A bone cement delivery system including a mixer, a reservoir for holding bone cement, a cannula that is connected to the reservoir and through which the bone cement is delivered into living tissue. A plunger that is advanced by a drive assembly, pushes the bone cement out of the delivery tube into the cannula for discharge from the cannula. A valve is located upstream of the cannula. A control unit regulates both drive assembly and the setting of the valve. The control unit is configured to, when deactivating the valve so as to stop the advancement of the plunger, close the valve. The closing of the valve reduces the extent to which the bone cement, which is under pressure continues to flow into and be discharged out of the cannula.

An implantable medical device for implantation in a mammal joint having at least two contacting surfaces is provided. The medical device comprises; an artificial contacting surface adapted to replace at least the surface of at least one of the mammal's joint contacting surfaces, wherein the artificial contacting surface is adapted to be lubricated, when implanted in said joint. Furthermore the medical device comprises at least one inlet adapted to receive a lubricating fluid from a reservoir, at least one channel at least partly integrated in the artificial contacting surface in connection with the at least one inlet for distributing the lubricating fluid to the surface of the artificial contacting surface. The medical device could be adapted to be operable by an operation device to receive the distributed lubricated fluid from a reservoir.

A dilation introducer for orthopedic surgery is provided for minimally invasive access for insertion of an intervertebral implant. The dilation introducer may be used to provide an access position through Kambin's triangle from a posterolateral approach. A first dilator tube with a first longitudinal axis is provided. A second dilator tube may be introduced over the first, advanced along a second longitudinal axis parallel to but offset from the first. A third dilator tube may be introduced over the second, advanced along a third longitudinal axis parallel to but offset from both the first and the second. An access cannula may be introduced over the third dilator tube. With the first, second, and third dilator tubes removed, surgical instruments may pass through the access cannula to operate on an intervertebral disc and/or insert an intervertebral implant.

A method of treating a hip joint of a human is provided. The method comprises a step of dissecting an area of the pelvic bone, comprising at least one of the following: dissecting an area between peritoneum and the pelvic bone, dissecting an area between the pelvic bone and the surrounding tissue, dissecting an area of the pelvic region, and dissecting an area of the inguinal region, or, the method comprises at least two of the following steps: dissecting an area of the abdominal cavity, penetrating the hip joint capsule, dissecting an area between peritoneum and the pelvic bone, dissecting an area of the pelvic bone which comprises: dissecting an area between the pelvic bone and the surrounding tissue, or dissecting an area of the pelvic region, or dissecting an area of the inguinal region, and removing or penetrating the tissue surrounding the pelvic bone in the area opposite to acetabulum.

An expandable fusion device capable of being installed inside an intervertebral disc space to maintain normal disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. In one embodiment, the fusion device includes a central ramp, a first endplate, and a second endplate, the central ramp capable of being moved in a first direction to move the first and second endplates outwardly and into an expanded configuration. The fusion device is capable of being deployed down an endoscopic tube.

A medical device for implantation in a hip joint of a patient is provided. The medical device comprises a first and second piece and a releasing member adapted to, in a first state hold the first piece attached to the second piece, and in a second state release the first piece from the second piece. The releasing member is adapted to change from the first state to the second state when a pre-determined strain is placed on the releasing member.

A shock-absorbing system for use in joint replacement arthroscopy has a bearing surface, a mounting base affixed to or formed with the bearing surface, a convex element extending outwardly of the mounting base opposite the bearing surface, a receptacle positioned so as to slidably or pivotably receive a portion of the convex element therein, a housing receiving at least a portion of the receptacle therein, and a resilient element received in the housing and bearing against a surface of the housing and against a surface of the receptacle.

An expandable fusion device is capable of being installed inside an intervertebral disc space to maintain normal disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. The fusion device may include a body portion, a first endplate, and a second endplate, the first and second endplates capable of being moved in a direction away from the body portion into an expanded configuration or capable of being moved towards the body portion into an unexpanded configuration. The fusion device is capable of being deployed and installed in both configurations.

A bone fusion method, system and device for insertion between bones that are to be fused together in order to replace degenerated discs and/or bones, for example, the vertebrae of a spinal column The bone fusion device includes a frame and one or more extendable plates. The bone fusion device is able to be inserted between or replace the vertebrae by using a minimally invasive procedure wherein the dimensions and/or other characteristics of the bone fusion device are selectable based on the type of minimally invasive procedure.

An interbody fusion implant fits between adjacent vertebrae for fixation during fusion thereof. Upper bores extend into a cephalid surface of the implant and preferably include threads therein. A guide tool is removably attachable to the implant which supports guide bores along centerlines aligned with the upper bores in the implant. A drill can pass along these guide bores to form holes in a vertebra adjacent the cephalid surface of the implant which is precisely aligned with the upper bores. A hybrid screw then passes through these holes in the vertebra adjacent the cephalid surface and threads into the upper bores to secure the implant to the adjacent cephalid vertebra. Bone screws can also be used to secure the implant to caudal vertebra by passing through bores passing through the implant, such that the implant is securely mechanically fastened to both cephalid and caudal vertebrae adjacent the implant.