A delivery instrument for placing an interbody implant into an intervertebral space of a patient comprises a plurality of elongated plates disposed adjacent one another. Each elongated plate has a proximal portion and a distal portion. The distal portion is sized and shaped to fit into the intervertebral space, and is configured to engage a vertebral body in the intervertebral space. An expandable member is coupled to the plurality of elongated plates so as to form an enclosed tube that is sized and shaped to receive the interbody implant. The expandable member allows for translation of the plurality of elongated plates relative to one another as the interbody implant passes through the tube.

The present disclosure includes implant systems, devices, and implants. The interbody spacers including a first endplate, a second endplate, and a coupling member coupled to and extending between the first endplate and the second endplate. Methods of using the interbody spacers are also disclosed.

A vertebral body system and method having a polyaxial fastener receiving member, adjustable width plates and a pedicle screw having a pedicle threaded portion and a threaded portion for fastening to the vertebral body.

A spinal implant includes a first member that is curved along an axis between opposite ends. The first member defines a bore and a first thread. A second member is positioned in the bore and is curved between opposite ends. The second member includes a second thread engaged with the first thread. The second thread includes a series of gear teeth. A third member is positioned in the bore and is curved between opposite ends and includes opposite ends. A driver includes a gear configured to engage the gear teeth such that rotation of the driver relative to the first member and the second member rotates the second member relative to the first member to translate the second member relative to the first member along the axis. Systems and methods are disclosed.

One aspect of the present disclosure relates to a tissue integration device. The tissue integration device can be produced by forming a polymer mixture into a shape. The polymer mixture can include a polymer resin and a growth-promoting medium. Next, at least one polymer forming the polymer resin can be oriented in at least one direction. The shaped polymeric material can then be formed into the tissue integration device.

Medical devices in accordance with various embodiments of the present invention employ one or more coaxial screw gear sleeve mechanisms. In various embodiments, coaxial screw gear sleeve mechanisms include a post with a threaded exterior surface and a corresponding sleeve configured to surround the post, the corresponding sleeve having a threaded interior surface configured to interface with the threaded exterior surface of the post and a geared exterior surface. A drive mechanism can be configured to interface with the geared exterior surface of the sleeve, causing the device to expand.

Embodiments of nanostructures comprising metal oxide and methods for forming the nanostructure on surfaces are disclosed. In certain embodiments, the nanostructures can be formed on a substrate made of a nickel titanium alloy, resulting in a nanostructure containing both titanium oxide and nickel oxide. The nanostructure can include a lattice layer disposed on top of a nanotube layer. The distal surface of the lattice layer can have a titanium oxide to nickel oxide ratio of greater than 10:1, or about 17:1, resulting in a nanostructure that promotes human endothelial cell migration and proliferation at the interface between the lattice layer and human cells or tissue. The nanostructure may be formed on the outer surface of an implantable medical device, such a stent or an orthopedic implant (e.g. knee implant, bone screw, or bone staple).

An end cap and a bone screw for use therewith are provided. One or more of the end caps can be used with a spinal implant used to replace portions of a vertebral body after a corpectomy thereof. The end cap can include a first end and a second end opposite from one another, a first side and a second side opposite from one another, and a body portion extending between the first end, the second end, the first side, and the second side. The body portion can include an exterior surface for contacting an endplate of a vertebral body, and an interior cavity formed in the end cap opposite from the exterior surface. The interior cavity can be sized to receive a flange portion of the spinal implant, and can include at least one attachment structure provided in the interior cavity facilitating attachment of the end cap to the flange portion of the spinal implant. One or more of the bone screws can be received through apertures formed in the end cap and into the endplate of the vertebral body. The bone screws can be configured, upon receipt in the apertures in the end caps, to lock in place relative thereto.

A partial endoprosthesis device preserves the motion of a vertebral joint for implant into a spinal segment and includes an articular portion having a thickness that increases in the direction of introduction between the articular facets. The articular portion is elongated along a longitudinal axis with a opposite first and second faces. The first face has a central protrusion that is configured so that, by implanting the device with the articular portion inserted between an upper articular facet of a lower vertebra and a corresponding lower articular facet of upper vertebra adjacent to the lower vertebra, and with the first face in contact with either the upper or lower articular facet, and with the second face in contact with the other articular facet, the articular portion, with the first face, pushes against the first articular facet and finally becomes integral by osteointegration with the lower articular facet.

Assemblies of one or more implant structures make possible the achievement of diverse interventions involving the fusion and/or stabilization of the SI-joint and/or lumbar and sacral vertebra in a non-invasive manner, with minimal incision, and without the necessitating the removing the intervertebral disc. The representative lumbar spine interventions, which can be performed on adults or children, include, but are not limited to, SI-joint fusion or fixation; lumbar interbody fusion; translaminar lumbar fusion; lumbar facet fusion; trans-iliac lumbar fusion; and the stabilization of a spondylolisthesis.