A modular reverse shoulder prosthesis according to embodiments of the present invention includes a stem having a proximal taper and a primary stem axis, the proximal taper extending from the stem about a metaphyseal axis, the metaphyseal axis at an angle with respect to the primary stem axis, a metaphysis having a proximal end, a distal end, a first aperture in the distal end configured to be placed over the proximal taper, and a second aperture in the proximal end having an insert axis that is eccentrically offset from the metaphyseal axis, the metaphysis configured for attachment to the stem at any rotational position of the metaphysis about the metaphyseal axis, and a reverse insert, the reverse insert having a proximal end and a distal end, wherein the proximal end comprises a concave cup formed about a cup axis and configured to receive a glenosphere, and wherein the distal end comprises a locking protrusion, wherein the locking protrusion has an outer surface with a cross-sectional shape that is rotationally symmetrical about the insert axis with respect to a corresponding inner surface of the second aperture, wherein the rotational symmetry has an order of six, seven, eight, nine, or ten.

A device for separating a hard acetabular liner (e.g., metal, ceramic, etc.) positioned in an acetabular shell, the device including an elongated member having a proximal and distal end, an engagement structure positioned at the proximal end of the elongated member. The engagement structure includes a first portion having a curved outer surface, a first end-face aligned substantially perpendicular to the longitudinal axis of the device, and an inner surface extending from the first end-face, the first portion structured to fit at least partially into a scallop-shaped recess on a peripheral top surface of the acetabular shell, and further includes a second portion separated from the first portion by an opening, structured to accept the top surface of the acetabular liner, and including an outer surface extending a second length from the proximal end of the elongated member, structured to contact the top surface of the acetabular shell.

A ceramic component to be securely connected to an additional component in force-locked manner. A joint prosthesis comprising a ceramic sphere (1), a metallic sleeve (2) and a base plate (3) with a cylindrical projection. The connection between the ceramic sphere and the base plate or shaft (7) is secured by a screw (6).

A glenosphere handling tool, which can be an impactor, is provided that includes an elongate body and a retention portion. The retention portion is disposed at a distal end of the elongate body. The retention portion includes a plurality of wall segments of the elongate body separated from each other by one or more slots. The slot(s) extends proximally from the distal end of the elongate body. The retention portion also includes an enlarged periphery at the distal end of the elongate body. The enlarged periphery comprising a proximally facing edge configured to engage an inner wall surface of a glenosphere. The retention portion is configured such that when the retention portion is in a free state the proximally facing edge faces and may contact a surface of a glenosphere to retain the glenosphere. The retention portion is configured to be deflected at the distal end of the elongate body such that the enlarged periphery has a reduced profile for separating the handling tool from a glenosphere.

In an artificial joint that includes a head assembly attached by taper fit to a proximal portion of a surgically implanted stem, it may become necessary to surgically remove the head assembly. A puller can simultaneously apply a force distally to a non-peripheral portion of a proximal side of the head assembly and proximally to several locations spaced apart around a circumference of the distal side of the head assembly. In some examples, the proximal side of the head assembly includes a plug disposed at the non-peripheral portion. The puller can force the plug into contact with the proximal end of the stem, then apply the distal force through the plug to the stem. In other examples lacking a plug, the non-peripheral portion of the head can deform or break in response to the applied distal force, so that the distal force can apply to the stem.

A system is provided which includes an articulating component, a post, a reception member and a bone engaging member. The articulating component includes an articulating surface and a second surface opposite the articulating surface. The post is disposed below the second surface. The reception member is configured to receive the post. The bone engaging member is configured to be embedded in a bone, wherein the bone engaging member is configured to receive the reception member. The reception member includes a reception member inside surface, wherein the reception member inside surface faces the post when the post is received by the reception member. A first portion of the reception member inside surface defines a tapered configuration and the reception member inside surface comprises at least one ratchet interface.

Anchoring devices for rachidian implants, implants, surgical instruments, and surgical systems and methods are disclosed. In some embodiments, an anchor comprises a stiff plate with a longitudinal axis, configured for penetration of its anterior end into a vertebral surface while its posterior end remains engaged with the implant. An implant may include a locking mechanism for the anchor. An anchor may include an abutment configured to abut a complementary abutment of an implant. In some configurations, inserting an anchor in a passage of an implant may displace a locking mechanism, which may resile and lock the anchor in the implant with complementary abutments of the anchor and implant abutting.

A surgical system includes a surgical robot with an end effector that supports a drive assembly, a manual interface, and a trigger assembly. A cutting tool is attached to the drive assembly and rotatable about a cutting axis. A method includes positioning, with the surgical robot, the cutting tool relative to a surgical site to align the cutting axis with a predetermined trajectory. A user engages the trigger assembly for rotating the cutting tool about the cutting axis with the drive assembly and advancing the cutting tool along the predetermined trajectory at the surgical site to a first depth. A user applies force to the manual interface for rotating the cutting tool about the cutting axis and advancing the cutting tool along the predetermined trajectory to a second depth greater than the first depth.

A tool assembly for extracting a liner from a prosthesis comprising an impactor and a faceplate. The impactor can be configured to receive and transmit a force. The faceplate can be configured to deliver the force from the impactor to the prosthesis to separate the liner from a shell of the prosthesis.

A kit including a first component having a male taper and a second component having an internal bore with a female taper. The first component and second component being engageable via the male and female tapers. The kit further including a disassembly tool having a body and an expandable portion separable from the body, such that the expandable portion has an initial outer diameter equal to the inner diameter of the internal bore of the second component.