An interbody device may include a main body and an arm movably connected thereto. The device may have a first end, a second end opposite the first end in a direction of a longitudinal axis of the device, a first side, a second side opposite the first side in a direction of a first transverse axis of the device, a third side, and a fourth side opposite the third side in a direction of a second transverse axis of the device. An overall distance between the first side and the second side may increase along at least a majority of a length of the device in a direction from the first end toward the second end, and an overall distance between the third side and the fourth side may increase along at least a majority of the length in a direction from the second end toward the first end.

The present invention concerns a cage holder including an elongated body comprising a proximal end and a distal end, the elongated body extending from the proximal end to the distal end. The cage holder is characterized in that it further includes means for transferring energy centrally from the proximal end to the distal end through the elongated body.

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. A second dilator tube may be introduced over the first, advanced along a second longitudinal axis parallel to but offset from the first. A third dilator tube may be introduced over the second, advanced along a third longitudinal axis parallel to but offset from both the first and the second. An access cannula may be introduced over the third dilator tube. With the first, second, and third dilator tubes removed, surgical instruments may pass through the access cannula to operate on an intervertebral disc and/or insert an intervertebral implant.

A bone fusion method, system and device for insertion between bones that are to be fused together and/or in place of one or more of the bones, such as, for example, the vertebrae of a spinal column. The bone fusion device comprises one or more extendable tabs having a central rib. The bone fusion device includes one or more support channels configured to receive an insertion instrument that is then secured to the bone fusion device via a coupling mechanism. As a result, the coupled device is able to be securely positioned between vertebrae using the insertion instrument with minimal risk of slippage.

This disclosure relates to an intraoperative guidance system for total joint replacement of a joint of a patient by a surgeon. The guidance system comprises: an X-ray imaging device for single-shot application of X-ray radiation to the joint and for etecting X-ray radiation to create a digital image of the joint and an implant component during a total joint replacement surgery; and a computer system configured to: store a digital three-dimensional model of the joint; receive the digital image during the total joint replacement surgery; perform registration between the digital image and the digital three-dimensional model to determine a placement of the implant component in the digital image in relation to the digital three-dimensional model; determine an intraoperative simulated erformance metric and provide an indication to the surgeon of the intraoperative simulated performance metric as an assessment of a current placement of the implant component.

This disclosure relates to an intraoperative localisation system for total joint replacement of a joint of a patient by a surgeon, the joint being associated with a bone. The localisation system comprises: an X-ray imaging device to create a digital X-ray image of the joint and a localisation object during a total joint replacement surgery; a computer system configured to: store a surgical plan comprising a digital three-dimensional model; receive the digital X-ray image of the joint and the localisation object during the total joint replacement surgery; determine a pose of the localisation object relative to the bone or the joint, based on the digital X-ray image; assess the pose of the localisation object against the surgical plan; and provide an indication of a clinical consequence of the pose in relation to the surgical plan to the surgeon.

This disclosure relates to an intraoperative guidance system. The guidance system comprises: an X-ray imaging device to create a two-dimensional digital image of a joint and an implant component; and a computer system configured to: store an initial three-dimensional model of the joint and the implant component; receive two or more two-dimensional digital images of the joint and the implant component; create a digital three-dimensional model of the joint and the implant component based on the two or more two-dimensional digital images; perform registration between the digital three-dimensional model and the initial three-dimensional model to determine a placement of the implant component; determine an intraoperative simulated performance metric by simulating movement of the digital three-dimensional model based on the placement; and provide an indication to a surgeon of the intraoperative simulated performance metric as an assessment of a current placement of the implant component.

A hybrid spinal implant for performing an intervertebral fusion procedure can include a pair of spacers separated by an expandable container that are formed of a porous titanium scaffold material. A connecting rod can span longitudinally between the pair of spacers. The spacers can be formed of titanium or PEEK, with endplates that are formed of the porous titanium scaffold material. The endplates can be bioactive. Exposed surfaces of the porous titanium scaffold material can be coated in a snag-preventing substance. The expandable container can be formed of a mesh material.

A system 100 or designing a surgical kit 700 for articulating surface repair in an anatomical joint of a patient is provided, which comprises at least one processor 120 configured to: determine damage to the anatomical joint; select, from a predefined set of implants having varying dimensions, the implant 300 that is the best fit for repairing the determined damage; select, from a predefined set of insert tools, the insert tool 720 corresponding to the selected implant 300; and design a contact surface 540 of a guide tool 500 to have a shape and contour that is designed to correspond to and to fit the contour of a predetermined area. This enables the use of standardized implants 300 that can be manufactured batch-wise, while still using an individualized guide tool 500 to ensure correct positioning of the implant 300. This helps ensuring that the implant will be positioned in the exact location of the determined damage.

A surgical instrument system comprising a prosthetic trial component and an orthopaedic surgical instrument is disclosed. The orthopaedic surgical instrument includes a distal tip sized to be received in a passageway of the prosthetic trial component. When the distal tip is positioned in the passageway of the prosthetic trial component and is in an expanded position, the distal tip is configured to engage an inner surface of the prosthetic trial component to secure the prosthetic trial component to the orthopaedic surgical instrument and permit the extraction of the trial component from a patient's bone. A method of use is also disclosed.