Non-load-bearing, drug-eluting components, such as a rod cover, that can be added to load bearing spinal implants.

A tissue fixation system is provided for dynamic and rigid fixation of tissue. A fastener connected with an elongate fastening member, such as a cable, wire, suture, rod, or tube, is moved through a passage between opposite sides of tissue. The fastener is provided with a groove that accommodates at least a portion of the fastening member to reduce the profile during the movement through the passage. The fastener is then pivoted to change its orientation. A second fastener can then be connected with the fastening member. While tension is maintained in the fastening member, the fasteners are secured against relative movement. This may be done by deforming the fastening member, either the first or second fasteners, or a bushing placed against the second fastener.

Tension isolating adjustable adapters are disclosed, along with kits and systems containing same, as well as methods of production and use thereof. The tension isolating adjustable adapters include a percutaneous device holder that can be releasably connected to a percutaneous device via a locking element, and a tensioning member that engages the percutaneous device holder. The tensioning member has at least one tension pad that is shaped and configured to be disposed about the percutaneous device insertion site in the patient's skin, and the engagement of the tensioning member(s) to the percutaneous device holder allows for adjustment of the tension pad(s).

One aspect of the invention provides a lag-screw-retaining clip including: a medial flange adapted and configured for engagement medially under a head of a laterally inserted screw of a trochanteric fracture nail system; an axial offset member coupled to the medial flange, the axial offset member including: a first, medial end coupled to the medial flange; and a second, lateral end; and a lateral flange coupled to the second, lateral end of the axial offset member. The lateral flange is adapted and configured to rest against a lateral end of a lag screw of the trochanteric fracture nail system and resist lateral movement of the lag screw.

A bone marrow access apparatus is adapted to be installed in connection with a bone. The bone marrow access apparatus includes a bone penetrating member having an internal channel having an opening at a proximal end and an opening at a distal end adapted to open into in a bone marrow space in the bone. A valve cap is provided around part of the bone penetrating member, and includes a valve having an opening having an open state in which the channel is not obstructed and a closed state to prevent flow of a material through the channel.

Implants, devices, systems, and methods for achieving ligament fixation are disclosed. An implant comprises a cap member comprising an internally threaded opening extending from a first end thereof, an anchor portion comprising a first end that defines a tip of the implant and external threads, and a coupling portion extending between the cap member and the anchor portion. The coupling portion of the implant includes an externally threaded portion threadably coupled within the internally threaded opening of the cap member. The cap member of the implant is longitudinally moveable along the coupling portion. Insertion instruments for inserting an implant for ligament fixation are also disclosed. Methods of using an implant for achieving ligament fixation are also disclosed.

A closure for an open headed medical implant, such as a bone screw. The closure having a cylindrical body having an axis of rotation and also having a radially outer surface with a thread or other guide and advancement structure thereon. The body having a plurality of apertures that open onto a top surface of the body and that are parallel to but spaced from the axis of rotation. The closure also has a break-off head centrally attached by a neck to the top surface of the body.

A closure for an open headed medical implant, such as a bone screw. The closure having a cylindrical body having an axis of rotation and also having a radially outer surface with a thread or other guide and advancement structure thereon. The body having a plurality of apertures that open onto a top surface of the body and that are parallel to but spaced from the axis of rotation. The closure also has a break-off head centrally attached by a neck to the top surface of the body.

Implants, devices, systems, and methods for achieving ligament fixation are disclosed. An implant comprises a cap member comprising an internally threaded opening extending from a first end thereof, an anchor portion comprising a first end that defines a tip of the implant and external threads, and a coupling portion extending between the cap member and the anchor portion. The coupling portion of the implant includes an externally threaded portion threadably coupled within the internally threaded opening of the cap member. The cap member of the implant is longitudinally moveable along the coupling portion. Insertion instruments for inserting an implant for ligament fixation are also disclosed. Methods of using an implant for achieving ligament fixation are also disclosed.

An apparatus for stabilization of a bone fracture site, including a wire that is configured to be positioned through corresponding holes of a first bone and an adjacent second bone; and a tension washer coupled to a first end of the wire, the tension washer rotatable about the first end of the wire, wherein the wire is configured to be positioned through the corresponding holes of the first and the second bone, the tension washer is configured to be positioned proximate a first surface of the second bone, wherein the tension washer includes a first surface having a length longer than a diameter of the corresponding holes of the first and the second bones, wherein the tension washer is configured to rotate such that the first surface of the tension washer abuts the first surface of the second bone.