An intervertebral implant may include a shaft having a proximal end, a distal end, a longitudinal axis, a minor diameter, and a helical thread disposed about the shaft along the longitudinal axis between the proximal end and the distal end of the shaft. The helical thread may include a major diameter and a concave undercut surface angled towards one of the proximal end and the distal end of the shaft. The intervertebral implant may be implanted within an intervertebral space between a superior vertebral body and an inferior vertebral body. A ratio of the major diameter to the minor diameter may be less than 1.50. The concave undercut surface may engage the superior vertebral body and the inferior vertebral body and may be shaped to resist at least one force transmitted between the superior vertebral body and the inferior vertebral body to stabilize the intervertebral space.

A bone disunion instrument system may include a first bone pin, a second bone pin, and a guide block. The guide block may include first and second bone pin holes to receive the first and second bone pins, and a window intermediate the first and second bone pin holes. The first bone pin may be anchored in a first bone portion and inserted through the first bone pin hole, and the second bone pin may be anchored in a second bone portion and inserted through the second bone pin hole to impart a compression or distraction force on a bone disunion between the first and second bone portions. The window formed through the guide block may provide access for an implant placed through the window to stabilize the bone disunion while the bone disunion is placed under a compression or distraction force.

A package assembly for carrying medical devices is disclosed. The package assembly includes an outer cartridge and an inner cartridge. The inner cartridge receives the outer cartridge of the package assembly. The inner cartridge extends beyond the outer cartridge. A medical device is disposed in the inner cartridge to engage the inner cartridge.

A bone disunion fastener may include a fastener shaft, a helical thread, and a bone staple. The helical thread may include a concave undercut surface oriented towards one end of the fastener shaft. The bone staple may include a first bone-engaging feature, a second bone-engaging feature, and a middle portion with an opening. The bone disunion fastener may be implanted along a disunion between a first bone portion and a second bone portion. The concave undercut surface may be shaped to resist at least one force transmitted between the first bone portion and the second bone portion to stabilize the disunion. The first bone-engaging feature may engage the first bone portion and the second bone-engaging feature may engage the second bone portion to couple the bone staple to the bone portions and resist at least one force transmitted between the bone portions to stabilize the disunion.

A polyaxial bone anchoring device includes a receiving part having a longitudinal axis, a channel for receiving a rod, and an accommodation space for pivotably holding a head of a bone anchoring element, and a pressure member configured to be positioned in the receiving part and to exert pressure onto the head to lock the head in the receiving part. The pressure member includes a pressure exerting surface and a deformable portion having a free end, wherein the deformable portion is configured to assume at least a first configuration and a second configuration. The polyaxial bone anchoring device further includes a locking member configured to be inserted into the channel and to exert a force onto the deformable portion. When the head and the pressure member and the locking member are in the receiving part, the free end of the deformable portion is supported in the receiving part, and the locking member is movable in the channel along the longitudinal direction in such a manner that the locking member first contacts the deformable portion and exerts a force onto the deformable portion to bring the deformable portion from the first configuration into the second configuration thereby locking the head. Thereafter the locking member comes into contact with the rod and locks the rod.

A bone fixation system comprises a first fastener configured to anchor into a first vertebrae, a second fastener configured to anchor into a second vertebrae, and a set screw to retain the second fastener to the first fastener. The first fastener includes a shaft extending along a longitudinal axis and a head. The shaft includes a first cylindrical body. The head of the first fastener includes a second cylindrical body defining a passageway having an interior surface. The passageway defines a longitudinal axis that is different than the longitudinal axis of the shaft. The first cylindrical body of the shaft and the second cylindrical body of the head are angled relative to each other. A head of the second fastener is configured to engage the interior surface of the passageway of the head of the first fastener. The set screw retains the head of the second fastener in the passageway.

Methods and devices are provided for anchoring suture to bone. In one exemplary embodiment, a cannulated suture anchor is provided and it includes a suture-engaging member formed therein and configured to receive a suture therearound such that trailing ends of the suture can extend through the suture anchor. The suture anchor can also include at least a proximal portion having dual threads to facilitate engagement with bone. The present invention also provides exemplary sutures and drivers that can be used with the various methods and devices disclosed herein, or with other methods and devices known in the art.

Methods and devices are provided for anchoring a ligament or tendon to bone. In one embodiment, a surgical implant is provided having a sheath and an expander that is received within the sheath. Various delivery tools, including a sheath inserter and a driver, are also provided. In use, the sheath inserter can be used to position a tendon within a prepared bone hole, and it can be used to deliver the sheath with a guidewire coupled thereto into the bone hole. The driver can be provided for delivering the expander into the sheath. A loader can optionally be used to load the driver and expander onto the guidewire coupled to the implanted sheath.

Disclosed is a fenestrated bone anchor suitable for being anchored in live bone tissue of a human or animal patient. The bone anchor comprises a shaft with a proximal end and a distal end and a circumferential surface extending from the proximal end to the distal end. The shaft further comprises a longitudinal cavity extending from the proximal end towards the distal end and a plurality of lateral channels extending through a wall of the shaft from the axial cavity to the circumferential surface. The lateral channel has a pear-shaped cross section and/or the thickness of the wall increases gradually in selected ones of directions towards the lateral channels. The fenestrated bone anchor is e.g. a component of a surgical system comprising an interbody fusion device of the stand-alone type.

Disclosed is a fenestrated bone anchor suitable for being anchored in live bone tissue of a human or animal patient. The bone anchor comprises a shaft with a proximal end and a distal end and a circumferential surface extending from the proximal end to the distal end. The shaft further comprises a longitudinal cavity extending from the proximal end towards the distal end and a plurality of lateral channels extending through a wall of the shaft from the axial cavity to the circumferential surface. The lateral channel has a pear-shaped cross section and/or the thickness of the wall increases gradually in selected ones of directions towards the lateral channels. The fenestrated bone anchor is e.g. a component of a surgical system comprising an interbody fusion device of the stand-alone type.