Systems, devices, and methods are provided for securing soft tissue to bone. One exemplary embodiment of a surgical soft tissue repair device includes a snare assembly coupled to a soft anchor in which the soft anchor has a first, unstressed configuration that can be used to insert the anchor into bone and a second, anchoring configuration that can be used to fixate the anchor in the bone. The snare assembly can be configured to actuate the anchor from the first configuration to the second configuration, and it can also be used to engage and approximate tissue by drawing the tissue closer to the anchor fixated in the bone. The snare assembly can be used in conjunction with a number of different anchor configurations, and other exemplary systems, devices, and methods for use with soft tissue repair are also provided.

The present invention provides a method for stabilizing a fractured bone. The method includes positioning an elongate rod in the medullary canal of the fractured bone and forming a passageway through the cortex of the bone. The passageway extends from the exterior surface of the bone to the medullary canal of the bone. The method also includes creating a bonding region on the elongate rod. The bonding region is generally aligned with the passageway of the cortex. Furthermore, the method includes positioning a fastener in the passageway of the cortex and on the bonding region of the elongate rod and thermally bonding the fastener to the bonding region of the elongate rod while the fastener is positioned in the passageway of the cortex.

The cannulated compression device creates fixation and compression across its tang housing, thus stabilizing and closing a bone fracture during placement. After insertion of the cannulated compression device, tangs are extended outward from the tang housing, locking the tang housing with respect to both rotational and axial movement. A compression nut is then threaded onto the proximal end of the tang housing. The nut has two sets of threads: a first set of threads interfaces with the tang housing, a second set of threads interfaces with the bone. By using different pitches, the amount of linear movement for the first set of threads and second set of threads is different.

Methods and devices for stabilizing spinal anatomical structures. Some example methods may include introducing a curved segment of an elongate fastener placement rod adjacent to a bone, providing a fastener at the leading end of the curved segment, and/or securing the fastener in place with respect to the bone.

Bone implants, including methods of use and assembly. The bone implants, which are optionally composite implants, generally include a distal anchoring region and a growth region that is proximal to the distal anchoring region. The distal anchoring region can have one or more distal surface features that adapt the distal anchoring region for anchoring into iliac bone. The growth region can have one or more growth features that adapt the growth region to facilitate at least one of bony on-growth, in-growth, or through-growth. The implants may be positioned along a posterior sacral alar-iliac (“SAT”) trajectory. The implants may be coupled to one or more bone stabilizing constructs, such as rod elements thereof.

Methods of deploying an intravertebral implant having an expandable anterior part, a posterior part coupled to the expandable anterior part, and a pedicle fixation element. The expandable anterior part is positioned within the vertebral body, and the posterior part may be positioned within the vertebral body. The pedicle fixation element is anchored to the vertebral body. The expandable anterior part is moved relative to the pedicle fixation element, for example, in two degrees of freedom. Movement in a first of the two degrees of freedom is independent from movement in a second of the two degrees of freedom. The expandable anterior part may be translated without being rotated along a main axis of the pedicle fixation element. Filling material may be injected through the posterior part. Rotational movements of the expandable anterior part relative to the pedicle fixation element may be locked.

The invention primarily relates to fastening and stabilizing tissues, implants, and/or bondable materials, such as the fastening of a tissue and/or implant to a bondable material, the fastening of an implant to tissue, and/or the fastening of an implant to another implant. This may involve using an energy source to bond and/or mechanically to stabilize a tissue, an implant, a bondable material, and/or other biocompatible material. The invention may also relate to the use of an energy source to remove and/or install an implant and/or bondable material or to facilitate solidification and/or polymerization of bondable material.

An insertion device for deploying an implant includes an elongated main body having a distal locking portion for coupling to the implant and a proximal handle portion. The main body defines a central passage and the distal locking portion has outer ridges and slots to allow the outer ridges to flex radially inward when mounting to the implant. A plunger slides in the central passage for movement between an unlocked position for mounting the implant on the distal locking portion, a locked position for locking the implant on the distal locking portion, and an insertion instrument deployed position for deploying the actuation plunger to move the blades from the stowed position to the deployed position. A spike cap drive rotatably mounts on the main body having a socket end for engaging a drive nut on the implant to, in turn, move the spike cap.

The disclosure generally relates to condylar implant assemblies and methods for inserting an implant assembly for supporting the condylar head of a bone. More particularly the disclosure relates to an implant assembly for use in support of the condyle of a humerus, femur, or other bones having a condyle comprising spongy bone. In some implementations, the implant assembly may be inserted into the head of the bone and bands of a dilating member of the implant assembly may be expanded through slots in a tube of the implant assembly for supporting the condylar head of the bone.

In some embodiments, a bone implant for percutaneous use is provided. The bone implant comprises a head, a body adjacent to the head and a tip opposite the head. At least the head, body or tip is configured to contact bone. An expandable member contacts at least one of the head, tip or body and is movable from an unexpanded configuration to an expanded configuration when deployed at a bone implant site. In some embodiments, a system for percutaneous bone harvesting is provided.