A graft material injector device and method are disclosed. The injector device includes an elongated injector tube and a side loading aperture for receiving graft material. A graft material loader and a cover for the side loading aperture may optionally be included.

A surgical injection device includes at least one tubular element defining a passageway. The passageway is configured for disposal of a selected volume of an agent and an evacuator disposed within the passageway. An actuator is engageable with the evacuator to entirely expel the selected volume of the agent from the passageway to a selected site. Spinal constructs, implants, systems and methods are disclosed.

A continuous compression fixation device for coupling a first bony structure to a second bony structure, including: a body structure; and a plurality of arm structures extending from the body structure, wherein at least one of the plurality of arm structures is configured to be coupled to the first bony structure and at least one opposed one of the plurality of arm structures is configured to be coupled to the second bony structure; wherein the body structure and the plurality of arm structures are manufactured from a shape memory material; and wherein tips of the at least one of the plurality of arm structures and the at least one opposed one of the plurality of arm structures are biased towards one another such that a desired compressive force is applied to an intercalary structural augment disposed between the first bony structure and the second bony structure.

A medical compound preparation and delivery system, including a delivery device, the device including a depressible trigger operably coupled to move a plunger; a cartridge releasably coupled to the delivery device, the cartridge defining a lumen therethrough to receive at least a portion of the plunger therein; a receptacle defining a cavity therein for receiving a medical compound; a first tube slidably positionable within the cavity of the receptacle; and a second tube slidably positionable within the first tube, wherein the cartridge is slidably positionable within the second tube.

A flowable, bioactive bone void filler is provided. This bone void filler may be a settable, hardening material having sufficient compression strength for use in bone repair techniques. The cement may be a calcium phosphate cement having incorporated therein bioactive glass, and can be used as a bone graft substitute or bone void filler for any number of applications in spine surgery and orthopedic surgery, such as for example, subchondral bone repair.

Embodiments of the invention include instruments (100, 200, 400, 1100, 1400, 2100, 2400, 3400) and methods useful in delivering graft material (1) to a surgical site. Some embodiments may particularly be directed to forming a graft (1) and accurately and effectively handling and delivering the graft (1) to a surgical site arthroscopically. Graft material (1) may include blood components such as clotted fibrin derived from a patient's or a donor's blood.

A device for mixing and dispensing a paste, such as bone cement, comprises a housing (H) with a feeding mechanism (53), and a cylinder (51) for mixing a powder component and a liquid component forming the paste. A piston assembly includes a paste feeding member (57) located in the cylinder, and a tubular member (54). A mixing member (55) is located in the cylinder (51), and a mixing rod (52) extends within the tubular member (54) of the piston assembly. The mixing rod (52) is movable in the tubular member (54) of the piston assembly. The tubular member (54) is provided with external engagement means (T) by which the paste feeding member (57) is movable within the cylinder (51) in a feeding direction. The feeding movement is operated by the feeding mechanism.

A separator element (300) is designed to prevent the passage of granulate along an axial direction (L) but to allow the passage of liquid along the axial direction (L). The separator element (300) has an internal thread (310) open towards its proximal end, and an external thread (320) open towards the distal end. At its proximal end, the separator element additionally has at least one resilient locking arm (330) which is arranged on the outer circumference and winch extends with its free end in the proximal direction. In this way, the separator element can be mounted on the discharge opening of a container (100) and, by means of a closure piece (400), can be fixed on the container in such a way that the separator element remains on the container when the closure piece is removed.

One aspect relates to a device for producing a bone cement paste from a monomer liquid and a cement powder as parent components of the bone cement paste and for delivering the mixed bone cement paste. The device has a cartridge with a cylindrical interior. The interior of the cartridge is closed at a front side apart from a delivery opening for discharging the bone cement paste. In the interior of the cartridge a delivery plunger is arranged which is pushable in the direction of the delivery opening. The cement powder is arranged in the interior of the cartridge between the delivery opening and the delivery plunger. A hollow cylinder is arranged at a front side of the delivery plunger facing the delivery opening. The hollow cylinder is open at its front face facing the delivery opening and extends from the front side of the delivery plunger at least 3 mm into the interior of the cartridge.

A mixing and dispensing system for a two-component material, such as a bone cement, the mixing and dispensing system including a handle connected to the mixer via a mixing shaft. The mixing shaft extends through the piston from the piston driving end in the direction of the outlet end in order to move the mixer in dependence on movements initiated via the handle, and with the handle being detachable, in particular in a non-destructive manner, from the mixing shaft via a connector.