An expandable, adjustable inter-body fusion device is presented. The inter-body fusion device can have a first plate, a second plate, and an insert positioned substantially therebetween the first plate and the second plate. The first plate, the second plate, and the insert define an interior cavity. Moving the insert longitudinally with respect to the first and second plates increases or decreases the distance of the first plate with respect to the second plate, effectively expanding the inter-body fusion device and increasing the volume of the interior cavity. The angle between the first plate and the second plate is selectively adjustable.

Disclosed is an offset selector for determining an offset between an anchoring section and a joint section of a joint implant component. The offset selector comprising a reference portion for determining an offset, a first adjustment device for implementing the offset, and a second adjustment device for adjusting the orientation of the offset to the reference portion. The first and the second adjustment devices are coupled to each another. One of the first adjustment device and a second adjustment device are connected to the reference portion and the other one of the first adjustment device and the second adjustment device is connected to an adjustment portion. The adjustment portion being movable relative to the reference portion.

Implants and instruments for providing an ideal trajectory for the insertion of instruments and screws during implantation of an interbody implant in a spinal surgery are disclosed.

An apparatus for releasably holding a surgical tool having a body, the body having a longitudinal axis, a monolithic construction, and a shape apportioned to be grasped by a human hand, with body further having a tool engaging portion, a hand receiving portion, and a button pressing portion. A longitudinal bore is disposed along the longitudinal axis of the body, and on one end. A transverse bore is disposed through the body into the longitudinal bore, with the transverse bore disposed such that the longitudinal axis of the transverse bore intersects the longitudinal axis of the longitudinal bore. A button disposed on and pivotably attached at a resilient member to the button pressing portion of the exterior of the body, with the button being proximal to the tool engaging portion. The button has a button bore and a boss extending from the button bore into the transverse bore which is alignable with the longitudinal bore. The button is disposed on the body to be thumb pressable, the button suitable for selectively engaging a corresponding groove on surgical tool.

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.

A dilation introducer for orthopedic surgery is provided for minimally invasive access for insertion of an intervertebral implant. The dilation introducer may be used to provide an access position through Kambin's triangle from a posterolateral approach. A first dilator tube with a first longitudinal axis is provided. An access cannula may be introduced over the first dilator tube. A drill may be inserted through the access cannula and used to perform a foraminoplasty. Surgical instruments may pass through the access cannula to operate on an intervertebral disc and/or insert an intervertebral implant.

A method of ankle replacement includes forming an anterior cut in a bone and forming a stem hole in a distal end of the bone. The stem hole is formed using a plurality of broaches positioned against the distal end of the bone through the anterior cut. A first portion and a second portion of a stem implant are inserted into the stem hole through the anterior cut in the bone. The first portion is coupled to the second portion using a coupling device inserted through the anterior cut in the bone. The stem implant is impacted into the stem hole using an offset impactor.

An orthopedic instrument in the form of an acetabular cup extractor system for reliably and efficiently extracting an acetabular cup implant from an acetabulum. The system includes a handle assembly, an extractor attachable to a distal end of the handle, and a dome guide assembly having a hemi-spherical dome for engaging the extractor and a centering body extending distally from the hemi-spherical dome for engaging an acetabular implant. The extractor includes a curved, concave guide and a curved blade. The curved, concave guide is sized and shaped to substantially matingly engage with and cover a substantial portion of the hemi-spherical dome. As a result of such an arrangement, a uniform cut is achieved by the curved blade thereby resulting in a minimum of bone being extracted from the acetabulum around the acetabular cup implant during a surgical procedure.

The present invention relates generally to medical devices, systems, and methods for use in surgery. In particular, the disclosed system and methods relate to an intervertebral spinal implant sized and dimensioned for the lumbar spine implantable via a posterior approach. The system includes an implant, instruments for delivering the implant.

A surgical navigation system for providing computer-aided surgery. The surgical navigation system includes a handheld surgical tool with computer-aided navigation, a graphical user interface module, and optionally an imaging device. The handheld surgical tool includes a handle that may comprise at least one sensor for detecting orientation of the. A computing device and at least one display device are associated with the handheld surgical tool and configured to display a target trajectory of the handheld surgical tool for the surgical procedure.