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.

A bone screw insertion device, comprises an outer sleeve extending from a proximal end to a distal end and including a channel extending therethrough and a driving member extending longitudinally through the channel of the outer sleeve from a proximal end to a distal end configured to engage a driving recess of a bone screw, the outer sleeve movable relative to the driving member between a first position in which the distal end of the outer sleeve extends over and covers a proximal portion of a bone screw engaged with the driving member, to a second position in which the distal end of the outer sleeve is longitudinally aligned with a proximal end of a bone screw engaged with the driving member.

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.

Implantable fixation devices for rejoining opposed portions of a separated bone. The devices include plates that may be affixed to a rib and realign separated portions of the rib or other body part. The devices may also include various locking mechanisms that receive a cable that may be used to realign and bring together separated portions of a bone or other body part. The devices may further include plates that may be affixed to a sternum and realign separated portions of the sternum or other body part.

Disclosed herein is a guide device and a driver, which allows for the preparation of an anatomic cavity for screw fixation of an implant or spacer, including the guidance for hole preparation, and guidance for insertion of screws, and or anchors, while selecting the amount of rigidity, and selecting the amount of visibility.

A surgical instrument comprises a first member including a drive engageable with a first mating surface of a bone fastener. A second member is rotatable relative to the first member and includes an element engageable with a second mating surface of the bone fastener. An actuator is connected with the second member and includes visual indicia of engagement of the element with the second mating surface. Systems, spinal implants and methods are disclosed.

A tool assembly includes a universal, intervertebral bone fusion spacer for insertion into a disc space between a first vertebral body and a second vertebral body and fusion of the first vertebral body to the second vertebral body via biological bone fusion and screw fusion, and a tool for manipulating and inserting the universal, intervertebral bone fusion spacer into the disc space between the first vertebral body and the second vertebral body to provide fusion of the first vertebral body to the second vertebral body via biological bone fusion and screw fusion.

A surgical instrument comprises a first member including a drive engageable with a first mating surface of a bone fastener. A second member is rotatable relative to the first member and includes an element engageable with a second mating surface of the bone fastener. An actuator is connected with the second member and includes visual indicia of engagement of the element with the second mating surface. Systems, spinal implants and methods are disclosed.

A fastener guide that includes a body. The body includes a through-bore configured for receiving a fastener and an end configured for contacting a bone plate. The fastener guide further includes at least one member configured for contacting and retaining the fastener within the body.

A driven fastener guide for guiding a fastener into a hole of a bone plate. The driven fastener guide includes an elongated driver configured for connecting to a drill and a fastener guide member operably connected to the elongated driver. The fastener guide member includes a split body and a through-bore configured for receiving the fastener. The fastener guide member is configured for aligning the fastener relative to the hole of the bone plate.