A system for percutaneous or open facet joint fusion includes an imaging system configured to identify a docking location on a facet joint between a first vertebra and a second vertebra of a patient. The system also includes a cannula configured to be positioned at the docking location on the facet joint. The cannula includes one or more markers mounted thereto, and the imaging system is configured to identify the one or more markers to position the cannula at the docking location. The cannula also includes one or more actuators configured to move the one or more markers. The system further includes a rotary tool that is configured to mount within the cannula. The rotary tool is configured to create a void in the facet joint by way of the cannula, and the void is configured to receive a bone graft or bone growth promoting material.

A posterior vertebral plating system comprising a plate and a plurality of attachment members. The plate has a plurality of holes extending through the plate from an upper surface to a lower surface, and the plate is configured to extend along the posterior side of at least two vertebrae adjacent at least one boney structure of each of the vertebrae. The holes are spaced in such a way that a first plurality of holes is positionable over a boney structure of a first vertebra to define a plurality of fixation points to the first vertebra and a second plurality of holes is positionable over boney structure of a second vertebra to define a plurality of fixation points to the second vertebra. The attachment members are insertable through the holes of the plate and into the boney structure of a corresponding vertebra to fix the plate to the vertebra.

A suture anchor for tissue repair that has a proximal section and a main section where the proximal and main sections are formed of different materials. The proximal section is formed of a material that promotes in-growth from the surrounding tissue.

A spinal implant assembly includes a set screw having a central opening that extends from a first end of the set screw toward a second end of the set screw. The second end of the set screw includes a bottom bore portion, and the set screw is configured to engage with an anchoring member. The spinal implant assembly includes a capacitive assembly having an integrated circuit located within an internal portion the capacitive assembly, and a plurality of capacitive plates positioned on an outside bottom surface of the capacitive assembly. Each of the capacitive plates is in operable communication with the integrated circuit, and the capacitive assembly is configured to be received within the central opening of the set screw, such that the plurality of capacitive plates are positioned above the bottom bore portion.

A suture anchor for tissue repair that has a proximal section and a main section where the proximal and main sections are formed of different materials. Only the proximal section is formed of a biologic material, such as human cortical bone. The proximal section is about one-third of the body of the anchor.

A method for treating arthritis of a joint includes identifying a bone lesion in a bone adjacent to the joint; and implanting in the bone a reinforcing member in or adjacent to the bone lesion. A kit for conducting the method includes: (a) at least one reinforcing member having a proximal face adapted to face the joint, a distal face adapted to face away from the joint, and a wedge-shaped edge adapted to pierce bone, wherein the at least one reinforcing member is planar and sterile; and (b) a container adapted to maintain the at least one reinforcing member sterile. Another kit includes: (a) a sterile fluid; (b) a syringe for injecting the fluid into a bone; (c) a curing agent adapted to cure the fluid to polymerize and/or cross-link; and (d) a container adapted to maintain the sterility of contents of the container.

A device for mixing and dispensing bone material is provided. The device comprises a tubular member having an interior surface configured to receive bone material and a fluid to mix the bone material disposed within the tubular member. The tubular member is flexible and has a proximal opening configured to slidably receive a plunger, and a distal opening configured to dispense a mixed bone material from the interior surface of the tubular member. The plunger is less flexible than the tubular member. Methods of mixing and dispensing bone material are also provided.

A tension device for applying tension to an orthopedic cable loop system is designed to remain implanted in vivo after completion of the surgical procedure in which the device is used. The tension device may include a spool rotatable in one direction, such as by having outer flanges engageable with ratcheting protrusions along a cavity within the body of the device. The tension device may maintain a biasing force on the cable, which force may be applied by an elastic material. For example, the elastic may be provided in an opening of the body of the device. In another example, the elastic may be provided in the spool, such as by constructing the flanges of the spool from elastic material or by providing elastic material between an inner and an outer ring of the spool. Other biasing components as well as measuring components may be provided in the tension device.

A surgical system includes a sleeve defining a passageway. An adapter is removably coupled to the sleeve. The adapter defines a channel. A delivery device includes a distal end positioned in a channel of the adapter. A bone fastener includes a head and a shank defining a cannula. A distal portion of the adapter is positioned in the shank such that the channel is in communication with a cannula of the shank. A plunger is movably disposed in a lumen of the delivery device. The plunger is configured to move a material through the lumen and the channel and into the cannula. Methods and kits are disclosed.

A method comprises the steps of: imaging a patient anatomy; selecting an implant strategy for at least one bone fastener having a first member; registering the imaging of the patient anatomy with imaging of at least a portion of a robot; engaging the first member with tissue of the patient anatomy via robotic guidance according to the implant strategy; and subsequently, manipulating the patient anatomy. Systems, spinal constructs, implants and surgical instruments are disclosed.