A transverse coupling for connecting multiple implant extensions includes at least a first sleeve and a second sleeve. The first sleeve defines a first aperture adapted to axially receive a first implant extension through the first aperture. The second sleeve defines a second aperture adapted to axially receive a second implant extension through the second aperture. The transverse coupling also includes a central housing. A first shaft connects the first sleeve to the central housing, and a second shaft connects the second sleeve to the central housing. The central housing includes at least one joint for connecting the central housing to at least one of the first and second shafts in a movable arrangement that allows the shaft(s) to move through one or more degrees of freedom relative to the central housing.
A transverse coupling for connecting multiple implant extensions includes at least a first sleeve and a second sleeve. The first sleeve defines a first aperture adapted to axially receive a first implant extension through the first aperture. The second sleeve defines a second aperture adapted to axially receive a second implant extension through the second aperture. The transverse coupling also includes a central housing. A first shaft connects the first sleeve to the central housing, and a second shaft connects the second sleeve to the central housing. The central housing includes at least one joint for connecting the central housing to at least one of the first and second shafts in a movable arrangement that allows the shaft(s) to move through one or more degrees of freedom relative to the central housing.
A surgical instrument for correcting spinal deformities includes a tubular body adapted to receive a second instrument through the tubular body. The tubular body forms a transverse passage adapted to receive a longitudinal fixation element through the tubular body. The tubular body further includes first and second arms for connecting the surgical instrument to a vertebral anchor. The first and second arms include one or more anti-splaying features adapted to mate with anti-splaying features on the second instrument to prevent the first and second arms from splaying as the second instrument is inserted into the tubular body.
A vertebral body replacement device includes a first member and a first footplate detachably connectable to the first member, a second member and a second footplate detachably connectable to the second member, and a central member detachably connectable to the first member. The first member is axially displaceable relative to the second member in response to rotation of the central member relative to the first member to adjust the length of the vertebral body replacement device. The first member includes a pair of first fastener holes and a pair of second fastener holes angularly offset from the first fastener holes. The first footplate includes an aperture configured to align with one of the first fastener holes to orient the footplate in a first position or one of the second fastener holes to orient the footplate in a second position.
A vertebral body replacement device includes a first member and a first footplate detachably connectable to the first member, a second member and a second footplate detachably connectable to the second member, and a central member detachably connectable to the first member. The first member is displaceable relative to the second member in response to rotation of the central member relative to the first member to adjust the length of the vertebral body replacement device. The first footplate includes a first surface oriented toward the first member, a second surface oriented away from the first member, and a sidewall extending between the first surface and the second surface. The first surface includes an alignment slot facing the first member. The alignment slot is open through the sidewall of the first footplate and configured to slidingly engage the first member to orient the first footplate relative to the first member.
A rod inserter, system and method are provided which allows for insertion of a rod through a freehand method. The inserter can include an extension structure extending from a handle, the extension structure having a distal end, a proximal end, and a longitudinal axis. The inserter can also include a plurality of linkage structures located in a passageway in the extension structure. The linkage structures can cause a rod connection structure to connect to the rod when the distal linkage structure is moved in a first direction, and to cause the rod connection structure to disconnect from the rod when the distal linkage structure is moved in a second direction substantially opposite to the first direction.
A rod inserter, system and method can include an inserter that has a handle and an extension structure extending from the handle. A knob and a lever can be located adjacent the handle. A rod connection structure can be located at the distal end of the extension structure, and configured to rotate with respect to the extension structure. The rod connection structure can include a first clamshell structure and a second clamshell structure configured to move towards and away from each other in order to connect and disconnect from a rod, such as a spinal rod. The knob can be configured such that when actuated the first clamshell structure and second clamshell structure move with respect to each other. The lever can be configured such that when actuated the first clamshell structure and second clamshell structure are prevented from rotating with respect to the extension structure.
A rod inserter, system and method can include an inserter that has a handle and an extension structure extending from the handle. A knob and a lever can be located adjacent the handle. A rod connection structure can be located at the distal end of the extension structure, and configured to rotate with respect to the extension structure. The rod connection structure can include a first clamshell structure and a second clamshell structure configured to move towards and away from each other in order to connect and disconnect from a rod, such as a spinal rod. The knob can be configured such that when actuated the first clamshell structure and second clamshell structure move with respect to each other. The lever can be configured such that when actuated the first clamshell structure and second clamshell structure are prevented from rotating with respect to the extension structure.
A rod inserter, system and method are provided which allows for insertion of a rod through a freehand method. The inserter can include an extension structure extending from a handle, the extension structure having a distal end, a proximal end, and a longitudinal axis. The inserter can also include a plurality of linkage structures located in a passageway in the extension structure. The linkage structures can cause a rod connection structure to connect to the rod when the distal linkage structure is moved in a first direction, and to cause the rod connection structure to disconnect from the rod when the distal linkage structure is moved in a second direction substantially opposite to the first direction.
The disclosed subject matter relates a medical instrument having a rotational drive mechanism that can be integrated into a variety of medical devices, including a tool used as an external retaining ring removal tool or as a non-marring bushing inserter, or in a spinal interbody device. The tool can include a knob portion at a proximal end and a drive mechanism at the distal end. The drive mechanism can include a plurality of drive pins that can be actuated to extend outward by rotating the knob portion. The spinal interbody device can include a drive mechanism configured to translate rotational motion into a linear driving motion to cause locking projections to move into engagement with vertebrae.
The disclosed subject matter relates a medical instrument having a rotational drive mechanism that can be integrated into a variety of medical devices, including a tool used as an external retaining ring removal tool or as a non-marring bushing inserter, or in a spinal interbody device. The tool can include a knob portion at a proximal end and a drive mechanism at the distal end. The drive mechanism can include a plurality of drive pins that can be actuated to extend outward by rotating the knob portion. The spinal interbody device can include a drive mechanism configured to translate rotational motion into a linear driving motion to cause locking projections to move into engagement with vertebrae.
The disclosed subject matter includes a fastener, a system and methods for use and manufacture. The fastener can include a head disposed at a proximal end of the fastener, a shaft connected to the head, and at least one of the head and the shaft can include a plurality of flat surfaces. A collar can extend about the longitudinal axis of the fastener and can have a proximal-most surface spaced in a longitudinal axis direction away from a proximal-most surface of the fastener. The collar can include a plurality of petals spaced about the longitudinal axis, each of the plurality of petals including a flat surface facing a respective one of the plurality of flat surfaces of the at least one of the head and the shaft. A plate and/or a cage can be included with the fastener for use in a spinal connection, kit or repair system.
A spinal interbody device, system and method can include an interbody device configured to stabilize or otherwise support adjacent vertebrae. The interbody device can include a central opening and can be shaped as a trapezoid as viewed from a position on the central axis located above a superior or upper surface of the interbody device. In addition, the upper surface of the interbody device can include at least one keel or spike to facilitate locking of the interbody device with adjacent vertebrae. The at least one spike can be removable and can be adjustable relative to the superior or inferior surface(s) when installed.
A spinal interbody device, system and method can include an interbody device configured to stabilize or otherwise support adjacent vertebrae. The interbody device can include a central opening and can be shaped as a trapezoid as viewed from a position on the central axis located above a superior or upper surface of the interbody device. In addition, the upper surface of the interbody device can include at least one keel or spike to facilitate locking of the interbody device with adjacent vertebrae. The at least one spike can be removable and can be adjustable relative to the superior or inferior surface(s) when installed.
A vertebral body replacement device includes a body member and a central rod member having two threaded portions and configured to be operatively associated with the body member. The device also includes a first end member and a second end member with the end members configured to threadingly engage the threaded portions of the central rod member. The body member and the two end members are further constructed to inhibit rotational movement of the two end members when the device is positioned within a space within a spine as the two end members will engage the adjacent respective vertebral bodies following rotational actuation of the central rod member causing the end members to move in an axial direction relative to the body member, thereby allowing the two end members to apply a force to the two vertebral bodies. A surgical instrument and method for using the device are also disclosed.
A spinal rod persuader, system and method can include an outer tube, an inner tube, and a locking element. A first actuation mechanism can be movable in a linear fashion along a longitudinal axis direction to cause the locking element to move in a linear fashion over the inner tube and to lock the inner tube onto a pedicle screw. A second actuation mechanism can be rotated to cause the outer tube to move in a longitudinal axis direction with respect to the inner tube to push the spinal rod into a final position with respect to the pedicle screw while the pedicle screw is locked to the inner tube. A slot and/or tab structure can be provided in the outer tube such that actuation of the slot/tab will allow disassembly of the inner tube, outer tube and locking element with respect to each other.
A flexible container, system and method of manufacture can include an in-line system that allows flexible containers of varying sizes to be manufactured in a single relatively high speed and efficient production line and in a single clean room through the use of transport and exchange equipment configured to adeptly handle flexible containers throughout the process.
B65B 3/02 - Machines characterised by the incorporation of means for making the containers or receptacles
B65B 29/10 - Packaging two or more different substances isolated from one another in the package but capable of being mixed without opening the package, e.g. forming packages containing a resin and hardener isolated by a frangible partition
B65B 55/08 - Sterilising wrappers or receptacles prior to, or during, packaging by irradiation
B65B 55/10 - Sterilising wrappers or receptacles prior to, or during, packaging by liquids or gases
B65B 3/00 - Packaging plastic material, semiliquids, liquids or mixed solids and liquids, in individual containers or receptacles, e.g. bags, sacks, boxes, cartons, cans or jars
B65B 31/02 - Filling, closing, or filling and closing, containers in chambers maintained under vacuum or superatmospheric pressure or containing a special atmosphere, e.g. of inert gas
B65B 57/04 - Automatic control, checking, warning or safety devices responsive to absence, presence, abnormal feed, or misplacement of binding or wrapping material, containers, or packages and operating to control, or to stop, the feed of such material, containers, or packages
B65B 57/06 - Automatic control, checking, warning or safety devices responsive to absence, presence, abnormal feed, or misplacement of binding or wrapping material, containers, or packages and operating to control, or to stop, the feed of articles or material to be packaged
B65B 57/08 - Automatic control, checking, warning or safety devices responsive to absence, presence, abnormal feed, or misplacement of binding or wrapping material, containers, or packages and operating to stop, or to control the speed of, the machine as a whole
B65B 57/18 - Automatic control, checking, warning or safety devices causing operation of audible or visible alarm signals
A spinal rod persuader, system and method can include an outer tube, an inner tube, and a locking element. A first actuation mechanism can be movable in a linear fashion along a longitudinal axis direction to cause the locking element to move in a linear fashion over the inner tube and to lock the inner tube onto a pedicle screw. A second actuation mechanism can be rotated to cause the outer tube to move in a longitudinal axis direction with respect to the inner tube to push the spinal rod into a final position with respect to the pedicle screw while the pedicle screw is locked to the inner tube. A slot and/or tab structure can be provided in the outer tube such that actuation of the slot/tab will allow disassembly of the inner tube, outer tube and locking element with respect to each other.
An implant device, system and method can include a top structure, a bottom structure, and an intermediary structure. The bottom structure can include a helical groove structure, and the intermediary structure can include at least one pin that cooperates with the helical groove structure such that the pin and the helical groove structure guide the intermediary structure in both a rotational direction about the central axis and an axial linear direction along the central axis. The bottom structure can also include a linear groove structure configured to guide the top structure in a linear motion with respect to the bottom structure when the intermediary structure is rotated with respect to the bottom structure.
A spinal interbody device, system and method can include use of an interbody cage and plate. The interbody cage can include at least one of a key and a keyway configured to mate with at least one of a mating keyway and key located on the plate. The key and keyway can be configured such that the cage and plate are quickly and easily attached and detached from each other, and such that positional relationship between the cage and plate can be arrived at quickly, accurately, and with tactile and/or audile notice to the practitioner.
A spinal interbody device, system and method can include use of an interbody cage and plate. The interbody cage can include at least one of a key and a keyway configured to mate with at least one of a mating keyway and key located on the plate. The key and keyway can be configured such that the cage and plate are quickly and easily attached and detached from each other, and such that positional relationship between the cage and plate can be arrived at quickly, accurately, and with tactile and/or audile notice to the practitioner.
A surgical ratchet tool and system along with associated methods are disclosed. The surgical ratchet tool can include a relatively simple encompassing member that included a pawl extending into the opening for directly contacting a nut during surgery. The ratchet tool and system can be used for various types of surgery in which easy sterilization and a reduced profile for a ratchet tool is desired. For example, the ratchet tool can be used during surgery for adjustment of a spinal implant, where manipulation of a nut located on a downtube connected to a screw and/or spinal rod is desired. The encompassing member and pawl can be constructed/ molded as a single piece unitary structure. A first handle and possibly a second handle can extend from an outer periphery of the encompassing member.
A61B 17/56 - Surgical instruments or methods for treatment of bones or jointsDevices specially adapted therefor
A61B 17/58 - Surgical instruments or methods for treatment of bones or jointsDevices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
A61B 17/88 - Methods or means for implanting or extracting internal fixation devices
An implant driver assembly includes an assembly for advancing a threaded implant over a wire. The assembly may include a driver tool with a proximal end, a distal end and a first engagement surface that has a first thread. The driver tool may also include a first wire passage. The assembly may further include a wire locking mechanism with a second engagement surface having a second thread. The second thread is engaged with the first thread to rotatably couple the wire locking mechanism with the driver tool. The wire locking mechanism may further include a second wire passage. The second wire passage may be substantially coaxially aligned with the first wire passage.
A surgical ratchet tool and system along with associated methods are disclosed. The surgical ratchet tool can include a relatively simple encompassing member that included a pawl extending into the opening for directly contacting a nut during surgery. The ratchet tool and system can be used for various types of surgery in which easy sterilization and a reduced profile for a ratchet tool is desired. For example, the ratchet tool can be used during surgery for adjustment of a spinal implant, where manipulation of a nut located on a downtube connected to a screw and/or spinal rod is desired. The encompassing member and pawl can be constructed/molded as a single piece unitary structure. A first handle and possibly a second handle can extend from an outer periphery of the encompassing member.
A61B 17/58 - Surgical instruments or methods for treatment of bones or jointsDevices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
A61B 17/70 - Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
A61B 17/88 - Methods or means for implanting or extracting internal fixation devices
B25B 13/46 - SpannersWrenches of the ratchet type, for providing a free return stroke of the handle
27.
Vertebral body replacement device and method for use to maintain a space between two vertebral bodies within a spine
A vertebral body replacement device includes a body member and a central rod member having two threaded portions and configured to be operatively associated with the body member. The device also includes a first end member and a second end member with the end members configured to threadingly engage the threaded portions of the central rod member. The body member and the two end members are further constructed to inhibit rotational movement of the two end members when the device is positioned within a space within a spine as the two end members will engage the adjacent respective vertebral bodies following rotational actuation of the central rod member causing the end members to move in an axial direction relative to the body member, thereby allowing the two end members to apply a force to the two vertebral bodies. A surgical instrument and method for using the device are also disclosed.
A low profile spinal stabilization system according to one embodiment includes an elongated fixation element having a socket. The system also includes an anchor element having a spherical end for insertion into the socket of the elongated fixation element, the spherical end having a plurality of petals separated by a plurality of radially arranged slots The system further includes a locking element for insertion into the spherical end of the anchor element to lock the spherical end of the anchor element inside the socket of the elongated fixation element.
A vertebral body replacement device (5000) includes a body member (5100) and a central rod member (5200) having two threaded portions and configured to be operatively associated with the body member (5100). The device also includes a first end member (5300) and a second end member (5400) with the end members configured to threadingly engage the threaded portions of the central rod member (5200). The body member (5100) and the two end members (5300,5400) are further constructed to inhibit rotational movement of the two end members when the device is positioned within a space within a spine as the two end members will engage the adjacent respective vertebral bodies following rotational actuation of the central rod member (5200) causing the end members (5300,5400) to move in an axial direction relative to the body member (5100), thereby allowing the two end members to apply a force to the two vertebral bodies. A surgical instrument and method for using the device are also disclosed.
A rod to rod connector includes at least one clamping assembly for receiving a first spinal rod. The clamping assembly may include a polyaxial articulation element. The articulation element may include a hollow body forming an opening. The clamping body may further include a pivot element configured to clamp the first spinal rod between the pivot element and a channel wall in the clamping assembly. The rod to rod connector may also include a connector member for connecting the clamping assembly to a second spinal rod. The connector member may include a socket configured to receive the polyaxial articulation element of the clamping assembly, with the articulation element polyaxially rotatable relative to the axis of the socket.
A vertebral body replacement device includes a body member and a central rod member having two threaded portions and configured to be operatively associated with the body member. The device also includes a first end member and a second end member with the end members configured to threadingly engage the threaded portions of the central rod member. The body member and the two end members are further constructed to inhibit rotational movement of the two end members when the device is positioned within a space within a spine as the two end members will engage the adjacent respective vertebral bodies following rotational actuation of the central rod member causing the end members to move in an axial direction relative to the body member, thereby allowing the two end members to apply a force to the two vertebral bodies. A surgical instrument and method for using the device are also disclosed.
A rod to rod connector includes at least one clamping assembly for receiving a first spinal rod. The clamping assembly may include a polyaxial articulation element. The articulation element may include a hollow body forming an opening. The clamping body may further include a pivot element configured to clamp the first spinal rod between the pivot element and a channel wall in the clamping assembly. The rod to rod connector may also include a connector member for connecting the clamping assembly to a second spinal rod. The connector member may include a socket configured to receive the polyaxial articulation element of the clamping assembly, with the articulation element polyaxially rotatable relative to the axis of the socket.
Apparatuses and methods for inserting elongated fixation elements into screw implants include one or components for visualizing the insertion process from a unique vantage point. One apparatus features a steering apparatus for adjusting the position of a receiver element on a screw implant, so that an elongated fixation element, such as a rod, can be inserted through a transverse passage in the receiver element. The steering apparatus may include an extension tube and a steering control member coupled to the extension tube. The extension tube may be configured for coupling to the receiver element, and the steering control member may be configured for coupling to the extension tube. The steering control member may include an opening for receiving an endoscope. The endoscope may be used to visually monitor the elongated fixation element as it is inserted into the transverse passage of the receiver element.
A61B 17/70 - Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
A61B 1/317 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes for bones or joints, e.g. osteoscopes, arthroscopes
A two step locking screw assembly includes a receiving member for receiving a fixation member and an anchor having an enlarged portion and a shank. The enlarged portion of the anchor may be seated in the receiving member. An insert may also extend inside the receiving member. An outer fastener may be positioned in the receiving member. The outer fastener may include a central opening and a pair of ramped flanges. An inner fastener may be disposed inside the central opening of the outer fastener.
An instrument assembly includes a downtube having a tubular body with a proximal end and a distal end. In one embodiment, the proximal end forms an opening for receiving a surgical tool, and the distal end forms at least two attachment members for attaching to a bone anchor. The tubular body forms a hollow passage extending from the proximal end to the distal end. The assembly includes a key for insertion into the proximal end of the downtube to attach the downtube to a bone anchor. The key includes an engagement end configured to engage the at least two attachment members when the key is inserted into the downtube. The key is rotatable within the tubular body between a clamping orientation and a releasing orientation.
The surgical instrument includes a handle assembly and an elongate body that has first and second ends with the first end being located adjacent to the handle assembly and the second end being moveably connected to an implant engagement assembly. The surgical instrument also has a length control mechanism that includes a gripping portion, a drive shaft and a gear assembly. The surgical instrument further has a locking mechanism that includes a gripping portion, a connecting rod and a coupling end. The length control mechanism functions to adjust the overall length of an implant that is held by the implant engagement assembly before being implanted in vivo. The locking mechanism operates to secure the overall length of the implant following final length adjustment and implantation. A surgical method for using the surgical instrument, a method of fabrication and a spinal implant insertion kit is also disclosed.
A61B 17/58 - Surgical instruments or methods for treatment of bones or jointsDevices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
A61B 17/60 - Surgical instruments or methods for treatment of bones or jointsDevices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements for external osteosynthesis, e.g. distractors or contractors
40.
Vertebral body replacement device and method for use to maintain a space between two vertebral bodies within a spine
A vertebral body replacement device includes a body member and a central rod member having two threaded portions and configured to be operatively associated with the body member. The device also includes a first end member and a second end member with the end members configured to threadingly engage the threaded portions of the central rod member. The body member and the two end members are further constructed to inhibit rotational movement of the two end members when the device is positioned within a space within a spine as the two end members will engage the adjacent respective vertebral bodies following rotational actuation of the central rod member causing the end members to move in an axial direction relative to the body member, thereby allowing the two end members to apply a force to the two vertebral bodies. A surgical instrument and method for using the device are also disclosed.
An articulating assembly includes a first elongated element for attachment to a first anatomical region, and a second elongated element for attachment to a second anatomical region. In at least one embodiment, a coupling connects the first and second elongated elements. The coupling includes a moveable joint configured to allow polyaxia l movement of the first elongated element with respect to the second elongated element. The assembly further includes a locking mechanism. The locking mechanism is operable in an unlocked condition to permit polyaxial movement of the first elongated element with respect to the second elongated element, and a locked condition to immobilize the movable joint and fix the position of the first elongated element with respect to the second elongated element.
Vertebral body replacement implant kit, namely, a vertebral body replacement implant of artificial material and instruments used in connection with the vertebral body replacement implant kit, namely, implant inserter, expansion driver, ball end set screw driver, bone tamp, graft funnel, implant tamp, caliper, bench block, footplate sizer, [ footplate impactor implant tray, ] implant lid, instrument tray, instrument lid, torque handle, plate sizer, [ plate impactor, ]orientation template
A knee prosthesis having a femoral component with two condyles, an opening disposed between the two condyles, and a tibial component having bearing surfaces to engage and support each of the femoral component condyles. Moving the femoral and tibial components in flexion from about 0° to about 165° causes medial pivot rotation of the femoral component upon the tibial component. Rotation may be caused by interaction between an asymmetrical cam extending between the femoral condyles and a post disposed between the bearing surfaces and extending superior from the tibial component. Rotation may alternatively be caused by asymmetrical medial and lateral condyles which translate posteriorly upon respective medial and lateral bearing surfaces at disparate rates, without a femoral cam, a tibial post, or a post/cam contact surface. Embodiments of the knee prosthesis may be used in cruciate-substituting or cruciate-retaining procedures. Embodiments of the knee prosthesis may also prevent roll forward.
A fixation plate system includes a plate with elongated slots, and first and second anchors for attaching the plate to vertebrae. The first and second anchors have different head configurations that are selected by the surgeon to control how settlement occurs at each fused segment. The head of the first fastener is insertable in any of the slots and resists translation. The head of the second fastener is insertable in any of the slots in free sliding engagement to allow translation of the head in that slot. In one method of use, the surgeon selects a segment where settling needs to be limited, and uses the first fastener to fix the plate near the segment and limit settling at that segment. The first and second fasteners have a built-in spring that assists in securing the fasteners in the plate.
A fixation plate system includes a plate with elongated slots, and first and second anchors for attaching the plate to vertebrae. The first and second anchors have different head configurations that are selected by the surgeon to control how settlement occurs at each fused segment. The head of the first fastener is insertable in any of the slots and resists translation. The head of the second fastener is insertable in any of the slots in free sliding engagement to allow translation of the head in that slot. In one method of use, the surgeon selects a segment where settling needs to be limited, and uses the first fastener to fix the plate near the segment and limit settling at that segment. The first and second fasteners have a built-in spring that assists in securing the fasteners in the plate.
An implantable assembly includes an anchor member and a spacer. The anchor member has a hub portion and a shank portion. The spacer includes a central opening to receive bone fusion material and at least one passage for receiving the anchor member. In one embodiment, the passage includes first and second means for locking the anchor member in the passage against backout. The second means for locking the anchor member in the passage against backout includes means for centering the anchor member in the passage and means for stabilizing the anchor member in the passage. In addition, the second means for locking the anchor member in the passage against backout provides a mechanical advantage to assist in driving the screw into bone and mechanical advantage to assist in reversing the screw out of the spacer.
A surgical tool includes a proximal end, a distal end and a longitudinal axis extending from the proximal end to the distal end. The surgical tool has a fastener engagement tip having a spring extension extending substantially parallel to the longitudinal axis of the surgical tool. The spring extension is resiliently flexible and deflectable between a first arrangement, in which the spring extension is in a relaxed state, and a second arrangement, in which the spring extension is deflected to facilitate insertion of the fastener engagement tip into a fastener slot.
A61B 17/58 - Surgical instruments or methods for treatment of bones or jointsDevices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
An instrument for manipulating a spinal fixation rod includes a gripping section for engaging a spinal implant and a lever body pivotally attached to the gripping section. A rod carrier extends from one side of the lever body and is adapted to push a spinal fixation rod downwardly into the spinal implant.
The surgical instrument (10) includes a handle (100) and a housing (200) member that has a first end that is fixed to the handle and a second end that is configured to receive an engagement member (301). The surgical instrument also has an implant holding mechanism (300) that is operatively associated with the housing member and the handle. The surgical instrument further includes a length control mechanism that has a knob (320), a rod member (310) and a toothed member. The toothed member is fixed to one end of the rod member and the knob (320) is attached to the other end. The surgical instrument also has a locking mechanism that includes a knob and a rod member having a proximal end to which the knob is attached and a distal end that is configured to detachably couple to a locking device. A surgical method for using the surgical instrument and a bone spacing kit is also disclosed.
The surgical instrument includes a handle and a housing member that has a first end that is fixed to the handle and a second end that is configured to receive an engagement member. The surgical instrument also has an implant holding mechanism that is operatively associated with the housing member and the handle. The surgical instrument further includes a length control mechanism that has a knob, a rod member and a toothed member. The toothed member is fixed to one end of the rod member and the knob is attached to the other end. The surgical instrument also has a locking mechanism that includes a knob and a rod member having a proximal end to which the knob is attached and a distal end that is configured to detachably couple to a locking device. A surgical method for using the surgical instrument and a bone spacing kit is also disclosed.
A receiver body for an elongated spinal fixation element includes a housing portion with one or more flanges extending outwardly. In one embodiment, the receiver body includes first and second flanges extending outwardly from the housing portion. The housing portion includes first and second slots that form a passage through the housing portion. Each flange has a circular perimeter edge and a chamfered section, the chamfered section having a notched undercut for engagement with an instrument. In another embodiment, the receiver body includes a housing portion having a circular flange with a first chamfered section and a second chamfered section diametrically opposite the first chamfered section. The first chamfered section has a first aperture that opens out beneath the flange, and the second chamfered section has a second aperture that opens out beneath the flange. The first and second apertures form diametrically opposed pivot-attachment points for an instrument.
A61B 17/04 - Surgical instruments, devices or methods for closing wounds or holding wounds closedAccessories for use therewith for suturing woundsHolders or packages for needles or suture materials
A61B 17/70 - Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
A knee prosthesis having a femoral component (200) with two condyles (201,202), an opening (205) disposed between the two condyles, and a tibial component (100) having bearing surfaces (101,102) to engage and support each of the femoral component condyles. Moving the femoral and tibial components in flexion from about 0° to about 165° causes medial pivot rotation of the femoral component upon the tibial component. Rotation may be caused by interaction between an asymmetrical cam (210) extending between the femoral condyles and a post (110) disposed between the bearing surfaces and extending superior from the tibial component. Rotation may alternatively be caused by asymmetrical medial and lateral condyles which translate posteriorly upon respective medial and lateral bearing surfaces at disparate rates, without a femoral cam, a tibial post, or a post/cam contact surface. Embodiments of the knee prosthesis may be used in cruciate-substituting or cruciate- retaining procedures. Embodiments of the knee prosthesis may also prevent roll forward.
A61F 2/00 - Filters implantable into blood vesselsProstheses, i.e. artificial substitutes or replacements for parts of the bodyAppliances for connecting them with the bodyDevices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
The surgical instrument includes a handle assembly and an elongate member (201) that has first and second ends with the first end being located adjacent to the handle assembly and the second end being moveably connected to an implant engagement assembly (204). The surgical instrument also has a length control mechanism that includes a gripping portion, a drive shaft and a gear assembly (302). The surgical instrument further has a locking mechanism that includes a gripping portion, a connecting rod (403) and a coupling end (402). The length control mechanism functions to adjust the overall length of an implant that is held by the implant engagement assembly before being implanted in vivo. The locking mechanism operates to secure the overall length of the implant following final length adjustment and implantation. A surgical method for using the surgical instrument, a method of fabrication and a spinal implant insertion kit is also disclosed.
The surgical instrument includes a handle assembly and an elongate body that has first and second ends with the first end being located adjacent to the handle assembly and the second end being moveably connected to an implant engagement assembly. The surgical instrument also has a length control mechanism that includes a gripping portion, a drive shaft and a gear assembly. The surgical instrument further has a locking mechanism that includes a gripping portion, a connecting rod and a coupling end. The length control mechanism functions to adjust the overall length of an implant that is held by the implant engagement assembly before being implanted in vivo. The locking mechanism operates to secure the overall length of the implant following final length adjustment and implantation. A surgical method for using the surgical instrument, a method of fabrication and a spinal implant insertion kit is also disclosed.
A61B 17/58 - Surgical instruments or methods for treatment of bones or jointsDevices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
A61F 2/00 - Filters implantable into blood vesselsProstheses, i.e. artificial substitutes or replacements for parts of the bodyAppliances for connecting them with the bodyDevices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
An occipital plate system comprising: (a) a plate having one or more apertures for receiving bone fasteners adapted for securing the plate to the skull; (b) two rails extending outwardly from opposing sides of the plate; and (c) two rod receptacles, each comprising a body portion and a receiver portion, the body portion defining a passageway through which one of the rails slides, the receiver portion defining a cavity to receive a rod and threads above the cavity for receiving a set screw such that at least a portion of each of a rail, the rod and the set screw are contained within the rod receptacle.
A61B 17/70 - Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
A61B 17/58 - Surgical instruments or methods for treatment of bones or jointsDevices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
An intervertebral implant includes a first plate and a second plate that is configured to be moveably engaged with the first plate along an axis of translation. Each plate defines at least one hole or recess for receiving a fastener that is configured to be fastened to a respective vertebrae. In one embodiment, a toothed surface is defined on both the first plate and the second plate. The toothed surface of the first plate is configured for engaging the toothed surface of the second plate such that translation of the second plate with respect to the first plate is limited in a single direction along the axis of translation.
An intervertebral implant includes a body having an upper surface, a lower surface and a transverse fastener hole. The body includes a dynamic fixation mechanism for seating a fastener in the fastener hole and translating the fastener relative to the implant to accommodate subsidence of the implant. In one embodiment, an implant includes a transverse slot with an elongated seat for translating a seated fastener relative to the implant. In another embodiment, an implant includes a displaceable sliding member for translating a fastener relative to the implant.
The vertebral body replacement device includes a body member and a central rod member that has two threaded portions and is configured to be operatively associated with the body member. The device also includes a first end member and a second end member with the end members being configured to threadingly engage the threaded portions of the central rod member. The body member and the two end members are further constructed to inhibit rotational movement of the two end members when the device is positioned within a space within a spine as the two end members will engage the adjacent respective vertebral bodies following rotational actuation of the central rod member causing the end members to move in an axial direction relative to the body member, thereby allowing the two end members to apply a force to the two vertebral bodies. A surgical method using the device is also disclosed.
A locking mechanism for locking a rod in a screw and rod fixation assembly includes a cap having a sidewall and a locking element extending from at least a portion of the sidewall. Locking mechanism cooperates with a receiver component for a spinal fixation rod to lock the rod in the receiver without requiring application of torque. A method of locking a spinal fixation member in a receiver of a screw fixation assembly includes the steps of placing the spinal fixation member into a channel of a receiver, axially advancing a locking cap into the receiver toward the spinal fixation member without application of any torque, and securing the locking cap in a locked position above the spinal fixation member without application of any torque.
An assembly for treating a spinal disorder includes a sleeve having a socket end, a tool-receiving end and a wall extending between the socket end and tool-receiving end. The socket end has a socket opening for receiving a bone fixation screw cap and a pair of opposing notches for accommodating an elongated fixation member. A sleeve wall forms a bore extending axially between the tool-receiving end and the socket end of the sleeve. A method for repairing a spinal disorder includes the step of inserting a polyaxial screw into a vertebral bone, where the polyaxial screw has a screw cap. An elongated fixation member is inserted into the screw cap, followed by a fastener which is inserted into the screw cap in proximity to the fixation member. An adjustment device is connected to the screw cap to adjust the position of the polyaxial screw and vertebral bone.
A61B 17/70 - Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
A61B 19/00 - Instruments, implements or accessories for surgery or diagnosis not covered by any of the groups A61B 1/00-A61B 18/00, e.g. for stereotaxis, sterile operation, luxation treatment, wound edge protectors(protective face masks A41D 13/11; surgeons' or patients' gowns or dresses A41D 13/12; devices for carrying-off, for treatment of, or for carrying-over, body liquids A61M 1/00)
Computerized navigation system comprising an infrared camera linked to a computer used to locate infrared transmitters that are attached to the patient as well as to surgical instruments, namely, pointers, drill guides, and cutting blocks for surgical use
SURGICAL INSTRUMENTS, APPARATUS AND DEVICES, NAMELY, KNEE AND HIP ENDOPROSTHESIS SYSTEMS COMPRISED OF SCALPELS, SURGICAL SAWS AND CUTTERS, STAPLERS, FILES, DRILLS, LEVERS, RETRACTORS, AND FORCEPS, AND SURGICAL IMPLANTS COMPRISING ARTIFICIAL MATERIALS
