An implant is disclosed that has a base member, an articulating member, and a coupling portion that secures the base member to the articulating member. The implant can be a shoulder implant (100, 200, 300) that has a baseplate (102, 230, 310), an articulating component (104, 210), and a fixation component (106, 270, 342). The baseplate includes a first side (110, 234, 314) with a projection (108, 240, 320) that has a first Morse taper and may be offset from a center line of the baseplate and a second side (116, 236, 316) that has a post or stem (114, 250, 330) that is offset from the center line of the baseplate. The articulating component includes a cavity (122, 220) with a second Morse taper that is offset from a center line of the articulating component. The articulating component is attachable to the baseplate when the projection is received in the cavity of the articulation component. A threaded through hole (130, 222) extends from the cavity of the articulating component to a second, convex side or articulating surface (120, 212) thereof. The through hole can be aligned with the cavity. The fixation component (106, 270, 342) can engage the through hole and is contained within a cavity (132, 322, 242) of the baseplate by a spring (138, 262, 360) and a cap (140), a second fixation member (280), or an engagement member (370).

A two-piece medical instrument for installing an expandable interbody (intervertebral) spine implant via an endoscope, has a handle assembly and a shaft assembly configured for extension through the endoscope, the shaft assembly holding an expandable interbody spine implant when the shaft assembly is fully received by a head of the handle assembly, and releasing the spine implant upon retraction of the shaft assembly from the head of the handle assembly. The shaft assembly has a rod with a longitudinal bore and a sleeve situated on the rod that axially moves relative to the rod in response to the reception into and retraction from the handle assembly head, with the sleeve controlling capture and release of the implant by the rod. The distal end of the rod has a clamp formed by jaws that flex to capture and release the implant.

A cage holder includes an elongated body having a proximal end and a distal end, the elongated body extending from the proximal end to the distal end. The cage holder further includes means for transferring energy centrally from the proximal end to the distal end through the elongated body.

A spacer for separating bones of a joint includes a frame and a carriage. The carriage has ramped surfaces, and is slideably moveable in relation to the frame. A screw support is moveably connected to the frame to form a changeable angular orientation with respect to the frame. An actuating screw is supported by the screw support, and is connected to the carriage to cause the carriage to slideably move in relation to the frame when the actuating screw is rotated. Opposing endplates are configured to engage opposing bone of the joint, and each has ramped surfaces mateable with the ramped surfaces of the carriage. When the carriage is moved by rotation of the actuating screw, the ramped surfaces of the carriage and the endplates slide against each other, causing the endplates to move relatively apart, to increase the height of the spacer.

Interbody fusion devices, interbody fusion device systems, insertion tools, methods for assembling an interbody fusion device, and methods a method for inserting a medical device between two vertebral bodies are disclosed. The interbody fusion device includes a body member with a pivot cylinder, a superior member with a pivot channel that is configured to engage the pivot cylinder, and a movement mechanism for moving the superior member relative to the body member. The interbody fusion device systems may include an interbody fusion device and an insertion tool. Also disclosed is a method of assembling an interbody fusion device. In addition, a method for inserting a medical device between two vertebral bodies in a spine is disclosed.

Provided is a structure of a porous spinal implant including a cage body inserted between adjacent vertebral bodies and divided by an upper surface, a lower surface, a left surface, a right surface, a front surface, and a rear surface, a plurality of vertical pores formed on the upper surface and the lower surface of the cage body, and a plurality of horizontal structures stacked on the left surface and the right surface of the cage body, wherein the plurality of vertical pores and the plurality of horizontal structures are each formed in a pattern that repeats in up-down, left-right, and front-rear directions. The structure of a porous spinal implant is capable of reducing strength of a cage body close to that of a vertebral body.

Implant inserters and related methods are disclosed herein, e.g., for delivering a fusion cage or other implant to a spinal disc space and for rotating or articulating the implant within the disc space. An exemplary instrument can include an inner member having opposed jaws for grasping the implant and holding the implant during insertion. The inner member can be slidably received within an outer member such that relative axial translation of the inner and outer members is effective to open or close the jaws. The jaws and/or the distal end of the outer member can have a low-profile geometry, which can advantageously facilitate certain surgical procedures. For example, the low-profile geometry can allow for a more medial approach to an intervertebral disc space in which the implant is to be inserted.

Sacro-iliac joint stabilizing implants adapted for implanting across a SI joint from a dorsal approach. Methods of, and delivery tools adapted for implanting sacro-iliac joint stabilizing implants across a SI joint from a dorsal approach.

A system for treating dysfunctional SI joints that includes a multi-function bone structure prosthesis adapted to be delivered to and inserted into a dysfunctional SI joint via a posterior approach, the multi-function bone structure prosthesis, when disposed in a dysfunctional SI joint, being adapted to (i) stabilize the dysfunctional SI joint, (ii) induce proliferation, and/or growth and/or remodeling and/or regeneration of osseous tissue and, thereby, healing and arthrodesis of the dysfunctional SI joint, (iii) attenuate pain associated with the dysfunctional SI joint via neurostimulation, and (iv) monitor physiological and/or biomechanical parameters associated with the dysfunctional SI joint via one or more sensor systems.

Prostheses are described for stabilizing dysfunctional sacroiliac (SI) joints. The prostheses are sized and configured to be press-fit into surgically created pilot SI joint openings in dysfunctional SI joint structures. The prostheses have a pontoon shape with opposed elongated partially cylindrical sections connected by a bridge section. The partially cylindrical sections and, in some instances, the bridge section have a porous structure.