A method for controlled delivery of fluids to the exterior of bone and surrounding tissue of a patient includes providing a cannulated bone rod. The method further includes creating an aperture in the skin of a patient and fixating the rod along bones or bone fragments using a spinal fixation system through the aperture. A spinal fixation system includes a bone screw having a longitudinal access and a bone rod configured to connect the bone screw to at least one additional bone screw. The bone rod is lateral to the longitudinal axis. The method further includes the steps of providing a fluid source, coupling the fluid source to the bone rod, and delivering a fluid from the fluid source into the bone rod. An additional method includes using the fixation system as a point of drainage for the posterolateral fusion site.

A bone graft delivery system includes a rasp having an elongate body extending between a proximal end and a distal end, a lumen extending through the elongate body and configured to receive bone graft material, a rasping surface removably couplable to the distal end of the elongate body and configured to decorticate bone material of a patient, and one or more openings configured to deliver bone graft material from the lumen.

Systems for treating and/or preventing fractures include at least one needle sized and configured to be placed into target bone and at least one implantable pin configured to be releasably held in a first needle of the at least one needle. The systems also include at least one delivery device of injectable material configured to couple to the first needle while the first implantable pin is held in the first needle whereby the at least one delivery device and a respective needle cooperate to serially provide an external column of the injectable material about the at least one implantable pin.

A delivery system and methods are disclosed for delivering a material to a target site. A delivery instrument is coupled to a robotic manipulator and comprises a delivery device having a distal tip comprising an opening deliver the material to the target site through the opening. A navigation system tracks the delivery device and the target site and generates position signals. One or more controllers are in communication with the robotic manipulator and the navigation system and define a virtual boundary associated with the target site, wherein the virtual boundary is utilized to constrain movement of the delivery device. The one or more controllers control one or more joint motors of the robotic manipulator to move the distal tip of the delivery device with respect to the virtual boundary based on the position signals from the navigation system.

A steerable system and methods for accessing bone. A control mechanism includes a handle configured to be detachably secured to a trocar. The handle includes a drive shaft coupled to a sliding shaft such that relative rotation is prevented and relative translation is permitted. A rod having a preformed bend is removably disposed within the cannula. The rod is prevented from rotating relative to the drive shaft such that a deflection plane of the preformed bend is predefined relative to each of the sliding shaft, the handle, and the trocar when the handle is coupled to the trocar. Rotating a sliding ring of the handle translates the drive shaft to advance the rod beyond the trocar such that the preformed bend extends laterally out of the trocar in the deflection plane. The rod may be removed from the cannula, and material may be injected through the cannula.

A device for mixing and dispensing bone material is provided. The device comprises a tubular member having an interior surface configured to receive bone material and a fluid to mix the bone material disposed within the tubular member. The tubular member is flexible and has a proximal opening configured to slidably receive a plunger, and a distal opening configured to dispense a mixed bone material from the interior surface of the tubular member. The plunger is less flexible than the tubular member. Methods of mixing and dispensing bone material are also provided.

An improved low cost, preferably disposable instrument guide adapted to carry an access instrument used in accessing a compromised portion of a bone structure has a single piece guide body. The guide body has a first referencing arm and second referencing arm. The first referencing arm has a first end portion, wherein the first end portion of the first referencing arm has a reference structure integral therewith and wherein the reference structure defines a virtual axis. The second referencing arm is integral to the first reference arm and has at least one guide opening with a guide axis extending to intersect the virtual axis. The at least one guide opening is located at a fixed angle on the second referencing arm.

A surgical instrument for operating hip joint osteoarthritis in a human patient is provided. The hip joint comprises an acetabulum, being a part of the pelvic bone, and a caput femur, being the proximal part of the femoral bone. The surgical instrument is adapted to assist in the operating of the hip joint osteoarthritis from the abdominal side of the pelvic bone of said human patient.

Systems for the minimally invasive repair, stabilization and/or fixation of a fractured bone, such as a rib, are disclosed. The systems include one or more rods/support members that are designed to extend along a dimension of a bone being repaired and secure the fractured bone. The support members can be photodynamic and are formed using an expandable member that is filled with a light-sensitive liquid that is cured to form the rigid support member. Two or more clamps are used to secure the support member(s) to the rib or other bone. Minimally invasive surgical methods for securing the systems to a fractured bone are also disclosed.

A system for accessing extra articular lesions or abnormalities or intra osseous lesions or abnormalities or bone marrow lesions using intra articular localization has a guide, an arm, a pair of attachment assemblies and a tubular sleeve. The guide component has a first portion and a second portion. The first portion has a first slotted opening extending a length from a first end. The second portion has an arcuate curvature extending from the first portion to a second end of the guide component with an elongated second arcuate slot in the second portion. The first attachment assembly is configured to be movably adjustable within the length of the first slotted opening. The second attachment assembly is configured to be movably adjustable along the elongated second arcuate slot.