A bone anchor includes a shank having a free end, a longitudinal axis, a channel extending axially through the shank to the free end, the channel having a first width, and at least one opening extending through a wall of the shank, and a narrowing member including an elastically deformable portion configured to extend into the channel at or near the free end. The narrowing member is adjustable from a first configuration where the deformable portion defines an opening with a width smaller than the first width to restrict a substance from exiting through the free end, to a second configuration where the deformable portion is deformed radially outwardly to define an opening with a width that is at least the first width, while at least a portion of the shank positioned at a same axial height as the deformable portion maintains a constant outer width.

The invention relates to a delivery system, device and method for delivering biomaterials for fracture fixation (including augmented fixation), in particular, for delivery of bone cements. The mixing system ensures the biomaterial only commences setting upon extrusion from the mixer, cannula or during injection through an appropriate internal fracture fixation device, allowing for rapid closing by the surgeon. The system also permits the surgeon to cease injecting the cement for an extended period of time before continuing the injection in another area using the same cartridge, through the simple removal of one mixer and attaching another in its place. The invention also provides a method of delivery of biomaterials to a desired implantation site.

A method is provided for stabilizing a bone. A plate is positioned over a bone. The bone plate has a polyaxial screw hole with a spherically curved seat. A bone hole is formed beneath the screw hole. A screw having a head with a spherical outer surface, and a threaded shaft with an internal cannula and a plurality of fenestrations is provided. The screw is driven through the first screw hole and into the bone hole until the outer surface of the head is supported by the spherically curved screw seat. A syringe provided with a needle is inserted into the internal cannula of the shaft of the screw. The syringe includes a bone injectable material that is injected through the needle, into the internal cannula, and out of at least one fenestration into the bone. After injection, the needle is removed from the screw shaft.

The present invention relates to an implant, an instrument for implanting the implant, and a method for manufacturing the implant which includes an elongated body between a free end and a head along a longitudinal axis on the one hand and turns of at least one threading on at least one portion of said body in proximity to the free end, along the longitudinal axis on the other hand, characterized in that the body includes a longitudinal internal conduit in at least one portion to along the longitudinal axis, obtained by at least one first central machining operation parallel to the longitudinal axis and at least one second machining operation in a so-called transverse plane, not parallel to the longitudinal axis and crossing the wall of the body as far as the longitudinal internal conduit by making windows communicating between said longitudinal internal conduit and the outside of the body.

An osteosynthesis device for the fixation of bone components and bone fragments is disclosed including a bone anchor having a shaft which extends along a central axis and thereby defines a distal and a proximal direction, and includes at least one blade area with a first and a second wing, and proximally adjoins a neck area and further has a head with at least one spherical segment, and the bone anchor has a central and continuous cannula opening with a diameter. The blade area at least one window with an opening width is provided. The window interacts with the cannula opening, and the head area has an opening with an opening diameter, which also interacts with the cannula opening. The diameter of the cannula opening is smaller than the opening width of the window and the diameter of the cannula opening is also smaller than the opening diameter at the head and the shaft is formed in one piece with the blade area, the neck area and the head with spherical segment.

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.

The invention relates a system for implanting an implantable device in bone tissue, a processing unit for such system, a method of implanting an implantable device and a method of providing information for an implanting of an implantable device. In view of the finding that a fat content in cancellous bone is higher than a fat content in compact bone, the lipids fraction, which can be determined by optical means, e.g. spectroscopy, can be used to determine correct screw placement in healthy bone.

A bone fastener includes a screw shaft having a proximal portion and a distal portion. The proximal portion is formed by a first manufacturing method and defines a distal face. The distal portion is formed onto the distal face by a second manufacturing method. In some embodiments, systems, spinal constructs, surgical instruments and methods are disclosed.

Driver instruments are disclosed herein with various features for improving usability, easing the task of cleaning or sterilizing the instrument, reducing patient trauma associated with use of the instrument, and/or reducing the cost and assembly burden of the instrument. For example, a driver instrument can include a guide sleeve to protect patient tissue from damage caused by rotating components of the instrument or a bone anchor assembly coupled thereto, and to protect extension tabs of the bone anchor assembly from inadvertent separation. By way of further example, an instrument can include a preload assembly for maintaining engagement of a driver shaft of the instrument with a bone anchor assembly. As yet another example, an instrument can consist of a small number of components which are configured for simple, tool-free assembly and disassembly. An instrument can also be configured for use with bone anchor assemblies with and without extension tabs.

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.