The present invention relates to a mixed material bone screw. The bone screw comprises a distal end made of a biocompatible material and a proximal end made from a stronger material to resist stripping of the bone screw during its insertion or removal from a bone. In another embodiment, the mixed material bone screw is cannulated, wherein the bone screw has a bore forming a central channel connected to a plurality of sideward channels for delivering bone cement or other substances into the bone surrounding the bone screw.

A bone fixation system with variable z-axis translation is provided. The bone fixation system includes an outer tulip coupled to a bone fastener. An inner tulip, which provides a seat for an elongate fixation rod, is located inside the outer tulip. The inner tulip together with a seated rod is permitted to translate along the z-axis in an unlocked position. Also in the unlocked position, the bone fastener is free to angulate relative to the outer tulip. The bone fixation system includes a locked position in which the z-axis position of the inner tulip and rod relative to the outer tulip is fixed. Also in the locked position, the bone fastener is locked with respect to the outer tulip. The system may be adjusted between the locked and unlocked positions by way of a set screw or independently by rotation of the inner tulip relative to the outer tulip.

A surgical device has a shaft including a proximal portion and a distal portion being disposable with a surgical robot guide to engage vertebral tissue. The proximal portion defines a detectable marker and is connectable with at least one surgical instrument for manipulating the vertebral tissue. Systems, surgical instruments, spinal implants, constructs and methods are disclosed.

A spinal implant includes a first member configured to penetrate tissue and a second member. The second member has an abutment engageable with a surgical instrument and at least one peripheral capture element engageable with a moveable arm of the surgical instrument. Systems, spinal constructs, surgical instruments and methods are disclosed.

A fixation device includes a head, a tapered body coupled to the head and extending along a central longitudinal axis, and a flexible tail extending distally from the tapered body and defining a central bore therethrough. The flexible tail is movable from an initial configuration aligned with the central longitudinal axis to a deflected configuration that extends away from the central longitudinal axis when a force is applied to the flexible tail.

The present invention provides a pedicle screw, which includes a screw head, a screw body, a screw rod and a screw cap. The screw body includes a ball-liked arc-shaped buckle portion and a column-liked thread portion. The screw head includes a semi-sphere part with an arc-shaped dimple on one end and a U-shaped cavity on the other end. The U-shaped cavity connects with the arc-shaped dimple. Furthermore, the Arc-shaped dimple connects with the arc-shaped buckle portion. The Arc-shaped dimple includes an opening on its top to allow the screw body passing through. The U-shaped cavity includes an opening, which includes a female thread to fix the screw rod in the U-shaped cavity by a male thread on the screw cap.

A bone screw cutting system can include a cutting assembly having a plurality of blades. The system can further include a position adjustment assembly coupled to the cutting assembly and configured to receive a bone screw blank and position the bone screw blank relative to the cutting assembly. The cutting assembly is configured to cut a bone screw blank received by the position adjustment assembly and to form a self-tapping end portion at a cut end of a resulting cut bone screw.

The invention relates to an improved-structure instrument (1) for allowing the alignment of fixing screws (2) to be inserted in transverse holes (3, 13) of nails (4) for long bones, in particular medullary nails, of the type comprising an arched arm (15) having a free distal end (6) connectable to a proximal end (16) of a head (7) of the nail (4) in which the transverse holes (3, 13) are formed, and a proximal handle portion (5), as well as a connection portion (20) between the distal end (6) and the proximal handle portion (5). Advantageously, the connection portion (2) comprises at least one through-hole (23, 33) for receiving a guide tube (10) for a drilling bit, the through-hole (22, 33) having an axis coinciding with the axis of one of the transverse holes (3, 13) and manually operated quick-locking means (25) are associated with the through-hole (23, 33) so as to lock in a stable position the corresponding tube (10) inserted in the instrument (1).

A bone fixation system with variable z-axis translation is provided. The bone fixation system includes an outer tulip coupled to a bone fastener. An inner tulip, which provides a seat for an elongate fixation rod, is located inside the outer tulip. The inner tulip together with a seated rod is permitted to translate along the z-axis in an unlocked position. Also in the unlocked position, the bone fastener is free to angulate relative to the outer tulip. The bone fixation system includes a locked position in which the z-axis position of the inner tulip and rod relative to the outer tulip is fixed. Also in the locked position, the bone fastener is locked with respect to the outer tulip. The system may be adjusted between the locked and unlocked positions by way of a set screw or independently by rotation of the inner tulip relative to the outer tulip.

Some embodiments provide systems, assemblies, and methods of analyzing patient anatomy, including providing an analysis of a patient's spine, and also analyzing the biomechanical effects of implants. In some embodiments, the systems, assemblies, and/or methods can include obtaining initial patient data, acquiring spinal alignment and contour information, acquiring flexibility and/or biomechanical information, registering patient anatomical landmarks of interest relative to fiducial markers, analyzing databases of measurements and patient data to predict postoperative patient outcomes. Further, in some embodiments, the systems, assemblies, and/or methods can assess localized anatomical features of the patient, and obtain anatomical region data. In some embodiments, the systems, assemblies, and/or methods can also analyze the localized anatomy and therapeutic device location and contouring. Further, the systems, assemblies, and/or methods can output localized anatomical analyses and therapeutic device contouring data and/or imagery on a display according to some embodiments.