Systems, methods, and devices for securing a spinal rod are provided. A clamp assembly comprises a tulip comprising an opening comprising an inner surface, wherein the inner surface is threaded; and a threaded locking cap disposed in the opening, wherein threads of the locking cap and the inner surface include various geometries.

A bone fastener assembly instrument that can assemble a two-component bone fastener during surgery is provided. The bone fastener may be of a type that comprises a threaded bolt and nut for securing an implantable device to bone, such as a spinous process. A method for using the bone fastener assembly instrument is also provided.

A receiver assembly for securing an elongate rod to a bone anchor includes a receiver having a channel configured to receive the elongate rod and a helically wound receiver guide and advancement structure formed into interior surfaces of the receiver. The receiver assembly further includes a threaded plug configured for positioning within the channel to secure the elongate rod to the receiver in a locked configuration, with the threaded plug having a lower axially protruding portion configured to compress the rod so as to prevent rotational and axial movement between the rod and the receiver in the locked configuration.

A surgical instrument is connectable to a bone anchor insertion device having a drive shaft that defines a coaxial channel for receiving a needle therethrough. The instrument includes a handle portion configured to be coupled to the drive shaft in a rotationally fixed manner to transmit torque to the drive shaft, a needle holder configured to hold a needle and movable axially relative to the handle portion, an actuator rotatable relative to the handle portion, and a transmission member connectable to the needle holder and movable axially relative to the actuator and comprising a first advancement surface engageable with a second advancement surface of the handle portion to convert rotational movement of the actuator into axial movement of the needle holder relative to the handle portion for axially advancing and retracting a needle held by the needle holder relative to the handle portion.

A torque limiter can include a housing and a shaft. The housing can include a housing magnet enclosed within the housing. The shaft can be at least partially surrounded by the housing and can be rotatable within the housing. The shaft can include a shaft magnet integrated with the shaft to magnetically couple with the housing magnet to transmit a torque between the housing and the shaft and configured to uncouple from the housing magnet allowing the shaft to rotate within the housing when a threshold torque is reached.

An implanted article physical referencing apparatus comprises a guide body, a first guide shaft and a second guide shaft. The guide body includes a plurality of guide shaft receptacles therein. A longitudinal axis of each of the guide shaft receptacles extends substantially parallel to a longitudinal reference axis of the guide body. The first and second guide shafts each have a proximate end portion and a distal end portion. The proximate end portion of the first guide shaft includes an exterior surface adapted for being engaged with a corresponding interior surface of a selected one of the guide shaft receptacles to constrain unrestricted relative movement between the first guide shaft and the guide body. The proximate end portion of the second guide shaft is attached to the guide body. A longitudinal axis of the second guide shaft extends substantially parallel to the longitudinal reference axis of the guide body.

A pivotal spinal fixation system includes bone anchors comprising capture portions having a partial spherical shape with flat side surfaces, multi-planar receivers with continuous interior circumferential engagement surfaces proximate their bottom openings, and uni-planar receivers with non-continuous interior circumferential engagement surface proximate their bottom openings. The system also includes circular retainers, each having a non-continuous outer circumferential surface configured for non-pivotal engagement with the interior circumferential engagement surfaces of both the multi-planar receivers and the uni-planar receivers, and an inner surface configured to expand and contract around the capture portion and flat side surfaces of a bone anchor so as to capture the bone anchor within a multi-planar or uni-planar receiver. The system provides for pivotal motion of the bone anchors in any of a plurality of angular directions relative to the vertical centerline axes of the multi-planar receivers while limiting pivotal motion to a single pivot plane relative to the vertical centerline axes of the uni-planar receivers.

The vertebral pedicle screw placement device of the present application includes a bone drill mechanism and a depth advancing mechanism connected to the bone drill mechanism and used to generate linear reciprocating motion. The bone drill mechanism includes a bone drill driving device and a clamping mechanism connected and driven by the bone drill driving device. The present application provides the driving force of the linear reciprocating motion of the bone drill mechanism through a depth advancing mechanism, and combines the driving control of the clamping mechanism by the bone drill driving device. The clamping mechanism is used to clamp the guide pins, reamers, taps, vertebral pedicle screws, etc. required in the operation, so as to realize the screw placement in the operation, improve the operation efficiency and the accuracy of the screw placement, and avoid possible accidental injuries in the manual screw placement process in the prior art.

Devices, systems, and methods for aiding insertion of a surgical implant by providing a threaded guide tube configured to engage a threaded surgical instrument such that an end-effector of a robot may provide force to drive the surgical implant into a patient. In addition, devices, systems, and methods relating to a dilator system for use with a robotic system that allows independent and separate control of tools within the dilator system.

Orthopedic fixation devices and methods of installing the same. The orthopedic fixation device may include a coupling element and a bone fastener, whereby the bone fastener can be loaded into the coupling element through the bottom of a bore in the coupling element and a retention member is configured to allow polyaxial rotation of the bone fastener and also to lock the bone fastener in place upon application of a force on a saddle and clamp in the coupling element.