A bone locking system is applied to join multiple broken bone fragments, including a self-tapping nut having a cylindrical structure, the self-tapping nut having an outside surface including an external threading portion, the external threading portion being formed, through recessing, a tapping notch, the self-tapping nut having an inside surface including an internal threading portion, a tool portion being formed in the inside surface of the self-tapping nut at an upper end thereof, the self-tapping nut being embedded in a cortical bone portion of each broken bone fragment; and a fixing bolt corresponding to the internal threading portion of the self-tapping nut, the fixing bolt being screwed into and fixed in the self-tapping nut to join each of broken bone fragments. A bone plate having a fixing hole is selectively provided. The fixing bolt penetrates through the fixing hole of the bone plate and is screwed into the self-tapping nut.

A compression fastener system includes an elongate generally rigid coupling component, a toggle anchor at the distal end of the coupling component that can pivot about 90 degrees between inline and out of line with the coupling component, and a generally cylindrical collet that is engageable with a surface of the coupling component, and having two or more legs that splay upon passage of the coupling component through the collet, at least one leg having a cutting edge along at least a portion of its length that can engage with an adjacent rigid element, such as bone, to fix the rigid coupling component, toggle anchor and collet assembly into compression with the rigid element.

A compression nut for treating a bone includes a head and a body extending longitudinally from the head to a free end. The body includes a first portion including an exterior surface tapering from the head toward a second portion. An exterior threading extends along an exterior surface of both the first portion and the second portion of the body. The nut also includes a channel extending longitudinally through the body. The channel includes an interior threaded extending along an interior surface of the channel configured to threadedly engage a portion of a locking screw therein.

A compression nut for treating a bone includes a head and a body extending longitudinally from the head to a free end. The body includes an exterior threading along an exterior surface of a threaded portion of the body separated from the head via an unthreaded portion. The nut also includes a channel extending longitudinally through the body. The channel includes an interior threaded extending along an interior surface of the channel configured to threadedly engage an end of a locking screw received therein.

A spinal-surgery system having a rod receiver and/or a cap having a generally cylindrical body, a set of opposing splay-resisting flanges, and a set of opposing rotation-preventing/rotation-resisting wings. Each wing has a lateral rotation-preventing portion and a lateral rotation-resisting portion. A receiver proximal end forms a wing-receiving cavity having a lateral rotation-preventing side and a lateral rotation-resisting side. Each flange has a proximal-facing splay-resist surface, and a distal-facing pop-on surface. Each receiver proximal protrusion has a proximal-facing sloped receiver pop-on surface, and a distal-facing sloped receiver splay-resist surface. Each rotation-preventing portion contacts a corresponding rotation-preventing side and each rotation-resisting portion contacts a corresponding rotation-resisting sides when the cap is popped on. The rotation-preventing portions contacting the rotation-preventing sides prevents cap rotation in a first direction. The rotation-resisting portion contacting the rotation-resisting side resists cap rotation in a second direction, but allows rotation in the second, forcing the arms to splay.

A bone fixation device includes (a) a threaded shaft extending from a proximal end to a distal end; (b) a head located at the proximal end of the shaft; (c) a connector threadably engaging the threaded shaft and movable therealong; and (d) an extension member movable between an insertion configuration for insertion through an opening in a cortex of a bone to a locked configuration when pressed against an inner surface of the cortex. The profile of the wing in the locked configuration in the plane perpendicular to the longitudinal axis of the shaft is increased relative to the insertion configuration to distribute forces transmitted between the bone fixation apparatus and the bone over an increased area of the cortex.

A method and system for performing bone fusion and/or securing one or more bones, such as adjacent vertebra, are disclosed. The screws include a threaded tip connected to a main shaft and a threaded outer sleeve that rotates relative to the outer shaft until locked down. Independent rotation of the threaded outer sleeve relative to the threaded distal tip allows compression or distraction to modify the gap between the vertebral bodies. The screws are passed from the inferior to superior vertebra or superior to inferior, for example, through a trans-pedicular route to avoid neurological compromise. At the same time, the path of screw insertion is oriented to reach superior or inferior vertebra. An intervertebral cage of the system is configured for lateral expansion from a nearly straight configuration to form a large footprint in the disc space. The screws and cage may be combined for improved fixation with minimal invasiveness.

A PZT transducer-horn integrated ultrasonic driving structure consists of a nut, a bolt, a left PZT circular stack, a flange, a right PZT truncated stack and a horn. The horn, the right PZT truncated stack, the flange and the left PZT circular stack are arranged in sequence and connected via the bolt and then fastened via the nut; the right PZT transducer is a truncated cone-shaped stack formed by PZT circular plates; and the right PZT transducer and the horn are integrated to form the ultrasonic driving structure. Considering the dimension of PZT on two sides of the flange and the horn meet the requirements for ultrasonic vibration node and antinode, the dimension of round contour of the circular PZT stack and flange is reduced to increase the thickness of the truncated PZT stack and flange. With the integrated structure, the effect of reducing the contour dimension of the ultrasonic driving surgical device can be obtained, and the outer diameter is reduced to the range of 8-10 mm as compared with the range of 12-15 mm in the prior art, thereby further meeting the application requirements.

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 one or more set screws 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 a surgical implant holder that can be disposed within the inner tube. One or more stackable surgical implants, such as set screws, of various configurations and sizes can be disposed within the holder, and the holder can engage the surgical implants to assist in maintaining an orientation of the surgical implants relative to the holder.

A spinal fusion device for implantation between spinal vertebrae includes an implant member having an opposed upper and lower surface, an outer sidewall having an aperture having internal threads, and an inner sidewall defining a central opening. A plate member is attached to the implant member such that the plate member is perpendicular relative to the implant member and includes a plurality of angled apertures for receiving anchoring fasteners and a central aperture for receiving a locking fastener. A locking member is attached to the cage member. The locking member includes a tubular shaft having internal threads that is inserted through the aperture of the outer sidewall of the implant member. A locking fastener is inserted through the central aperture of the plate member and into the locking member to thereby lock the spinal fusion device in position.