Methods are described for conducting minimally invasive medical interventions utilizing instruments and assemblies thereof to stabilize and/or fixate a dysfunctional sacroiliac (SI) joint. In one embodiment, a defect creation assembly is advanced from a posterior approach into the SI joint and configured to create pilot SI joint opening; portions of which being disposed in the sacrum and ilium bone structures. After the pilot SI joint opening is created, a prosthesis is press-fit into the pilot SI joint opening, wherein the pilot SI joint opening transitions to a larger post-prosthesis insertion SI joint opening and the prosthesis is securely engaged to the sacrum and ilium bone structures.

Systems are described for stabilizing a dysfunctional sacroiliac (SI) joint of a subject. The systems include a tool assembly and a defect creation assembly, and a prosthesis. The tool assembly is adapted to create a pilot SI joint opening in the dysfunctional SI joint; portions of which being disposed in the sacrum and ilium bone structures. The prosthesis is sized and configured to be press-fit into the pilot SI joint opening, wherein the pilot SI joint opening transitions to a larger post-prosthesis insertion SI joint opening and the prosthesis is securely engaged to the sacrum and ilium bone structures. The system optionally includes an image capture apparatus adapted to capture images reflecting positions and/or orientations of the tool assembly when disposed in the subject's body.

A baseplate trial holding apparatus which holds a baseplate trial disposed in a proximal tibia during total knee arthroplasty or revision total knee arthroplasty, and includes a keel location setting part for setting an insertion location of a keel punch, and a knee joint implant surgical instrument set including the same.

Impact instrument for joining prosthetic implants, comprising a housing which accommodates a striker pin, a first spring element associated with the striker pin, a release device and, at least in part, a striking piece, wherein the striking piece projects from the housing at an end face, wherein the release device is movable between a fixing position and a release position, wherein the striker pin is spaced apart from the striking piece the fixing position, wherein the release device moves automatically from the fixing position to the release position when the striking piece moves axially into the housing, in order to release the striker pin once the release position has been reached, so that the latter moves in the direction of the striking piece, accelerated by the first spring element.

Proposed are a guider for a spinal operation and a cage therefor. The guider includes a sliding portion configured to guide a cage for a spinal operation and a holder to a surgical site, a head of the sliding portion being inserted into a human body region where a surgical incision is made for the spinal operation, and the cage for a spinal operation being combined with the holder; a support portion combined with one side of the sliding portion and thus supporting the sliding portion; and a handle combined with the support portion.

An expandable interbody fusion device and an associated instrument for inserting the device into an intervertebral disc space, expanding the device and for use in delivering graft material into the device once expanded in the disc space. The device is small enough to fit through Kambin's triangle yet is capable of expanding both in the vertical direction to accommodate spinal lordosis and in the lateral direction to provide sufficient structural support for opposing vertebral bodies laterally within the disc space. A process of forming textured top and bottom surfaces of the device by initially laser ablating each surface with a nano-second pulsed laser followed by laser ablating those surfaces with a femto-second pulsed laser.

An expandable interbody spacer for the spine is provided. The spacer includes upper and lower endplates simultaneously movable with respect to a housing along an axis traverse to a longitudinal axis to increase or decrease the height of the spacer selectably along both an anterior side and a posterior side for uniform expansion/contraction of the endplates or only along the anterior side for angular expansion/contraction of the endplates. A spacer deployment instrument is provided that is selectable to effect uniform or angular expansion/contraction. When uniform expansion/contraction is selected a gear on an anterior rod is engaged with a gear on a posterior rod to simultaneously rotate both rods in opposite directions. Opposite threads on actuators of the spacer effect translation of the actuators in the same direction along the longitudinal axis.

A disc implant device can be provided in a generally planar rectangular sheet having a first elongated side, a second elongated side opposing the first elongated side, a first end, and a second end opposing the first end. The generally planar rectangular sheet is structured with alternating segments of joint ridges, each segment of joint ridges being configured to form a spacing joint segment and alternating segments of arm ridges, each arm segment being configured to form a plurality of radially extending arms, the joint segments providing flexibility to the device. When the disc implant is folded or rolled from its planar configuration to a generally cylindrical configuration, the arm segments are axially collapsible and radially expandable such that in such a configuration, the implant includes segments of radially expanded arms separated by spacing joint segments.

In some embodiments, a spinal stabilization system may be formed in a patient using quick-connect sleeve assemblies. Each quick-connect sleeve assembly can be coupled to a bone fastener assembly in a fast and intuitive way. In one embodiment, a quick-connect sleeve assembly has a detachable member and a movable member. Both members engage a collar of the bone fastener assembly. In one embodiment, the engagement can be locked via one or more locking features to facilitate screwing a bone fastener of the bone fastener assembly onto a vertebral body in a minimally invasive surgical procedure. Each quick-connect sleeve assembly has a low profile and is particularly shaped for minimally invasive entry.

A driving instrument for adjusting a spinal implant includes an outer shaft having a distal end configured to actuate a proximal adjustment assembly of a spinal implant, and an inner shaft having a distal end configured to actuate a distal adjustment assembly of the spinal implant. The inner shaft is disposed within the outer shaft, with a proximal end of the inner shaft extending proximally from the outer shaft. The proximal end is configured to be rotated such that rotation of the inner shaft results in simultaneous rotation of the inner and outer shafts, with rotation of the outer shaft ceasing at a first value of resistance associated with the proximal adjustment assembly and rotation of the inner shaft ceasing at a second value of resistance associated with the distal adjustment assembly such that cessation of rotation of the inner shaft is independent from cessation of rotation of the outer shaft.