A multifunctional robotic system for performing in vivo procedures includes a control unit comprising a computer processor and a robotic arm in communication with the control unit for multi-axis movement of the robotic arm. The robotic arm has a plurality of passages therein.

A printer head is disposed in one of the passages and is configured to create multi-dimensional objects in vivo. The robotic system includes a measuring system disposed in one of the passages.. The computer processor has executable software configured to receive signals from the measuring system and is configured to control the printer head and the measuring system to position the object in an in vivo location based upon the signals from the measuring system.

Expandable implant devices including first and second endplates, wherein a first side of the first endplate is moveably attached to a first side of the second endplate; and an expansion mechanism is disposed between the first and second endplates adjacent the second side of the endplates opposite the first side, wherein actuating the expansion mechanism changes an angle between the first endplate and the second endplate.

Intervertebral spacer assemblies, systems, and methods thereof. A method of insertion includes inserting an intervertebral spacer and plate together using an insertion tool and, upon removal of the insertion tool, the intervertebral spacer and plate are no longer considered connected/coupled and act as separate components.

A spinal implant has proximal and distal regions, and includes upper and lower bodies. A proximal adjustment assembly is disposed between the upper and lower bodies in the proximal region of the spinal implant and is adjustably coupled to the upper and lower bodies, and a distal adjustment assembly is disposed between the upper and lower bodies in the distal region of the spinal implant and is adjustably coupled to the upper and lower bodies. The proximal and distal adjustment assemblies are independently movable with respect to each other, both concurrently and alternately, to change a vertical height of at least one of the proximal or distal regions of the spinal implant. A set screw is removably disposed within the proximal region of the spinal implant to lock the vertical height of the proximal and distal regions of the spinal implant.

An example expandable interbody device can include a structural body having an upper endplate and a lower endplate, where the endplates are shaped to nest tightly in a closed position. The device can include at least one wedge block and at least one linkage block arranged between the upper and lower endplates of the structural body. The device can include a drive screw threaded through the at least one wedge block and the at least one linkage block. The drive screw can be configured to rotate and drive the at least one wedge block to expand the upper and lower endplates of the structural body from the closed position to an intermediate position. Additionally, the drive screw can be further configured to rotate and drive the at least one linkage block to expand the upper and lower endplates of the structural body from the intermediate position to an open position.

An intervertebral implant includes a body having a first face, a second face connected to and opposite the first face, a width and a length at least as long as the width that extend around the first and second faces, and first and second connection portions for connecting the implant to a separate holding member. The first and second connection portions each includes a hollow space accessible from outside the body through an opening formed between the first and second faces. The openings are elongate and extend away from one another around the implant from a same first side that defines the length of the body to respective second and third sides opposite to one another that define the width of the body, and are arranged such that the first and second connection portions are simultaneously engageable by the holding member.

Embodiments of the disclosure provide systems and methods of removing a core from an intervertebral prosthetic disc. The method may include: securing a multipart prosthetic disc to a distal end of a removal instrument by grasping at least a portion of the multipart prosthetic disc between a pair of core removal arms on the placement instrument; inserting the pair of core removal arms between two prosthetic disc plates of the intervertebral prosthetic disc to distract the plates away from one another; and removing the core from the intervertebral prosthetic disc with the removal instrument. The removal instrument may include: an inner shaft connected to the pair of core removal arms; and an outer shaft movable with respect to the inner shaft and including an activation mechanism for causing the arms to grasp the core for removal.

Spinal interbody cages are provided that include a bulk interbody cage, a top face, a bottom face, a top mesh structure, a bottom mesh structure, pillars, and slots. The top and bottom faces are exterior surfaces of the bulk interbody cage having a top central opening and a bottom central opening, respectively. The top and bottom mesh structures extend from the bulk interbody cage across the top central opening and the bottom central opening, respectively. The pillars are for contacting vertebral bodies. The slots are to be occupied by bone of the vertebral bodies and/or by bone of a bone graft. The spinal interbody cage has a Young's modulus of elasticity of at least 3 GPa, and has a ratio of the sum of (i) the volumes of the slots to (ii) the sum of the volumes of the pillars and the volumes of the slots of 0.40:1 to 0.90:1.

In some embodiments, the present disclosure relates to a system that includes an insertion tool and a drill guide. The insertion tool includes a body with a distal portion and a distal end. The body has a first engagement feature extending longitudinally along the distal portion and two arms extending longitudinally from the distal end of the body. The drill guide includes two bores and an open faced channel therebetween. The open faced channel includes a second engagement feature slidably engageable with the first engagement feature on the body of the insertion tool. The two bores are adapted for the disposal of a fastener driver tool therethrough.

Disclosed are system and methods that use at least one non-threaded anchor and an implant with at least one aperture to join boney structures, where the interaction of the head of the anchor with the implant aperture causes the anchor to move transversely with respect to an initial trajectory. This movement causes compression or distraction of the boney structures which are coupled to the anchors.