A surgical system may include a conductive stylet with a distal end advanceable into bone material and a proximal end coupled to a stylet hub. A handle is non-removably attached to the stylet hub, and removably attachable to an insulative cannula hub. The cannula hub is non-removably attached to a conductive cannula that surrounds the stylet when the handle is attached to the proximal end of the insulative cannula hub. An outer insulative sheath is slideably engaged to insulative cannula hub, and has a radiopaque distal tip. An electrical signal source may be applied to the stylet hub to conduct a pedicle integrity assessment. The handle and stylet may be removed from the cannula assembly, leaving the cannula assembly in place at the surgical site.

Methods of manipulating cancellous bone within a vertebral body. A steerable assembly is directed through an access cannula such that a deflectable portion of the steerable assembly protrudes from the access cannula to within the vertebral body. The steering instrument is actuated from an operating tension mode in which a tension is placed on the control element of the steering instrument to a slack tension mode in which the tension on the control element is released. The steerable instrument may exert substantially zero lateral force on the deformable conduit in the slack tension mode. The steering instrument is moved relative to the deformable conduit positioned within the vertebral body. The steering instrument is actuated to move the steering instrument from the slack tension mode to the operating tension mode in which the deflectable portion may assume a curved configuration not substantially coaxial with a longitudinal axis of the access cannula.

Systems for augmenting a vertebral body. A deformable conduit assembly includes a hub defining an opening, and a deformable conduit within which a steering instrument is removably disposed. The deformable conduit may be curved by the steering instrument. An expandable member assembly includes a catheter tube slidably positioned through the opening of the hub and a cannula handle of an access cannula, and an expandable structure. The deformable conduit may be moved proximally relative to the hub and the expandable member assembly to expose the expandable structure within the vertebral body. The hub may define one or more guiding slots though which one or more arms are slidably positioned. An axial controller may be coupled to a proximal end of the deformable conduit. The axial controller is configured to receive an input to expose the expandable structure by moving the deformable conduit relative to the hub and the access cannula.

A bone fixation element is described. The bone fixation element includes first and second channels, a connection channel, and at least one fenestration. The first channel includes a first proximal channel portion and a first distal channel portion. The first proximal channel portion extends from a proximal end of the first channel toward a distal end, and the first distal channel portion extends from the first proximal channel portion to the distal end. The connection channel extends between the distal end of the first channel and a distal end of the second channel such that the first channel is in fluid communication with the second channel via the connection channel. The at least one fenestration extends from at least one of the first and second channels to an outer surface of the bone fixation element.

A device for producing a bone cement dough from a monomer liquid and a cement powder and dispensing the bone cement dough. The device includes a cartridge holding the cement powder in an internal space. A monomer receptacle screws onto the cartridge, forms a chamber, and has a plunger with a passage that is permeable to gases and the monomer liquid but is impermeable to the cement powder and that connects the internal space to the chamber. The plunger tightly closes the internal space with the exception of the passage. A gas supply opening is arranged in the wall of the monomer receptacle. A monomer liquid container holds the monomer liquid and is located in the chamber. An opening facility opens the container, and closes the gas supply opening before opening the container. Also provided is a method for producing and dispensing the bone cement dough.

Coupling devices and related methods are disclosed herein, e.g., for coupling a surgical instrument to a navigation array or other component. The coupling device can reduce or eliminate movement between the instrument and the navigation array, improving navigation precision. The coupling device can be quick and easy to use, reducing or eliminating the need for extra steps or additional tools to attach or detach the instrument from the coupling device. In some embodiments, the single step of inserting an instrument into the coupling device can automatically lock the instrument within the coupling device in a toggle-free manner. The coupling device can include features for consistently attaching instruments thereto at a known or predetermined location and/or orientation.

An integrated targeted kyphoplasty system includes a piercing head, a tube body and a tube body handle. The tube body has an end connected to the piercing head and is provided with a balloon and a guider at an end of the balloon, and another end connected to the tube body handle and provided with a guide knob for controlling the guider to be bent and a pressure pump connector communicating the balloon. The piercing head is provided with a cement outlet, a cement channel is in center of the tube body, and the tube body handle is provided with a cement inlet. The cement outlet, cement channel and cement inlet communicate with each other. The device requires for only one piercing to complete entire KP surgical treatment without changing any tools, greatly decreasing radiation exposure rate of the patient during operation and the pain caused by multiple operations.

Methods and systems for modulating intraosseous nerves (e.g., nerves within bone) are provided. For example, the methods and systems described herein may be used to modulate (e.g., denervate, ablate) basivertebral nerves within vertebrae. The modulation of the basivertebral nerves may facilitate treatment of chronic back pain. The modulation may be performed by a neuromodulation device (e.g., an energy delivery device).

The present disclosure relates to a device including an elongated hollow shaft having a proximal end and a distal end. The device also includes a first attachment mechanism coupled to the proximal end of the elongated hollow shaft. The device also includes a rod having a proximal end and a distal end. The rod is removably positioned at least partially within a lumen of the elongated hollow shaft. The device also includes a second attachment mechanism coupled to the rod between the proximal end of the rod and the distal end of the rod. The first attachment mechanism and the second attachment mechanism are configured to be removably coupled to one another. The device also includes a cap configured to be removably coupled to the second attachment mechanism.

A device for correcting a compression-type fracture including a housing at a proximal end of the device, a cannula extending from the housing and through a directional balloon, and a tip at a distal end of the cannula, wherein the cannula has an outer tube for supplying fluid to the balloon and an inner tube positioned within the outer tube for supplying cement through at least one opening in the distal end of the cannula. A method of using the device where the device is inserted into a fracture site, the balloon is inflated to elevate fragments of the fracture, cement is injected into the opening created by elevating the fragments of the fracture and the device is removed from the fracture site. The balloon may be deflated before the injection of the cement or simultaneous with the injection of the cement.