A bone fastener includes a head including a first receiver defining an implant cavity and a distal portion defining a plurality of adjacent grooves. The head further includes a second receiver defining an implant cavity. A first resilient member is configured for disposal within the plurality of adjacent grooves and a second resilient member is configured for disposal within the plurality of adjacent grooves. A shaft is aligned with the first receiver and is configured to engage tissue. Systems, surgical instruments, spinal constructs, implants and methods are disclosed.

A wireless system comprising a first wireless device and a second wireless device. The first wireless device is configured to operate with less than 15 milliamperes of current. The second wireless device has an internal power source and is configured to transmit one or more radio frequency signals to the first wireless device. The first wireless device is configured to receive the one or more radio frequency signals from the second wireless device. The first wireless device is configured to harvest energy from the one or more radio frequency signals. The first wireless device is enabled for operation after a predetermined amount of energy is harvested from the one or more radio frequency signals. A communication handshake occurs between the first and second wireless devices to indicate that the first wireless device is in communication with the second wireless device. The first wireless device is configured to perform at least one task from harvested energy.

A bone fastener includes a head including a first receiver defining an implant cavity and a distal portion defining a plurality of adjacent grooves. The head further includes a second receiver defining an implant cavity. A first resilient member is configured for disposal within the plurality of adjacent grooves and a second resilient member is configured for disposal within the plurality of adjacent grooves. A shaft is aligned with the first receiver and is configured to engage tissue. Systems, surgical instruments, spinal constructs, implants and methods are disclosed.

An orthopedic fixation device for affixing the screw head of a polyaxial pedicle screw has a tulip, a saddle, and a ring. The tulip has an interior cavity and two opposed threaded arms and a lower ledge. The saddle is inserted into the tulip body, and has a U shaped groove for receiving a spinal fixation rod. The ring has a diameter that is smaller than the widest diameter of the screw head, and is formable into a diameter larger than the widest diameter of the screw head when the screw head is pushed into the ring. The ring has a connection portion that mates with a connection portion of the saddle. The screw head is clamped within the tulip body between the saddle and the ring when a cap is threaded between the tulip arms.

Systems, apparatuses and methods for bone fusion are disclosed. In particular, a fixation screw assembly is provided that comprises a bone engagement portion including a shaft and a head member. The assembly also includes a flexible washer member that can be operably attached and secured around the head member of the bone engagement portion. The washer member is polyaxial relative to the bone engagement portion, such that it can assume a variety of angles. The washer member can help prevent back out of the bone engagement portion when the bone engagement portion is implanted into a bone member. The design of the fixation screw assembly can be used in different fusion procedures, including fusion of the sacroiliac joint.

A medical system comprising a first medical device, a second medical device, and a computer. The first medical device is configured to be placed beneath the dermis. The first medical device comprises an enclosure comprising non-electrically conductive material. A cap couples to the enclosure and is configured to seal the enclosure. The enclosure houses electronic circuitry configured to measure one or more parameter or provide a therapy. The cap couples to the ground of the electronic circuitry. The first medical device includes a dual band antenna. A first antenna is configured to operate within a first frequency band below 1 gigahertz. The second antenna is configured to operate at a frequency above 1 gigahertz. The second medical device is configured to transmit a radio frequency signal to the first medical device. The first medical device is configured to harvest the energy received from the radio frequency signal to enable the electronic circuitry and perform at least one task.

The present disclosure generally pertains to methods and systems for fusing a joint. The disclosure includes mechanically immobilizing the joint by insertion of a bone screw, the bone screw including a screw shaft operatively coupled to a screw head, the screw shaft including a longitudinal axis, a channel extending along the longitudinal axis, a first shaft wall section, a second shaft wall section and a third shaft wall section. Fusing of the joint includes inserting the screw into a first bone, a second bone and a joint formed between the first bone and the second bone. Insertion further includes cutting bone pieces away from the first bone using the third shaft wall section of the bone screw and directing the first bone pieces into a helical depression formed in the third shaft wall section.

Devices, systems and methods for the treatment of spinal instability and/or stenosis of the spinal canal and neural foramina. In one embodiment, a functional spinal unit (FSU) of a subject is approached through a lateral or antero-lateral corridor, and both an anterior and posterior column of the FSU are manipulated, implanted and/or otherwise surgically treated through the same intra-abdominal surgical corridor. A method is disclosed to reach the posterior aspect of the FSU, wherein the intra-abdominal surgical corridor is extended posterior to the psoas major muscle and through the thoraco-lumbar fascia in order to reach the transverse process and/or facet joint. Multiple trajectories for bone screw fixation of the vertebral bone are additionally disclosed. In another embodiment, the FSU is approached through the above corridor and a second posterior skin incision and corridor. The combination of the corridors provided circumferential access to the FSU.

A system for determining the torsion of a screw is provided. The system generally comprises a first washer, second washer, spring, radio frequency identification (RFID) tag, and interrogation device. A screw is inserted through the system and provides the compression force necessary to bring the first washer and second washer separated by the spring in contact with one another, thus creating a complete circuit from the first circuit portion and second circuit portion of the signal transmitter. The interrogation device is used to send and receive information to and from the signal transmitter. An encasing may be used to encapsulate the first washer, second washer, spring, and signal transmitter in a way such that they are protected from the environment.

A resilient washer has a one-piece washer body. The washer body has a central opening, an upper fastener interfacing section or bowl, a lower structure interfacing section or bowl and a resilient middle portion. The resilient middle portion connects the upper fastener interfacing section or bowl and the lower structure interfacing section or bowl. The resilient middle portion is configured to be locally collapsed when a fastener in the central opening is tightened into a structure. In one embodiment, the upper fastener interfacing section or bowl is annular, wherein the upper fastener interfacing section or bowl has a concavity for holding a head of the fastener. The concavity can be of a hemispherical shape. Preferably, the concavity has a smooth surface to allow polyaxial movement of a fastener.