A nuclear disc implant includes an inner fillable enclosure and an outer fillable enclosure. After insertion into a enucleated disc cavity, the inner enclosure is filled with a fluid and the outer fillable enclosure is filled with a curable material. The curable material is allowed to cure and the fluid is removed from the inner enclosure to leave an inner enclosure surrounded by an cured outer enclosure. A reinforcing band may be provided around the nuclear disc implant. An inflation tool to fill the nuclear disc implant is provided.

The invention features a glenoid (shoulder socket) implant prosthesis, a humeral implant prosthesis, devices for implanting glenoid and humeral implant prostheses, and less invasive methods of their use for the treatment of an injured or damaged shoulder.

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.

Articulated instruments that include tools for disrupting and/or distracting tissue, and methods of using the same.

Disclosed herein are systems and methods for intervertebral body fusion that provide more robust support within the disc space. Intervertebral body fusion devices can have a unitary monolithic body including a plurality of body segments interconnected with each other by flexure members. Devices can be configured to be inserted through an opening in a compressed configuration and then expanded within the disc space to an expanded configuration. In the expanded configuration, devices can have a greater mediolateral or transverse to the disc space footprint. This wider footprint provides greater support for the vertebrae relative to the size of the opening through which the device is inserted. Insertion devices for inserting, expanding and extracting such implants are also disclosed.

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 surgical or arthroscopic method for resurfacing at least one surface of a hip joint of a human patient, using a medical device comprising an artificial hip joint surface, wherein the hip joint surface comprising an acetabulum surface and a caput femur surface, said method comprising the steps of: creating at least one hole passing into the hip joint, dissecting and preparing the hip joint, introducing at least one artificial hip joint surface, comprising at least one of an artificial acetabulum surface and an artificial caput femur surface, wherein said at least one artificial hip joint surface, comprising a first sealing member, creating a sealed hollow space between said first sealing member and one of the acetabulum surface or said artificial acetabulum surface and one of the caput femur surface or said artificial caput femur surface, selecting at least one artificial hip joint surface and injecting a material into said hollow space.

Embodiments of the present disclosure includes method and devices for minimally invasive spinal fusion surgery. A method for minimally invasive spinal fusion surgery can include accessing a spinal column through a working channel device, wherein the working channel has a proximal end and a distal end, advancing the working channel so that the distal end pierces an outer layer of a vertebral disc, inserting a disc extractor through the working channel device and into the vertebral disc to cut the vertebral disc into pieces, inserting a disc blade through the working channel device and into the vertebral disc to cut the vertebral disc into pieces, using a disc rake to remove the pieces of the vertebral disc, inserting a disc shaver to clean a number of surfaces of vertebra adjacent to the vertebral disc, and inserting and implanting a disc implant in a space from where the vertebral disc was removed

A method for creating space in a joint formed at the convergence of two bones, the method comprising: applying force to a body part so as to separate the two bones from one another by a distance which is greater than the distance that they are normally separated from one another when the joint is in a healthy state, whereby to distract the joint and create an intrajoint space; inserting an assembly of three balloons into the intrajoint space while the assembly of three balloons is in a contracted condition; expanding the assembly of three balloons within the intrajoint space; and reducing the force applied to the body part so that the joint is supported on the assembly of three balloons, with the two bones remaining separated from one another by a distance which is greater than the distance that they are normally separated from one another when the joint is in a healthy state.