A bone fastener includes a receiver defining a longitudinal axis and extending between a proximal end and a distal end, the proximal end including a first wall and a second wall that define an implant cavity, each wall having a proximal face. At least one of the first wall and the second wall include an extension extending proximally from the proximal face along the longitudinal axis, the extension having a distal end integral with the proximal face and a proximal end including a first locking part configured for fixation with a second locking part of an instrument. A bone penetrating member has a proximal end and a distal end, the proximal end of the bone penetrating member being connected with the distal end of the receiver.

A method of inserting a spinal stabilization system into a patient generally comprises inserting a first positioning tool through a first location on a patient's skin and along a path generally toward a first vertebral anchor, coupling an end of the first positioning tool to the first vertebral anchor, positioning at least a portion of a delivery device over a connecting element, and inserting the delivery device and the connecting element through the patient's skin at the first location and along at least a portion of the first positioning tool. The first positioning tool is configured to facilitate directing the delivery device and connecting element generally toward a second vertebral anchor within the patient's body.

A bone fixation system includes a bone fastener and a tower including a frangible or detachably linked distal section with a thread formed on an inner surface thereof, the tower having at least one flexible section and at least one rigid section to accommodate and/or mitigate tower interference and/or collision during surgical procedures. The distal section can desirably be separated and/or detached from the tower to function as a head locking unit of the bone fixation assembly, with the detached distal section capable of accommodating set screws, fixation rods and/or other spinal hardware.

Various bone screws configured to be implanted into bone and methods of use are provided. In an exemplary embodiment, a bone screw is provided with an elongate shank having at least two threads thereon, and having a distal facing surface with at least two cutting edges. The cutting edges can be configured to cut bone as the bone screw is rotated into bone, thereby forming a path for the threads.

A receiver assembly for securing an elongate rod to a bone anchor includes a receiver having pair of upright arms that define an open channel configured to receive the elongate rod, a discontinuous helically wound receiver guide and advancement structure formed into the interior surfaces of the upright arms, and horizontally-elongated tool engaging grooves formed into upper portions of the outer surface of the upright arms. The receiver assembly further includes a closure configured for positioning within the open channel to secure the elongate rod to the receiver in a locked configuration, with the closure having an outer surface with a mating continuous helically wound closure guide and advancement structure configured to resist a tendency toward splaying between the upright arms upon a screwing in of the closure within the open channel by rotatable engagement with the receiver guide and advancement structure.

Described herein are systems and apparatus of surgical instruments engineered for integration with robotic surgical systems to enhance precision in surgical procedures. Also described herein are methods of using such surgical instruments in performing surgical procedures. The use of such surgical instruments reduce complications arising from misalignment during surgery. The disclosed technology assists in stages of a surgical procedure that require a precise trajectory to be followed. Surgical instrument guides are attached to a universal surgical instrument guide, which is engineered to attach directly or indirectly with a robotic arm of a robotic surgical system. Surgical instruments can then be precisely guided along an axis defined by the universal surgical instrument guide. Individual instruments are easily inserted and removed from the channel of the universal surgical instrument guide, thus allowing a range of instruments to be used throughout a procedure while maintaining the surgical trajectory.

An implant support cap comprises a wall defining a cavity and at least one longitudinal passageway. The wall includes a guide engageable with an implant support member to orient the implant support member with the at least one passageway such that the implant support member is connectable with the wall. Systems, surgical instruments, spinal constructs, implants and methods are disclosed.

A compressor/distractor system for operating on a spine is disclosed. The system includes two rod reducers which each advance a spinal rod into the shoulder portion of a pedicle screw. Each rod reducer includes an inner member, an outer member, and a pair of gripping members. Each outer member receives and advances the spinal rod into the pedicle screw. The outer member also includes a through slot which receives the proximal end of each of the pair of gripping members which may limit the longitudinal translation of the outer member with respect to the inner member. The compressor/distractor system may include a compressor/distractor device which has a compressing, a distracting, and a neutral configuration. A method for using the minimally invasive rod reducers with the compressor/distractor system to secure at least two pedicle screws in desired positions on a spinal rod is also disclosed.

The invention relates to a device for retaining and moving a laparoscope during an operation, which comprises a securing unit for securing on a retaining arm, a receiving unit for retaining the laparoscope, as well as a main body. Furthermore, the device has a lever via which the receiving unit is secured to the main body. The main body is mounted on the securing unit in a rotatable manner about a first rotation axis via a first rotation unit. The lever is mounted on the main body in a rotatable manner about a second rotation axis via a second rotation unit. Furthermore, a first drive unit is provided, which, upon activation, drives the first and the second rotation unit in such a manner that the main body is rotated about the first rotation axis, and the lever is rotated about the second rotation axis by the same rotation angle in the opposite rotation direction.

A surgical instrument for correcting spinal deformities includes a tubular body adapted to receive a second instrument through the tubular body. The tubular body forms a transverse passage adapted to receive a longitudinal fixation element through the tubular body. The tubular body further includes first and second arms for connecting the surgical instrument to a vertebral anchor. The first and second arms include one or more anti-splaying features adapted to mate with anti-splaying features on the second instrument to prevent the first and second arms from splaying as the second instrument is inserted into the tubular body.