Depuy Synthes Products, Inc.

Medos International Sarl

Synthes Gmbh

William Miller

Wamis Singhatat

Daniel Vennard

Lawton Laurence

David Edgar Evans

Kurt Schmura

Jared Schoenly

Thomas Donner

Eric Biester

Michael F Keane

Nigel G Smith

Michael D Sorrenti

Jamie Manos

James Talbot

Dirk Dittmann

Jeff Walker

Lamis Elsawah

Hyun W Bae

Kevin Lee

Roger Berger

Thomas J Runco

Dominique D Messerli

Albert A Montello

Richard W Fournier

Randall Feldman Lee

Josef Gabelberger

Robert Brik

Veronique Christine Zollmann

Marc Puls

Michael Jeger

Cory Emil

Joshua Rodriguez

Kevin Henrichsen

Garland W Fussell

Alec Manson

John Henry Peloza

Brice Dudley, Jr

Laura Wilson

Marc Müller

Christopher Cromer

Brian Schmidt

Shawn Harris

Mickey Morgan

Garland Fussel

Brian Rick Delamarter

Thomas McCann, Jr

Cheng-Ju Wu

Luke Ice

Hewatt McGraw Sims

Vanessa Howell

William Frasier

Brad Schertle

David Evans

Nigel Smith

Brian Rick Delmarter

James Manos

Bone screw drivers are disclosed that apply torque to a threaded shank of a bone screw assembly and receive a cement delivery device to introduce bone cement through the threaded shank. Also disclosed are driver adapters that couple to a driver in order to facilitate application of torque thereto. The driver adapter can decouple from the driver after implanting a bone screw shank to allow the subsequent use of a cement delivery device in combination with the driver. The devices can be reusable and can employ a number of additional components, including retaining and counter-torque sleeves, driving handles, etc. Further, the devices can allow setup of a bone screw inserter assembly outside a surgical field, such that a completed assembly can be passed to a surgeon or other user for immediate use.

Bone screw inserters and methods

An array stabilizer for a surgical system includes a pair of arms configured to extend alongside opposite sides of a portion of an array adapter, which is attachable to a rotational instrument in a manner such that the rotational instrument is rotatable about a central axis relative to the array adapter. The array adapter is configured to extend from another component of the surgical system, such that at least one of the arms of the array adapter is configured to resist rotation of the array adapter about the central axis relative to such component as the rotational instrument rotates. The array stabilizer is either rigidly integrated with such component or is coupled to such component via a coupling device.

Surgical array stabilizers, and related systems and methods

Arcuate fixation members with varying configurations and/or features are provided, along with additional components for use therewith in provided fixation systems and intervertebral implant systems. The arcuate fixation members may be of varying lengths, cross sectional geometries, and/or cross sectional areas, and may be configured with various features such as heads configured to accept other fixation system components, tabs to allow arcuate fixation member-in-arcuate fixation member or fixation anchor-in-arcuate fixation member configurations. Applications of fixation systems and intervertebral implants systems utilizing arcuate fixation members are particularly suitable when a linear line-of-approach for delivering fixation members is undesirable.

Arcuate fixation member

Systems, methods, and instruments for tracking localized movement of an anatomic structure at a surgical site are provided that can, for example, detect and identify movement of the anatomic structure not otherwise tracked by a global navigation system. One embodiment can include a cannula with a localized navigation sensor coupled to a distal end thereof. The cannula can be coupled to a robot arm and the localized navigation sensor can detect movement of an anatomic structure relative to the cannula. The localized navigation sensor can include one or more tines that selectively extend from the cannula to contact the anatomic structure. A controller can receive data from the localized navigation sensor and a global navigation system, and determine if movement detected by the localized navigation sensor is tracked by the global navigation system. Systems, methods, and instruments of the present disclosure can be used independently of a global navigation system.

Systems, methods, and devices for localized tracking of a vertebral body or other anatomic structure

An implant includes a first plate and a second plate, a first wedge member and a second wedge member spaced from the first wedge member that couple the first and second plates together. The first and second wedge members configured to translate along the first and second plates from a first contracted configuration into a second separated configuration. The implant includes an actuation member coupled to the first wedge member and the second wedge member. The actuating member defines a flange extending toward the first and second plates. The actuation member configured to move the first and second wedge members from the first contracted configuration into the second separated configuration so that the first and second plates separate from each other.

Expandable intervertebral implant, system, kit and method

This disclosure relates generally to surgical instruments used to deliver locking or set screws to secure a rod or spinal fixation element relative to an implanted bone anchor or other spinal fixation construct during spine surgery. In one embodiment, the inserter instrument can include an inner driver shaft, a ratcheted outer sleeve, and a handle configured to receive the shafts therein. The inner driver shaft can receive a plurality of set screws on a distal end thereof. A side latch, pawl, or button can engage with the ratcheted outer sleeve to facilitate step-wise advancement of the sleeve relative to the driver shaft for set screw delivery. Step-wise advancement can be controlled using another button that causes movement of the side latch.

Multiple set screw insertion instrument and methods

Implant inserters and related methods are disclosed herein, e.g., for delivering a fusion cage or other implant to a spinal disc space and for rotating or articulating the implant within the disc space. An exemplary instrument can include an inner member having opposed jaws for grasping the implant and holding the implant during insertion. The inner member can be slidably received within an outer member such that relative axial translation of the inner and outer members is effective to open or close the jaws. The jaws and/or the distal end of the outer member can have a low-profile geometry, which can advantageously facilitate certain surgical procedures. For example, the low-profile geometry can allow for a more medial approach to an intervertebral disc space in which the implant is to be inserted.

Intervertebral implant inserters and related methods

An implant includes a first plate and a second plate, a first wedge member and a second wedge member spaced from the first wedge member that couple the first and second plates together. The first and second wedge members configured to translate along the first and second plates from a first contracted configuration into a second expanded configuration. The implant includes an actuation member coupled to the first wedge member and the second wedge member. The actuating member defines a flange extending toward the first and second plates. The actuation member configured to move the first and second wedge members from the first contracted configuration into the second expanded configuration so that the first and second plates separate from each other.

Surgical plating systems, devices, and related methods for stabilizing and immobilizing portions of a body for surgical procedures, e.g., spinal surgery, are disclosed herein. The plating systems can have narrow profiles that minimize trauma to the patient. An exemplary bone plating system can include a bone plate having one or more holes for receiving attachment members to couple the bone plate to a bony structure. The plating system can provide multipoint fixation to anatomical structures of the patient to prevent unwanted migration of the bone plate and/or unintentional back-out of the attachment members. In some embodiments, the attachment members can be disposed at various trajectories and angles relative to plating structures and can include a mesh construct and/or additional locking features. In some embodiments, the plating system can be introduced into the patient via an access tube to further limit the invasiveness of the procedure.

Surgical plating systems, devices, and related methods

Devices and methods are provided for optimized spinal fixation using additive manufacturing techniques to create implants with optimized structure for various surgical approaches, anatomies, etc. One exemplary embodiment includes a cage having an X-shaped connection that can bear a load during cage impaction. The cage can be additively manufactured to incorporate features such as variable wall thickness or material density to adjust properties of the cage, including load bearing capability, flexibility, radiolucency, etc. The cage can further include one or more of the connectors disposed between upper and lower endplates. In some embodiments, the cage can include a feature for coupling an insertion device thereto for introducing the cage into the body of a patient. In some embodiments, a plate can be appended to or integrally formed with a proximal end of the cage to assist with securing the cage to vertebral bodies.

Devices and methods for optimized spinal fixation

Implementations of the present disclosure provide an access tube including a wall structure and an optional handle extending from the wall structure. Selectively weakened areas facilitate selective resection of the wall structure to reveal windows that accommodate lateral intrusions by surrounding anatomical structures and/or provide increased access to an intervertebral disc. For example, a first distal weakened portion is configured to form a first window to afford lateral intrusion of a spinous process. A second distal weakened portion is configured to form a second window to afford lateral intrusion of facet. A proximal weakened portion is configured to afford additional angular access on a proximal end of the tube.

Surgical access tube

An anchor assembly can include at least one anchor member, such as a pair of anchor members that are configured to be implanted in a target anatomical location in a first configuration, and can subsequently be actuated to an expanded configuration that secures the anchor members in the target anatomy. The anchor assembly can further include a connector member configured as a stitch lock that attaches the pair of anchor members together across a gap so as to approximate the anatomical defect.

Stitch lock for attaching two or more structures

Growing community of inventors

West Chester, PA, United States of America

William Miller