertebrae; fastening the first fastener with the first vertebral level adjacent a lateral portion of the vertebrae; percutaneously delivering a first spinal rod adjacent to the first fastener; connecting the first spinal rod with the first fastener; percutaneously delivering a second fastener along a cortical trajectory disposed in alignment with the first vertebral level; fastening the second fastener with the first vertebral level adjacent a contra-lateral portion of the vertebrae; percutaneously delivering a second spinal rod adjacent to the second fastener; and connecting the second spinal rod with the second fastener. Systems and implants are disclosed. | 12-25-2014 |
20140379033 | GROWTH DIRECTED VERTEBRAL FIXATION SYSTEM WITH DISTRACTIBLE CONNECTOR(S) AND APICAL CONTROL - Growth directed correction of a spine via apical vertebral control includes securing a correction system to a first vertebra and a second vertebra of the spine, the correction system defining a correction axis extending between the first and second vertebra and securing the correction system to a third vertebra intermediate the first and second vertebra, the correction system securing the third vertebra at a fixed distance from the correction axis. The correction system is secured to the first and second vertebra such that the first and second vertebra are able to grow away from one another in a direction substantially parallel to the correction axis. | 12-25-2014 |
20140379034 | REVISABLE ANTERIOR CERVICAL PLATING SYSTEM - An improved anterior cervical plating system and methods of cervical fusion using such a system are provided. The cervical plating system includes an interlocking mechanism that integrated into each of the plates such that any two plates may cooperatively engage through the interlocking mechanism such that a new cervical plate can be interconnected with a pre-existing plate during revision surgery without removal of the pre-existing plate. | 12-25-2014 |
20140379035 | SPINAL CORRECTION AND SECONDARY STABILIZATION - Methods of correcting a spinal deformity include securing a first rod on a first side of a spine, securing a second rod on a second side of the spine, and securing a lateral coupling between the first rod and the second rod to facilitate derotation and translation of the spinal deformity and further provide stabilization of the corrected spine. | 12-25-2014 |
20150012044 | METHOD FOR STABILIZING THE SPINE - Spine stabilization systems and integrated rods are disclosed. One spine stabilization system disclosed has at least four bone anchors and a stabilization member attached to the bone anchors. The stabilization member has first and second elongate portions interconnected by a connector portion. The first and second elongate members extend longitudinally and generally parallel to a central longitudinal axis and connector portion extends transverse to the central longitudinal axis from a first lateral end to a second lateral end. The connector portion is integrally connected to the first and second elongate portions such that there is no relative movement between the lateral ends and the respective elongate portion to which each end is attached. | 01-08-2015 |
20150012045 | SPINAL CORRECTION TENSIONING SYSTEM - A vertebral column correction system for correcting a spinal deformity without fusing the joint segments is disclosed. The vertebral column correction system may have first and second vertebral anchors secured to first and second vertebrae. The vertebral column correction system may further comprise one or more intermediate vertebral anchors secured to vertebrae between the first and second vertebrae. A connection member may be disposed within a head portion of the vertebral anchors. At least a portion of the connection member may be a flexible member, such as a flexible cord, configured for tensioning between at least two vertebral anchors for providing a desired amount of tension to apply a correctional force to the spinal column. A spring member, or other tensioning member, may maintain the tension of the connection member. | 01-08-2015 |
20150012046 | ANCHORING MEMBER WITH SAFETY RING - In one embodiment, the present invention includes a spinal osteosynthesis system comprising a connector, a connector member, a ring, and a bone anchor. The connector has an upper part disposed opposite of a lower part along a central axis. The upper part has a locking element and the lower part has a curved interior surface. The connector member can extend through the upper part along an opening axis transverse to the central axis. The ring may define a solid of revolution about the central axis. At least a portion of the ring may be receivable in the lower part of the connector. The bone anchor may have a head curved for polyaxial orientation with respect to the central axis. The locking element may be advanced towards the lower part to place the head of the bone anchor in contact with the connecting member, the ring, and the connector. | 01-08-2015 |
20150018886 | DEVICES AND METHODS FOR TRANSPEDICULAR STABILIZATION OF THE SPINE - According to some embodiments, a method of accessing an intervertebral space of a patient's spine in a minimally invasive manner compromises creating a passage from a posterior end of a pedicle of a vertebral member using a probe, advancing the probe through the pedicle and to a main body portion of the vertebral member, advancing the probe through a superior endplate of the vertebral member and into the intervertebral space and enlarging the passage using at least one tap to create an enlarged passage from a posterior of the pedicle to the intervertebral space. In some embodiments, the enlarged passage traverses at least three cortical layers of the vertebral member. | 01-15-2015 |
20150018887 | Spinous Process Fusion Devices and Methods Thereof - Devices and methods for positioning and immobilizing at least two adjacent vertebrae using adjacent spinous processes. The method includes positioning a spinous process fusion device in an interspinous space between adjacent spinous processes including a rod and a first wing, and attaching a second wing to the rod, for example, using a ratcheting mechanism. | 01-15-2015 |
20150025581 | RETENTION PLATE MEMBER FOR A SPINAL PLATE SYSTEM - A retention member for a spinal plate system where at least one or more segments of the retention member cover the head portion of a bone anchor member to inhibit movement of the bone anchor member that is inserted into the plate. The retention member allows for ease of insertion of the bone anchor member and once the bone anchor member is fully seated the retention member is in place. | 01-22-2015 |
20150025582 | BONE PLATE HOLDER - An instrument for holding a bone plate may include a first arm, a second arm connected to and adjustable relative to the first arm, a first connection tip at the distal end of the first arm configured to connect to the first side wall of the bone plate, and a second connection tip at the distal end of the second arm configured to connect to the second side wall of the bone plate. A stabilizing member is connected to the first connection tip. The stabilizing member is distally spaced apart from the first connection tip to form an opening for receiving a portion of bone between the first connection tip and the stabilizing member. | 01-22-2015 |
20150025583 | INTER-SPINOUS PROCESS DEVICE AND METHOD - An implantable device and method for fixation of spinous processes is presented. The device has first and second spaced plates, the first plate having a surface facing a surface of the second plate. The plates are configured for placement on either side of two adjacent spinous processes. The plates are held in place adjacent each side of the two spinous processes by a post connected to each of the plates and extending substantially therefrom the facing surface of the first plate to at least the facing surface of the second plate. | 01-22-2015 |
20150025584 | Orthopedic Clamp and Extension Rod - Spinal implants and methods of extending pre-existing spinal implant constructs. An extension clamp may be connected to an original spinal implant including an elongated rod attached to a portion of the spine without removal of the original spinal implant. The extension clamp may include a yoke and an extension rod extending from the yoke. The yoke may include a first end and a second end, the first end having first and second rod engaging portions and a channel between the first and second rod engaging portions for encompassing a fastener, and the second end being spaced apart from the first end. The first and second rod engaging portions may be configured and dimensioned to secure the extension clamp to the elongated rod. | 01-22-2015 |
20150032163 | SPINAL FIXATION DEVICES AND METHODS OF USE - Disclosed is an orthopedic implant and methods of implantation for fixing adjacent bones. In an embodiment, the implant includes a locking mechanism that is adapted to be advanced by a locking instrument, wherein advancement of the locking mechanism in a first direction produces rotation of a first rigid abutment surface from a first orientation to a second orientation, and continued advancement of the locking mechanism produces advancement of the first rigid abutment surface towards a second rigid abutment surface and placement of a compressive load onto and sufficient to immobilize the implant relative to the first bony surface and the second bony surface. | 01-29-2015 |
20150032164 | Methods for Performing Invasive Medical Procedures Using a Surgical Robot - Embodiments are directed to a medical robot system including a robot coupled to an end-effectuator element with the robot configured to control movement and positioning of the end-effectuator in relation to the patient. One embodiment is a method for removing bone with a robot system comprising: taking a two-dimensional slice through a computed tomography scan volume of target anatomy; placing a perimeter on a pathway to the target anatomy; and controlling a drill assembly with the robot system to remove bone along the pathway in the intersection of the perimeter and the two-dimensional slice. | 01-29-2015 |
20150032165 | Orthopedic Fixation Devices and Methods of Installation Thereof - Orthopedic fixation devices and methods of installing the same. The orthopedic fixation device may include a coupling element and a bone fastener, whereby the bone fastener can be loaded into the coupling element through the bottom of a bore in the coupling element. | 01-29-2015 |
20150039037 | SYSTEMS FOR AND METHODS OF PREPARING A SACROILIAC JOINT FOR FUSION - A surgical preparation tool for preparing a sacroiliac joint for a surgical procedure comprising a trial tool assembly and a cutting tool configured to releasably and slidably couple with the trial tool assembly, wherein the trial tool assembly is configured to guide the cutting tool during distal-proximal translation such that as the cutting tool distally advances relative to an implant trial of the trial tool assembly, at least a portion of a cutting element of the cutting tool extends generally over and perpendicularly outward from a first top surface of a body of the implant trial. | 02-05-2015 |
20150057709 | SPINAL STABILIZATION DEVICE - A bone attachment device comprises an attachment collar having a hinged lid is disclosed. The bone attachment device may also comprise a bone fastener (such as a bone screw). A bone attachment device including an attachment collar and a spinal rod locking device is disclosed. A bone attachment device as described herein may be used together with a spinal stabilization rod and one or more additional bone attachment devices. Such devices are adapted to clamp and hold a spinal stabilization rod. Methods for implanting a spinal stabilizer having a bone attachment device including a hinged lid are disclosed. | 02-26-2015 |
20150066091 | SYSTEMS FOR VERTEBRAL ADJUSTMENTS AND ROD REDUCTION - An instrument for compression and distraction of a vertebral segment and reducing a surgical rod includes a first arm, a second arm, a coupler, and a reducer. The first arm includes a first aperture for receiving a first screw extender that attaches to a first vertebra. The second arm pivotably couples to the first arm and includes a second aperture for receiving a second screw extender that attaches to a second vertebra. The coupler links the first arm to the second arm to position the first arm relative to the second arm for compression and distraction of the first vertebra relative to the second vertebra. The reducer is received within the second aperture for reducing a surgical rod within the second screw extender. | 03-05-2015 |
20150066092 | SPINE STABILIZATION SYSTEM WITH SELF-CUTTING ROD - A spine stabilization system is provided. The system utilizes a self-cutting rod having a sharp cutting edge that can be anchored to a patient's spine with pedicle screws. The system can be percutaneously delivered, low profile, and allow cutting of surrounding tissue rather than simply spreading the tissue apart during rod insertion. | 03-05-2015 |
20150073485 | SURGICAL INSTRUMENT AND METHOD - A surgical instrument includes a first member including a capture element and an engagement surface engageable with an implant. A second member is disposed with the first member. An actuator is engageable with the second member such that the capture element releasably engages the implant. The actuator is configured to translate the first member between a first position such that the implant is movable relative to the first member and a second position such that the first member is fixed with the implant. Systems and methods of use are disclosed. | 03-12-2015 |
20150080963 | SYSTEM AND METHOD FOR SPINAL DEFORMITY CORRECTION - A system and associated surgical method for the correction of a spinal deformity by derotating one or more vertebrae of the spine, including: a rotation rod; a cephalad extender configured to be rotatably coupled to the rotation rod and coupled to a cephalad vertebra; a caudal extender configured to be rotatably coupled to the rotation rod and coupled to a caudal vertebra; and one or more intermediate extenders configured to be coupled to one or more intermediate vertebrae; wherein, when the rotation rod is rotated, a portion of the rotation rod engages a portion of the one or more intermediate extenders, causing the one or more intermediate extenders to rotate about an axis of the spine, thereby causing the one or more intermediate vertebrae to also rotate about the axis. The extenders are each coupled to their respective vertebra via a pedicle screw or the like. | 03-19-2015 |
20150080964 | POLYAXIAL ORTHOPEDIC FASTENING APPARATUS WITH INDEPENDENT LOCKING MODES - An apparatus is designed to attach an implant to bone in a manner that permits rotational adjustment of the implant about multiple axes prior to securement via the apparatus. The apparatus includes separate rotational and translational fasteners that can be individually locked to independently restrict rotation and translation of the implant relative to the bone. The rotational fastener includes an interpositional member, an expandable engagement member, and a rotational locking member that urges the expandable engagement member to advance along the interpositional member. The resulting expansion of the engagement member causes it to engage the implant. The rotational fastener is slidable along a fixation member implanted in the bone until the translational fastener is applied to restrict relative translation between the rotational fastener and the bone. | 03-19-2015 |
20150080965 | METHOD FOR IMPLANTING A ROD IMPLANT ALONG A SPINE OF A PATIENT - 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. | 03-19-2015 |
20150088205 | FASTENING ASSEMBLIES FOR DISC HERNIATION REPAIR AND METHODS OF USE - Devices and methods for fixing defects in the anulus fibrosus (vertebral disc) of a patient are described. The devices include a mesh patch, and first and second suture assemblies, each of which include an anchor and a suture. The anchor has a first portion adapted to be inserted into a bone and a second portion having an opening therethrough. The suture is adapted to be disposed through the opening and has a first end is adapted to couple to the mesh patch. The method of treatment includes inserting the first portion of the first anchor into a cranial vertebra and inserting the second portion of the second anchor into a caudal vertebra. The first ends of the sutures are attached to the mesh patch. The mesh patch is positioned adjacent the defect by pulling on, or applying tension to, the second ends of the sutures. | 03-26-2015 |
20150088206 | ANTERIOR CERVICAL INSTRUMENTATION SYSTEMS, METHODS AND DEVICES - Anterior cervical instrumentation systems, methods, and devices are disclosed. Systems may facilitate immobilizing or providing support for the cervical portion of the vertebral column of a patient. A device may comprise a plate having two channels located in a proximal to distal direction, and may further comprise at least one aperture. The device may further comprise attachment elements such as attachment cross-links and spacer cross-links, and fasteners. The plate and the attachment elements may be secured to the vertebrae by passing fasteners through apertures and channels. The length of the plate, position and number of the attachment cross-links, position and number of spacer cross-links and degree of movement may be intraoperatively selected by the surgeon to provide an optimal application and procedural outcome. Uniform components of the devices and systems allow for a more streamlined and simplified method of treating spinal conditions. | 03-26-2015 |
20150088207 | Method of Using Spine Stabilization System With Dynamic Screw - A method of using a spine stabilization system in one embodiment includes inserting a bone fastener shank through a receiver structure cavity and then through a distal opening of the receiver member, positioning a head of the fastener against a bearing surface of the receiver structure, positioning a bearing member on an upper portion of the head, positioning a first pivot bearing portion of a pivot member above the positioned bearing member, positioning a pivot portion of a connector assembly on the positioned first pivot bearing portion, positioning a second pivot bearing portion of the pivot member on an upper portion of the pivot portion, and threading a fixation screw into a threaded portion of the receiver structure, thereby (i) causing the pivot member to clamp the pivot portion, and (ii) clamping the head of the screw between the first bearing and the bearing surface. | 03-26-2015 |
20150094771 | LAMINOPLASTY METHOD - A portal for accessing a desired lamina portion of a desired cervical vertebra to perform a laminoplasty. In one aspect, a laminoplasty portal is presented that defines an interior conduit and has a first sidewall section and a second sidewall section. | 04-02-2015 |
20150100091 | Systems and Methods for Performing Spine Surgery - A method is provided for correcting a curvature or deformity in a patient's spine based on the digitized locations of implanted screws and tracking the placement of the rod as it is placed in a minimally invasive fashion. The method is implemented by a control unit through a GUI to digitize screw locations, accept one or more correction outputs, and generate one or more rod solution outputs shaped to fit at locations distinct from the implanted screw locations. | 04-09-2015 |
20150100092 | SYSTEM AND METHOD FOR CERVICAL MIDLINE FIXATION - Devices and methods for enhancing the effectiveness of spinal stabilization, and particularly that of cervical spinal stabilization, are provided herein. More specifically, methods and systems are disclosed for effectively positioning occipital plates and spinal fixation assemblies within target vertebrae, while also reducing any associated patient trauma (e.g., muscle stripping, tissue damage, etc.). The systems and methods can utilize trans-lamina delivery of the spinal fixation assemblies to allow for the positioning of the fixation elements along the midline of the patient's spine. | 04-09-2015 |
20150100093 | CONNECTION ASSEMBLY - An orthopedic connection assembly is described that comprises a housing member for receiving an implant that is operably connected to a receiving member for receiving an anchor member. The connection assembly is configured to have a locking mechanism that secures and fixes the relative orientation between the implant and the anchor member. The connection assembly can comprise a plate member receivable within the housing member. When a securing member such as a set screw is introduced downwardly into the housing member to secure the implant, the securing member applies a lateral force to the plate member, which presses against an interference member within the receiving member. The interference member presses against the anchor member, such that the anchor member is fixed in a position relative to the implant. | 04-09-2015 |
20150105828 | IMPLANT PLACEMENT - Embodiments of the present invention relate generally to implant placement into bone. More specifically, embodiments of the invention relate to implant placement across the sacro-iliac joint. Placement can be facilitated using various CT imaging views that allow the implants to be placed in bone associated with articular cartilage. | 04-16-2015 |
20150112392 | SPINAL CORRECTION METHOD AND SYSTEM - A method for treating a spine comprises the steps of: fastening a plurality of fasteners with a lateral portion of vertebrae, each of the fasteners including a first element that defines an implant cavity and a second element configured for penetrating the vertebrae; providing a longitudinal element including a portion having a selected curvature; disposing the longitudinal element with the implant cavities such that the portion is disposed in a selected orientation relative to the vertebrae; and moving a first element of at least one of the fasteners relative to the portion such that a second element of the at least one of the fasteners derotates the vertebrae while maintaining the portion in the selected orientation. Systems and implants are disclosed. | 04-23-2015 |
20150112393 | LATERAL PLATE FOR SPINAL FUSION - The present invention provides an improved spinal fixation system for treating disease or damage to the spinal column, and methods of using the same. The novel spinal fixation system includes a low-profile lateral fixation plate for fixing adjacent vertebral bodies having specially textured surfaces for interfacing with implant screws, two or more implant screws having roughed surfaces for interfacing with the low-profile fixation plate, and a means for tightening the implant screws and the low-profile fixation plate together. The low profile lateral fixation plate facilitates a more efficient and less intrusive spinal fusion procedure because it can be inserted and implanted through the same incision and/or channel used to excise an intervertebral disc and/or bone tissue. The lateral plate fixation system is configured fix adjacent vertebrae in proper position, thereby facilitating fusion of the adjacent vertebrae at the proper spacing and angle. | 04-23-2015 |
20150127055 | SPINAL CORRECTION SYSTEM AND METHOD - A method for treating vertebrae comprises the steps of: connecting at least one fastener with portions of vertebrae; providing a fastener comprising a first portion including a receiver defining an implant cavity and a member disposable with the implant cavity and movable relative to the receiver, and a second portion defining a longitudinal axis and being configured to penetrate vertebral tissue, wherein the receiver is non-pivotable relative to the longitudinal axis and connecting the fastener to the vertebrae; providing a longitudinal element; connecting a first portion of the longitudinal element with the at least one fastener; derotating the vertebrae to a selected orientation; and connecting a second portion of the longitudinal element with the fastener to substantially maintain the vertebrae in the selected orientation. Systems are disclosed. | 05-07-2015 |
20150127056 | SURGICAL SYSTEM, DEVICE, AND METHOD FOR IMPLANTING A SURGICAL DEVICE WITHOUT THE USE OF A GUIDE WIRE - The present invention relates to a system, method, device and kit which utilize a modular pedicle screw implant that does not require the use of a guide wire for implantation and can be assembled in situ. The system, method, device, and kit include a surgical instrument for implanting a modular pedicle screw comprising a cannula coaxially aligned with a modified trocar style instrument or surgical shaft. The surgical shaft contains a first member of a surgical shaft-inner pedicle bone screw member joint, illustrated herein as a locking taper, for securing an inner member of a pedicle screw thereto. The inner member of a pedicle screw is further adapted to couple to an outer pedicle sheath. In combination, the inner member of a pedicle screw and the outer pedicle sheath form a solid modular pedicle screw. | 05-07-2015 |
20150134007 | SACRAL TETHER ANCHOR AND METHODS OF USE - A system for restricting flexion of a spinal segment in a patient comprises a constraint device having a tether structure and a compliance member coupled with the tether structure. The tether structure is adapted to be coupled with a superior spinous process and a sacrum. The system also includes an anchor member that is anchored to the sacrum. The anchor member has an attachment feature that is adapted to couple with the constraint device. | 05-14-2015 |
20150134008 | EXPANDABLE ROD SYSTEM TO TREAT SCOLIOSIS AND METHOD OF USING THE SAME - Correction of a scoliotic curve in a spine comprises the steps of implanting an expanding rod isolated completely under the skin and attached to selected portions of the scoliotic curve of the spine at opposing ends of the rod; and producing a controlled force by means of expansion of the rod over at an extended time period under external control until a desire spinal curve is obtained. An incremental force is generated to stretch the scoliotic curve of the spine between the selected portions where attachment of the rod is defined. The controlled force is provided steadily for at least one month or alternatively 1-3 months. Multiple rods may be employed each associated with a different scoliotic curve of the spine or a different portion of the scoliotic curve. | 05-14-2015 |
20150142062 | CLIP FOR DYNAMIC SPINAL PLATE - A clip includes a body and a pin. The body includes a first end, a second end, and a backspan extending between the first and second ends. The backspan defines a through hole. Each of the first and second ends of the body are configured to releasably couple to a rail of a dynamic spinal clip between two adjacent segments of a dynamic spinal clip to maintain a span between two adjacent segments. The pin defines a longitudinal axis and includes a head and a shaft. The shaft extends from the head to a tip. The tip is configured to penetrate bone. The shaft is configured and dimensioned to be slidably received through the through hole of the body The head is sized to prevent the head from passing through the through hole of the body. | 05-21-2015 |
20150148849 | MINIMALLY INVASIVE COUNTER-TORQUE WRENCH SYSTEM - A minimally invasive counter-torque system may comprise a bone screw system, a counter-torque wrench, a set screw driver, a counter-torque wrench handle, and a removable set screw driver handle. A body of the counter-torque wrench may be positioned entirely within a space as defined by or between removable arms of a tulip head of the bone screw system, such that only the wings of the counter-torque wrench extend beyond a width of the bone screw system. In operation, the counter-torque wrench handle may be received on a proximal end of the counter-torque wrench and may be used to stabilize and prevent rotation of the counter-torque wrench and the bone screw system. Then, the removable set screw drive handle may be engaged to a proximal end of the set screw driver and may be used to fasten a set screw into the saddle of the bone screw system. | 05-28-2015 |
20150289907 | Screw Assembly with Deformable Bushing - A method of securing a fixation rod to a screw assembly that includes a screw, a bushing, and a receiver includes the steps of inserting the fixation rod within a receiver portion of the bushing and the receiver, advancing a locking member into contact with an engagement surface on a proximal portion of the bushing, applying a force with the locking member to increase an amount of friction between a distal engagement surface of the bushing and a head portion of the screw, and increasing the force to deform a deformable portion of the bushing and increase an amount of friction between the fixation rod and the bushing. | 10-15-2015 |
20150297264 | SURGICAL 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. | 10-22-2015 |
20150297276 | Placement Tool For Bone Screw Assembly, And Systems and Methods Of Using Same - A placement tool for positioning a multipart cannulated screw assembly to fixate first and second bone elements. The placement tool includes a stem and a head carried on the stem. The head has an outer shank engagement provision that engages the proximal end of an outer shank of a bone screw assembly and permits selective rotation of the outer shank. The head also has an inner shank engagement provision that engages the proximal end of an inner shank of the bone screw assembly and permits selective rotation of the inner shank. The inner shank and outer shank engagement provisions are connectable to one another such that the inner shank and outer shank engagement provisions rotate together. | 10-22-2015 |
20150305783 | ANTERIOR CERVICAL INSTRUMENTATION SYSTEMS, METHODS AND DEVICES - Anterior cervical instrumentation systems, methods, and devices are disclosed. Systems may facilitate immobilizing or providing support for the cervical portion of the vertebral column of a patient. A device may comprise a plate having two channels located in a proximal to distal direction, and may further comprise at least one aperture. The device may further comprise attachment elements such as attachment cross-links and spacer cross-links, and fasteners. The plate and the attachment elements may be secured to the vertebrae by passing fasteners through apertures and channels. The length of the plate, position and number of the attachment cross-links, position and number of spacer cross-links and degree of movement may be intraoperatively selected by the surgeon to provide an optimal application and procedural outcome. Uniform components of the devices and systems allow for a more streamlined and simplified method of treating spinal conditions. | 10-29-2015 |
20150305784 | SPINAL STABILIZATION SYSTEM AND METHOD - A spinal stabilization system may include a pair of structural members coupled to at least a portion of a human vertebra with connectors. Connectors may couple structural members to spinous processes. Some embodiments of a spinal stabilization system may include fasteners that couple structural members to vertebrae. In some embodiments, a spinal stabilization system, provides three points of fixation for a single vertebral level. A fastener may fixate a facet joint between adjacent vertebrae and couple a stabilization structural member to a vertebra. Connectors may couple the structural members to the spinous processes of the vertebrae. Use of a spinal stabilization system may improve the stability of a weakened or damaged portion of a spine. When used in conjunction with an implant or other device, the spinal stabilization system may immobilize vertebrae and allow for fusion of the implant or other device with vertebrae. | 10-29-2015 |
20150313649 | SURGICAL TETHER APPARATUS AND METHODS OF USE - A spinal treatment system includes a constraint device having an upper tether portion, a lower tether portion and a compliance member coupled therebetween. The upper tether portion is coupled with a superior spinous process of a spinal segment in a patient and the lower tether portion is coupled with an inferior spinous process or sacrum of the spinal segment. The length or tension in the constraint device is adjustable so that the construct of the tether portions and the compliance member provides a force resistant to flexion of the spinal segment. The system also includes a first prosthesis coupled with the spinal segment, wherein the constraint device modulates loads borne by the prosthesis or by tissue adjacent thereto. | 11-05-2015 |
20150313657 | BONE FIXING SYSTEM AND METHOD OF USE - A bone fixing system useful for holding bone in position, and a method for installing the same are disclosed. The ends of a conformable ligature are passed around bones, bone grafts, tendons, plates, rods, fasteners, or other anatomical or implanted structures, and the like to form a loop extending from a first portion of a body. The ends of the conformable ligature are passed through the body and extend out a second portion of the body. The ends may be attached to a tensioning tool and a selected tension may be applied. A closure member may engage an engagement portion of the body to create a friction force to hold the conformable ligature in place without significant movement relative to the body. | 11-05-2015 |
20150320457 | METHODS AND APPARATUS FOR ACCESS TO AND/OR TREATMENT OF THE SPINE - Systems, devices, and methods suitable for use with procedures performed at least partially percutaneously are provided. In some procedures, two or more access devices for providing access to adjacent surgical locations within a patient are used. Certain embodiments of the access device comprise an elongate body having a distal end with one or more cutouts. The cutouts on adjacent access devices are generally aligned with each other to permit passage of a portion of a fixation element from one access device to the other access device. A fastener with an elongated removable head may be delivered to the surgical site through the access device. After a distal end of the fastener is secured to the surgical site, a portion of the elongated housing is detached from the remainder of the fastener and removed from the patient. | 11-12-2015 |
20150320458 | SURGICAL INSTRUMENT AND METHOD - A surgical instrument includes a first member that defines a first longitudinal axis and includes a first pivot engageable with a first spinal construct connected with a first vertebral surface. A second member includes a second pivot engageable with a second spinal construct connected with a second vertebral surface. The second member is axially translatable relative to the first member along the first longitudinal axis such that the first vertebral surface is moved relative to the second vertebral surface. The first member is engageable to rotate the first spinal construct relative to the first member and the second member is engageable to rotate the second spinal construct relative to the second member. Systems and methods are disclosed. | 11-12-2015 |
20150327872 | METHOD OF PERFORMING SACROILIAC FUSION - A method of performing an orthopedic procedure in a sacroiliac region. At least a portion of an undercutting system is inserted at least partially into an aperture in at least one of an ilium and a sacrum. The undercutting system includes an insertion apparatus, a probe assembly and a cutting assembly. The probe assembly is moved with respect to the insertion apparatus from a retracted position to an extended position so that at least a portion of the probe assembly is between the ilium and the sacrum. The probe assembly is manipulated between the ilium and the sacrum. The cutting assembly is moved with respect to the insertion apparatus from a refracted position to an extended position so that at least a portion of the probe assembly is between the ilium and the sacrum. The cutting assembly is manipulated between the ilium and the sacrum to cut tissue between the ilium and the sacrum. | 11-19-2015 |
20150342649 | LATERAL MASS FIXATION SYSTEM - A device for accessing and guiding at least one fixation device to a spine may include a distal portion configured to fit in a facet of the spine and a proximal portion extending from the distal portion. The proximal portion may be detachable from the distal portion and may be hollow or solid. A system for accessing and guiding at least one fixation device to a spine may include a distal portion configured to fit in a facet of the spine, a proximal portion extending from the distal portion, and a slidable guide device for sliding over the facet guide device to guide at least one instrument to the spine. | 12-03-2015 |
20150351812 | OCCIPITAL PLATE ASSEMBLIES WITH POLYAXIAL HEAD CONNECTORS - Occipital plates and assemblies combining occipital plates with one of several types of spinal rods or cervical plates in a procedure to fuse a portion of a skull to a portion of a spine. An array of different occipital plates are disclosed, including options for making adjustments to the occipital plates by bending thinned portions of the occipital plates. The spinal rods engage polyaxial connector assemblies that are rotated posterior of the bony attachment section that provides an array of screw holes for affixing the occipital plate to the skull using at least one non-angled and non-articulated instrument. One or more holes for securing tensioning cables are provided in the occipital plates. Additional variations of these concepts are disclosed. Methods of using the disclosed components in surgical procedures are disclosed. | 12-10-2015 |
20150351814 | ROD REDUCER, COMPRESSOR, DISTRACTOR SYSTEM - A compressor/distractor system for operating on a spine is disclosed. The system includes two rod reducers which each advance a spinal rod into the shoulder portion of a pedicle screw. Each rod reducer includes an inner member, an outer member, and a pair of gripping members. Each outer member receives and advances the spinal rod into the pedicle screw. The outer member also includes a through slot which receives the proximal end of each of the pair of gripping members which may limit the longitudinal translation of the outer member with respect to the inner member. The compressor/distractor system may include a compressor/distractor device which has a compressing, a distracting, and a neutral configuration. A method for using the minimally invasive rod reducers with the compressor/distractor system to secure at least two pedicle screws in desired positions on a spinal rod is also disclosed. | 12-10-2015 |
20150359574 | SECURING FASTENERS - A polyaxial fastener is secured within an implant with a retaining ring. The ring is assembled onto a circumferential groove formed in the fastener head. The groove and ring are positionable, when the fastener is installed into an implant, at a wide portion of the mating polyaxial aperture in the implant. The ring is compressible into the groove to form a narrowed diameter, which is passable into a narrow diameter of the aperture, near an entrance to the aperture. The ring is released to expand and increase an overall diameter of the head and ring assembly, thereby rending the assembly too wide to pass by the narrow entrance to the aperture, thereby securing the assembly within the implant. | 12-17-2015 |
20150359578 | APPARATUS AND METHODS FOR IMMOBILIZATION AND FUSION OF A SYNOVIAL JOINT - Methods and apparatus for immobilizing a synovial joint, such as a sacroiliac (SI) joint are disclosed. In one form, a multipiece fixation device, such as a dowel, includes multiple expandable fasteners that are configured to fix adjacent bones of a synovial joint with respect to one another. The expandable fasteners include expansion portions that are expanded radially via insertion of another expandable fastener or an expansion device to fix the expandable fasteners to the bone. The fixation device may be configured to provide for compression or distraction of the bones of the synovial joint while at the same time stabilizing the joint. | 12-17-2015 |
20160000475 | INTERBODY DEVICE AND PLATE FOR SPINAL STABILIZATION AND INSTRUMENTS FOR POSITIONING SAME - Systems, methods and devices for providing stabilization between first and second vertebrae are provided. More particularly, in one form a system includes an implant configured to be positioned in a disc space between the first and second vertebrae and a freestanding plate for engagement with extradiscal surfaces of the first and second vertebrae. The system also includes an insertion instrument with an engaging portion configured to releasably engage with the implant and the plate such that the implant and plate can be positioned together relative to the first and second vertebrae. In one aspect, an angular orientation of the implant relative to the plate is adjustable when the implant and the plate are engaged by the instrument. In this or another aspect, the implant and plate are held in a contiguous relationship when engaged by the instrument. However, different forms and applications are also envisioned. | 01-07-2016 |
20160000477 | Methods 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. | 01-07-2016 |
20160000478 | MEDICAL SCREW DRIVER, SHANK FOR MEDICAL SCREW DRIVER AND METHOD OF INTRODUCING PEDICLE SCREWS - A medical screw driver includes a shank having a coupling for a handling member for applying torque to the shank. A screw driver portion can be inserted in a pedicle screw head and transmit torque to the screw head. A sleeve is rotatable about the shank and includes a male thread for coupling to a female thread formed at the pedicle screw head. The sleeve has a first sleeve portion having a first engaging portion and a second sleeve portion having a second engaging portion. The first and second engaging portions engage so that the second sleeve portion can transmit torque to the first sleeve portion, and so that the second sleeve portion can be disengaged from the first sleeve portion and drawn off the shank without having to release the first sleeve portion from the pedicle screw head. | 01-07-2016 |
20160000488 | SACROILIAC JOINT FUSION SCREW AND METHOD - A sacroiliac joint fusion screw and associated delivery tools and method. Embodiments of the sacroiliac joint fusion screw comprise a shaft having proximal and distal end portions and a head on the proximal end of the shaft. A threaded portion on a distal portion of the shaft is configured to engage a sacrum. A glide zone portion on the shaft between the threaded portion and the proximal end portion is configured to extend through an ilium. The screw can provide stability and compression to the joint. | 01-07-2016 |
20160008037 | CONNECTION ASSEMBLY | 01-14-2016 |
20160008040 | FACET JOINT IMPLANTS AND DELIVERY TOOLS | 01-14-2016 |
20160022319 | SYSTEM AND METHOD FOR CORRECTION OF A SPINAL DISORDER - A surgical system and method for fusionless correction of a spine disorder are provided. The method comprising the steps of providing access to a spine; providing a longitudinal element extending between a first end including a first fixation element and a second end including a second fixation element; engaging the first fixation element with a first costovertebral surface and engaging the second fixation element with a second costovertebral surface such that the longitudinal element is disposed in a costotransverse orientation along a selected section of the spine; and preventing growth of the selected section of the spine with the longitudinal element. | 01-28-2016 |
20160022326 | SPINOUS PROCESS FUSION DEVICES - The present disclosure generally relates to a device for positioning and immobilizing at least two adjacent vertebrae. In particular, in one or more embodiments, the present disclosure relates to spinous process fusion devices that distract and immobilize the spinous processes of adjacent vertebrae. | 01-28-2016 |
20160022335 | RETAINING MECHANISM - A retaining mechanism for use in affixing a stratum to bone is disclosed. The retaining mechanism comprises a stratum, a retaining element and a spring element. The stratum comprising a first surface, a second surface, and a hole extending between the first surface and the second surface, wherein the second surface is configured to engage at least a portion of the bone. The retaining element comprises a first position that permits a fastener to be passed through the hole, and a second position that at least partially overlaps the hole. The spring element is configured to engage the stratum and configured to engage the retaining element such that the spring element helps maintain the retaining element in its second position so as to help prevent inadvertent backing out of the fastener after the fastener has been fully inserted into the hole. | 01-28-2016 |
20160030089 | SKELETAL MANIPULATION METHOD - A method of Creating scoliosis in a subject includes securing a scoliosis treatment, device to first and second locations on the subject's skeletal system, the scoliosis treatment device including a first portion, a second portion moveably mounted relative to the first portion, and an adjustment device disposed on the device and configured to change a distraction, force between the first location and the second location, the adjustment device including a rotationally mounted magnetic element configured to move the second portion relative to the first portion in response to rotation of the magnetic element. An external adjustment device is provided external to the subject and is able to adjust the distraction force between the first location and second location. | 02-04-2016 |
20160038191 | GROWING SPINAL ROD SYSTEM - A growing spinal rod system is configured to grow in response to the growth of a patient. The growing spinal rod system includes a housing, a spacer, and a sliding spinal rod. The housing includes a stepped passage therethrough. The spacer is disposed within the stepped passage and defines a through hole. The spacer includes a plurality of ribs biased inwards and into the through hole. The sliding spinal rod is slidably inserted through the through hole of the spacer. The sliding spinal rod moves the plurality of ribs outwards. The plurality of ribs permits the sliding spinal rod to extend from the housing and inhibit the sliding spinal rod from retracting into the housing. | 02-11-2016 |
20160045232 | INTERSPINOUS SPACER - An implantable spacer for placement between adjacent spinous processes is provided. The spacer includes a body and a wing rotatably connected to the body. The wing includes two U-shaped configurations that together define a substantially H-shaped configuration for retaining the spacer between adjacent spinous processes. An actuator assembly is connected to the body and to the wing with the proximal end of the spacer being connectable to a removable driver that is configured to engage the actuator assembly. While connected to the spacer, the driver is rotatable in one direction to deploy the wing from an undeployed to a deployed configuration and in an opposite direction to undeploy the wing. In the deployed configuration, the spacer acts as a space holder opening up the area of the spinal canal, maintaining foraminal height, reducing stress on the facet joints and relieving pain for the patient. | 02-18-2016 |
20160045233 | METHODS AND DEVICES FOR SPINAL FIXATION ELEMENT PLACEMENT - Minimally invasive methods and devices are provided for positioning a spinal fixation element in relation to adjacent spinal anchors. In an exemplary embodiment, the device is a percutaneous access device that can be coupled to a spinal anchor, and the method includes the step of positioning a spinal fixation element through at least one sidewall opening of at least two percutaneous access devices such that the spinal fixation element extends in a lengthwise orientation that is substantially transverse to the longitudinal axis of each percutaneous access device. The spinal fixation element can then be advanced in the lengthwise orientation to seat the spinal fixation element in or adjacent to the receiver heads of at least two adjacent spinal anchors. A fastening element or other closure mechanism can then be applied to each spinal anchor to engage the spinal fixation element within the receiver heads of the adjacent anchors. | 02-18-2016 |
20160051293 | JOINTED ROD - The present invention is a spinal fixation device that includes an occipital rod having a first end and a second end, and a spinal rod extending from a connection housing having a first end and a second end. The first end of the spinal rod is integral with a portion of the connection housing and the connection housing is configured with an elongated opening, a rotating plug, and a locking mechanism. The elongated opening is configured for mating with the first end of the occipital plate and the locking mechanism is adapted to enable the occipital rod to be locked in a fixed position. | 02-25-2016 |
20160051375 | MINIMALLY INVASIVE SPINAL FUSION SYSTEM AND METHOD - Disclosed herein are minimally invasive systems and method for stabilizing the spine, while preserving a degree of spinal flexion and extension of the spine at the level of the stabilized vertebrae postoperatively. The systems and methods can include an expandable anchor and rod that span an intervertebral disc. The anchor can have interstices, and ends in two adjacent vertebral bodies. The system can also include a volume of bone cement media. | 02-25-2016 |
20160058477 | Pedicle Screw - A pedicle screw comprises a head. A shaft is joined to the head. The shaft comprises a first threaded portion, a middle portion and a second threaded portion. The middle portion comprises a modified threaded portion being configured to mitigate damage to a patient's nerve root. A first marker is joinable to the shaft proximate the modified threaded portion. The first marker comprises a material being radiographically distinguishable from the shaft in which a placement of the modified threaded portion is observable. | 03-03-2016 |
20160058481 | FLANGED INTERBODY FUSION DEVICE - Methods and devices are disclosed for treating the vertebral column. An implant for treating the spine is provided comprising at least two articulations between the spacer and the bone facing surface of the fixation plate. Another implant for treating the spine is also provided, comprising two or more fixation plates attached to a spacer with two or more articulations, wherein the fixation plates are independently movable. | 03-03-2016 |
20160058482 | ROD DELIVERY TOOL FOR USE IN PEDICLE SCREW SYSTEMS - Rod delivery tools, methods for delivering a connecting rod of a pedicle screw system into seating slots of at least first and second long arm screw towers of a pedicle screw system, and a rod reduction tool and related methods for urging a distal leading end of a connecting rod and an opening of a long arm screw tower into alignment with one another, where the two are initially misaligned. | 03-03-2016 |
20160066963 | SYSTEMS AND METHODS FOR POSTERIOR DYNAMIC STABILIZATION OF THE SPINE - Devices, systems and methods for dynamically stabilizing the spine are provided. The devices include an expandable spacer having an undeployed configuration and a deployed configuration, wherein the spacer has axial and radial dimensions for positioning between the spinous processes of adjacent vertebrae. The systems include one or more spacers and a mechanical actuation means for delivering and deploying the spacer. The methods involve the implantation of one or more spacers within the interspinous space. | 03-10-2016 |
20160074073 | DISTRACTION/COMPRESSION POSTERIOR ROD SYSTEM AND METHODS OF USE - A method for fusing vertebral bodies comprising the steps of: mounting a first engagement member of a fixation member to a pedicle of a first vertebra and a second engagement member of the spinal fixation member to a pedicle of a second vertebra, the first engagement member having a first extension engaged with an expansion ring, the second engagement member having a second extension engaged with the expansion ring; inserting screws through the first and second engagement members and into the pedicles of the respective first and second vertebrae; rotating the expansion ring in a first direction, thereby distracting the first and second vertebrae; implanting an intervertebral implant between the first and second vertebrae after rotating the expansion ring in the first direction; and rotating the expansion ring in a second direction after implanting the intervertebral implant, thereby compressing the first and second vertebrae. | 03-17-2016 |
20160074077 | DYNAMIC SPINAL STABILIZATION ASSEMBLIES, TOOL SET AND METHOD - A hinged bone screw and tool set is used for implanting such bone screws in a human spine, followed by the implantation of a longitudinal connecting member into the bone screws. The hinged bone screw includes a shank with an upper portion and a receiver with integral arms forming a U-shaped channel. A lower curved seat partially defining the U-shaped channel cooperates with an upper portion of the bone screw shank for hinged movement of the shank with respect to the receiver. The tool set includes an insertion tool, a bone screw driver, a reduction tool and a closure starter. The insertion tool includes a bone screw attachment structure and a laterally opening channel. The insertion tool further includes a threaded portion for cooperation with the reduction tool to provide synchronized placement of a closure structure in the bone screw receiver while reducing and capturing a longitudinal connecting member within the receiver. Further alternative bone screws are hinged, polyaxial or fixed and include lordosing or kyphosing lateral surfaces. | 03-17-2016 |
20160081723 | METHOD OF IMPLANTING A BONE PLATE - In one aspect, a bone anchor assembly is provided having a bone anchor with a head, a resilient locking cap extending about a portion of the bone anchor head, and a cap drive member having a depending annular wall. The annular wall and locking cap have engagement surfaces configured to engage and expand the locking cap as the cap drive member is shifted from an unlocked to a locked position. In another form, a bone plate system is provided including a bone plate having an elongated throughbore and a resilient support member received therein. The support member has an opening sized to receive a bone anchor head and an actuator device carried thereon. The bone plate and support member have interfering portions configured to be shifted to a locked orientation to lock the support member and the bone anchor head at an axial position in the throughbore. | 03-24-2016 |
20160081724 | PROCESS FOR INTRODUCING A STABILIZING ELEMENT INTO A VERTEBRAL ELEMENT - A process for introducing a stabilizing element into a vertebral column, in which the stabilizing element is introduced in such a manner that the stabilizing element connects two adjacent vertebral bodies to one another. | 03-24-2016 |
20160089129 | SPINAL IMPLANT SYSTEM AND METHOD - A method for treating a spine includes disposing a body including vertebrae in a lateral orientation relative to a surgical fixed surface configured for supporting the body; creating an incision in tissue of the body along a substantially transverse plane of the body; spacing the tissue adjacent the incision along a sagittal plane of the body to define a surgical pathway to the vertebrae; and delivering at least one implant adjacent the vertebrae via the surgical pathway. Systems and implants are disclosed. | 03-31-2016 |
20160089188 | SPINAL IMPLANT SYSTEM AND METHOD - A method comprises the steps of: providing a first surgical instrument comprising a surface having a mating element; connecting the first surgical instrument with a fastener, connecting the fastener with tissue; engaging the mating element with a mating element of at least one of a plurality of alternate second surgical instruments interchangeable with the first surgical instrument; and treating the spine with the first surgical instrument and the at least one second surgical instrument. Instruments and implants are disclosed. | 03-31-2016 |
20160089195 | ARTICULATING ROD BENDER AND CUTTER - An articulating surgical rod bender assembly includes first and second support members pivotably connected at an interface, a first drive wheel rotatably attached to the first support member, a second drive wheel rotatably attached to the first support member and coupled with the first drive wheel, and means for rotating the first drive wheel so that rotation of the first drive wheel causes rotation of the second drive wheel to advance a surgical rod through the assembly. The assembly also includes a guide element selectively positionable so that a surgical rod positioned with a first side contacting the first drive wheel, an opposing second side contacting the second drive wheel, and one of the first and second sides contacting the guide element is bent to a desired curvature or radius of curvature by the guide element and the first and/or second drive wheels as is passes through the assembly. | 03-31-2016 |
20160095627 | SPINAL IMPLANT SYSTEM AND METHOD - A method for treating a spine includes disposing a body including vertebrae in a lateral orientation relative to a surgical fixed surface configured for supporting the body; delivering a plurality of first implants adjacent the vertebrae such that the plurality of first implants are disposed along a sagittal plane of the body; attaching at least one surgical instrument to the plurality of first implants; creating an incision in tissue of the body; spacing the tissue adjacent the incision to define a surgical pathway to the vertebrae along a lateral surgical approach; delivering a second implant along the surgical pathway in a first orientation such that the second implant is aligned with the surgical pathway; and rotating the second implant to a second orientation such that the second implant is aligned with the sagittal plane. Systems and implants are disclosed. | 04-07-2016 |
20160095628 | ROD AND ANCHOR SYSTEM AND METHOD FOR USING - A method of conducting a surgical procedure including implanting an anchor into a bone, wherein the anchor comprises a receiving portion and a screw, the screw including a screw head contained within the receiving portion and pivotally engageable with a surface of the receiving portion, and wherein the receiving portion and the screw comprising a different material. The method further includes selecting a rod from a group of rod types and coupling the rod with the receiving portion to stabilize a position of a portion of the spine. | 04-07-2016 |
20160095630 | SPINAL CORRECTION SYSTEM AND METHOD - A spinal correction system comprises a first member configured for attachment to a first portion of vertebral tissue and a second member is configured for attachment to a second portion of the vertebral tissue spaced from the first portion. A third member has a non-flexible configuration relative to the first and second members and is configured for attachment to an apical portion of the vertebral tissue and along at least a portion of at least two vertebrae. The third member extends between a first end connected to the first member at a first transition configured for attachment to the first vertebral tissue and a second end connected to the second member at a second transition configured for attachment to the vertebral tissue. Methods of use are disclosed. | 04-07-2016 |
20160100864 | EXTERNAL ADJUSTMENT DEVICE FOR DISTRACTION DEVICE - A method of positioning an external adjustment device relative to a patient includes placing a magnetic viewing sheet adjacent to a patient and identifying the location of an implanted magnetic assembly using the magnetic viewing sheet by visualizing a magnetic image of the implanted magnetic assembly in the magnetic viewing sheet. The external adjustment device is placed on the patient adjacent to the location where the magnetic image was located. | 04-14-2016 |
20160100873 | Method for Using a Guard for Creating a Socket Posteriorly in the Spine - A method for guiding a bone removal device to form a socket in the human spine and for inserting a cortical bone implant into the socket. The method includes placing a guard against the posterior aspect of the spine, the guard having a passage therethrough, inserting the bone removal device into the passage, removing a portion of a facet joint with the bone removal device to create the socket having a maximum height, and inserting the cortical bone implant into the socket. The cortical bone implant has a leading end, a trailing end, a mid-longitudinal axis through the ends, and a height transverse to the mid-longitudinal axis, the height of the cortical bone implant being greater than the maximum height of the socket. | 04-14-2016 |
20160106474 | GUIDED ROD AND ANCHOR SYSTEM FOR USE IN A MINIMALLY INVASIVE SURGERY SPINAL PROCEDURE OR THE LIKE - A bone anchor system utilizing an extended tab tulip having rails which extend from a point above the skin of a patient to a point proximal a bone anchor, and a slide member pivotally coupled to a rod, the slide member having engagement features which align to the rails of the extended tabs such that the coupled rod assembly is easily and efficiently guided to a position more proximate to the bone anchor and the rod is simultaneously pivoted into engagement with an adjacent bone anchor under the skin and musculature of the patient, for example. | 04-21-2016 |
20160106477 | SPINAL IMPLANT SYSTEM AND METHOD - A spinal implant for use with a surgical treatment comprises a plate including a surface that defines a first cavity and a second cavity. The first cavity is oriented to implant a multi-axial fastener with a sacrum. The second cavity is oriented to implant a fastener with an ala of a sacrum. Systems and methods of use are disclosed. | 04-21-2016 |
20160113690 | MULTICHANNEL CANNULA FOR KYPHOPLASTY AND METHOD OF USE - A method of using a multichannel cannula to perform kyphoplasty includes inserting a stabilizing wire into a vertebra damaged by a compression fracture and inserting, over the stabilizing wire, a cannula. The cannula includes a first channel having open proximal and distal ends, and is configured to receive the stabilizing wire, and a second channel having an inlet portal and an exit portal that are in fluid communication. The cannula further includes an expandable portion configured to expand away from the cannula from an outer wall of the second channel. The method also includes inflating the expandable portion to create a void in the bone and to restore the height of the vertebra, and then deflating the expandable portion. When the void has been created, bone cement is delivered through the second channel into the void via the exit portal to at least partially fill the void. | 04-28-2016 |
20160128732 | Supplemental Fixation Screw - Devices, systems and methods for surgical fixation, including multi-screw anchoring devices for anchoring to various anatomical locations such as a sacral level or other anatomy of the spine. Anchoring devices include screw assemblies that are adjustable in a variety of different ways to grant a surgeon various options for placement and/or orientation of the primary and supplemental fixation screws. | 05-12-2016 |
20160128737 | SURGICAL IMPLANT SYSTEM AND METHOD - A method for treating vertebrae includes the steps of: providing a first penetrating element and a second penetrating element; disposing a first penetrating element with a first vertebral body; disposing a second penetrating element with a second vertebral body; removing the first penetrating element from the first vertebral body; providing a spinal implant including at least a first opening and a second opening; disposing the spinal implant adjacent the vertebral bodies such that second opening is aligned with the second penetrating element; providing a fastener; aligning the fastener with the first opening; and attaching the fastener with the first vertebral body. Systems and devices are disclosed. | 05-12-2016 |
20160135847 | RECEIVING PART FOR RECEIVING A ROD FOR COUPLING THE ROD TO A BONE ANCHORING ELEMENT - A receiving part for receiving a rod for coupling the rod to a bone anchoring element includes a receiving part body including a first end and a second end, and having a substantially U-shaped recess at the first end forming a channel for receiving the rod, and an accommodation space for accommodating a head of the bone anchoring element, the accommodation space having an opening at the second end for introducing the head; and a pressure element arranged at least partially in the accommodation space, the pressure element including a first section having a second recess for receiving the rod, and a second section having a flexible portion to clamp the head, the first section and the second section being fixed relative to each other, wherein said pressure element is insertable from the opening. | 05-19-2016 |
20160135849 | OFFSET VARIABLE ANGLE CONNECTION ASSEMBLY - Systems for securely connecting a spinal implant to a bone anchor by using an offset connection assembly. The variable angle connection assembly is able to securely connect the spinal implant to the anchors even when there is a variance in the angle and position of the anchors with respect to the spinal implant. The connection assembly will not inadvertently lock the components of the connection assembly preventing the relative movement of the components. | 05-19-2016 |
20160135852 | Facet screw and method for spinal stabilization - A spinal facet bone screw and minimally invasive surgical method of implanting a facet screw to stabilize the spine are provided. The facet screw includes an elongated body portion having a head, a threaded portion and a distal threadless portion. A pair of flutes formed in the elongated body extends from the distal end across the threadless portion and into the distal end of the threaded portion. The flute creates a self-tapping cutting surface that includes a heel edge that is curved with respect to the outer surface. The method of implantation comprises making a minimally invasive incision on the side of the midline contralateral to the target facet joint and delivering the screw across the interspinous process using the adjacent spinous processes as guideposts. The facet screw system fixes juxtaposed facet articular processes to enhance spinal fusion and stability and the method provides for accurate, repeatable and easy implantation. | 05-19-2016 |
20160135853 | MINIMALLY INVASIVE TOOLING FOR DELIVERY OF INTERSPINOUS SPACER - A plurality of individual tools is provided where each tool is uniquely configured to perform a step or a portion of a step in a novel procedure associated with the implantation of a stabilizing device (e.g., an interspinous spacer) for stabilizing at least one spinal motion segment. The tools are usable individually, or more preferably as a tooling system in which the tools are collectively employed to implant an interspinous spacer, generally in a minimally invasive manner. For example, each of the tools is arranged with coordinated markings and/or other features to ensure consistent depths of insertion, proper orientation of the tools with respect to each other or an anatomical feature of the patient, and precise delivery of the spacer to maintain safe positioning throughout the implantation procedure. | 05-19-2016 |
20160143666 | POLYAXIAL BONE ANCHORING DEVICE - A polyaxial bone anchoring device includes an anchoring element having a shaft for anchoring in a bone and a head, a receiving part having a first end and a second end, a channel for receiving a rod therein, a bore extending from the first end to the second end, and a seat for receiving the head, a pressure element configured to be arranged in the bore and to exert pressure onto the head when the head and the pressure element are in the receiving part, wherein the head is pivotable and can be locked at an angle relative to the receiving part by the pressure element, wherein an outer wall of the pressure element has one of a recess or a deformable portion, and an inner wall of the receiving part has the other one of a deformable portion or a recess configured to be positioned corresponding to the recess or deformable portion of the pressure element, wherein when the head and the pressure element are in the receiving part, the pressure element is movable from a first position wherein the deformable portion protrudes a first distance into the recess and engages the recess while the head is pivotable relative to the receiving part, to a second position wherein the deformable portion protrudes a second distance greater than the first distance into the recess and engages the recess, where the pressure element is closer to the second end of the receiving part in the second position than in the first position, such that a force is exerted by the pressure element onto the head that holds the head at one of a plurality of releasable angular positions relative to the receiving part by friction before locking the head in the receiving part. | 05-26-2016 |
20160143673 | LAMINAR 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 slidably disposed within the lumen of the elongate body. The actuator member is operatively coupled with the actuation rod and is slidably 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. | 05-26-2016 |
20160143674 | MINIMALLY-INVASIVE SURGERY PEDICLE SCREW AND ROD ASSEMBLY, INSERTER TOOL, AND INSERTION METHOD FOR USE IN SPINAL STABILIZATION PROCEDURES - The present invention provides a minimally-invasive surgery pedicle screw and rod assembly, inserter tool, and insertion method for use in spinal stabilization procedures and the like. The screw and rod assembly utilizes a screw head body that has a pair of tab extenders that extend longitudinally from the head body to a point well outside of the skin and musculature of the patient. A rod is coupled to and translated along these tab extenders, ultimately into proximity with the head body. The rod is inserted into, aligned with, and translated along the length of the tab extenders, and then selectively pivoted about an enlarged partial spherical bearing into a configuration that is substantially perpendicular to the tab extenders and the head body. The present invention also provides an inserter tool that is used to dispose the rod concentrically within the tab extenders, translate the rod along the length of the tab extenders, and then pivot the rod with respect to the tab extenders and the head body. | 05-26-2016 |
20160151095 | SYSTEMS FOR SPINAL STABILIZATION | 06-02-2016 |
20160151096 | SPINAL CORRECTION ADJUSTMENT SYSTEMS AND METHODS | 06-02-2016 |
20160151098 | DEFORMITY CORRECTION USING NEURAL INTEGRITY MONITORING | 06-02-2016 |
20160157897 | Method for Minimally Invasive Treatment of Unstable Pelvic Ring Injuries with an Internal Posterior Iliosacral Screw and Bone Plate - The instant invention is a novel method for stabilization of the posterior pelvis (iliosacral) when treating an unstable pelvic ring fracture. Cannulated screws are inserted through the posterior of the ilium through the sacroiliac joint and into the sacrum. The screws are used to affix the iliosacral joint while it heals. The screws are used in conjunction with a bone plate (through which the screws pass) to provide the construct/fixation with added strength and stability compared to iliosacral fixation using screws alone. | 06-09-2016 |
20160183933 | SPONDYLOLISTHESIS REDUCTION SYSTEM - An instrument for obtaining spinal rod measurements in situ includes a measurement member, a first indicating member, and a second indicating member. The measurement member measures a length between two spinal implants. The first indicating member couples with the measurement member and includes a first measurement scale coupled with a first shaft for engaging a first spinal implant of the two spinal implants. The second indicating member couples with the measurement member and includes a second measurement scale coupled with a second shaft for engaging a second spinal implant of the two spinal implants. | 06-30-2016 |
20160199100 | MINIMALLY INVASIVE SPINAL FIXATION SYSTEM INCLUDING VERTEBRAL ALIGNMENT FEATURES | 07-14-2016 |
20160199102 | FLEXIBLE SPINE STABILIZATION SYSTEM | 07-14-2016 |
20160199103 | DYNAMIC SPINE STABILIZERS | 07-14-2016 |
20160249956 | Spinal Cross-Connector and Method for Use of Same | 09-01-2016 |
20160374726 | Distraction Screw - A distraction screw includes a proximal portion secured to a first vertebra, a distal portion secured to a second vertebra and an intermediate portion. The intermediate portion is coupled to the proximal and distal portions and is positioned in an intervertebral space. The intermediate portion is configured and adapted to enable distraction of the first vertebra relative to the second vertebra. | 12-29-2016 |
20160374733 | INTERSPINOUS PROCESS FIXATION DEVICES, SYSTEMS, INSTRUMENTS AND METHODS OF ASSEMBLY AND USE - The present invention discloses spinous process fixation devices, systems, and instruments. The spinous process fixation device includes a first member, a second member, a third member, and a fourth member. Each of the first and second members includes a body and an engagement member and the engagement member of the first member couples to the engagement portion of the second member. Each of the third and fourth members also includes a body and an engagement member and the engagement member of the third member couples to the engagement portion of the fourth member. A method of assembling the spinous process fixation device and methods of using the spinous process fixation devices are also disclosed. A reamer instrument is also disclosed. | 12-29-2016 |
20160374737 | IMPLANT DISPENSER - An apparatus for dispensing a plurality of implants including a barrel, a magazine, and a driver. The barrel has a longitudinal passage and a lateral passage intersecting the longitudinal passage adjacent a distal end of the barrel. The magazine has a housing defining a chamber for holding a plurality of implants. The housing is slidably connected to the barrel and movable between a retracted position and an extended position wherein a slot of the housing is aligned with the lateral passage of the barrel. A pusher member connected to the housing is caused to push one of the implants through the slot and the lateral passage and into the longitudinal passage. The driver is disposed in the longitudinal passage to be axially and rotatably movable to apply a rotational force to the implant. | 12-29-2016 |
20170231666 | STABILIZING BONE USING SPINAL FIXATION DEVICES AND SYSTEMS | 08-17-2017 |
20170231710 | Systems and Methods for Performing Spine Surgery | 08-17-2017 |
20180021069 | UNCINATE JOINT DISTRACTION AND STABILIZATION METHODS | 01-25-2018 |
20190142411 | TISSUE FIXATION SYSTEM AND METHOD | 05-16-2019 |
20190142472 | SPINAL IMPLANT SYSTEM AND METHOD | 05-16-2019 |
20190142479 | SPINOUS PROCESS FUSION DEVICES AND METHODS THEREOF | 05-16-2019 |
20220133364 | Polyaxial Bone Screw With Increased Angulation - A polyaxial bone device includes a screw, a screw housing, and a spring. The screw includes a screw head and a shaft that extends from the screw head. The screw housing defines a longitudinal axis and a bore that extends along the longitudinal axis. The screw housing includes a basewall and opposed sidewalls that extend from the basewall. The basewall defines a notch that receives the shaft to increase pivotal movement between the screw and the screw housing relative to the longitudinal axis of the screw housing. The opposed sidewalls define a rod-receiving channel. The screw housing defines a transverse hole in communication with the bore. The spring is supported in the transverse hole and extends therethrough. The spring extends into the bore to frictionally engage the screw head while the screw head is seated in the bore. | 05-05-2022 |