A fusion device assembly for fusion of a joint, including a first screw portion, including a first distal end, a first proximal end, a first radially outward facing surface, and a first hole, a second screw portion, including a second distal end, a second proximal end, and a second radially outward facing surface, and a section, including a first end slidably engaged with the first hole, a second end non-rotatably secured to the second distal end, and a third radially outward facing surface.

Systems are described for conducting minimally invasive medical interventions utilizing instruments and assemblies thereof to stabilize and/or fixate a dysfunctional sacroiliac (SI) joint. The systems include a drill guide having a bone dislodging member adapted to create a pilot SI joint opening in the dysfunctional SI joint through an incision comprising a length no greater than 3.0 cm; portions of the pilot SI joint opening being disposed in the sacrum and ilium bone structures. The drill guide includes a tri-mode fixation system adapted to position and stabilize the drill guide during creation of the pilot SI joint opening in the dysfunctional SI joint and delivery of the SI joint prosthesis therein. The systems also include a SI joint prosthesis configured to be inserted into the pilot SI joint opening of the dysfunctional SI joint, a prosthesis deployment assembly configured to engage the SI joint prosthesis and advance the SI joint prosthesis into the dysfunctional SI joint, and a bone harvesting assembly adapted to extract and collect dislodge bone material from the bone dislodging member after creation of the pilot SI joint opening.

A sacroiliac joint screw has a screw body having a head and a treaded shank with a self-drilling cutting tip. The screw body is cannulated and configured to receive a Steinmann pin for the purpose of a minimally invasive approach (MIS) for delivery to the sacroiliac joint (SI) while minimizing soft tissue damage. The self-drilling cutting tip creates a pilot hole. The threaded shank has a plurality of spiral cutting flutes, the spiral cutting flutes extend along a length of the threaded shank and are configured to provide a constant self-tapping feature. A plurality of bone harvesting windows are positioned in the spiral cutting flutes and are configured to pull in bone as the screw is advanced into the joint.

The present invention relates generally to implants used in medical procedures such as bone fixation or fusion. More specifically, this application relates to fenestrated implants used in bone fixation or fusion.

Threaded sacro-iliac joint stabilization (e.g., fusion, fixation) implants and methods of implantation and manufacture. Some implants include a threaded distal region, an optionally threaded central region, and an optionally threaded proximal region. The distal, central, and proximal regions have lengths such that when the implant is laterally implanted across a SI joint, the distal region can be positioned in a sacrum, the central region can be positioned across an SI-joint, and the proximal region can be positioned in an ilium.

A bone screw fixation system includes a bone screw body having a screw head at one end of the screw and a screw tip at an opposite end of the screw, the screw head having an internal complex geometric shaped drive and internal threads within the screw head; and a screw inserter compatible with the screw head and having a complex geometric shaped drive configured to matingly engage the internal complex geometric shaped drive of the screw head and a threaded tip configured to thread into the internal threads of the screw head.

A bone screw and method of using the same for immobilizing a joint, the bone screw including a screw head, an elongate shaft having a threaded outer wall and a helically-shaped slot extending through the outer wall and longitudinally along the shaft. The slot extends longitudinally along a middle section of the threaded outer wall, terminating short of the proximal and distal ends of the shaft, or the slot extends through the distal end and/or to the proximal end of the shaft immediately adjacent to the screw head. The slot includes a cutting edge that is arranged to engage bone when the screw advances therethrough for cutting away a portion of the bone. A reservoir is located within the elongate shaft for collecting bone that is cut away or removed by the cutting edge.

An implant may include a body having a first portion and a second portion and a structural member having a central member curve. In addition, the structural member may be exposed on an outer surface of the implant. Further, the central member curve may include a winding segment, and the winding segment of the central member curve may wind around a fixed path extending from the first portion of the body to the second portion of the body. Also, the central member curve may make one or more full turns around the fixed path. And, the structural member may have a member diameter at the winding segment, wherein the winding segment has a winding diameter corresponding with the full turn around the fixed path and the member diameter is greater than the winding diameter.

An apparatus for use in placing an implant into a patient is disclosed. The apparatus features an outer assembly having an outer shaft with an expandable driving member at its distal end and an inner canulated shaft that fits within and cooperates with the outer shaft to affect the driving member. The inner shaft includes an actuation knob attached to the proximal end of the inner shaft. A locking or driving thread is included on the outer surface of the inner shaft, proximal to the adjustment knob. The outer shaft includes a housing with the threaded interior such that when the inner shaft is mounted within the outer shaft, the driving thread operates with the threaded interior of the housing to allow for the inner shaft to be advanced along the inside of the outer shaft as the knob is turned. The tip of the inner shaft interacts with the interior of the driving member to expand the driving member.

An improved method of fusing the sacroiliac joint and tools for accomplishing the same is disclosed. In one embodiment, the present invention is a method that uses an intra-articular joint fusion device for connecting the sacrum and ilium that includes creating a first incision in the patient's skin proximal to the patient's sacroiliac joint, inserting a surgical channel tool into the incision from the patient's posterior, creating a void in the sacroiliac joint, inserting a fusion implant into the void, the fusion implant having at least one fixation element for engagement with bone tissue in the articular surfaces of the sacrum and the ilium, and driving the fusion implant into the void such that the at least one fixation element engages with bone tissue in an articular surface of at least one of the sacrum and ilium, and the fusion implant fixes relative positions of the sacrum and ilium.