Instrumentation for implanting a cervical disc replacement device includes cervical disc replacement trials for determining the appropriate size of replacement device to be implanted, an insertion plate for maintaining the elements of the replacement device in fixed relation to one another for simultaneous manipulation, an insertion handle for attachment to the insertion plate for manipulation of the elements, an insertion pusher for releasing the insertion handle from the insertion plate, a drill guide that cooperates with the insertion plate to guide the drilling of tap holes for bone screws to be placed through bone screw holes in the flanges of the replacement device, clips that are applied to the flanges after placement of the bone screws to resist screw backout, and a clip applicator for applying the clips to the flanges.

Technologies are generally provided for devices, systems, and methods to provide spinal fixation, spinal stabilization, and/or spinal fusion. Example devices may include a first end and a second end with a middle portion extending between the first and second end. The first end may be configured to be in contact with a portion of a first or upper vertebra and the second end may be configured to be in contact with a portion of a second or lower vertebra in an adjacent vertebral pair. Portions of the vertebra which may be in contact with the device may include lamina, processes, vertebral bodies, and facet joints. The example devices may include bone engagement features, such as screws or similar fasteners, to enhance stabilization and fixation when in contact with the vertebrae. Additionally, the devices may include a bone integration feature to promote bone growth and to facilitate fusion between the vertebrae.

An implant (30) for a mammalian bone joint (3) for spacing a first bone (2) of the joint from a second bone (1) of the joint while allowing translational movement of the second bone in relation to the first bone is described. The implant comprises (a) a distal part (31) configured for intramedullary engagement with an end of the second bone, (b) a proximal part (34) having a platform (15) configured for non-engaging abutment of an end of the first bone and translational movement thereon, and (c) an articulating coupling (10, 16) provided between the distal and proximal ends allowing controlled articulation of the first and second bones. The bone-abutting platform is shaped to conform to and translate upon the end of the first bone. A kit for assembly to form the implant of the invention, and the use of the implant to treat osteoarthritis in a bone joint, are also described.

A surgical kit including a hydrogel implant suitable for use in a carpometacarpal joint includes an upper surface, a lower surface, and sidewalls extending between the upper surface and the lower surface, a plunger, and an introducer for depoloying the implant is provided.

Disclosed herein are implants with pivots that can be rotated about these pivots to be implanted onto bone, and methods for implanting same. The implant may have a plurality of pivot pads and curved projections extending from one or more bone contacting surfaces. The pivot pads and curved projections may engage with corresponding features on bone for implantation and securement of the implant to the bone. The implant may be rotated about the plurality of pivot pads placed in corresponding recesses on bone to seat the projections into the corresponding recesses.

The present invention relates generally to a prosthetic spinal disc for replacing a damaged disc between two vertebrae of a spine. The present invention also relates to prosthetic spinal disc designs that have interlocking components.

A prosthesis for the CMC joint of a thumb therefore includes a metacarpal component that has a first articular surface and a stem configured for insertion and anchoring into a metacarpal canal of a thumb metacarpal bone. The stem has a dorsal surface and an opposing volar surface. Each of the dorsal surface and the volar surface is defined by a proximal region and a distal region. The proximal region of the volar surface has a volar taper angle that is greater than distal region of the volar surface and a dorsal taper angle of proximal region of the dorsal surface is less than the volar taper angle of the proximal region of the volar surface. The prosthesis further includes a trapezial component having a second articular surface cooperating with the first articular surface. The trapezial component is configured to be coupled (e.g., anchored) to a trapezium bone.

A system can form a pilot hole to secure a securable element, such as an acetabular cup. A saddle can removably attach to the securable element. The saddle can confine a translator and allow the translator to move along a translator axis between a first translator position and a second translator position. A punch element can be movably coupled to the saddle and the translator such that when the saddle is removably attached to the securable element, moving the translator from the first translator position toward the second translator position can advance a tip of the punch element from the saddle through the securable element along a punch axis that is angled with respect to the translator axis. An impaction stem can be coupled to the translator by a joint, such as a ball-and-socket joint, and can impart motion to the translator.

An implant couples a first bone of a hand to a second bone of the hand. The implant includes a body that defines a median plane. The body also defines a first joint surface having a first central region that articulates with the first bone. The body further defines a second joint surface having a second central region that articulates with the second bone, and the second central region is disposed on an opposite side of the median plane of the body relative to the first central region. The first and second central regions correspond to profiles of first and second axial segments, respectively, the first and second axial segments are each one of a cylinder, a cone and a torus and are centered on first and second axes, respectively, and the first and second axes, as projected on the median plane, are substantially perpendicular to each other.

A surgical kit including a hydrogel implant suitable for use in a carpometacarpal joint includes an upper surface, a lower surface, and sidewalls extending between the upper surface and the lower surface, a plunger, and an introducer for depoloying the implant is provided.