Orthopedic implants, systems, instruments, and methods. A bi-portal lumbar interbody fusion system may include an expandable interbody implant and minimally invasive pedicle-based intradiscal fixation implants. The interbody and intradiscal implants may be installed with intelligent instrumentation capable of repeatably providing precision placement of the implants. The bi-portal system may be robotically-enabled to guide the instruments and implants along desired access trajectories to the surgical area.

Orthopedic implants, systems, instruments, and methods. A bi-portal lumbar interbody fusion system may include an expandable interbody implant and minimally invasive pedicle-based intradiscal fixation implants. The interbody and intradiscal implants may be installed with intelligent instrumentation capable of repeatably providing precision placement of the implants. The bi-portal system may be robotically-enabled to guide the instruments and implants along desired access trajectories to the surgical area.

An implant driver for engaging an orthopedic implant for selective advancement and retraction of the implant. The implant driver includes a first jaw assembly comprising a helical cam surface corresponding with a first direction of rotation. The first jaw assembly is operative to engage, in response to rotation in the first direction, the implant using spherical jaw members disposed in constrictive helical channels. The implant driver includes a second jaw assembly comprising a helical cam surface corresponding with a second direction of rotation. The second jaw assembly is operative to engage, in response to rotation in the second direction, the implant using spherical jaw members disposed in constrictive helical channels. Absent rotation of the first and second jaw assemblies, the spherical jaws may not restrict relative axial movement between the implant and the implant driver to allow for advancement and/or retraction of the instrument relative to the implant.

A method for performing an efficient and thorough percutaneous discectomy includes making into the patient a percutaneous incision, which is a small stab wound, no more than approximately 10 mm in length. A stimulated combination neuro-monitoring dilating probe is passed through an approximately 10 mm or less skin incision and into a patient's disc space to establish a safe path and trajectory through Kambin's Triangle. Once a neuro-monitoring dilating probe is in the disc space, a second dilator is placed over the neuro-monitoring dilating probe and impacted into the disc space. Neuro-monitoring dilating probe may then be removed. An access portal optionally combined with a force dissipation device may then be placed over the second dilator and into the disc space. The second dilator is removed and then discectomy instruments may be placed through the access portal to perform the discectomy.

A method for performing an efficient and thorough percutaneous discectomy includes making into the patient a percutaneous incision, which is a small stab wound, no more than approximately 10 mm in length. A stimulated combination neuro-monitoring dilating probe is passed through an approximately 10 mm or less skin incision and into a patient's disc space to establish a safe path and trajectory through Kambin's Triangle. Once a neuro-monitoring dilating probe is in the disc space, a second dilator is placed over the neuro-monitoring dilating probe and impacted into the disc space. Neuro-monitoring dilating probe may then be removed. An access portal optionally combined with a force dissipation device may then be placed over the second dilator and into the disc space. The second dilator is removed and then discectomy instruments may be placed through the access portal to perform the discectomy.

A driver for engaging an endcap of an intramedullary nail. The driver includes a handle extending along a longitudinal axis of the driver from a proximal end to a distal end. The handle having a handle channel extending longitudinally therethrough. The driver also includes a shaft extending through the handle channel from a proximal end to a distal end along the longitudinal axis. The shaft having a shaft channel extending longitudinally therethrough. The distal end of the shaft extends distally from the handle. The distal end of the shaft forms a driving element to be inserted into a head portion of the endcap. The driver further includes a retention pin slidably received in the shaft channel. The retention pin extends also extends along the longitudinal axis. The distal end of the retention pin is configured to reversibly lock the shaft to the head portion of the endcap.

Patient-specific guides for the Latarjet procedure, as well as surgical systems and methods of performing the Latarjet procedure to treat glenohumeral instability using such patient-specific guides are disclosed. A patient-specific coracoid guide and a patient-specific glenoid guide may be configured based on preoperatively generated three-dimensional models of the patient's shoulder anatomy. Guides may be configured for coracoid graft preparation and glenoid decortication. The coracoid graft may be placed in the desired position based on three-dimensional (3D) preoperative planning.

A pin removal tool includes a first arm member and a second arm member opposing the first arm member and connected to the first arm member at a pivot axis. The first and second arm members form a first interface therebetween at a first end of the tool configured to remove a headless pin and a second interface therebetween at a second end of the tool configured to remove a headed pin.

A pin removal tool includes a first arm member and a second arm member opposing the first arm member and connected to the first arm member at a pivot axis. The first and second arm members form a first interface therebetween at a first end of the tool configured to remove a headless pin and a second interface therebetween at a second end of the tool configured to remove a headed pin.

The present invention relates to a portable medical drill impact attachment device. The device can be used for improving the accuracy and reliability of orthopedic surgeries and procedures by obviating a manual device such as a hammer for creating an impact. The attachment device is used for creating impact forces that can be transferred onto a bone, disc, joint, etc. The device features a housing that includes a rotary motion transformer and an impact mechanism assembly. The attachment transforms the rotational motion of a drill into reciprocal motion, and also enables a user to adjust and control the frequency and energy of the impact. An impactor tool can be detachably-attached to a quick-change tool gripper for providing an impact on a bone, disc or joint of a patient without applying any manual force.