A surgical instrument includes a chassis, a first driving shaft, a first measuring mechanism, a second measuring mechanism, and a first handle. The chassis defines a first channel and a second channel each extending from a proximal end to a distal end. The first measuring mechanism corresponds to rotation in the first channel. The second measuring mechanism corresponds to rotation in the second channel. The first driving shaft is operable to be inserted into the first channel, engaging with the first measuring mechanism. The first driving shaft has an end portion configured to engage and drive a first adjustable feature and/or a second adjustable feature on a work-piece. The handle is operable to be releasably attached to the first driving shaft for applying torque or operable to remove the first driving shaft from the first channel.

A bone fusion device provides stability to bones during a bone fusion period. The bones include, for example, the vertebrae of a spinal column. The bone fusion device comprises one or more extendable tabs attached to the bone fusion device by associated rotating means. The bone fusion device is preferably inserted by using an arthroscopic surgical procedure. During arthroscopic insertion of the device, the tabs are pre-configured for compactness. In this compact configuration, the tabs are preferably deposed along and/or within an exterior surface of the bone fusion device. After the bone fusion device has been positioned between the bones, one or more tab(s) are extended. In the preferred embodiment, the position of each tab is related to a positioning element and extending blocks. Typically, the tabs advantageously position and brace the bone fusion device in the confined space between the bones until the bones have fused.

A tunable implant, system, and method enables a tunable implant to be adjusted within a patient. The tunable implant includes a securing mechanism to secure the implant in the patient, a actuation portion that enables the implant to move and an adjustment portion that permits adjustment of the implant after the implant has been positioned within the patient. The method of adjusting the tunable implant includes analyzing the operation of the implant, determining if any adjustments are necessary and adjusting the implant to improve implant performance. The implant system includes both the tunable implant and a telemetric system that is operable to telemetrically receive data from the tunable implant where the data is used to determine if adjustment of the tunable implant is necessary. The system also includes an instrument assembly that is used for performing spinal surgery where the instrument assembly includes a mounting platform and a jig.

Stand-alone interbody fusion devices for engagement between adjacent vertebrae. The stand-alone interbody fusion devices may include a spacer and one or more inserts or members coupled to the spacer. The inserts or members may be configured and designed to provide the apertures which are designed to retain bone fasteners, such as screws, and secure the implant to the adjacent vertebrae.

An intervertebral implant for spondylolisthesis correction includes a superior side with serrations angled superiorly and toward the implant insertion direction, an inferior side with serrations angled inferiorly and opposite the implant insertion direction, and an instrument connection feature. An instrument for connection to the implant includes an implant connection feature movable between unlocked and locked states, and a friction-reducing feature movable between disengaged and engaged states. The instrument has a first state, in which the implant connection feature is in the unlocked state and the friction-reducing feature is in the disengaged state; a second state, in which the implant connection feature is in the locked state and the friction-reducing feature is in the engaged state; and a third state, in which the implant connection feature is in the locked state and the friction-reducing feature is in the disengaged state. Methods of apparatus assembly and surgery are disclosed.

A modular transdermal assembly configured to couple an external prosthetic device to a bone stump. The assembly includes a modular transdermal portion and a bone fixator. The modular transdermal portion includes an interface portion configured to couple with the external prosthetic device. The bone fixator is configured to be secured to the bone stump and couple with the modular transdermal portion to retain the modular transdermal portion relative to the bone stump.

An method includes creating a first bore and a second bore in a glenoid region of a scapula offset from each other by a first distance. A glenoid component is provided that includes a base component having a bearing surface and a first peg and a second peg each extending from a scapula-facing side of the base component and being positioned in non-parallel orientation with respect to each other. At least one of the first peg and the second peg is flexed so that a first end portion of the first peg and a second end portion of the second peg are offset by a second distance which corresponds to the first distance. The first end portion of the first peg and the second end portion of the second peg are then advanced into the first bore and the second bore, respectively.

A medical device for implantation in a hip joint of a patient is provided. The medical device is adapted to be fixated to the femoral bone of the patient. The medical device comprises an inner and an outer surface, wherein a contacting portion of said inner surface is spherical and adapted to face the center of the hip joint when said medical device is implanted, and wherein said medical device is adapted to receive a prosthetic replacement for the caput femur fixated to the pelvic bone having a spherical portion. The medical device comprises at least one extending portion, extending said contacting portion of said inner surface such that said at least one extending portion clasps said spherical portion of said prosthetic replacement for the caput femur, such that said spherical portion is restrained in said medical device.

A system, method, and computer program product for allowing any surgeon, including those surgeons who perform a fewer number of a replacement procedure as compared to a more experienced surgeon who performs a greater number of procedures, to provide an improved likelihood of a favorable outcome approaching, if not exceeding, a likelihood of a favorable outcome as performed by a very experienced surgeon with the replacement procedure, such as by understanding the prosthesis installation environment (e.g., cup/cavity interface) and to provide intelligent and interactive tools and methods to standardize the installation process and provide feedback regarding a quality of insertion/installation. Force sensing is included to aid in quantifying installation of an implant, particularly a cup into a pelvic bone.

A method and system for performing bone fusion and/or securing one or more bones, such as adjacent vertebra, are disclosed. The screws include a threaded tip connected to a main shaft and a threaded outer sleeve that rotates relative to the outer shaft until locked down. Independent rotation of the threaded outer sleeve relative to the threaded distal tip allows compression or distraction to modify the gap between the vertebral bodies. The screws are passed from the inferior to superior vertebra or superior to inferior, for example, through a trans-pedicular route to avoid neurological compromise. At the same time, the path of screw insertion is oriented to reach superior or inferior vertebra. An intervertebral cage of the system is configured for lateral expansion from a nearly straight configuration to form a large footprint in the disc space. The screws and cage may be combined for improved fixation with minimal invasiveness.