Various implant holding systems are provided herein that include an outer tube, an inner tube, and a holder. The implant holding systems can be designed to hold various implants, such as bone anchors used in spinal operations. For example, one embodiment of an implant holding system can have an outer tube, an inner tube that can be disposed within the outer tube, and an implant holder that can be disposed within the inner tube. An individual bone anchor that has various configurations and sizes can be disposed within the holder, and the holder can engage the bone anchor to assist in maintaining an orientation of the bone anchor relative to the holder.

A fracture treatment system can include a pair of implants cross-pinned into the medullary canal of a bone, guided by at least one guide wire with at least two diameters. The system allows for more accurate sizing of the length of implants needed to achieve bicortical purchase for enhanced stability, as well as anti-rotation of the fracture site. The more accurate sizing and placement of the cross-pinned implants additionally allow both ends of the implants to recess beneath or be flush with the outer surface of the bone, which can reduce the risk of infection. The guide wire can allow the implants to be inserted using a cannulated technique for easier surgical procedure and better outcome, with the implants having sufficient wall thickness for the desired length to achieve bicortical purchase while keeping the shaft outer diameter of the implant to be similar to a diameter of the guide wire.

A fastener caddy for use with a bone plate. The fastener caddy includes preloaded fasteners that are positioned above the fastener apertures in the bone plate once the caddy is coupled to the bone plate. The caddy permits the driving of fasteners with the fastener already in proper alignment and without the need to retrieve each individual fastener. Once the fasteners are installed into the bone plate, the caddy is removed using an insertion tool.

A fastener caddy for use with a bone plate. The fastener caddy includes preloaded fasteners that are positioned above the fastener apertures in the bone plate once the caddy is coupled to the bone plate. The caddy permits the driving of fasteners with the fastener already in proper alignment and without the need to retrieve each individual fastener. Once the fasteners are installed into the bone plate.

A fastener guide that includes a body. The body includes a through-bore configured for receiving a fastener and an end configured for contacting a bone plate. The fastener guide further includes at least one member configured for contacting and retaining the fastener within the body.

A driven fastener guide for guiding a fastener into a hole of a bone plate. The driven fastener guide includes an elongated driver configured for connecting to a drill and a fastener guide member operably connected to the elongated driver. The fastener guide member includes a split body and a through-bore configured for receiving the fastener. The fastener guide member is configured for aligning the fastener relative to the hole of the bone plate.

Various implant holding systems are provided herein that include an outer tube, an inner tube, and a holder. The implant holding systems can be designed to hold various implants, such as bone anchors used in spinal operations. For example, one embodiment of an implant holding system can have an outer tube, an inner tube that can be disposed within the outer tube, and an implant holder that can be disposed within the inner tube. An individual bone anchor that has various configurations and sizes can be disposed within the holder, and the holder can engage the bone anchor to assist in maintaining an orientation of the bone anchor relative to the holder.

Methods and systems of placing a medical fastener at a predetermined depth in a bone are described. A surgical tool can include an attachment assembly configured to interchangeably engage a medical fastener and a cutting element or bone removal tool and a drive assembly coupled to the attachment assembly. The attachment assembly can be configured to automatically release the medical fastener in response to the drive assembly reaching its end or distal-most position to place the medical fastener at a predetermined depth within the bone.

A system includes an implant and a packaging device assembled with the implant to hold an outer sleeve and a head element of the implant in a desired position relative to one another. The packaging device includes clip arms sized and shaped so that, when the arms are held toward a closed configuration, the implant is housed therebetween in the desired position and proximal ends of the arms form a space via which an insertion device is insertable to be coupled to the implant, and a housing defining a space within which the clip is housed. The housing includes a retaining feature for retaining the clip therein and a camming element which, when a proximal force is exerted on the implant via the insertion device coupled thereto, causes the arms to move away from one toward an open configuration to release the implant therefrom.

An apparatus including a sterilizable tray having a base and at least one fixture connected to the tray adapted for removably securing an implant insertion device to the tray. The tray can be free of a first wall portion for permitting the proximal end of an implantable device to axially align with the end of the implant insertion device for coupling to the implant insertion device and can be free of a second wall portion for permitting a tool to axially align with the end of the implant insertion device so as to threadedly couple the implant insertion device to the implantable device. Related methods and apparatus are provided.