The present disclosure provides a surgical implant device, including: a solid surface; and a lattice structure disposed adjacent to the solid surface, wherein the lattice structure includes a first plurality of struts that define a first plurality of voids adjacent to the solid surface and a second plurality of struts that define a second plurality of voids remote from the solid surface. Each of the first plurality of struts has an average cross-sectional diameter that is smaller than an average cross-sectional diameter of each of the second plurality of struts. Each of the first plurality of voids has an average internal diameter that is smaller than an average internal diameter of each of the second plurality of voids. The surgical implant device also includes a needle-populated porous surface disposed adjacent to the solid surface opposite the lattice structure.

A method or apparatus for creating a three-dimensional tissue construct of a desired shape for repair or replacement of a portion of an organism. The method may comprise injecting at least one biomaterial in a three-dimensional pattern into a first material such that the at least one biomaterial is held in the desired shape of the tissue construct by the first material. The apparatus may comprise an injector configured to inject at least one biomaterial in a three-dimensional pattern into a first material such that the at least one biomaterial is held in the desired shape of the tissue construct by the first material. The first material may comprise a yield stress material, which may be a material exhibiting Herschel-Bulkley behavior. The tissue construct may have a smallest feature size of ten micrometers or less.

An interbody system including an implant and a tool for inserting and expanding the medical implant and locking the implant in place is disclosed. The medical implant may include an expandable body defined by a superior endplate and an inferior endplate that are hingedly coupled and may be expanded and lordosed. The superior and inferior endplate may include gripping protrusions that mate and/or directly engage with recessed jaws of disclosed surgical tool. The surgical tool may include a vertically movable jaw to expand and contract the implant when engaged with the gripping protrusions of the implant. The surgical tool may also include a drive portion that engages the drive feature of the lock screw with the drive end of the surgical tool lock the implant while in an expanded position.

An intervertebral implant for implantation in an intervertebral space between vertebrae. The implant includes a body extending from an upper surface to a lower surface. The body has a front end, a rear end and a pair of spaced apart first and second side walls extending between the front and rear walls such that an interior chamber is defined within the front and rear ends and the first and second walls. The body defines an outer perimeter and an inner perimeter extending about the internal chamber. At least one of the side walls is defined by a solid support structure and an integral porous structure, the porous structure extending from the outer perimeter to the inner perimeter. The porous structure embeds or encapsulates at least a portion of the solid support structure.

An instrument includes a sleeve extending between proximal and distal ends. The sleeve defines a passageway. The distal end defines an engagement portion including an engagement surface extending from a first end to a second end. A peg extends outwardly from the first end. An opening that is in communication with the passageway extends through the second end. A knob is coupled to the proximal end. A shaft includes a proximal end and an opposite distal end. The distal end of the shaft includes a mating portion. The mating portion extends through the opening. The proximal end of the shaft is coupled to the knob. The knob is rotatable relative to the sleeve to rotate the shaft relative to the sleeve. Methods of use are disclosed.

A medical device such as an interbody cage component, a hip stem component, or an acetabular shell component having a microstructure in at least one direction for osteointegration and boney in-growth. The microstructure is controlled by machine parameters and may be created by an additive manufacturing program. Typically, the microstructure occurs in both the +/−X and the +/−Y directions, and the microstructure can be added in the range of 0.010 to 0.150 mm.

A build plate includes a surface that defines at least one opening configured for disposal of a proximal portion of a screw shaft. The proximal portion is formed by a first manufacturing method and defines a distal face. The proximal portion is connected with the surface in a configuration to orient the distal face for forming a distal portion of the screw shaft thereon by a second manufacturing method that includes an additive manufacturing apparatus. In some embodiments, systems, spinal constructs, surgical instruments and methods are disclosed.

A component including: a body having one or more surfaces with a contour formed to be substantially complementary to an anatomical surface of a specific patient; the body adapted to securably engage with a component-engaging part to form at least part of an implantable medical device, wherein: the one or more surfaces are substantially configured to evenly engage with the anatomical surface of the specific patient when the component is secured to the component-engaging part and the medical device implanted in the patient; and the body is at least in part manufactured by additive manufacturing.

A human implant includes at least one osteoconductive scaffold and at least one main carrier. The at least one osteoconductive scaffold is made of a metal material, is manufactured by 3D printing, and has at least one connecting portion, at least one separation element, and a proliferation portion. The at least one connecting portion is porous. The at least one separation element is disposed on one of two sides of the at least one connecting portion. The proliferation portion is disposed on one of two sides of the at least one separation element away from the at least one connecting portion, wherein osteoblasts proliferate in the proliferation portion. The at least one main carrier is made of a medical macromolecular material and is mounted to the at least one connecting portion being porous, such that the at least one main carrier is mounted to the at least one osteoconductive scaffold.

Expandable fusion devices, systems, and methods thereof. The expandable implant may include first and second lateral legs and link plates pivotably joined between them. The lateral legs may include upper and lower endplates configured to engage adjacent vertebrae, an actuator assembly including a rotatable actuator having a shaft and a rotatable nut, and driving ramps positioned along the shaft of the actuator. The actuator assembly may cause independent movement of one or more of the driving ramps, thereby causing an expansion in height of the upper and lower endplates of the lateral legs and passive expansion of the connected link plates.