Expandable interbody implant and methods of use

An intervertebral implant comprises a first component and a second component. The second component includes an actuator and a third component comprises a first ramp and a second ramp axially spaced apart from the first ramp. The third component comprises rails including at least a portion of the ramps. At least one of the ramp portions disposed with the first rail has a first height and at least one of the ramp portions disposed with the second rail has a second height. The first height is greater than the second height. The actuator is engageable with the third component to effect axial translation such that the ramps engage at least one of the components between a first configuration and a second configuration. Methods of use are disclosed.

SURGICAL INSTRUMENT AND METHOD

A surgical instrument includes a first member defining an axis. A second member is axially translatable relative to the first member. A cutting element is connected with the second member and has a cutting surface. The cutting element is rotatable relative to the second member to transversely move cut tissue. Systems, implants and methods are disclosed.

EXPANDABLE INTERBODY IMPLANT AND METHODS OF USE

An intervertebral implant is provided. The intervertebral implant comprises a first component comprising an outer tissue engaging surface and an inner surface. A second component is connected to the first component, and is relatively moveable therefrom. The second component comprises an outer tissue engaging surface and an inner surface. The second component includes an actuator. A third component is disposed for engagement and is movable relative to the first and second components. The third component comprises at least a first ramp and a second ramp axially spaced apart from the first ramp. The actuator is engageable with the third component to effect axial translation of the wedge such that the ramps engage the inner surface of at least one of the first component and the second component to move the components between a first, collapsed configuration and a second, expanded configuration. Methods of use are disclosed.

EXPANDABLE INTERBODY IMPLANT AND METHODS OF USE

An intervertebral implant comprises a first component and a second component. The second component includes an actuator and a third component comprises a first ramp and a second ramp axially spaced apart from the first ramp. The third component comprises rails including at least a portion of the ramps. At least one of the ramp portions disposed with the first rail has a first height and at least one of the ramp portions disposed with the second rail has a second height. The first height is greater than the second height. The actuator is engageable with the third component to effect axial translation such that the ramps engage at least one of the components between a first configuration and a second configuration. Methods of use are disclosed.

Surgical instrumentation and method

A surgical instrument includes a first member having an inner surface and an outer surface. A second member has an inner surface and an outer surface. At least one of the inner surfaces defines at least one mating element and the outer surfaces are engageable with tissue. The members are relatively movable between a first configuration and a second configuration to space the tissue and define an opening between the members. At least one third member defines at least one mating element engageable with the at least one mating element of the inner surface such that the at least one third member is disposed within the opening. Systems and methods are disclosed.

Expandable interbody implant

An expandable interbody implant adapted for insertion at least into a disc space, between two adjacent vertebrae of a spine. An upper member and a lower member are pivotally connected at least by a drive link. A bone graft storage portion packed with a selected volume of bone growth material. A translational wall is provided between the bone graft storage portion and a trailing end of the implant. An actuator engages the bone graft storage portion, pushing it forward into engagement with the drive link, which pivots upward, moving the upper member upward away from the lower member. Upward movement of the upper member raises the translational wall to a position to assist in retention of the selected volume bone graft material within the hollow portion of the bone graft storage portion. Upward rotation of the drive link brings a face thereof into contact with a front of the bone graft storage portion, thereby retaining near constant volume of the bone graft material.

Surgical instrumentation and method

A surgical instrument includes a first member having an inner surface and an outer surface. A second member has an inner surface and an outer surface. The outer surfaces are engageable with tissue adjacent a spine that defines a longitudinal axis. The members are relatively movable between a first configuration and a second configuration to space the tissue. In the first configuration, the members are disposable between a first position such that the inner surfaces define a substantially oval cavity that defines a major axis substantially aligned with the longitudinal axis and a second position such that the major axis is rotated relative to the longitudinal axis to space psoas tissue. Systems and methods are disclosed.

SURGICAL INSTRUMENTATION AND METHOD

A surgical instrument includes a first member having an inner surface and an outer surface. A second member has an inner surface and an outer surface. At least one of the inner surfaces defines at least one mating element and the outer surfaces are engageable with tissue. The members are relatively movable between a first configuration and a second configuration to space the tissue and define an opening between the members. At least one third member defines at least one mating element engageable with the at least one mating element of the inner surface such that the at least one third member is disposed within the opening. Systems and methods are disclosed. 117-. (canceled)18. A method for treating a spine , the method comprising the steps of:providing a surgical instrument comprising first and second members being relatively movable to define an opening and space tissue adjacent the spine, each member having an inner surface that defines a mating element and an outer surface being engageable with the tissue, the surgical instrument further comprising at least one third element defining a mating element;engaging the mating elements to dispose the at least one third element with the opening; andselectively translating the at least one third element relative to the first member and the second member to at least partially close the opening.19. A method as recited in claim 18 , wherein the opening comprises an anterior gap.20. A method as recited in claim 18 , wherein the at least one third element comprises an anterior blade and a posterior blade claim 18 , the blades being disposed with the first member and the second member to fully enclose a surgical pathway.21. A method as recited in claim 18 , wherein the mating elements defined by the inner surfaces of the members are longitudinal grooves and the mating element of the at least one third element is a pair of flanges claim 18 , each of the flanges being disposed in one of the grooves as the at least one third ...

SURGICAL INSTRUMENT AND METHOD

A surgical instrument comprises a member including an end. A first image guide is connected with the member and is oriented relative to a sensor to communicate a signal representative of a position of the member. A second image guide is connected with the member and is oriented relative to a sensor to communicate a signal representative of a position of the end relative to the member. Systems and methods are disclosed. 1. A surgical instrument comprising:a member including an end;a first image guide connected with the member and being oriented relative to a sensor to communicate a signal representative of a position of the member; anda second image guide connected with the member and being oriented relative to a sensor to communicate a signal representative of a position of the end relative to the member.2. A surgical instrument as recited in claim 1 , wherein the end is connected with a spinal implant and the second image guide communicates a signal representative of a rotational position of the spinal implant.3. A surgical instrument as recited in claim 1 , wherein the end is connected with an interbody implant and the second image guide communicates a signal representative of a position of the interbody implant adjacent vertebrae.4. A surgical instrument as recited in claim 1 , wherein the second image guide is translatable and communicates a signal representative of a rotational position of an interbody implant.5. A surgical instrument as recited in claim 1 , wherein the end is connected with a spinal implant and the first image guide communicates a signal representative of a three dimensional position of the spinal implant.6. A surgical instrument as recited in claim 5 , wherein the second image guide communicates a signal representative of a two dimensional position of the spinal implant relative to the member.7. A surgical instrument as recited in claim 5 , wherein the second image guide communicates a signal representative of a position of the spinal implant ...

Expandable interbody implant and methods of use

An intervertebral implant is provided. The intervertebral implant comprises a first component comprising an outer tissue engaging surface and an inner surface. A second component is connected to the first component, and is relatively moveable thereform. The second component comprises an outer tissue engaging surface and an inner surface. The second component includes an actuator. A third component is disposed for engagement and is movable relative to the first and second components. The third component comprises at least a first ramp and a second ramp axially spaced apart from the first ramp. The actuator is engageable with the third component to effect axial translation of the wedge such that the ramps engage the inner surface of at least one of the first component and the second component to move the components between a first, collapsed configuration and a second, expanded configuration. Methods of use are disclosed.

SPINAL IMPLANT SYSTEM AND METHOD

A spinal implant comprises an implant body including a first vertebral engaging surface and a second vertebral engaging surface. The vertebral engaging surfaces define a profile. The implant body further including an ipsilateral surface and a contralateral surface. A wall is disposed with the contralateral surface and is movable between a first orientation such that the wall is aligned with the profile and a second orientation such that the wall projects from the profile. Systems and methods are disclosed. 1. A spinal implant comprising:an implant body including a first vertebral engaging surface and a second vertebral engaging surface, the vertebral engaging surfaces defining a profile,the implant body further including an ipsilateral surface and a contralateral surface;a first wall disposed with the contralateral surface and movable between a first orientation such that the first wall is aligned with the profile and a second orientation such that the wall projects from the profile;a second wall disposed with the ipsilateral surface and movable between a first orientation such that the second wall is aligned with the vertebral engaging surfaces and a second orientation such that the second wall projects from the profile; anda longitudinal element connected to the implant body and in threaded engagement with the walls such that the longitudinal element connects the walls to move the walls toward one another upon rotation of the longitudinal element relative to the walls.2. A spinal implant as recited in claim 1 , wherein the profile is further defined by the ipsilateral surface and the contralateral surface claim 1 , and the profile comprises a side profile of the implant body.3. A spinal implant as recited in claim 1 , wherein the walls are rotatable relative to the implant body between the orientations.4. A spinal implant as recited in claim 1 , wherein the walls are parallel with the profile in the first orientations and rotatable relative to the implant body to ...

Expandable interbody implant and methods of use

An intervertebral implant comprises a first component and a second component. The second component includes an actuator and a third component comprises a first ramp and a second ramp axially spaced apart from the first ramp. The third component comprises rails including at least a portion of the ramps. At least one of the ramp portions disposed with the first rail has a first height and at least one of the ramp portions disposed with the second rail has a second height. The first height is greater than the second height. The actuator is engageable with the third component to effect axial translation such that the ramps engage at least one of the components between a first configuration and a second configuration. Methods of use are disclosed.

PIVOTABLE INTERBODY IMPLANT SYSTEM

An interbody implant system is provided. The interbody implant system includes an implant having an engagement surface and an instrument including a first member and a second member that is movable relative to the first member. The first member is configured to capture the implant and the second member includes an interface configured to engage the engagement surface to releasably lock the implant in at least one orientation relative to the second member. The at least one of the engagement surface and the interface include at least one planar face. Methods of use are disclosed. 1. An interbody implant system comprising:an implant having an engagement surface; andan instrument including a first member and a second member that is movable relative to the first member,the first member being configured to capture the implant and the second member including an interface configured to engage the engagement surface to releasably lock the implant in at least one orientation relative to the second member,wherein at least one of the engagement surface and the interface include at least one planar face.2. The implant system of claim 1 , wherein the implant is configured for capture by the first member and rotation relative to the instrument to a plurality of orientations claim 1 , the implant being releasably lockable by the second member in each of the plurality of orientations.3. The implant system of claim 1 , wherein the at least one planar face includes a proximal face of the implant claim 1 , the proximal face being disposed in a perpendicular orientation relative to a longitudinal axis of the implant.4. The implant system of claim 3 , wherein the at least one planar face further includes a first lateral face that converges with the proximal face to form a first angle wherein the implant is pivotable relative to the first member via engagement of the first member with the first angle.5. The implant system of claim 1 , wherein the at least one planar face includes opposing ...

EXPANDABLE INTERBODY IMPLANT AND METHODS OF USE

An intervertebral implant comprises a first component and a second component. The second component includes an actuator and a third component comprises a first ramp and a second ramp axially spaced apart from the first ramp. The third component comprises rails including at least a portion of the ramps. At least one of the ramp portions disposed with the first rail has a first height and at least one of the ramp portions disposed with the second rail has a second height. The first height is greater than the second height. The actuator is engageable with the third component to effect axial translation such that the ramps engage at least one of the components between a first configuration and a second configuration. Methods of use are disclosed. 1. An intervertebral implant comprising:a first component comprising an outer tissue engaging surface and an inner surface;a second component connected to the first component, and being relatively moveable therefrom, the second component comprising an outer tissue engaging surface and an inner surface, the second component including an actuator; anda third component disposed for engagement and being movable relative to the first and second components, the third component comprising a first ramp and a second ramp axially spaced apart from the first ramp, the third component comprising a first rail including at least a portion of each of the first ramp and the second ramp and a second rail including at least a portion of each of the first ramp and the second ramp, at least one of the ramp portions disposed with the first rail has a first height and at least one of the ramp portions disposed with the second rail has a second height, the first height being greater than the second height,wherein the actuator is connected with the third component to effect axial translation of the third component such that the ramps engage the inner surface of one of the first component and the second component to move the components between a first, ...

Expandable interbody implant and methods of use

An intervertebral implant is provided. The intervertebral implant comprises a first component comprising an outer tissue engaging surface and an inner surface. A second component is connected to the first component, and is relatively moveable thereform. The second component comprises an outer tissue engaging surface and an inner surface. The second component includes an actuator. A third component is disposed for engagement and is movable relative to the first and second components. The third component comprises at least a first ramp and a second ramp axially spaced apart from the first ramp. The actuator is engageable with the third component to effect axial translation of the wedge such that the ramps engage the inner surface of at least one of the first component and the second component to move the components between a first, collapsed configuration and a second, expanded configuration. Methods of use are disclosed.

SURGICAL RETRACTOR AND METHOD OF USE

A surgical retractor includes a first member defining a longitudinal axis. The first member includes a blade disposed in spaced apart relation relative to the longitudinal axis and a grip surface. A second member has a blade disposed in spaced apart relation relative to the longitudinal axis and a grip surface. The grip surfaces are configured to be drawn together along the longitudinal axis such that the blades are engageable with tissue and connected with the grip surfaces such that the grip surfaces provide a tactile feedback of the tissue engagement. Systems and methods of use are disclosed. 1. A surgical retractor comprising:a first member defining a longitudinal axis and including a blade disposed in spaced apart relation relative to the longitudinal axis and a grip surface; anda second member including a blade disposed in spaced apart relation relative to the longitudinal axis and a grip surface,wherein the grip surfaces are configured to be drawn together along the longitudinal axis such that the blades are engageable with tissue and connected with the grip surfaces such that the grip surfaces provide a tactile feedback of the tissue engagement.2. A surgical retractor as recited in claim 1 , wherein the grip surfaces extend laterally from the respective member and transverse to the longitudinal axis.3. A surgical retractor as recited in claim 1 , wherein the grip surface of the first member extends laterally from an outer surface of the first member and defines a concave surface configured for engagement with a finger.4. A surgical retractor as recited in claim 1 , wherein the grip surface of the second member includes a first portion and a second portion spaced apart from the first portion.5. A surgical retractor as recited in claim 4 , wherein the first portion extends laterally from an outer surface of the second member in a first direction and the second portion extends laterally from the outer surface of the second member in a second direction.6. A ...

EXPANDABLE INTERBODY IMPLANT AND METHODS OF USE

An intervertebral implant comprises a first component and a second component. The second component includes an actuator and a third component comprises a first ramp and a second ramp axially spaced apart from the first ramp. The third component comprises rails including at least a portion of the ramps. At least one of the ramp portions disposed with the first rail has a first height and at least one of the ramp portions disposed with the second rail has a second height. The first height is greater than the second height. The actuator is engageable with the third component to effect axial translation such that the ramps engage at least one of the components between a first configuration and a second configuration. Methods of use are disclosed. 118-. (canceled)19. A method for treating a spine , the method comprising the steps of: a first component having an anterior end and a posterior end, the first component comprising an outer tissue engaging surface and an inner surface,', 'a second component having an anterior end and a posterior end, the second component comprising an outer tissue engaging surface and an inner surface, the second component including an actuator, and', 'a third component disposed for engagement and being movable relative to the first and second components, the third component comprising a first ramp and a second ramp axial spaced apart from the first ramp, the third component comprising a first rail including at least a portion of each of the first ramp and the second ramp and a second rail including at least a portion of each of the first ramp and the second ramp, at least one of the ramp portions disposed with the first rail has a first height and at least one of the ramp portions disposed with the second rail has a second height, the first height being greater than the second height;, 'providing an intervertebral implant comprisingintroducing the intervertebral implant in a collapsed configuration along a direct lateral approach of a body ...

SPINAL IMPLANT SYSTEM AND METHOD

A spinal implant comprises a body including a first vertebral engaging surface and a second vertebral engaging surface. At least one of the surfaces including a posterior linear side and an anterior arcuate side. Systems and methods of use are disclosed. 1. A spinal implant comprising:a body including a first vertebral engaging surface and a second vertebral engaging surface,at least one of the surfaces including a posterior linear side and an anterior arcuate side.2. A spinal implant as recited in claim 1 , wherein each of the surfaces include a posterior linear side and an anterior arcuate side.3. A spinal implant as recited in claim 1 , wherein at least one of the surfaces includes the posterior linear side claim 1 , the anterior arcuate side and a pair of lateral linear sides connecting the posterior side and the anterior side.4. A spinal implant as recited in claim 1 , wherein each of the surfaces include the posterior linear side claim 1 , the anterior arcuate side and a pair of lateral linear sides connecting the posterior side and the anterior side.5. A spinal implant as recited in claim 1 , wherein the body comprises a fixed fulcrum disposed between vertebral tissue surfaces.6. A spinal implant as recited in claim 1 , wherein the anterior arcuate side spans a greater length than the posterior linear side.7. A spinal implant as recited in claim 1 , wherein the body includes at least one threaded opening configured for engagement with a surgical inserter.8. A spinal implant as recited in claim 1 , wherein the body includes at least one threaded opening and at least one notch disposed adjacent the opening claim 1 , the opening and the notch being configured for engagement with a surgical inserter.9. A spinal implant as recited in claim 1 , wherein the body includes a first threaded lateral opening and a pair of notches disposed adjacent the first opening and a second threaded lateral opening and a pair of notches disposed adjacent the second opening.10. A ...

SPINAL IMPLANT SYSTEM AND METHOD

A spinal implant comprises a body including a first vertebral engaging surface and a second vertebral engaging surface. The first vertebral engaging surface is rotatable relative to the second vertebral engaging surface. Systems and methods are disclosed. 1. A spinal implant comprising:a body including a first vertebral engaging surface and a second vertebral engaging surface,wherein the first vertebral engaging surface is rotatable relative to the second vertebral engaging surface.2. A spinal implant as recited in claim 1 , wherein the first vertebral engaging surface is pivotable relative to the second vertebral engaging surface about a hinge.3. A spinal implant as recited in claim 1 , wherein the vertebral engaging surfaces each include flanges connected by opposing pin hinges such that the vertebral engaging surfaces are relatively rotatable.4. A spinal implant as recited in claim 1 , wherein the first vertebral engaging surface is pivotable relative to the second vertebral engaging surface in a range of 0 through 45 degrees.5. A spinal implant as recited in claim 1 , wherein the first vertebral engaging surface defines a first axis and the second vertebral engaging surface defines a second axis claim 1 , the first axis being rotatable to a selected angular orientation relative to the second axis.6. A spinal implant as recited in claim 5 , wherein the vertebral engaging surfaces are fixed in a selected angular orientation.7. A spinal implant as recited in claim 5 , wherein the vertebral engaging surfaces are fixed in a selected angular orientation via curing of bone graft.8. A spinal implant as recited in claim 5 , wherein the vertebral engaging surfaces are fixed in a selected angular orientation via a locking element.9. A spinal implant as recited in claim 1 , wherein the vertebral engaging surfaces are relatively rotatable to a selected angular orientation via a resilient biasing element engaged with the vertebral engaging surfaces.10. A spinal implant as ...

Surgical retractor and method of use

A surgical retractor includes a first member defining a longitudinal axis. The first member includes a blade disposed in spaced apart relation relative to the longitudinal axis and a grip surface. A second member has a blade disposed in spaced apart relation relative to the longitudinal axis and a grip surface. The grip surfaces are configured to be drawn together along the longitudinal axis such that the blades are engageable with tissue and connected with the grip surfaces such that the grip surfaces provide a tactile feedback of the tissue engagement. Systems and methods of use are disclosed.

Surgical instrument and method

A surgical instrument comprises a member connected with a spinal implant defining an axis. A first image guide is connected with the member and oriented relative to a sensor to communicate a signal representative of a position of the member. A second image guide is connected with the member and oriented to represent an angle measuring a second orientation of the axis relative to a first orientation. Systems, implants and methods are disclosed.

SURGICAL INSTRUMENT AND METHOD

A surgical instrument comprises a member connected with a spinal implant defining an axis. A first image guide is connected with the member and oriented relative to a sensor to communicate a signal representative of a position of the member. A second image guide is connected with the member and oriented to represent an angle measuring a second orientation of the axis relative to a first orientation. Systems, implants and methods are disclosed. 120-. (canceled)21. A surgical instrument comprising:a member defining an axis; andan image guide connected with the member and being oriented to represent an angle measuring a second orientation of the axis relative to a first orientation.22. A surgical instrument as recited in claim 21 , further comprising a spinal implant connected with the member.23. A surgical instrument as recited in claim 21 , further comprising a second image guide connected with the member and being oriented to communicate a signal representative of a position of the member.24. A surgical instrument as recited in claim 21 , further comprising a second image guide connected with the member and being oriented relative to a sensor to communicate a signal representative of a position of the member25. A surgical instrument as recited in claim 21 , wherein the image guide includes indicia representing the angle.26. A surgical instrument as recited in claim 21 , wherein the image guide includes a rotational gauge having indicia representing the angle.27. A surgical instrument as recited in claim 21 , wherein the image guide includes indicia representing the angle claim 21 , the indicia including a marker and graduated markings disposed with the member.28. A surgical instrument as recited in claim 21 , wherein the first orientation includes a zero angle reference.29. A surgical instrument as recited in claim 21 , wherein the image guide is oriented relative to a sensor to communicate a signal representative of the angle.30. A surgical instrument as recited in ...

SURGICAL RETRACTOR AND METHOD OF USE

A surgical retractor includes a first member defining a longitudinal axis. The first member includes a blade disposed in spaced apart relation relative to the longitudinal axis and a grip surface. A second member has a blade disposed in spaced apart relation relative to the longitudinal axis and a grip surface. The grip surfaces are configured to be drawn together along the longitudinal axis such that the blades are engageable with tissue and connected with the grip surfaces such that the grip surfaces provide a tactile feedback of the tissue engagement. Systems and methods of use are disclosed. 118-. (canceled)19. A method of treating a spine , the method comprising the steps of:providing a surgical retractor comprising a first member defining a longitudinal axis and including a blade disposed in spaced apart relation relative to the longitudinal axis and a grip surface; and a second member including a blade disposed in spaced apart relation relative to the longitudinal axis and a grip surface, wherein the grip surface of the second member includes a first portion and a second portion spaced apart from the first portion;disposing a first finger into engagement with the first portion and a second finger into engagement with the second portion;disposing a third finger into engagement with the grip surface of the first member; andcompressing the grip surfaces to draw the grip surfaces together such that the blades space apart to engage tissue, wherein the grip surfaces provide tactile feedback to the fingers of the tissue engagement.20. A method as recited in claim 19 , further comprising the step of rotating at least one of the blades about an axis transverse to the longitudinal axis in selected angular increments.21. A method as recited in claim 19 , wherein compressing the grip surfaces comprises the third finger applying a first force in a first direction and the first and second fingers applying a second force in an opposite second direction.22. A method as ...

EXPANDABLE INTERBODY IMPLANT

An expandable interbody implant adapted for insertion at least into a disc space, between two adjacent vertebrae of a spine. An upper member and a lower member are pivotally connected at least by a drive link. A bone graft storage portion packed with a selected volume of bone growth material. A translational wall is provided between the bone graft storage portion and a trailing end of the implant. An actuator engages the bone graft storage portion, pushing it forward into engagement with the drive link, which pivots upward, moving the upper member upward away from the lower member. Upward movement of the upper member raises the translational wall to a position to assist in retention of the selected volume bone graft material within the hollow portion of the bone graft storage portion. Upward rotation of the drive link brings a face thereof into contact with a front of the bone graft storage portion, thereby retaining near constant volume of the bone graft material. 1. An expandable interbody implant , having a leading end and a trailing end , adapted for insertion at least into a disc space having a surgically-corrected height , between two adjacent vertebrae of a spine , comprising:an upper member having an upper surface extending between the leading end and the trailing end, and an upper opening defined in the upper surface;a lower member having a lower surface extending between the leading end and the trailing end, pivotally connected to the upper member at least via a drive link, and a lower opening defined in the lower surface;a bone graft storage portion provided intermediate the leading end and the trailing end, including a hollow portion configured to be packed with a selected volume of bone growth material and adapted to allow bone growth between the adjacent vertebrae via the upper and lower openings and the bone graft storage portion, and a translational wall movably mounted between the bone graft storage portion and the trailing end; andan actuator ...

REFERENCE FRAME ADAPTABLE MOUNT AND METHODS

Devices and methods used to mount a patient reference frame for image-guided surgery are disclosed. The devices include an adaptable mount having first, second, and third joints that provide up to five axes of movement. One or more of the joints include discrete positions detectable by a visual tracking device to allow re-registration of the patient reference frame. 1. An adaptable mount for a reference frame for image-guided spinal surgery , comprising: a first axis of movement configured to position the reference frame vertically relative to a longitudinal axis of the first joint; and', 'a second axis of movement configured to position the reference frame rotationally relative to the longitudinal axis of the first joint;, 'a first joint comprisinga second joint comprising a third axis of movement configured to position the reference frame laterally relative to the longitudinal axis of the first joint; anda third joint comprising a fourth axis of movement configured to position the reference frame rotationally relative to a rotational axis of the third joint;wherein one or more of the first joint, the second joint, and the third joint further comprise positioning features configured to position the reference frame in discrete poses.2. The adaptable mount of claim 1 , wherein the first joint further comprises:an elongate shaft;an outer sleeve slidably disposed over the elongate shaft, anda locking mechanism configured to lock the outer sleeve in a vertical position relative to the shaft.3. The adaptable mount of claim 1 , wherein the second joint further comprises:an elongate rail;a socket portion configured to slidably receive the rail; anda locking mechanism configured to lock the rail in a lateral position relative to the socket portion.4. The adaptable mount of claim 1 , wherein the second joint further comprises a fifth axis of movement and is configured to position the reference frame forward of or back of a longitudinal axis of the second joint.5. The ...

SURGICAL INSTRUMENT AND METHOD

A surgical instrument includes a first member defining an axis. A second member is axially translatable relative to the first member. A cutting element is connected with the second member and has a cutting surface. The cutting element is rotatable relative to the second member to transversely move cut tissue. Systems, implants and methods are disclosed. 120-. (canceled)21. A surgical instrument comprising:a first member extending along a longitudinal axis between opposite proximal and distal ends, the distal end including a cavity and a slot;a second member coupled to the first member;a cutting element having a proximal end and an opposite distal end disposed in the cavity; anda pin positioned in the slot and connected to the second member and the cutting element,wherein the second member is configured to translate relative to the first member along the longitudinal axis to translate the pin along the slot such that the cutting element rotates about a pivot axis defined by the pin.22. The surgical instrument recited in claim 21 , wherein the slot extends parallel to the longitudinal axis.23. The surgical instrument recited in claim 21 , wherein the pivot axis extends transverse to the longitudinal axis.24. The surgical instrument recited in claim 21 , wherein the pivot axis extends perpendicular to the longitudinal axis.25. The surgical instrument recited in claim 21 , wherein:the slot is a first slot and the cutting element includes a second slot, the distal end of the first member including a projection; andengagement of the projection with surfaces that define the second slot upon translation of the second member relative to the first member drives the cutting element to rotate the cutting element about the pivot axis.26. The surgical instrument recited in claim 25 , wherein the second slot extends parallel to the longitudinal axis.27. The surgical instrument recited in claim 25 , wherein the proximal end of the cutting element includes a proximal wall and the ...

SURGICAL INSTRUMENT AND METHOD

A surgical instrument includes a first member defining an axis. A second member is axially translatable relative to the first member. A cutting element is connected with the second member and has a cutting surface. The cutting element is rotatable relative to the second member to transversely move cut tissue. Systems, implants and methods are disclosed. 120-. (canceled)21. A surgical instrument comprising:a first member extending along a longitudinal axis between opposite first and second ends, the first member defining a passageway extending along the longitudinal axis, the second end including a cavity in communication with the passageway and a slot in communication with the cavity;a second member disposed in the passageway; anda cutting element connected with the second member by a pin, the pin extending through the slot and the cutting element,wherein the second member is configured to translate along the longitudinal axis to translate the pin along the slot and rotate the cutting element relative to the second member.22. The surgical instrument recited in claim 21 , wherein the cutting element is rotatable relative to the second member between a retracted position and an extended position claim 21 , the cutting element being disposed entirely within the cavity when the cutting element is in the retracted position.23. The surgical instrument recited in claim 21 , wherein the slot defines a range of translation of the second member relative to the first member.24. The surgical instrument recited in claim 21 , wherein the slot includes a linear portion and an arcuate portion.25. The surgical instrument recited in claim 24 , wherein the linear portion extends parallel to the longitudinal axis.26. The surgical instrument recited in claim 21 , wherein the slot is a first slot claim 21 , the surgical instrument comprising a pin hinge and a second slot claim 21 , the pin hinge extending through the second slot and the cutting element claim 21 , the second slot being ...

EXPANDABLE INTERBODY IMPLANT

An expandable interbody implant adapted for insertion at least into a disc space, between two adjacent vertebrae of a spine. An upper member and a lower member are pivotally connected at least by a drive link. A bone graft storage portion packed with a selected volume of bone growth material. A translational wall is provided between the bone graft storage portion and a trailing end of the implant. An actuator engages the bone graft storage portion, pushing it forward into engagement with the drive link, which pivots upward, moving the upper member upward away from the lower member. Upward movement of the upper member raises the translational wall to a position to assist in retention of the selected volume bone graft material within the hollow portion of the bone graft storage portion. Upward rotation of the drive link brings a face thereof into contact with a front of the bone graft storage portion, thereby retaining near constant volume of the bone graft material. 1. A method of using an expandable interbody spinal implant , the method comprising: an upper member having an upper surface extending between the leading end and the trailing end, and an upper opening defined in the upper surface;', 'a lower member having a lower surface extending between the leading end and the trailing end, and a lower opening defined in the lower surface, the lower member being pivotally connected to the upper member;', 'a bone graft storage portion provided intermediate the leading end and the trailing end, the bone graft storage portion including a hollow portion configured to be packed with a selected volume of bone growth material and adapted to allow bone growth between two adjacent vertebrae of a spine via the upper and lower openings and the bone graft storage portion, and the bone graft storage portion being non-rotatable and capable of being moved forward from a first position to a second position, the first position being closer to the trailing end than the second position ...

SURGICAL INSTRUMENTATION AND METHOD

A surgical instrument includes a first member having an inner surface and an outer surface. A second member has an inner surface and an outer surface. At least one of the inner surfaces defines at least one mating element and the outer surfaces are engageable with tissue. The members are relatively movable between a first configuration and a second configuration to space the tissue and define an opening between the members. At least one third member defines at least one mating element engageable with the at least one mating element of the inner surface such that the at least one third member is disposed within the opening. Systems and methods are disclosed. 1. A surgical instrument comprising:a first member having an inner surface and an outer surface;a second member having an inner surface and an outer surface, at least one of the inner surfaces defining at least one mating element and the outer surfaces being engageable with tissue, the members being relatively movable between a first configuration and a second configuration to space the tissue and define an opening between the members; andat least one third member defining at least one mating element engageable with the at least one mating element of the inner surface such that the at least one third member is disposed within the opening.2. A surgical instrument as recited in claim 1 , wherein the at least one mating element of the inner surface comprises a longitudinal groove.3. A surgical instrument as recited in claim 2 , wherein the longitudinal groove comprises a uniformly configured channel.4. A surgical instrument as recited in claim 2 , wherein the longitudinal groove is disposed in a substantially co-axial or parallel alignment with a longitudinal axis of the first member or the second member.5. A surgical instrument as recited in claim 1 , wherein the inner surface of the first member includes a first mating element and the inner surface of the second member includes a second mating element.6. A ...

SURGICAL INSTRUMENTATION AND METHOD

A surgical instrument includes a first member having an inner surface and an outer surface. A second member has an inner surface and an outer surface. The outer surfaces are engageable with tissue adjacent a spine that defines a longitudinal axis. The members are relatively movable between a first configuration and a second configuration to space the tissue. In the first configuration, the members are disposable between a first position such that the inner surfaces define a substantially oval cavity that defines a major axis substantially aligned with the longitudinal axis and a second position such that the major axis is rotated relative to the longitudinal axis to space psoas tissue. Systems and methods are disclosed. 1. A surgical instrument comprising:a first member having an inner surface and an outer surface; anda second member having an inner surface and an outer surface, the outer surfaces being engageable with tissue adjacent a spine that defines a longitudinal axis, the members being relatively movable between a first configuration and a second configuration to space the tissue,in the first configuration, the members being disposable between a first position such that the inner surfaces define a substantially oval cavity that defines a major axis substantially aligned with the longitudinal axis and a second position such that the major axis is rotated relative to the longitudinal axis to space psoas tissue.2. A surgical instrument as recited in claim 1 , wherein the substantially oval cavity comprises a teardrop configuration.3. A surgical instrument as recited in claim 1 , wherein in the first configuration claim 1 , the major axis is rotated substantially 90 degrees relative to the longitudinal axis to space the psoas tissue in a posterior direction relative to the spine.4. A surgical instrument as recited in claim 1 , wherein the outer surface of at least one of the members includes a tapered portion.5. A surgical instrument as recited in claim 1 , ...

PIVOTABLE INTERBODY IMPLANT SYSTEM

An interbody implant system is provided. The interbody implant system includes an implant having an engagement surface and an instrument including a first member and a second member that is movable relative to the first member. The first member is configured to capture the implant and the second member includes an interface configured to engage the engagement surface to releasably lock the implant in at least one orientation relative to the second member. The at least one of the engagement surface and the interface include at least one planar face. Methods of use are disclosed. 126-. (canceled)27. An interbody implant system comprising:an implant comprising opposite upper and lower surfaces, a pair of channels positioned between the upper and lower surfaces and a bore positioned between the channels; andan instrument comprising a first member and a second member, the first member including a distal end positioned in the bore and the second member including a pair of locking tabs that are positioned in the channels to fix a portion of the instrument relative to the implant.28. An interbody implant system as recited in claim 27 , wherein the second member is a sleeve having an inner surface that defines a passageway and the first member is an elongated shaft that is movably positioned within the passageway such that the distal end of the first member extends through an opening in a distal end of the sleeve.29. An interbody implant system as recited in claim 28 , wherein the distal end of the first member comprises a threaded outer surface.30. An interbody implant system as recited in claim 27 , wherein the second member comprises a pivoting joint that includes a first portion and a second portion claim 27 , the first portion including the locking tabs claim 27 , the first portion being pivotable relative to the second portion about a pivot point.31. An interbody implant system as recited in claim 30 , wherein the pivot point is defined by a protrusion on a side ...

Surgical instrumentation and method

A surgical instrument includes a first member having an inner surface and an outer surface. A second member has an inner surface and an outer surface. At least one of the inner surfaces defines at least one mating element and the outer surfaces are engageable with tissue. The members are relatively movable between a first configuration and a second configuration to space the tissue and define an opening between the members. At least one third member defines at least one mating element engageable with the at least one mating element of the inner surface such that the at least one third member is disposed within the opening. Systems and methods are disclosed.

SPINAL IMPLANT SYSTEM AND METHOD

A spinal implant comprises a body including a first vertebral engaging surface and a second vertebral engaging surface. The first vertebral engaging surface is rotatable relative to the second vertebral engaging surface. Systems and methods are disclosed. 116-. (canceled)17. A method for treating a spine , the method comprising the steps of:providing a spinal implant comprising a body including a first vertebral engaging surface and a second vertebral engaging surface, wherein the first vertebral engaging surface is rotatable relative to the second vertebral engaging surface; anddelivering the spinal implant adjacent a surgical site including the spine.18. A method as recited in claim 17 , further comprising the step of removing posterior bony structure from the spine.19. A method as recited in claim 17 , further comprising the step of removing pedicle tissue from the spine in connection with a pedicle subtraction osteotomy.20. (canceled)21. A method as recited in claim 17 , wherein the surgical site is a vertebral space and the spine is a spine of a human body claim 17 , the spinal implant being delivered into the vertebral space such that the first vertebral engaging surface is disposed in a cephalad orientation of the human body and the second vertebral engaging surface is disposed in a caudal orientation of the human body.22. A method as recited in claim 21 , wherein the inserter includes image guidance to confirm alignment of the spinal implant relative to the spine.23. A method as recited in claim 17 , wherein:the surgical site is a vertebral space;the method further comprises connecting a male mating portion of an inserter with a posterior surface of the spinal implant and delivering the spinal implant into the vertebral space using the inserter such that the posterior surface faces a posterior side of the spine and an anterior surface of the spinal implant faces an anterior side of the spine.24. A method as recited in claim 17 , wherein:the surgical site is ...

Surgical instrument and method

A surgical instrument includes a member including a body engageable with a longitudinal element to fix the longitudinal element with the body. The member further includes a distal portion having a guide including an arcuate surface being engageable with the longitudinal element. An actuator is connected with the member to incrementally tension the longitudinal element. Surgical systems, implants, spinal constructs and methods are disclosed.

Surgical instrument and method

A surgical instrument comprises a member including an end. A first image guide is connected with the member and is oriented relative to a sensor to communicate a signal representative of a position of the member. A second image guide is connected with the member and is oriented relative to a sensor to communicate a signal representative of a position of the end relative to the member. Systems and methods are disclosed.

Intervertebral implant with a pivoting end cap

Implants sized to be inserted into an intervertebral space between first and second vertebral members. The implants may include a body with opposing first and second ends. An end cap may be connected to the body and include a first side with a contact surface that faces away from the body and is configured to contact against one of the first and second vertebral members when the implant is positioned in the intervertebral space. The end cap may also include a second side that faces towards the body. A connection mechanism may connect the end cap and the body for the end cap to pivot to adjust an angular position of the end cap relative to the body. The body and the end cap may each include locking features that engage together to lock an angular position of the end cap. The locking features may be configured to overlap at each of the angular positions to engage together and maintain the angular position of the end cap relative to the body when the implant is positioned in the intervertebral space.

Spinal implant system and method

A spinal implant comprises a body including a first vertebral engaging surface and a second vertebral engaging surface. The first vertebral engaging surface is rotatable relative to the second vertebral engaging surface. Systems and methods are disclosed.

Hospital bed

A patient support incorporates a lying surface and at least one siderail on at least one side of the support. The siderails are operable between a raised position, an intermediate position, and a lowered position. When unlocked and urged from the raised position to the intermediate position, a latching mechanism automatically locks the siderails in the intermediate position. When urged from the lowered position to the raised position, the locking mechanism permits the siderails to pass through the intermediate position without locking, and to subsequently lock at the raised position. In the intermediate position, the siderails may define a gap through which a patient can ingress or egress the bed. In the raised and intermediate positions, the siderails may define gaps between each other and/or between the siderails and a headboard and footboard, that are sufficiently small to prevent accidental egress, and sufficiently large to prevent pinching and entrapment.

Expandable interbody implant

An intervertebral implant, comprising: a first component extending along a longitudinal axis between an anterior end and a posterior end and comprising an outer tissue engaging surface and an inner surface, the inner surface comprising inclined portions disposed at an angle from the longitudinal axis; a second component extending along the longitudinal axis between an anterior end and a posterior end and being connected to the first component adjacent to the posterior ends with a hinge such that the first component is pivotable relative to the second component about a pin included in the posterior end of the first component and configured for disposal within an elongated slot of the posterior end of the second component, the second component comprising an outer tissue engaging surface and an inner surface engaging a surface of the second component, wherein the posterior end of the second component includes a threaded cavity and wherein the second component includes a screw configured for disposal within threaded cavity; and a third component disposed for engagement and being movable relative to the first and second components, the third component comprising a lower surface engaging the second component and extending parallel to the longitudinal axis and an opposite upper surface engaging the first component and including at least a first ramp and a second ramp axially spaced apart from the first ramp, wherein a distal end of the screw comprises a flange that engages a wall of the third component to retain the screw with the third component.

Pivotable interbody implant system

Intervertebral implant with a pivoting end cap

Implants sized to be inserted into an intervertebral space between first and second vertebral members. The implants may include a body with opposing first and second ends. An end cap may be connected to the body and include a first side with a contact surface that faces away from the body and is configured to contact against one of the first and second vertebral members when the implant is positioned in the intervertebral space. The end cap may also include a second side that faces towards the body. A connection mechanism may connect the end cap and the body for the end cap to pivot to adjust an angular position of the end cap relative to the body. The body and the end cap may each include locking features that engage together to lock an angular position of the end cap. The locking features may be configured to overlap at each of the angular positions to engage together and maintain the angular position of the end cap relative to the body when the implant is positioned in the intervertebral space.

Surgical instrumentation

Surgical instrumentation and method

Expandable interbody implant and methods of use

An intervertebral implant comprises a first component and a second component. The second component includes an actuator and a third component comprises a first ramp and a second ramp axially spaced apart from the first ramp. The third component comprises rails including at least a portion of the ramps. At least one of the ramp portions disposed with the first rail has a first height and at least one of the ramp portions disposed with the second rail has a second height. The first height is greater than the second height. The actuator is engageable with the third component to effect axial translation such that the ramps engage at least one of the components between a first configuration and a second configuration. Methods of use are disclosed.

Articulated support surface for a stretcher or gurney

A patient support apparatus having a base, a litter frame, an elevation mechanism interconnecting the base to the litter frame and being configured to effect changes in elevation of the litter frame relative to the base. The litter frame includes a pair of laterally spaced and longitudinally extending support rails and a plurality of laterally extending support rails interconnecting the longitudinally extending support rails so that the litter frame has a rectangular configuration. Selected ones of the laterally extending support rails are mounted to the elevation mechanism. On the aforesaid litter frame there is mounted various modules, namely, (1) a patient support deck, (2) a set of lateral edge siderails, (3) a holder for bottled gas, (4) an attendant work surface, oriented beneath the head section when the head section is in a horizontal position, (5) a seat, thigh and foot section assembly, and (6) a head section having manipulatable controls thereon supportingly secured to the litter frame separately from the seat, thigh and foot section assembly.

Pivotable interbody implant system

Prosthetic spinal disc system

A prosthetic spinal disc system is provided. The prosthetic disc system has a nucleus component having an upper surface configured to engage a superior vertebra and a lower surface configured to engage an inferior vertebra, an anchor configured to affix to an anterior surface of at least one of the superior vertebra or the inferior vertebra, and a tether tying the nucleus component to the anchor. In such embodiments, the nucleus component further has a perimeter situated substantially between the upper surface and the lower surface of the nucleus component and the tether is at least partially situated on the perimeter of the nucleus component. In certain embodiments, the upper surface and the lower surface of the nucleus component are configured to allow for implantation of the disc system such that after a discectomy, no preparation of at least one of the superior and inferior vertebrae is necessary.

Surgical instrumentation and method

A surgical instrument includes a first member having an inner surface and an outer surface. A second member has an inner surface and an outer surface. At least one of the inner surfaces defines at least one mating element and the outer surfaces are engageable with tissue. The members are relatively movable between a first configuration and a second configuration to space the tissue and define an opening between the members. At least one third member defines at least one mating element engageable with the at least one mating element of the inner surface such that the at least one third member is disposed within the opening. Systems and methods are disclosed.

Expandable interbody implant

An expandable interbody implant adapted for insertion at least into a disc space, between two adjacent vertebrae of a spine. An upper member and a lower member are pivotally connected at least by a drive link. A bone graft storage portion packed with a selected volume of bone growth material. A translational wall is provided between the bone graft storage portion and a trailing end of the implant. An actuator engages the bone graft storage portion, pushing it forward into engagement with the drive link, which pivots upward, moving the upper member upward away from the lower member. Upward movement of the upper member raises the translational wall to a position to assist in retention of the selected volume bone graft material within the hollow portion of the bone graft storage portion. Upward rotation of the drive link brings a face thereof into contact with a front of the bone graft storage portion, thereby retaining near constant volume of the bone graft material.

Surgical instrument and method

A surgical instrument comprises a member connected with a spinal implant defining an axis. A first image guide is connected with the member and oriented relative to a sensor to communicate a signal representative of a position of the member. A second image guide is connected with the member and oriented to represent an angle measuring a second orientation of the axis relative to a first orientation. Systems, implants and methods are disclosed.

Surgical instrument and method

A surgical instrument comprises a member connected with a spinal implant defining an axis. A first image guide is connected with the member and oriented relative to a sensor to communicate a signal representative of a position of the member. A second image guide is connected with the member and oriented to represent an angle measuring a second orientation of the axis relative to a first orientation. Systems, implants and methods are disclosed.

Surgical instrumentation

Prosthetic spinal disc system

A prosthetic spinal disc system is provided. The prosthetic disc system has a nucleus component having an upper surface configured to engage a superior vertebra and a lower surface configured to engage an inferior vertebra, an anchor configured to affix to an anterior surface of at least one of the superior vertebra or the inferior vertebra, and a tether tying the nucleus component to the anchor. In such embodiments, the nucleus component further has a perimeter situated substantially between the upper surface and the lower surface of the nucleus component and the tether is at least partially situated on the perimeter of the nucleus component. In certain embodiments, the upper surface and the lower surface of the nucleus component are configured to allow for implantation of the disc system such that after a discectomy, no preparation of at least one of the superior and inferior vertebrae is necessary.