A surgical system includes a bone fastener having a head and a shaft. The head has a drive interface surface including elliptical edges. A surgical instrument includes an inner drive and an outer sleeve that is engageable with an outer surface of the head to dispose the inner drive and the outer sleeve with the head in a co-axial, capture orientation. The inner drive has a drive interface surface including a plurality of spaced apart lobes. Each lobe has an elliptical edge engageable with one of the elliptical edges of the drive interface surface of the head. Spinal constructs, implants and methods are disclosed.

A surgical instrument for applying a rotational force to a structural element during a surgical procedure. The instrument may be designed for increasing an input force to produce an enlarged output force adequate for fracturing an excess section of the elongated element from a remainder of the structural element. The instrument may include an input mechanism that receives an external rotational input force, a planetary gear system that multiples the input force, and an output mechanism that attaches to and delivers the multiplied rotational output force to the excess section of the structural element. The output mechanism may also be configured to capture the separated excess section. The instrument may include a housing and a handle for grasping and manipulating during the surgical procedure.

A twist-drivable pin assembly includes first and second drivers, each having a driving end which can be received in a bore in the end of a twist-drivable pin, and an opposite end at which torque can be applied. The cross-sectional shape of each of the drivers at its driving end has a first plurality of apexes whose relative locations coincide with the apexes of a regular polygon such as a hexagon. The drivers differ from one another in their cross-sectional shapes at the driving end by virtue of one or more faces of at least one of the drivers between adjacent pairs of apexes having a groove formed in it. Each of first and second twist-drivable pins has a bore extending into it which is defined by a second plurality of apexes arranged as a regular polygon such as a hexagon and which is open at one end.

Methods and devices for treating spinal deformities are provided. In one exemplary embodiment, a low-profile spinal anchoring device is provided for receiving a spinal fixation element, such as a tether, therethrough. The device generally includes a staple body that is adapted to seat a spinal fixation element, a fastening element for fixing the staple body to bone, and a locking assembly for coupling a spinal fixation element to the staple body. In one embodiment, the locking assembly includes a washer that is adapted to couple to the staple body such that the spinal fixation is disposed therebetween, and a locking nut that is adapted to engage the staple body to mate the washer to the staple body.

A placement tool for positioning a multipart cannulated screw assembly to fixate first and second bone elements. The placement tool includes a stem and a head carried on the stem. The head has an outer shank engagement provision that engages the proximal end of an outer shank of a bone screw assembly and permits selective rotation of the outer shank. The head also has an inner shank engagement provision that engages the proximal end of an inner shank of the bone screw assembly and permits selective rotation of the inner shank. The inner shank and outer shank engagement provisions are connectable to one another such that the inner shank and outer shank engagement provisions rotate together.

A helicoil interference fixation system comprising: a helicoil comprising a helical body comprising a plurality of turns separated by spaces therebetween, the helical body terminating in a proximal end and a distal end, and at least one internal strut extending between at least two turns of the helical body; and an inserter for turning the helicoil, the inserter comprising at least one groove for receiving the at least one strut; the helicoil being mounted on the inserter such that the at least one strut of the helicoil is mounted in the at least one groove of the inserter, such that rotation of the inserter causes rotation of the helicoil.

A helicoil interference fixation system comprising: a helicoil comprising a helical body comprising a plurality of turns separated by spaces therebetween, the helical body terminating in a proximal end and a distal end, and at least one internal strut extending between at least two turns of the helical body; and an inserter for turning the helicoil, the inserter comprising at least one groove for receiving the at least one strut; the helicoil being mounted on the inserter such that the at least one strut of the helicoil is mounted in the at least one groove of the inserter, such that rotation of the inserter causes rotation of the helicoil.

A helicoil interference fixation system comprising: a helicoil comprising a helical body comprising a plurality of turns separated by spaces therebetween, the helical body terminating in a proximal end and a distal end, and at least one internal strut extending between at least two turns of the helical body; and an inserter for turning the helicoil, the inserter comprising at least one groove for receiving the at least one strut; the helicoil being mounted on the inserter such that the at least one strut of the helicoil is mounted in the at least one groove of the inserter, such that rotation of the inserter causes rotation of the helicoil.

A pop-up wheel device for use in material handling equipment. In one embodiment, the pop-up wheel device includes a housing, which is a can of generally track-shaped transverse cross-section. A nipple is mounted in the housing bottom to permit fluid under pressure to pass to and from the interior of the housing. A cap, which includes a central opening, is positioned over and is secured to the housing. A piston is slidably mounted within the housing between a lower position and an upper position. A seal is fitted around a lower portion of the piston and creates an air-tight chamber between the piston and the housing. A spring biases the piston towards the lower position. A wheel that is freely rotatable in one direction is coupled to the piston using a wheel mount. The wheel may be removed from the wheel mount without removing the cap from the housing.

An implant is provided with an upper portion in which an internal socket extends. The implant can be tightened by a turning instrument which has first lateral surfaces that can cooperate with corresponding second lateral surfaces in the internal socket. One or more of the first and/or second lateral surfaces is/are arranged completely or partially with friction-enhancing means. The implant and the tool are arranged with interacting parts which extend beyond the first and second lateral surfaces and completely or substantially take up bending moments which act in or on said portion or are directed toward said portion and occur in the event of skewing, or a tendency toward skewing, between the implant and the tool. The arrangement counteracts mechanical stresses in said portion, the latter being able to retain its original shape even in the case of implants with small dimensions.