The embodiments provide devices and methods that both strengthen the bone and stimulate the bone. Bone fractures or non-unions are stabilized, integrated or healed, which results in reduction of a bone defect, such as a bone marrow lesion or edema. In addition, the distribution of forces in a joint are restored or altered to relieve pain. In general, a joint is evaluated by taking an image of the joint and one or more subchondral defects are detected. At least one of the subchondral defects may be diagnosed as the source of pain and an extent of treatment for the subchondral defect is determined. The disclosed devices and techniques are particularly suited for treating chronic defects or injuries, where the patient's natural healing response has not resolved the defect. The present disclosure also provides several exemplary treatment modalities for the different extents of treatment needed.

A surgical injection device includes at least one tubular element defining a passageway. The passageway is configured for disposal of a selected volume of an agent and an evacuator disposed within the passageway. An actuator is engageable with the evacuator to entirely expel the selected volume of the agent from the passageway to a selected site. Spinal constructs, implants, systems and methods are disclosed.

A kyphoplasty system disclosed herein includes various instruments which can be selectively used to perform a kyphoplasty operation on a patient. For example, in some embodiments the kyphoplasty system includes an inflation plunger that is used to deliver a balloon inflation medium to enlarge an implantable balloon device. Further, some embodiments described herein include a connection system between the implantable balloon device and its delivery shaft that is simple to construct and easy to use. For example, in some embodiments one or more sutures are used to releasably connect the implantable balloon device to its delivery shaft.

A storage and mixing system, for pasty two-component polymethyl methacrylate bone cements, comprises a cartridge with a cylindrical interior, a cartridge head that closes an end of said cartridge, a partition wall axially disposed in the cylindrical interior of the cartridge, wherein said partition wall is connected to the circumferential surface of the cylindrical interior of the cartridge and divides the cylindrical interior of the cartridge delimited by the cartridge head into two spatially separate cavities. The first cavity includes a first pasty cement component and the separate second cavity includes a second pasty cement component, two delivery plungers close the two cavities on the side of the cavities opposite the cartridge head. At least two cutting edges are disposed on the front side of the sleeve-shaped connecting means facing the cartridge head, such that the at least two cutting edges cut off the partition wall from the cylindrical inner wall of the cartridge as at least one cut-off strip when the delivery plungers are advanced towards the cartridge head in the cavities with the connecting means, and wherein the sleeve-shaped connecting means comprises a deflecting surface which is inclined to the axis of the connecting means which, on advancing the connecting means, presses the at least one cut-off strip of the partition wall towards the inner wall of the cartridge.

A bone anchor includes an anchor member including a first material, and having a tubular section extending along a longitudinal axis, a region configured to expand radially outwards from the longitudinal axis, and a bone engagement structure projecting from at least a portion of the expandable region of the tubular section, and a core member including a second material, and configured for insertion into and connection to the anchor member. When the core member is in the anchor member and is actuated relative to the anchor member, the tubular section is adjustable between a first position where the expandable region of the tubular member has a first length and a first maximum diameter, to a second position where the expandable region of the tubular member has a length shorter than the first length and a maximum diameter greater than the first maximum diameter.

A storage and mixing system for pasty two-component polymethyl methacrylate bone cements comprises a tubular cartridge having a cylindrical inner chamber, a dispensing plunger that is axially displaceable in the inner chamber of the cartridge, a partition disposed axially in the tubular cartridge, and a cartridge head which closes one end of the tubular cartridge. The cartridge head has a slot-shaped opening, wherein the partition protrudes from the inner chamber of the cartridge through the slot-shaped opening of the cartridge head, wherein the partition divides the cylindrical inner chamber of the cartridge bounded by the dispensing plunger and the cartridge head into two cavities that are spatially separated from one another. A first pasty cement component is present in the first cavity and a second pasty cement component is present in the separate second cavity, wherein the partition is removable through the slot-shaped opening of the cartridge head so that the two separate cavities are connected to one another after the partition is removed.

The present invention relates to an apparatus, system and method for delivery of bone graft material in a patient's spine. The graft delivery device according to various embodiments delivers and disperses biologic material to a disc space and without withdrawal from the surgical site. In one embodiment, the graft delivery device includes a plunger with a distal end configured to bend relative to a longitudinal axis as bone graft material is delivery to the disc space. The plunger can include two arms that extend generally parallel to the longitudinal axis. The graft delivery device may selectively deliver a fusion cage for deposit to the same disc space.

A kyphoplasty system disclosed herein includes various instruments which can be selectively used to perform a kyphoplasty operation on a patient. For example, in some embodiments the kyphoplasty system includes an inflation plunger that is used to deliver a balloon inflation medium to enlarge an implantable balloon device. Further, some embodiments described herein include a connection system between the implantable balloon device and its delivery shaft that is simple to construct and easy to use. For example, in some embodiments one or more sutures are used to releasably connect the implantable balloon device to its delivery shaft.

A composite comprising: a barrier, said barrier being configured to selectively pass water, and said barrier being degradable in the presence of water; a matrix material for disposition within said barrier, wherein said matrix material has a flowable state and a set state, and wherein said matrix material is degradable in the presence of water; and at least one reinforcing element for disposition within said barrier and integration with said matrix material, wherein said at least one reinforcing element is degradable in the presence of water, and further wherein, upon the degradation of said at least one reinforcing element in the presence of water, provides an agent for modulating the degradation rate of said matrix material in the presence of water.

The invention relates to an assembly (1) for positioning and positionally immobilizing an inflatable balloon (3) within a vertebral body, comprising an access piece (2) providing access to the vertebral body, which has a cannula and is of elongate shape, and an inflatable balloon (3) mounted at the end of a catheter (4) able to be connected to a fluid-delivery unit, the assembly comprising balloon (3) and catheter being designed to pass slidingly through the access piece (2), characterized in that the access piece (2) comprises means of anchorage in the vertebral body, the assembly further comprising means for positionally immobilizing the catheter provided with the balloon (3) on the access piece (2).