US Pat. No. 9,050,436

ADJUSTABLE RESISTANCE, GRAVITATIONALLY ACTIVATED, ANTI-SYPHON VALVE

DePuy Synthes Products, L...

1. An anti-siphon drainage device, comprising:
a housing forming an internal chamber;
an inlet port and an outlet port communicating with the internal chamber and fluidly connected by a primary flow path;
a valve seat associated with the primary flow path;
a sloped section extending from the valve seat inside the internal chamber;
a valve element disposed in the sloped section and capable of seating in the valve seat to restrict a fluid flow into the
primary flow path from the inlet port;

a secondary flow path comprising an opening disposed approximate to the inlet port and an orifice disposed approximate to
the outlet port;

a second secondary flow path separate from the secondary flow path and comprising a second opening; and
a regulator comprising an aperture to selectively open and close the opening of the secondary flow path and a second aperture
to selectively open and close the second opening of the second secondary flow path in at least one of the following configurations:
each of the openings individually opened,

wherein when the valve element is disposed in the valve seat and restricting the fluid flow into the primary flow path, the
fluid flows into the secondary flow path.

US Pat. No. 9,381,097

ASSEMBLY TOOL FOR MODULAR IMPLANTS, KIT AND ASSOCIATED METHOD

DePuy Synthes Products, I...

1. A method for performing joint arthroplasty comprising:
selecting a first component and a second component for a prosthesis, the first component including a bore defining a bore
axis, the second component including a stem defining a stem axis, the stem being configured to be received in the bore;

positioning the first component of the prosthesis in engagement with a first member of an assembly tool, the first member
including a longitudinal opening defining a longitudinal axis, the first member and the first component being positioned with
the longitudinal axis aligned with the bore axis;

positioning a second member of the assembly tool in engagement with the second component, the second member including:
a drive shaft rotatably supported on the first member for rotation about the longitudinal axis;
a translating member coupled to the drive shaft and translatably supported in the longitudinal opening, the translating member
being configured to translate along the longitudinal axis as the drive shaft is rotated;

a rotatable member rotatably and translatably coupled to the translating member within the longitudinal opening of the first
member for movement along the longitudinal axis with the translating member, the rotatable member being manually rotatable
with respect to the translating member about the longitudinal axis, wherein rotation of the rotatably member with respect
to the translating member causes the rotatable member to translate along the longitudinal axis with respect to the translating
member; and

an adaptor stem coupled to the rotatable member for movement therewith along the longitudinal axis, the adaptor stem extending
therefrom out of the longitudinal opening of the first member, the adaptor stem including an end configured to be removably
attached to the second component with the stem axis aligned with the longitudinal axis;

extending the end of the adaptor stem into the bore of the first component;
removably attaching the end of the adaptor stem to the stem of the second component; and
rotating the drive shaft to translate the translating member, the rotatable member, and the adaptor stem in a direction that
causes the second component to move with respect to the first component toward the longitudinal opening of the first member.

US Pat. No. 9,113,969

BONE FIXATION SYSTEMS AND METHODS OF USE

DePuy Synthes Products, I...

1. A method of fixing a bone plate having a first body portion and a second body portion to first and second bone segments
that are disposed in a relative position in relation to each other and are separated by a bone gap, the method comprising:
aligning the bone plate with the first and second bone segments such that a first plurality of apertures extending through
the first body portion of the bone plate are generally aligned with the first bone segment and a second plurality of apertures
extending through the second body portion of the bone plate are generally aligned with the second bone segment;

coupling a forceps having first and second jaws to the bone plate by inserting a fixation element through the first jaw and
into a first aperture of the first plurality of apertures;

affixing the first body portion of the bone plate to the first bone segment;
coupling a temporary fixation element to the second bone segment, the temporary fixation element extending through the second
jaw of the forceps and through a first aperture of the second plurality of apertures, the first aperture of the second plurality
of apertures defining an elongated slot; and

actuating the forceps to bias at least the temporary fixation element to translate relative to the bone plate, thereby adjusting
the relative positions of the first and second bone segments closer to each other.

US Pat. No. 9,050,001

READING DEVICE IN WIRED COMMUNICATION WITH A PROBE HAVING AN EMBEDDED MEMORY DEVICE

DEPUY SYNTHES PRODUCTS, I...

1. A monitoring system for a physiological sensor, comprising:
a reading device; and
a probe having a housing, wherein the probe is electrically connected to the reading device via a wired interface; wherein
the probe comprises:

a physiological sensor configured as a Wheatstone resistive bridge balancing circuit;
a memory device integrated within the housing of the probe such that the sensor and memory device are prevented from being
separated from one another during use, wherein the memory device is electrically connected in parallel with the sensor;

wherein communication between the reading device and the probe occurs via the wired interface utilizing a same number of electrical
connections between the reading device and the probe as would be required if the memory device were eliminated.

US Pat. No. 9,364,581

MEDICAL IMPLANT COMPRISING A BIODEGRADABLE MAGNESIUM-BASED ALLOY AND METHOD FOR ITS MANUFACTURE

DePuy Synthes Products, I...

1. A medical implant comprising:
a biodegradable magnesium-based alloy of which at least a part of its surface layer comprises a magnesium carbonate, wherein
the magnesium carbonate has the formula:

Mg2[(OH)2(CO3)].3 H2O; or

Mg[(OH)x(CO3)y].(H2O)z whereby x+y=2 and z=0.25 to 2

wherein the magnesium carbonate is formed by exposing at least a part of the surface of the medical implant to an atmosphere
comprising humid carbon dioxide.

US Pat. No. 9,242,077

DYNAMIC ADJUSTMENT TOOL FOR PROGRAMMING AN IMPLANTABLE VALVE

DePuy Synthes Products, I...

1. A tool for changing a current setting of a magnetically readable and settable valve implanted in a living being, the valve
having an external cross-section and an internal rotor rotatable about a rotor axis having a locked and an unlocked state,
the tool comprising:
a locator comprising:
a center aligned with the rotor axis when disposed over the valve;
a first dimension approximately perpendicular with the rotor axis; and
a wall having a second dimension approximately perpendicular to the first dimension and forming a volume; and
an adjustor disposed in the volume, comprising:
an adjustable outer wall at least partially disposed within the volume; and
a magnet unlocking the internal rotor, having a magnetic axis, and disposed approximately in a center of the adjustor;
wherein the adjustable outer wall has a first position dimension approximately equal to or less than the first dimension of
the locator, permitting the adjustor to rotate about the center of the locator;

wherein the magnetic axis is aligned with the center of the locator when the adjustor is disposed in the volume and the adjustable
outer wall has the first position dimension;

wherein the adjustable outer wall has a second position dimension less than the first dimension of the locator and less than
the first position dimension, permitting the adjustor to move at least two of lateral, rotational, and orbital in the volume
of the locator;

wherein the magnetic axis can be misaligned with the center of the locator when the adjustor is disposed in the volume and
the adjustable outer wall has the second position dimension;

wherein the rotor is in the unlocked state when the magnetic axis aligns with the rotor axis; and
wherein the rotation of the adjustor sets the valve when the rotor is in the unlocked state.

US Pat. No. 9,387,022

VARIABLE ANGLE BONE FIXATION DEVICE

DEPUY SYNTHES PRODUCTS, I...

1. A system for bone fixation, comprising:
an elongated bone implant having a shaft configured for insertion into a bone in an operative configuration and being formed
of a ferrite-free implant grade material, an outer surface of the bone implant being one of carburized and nitrided to have
a first hardness and to increase a corrosion resistance; and

a bone fixation plate having an opening extending therethrough from a first surface configured to contact the bone in an operative
configuration to a second surface located opposite the first surface, the opening being configured to receive the bone implant
therethrough, the bone fixation plate having a second hardness;

wherein the first hardness is greater than the second hardness.

US Pat. No. 9,277,944

INSTRUMENTATION KIT FOR DELIVERING VISCOUS BONE FILLER MATERIAL

DePuy Synthes Products, I...

1. A device for filling a void in a patient's bone with bone void filler, comprising:
a. a sleeve for receiving bone void filler;
b. a cannula for extending into the bone and for guiding the sleeve to the void; and
c. an elongate body insertable through the sleeve and configured to stretch the sleeve along a longitudinal axis thereof;
wherein the sleeve is adapted for retaining most of the bone void filler therein until the sleeve is withdrawn from the cannula.

US Pat. No. 9,351,774

RESILIENT BONE PLATE AND SCREW SYSTEM ALLOWING BI-DIRECTIONAL ASSEMBLY

DePuy Synthes Products, I...

1. A bone plate and screw system, comprising:
a bone plate including a first surface, a second bone-contacting surface opposed to the first surface, and an aperture extending
through the first and second surfaces, the aperture having a predefined shape and size, and being configured to receive a
bone screw, the aperture further including a seating groove therein;

a screw configured to be inserted into bone, the screw having a head region at a proximal end thereof, the head region being
defined by a top flange having at least one slit formed through an outer sidewall thereof, a bottom flange, and a groove extending
therebetween; and

a resilient locking member configured to mate with the groove of the screw and be disposed within the seating groove of the
bone plate aperture.

US Pat. No. 9,125,587

SURGICAL RETRACTORS

DePuy Synthes Products, I...

1. A surgical device for surgically retracting muscle fibers including embedded neural tissue within a deep access portal
in a body, comprising:
an elongate retractor shaft having a proximal end with a handle portion and a distal end having a blunt retraction tip configured
to manipulate tissue within a body without appreciably severing the tissue;

an illumination source disposed on the elongate retractor shaft and configured to illuminate tissue;
a connector coupled to the handle and operatively coupled to the illumination source;
a sensor disposed on the retraction tip and configured to sense at least one physiological parameter of tissue being manipulated
by the retraction tip;

a signal processor; and
a power source, wherein power is delivered from the power source and delivered to the signal processor which delivers power
to at least one of the sensor and the illumination source through the connector;

wherein, when a parameter monitored by the sensor is outside a preset range, the signal processor is configured to activate
the illumination source to alert a user;

wherein the illumination source, connector, sensor, signal processor and power source are all disposed within the elongate
retractor shaft.

US Pat. No. 9,295,505

BONE PLATE

DePuy Synthes Products, I...

1. A bone plate system comprising:
a bone screw having a threaded head; and
a bone plate defining a lower surface configured to face an underlying bone, an upper surface opposite the lower surface and
configured to face away from the underlying bone, the bone plate further including:

a first portion positioned between the upper surface and the lower surface;
a second portion positioned between the first portion and the upper surface, such that the first and second portions cooperate
to define a portion of a hole that extends from the upper surface to the lower surface along a central hole axis;

a first projection and a second projection that each extends from the first portion toward the central hole axis, the first
projection being spaced from the second projection circumferentially about the central hole axis by a gap that extends circumferentially
from the first projection to the second projection, wherein the bone screw is configured to be inserted into the hole;

wherein 1) the second portion is devoid of projections that are configured to threadedly mate with the threaded head of the
bone screw when the bone screw is inserted in the hole, 2) the bone plate defines a line that extends from the upper surface,
along the second portion and the first portion, toward the lower surface at a location circumferentially between the first
projection and the second projection, such that the line does not pass through any projections that are configured to threadedly
mate with the threaded head of the bone screw when the bone screw is inserted into the hole, and 3) the central hole axis
lies within a plane and an entirety of the line lies within the plane.

US Pat. No. 9,226,756

BONE ACCESS INSTRUMENT

DEPUY SYNTHES PRODUCTS, I...

1. A method, comprising:
creating a bone access opening by piercing the bone cortical outer wall and inner cancellous bone with a bone access instrument
having a first shaft portion and a second shaft portion, the first shaft portion having a first diameter and a distal end,
and the second shaft portion having a second diameter and a tapered distal end, the second shaft portion slidably disposed
within the first shaft portion so that the distal end of the second shaft portion extends beyond the distal end of the first
shaft portion;

positioning the bone access instrument inside the bone;
removing the second shaft portion from the first shaft portion;
introducing a first instrument through the first shaft portion into the bone;
removing the first shaft portion leaving the first instrument in place;
introducing a second instrument over the first instrument; and
removing the first instrument leaving the second instrument in place.

US Pat. No. 9,393,029

REAMER AND DRILL GUIDING DEVICE

DEPUY SYNTHES PRODUCTS, I...

1. A device for guiding a drilling tool to form an opening in a bone, comprising:
a body extending from a distal end to a proximal end, the body including a lumen extending therethrough, the lumen being sized
and shaped to slidably accommodate a guidewire therein; and

a plurality of arms extending therefrom about the lumen with a gripping surface of each arm being spaced radially from an
axis of the guide wire lumen by a distance corresponding to a thickness of a guidewire to be received therein, the gripping
surfaces gripping the guidewire to maintain a portion thereof extending from the lumen along the axis of the lumen.

US Pat. No. 9,439,681

POLYAXIAL BONE FIXATION ELEMENT

DePuy Synthes Products, I...

1. A method for securing a rod to a bone fixation assembly, the method comprising the steps of:
inserting a head of a bone anchor into a collet;
after the inserting step, implanting the bone anchor into a vertebral body so that a threaded shaft of the bone anchor is
engaged with the vertebral body and the collet is spaced away from the vertebral body;

positioning the collet in a bore of a body in a loading position such that the collet is in an enlarged diameter portion of
the bore, wherein when the collet is in the loading position, the collet is polyaxially rotatable relative to the bone anchor;
and

causing the collet to move along a direction from the loading position to a locking position such that the collet is in contact
with a spherical undercut of the body that: 1) is in the bore, 2) extends in the direction such that the spherical undercut
defines a length measured along the direction, and 3) is spaced from the enlarged diameter portion, wherein when the collet
is in the locking position the collet is fixed to the bone anchor with respect to relative polyaxial rotation.

US Pat. No. 9,387,017

SYSTEM AND METHOD FOR MANIPULATING A SPINAL CONSTRUCT

DePuy Synthes Products, I...

1. A spinal manipulation device, comprising:
a drive member having an elongate shaft which is sized and configured to be disposed within an inner lumen of a first surgical
sleeve extending from a first vertebra;

a coupling member being sized and configured to maintain a spatial relationship relative to a second surgical sleeve extending
from a second vertebra as the coupling member moves relative to the drive member; and

an actuation mechanism effective to pivot the drive member relative to the coupling member, the actuation mechanism including
first and second handles joined at a selectively movable pivot that allows selective lateral positioning of the drive member
relative to the coupling member,

wherein the actuation mechanism is configured such that the lateral position of the movable pivot is locked automatically
when the first and second handles are pivoted towards each other.

US Pat. No. 9,375,220

JIG AND SAW GUIDES FOR USE IN OSTEOTOMIES

DEPUY SYNTHES PRODUCTS, I...

1. An apparatus for locating a curvilinear cut in a bone, the apparatus comprising:
a jig body;
a first arm, a top end of which is coupleable to a first portion of the jig body; and
a saw guide rotatably coupleable to the first arm, the saw guide including a bottom surface extending along a curve, which,
when the apparatus is in a desired position relative to a target portion of bone, corresponds to a desired path along which
a saw is to be guided to cut the target portion of bone.

US Pat. No. 9,295,503

DEVICE FOR BONE FIXATION WITH AT LEAST ONE THROUGH HOLE

DEPUY SYNTHES PRODUCTS, I...

1. A device for bone fixation defining at least one through hole extending therethrough, the through hole including first
and second through apertures separated from one another by a first resilient element deformable radially outward from the
first aperture to expand the first aperture and contract the second aperture, the second aperture being sized and shaped to
receive therein a bone fixation element, the second through aperture being smaller in size than the first through aperture,
a periphery of the first through aperture comprising at least two substantially circular arcs B1 and B2 with respective radii R1 and R2 and respective centres Z1 and Z2 located at a distance X>0 extending transversely to the resilient element whereby the ratio R1:R2 is in the range between 0.5 and 2.0, wherein the through hole further comprises a third through aperture which does not overlap
the first and second apertures, the third through aperture being separated from the first through aperture by a second resilient
element deformable radially outward from the first aperture to expand the first aperture and contract the third aperture,
the third aperture being sized and shaped to receive therein a bone fixation element.

US Pat. No. 9,237,909

SURGICAL NAIL

DEPUY SYNTHES PRODUCTS, I...

1. An intramedullary nail comprising:
a nail body having a central longitudinal axis, an outer wall surrounding a longitudinal bore and defining an inner wall surface,
and a transverse opening through the outer wall, the transverse opening having a central axis and a cross-sectional profile
F and configured for receiving a bone fixation element;

a longitudinal component disposed within the longitudinal bore and extending partially into the transverse opening to abut
against a bone fixation element inserted through the transverse opening without being penetrated by the bone fixation element;
and wherein the inner wall surface of the nail includes a longitudinal groove having a partially circular cross section that
extends parallel to the central axis, the groove is configured and dimensioned for receiving the component.

US Pat. No. 9,408,715

ARCUATE FIXATION MEMBER

DePuy Synthes Products, I...

1. An intervertebral implant comprising:
an implant body defining a first bone-engaging surface, a second bone-engaging surface spaced from the first bone engaging
surface along a transverse direction, a posterior end, an anterior end spaced from the posterior end along a longitudinal
direction that is perpendicular to the transverse direction, and opposed lateral sides spaced apart with respect to each other
along a lateral direction that is substantially perpendicular to the transverse direction and the longitudinal direction,
the opposed lateral sides extending between the first and second bone-engaging surfaces;

a fixation plate attached to the implant body, the fixation plate defining a posterior surface and an anterior surface spaced
from the posterior surface along the longitudinal direction, and first and second lateral arms that extend away from the anterior
surface along the longitudinal direction, the first and second lateral arms each defining a terminal end attached to the implant
body, the fixation plate further defining first and second upper curved apertures, and first and second lower curved apertures
spaced from the first and second upper curved apertures along the transverse direction, and each of the first and second upper
curved apertures and first and second lower curved apertures having an anterior end, a posterior end, and a curved aperture
axis that extends from the anterior end toward the posterior end;

at least one curved fixation member elongate along a curved central axis and configured to be received within at least one
of the first and second upper curved apertures and first and second lower curved apertures, the at least one curved fixation
member having a proximal end and a distal end spaced from the proximal end along the curved central axis, the distal end defining
a tip configured to cut into a vertebral body, wherein the at least one curved fixation member has a length greater than a
length of the associated at least one of the curved apertures such that the tip can be driven through the at least one of
the curved apertures and into the vertebral body; and

a blocking plate configured to be coupled to the fixation plate so as to secure the at least one curved fixation member to
the fixation plate, the fixation plate defining a bore configured to receive a locking member that couples the blocking plate
to the fixation plate, the bore being disposed between the first and second upper curved apertures and the first and second
lower curved apertures.

US Pat. No. 9,381,048

DEVICES AND METHODS FOR CERVICAL LATERAL FIXATION

DePuy Synthes Products, I...

1. A spinal implant, comprising:
an elongate cage member having a distal insertion end, a proximal anchoring end, and an external surface extending between
the proximal and distal ends that is defined by a superior surface, an inferior surface, an anterior wall, and a posterior
wall, the cage member having an interior open space defined by interior surfaces of the distal insertion end, the proximal
anchoring end, the anterior wall, and the posterior wall, the open space extending from the superior surface to the inferior
surface, a plurality of openings formed in the external surface, and a first long axis which, when viewed from above the superior
or inferior surface, extends from the distal insertion end to the proximal anchoring end at a longest dimension therebetween
and is disposed between the interior surfaces of the posterior and anterior walls; and

a plate member extending from a portion of the cage member that encompasses a portion of the proximal anchoring end and a
portion of the anterior wall such that a portion of the plate member located closest to the posterior wall is spaced from
the posterior wall, the plate member having a second long axis that is generally perpendicular to the first long axis and
having a curve along a short axis thereof, the plate member having a length extending along the second long axis that is greater
than a width extending along the short axis, and the plate member being asymmetric with respect to the first long axis such
that the short axis of the plate member forms an oblique angle in the range of about 35 degrees to about 80 degrees with respect
to the first long axis of the elongate cage member.

US Pat. No. 9,168,073

SPINOUS PROCESS FIXATOR

DePuy Synthes Products, I...

1. An interspinous spacer assembly for insertion into an interspinous space between spinous processes of adjacent vertebral
bodies, the assembly comprising:
a spacer body sized and configured for insertion between adjacent spinous processes, the spacer body including a channel extending
therethrough;

a first lateral plate and a second lateral plate for coupling the spacer assembly to the spinous processes; and
a locking mechanism extending through the channel in the spacer body and coupling the first and second lateral plates to the
spacer body, the locking mechanism including a first locking member and a second locking member configured to move relative
to each other in a longitudinal direction of the locking mechanism, the second locking member having hollow cylindrical body
for receiving a body of the first locking member,

wherein the channel included in the spacer body includes a protrusion extending from a surface of the channel, the protrusion
sized and configured to mate with a corresponding recess provided in the first locking member,

wherein the second locking member includes an opening along a length of the hollow cylindrical body such that the recess provided
in the first locking member is accessible via the opening.

US Pat. No. 9,066,999

LEAN ELECTROLYTE FOR BIOCOMPATIBLE PLASMAELECTROLYTIC COATINGS ON MAGNESIUM IMPLANT MATERIAL

DePuy Synthes Products, I...

1. A method of producing ceramic layers on magnesium and its alloys, comprising the steps of:
immersing an implant and a metal sheet into an aqueous electrolyte bath, said aqueous electrolyte bath consisting essentially
of: ammoniac, diammonium hydrogen phosphate and urea, and wherein the implant is made of magnesium or its alloy;

performing an anodic oxidation by passing a current between the implant, the metal sheet and through the aqueous electrolyte
bath, wherein the implant is connected to a positive pole of a current source and the metal sheet is connected to a negative
pole of the current source;

applying a current density selected to form sparks on said implant, to thereby form a ceramic layer on said implant.

US Pat. No. 9,358,133

SELF-PIVOTING SPINAL IMPLANT AND ASSOCIATED INSTRUMENTATION

DePuy Synthes Products, I...

1. A method for implanting an intervertebral implant into an intervertebral disc space defined between first and second adjacent
vertebral bodies, the method comprising the steps of:
coupling a distal end of an instrument to a post that is disposed in a slot of the intervertebral implant;
after the coupling step, inserting the intervertebral implant to an initial position in the intervertebral disc space while
the distal end is in a first configuration whereby the distal end is rotationally fixed to the post;

actuating the distal end from the first configuration into a second configuration whereby the distal end is rotatable about
the post; and

while the distal end is in the second configuration, delivering impaction forces to the instrument to advance the intervertebral
implant from the initial position toward an implanted position, such that the implant rotates as the implant advances between
the initial position and the implanted position, and the post rotates with respect to the distal end of the instrument as
the implant rotates in the intervertebral disc space.

US Pat. No. 9,271,771

DEVICE FOR OSTEOSYNTHESIS

DEPUY SYNTHES PRODUCTS, I...

1. A device for holding a bone fixation element at a user selected angle, comprising:
an osteosynthesis element having a bone fixation element receiving opening defining a central axis extending therethrough;
and

a helical spring insert sized and shaped to be mounted in the opening, a radial inner surface thereof defining an engaging
surface for mounting a threaded head of a bone fixation element therein at any user selected angle relative to the central
axis of the opening within a permitted range of angulation.

US Pat. No. 9,237,912

MINIMALLY INVASIVE IMPLANT AND CRIMPING SYSTEM

DEPUY SYNTHES PRODUCTS, I...

1. A method for treating a bone, comprising:
circling a cable around a target bone to be treated, the cable extending from an enlarged first end to a distal second end;
inserting the enlarged first end of the cable through a first lumen of a cable block and passing the distal second end through
a second lumen of the cable block, the first lumen extending from a first lumen proximal opening in a proximal face of the
cable block to a first lumen distal opening in a distal face of the cable block, the first lumen sized and shaped to pass
the enlarged first end therethrough from the first lumen proximal opening to the first lumen distal opening, the second lumen
extending from a second lumen proximal opening in the proximal face of the cable block to a second lumen distal opening in
the distal face of the cable block, the cable block further including a slot connecting distal portions of the first and second
lumens, the slot having a width sized to slidably receive the cable therethrough;

displacing the enlarged first end of the cable laterally through the slot so that the enlarged end of the cable abuts a portion
of the slot through which it cannot pass proximally;

passing the second end of the cable through a lumen of a locking member and sliding the locking member over the cable until
an end of the locking member abuts the cable block;

applying a desired tension to the cable; and
crimping the locking member over the cable to fix the cable around the target bone at the desired tension.

US Pat. No. 9,192,390

SURGICAL SAW BLADE

DePuy Synthes Products, I...

11. A surgical saw apparatus comprising.
a surgical saw blade;
a housing;
a drive plate, mounted in the housing to rotate about an axis of rotation, driven in oscillating rotation, having a groove
radially displaced from the axis of rotation and a central hole coaxial with the axis of rotation having an inward-extending
flange facing opposite a releasing direction;

a holding member, releasably holding the surgical saw blade and including a tooth extending toward the drive plate, where
the holding member is mounted in the housing to rotate about the axis of rotation, to slide along the axis of rotation in
the releasing direction from an engaged position, in which the tooth is held within the groove to a released position, in
which the tooth is held away from the groove, and opposite the releasing direction;

a releasing pin, extending along the axis of rotation between a first end, operatively connected to the holding member, and
a second end extending outward from the drive plate and from the housing, the releasing pin including an outward-extending
flange facing the releasing direction; and

a compression spring, extending around the releasing pin between an inward-extending flange of the drive plate and the outward-extending
flange of the releasing pin.

US Pat. No. 9,445,911

BONE PREPARATION TOOL KIT AND ASSOCIATED METHOD

DePuy Synthes Products, I...

1. A humeral prosthesis for fitting to a humerus in a shoulder joint arthroplasty procedure, the prosthesis comprising:
a first body having a first body articulating surface defining a generally circular outer periphery and a first centerline
axis, the first body having (a) a support surface opposite to the first body articulating surface such that the first body
is hollow and configured to receive a head of the humerus, and (b) a stem extending away from the support surface configured
to assist in securing the prosthesis on the humerus, the stem defining a second centerline axis which is coincident with the
first centerline axis; and

a second body in the form of a flange which extends laterally from a portion of the circular outer periphery of the first
body articulating surface, in which the first body articulating surface and a surface of the second body define a boundary
portion between them which is generally smooth and continuous, wherein the second body is located superiorly and the surface
of the second body which bounds the first body articulating surface is a second articulating surface.

US Pat. No. 9,387,014

SYSTEMS AND METHODS FOR DECOMPRESSING A SPINAL CANAL

DePuy Synthes Products, I...

1. A spinal fixation system, comprising:
a bone anchor having a bone-engaging portion and a head; and
a connecting member having first and second ends with a spanning portion extending therebetween, the spanning portion extending
at an oblique angle with respect to the first end and at an oblique angle with respect to the second end, at least one of
the first and second ends having an opening formed therein, and a portion of the opening being configured to engage a portion
of the head at a locked position such that the connecting member is at a fixed location with respect to the bone anchor,

wherein a distal surface of the first end of the connecting member bears against a proximal terminal end surface of each of
opposed arms of the head of the bone anchor.

US Pat. No. 9,364,265

SPINAL IMPLANT WITH A FLEXIBLE EXTENSION ELEMENT

DEPUY SYNTHES PRODUCTS, I...

1. A spinal implant for implantation via an incision in skin of a patient comprising:
a bone anchor having a head portion and a shaft extending along a longitudinal axis of the bone anchor configured to engage
a bone;

a head plate coupled to the bone anchor, the head plate including:
a first elongated extension element provided on a first side of the head plate, wherein the first elongated extension element
is sufficiently long so as to extend out of the incision, the first elongated extension being formed of a material that allows
a portion of the first elongated element to extend outside the incision, and to be bent and to remain bent parallel to the
skin of the patient in the incision area to prevent crowding and to move soft tissue around the incision away from the surgical
site; and

a second elongated extension element provided on a second side across from the first side of the head plate;
a head cap coupled to the head plate, the first elongated extension element and the second elongated extension element,
wherein a spinal fixation element is positioned on a seat portion of the head cap provided between the first elongated extension
element and the second elongated extension element; and

a locking cap that slides over the first extension element and the second extension element to stabilize the spinal fixation
element in place on the head cap;

wherein:
the head plate comprises a pair of openings provided at each side thereof,
the head cap comprises a pair of openings provided at each side thereof,
the first elongated extension element passes through a first opening of the head plate and a first opening of the head cap,
the first opening of the head plate is aligned with the first opening of the head cap, and

the second elongated extension element passes through a second opening of the head plate and a second opening of the head
cap, the second opening of the head plate is aligned with the second opening of the head cap.

US Pat. No. 9,439,693

STEERABLE NEEDLE ASSEMBLY FOR USE IN VERTEBRAL BODY AUGMENTATION

DePuy Synthes Products, I...

1. A steerable cannula assembly comprising:
an outer cannula having a central lumen extending therethrough, the outer cannula including an articulating portion that curves
in response to a force applied to a proximal end of the outer cannula;

an inner cannula having a central lumen extending therethrough, the inner cannula being sized and configured to extend into
a portion of the central lumen of the outer cannula, and coupled to a distal end of the outer cannula, wherein a tube-shaped
sealing barrier covers at least a portion of an outer surface of the inner cannula;

wherein the steering cannula assembly further includes an opening extending through a wall of the outer cannula and a wall
of the inner cannula, the opening configured to provide access to the central lumen of the inner cannula.

US Pat. No. 9,168,048

CUSTOMIZED PATIENT-SPECIFIC ACETABULAR ORTHOPAEDIC SURGICAL INSTRUMENT AND METHOD OF USE AND FABRICATION

DePuy Synthes Products, I...

1. A method of using a customized patient-specific acetabular reaming guide to perform an orthopaedic bone reaming procedure
on a patient's acetabulum to facilitate implantation of an acetabular cup prosthesis in a coxal bone of the patient, the method
comprising:
positioning a guide body of the customized patient-specific acetabular reaming guide such that a customized patient-specific
negative contour defined in a bone-facing surface of the guide body receives a corresponding positive contour of the patient's
coxal bone, the guide body having a cylindrical passageway that defines a longitudinal axis oriented relative to the bone-facing
surface based on a predetermined version angle and a predetermined inclination angle of the acetabular cup prosthesis when
implanted in the patient's coxal bone,

securing a guide housing of the customized patient-specific acetabular reaming guide to the guide body,
advancing an acetabular reamer surgical tool along the longitudinal axis into the patient's acetabulum, and
reaming the patient's acetabulum using the cylindrical passageway of the guide body and the guide housing as guides for the
acetabular reamer surgical tool.

US Pat. No. 9,138,279

FIXATION ASSEMBLY

DePuy Synthes Products, I...

1. An assembly for providing fixation to an implant having a threaded bore, comprising:
a fixation element comprising a head with an external first thread and a shaft with a second thread configured to mate with
the threaded bore of the implant; and

a driver configured to drive the fixation element into the threaded bore of the implant;
a holding sleeve comprising an internal channel configured to receive the driver, the holding sleeve further comprising a
fixation element coupler configured to temporarily hold the fixation element, the fixation element coupler comprising an internal
thread located at a distal end of the holding sleeve that mates with the first thread of the head of the fixation element;

wherein at least one of the driver and the fixation element coupler is translatable relative to the other; and
an alignment mechanism having at least one alignment member configured to mate with an alignment feature of the implant to
align the fixation element with the threaded bore of the implant.

US Pat. No. 9,381,023

SURGICAL DRILL INSTRUMENT WITH MOTOR AND LOCKING MECHANISM TO RECEIVE AN ATTACHMENT AND A CUTTING BURR

DePuy Synthes Products, I...

1. A surgical drill, comprising:
a cutting burr;
a spindle rotatable about a central axis, the spindle defining a keyed slot adapted to receive a first six-sided portion of
the cutting burr;

a locking mechanism releasably mounted to the spindle and comprising a plurality of concentrically disposed sleeves concentric
to the spindle, the plurality of sleeves including an outer sleeve, an inner sleeve, and an intermediate sleeve extending
between the outer and inner sleeves;

a detent pawl that contacts a second six-sided portion of the cutting burr such that the cutting burr is movable in an axial
direction along the second six-sided portion while retaining the cutting burr within the surgical drill when the locking mechanism
is in a loading position;

a locking pawl pivotally attached to the spindle and having an engagement end adapted to engage adjacent surfaces of the second
six-sided portion of the cutting burr received within the locking mechanism when the locking mechanism is in a running position;
and

a motor for driving the spindle and the locking mechanism,
wherein the inner sleeve includes a tapered end and the spindle includes a complimentary beveled outer portion that engages
the tapered end to brake the spindle when the locking mechanism is in the loading position, the tapered end also engaging
the locking pawl to prevent the locking pawl from engaging the cutting burr when the locking mechanism is in the loading position.

US Pat. No. 9,357,996

FIXATION DEVICE WITH MAGNESIUM CORE

DePuy Synthes Products, I...

1. A bone fixation system comprising:
an energy source; and
a bone fixation device including:
a biodegradable inner core extending along a longitudinal axis, such that the biodegradable inner core defines a tapered distal
tip that is configured to break a cortical portion of a bone when the fixation define is inserted into the bone along the
longitudinal axis; and

a sleeve defining a proximal end and a distal end opposite the proximal end, such that in an assembled configuration, the
sleeve surrounds the biodegradable inner core along a portion of a length thereof such that the distal tip of the biodegradable
inner core extends distally past the distal end of the sleeve, the sleeve comprising a thermoplastic polymer formed of a material
which softens and expands into surrounding bone tissue when activated by the energy source,

wherein the fixation device is configured to be inserted into the bone in the assembled configuration.

US Pat. No. 9,314,284

HIGHLY-VERSATILE VARIABLE-ANGLE BONE PLATE SYSTEM

DePuy Synthes Products, I...

1. A bone screw that is elongate along a direction, the bone screw including a central axis that is parallel to the direction,
the bone screw comprising:
a head including an outer surface, the head having a thread on the outer surface, the thread having a cross-sectional profile
comprising a first plurality of peaks that each lie on a non-linear curve, a first plurality of troughs that each are positioned
between adjacent ones of the first plurality of peaks, and a first plurality of flanks that each connect one of the first
plurality of peaks to an adjacent one of the first plurality of troughs, the cross-sectional profile further comprising a
second plurality of peaks that are opposite the first plurality of peaks with respect to the central axis, and a second plurality
of troughs that are opposite the first plurality of troughs with respect to the central axis, each of the second plurality
of troughs positioned between adjacent ones of the second plurality of peaks;

a threaded shaft that extends from the head along the central axis, the threaded shaft configured and dimensioned to engage
a bone;

wherein the head defines a plurality of trough profile lines, each of the plurality of trough profile lines being a straight
line is perpendicular to the central axis, intersects opposed ones of the first and second pluralities of troughs, and is
parallel to others of the plurality of the trough profile lines, and

wherein adjacent ones of the first plurality of troughs are separated by respective thread trough-to-trough distances as measured
along the direction, the respective thread trough-to-trough distances being configured to mate with a plurality of columns
of protrusions arranged on an inner surface of a hole of a bone plate so as to lock the bone screw relative to the hole at
a selectable angle within a range of angles at which the bone screw can mate and lock to the bone plate.

US Pat. No. 9,289,240

FLEXIBLE ELONGATED CHAIN IMPLANT AND METHOD OF SUPPORTING BODY TISSUE WITH SAME

DePuy Synthes Products, I...

1. A system suitable for insertion between two vertebral bodies to treat disease or abnormal pathology conditions in spinal
applications, the system comprising:
(a) a monolithic chain of biocompatible material suitable for insertion into a disc space between two adjacent vertebral bodies
in a patient's spinal column, wherein the spinal disc space has a transverse plane, the chain comprising:

a plurality of adjacent bodies having a height configured to reside within the disc space between two adjacent vertebral bodies
and a length configured to reside in the disc space between two adjacent vertebral bodies when the chain is curved in an orientation
substantially along the transverse plane of the spinal disc space;

wherein the plurality of adjacent bodies are interconnected by flexible joints such that the adjacent bodies are configured
to angulate with respect to each other during insertion into the spinal disc space to allow the chain to reside within the
spinal disc space, the bodies being configured to angulate only along the transverse plane of the spinal disc and into a curved
orientation during insertion; and

(b) a guide having a curved tip adapted to guide the adjacent bodies in a desired direction,
wherein a portion of the adjacent bodies disposed in the curved orientation contacts the guide along the curved tip; and
wherein the system is adapted to distract the disc space.

US Pat. No. 9,282,998

BONE FIXATION ASSEMBLY

DePuy Synthes Products, I...

1. An anchor assembly configured to couple a bone anchor to a spinal rod for stabilizing bones or bone fragments, the bone
anchor including a head portion, the spinal rod elongate along a central axis, the anchor assembly comprising:
a body having a longitudinal axis, an upper end with an upper opening, and a lower end spaced from the upper end along the
longitudinal axis, the lower end having a lower opening, the body defining a bore that extends substantially between the upper
opening and the lower opening, and a first rod receiving channel configured and arranged to receive the spinal rod, wherein
the first rod-receiving channel is open to the upper opening and extends from the upper end of the body toward the lower end
of the body along the longitudinal axis so as to define a top-loading rod receiving channel, and wherein the body defines
at least one external recess disposed proximate the first rod receiving channel;

an insert member disposed at least partially in the bore of the body, the insert member including a first end, a second end
spaced from the first end along the longitudinal axis, the second end defining a lower insert member opening, the insert member
further including an interior cavity configured to receive at least a portion of the head portion of the bone anchor, and
at least one slot that extends from the second end toward the first end, the at least one slot configured to permit at least
a portion of the insert member to expand and collapse, the insert member being moveable within the bore of the body; and

a locking cap assembly configured to be at least partially received within the bore of the body to retain the spinal rod in
the first rod receiving channel, the locking cap assembly including a saddle that includes at least one wing that extends
outward from the saddle, wherein the at least one wing is configured to be received by the at least one external recess of
the body, the saddle defining a curved surface, a first saddle arm, and a second saddle arm, the curved surface being shaped
to conform to a complementary curved surface of the spinal rod such that the curved surface, the first saddle arm, and the
second saddle arm at least partially define a second rod receiving channel, and such that the first and second saddle arms
extend toward the lower end of the body to at least the central axis of the spinal rod when 1) the locking cap assembly is
at least partially received in the bore, and 2) the spinal rod is received in the first and second rod receiving channels,
wherein the locking cap assembly is movable within the bore such that, as the locking cap assembly moves, a distal portion
of at least one of the first and second saddle arms urges the insert member to move within the bore from an unlocked position
to a locked position, wherein, in the unlocked position, the bone anchor is poly-axially rotatable with respect to the body
and in the locked position, the insert member secures a position of the bone anchor with respect to the body.

US Pat. No. 9,248,022

METHOD OF IMPLANTING A GLENOID DEFECT-FILLING COMPONENT

DEPUY SYNTHES PRODUCTS, I...

1. A method of filling a defect within a glenoid surface of a scapula, the method comprising:
defining a bore in the scapula that extends deeper than the defect,
implanting a porous defect-filling component into the defect, the porous defect-filling component having a number of holes
defined therein, and

inserting a number of pegs of a discrete polymer glenoid component into the number of holes of the implanted porous defect-filling
component so as to secure the discrete polymer glenoid component to the implanted porous defect-filling component,

wherein the number of pegs includes a first peg that extends through a first hole of the number of holes, the first peg having
an end positioned beyond the first hole and received in the bore defined in the scapula after the discrete polymer glenoid
component is secured to the implanted porous defect-filling component.

US Pat. No. 9,232,968

POLYMERIC PEDICLE RODS AND METHODS OF MANUFACTURING

DePuy Synthes Products, I...

1. A spinal pedicle rod comprising an internally reinforced polymeric core that is at least partially encased within a polymeric
coating, wherein the core comprises a weave of fibers,
the rod further having a pair of end portions, and an intermediate section therebetween, wherein the core of the intermediate
section has a base section and a rib extending from the base section,

wherein the core is at least partially encased within a polymeric coating having an outer surface, and the rib extends through
the outer surface of the coating.

US Pat. No. 9,295,478

SURGICAL FILE

DePuy Synthes Products, I...

1. A surgical file instrument comprising:
a surgical file having a shaft with a blade extending from one end thereof and a tang extending from the other end thereof,
said surgical file having a relatively flat main body and said main body having an upper cutting surface and an underneath
smooth surface;

an elongated body extending into an outer tube casing, the elongated body having an infinity-shaped slot sized and configured
to receive the shaft of the surgical file; and

a guide/shield coupled to the distal end of the outer tube casing and disposed in parallel relationship with said blade and
dimensioned to the same width of said blade, said guide/shield having a relatively planar main body.

US Pat. No. 9,277,965

ADJUSTABLE KNEE TIBIAL TRIAL INSERT

DEPUY SYNTHES PRODUCTS, I...

1. An adjustable tibial trial insert comprising:
an upper plate including an upper articular surface,
a lower plate,
a height-adjustment mechanism configured to move the adjustable tibial trial insert between a closed position where the upper
and lower plates are adjacent each other and an opened position where the upper and lower plates are spaced-apart from each
other, the height-adjustment mechanism including:

(i) an actuator having a first end and second end, the actuator pivotably coupled at a pivot point to one of the upper plate
and the lower plate near the second end,

(ii) a first tie rod pivotably coupled to the actuator near the pivot point,
(iii) a second tie rod pivotably coupled to the actuator near the pivot point,
(iv) a first linkage including a first link pivotably coupled to the upper plate and the first tie rod and a second link pivotably
coupled to the lower plate, the first tie rod, and the first link of the first linkage, and

(v) a second linkage including a first link pivotably coupled to the upper plate and the second tie rod and a second link
pivotably coupled to the lower plate, the second tie rod, and the first link of the second linkage.

US Pat. No. 9,198,700

NAIL LOCKING SYSTEMS

DEPUY SYNTHES PRODUCTS, I...

1. A system for fixation of a bone, comprising:
an intramedullary device including an elongated body extending from a proximal end having a head to a distal end;
a first plate having a first portion implantable into the bone and having a first arm which engages a first portion of an
outer wall of the head on a first side of the device and a second arm engaging a second portion of the outer wall of the head
on a second side of the device opposite the first side;

a first opening extending transversely through the head; and
a second opening extending transversely through the elongated body at an angle which is non-perpendicular to the longitudinal
axis of the intramedullary device.

US Pat. No. 9,554,411

SYSTEMS AND METHODS FOR WIRELESSLY POWERING OR COMMUNICATING WITH STERILE-PACKED DEVICES

DePuy Synthes Products, I...

1. A surgical method, comprising:
aligning a power receiver of a surgical electronic device with a power transmitter of a base station;
wirelessly transferring power from the power transmitter to the power receiver through a sterile container in which the electronic
device is disposed;

upon receipt of wireless power, automatically initiating communications with the base station; and
wirelessly communicating medical data to the electronic device from the base station.

US Pat. No. 9,498,218

SYSTEM AND METHOD FOR ATTACHING SOFT TISSUE TO AN IMPLANT COMPRISING A NANOTEXTURED SURFACE

Purdue Research Foundatio...

1. A kit for repairing a diarthrodial joint, the kit comprising:
a metal implant construct, the construct comprising
a metal implant comprising a porous region, wherein the porous region exhibits a nano-textured surface;
a calcified material layer coating the nano-textured surface;
an extender graft comprising a naturally occurring extracellular matrix, and a mesh member coupled to the naturally occurring
extracellular matrix; and

a scaffold element, wherein the scaffold element comprises a biocompatible polymer matrix and a bioactive agent.

US Pat. No. 9,393,122

MOBILE BEARING HIP ASSEMBLY AND METHOD OF PERFORMING AN ORTHOPAEDIC SURGICAL PROCEDURE

DEPUY SYNTHES PRODUCTS, I...

1. An acetabular hip implant, comprising:
an acetabular shell component configured to be implanted within an acetabulum of a patient, the acetabular shell component
having an inner surface that is partially spherical and having an axis,

a first insert secured to the acetabular shell component and having an outer surface that is partially spherical such that
the first insert is (i) permitted to rotate relative to the acetabular shell component about a first axis defined by the axis
of shell component, and (ii) prevented from rotating relative to the acetabular shell component about second and third axes
each of which is perpendicular to the first axis and to the other of the second and third axes, the first insert having a
first pair of opposing flats which are parallel to one another and perpendicular to the second axis,

a second insert secured to the first insert such that an outer surface of the second insert contacts an inner surface of the
first insert, the second insert having a second pair of opposing flats defined in its outer surface which are parallel to
one another and perpendicular to the second axis, each of the flats of the second pair contacting a respective flat of the
first pair such that the second insert is (i) permitted to rotate relative to the first insert about the second axis, and
(ii) prevented from rotating relative to the first insert about the first and third axes, the second insert having an inner
surface with a third pair of opposing flats defined therein which are parallel to one another and perpendicular to the third
axis, and

a femoral head configured to be secured to a femoral stem, the femoral head being secured to the second insert such that an
outer surface of the femoral head contacts the inner surface of the second insert, the femoral head having a fourth pair of
opposing flats defined in its outer surface, each of the flats of the fourth pair contacting a respective flat of the third
pair such that the femoral head is (i) permitted to rotate relative to the second insert about the third axis, and (ii) prevented
from rotating relative to the second insert about the first and second axes,

wherein the flats defined in the inner surface of the first insert are provided on opposing sides of the first insert, the
flats defined in the outer surface of the second insert are provided on opposing sides of the second insert, the flats defined
in the inner surface of the second insert are provided on opposing sides of the second insert, and the flats defined in the
outer surface of the femoral head are provided on opposing sides of the femoral head, and

wherein an entire portion of each flat of each pair of opposing flats includes a planar surface.

US Pat. No. 9,364,329

CUTTING/BENDING TOOL FOR POLYMER IMPLANT

DePuy Synthes Products, I...

1. A polymeric implant cutting tool that is configured to cut a polymeric implant, the tool comprising:
a tool body having a length along a first direction and including a handle portion comprising an upper handle portion and
a lower handle portion spaced from the upper handle portion along a second direction, substantially perpendicular to the first
direction, the upper handle portion having an outer surface and an opposing inner surface and the lower handle portion having
an outer surface and an opposing inner surface;

a first cutting portion located at a distal portion of the tool body, the first cutting portion including a first cutting
prong and a second cutting prong, the first cutting prong having an end and a first prong inner surface, and the second cutting
prong having an end and a second prong inner surface that is spaced from the first prong inner surface along the second direction,
the first cutting portion further including a first cutter having a first cutting edge to cut the implant, the first cutting
edge being located longitudinally inward from the end of the first prong and the first cutter defining a substantially planar
configuration that extends along a plane, wherein the plane is at an angle that is substantially perpendicular to the first
direction and substantially parallel to the second direction; and

a second cutting portion located at a proximal portion of the tool body, the second cutting portion including a third cutting
prong and a fourth cutting prong, the third cutting prong having an end and a third prong inner surface, and the fourth cutting
prong having an end and a fourth prong inner surface that is spaced from the third prong inner surface along the second direction,
the second cutting portion further including a second cutter having a second cutting edge to cut the implant, the second cutting
edge being located longitudinally inward from the end of the third prong and being positioned at an angle of between 30° and
60° from the first cutting edge,

wherein the handle portion is between the first cutting portion and the second cutting portion.

US Pat. No. 9,265,616

EXPANDABLE IMPLANT

DePuy Synthes Products, I...

1. An implant comprising:
an implant body defining a central longitudinal axis and having a front end and a rear end, the rear end longitudinally spaced
from the front end along the central longitudinal axis, the implant body having a total volume, the implant body defining
at least one chamber disposed in an expandable portion of the implant body, the at least one chamber having a volume less
than the total volume, and the implant body further defining a cavity sized and shaped to receive an energy emitter, the cavity
extending longitudinally distal from the rear end toward the front end;

wherein the implant body is elongate along the central longitudinal axis in an initial state;
wherein the expandable portion comprises a polymeric material and has an expanded state;
wherein in the expanded state the at least one chamber is closed and contains a heated, and at least partially vaporized expansion
fluid, and wherein the polymeric material of the expandable portion is heated to above its glass transition temperature and
is plastically deformed;

wherein the volume of the expandable portion in the expanded state is greater than the volume of the expandable portion in
the initial state;

wherein in the expanded state, the fluid exerts a vapor pressure on the at least one closed chamber; and,
wherein the expandable portion is adapted to maintain the expanded state volume below the glass transition temperature of
the polymeric material and in the absence of the vapor pressure.

US Pat. No. 9,180,013

DEFLECTION RESISTANT ACETABULAR CUP

DEPUY SYNTHES PRODUCTS, I...

1. An acetabular shell for use in hip arthroplasty, the shell comprising:
a first wall having an outer surface, an inner surface, and a rim, wherein the rim of the first wall extends continuously
around an entire circumference of the outer and inner surfaces; and

a flexible second wall extending from the outer surface of the first wall, the second wall having an outer surface, an inner
surface, and a rim, the second wall being provided by a plurality of flanges which are arranged around the first wall, in
which adjacent flanges are separated by slits which are cut into the second wall and extend from the rim of the second wall
aligned with the longitudinal axis of the shell, wherein the flexible second wall extends around an entire circumference of
the outer and inner surfaces, interrupted only by the slits;

wherein the rim of the second wall is spaced outwardly from the rim of the first wall, and wherein the rim of the second wall
is separated from the rim of the first wall by a recess, wherein both the rim of the second wall and the rim of the first
wall are located opposite an apex near an equator of the cup such that as the acetabular shell is placed in the hip, the flexible
second wall is adapted to deflect without the first wall deflecting.

US Pat. No. 9,095,355

CUSTOMIZED PATIENT-SPECIFIC ORTHOPAEDIC PIN GUIDES

DEPUY SYNTHES PRODUCTS, I...

1. A customized patient-specific orthopaedic surgical instrument, comprising:
a customized patient-specific femoral pin guide comprising (i) a body having a bone-facing surface that has a customized patient-specific
negative contour configured to receive a portion of an anterior side of a patient's femur that has a corresponding positive
contour, the body having (a) a first hole formed therein with a first locking slot extending in a direction parallel to the
axis of the first hole, the first locking slot opening into the first hole, and (b) a second hole formed therein with a second
locking slot extending in a direction parallel to the axis of the second hole, the second locking slot opening into the second
hole, (ii) a first tab extending posteriorly from the body, the first tab having a bone-facing surface that has a customized
patient-specific negative contour configured to receive a first portion of the distal side of the patient's femur that has
a corresponding positive contour, the first tab having a third hole formed therein with a third locking slot extending in
a direction parallel to the axis of the third hole, the third locking slot opening into the third hole, and (iii) a second
tab extending posteriorly from the body, the second tab having a bone-facing surface that has a customized patient-specific
negative contour configured to receive a second portion of the distal side of the patient's femur that has a corresponding
positive contour, the second tab having a fourth hole formed therein with a fourth locking slot extending in a direction parallel
to the axis of the fourth hole, the fourth locking slot opening into the fourth hole,

a first removable drill bushing having a post with a locking flange extending therefrom, the post of the first removable drill
bushing being positioned in the first hole the customized patient-specific femoral pin guide such that the locking flange
of the first removable drill bushing is positioned in the first locking slot of the customized patient-specific femoral pin
guide,

a second removable drill bushing having a post with a locking flange extending therefrom, the post of the second removable
drill bushing being positioned in the second hole of the customized patient-specific femoral pin guide such that the locking
flange of the second removable drill bushing is positioned in the second locking slot of the customized patient-specific femoral
pin guide,

a third removable drill bushing having a post with a locking flange extending therefrom, the post of the third removable drill
bushing being positioned in the third hole of the customized patient-specific femoral pin guide such that the locking flange
of the first removable drill bushing is positioned in the first locking slot of the customized patient-specific femoral pin
guide, and

a fourth removable drill bushing having a post with a locking flange extending therefrom, the post of the fourth removable
drill bushing being positioned in the fourth hole of the customized patient-specific femoral pin guide such that the locking
flange of the fourth removable drill bushing is positioned in the fourth locking slot of the customized patient-specific femoral
pin guide.

US Pat. No. 9,186,158

RECIPROCATING RASPS FOR USE IN AN ORTHOPAEDIC SURGICAL PROCEDURE

DePuy Synthes Products, I...

1. A method of surgically implanting a glenoid component into a glenoid of a patient, comprising:
inserting a guide pin into bone tissue of the glenoid of the patient,
advancing a reciprocating surgical rasp over the guide pin along a longitudinal axis, wherein the surgical rasp includes a
cutting head having a cutting surface formed on a first side of the longitudinal axis and a depth stop formed on a second
side of the longitudinal axis opposite the first side, such that the cutting head is asymmetrical,

reciprocating the surgical rasp so as to abrade only a portion of the bone tissue of the glenoid to form a stepped surface
to receive the glenoid component, and

implanting the glenoid component across the stepped surface.

US Pat. No. 9,216,023

EXPANDABLE BONE IMPLANT

DePuy Synthes Products, I...

23. An implant system configured to insert an implant into a fracture location of a target bone, the implant system comprising:
an implant body that is circumferentially expandable from an insertion configuration into an expanded configuration, the implant
body defining an internal void, the implant body including a plurality of interconnected linkages so as to define at least
one annular row of linkages that extends along a row direction, the at least one annular row defined by a single linkage in
respective ones of a plurality of columns, wherein each of the columns extends along a column direction, each column defining
first and second terminal ends that are opposed to each other along the column direction,

at least a first linkage of the plurality of linkages having an expansion characteristic that is different from at least a
second linkage of the plurality of linkages, such that the first linkage expands greater than the second linkage when an expansion
force is applied to the implant body from an expansion material, the at least one first linkage disposed in a first column
and the at least one second linkage disposed in a second column that is circumferentially opposite the first column, the first
and second linkages being disposed on the same annular row, wherein application of the expansion force to the implant body
causes the implant body to bend in a direction from the first column to the second column,

wherein the implant body is configured such that 1) each of the first and second columns have a thickness of a single linkage
along the row direction and contain an equal number of linkages, or 2) the first and second columns each contains a plurality
of the linkages that are attached to each other along the column direction from the first terminal end to the second terminal
end; and

an opening device having a cutting blade configured to cut through the target bone, the opening device defining a cannula
having a proximal end and an opposed distal end, the cannula defining a guide path configured to receive the implant body
so as to direct the implant body to a fracture location when the distal end is disposed proximate to the fracture location.

US Pat. No. 9,186,194

HYDRAULIC DEVICE FOR THE INJECTION OF BONE CEMENT IN PERCUTANEOUS VERTEBROPLASTY

DePuy Synthes Products, I...

1. A method of injecting a viscous material into a patient, the method comprising:
providing a delivery device having:
an injector body having a reservoir, a cement drive element, and an exit port in communication with the reservoir, the reservoir
containing a viscous bone cement prior to the bone cement having set;

a hydraulic tube connected to the injector body; and
a hydraulic actuator connected to the hydraulic tube and having a vessel containing an incompressible fluid, the hydraulic
actuator having a hydraulic fluid drive element, activation of the hydraulic actuator moving the hydraulic fluid drive element
and pressurizing the incompressible fluid to apply a force to the cement drive element of the injector body that forces the
viscous bone cement through the exit port;

wherein the injector body, hydraulic tube, and hydraulic actuator are configured as a hydraulic press such that a force applied
to the hydraulic actuator results in an increased force applied to the viscous bone cement; and

applying a force to the hydraulic actuator that causes the hydraulic fluid drive element extending into the vessel of the
hydraulic actuator to move from a first, retracted position to a second, advanced position to drive the flow of viscous bone
cement out from the reservoir and into the patient, a distance traveled by the hydraulic fluid drive element being greater
than a distance traveled by the cement drive element.

US Pat. No. 9,421,058

BONE FIXATION SYSTEM

DePuy Synthes Products, I...

1. A method of fixing a surgical fastener to a target anatomical location, the method comprising steps of:
directing a laser of a cutting mechanism of a surgical device toward the target anatomical location so as to cut a hole in
the target anatomical location;

advancing the surgical fastener into the hole of the target anatomical location as the surgical fastener is supported by the
surgical device;

activating an energy source of the surgical device to thereby heat and soften at least a portion of the surgical fastener
so as to attach the surgical fastener to the target anatomical location; and

removing the surgical device while the surgical fastener remains attached to the target anatomical location.

US Pat. No. 9,402,655

INTERSPINOUS SPACER ASSEMBLY

DePuy Synthes Products, I...

1. An interspinous spacer assembly for insertion into an interspinous space between a spinous process of a superior vertebral
body and a spinous process of an inferior vertebral body, the assembly comprising:
an interspinous spacer member sized and configured for insertion into the interspinous space, the spacer member including
a cranial surface for contacting an inferior surface of the spinous process of the superior vertebral body, a caudal surface
for contacting a superior surface of the spinous process of the inferior vertebral body, a ventral end and a dorsal end that
defines an threaded borehole, a set screw received within the threaded borehole, and a spacer bore extending through the interspinous
spacer member; and

an engagement mechanism that includes a first lateral plate and a second lateral plate for operatively coupling the spacer
member to the spinous processes of the superior and inferior vertebral bodies, the first and second lateral plates each defining
an interior surface that extends inward toward the interior surface of the opposing lateral plate, the engagement mechanism
including a collapsible rod having a proximal end and a distal end each received within a plate bore provided in each of the
first and second lateral plates, respectively, the proximal end connected to a first portion of the collapsible rod and the
distal end connected to a second portion of the collapsible rod, the first portion and the second portion of the collapsible
rod extending from the plate bore into the spacer bore, the proximal and distal ends of the collapsible rod not extending
beyond an outside surface of the corresponding first and second lateral plates,

wherein the first portion and the second portion of the collapsible rod are moveable relative to each other to narrow a distance
between the first lateral plate and the second lateral plate to cause the first lateral plate and the second lateral plate
to fix the engagement mechanism to the spinous processes,

wherein the set screw fixes the position of the first portion and second portion of the collapsible rod, thereby fixing the
position of the first lateral plate and the second lateral plate with respect to the interspinous spacer member;

wherein the ventral end has a tapered width for facilitating insertion of the interspinous spacer member into the interspinous
space, the tapered width defined by a left surface and opposing right surface each extending between the cranial and caudal
surfaces.

US Pat. No. 9,381,072

ORTHOGNATHIC IMPLANT AND METHODS OF USE

DePuy Synthes Products, I...

1. A method of customizing a pre-shaped implant for use in orthognathic surgery of a maxilla, the method comprising:
obtaining a pre-operative 3-D model of a patient's maxilla in a computer, whereby a first portion of the maxilla and a second
portion of the maxilla define a first relative position;

manipulating the pre-operative 3-D model of the maxilla into a planned post-operative shape whereby the first portion of the
maxilla and the second portion of the maxilla define a second relative position that is different than the first relative
position; and

custom constructing a virtual model of a bone fixation implant to match the planned post-operative shape of the maxilla, the
bone fixation implant including a plate member pre-shaped to attach to the first portion of the maxilla, and at least one
finger extending from the plate member shaped to attach to the second portion of the maxilla.

US Pat. No. 9,295,507

STERNAL RECONSTRUCTION SYSTEM

DePuy Synthes Products, I...

11. A method for sternal reconstruction comprising the steps of:
driving a first cannulated screw through a first reconstruction plate and into a first sternal fragment so as to attach the
first reconstruction plate to the sternum;

feeding a flexible cable having first and second ends through a lumen of the first cannulated screw and through the first
reconstruction plate;

tensioning the flexible cable to a desired tension; and
securing the tensioned cable by crimping a ferrule onto the flexible cable.

US Pat. No. 9,295,555

ACETABULAR CUP HAVING A WIRELESS COMMUNICATION DEVICE

DEPUY SYNTHES PRODUCTS, I...

1. A method for fabricating an orthopaedic implant, the method comprising:
forming an annular recess in a rim surface of an acetabular cup that is defined between an outer surface and an inner surface
of the acetabular cup, the outer surface being configured to confront a portion of an acetabulum of a patient when the acetabular
cup is implanted in the patient and the inner surface forming an inner cavity being configured to receive a bearing insert;

positioning a wireless communication device in the annular recess; and
securing the wireless communication device in the annular recess using a biocompatible compound.
US Pat. No. 9,090,713

RESORBABLE CELLULOSE BASED BIOMATERIAL AND IMPLANT

DePuy Synthes Products, I...

1. A biomaterial precursor reactive mixture comprising:
a reactive mixture of:
(a) an irradiated cellulose; and
(b) an oxidizing agent;wherein the reaction product thereof is a non-pyrogenic resorbable biomaterial.

US Pat. No. 9,554,919

INTERVERTEBRAL IMPLANT

DePuy Synthes Products, I...

1. An intervertebral implant, comprising:
a body having a convexly curved anterior side substantially opposing a posterior side spaced apart by first and second convexly
curved lateral sides;

top and bottom surfaces defining two central bores extending from each surface through to the other, wherein each of the top
and bottom surfaces are configured to contact an endplate of adjacent vertebrae, and wherein each of the top and bottom surfaces
have a plurality of gripping structures for engaging the endplates of the adjacent vertebrae and have a substantially smooth
area; and

an instrument bore formed in the anterior side of the body at a center of the anterior side of the body, the instrument bore
being configured to receive an inserter instrument;

wherein the substantially smooth area of the top surface extends in an anterior-posterior direction from a first perimeter
edge where the top surface intersects with the anterior surface of the implant to a second perimeter edge where the top surface
intersects with the posterior surface of the implant; and

wherein the substantially smooth area of the bottom surface extends in an anterior-posterior direction from a first perimeter
edge where the bottom surface intersects with the anterior surface of the implant to a second perimeter edge where the bottom
surface intersects with the posterior surface of the implant.

US Pat. No. 9,320,914

ENDOSCOPIC DELIVERY OF RED/NIR LIGHT TO THE SUBVENTRICULAR ZONE

DePuy Synthes Products, I...

1. A method of treating a patient having a neurodegenerative disease, comprising the steps of:
a) selecting an optical wave guide having a proximal end portion and a distal end portion;
b) endoscopically implanting the distal end portion of the optical wave guide into a lateral ventricle of the patient, and
c) delivering light through the optical wave guide to irradiate at least a portion of a subventricular zone with an effective
amount of light.

US Pat. No. 9,066,733

ORTHOGNATHIC IMPLANT AND METHODS OF USE

DePuy Synthes Products, I...

1. An osteotomy guiding implant comprising:
a plate member that is pre-shaped to correspond to a pre-operative shape of a maxilla, the plate member, pre-operatively,
defining non-linear undulations that match particular surface portions of the maxilla such that the non-linear undulations
are configured as an alignment mechanism that aligns the plate member with the maxilla;

a template portion extending from the plate member having an inner surface that is shaped pre-operatively to match the pre-operative
shape of the maxilla, and an outer surface opposite the inner surface, the template portion defining at least four apertures
that extend from the outer surface to the inner surface, are aligned along a single plane, and are arranged to provide a template
for pre-osteotomy drilling holes that are aligned along a cutting guide path in the maxilla that extends along the single
plane so as to define a boundary that separates a first portion of the maxilla from a second portion of the maxilla, whereby
the first portion becomes segmented from the second portion after a cutting instrument has cut through the maxilla along the
cutting guide path.

US Pat. No. 9,439,777

IN-SITU FORMED INTERVERTEBRAL FUSION DEVICE AND METHOD

DePuy Synthes Products, I...

1. A spinal fusion implant comprising:
a first elongated ramp component comprising a bearing wall configured to bear against a vertebral endplate and a first angled
wall having a longitudinal groove therein;

a second elongated ramp component having a length and comprising a second angled wall having a longitudinal ridge extending
therefrom; and

an elongated element passing through the length of the second elongated ramp component,
wherein the first angled wall slidably contacts the second angled wall to provide ramping,
wherein the ridge and the groove are adapted to mate so as to guide the ramping of the angled walls, and
wherein sliding the first angled wall along the second angled wall in a first direction is effective to progressively increase
a height of the spinal fusion implant and sliding the first angled wall along the second angled wall in a second, opposite
direction is effective to progressively reduce the height of the spinal fusion implant.

US Pat. No. 9,299,138

GENERATING A PATIENT-SPECIFIC ORTHOPAEDIC SURGICAL PLAN FROM MEDICAL IMAGE DATA

DEPUY SYNTHES PRODUCTS, I...

1. A method for generating a surgical plan for an orthopaedic surgical procedure from medical image data, the method comprising:
receiving an orthopaedic surgical plan request from a computing device of a healthcare facility via a network;
receiving a medical image of bony anatomy of a patient;
receiving constraint data corresponding to an orthopaedic surgical procedure to be performed upon the bony anatomy of the
patient;

determining patient-specific anatomical data from the medical image of the bony anatomy of the patient;
determining whether the patient-specific anatomical data is at least one of outside of a reference range or exceeds a reference
threshold;

determining whether the orthopaedic surgical procedure to be performed upon the bony anatomy of the patient is a difficult
orthopaedic surgical procedure based on the received medical images and the received constraint data;

generating one of: (i) a first surgical plan for the orthopaedic surgical procedure to be performed upon the bony anatomy
of the patient in response to determining that the orthopaedic procedure to be performed upon the bony anatomy the patient
is not a difficult orthopaedic surgical procedure; or (ii) a second surgical plan, different from the first surgical plan,
for the orthopaedic surgical procedure to be performed upon the bony anatomy of the patient in response to determining that
the orthopaedic procedure to be performed upon the bony anatomy the patient is a difficult orthopaedic surgical procedure;
and

transmitting at least one of the first or second surgical plans to the computing device of the healthcare facility via the
network;

wherein determining whether the orthopaedic surgical procedure to be performed upon the bony anatomy of the patient is a difficult
orthopaedic surgical procedure comprises determining whether the orthopaedic surgical procedure to be performed upon the bony
anatomy of the patient is a difficult orthopaedic surgical procedure as a function of determining that the patient-specific
anatomical data is at least one of outside of the reference range or exceeds the reference threshold.

US Pat. No. 9,198,671

SURGICAL CUTTING TOOL

DEPUY SYNTHES PRODUCTS, I...

1. A surgical cutting tool, comprising:
a first jaw having a proximal end and a distal end;
a first jaw support member having a proximal end and a distal end, the first jaw extending from the distal end of the first
jaw support member;

a second jaw having a proximal end and a distal end, the second jaw operably associate with the first jaw such that the first
jaw and the second jaw are movable relative to one another between an opened position and a closed position;

a second law support member having a proximal end and a distal end, the second jaw extending from the distal end of the second
jaw support member, the first jaw support member and the second jaw support member slidably coupled to one another;

a cutting member movably attached to the first jaw so that the cutting member extends from the first jaw towards the second
jaw in an opposable relationship with the second jaw; and

an actuating mechanism operably associated with the cutting member so as to cause the cutting member to move relative to the
first jaw.

US Pat. No. 9,155,533

SOFT TISSUE DEFECT DEVICE AND ASSOCIATED METHOD

DePuy Synthes Products, I...

1. A bi-directional suture passing instrument configured to approximate soft tissue defects, the suture passing instrument
comprising:
a body that defines a channel, and a boom arm that extends from the body, the boom arm having a boom arm housing that is spaced
from the body, the boom arm also having an offset arm portion that extends between the body and the boom arm housing, such
that a tissue-receiving gap extends between the boom arm housing and the body;

a needle reciprocally translatable along a direction of translation within the channel between an advanced position in which
the needle extends at least into the boom arm housing, and a retracted position in which the needle is retracted from the
boom arm housing; and

a shuttling element configured to carry a suture across the tissue-receiving gap;
wherein movement of the shuttling element relative to the boom arm housing that is different than movement along the direction
of translation causes the shuttling element to 1) both lock to the boom arm housing and unlock from the needle, or 2) both
unlock from the boom arm housing and lock to the needle.

US Pat. No. 9,480,488

SNAP-LOCK FOR DRILL SLEEVE

DEPUY SYNTHES PRODUCTS, I...

1. An orthopedic system, comprising:
a protection sleeve having proximal and distal ends, a longitudinal axis and first inner and outer surfaces, the protection
sleeve further having a protrusion extending inward from the first inner surface into a first longitudinal bore extending
therethrough; and

a drill sleeve having proximal and distal ends, a longitudinal axis, second inner and outer surfaces and a second longitudinal
bore extending therethrough, the second outer surface configured to be received within at least a portion of the protection
sleeve, the drill sleeve having a recess extending into the second outer surface, the protrusion and recess cooperating to
releasably axially lock the protection sleeve with the drill sleeve, the sleeves being separable from each other by applying
an axial separation force between the protection and drill sleeves and a radial compression force to at least a portion of
the drill sleeve,

wherein the inner surface of at least one of the protection and drill sleeves is configured to receive a drill bit for drilling
a hole in bone.

US Pat. No. 9,295,562

EXPANDABLE INTERVERTEBRAL IMPLANT AND ASSOCIATED METHOD OF MANUFACTURING THE SAME

DePuy Synthes Products, I...

1. An expandable intervertebral implant that extends along a longitudinal axis, the expandable intervertebral implant comprising:
a superior bone contacting member including at least a first superior bone contacting component, a second superior bone contacting
component spaced from the first superior bone contacting component in a lateral direction that is perpendicular to the longitudinal
axis, and a first expandable lateral component interconnected between the first and second superior bone contacting components
along the lateral direction;

an inferior bone contacting member spaced from the superior bone contacting member in a vertical direction that is perpendicular
to both the lateral direction and the longitudinal axis, the inferior bone contacting member including at least a first inferior
bone contacting component, a second inferior bone contacting component spaced from the first inferior bone contacting component
in the lateral direction, and a second expandable lateral component interconnected between the first and second inferior bone
contacting components along the lateral direction; and

at least one expandable vertical component interconnected between the superior and inferior bone contacting members along
the vertical direction, wherein the implant is expandable in situ in both the vertical direction and the lateral direction
from a first insertion configuration to a second expanded configuration, whereby 1) the first expandable lateral component
expands in the lateral direction as the first superior bone contacting component and the second superior bone contacting component
move away from each other in the lateral direction, 2) the second expandable lateral component expands in the lateral direction
as the first inferior bone contacting component and the second inferior bone contacting component move away from each other
in the lateral direction, and 3) the at least one expandable vertical component expands in the vertical direction as the superior
bone contacting member and the inferior bone contacting member move away from each other in the vertical direction, and

wherein the implant is expandable from the first insertion configuration to the second expanded configuration without causing
the implant to change in length along the longitudinal axis.

US Pat. No. 9,237,914

BONE FIXATION SYSTEM

DePuy Synthes Products, I...

12. A surgical system of comprising:
a surgical fastener having a generally cylindrical fastener body that is elongate from a distal end to a proximal end along
a longitudinal axis, the fastener body defining a central bore that longitudinally extends through the fastener body from
the distal end to the proximal end, the fastener body being absorptive to the application of energy by an energy source; and

a surgical device configured to implant the surgical fastener into a target anatomical location, the surgical device including:
a hand piece including an elongated hand piece body having a tip sized and dimensioned to detachably engage and retain the
surgical fastener, the hand piece including a first waveguide and a second waveguide,

a control unit capable of selectively and individually transmitting 1) a first energy source through the first waveguide and
into the central bore of the surgical fastener when the fastener is disposed in the tip, and 2) a second energy source through
the second waveguide,

wherein application of the first energy source causes the surgical device to cut into the target anatomical location, and
application of the second energy source causes the fastener body to soften and deform.

US Pat. No. 9,364,273

DRUG ELUTING SURGICAL SCREW

DePuy Synthes Products, I...

1. A drug eluting surgical screw comprising
a shaft having a threaded portion;
a head having a drive recess disposed at a proximal end of the shaft, the drive recess having a reservoir region and a driver
engagement region; and

a drug eluting film disposed within the reservoir region of the drive recess in a manner that does not substantially impair
a connection between a driver and the surgical screw when the driver is operably disposed within the driver engagement region,

wherein the drug eluting film comprises a mixture of a carrier matrix and a therapeutic agent, the therapeutic agent being
at least 20 wt. % of the drug eluting film, prior to any implantation of the drug eluting surgical screw; and,

wherein the drug eluting film includes a concentration gradient of the therapeutic agent within the film from a direction
at a surface of the film through the depth of the film.

US Pat. No. 9,221,563

ANODIZING CONTAINER

DEPUY SYNTHES PRODUCTS, I...

1. A device for treating a surface of and packaging implants, comprising:
a container including a chamber therein;
a removable seal arranged to close the chamber; and
a carrier sized and shaped to be inserted into the chamber and including a carrying structure configured to connect an implant
thereto, a portion of the carrier being formed of an electrically conductive material, wherein the carrier includes an elongate
member extending from a first end to a second end and a first supporting structure at the first end of the elongate member,
the first supporting structure arranges to permit fluid to pass therethrough, and wherein the container includes a first shoulder
extending radially inward from a wall of the chamber such that, when the carrier is inserted therein, the first supporting
structure abuts the first shoulder.

US Pat. No. 9,220,506

OCCLUSIVE DEVICE WITH STRETCH RESISTANT MEMBER AND ANCHOR FILAMENT

DEPUY SYNTHES PRODUCTS, I...

1. A stretch-resistant occlusive device comprising:
a helically wound coil defining a coil lumen extending along the entire axial length of the coil, the coil having a proximal
end portion and a distal end portion;

a headpiece having a proximal end and a distal end, the distal end being attached to the proximal end portion of the coil,
and defining a headpiece lumen extending between the proximal and distal ends of the headpiece;

an anchor filament extending through the headpiece lumen, having at least one proximal end secured to the proximal end of
the headpiece, and having a distal portion defining an eye positioned distal to the distal end of the headpiece, the anchor
filament being a single continuous element that is folded at the distal end to form the eye; and

a stretch resistant member, positioned within the coil lumen, having a proximal portion extending through the eye and having
at least one distal end secured to the distal end of the coil;

wherein the helically wound coil is substantial cylindrical and defines the coil lumen to have a lumen diameter at its proximal
end; and wherein the headpiece is substantially cylindrical with a mean distal diameter and a mean proximal diameter, and
further includes at least one stop element positioned between the proximal and distal mean diameters and projecting radially
outwardly beyond both mean diameters.

US Pat. No. 9,095,383

BONE-DERIVED SPACER ASSEMBLY

DePuy Synthes Products, I...

1. An interspinous spacer for insertion into an interspinous space between spinous processes of adjacent vertebrae, the spacer
comprising:
a body including a top bone contacting surface, a bottom bone contacting surface, a first side surface, a second side surface,
a leading end, a trailing end and a bore extending through the body from an opening in the trailing end in a direction towards
an opening in the leading end, an external boundary surface of the body defined by the top and bottom bone contacting surfaces,
the first and second side surfaces, the leading end and the trailing end;

a plurality of deployable retainers positioned at the top and bottom bone contacting surfaces of the body, each of the plurality
of deployable retainers located at a position adjacent to a respective one of the leading end and the trailing end, each of
the plurality of deployable retainers including a projection extending into the bore where a distance that the projection
extends into the bore increases along the projection from the respective one of the leading and trailing ends towards a midline
of the body; and

a core including a top surface, a bottom surface, a first side surface, a second side surface, a leading end and a trailing
end, the core being movably receivable within the bore formed in the body and at least a portion of the core extends from
the opening in the trailing end and the opening in the leading end when the core is received within the body, the body, plurality
of deployable retainers and the core being constructed of bone,

wherein the body being sized and configured for implantation into the interspinous space with the plurality of retainers in
a first, insertion configuration,

wherein the plurality of retainers are located generally within the external boundary surface, the retainers being urged to
a second, deployed position by inserting the core into the bore and along the projections of the retainers such that at least
a portion of the plurality of deployable retainers extends from the external boundary surface, in the second, deployed position,
the retainers located adjacent the spinous processes.

US Pat. No. 10,016,177

APPARATUS AND METHOD FOR CALIBRATING AN X-RAY IMAGE OF A KNEE OF A PATIENT

DePuy Synthes Products, I...

1. A method of generating an image for use in the fabrication of a customized patient-specific orthopaedic knee instrument, comprising:positioning a patient's knee on a radiolucent cushion of an x-ray calibration apparatus at a fixed angle of flexion, the x-ray calibration apparatus having a plurality of radio-opaque fiducial markers positioned at fixed distances such that each of the plurality of radio-opaque fiducial markers are distinct from one another when viewed in x-ray images taken (i) in a direction anterior to the patient's knee, and (ii) in a direction lateral to the patient's knee,
taking a first x-ray image in a direction anterior to the patient's knee such that representations of at least some of the plurality of radio-opaque fiducial markers are visible in the first x-ray image,
taking a second x-ray image perpendicularly to a lateral sidewall of the x-ray calibration apparatus in a direction lateral to the patient's knee such that representations of at least some of the plurality of radio-opaque fiducial markers are visible in the second x-ray image,
registering the first and second x-ray images onto one another using the representations of the plurality of radio-opaque fiducial markers visible in the first and second x-ray images,
wherein the at least some of the plurality of radio-opaque fiducial markers visible in the second x-ray image include (i) an upper plurality of radio-opaque fiducial markers that appear above an upper ridge of the radiolucent cushion and (ii) a lower plurality of radio-opaque fiducial markers that appear below the upper ridge of the radiolucent cushion.

US Pat. No. 9,486,262

SYSTEM AND METHOD FOR MINIMALLY INVASIVE CLAVICLE PLATE APPLICATION

DEPUY SYNTHES PRODUCTS, I...

1. A bone fixation plate, comprising:
an elongated body contoured to conform to the anatomy of a clavicle, the elongated body comprising a head at a first end and
a shaft extending therefrom to a second end, the second end further comprising a reduced diameter tapered tip configured to
permit insertion of the elongate body through a minimally invasive incision formed adjacent the clavicle, the head including
a lateral extension disposed between the first end and the second end, the lateral extension contoured to rest on a target
region of a lateral end of the clavicle, the lateral extension having a width greater than a substantially uniform width of
the shaft;

a first plate hole extending through the shaft from a proximal face to a distal face, the first plate hole formed as a combination
hole; and

a second plate hole extending through the head from the proximal face to the distal face, the second plate hole being threaded.

US Pat. No. 9,393,063

TETHER TENSIONING INSTRUMENT

DePuy Synthes Products, I...

1. A method of applying tension to a tether, comprising:
engaging a tether with a tensioning device having an elongate shaft and a tensioning mechanism, the tether extending along
a path between first and second bone anchors implanted in vertebrae; and

actuating the tensioning mechanism without directly contacting any bone anchor with the tensioning device to apply a tensioning
force to the tether along the path of the tether to thereby move the tether along the path;

wherein the tensioning force is applied to the tether without substantially bending the tether.

US Pat. No. 9,326,796

UNI-PLANER BONE FIXATION ASSEMBLY

DePuy Synthes Products, I...

1. A bone fixation subassembly configured to receive a fixation rod and a locking cap, the bone fixation subassembly comprising:
an anchor seat including an anchor seat body extending along a central axis and defining an upper end and a lower end, wherein
the upper end comprises a pair of opposing fixation rod-receiving gaps therebetween that are spaced along a longitudinal axis,
and a bore disposed between the rod-receiving gaps;

a collet including a collet body configured to be disposed in the anchor seat, the collet body defining an upper end and an
expandable lower end, the expandable lower end comprising a plurality of fingers separated by slots; and

a bone anchor that extends along an axis of rotation and is configured to attach to the collet such that the bone anchor is
permitted to rotate about the axis of rotation relative to the collet, the bone anchor is further permitted to pivot relative
to the collet along a desired plane, and the bone anchor is prevented from pivoting in another plane that includes the central
axis and is angularly offset with respect to the desired plane.

US Pat. No. 9,326,798

DEROTATION INSTRUMENT WITH REDUCTION FUNCTIONALITY

DEPUY SYNTHES PRODUCTS, I...

1. An instrument for manipulating and a bone anchor and a spinal fixation element offset from the bone anchor, the instrument
comprising:
a shaft having a proximal end, a distal end, and a lumen extending between the proximal end and the distal end,
one or more fingers disposed at the distal end of the shaft configured to engage a spinal fixation element receiving member
of a bone anchor and defining a slot for receiving a spinal fixation element offset from the spinal fixation element receiving
member;

an outer sleeve disposed about the shaft and configured to slide over the distal end of the shaft between a first position
and a second position, when the outer sleeve is in the first position, the one or more fingers are unconstrained by the outer
sleeve allowing the one or more fingers to receive the spinal fixation element in the slot and engage the spinal fixation
element receiving member, when the outer sleeve is in the second position, the one or more fingers are constrained by the
outer sleeve securing the spinal fixation element in the slot and the engagement of the spinal fixation element receiving
member of the bone anchor by the one or more fingers to permit manipulation of the spinal fixation element and bone anchor
by the instrument; and

a reduction element configured to pass through the lumen of the shaft and engage the offset spinal fixation element to reduce
the offset spinal fixation element into the spinal fixation element receiving member of the bone anchor;

wherein the shaft comprises a plurality connection elements each being configured to engage a connector for connecting the
instrument to another instrument,

wherein the outer sleeve comprises a second slot corresponding to the slot defined by the one or more fingers, the second
slot being configured to receive the spinal fixation element that is offset from the spinal fixation element receiving member
when the outer sleeve is in the second position.

US Pat. No. 9,326,807

PERI-PROSTHETIC FIXATION IMPLANT AND METHOD

DEPUY SYNTHES PRODUCTS, I...

1. An apparatus for leading a cerclage member along a desired path through a portion of bone, comprising:
a guide strip extending from a proximal end to a sharpened distal end, at least a portion of the guide strip being biased
to assume a shape corresponding to a portion of a desired path along which the cerclage member is to pass through a portion
of bone; and

a delivery cannula including a lumen sized to slidably receive the guide strip therein, the cannula maintaining the guide
strip in a substantially straight configuration until the guide strip is extended distally out of the lumen.

US Pat. No. 9,299,117

METHOD AND SYSTEM FOR MANAGING INVENTORIES OF ORTHOPAEDIC IMPLANTS

DEPUY SYNTHES PRODUCTS, I...

1. A method for managing inventories of orthopaedic implants, the method comprising:
receiving, by a computing system and over a network, (i) an authorization to retrieve medical images and metadata associated
with the medical images from a healthcare provider network and (ii) a location within the healthcare provider network from
which the medical images and the metadata can be retrieved;

retrieving, from the location within the healthcare provider network, (i) a medical image of a patient's bone and (ii) surgeon
preference data, selected by a healthcare provider that identifies a desired characteristic of an orthopaedic implant, over
the network by the computing system;

selecting, by the computing system, a number of orthopaedic implants from an inventory of orthopaedic implants, the inventory
of orthopaedic implants comprises a plurality of orthopaedic implants available for selection, the orthopaedic implants being
selected based on the medical image and the surgeon preference data;

retrieving, by the computing system, a stored digital template for each of the selected orthopaedic implants from a data repository
comprising a plurality of digital templates;

determining, by the computing system, an axis of the patient's bone from the medical image;
performing, by the computing system, a number of digital templating procedures on the medical image to automatically superimpose
each digital template of each selected orthopaedic implant onto the medical image in a location and orientation that is automatically
selected as a function of the determined axis of the patient's bone and an amount of bone to be resected from the patient's
bone during an orthopaedic surgical procedure to generate a number of digital templated images; and

transmitting, by a communication circuit of the computing system, the number of digital templated images generated from the
number of digital templating procedures to the healthcare provider over the network using a communication protocol.

US Pat. No. 9,271,780

DISTRACTOR WITH REMOVABLE FOOTPLATES

DePuy Synthes Products, I...

1. A bone distractor assembly configured to distract first and second bone segments that are separated by a bone gap, the
distractor assembly comprising:
a first footplate defining a channel and including a ratchet tab;
a second footplate including an extension that carries a track, the track configured to be received in the channel and defining
a plurality of grooves configured to receive the ratchet tab; and

a distractor defining external threads configured to engage internal threads defined by the first footplate such that the
distractor is releasably coupled to the first footplate, the distractor having a distal end portion that includes an activation
screw and is configured to engage the second footplate, such that rotation of the activation screw causes the second footplate
to translate relative to the first footplate.

US Pat. No. 9,216,040

METHODS AND DEVICES FOR SPINAL FIXATION ELEMENT PLACEMENT

DePuy Synthes Products, I...

1. A method for introducing a spinal fixation element into a patient's spinal column, comprising:
advancing a first bone anchor having a first percutaneous access device coupled thereto into a first vertebra such that a
proximal end of the first percutaneous access device is positioned outside a patient's body;

advancing a second bone anchor having a second percutaneous access device coupled thereto into a second vertebra such that
a proximal end of the second percutaneous access device is positioned outside a patient's body;

positioning a spinal fixation element through at least one sidewall opening formed in the first percutaneous access device
and through at least one sidewall opening formed in the second percutaneous access device such that the spinal fixation element
extends in a lengthwise orientation between the first and second percutaneous access devices in which the spinal fixation
element extends substantially perpendicular to a longitudinal axis of the first percutaneous access device; and

advancing the spinal fixation element in the lengthwise orientation towards the first and second bone anchors to seat the
spinal fixation element in receiver heads of the first and second bone anchors.

US Pat. No. 9,173,687

FULCRUM CAP FOR SPINAL CONSTRUCTS

DePuy Synthes Products, I...

12. A spinal instrumentation kit, comprising:
a first bone anchor configured to be implanted in a first vertebra;
a first sleeve configured to couple to the first bone anchor;
a second bone anchor configured to be implanted in a second vertebra;
a second sleeve configured to couple to the second bone anchor; and
a connector having a ring-shaped member configured to slidably receive a first end of the first sleeve and to prevent the
first sleeve from rotating relative thereto and a hemi-cylindrical shaped extension configured to seat a first end of the
second sleeve and to allow the first end of the second sleeve to rotate and pivot relative thereto, a superior surface of
the ring-shaped member being flush with a superior surface of the hemi-cylindrical shaped extension;

wherein when the first and second bone anchors are implanted in first and second vertebrae and the first and second elongate
sleeves are coupled to the first and second bone anchors, the connector is configured to function as a fulcrum to allow the
first and second elongate sleeves to pivot about the fulcrum to thereby compress, distract, or derotate the first and second
vertebrae relative to one another.

US Pat. No. 9,114,019

POROUS CONTAINMENT DEVICE AND ASSOCIATED METHOD FOR STABILIZATION OF VERTEBRAL COMPRESSION FRACTURES

DePuy Synthes Products, I...

1. A porous containment device for implantation in an interior volume of a targeted vertebral body, the porous containment
device comprising an outer surface defining an interior cavity for receiving a bone filler material; the porous containment
device further including:
a proximal portion, a distal portion, and a central portion located between the proximal and distal portions;
wherein the porous containment device is expandable from an insertion configuration to an expanded configuration via injection
of a bone filler material into the interior cavity of the porous containment device and when the device is in the expanded
configuration, the proximal and distal portions are enlarged and the central portion has a smaller diameter relative to the
enlarged proximal and distal portions; and

wherein the porous containment device includes at least one pore configured to secrete the bone filler material into an area
between the enlarged proximal and distal portions, the enlarged proximal and distal portions being sized and shaped such that
the secreted bone filler material is semi-contained in said area.

US Pat. No. 9,078,953

CROSSLINKED HYDROGELS

DePuy Synthes Products, I...

1. A polymer gel composition comprising
polyethylene imine, the polyethylene imine being injectable prior to mixing, and
an aqueous polyvinyl alcohol solution comprising polyvinyl alcohol, the aqueous polyvinyl alcohol solution being injectable
prior to mixing,

wherein the composition has a greater viscosity than either of the polyethylene imine or the aqueous polyvinyl alcohol solution
alone,

wherein the polymer gel composition is a hydrogen-bonded physically crosslinked polymer gel, and is injectable immediately
after mixing of the polyethylene imine and the aqueous polyvinyl alcohol solution,

wherein the polyethylene imine is from about 9.25% (w/w) to about 13.65% (w/w) and the polyvinyl alcohol is from about 18.02%
(w/w) to about 26.62% (w/w),

wherein a solution of a single phase is formed when the polyethylene imine is mixed with the polyvinyl alcohol.

US Pat. No. 9,066,810

COMPLIANT IMPLANT

DePuy Synthes Products, I...

1. A compliant orthopaedic implant that is compressible along a central axis, the compliant orthopaedic implant comprising:
a first member;
a second member spaced from the first member along the central axis; and
a compliant interface connected between the first and second members, the compliant interface including at least a pair of
spring members that are bracingly connected so as to permit the first and second members to rotate relative to each other
about the central axis, wherein each of the at least a pair of spring members space the first member from the second member
along the central axis, each spring member of the at least a pair of spring members being curved with respect to the central
axis so as to define respective vertices that face each other, wherein application of a compression force to the implant along
the central axis causes the spring members to compress, thereby moving the vertices toward the each other along a direction
that is angularly offset with respect to the central axis.

US Pat. No. 9,808,351

IN-SITU FORMED INTERVERTEBRAL FUSION DEVICE AND METHOD

DePuy Synthes Products, I...

1. An intervertebral fusion device, comprising:
a) first and second structural walls;
b) a core comprising first and second side surfaces connecting the walls, and an opening in the first side surface; and
c) a cannula having a first end portion in fluid connection with the opening,
wherein the walls are separated by a first distance W1 in a collapsed condition and a second distance W2 in an expanded condition,

wherein W2 is greater than W1; and

wherein the device is arcuate.

US Pat. No. 9,381,683

FILMS AND METHODS OF MANUFACTURE

DePuy Synthes Products, I...

1. An implantable medical device comprising:
a flexible polymer film having a first surface and an opposing second surface, the polymer film having a plurality of apertures
extending from the first surface to the second surface and a plurality of raised lips protruding from the first surface, wherein
each one of the plurality of lips is continuous with and surrounds one of the plurality of apertures;

wherein the film includes a plurality of discrete eluting drug components disposed within the film, the plurality of discrete
eluting drug components have an average diameter under 10 microns and comprising at least an antibiotic active against orthopedic
implant related infections;

wherein the polymer film elutes the antibiotic from the discrete eluting drug components in a two phase release process including
a burst release process upon exposure to water or a body fluid, and a controlled release process, wherein the burst release
process releases about 20% to 35% of the total content of the antibiotic, and the two phase release process releases the total
content of the antibiotic within a three-week period.

US Pat. No. 9,273,715

OUTRIGGER WITH LOCKING MECHANISM

DEPUY SYNTHES PRODUCTS, I...

1. A method for connecting an outrigger to a clamp in an external fixation system, comprising:
coupling a moveable member and a slide lock to an elongated member of the outrigger, the elongated member having a length,
a distal end, a proximal end and a threaded portion on the distal end, the threaded portion having a keyed portion, the moveable
member being moveable along the elongated member, the slide lock having a keyed portion and an engagement surface; and

coupling the distal end of the elongated member to an opening of the clamp such that the engagement surface of the slide lock
engages a portion of the clamp,

wherein the keyed portion of the threaded portion and the keyed portion of the slide lock are operably associated with each
other to permit longitudinal movement of the slide lock along the length of the elongated member while preventing rotation,
and

wherein the engagement surface of the slide lock has a non-smooth texture and faces in a direction that is away from the moveable
member.

US Pat. No. 9,254,135

ARTHROPLASTY INSTRUMENTS AND ASSOCIATED METHOD

DePuy Synthes Products, I...

1. A method for performing arthroplasty on the head of a long bone, the method comprising:
preparing a head of the long bone to receive a prosthesis using a reamer, the reamer including:
a first cutting structure having an inner concave surface that defines a first cavity and terminates distally in a generally
circular leading edge, the inner concave surface including a first cutting feature that is spaced apart from the leading edge,
the first cutting feature comprising a plurality of openings that extend through the inner concave surface, each of the openings
having a cutting edge;

an elongate member extending from the first cutting structure into the first cavity toward the leading edge, the elongate
member including a second cutting feature, the second cutting feature being located at least partially within the first cavity;
and

a second cutting structure secured to said elongate member and positioned within the first cavity, the second cutting structure
extending outwardly from the elongate member toward the inner concave surface and including a third cutting feature; and

implanting the prosthesis in the head of the long bone.

US Pat. No. 9,174,390

INTEGRATED MULTI-MATERIAL IMPLANTS AND METHODS OF MANUFACTURE

DePuy Synthes Products, I...

1. An implant for stabilizing a fracture in an underlying bone, the implant comprising:
a first region comprising a first material configured to be attached to the underlying bone; and
a second region comprising a second material that is different than the first material, the second region being disposed adjacent
the first region,

the second region having a flexibility different than that of the first region,
the first and second regions being monolithic with one another,
the first region comprising at least one aperture configured to receive an anchor configured to secure the implant to the
underlying bone, and

the implant being configured for installation across a fracture in the underlying bone so as to provide stability to the underlying
bone.

US Pat. No. 9,173,715

ULTRASOUND CT REGISTRATION FOR POSITIONING

DEPUY SYNTHES PRODUCTS, I...

12. A method for bone registration, comprising:
scanning a target surface area of bone to obtain scan data using a device including a scanner and a first communication component
configured to transmit a first location signal for indicating a position of the device;

positioning a first marker on a first portion of the bone, the first marker including a second communication component configured
to transmit a second location signal indicating a position of the first communication component relative to the second communication
component in a plurality of dimensions;

positioning a second marker on a second portion of the bone;
comparing, using a processor, the scan data with stored surface data of the bone to generate position data identifying overlapping
elements of the scan data relative to the surface data, determining location data from the first and second location signals
and determining a location of the first marker relative to a surface of the bone in the surface data using the position data
and the location data;

determining relative marker data indicating a position of the first marker relative to the second marker; and
processing the relative marker data to determine a location of the second marker relative to the surface of the bone in the
surface data.

US Pat. No. 9,089,372

PEDICULAR FACET FUSION SCREW WITH PLATE

DePuy Synthes Products, I...

1. A spinal implant, comprising:
a cannulated elongate member having a first bone engaging portion with a first diameter and a second bone engaging portion
with a second diameter disposed distal to the first bone engaging portion, the first bone engaging portion being configured
for insertion into a facet joint and the second bone engaging portion being configured for insertion into a pedicle, at least
one of the first and second bone engaging portions having at least one opening formed in a sidewall thereof and configured
to receive an osteoconductive composition; and

a stabilization member configured to seat the elongate member, the stabilization member having a first expandable portion
configured to engage a proximal portion of the elongate member in a snap-fit configuration and a second bone engaging portion
having a plurality of bone engaging tines extending therefrom, each bone engaging tine being angled toward a central axis
of the elongate member,

wherein the first diameter is greater than the second diameter.

US Pat. No. 9,055,954

METHOD FOR ARTHROSCOPIC BONE PREPARATION

DePuy Synthes Products, I...

1. A method of resecting a portion of a bone comprising:
inserting a distal tip of a first alignment pin into and completely through a bone through a first incision while maintaining
a proximal tip of the first alignment pin outside of the bone;

inserting a second alignment pin into the bone through a second incision;
inserting a portion of a wire saw through the first incision;
guiding the portion of the wire saw with the first alignment pin and the second alignment pin; wherein guiding the portion
of the wire saw with the first alignment pin and the second alignment pin comprises: contacting the portion of the wire saw
with the first alignment pin and the second alignment pin;

cutting the bone in a direction toward the proximal tip with the wire saw;
resecting a first portion of the bone with the wire saw while simultaneously guiding the wire saw with both the first alignment
pin and the second alignment pin; and

removing the resected first portion of the bone.

US Pat. No. 9,610,173

VERTEBRAL BODY REPLACEMENT APPARATUS

DePuy Synthes Products, I...

1. A vertebral body replacement apparatus, comprising:
an outer body member having a first end, a second end, and an axial opening extending entirely through the outer body member
from the first end to the second end, the first end configured to receive an endplate for engaging a first vertebral body;

an inner body member having a first end, a second end, and an inner surface defining an axial opening extending entirely through
the inner body member from the second end of the inner body member, the first end of the inner body member received in the
axial opening of the outer body member such that the inner body member and the outer body member are movable relative to one
another in a telescoping relationship such that the distance between the first end of the outer body member and the second
end of the inner body member is selectively adjustable; and

a support member having a first end and a second end, and a resilient portion between the first end and the second end, the
second end of the support member configured to receive an endplate for engaging a second vertebral body, the support member
positioned in the axial opening of the inner body member with the first end of the support member attached to the first end
of the inner body member and the second end of the support member extending a distance beyond the second end of the inner
body member, at least a part of the resilient portion of the support member positioned in the axial opening of the inner body
member and separated from the inner surface of the inner body member by an uninterrupted annular gap about the resilient portion
when the support member is in a substantially non-deflected condition so that the second end of the support member deflects
relative to the first end of the outer body member in response to a force applied to the second end of the support member
and returns to the substantially non-deflected condition upon release of the force,

wherein an amount of deflection of the support member is based at least in part on the size of the annular gap.

US Pat. No. 9,480,514

CABLE TIE L-PIN

DePuy Synthes Products, I...

1. A method for treating a fractured bone, comprising:
inserting an elongate body of a bone fixation device through a bone such that a distal end of the elongate body extends distally
past a far cortex of the bone, the elongate body extending longitudinally from a proximal end to the distal end, the elongate
body including a channel extending therethrough and a coating adapted to absorb a selected frequency of light, the coating
extending along an outer surface of the elongate body;

inserting a light fiber through the channel of the elongate body until a distal tip of the light fiber is radially within
the distal end of the elongate body;

activating the light fiber such that the coating along the distal end of the elongate body melts to form a mass; and
moving a first anchor member along the elongate body from a first position at the proximal end of the elongate body to a second
position adjacent a near cortex of the bone to fix the elongate body to the bone.

US Pat. No. 9,452,055

METHOD OF USING ROTATABLE REVERSE METAGLENE KIT

DePuy Synthes Products, I...

1. A method of implanting a glenoid component, comprising:
selecting a metaglene component having a body portion and an augment extending medially from the body based upon a defect
in a scapula;

inserting the selected metaglene component into the scapula;
inserting a portion of a first fastener through a body fastener hole of the body portion into a void defined by the body portion
and a portion of the augment;

inserting the portion of the first fastener into a first augment fastener hole extending through the augment and aligned with
the body fastener hole; and

inserting the portion of the first fastener into the scapula.

US Pat. No. 9,381,024

MARKED TOOLS

DePuy Synthes Products, I...

1. A surgical apparatus, the apparatus comprising:
(a) a cutting tool comprising an axial member with a proximal end and a distal end, the axial member characterized by at least
two adjacent axial sections which do not form a part of a cutting tip of said tool, wherein differences between each of the
sections are visually discernible when viewed in a projection x-ray image, wherein said visually discernible difference results
from an outer radial section of reduced radio-opacity; and

(b) a hollow tube adapted for parallel alignment with the cutting tool and selectively axially positionable to be adjacent
at least a selective one of said axial sections and block x-ray radiation from at least one of passing through or passing
adjacent said selected section so that said projection image indicates a relative axial position of said hollow tube and said
cutting tool.

US Pat. No. 9,317,631

SURGICAL GUIDE WITH CUT RESISTANT INSERTS

DePuy Synthes Products, I...

1. A resection guide configured to guide a resection tool toward a graft source, the resection guide comprising:
a resection guide body defining:
an external, outer body surface;
an inner body surface opposite the outer body surface and elongate along a longitudinal direction, the inner body surface
having a first terminal edge and a second terminal edge offset from the first terminal edge by a first dimension along a select
direction that is perpendicular to the longitudinal direction, and the inner body surface being concave from the first terminal
edge to the second terminal edge; and

first and second resection guide openings that extend from the inner body surface through the outer body surface, wherein
the first and second resection guide openings define respective first and second graft resection axes that are configured
to receive a portion of the resection tool and guide the resection tool along the respective first and second resection guide
openings so as to resect a graft portion from the graft source, the resection guide body defining, for each one of the first
and second resection guide openings, first and second inner surfaces that at least partially define the one of the first and
second resection guide openings, wherein the second inner surface is spaced from the first inner surface along a respective
one of the first and second graft resection axes, and the second inner surface is offset from the first inner surface by a
minimum dimension with respect to the select direction, the minimum dimension being greater than the first dimension.

US Pat. No. 9,254,139

DRILLING/MILLING GUIDE AND KEEL CUT PREPARATION SYSTEM

DePuy Synthes Products, I...

1. A milling guide for use with an instrument system for preparing an intervertebral space defined by two adjacent vertebrae,
the instrument system including a trial head sized to be received in the intervertebral space, the milling guide comprising:
a milling guide body defining a proximal end and a distal end that is spaced from the proximal end along a first direction,
the milling guide configured to be supported relative to the trial head;

a chamber coupled to the milling guide body, the chamber being elongate along the first direction; and
a pivot element coupled to the milling guide body and defining a channel that extends through the pivot element such that
the channel is configured to at least partially receive a tool for preparing at least one of the two adjacent vertebrae, the
pivot element configured to pivot relative to the milling guide body about a pivot axis that extends through both the milling
guide body and the channel in a second direction that is substantially transverse to the first direction,

wherein the pivot element is configured to pivot about the pivot axis when 1) the milling guide is supported relative to the
trial head, and 2) when the trial head is received in the intervertebral space.

US Pat. No. 9,226,830

DEVICE AND METHOD FOR RETROVERSION CORRECTION FOR SHOULDER ARTHROPLASTY

DePuy Synthes Products, I...

1. A kit for implanting a glenoid component comprising:
a retroversion glenoid component including a generally flat and circular glenoid bone contacting surface defining a first
plane, a first offset peg extending away from the glenoid bone contacting surface, a concave articulating surface, an upper
surface extending about the concave articulating surface and generally opposite to the glenoid bone contacting surface, the
upper surface having an upper edge defining a second plane, the second plane not parallel to the first plane; and

a drill guide configured to guide a drill in forming a bore in a scapula to receive the first offset peg.

US Pat. No. 9,173,662

CUSTOMIZED PATIENT-SPECIFIC TIBIAL CUTTING BLOCKS

DePuy Synthes Products, I...

15. A customized patient-specific tibial cutting block, comprising:
a body having a bone-facing surface that has a customized patient-specific negative contour configured to receive (i) a portion
of an anterior side of a patient's tibia that has a corresponding positive contour, and (ii) a portion of a medial side of
the patient's tibia that has a corresponding positive contour such that, when viewed superiorly, an angle greater than zero
is defined between a vertically-extending, bisecting plane of the body and a bisecting sagittal plane of the patient's tibia
when the portions of the patient's tibia are received in the customized patient-specific negative contour of the body,

a cutting guide coupled to the body, the cutting guide having a cutting slot that has a longitudinal axis that defines a substantially
perpendicular angle with the bisecting sagittal plane of the patient's tibia when the portions of the patient's tibia are
received in the customized patient-specific negative contour of the body, and

at least one tab extending posteriorly from the body, the at least one tab having a bone-facing surface having a customized
patient-specific negative contour configured to receive a portion of the proximal side of the patient's tibia that has a corresponding
positive contour.

US Pat. No. 9,089,439

INTERVERTEBRAL IMPLANT

DePuy Synthes Products, I...

1. An intervertebral implant sized to be implanted between a lower endplate of an upper vertebra and an upper endplate of
an adjacent lower vertebra, the implant comprising:
(a) an upper closing plate having an external surface configured to contact the lower endplate of the upper vertebra and an
opposing inner surface;

(b) a lower closing plate having an external surface configured to contact the upper endplate of the lower vertebra and an
opposing inner surface;

(c) a top cover plate joined to the upper closing plate, the top cover plate including a top, outer surface and an opposing
bottom, inner surface, wherein the outer surface of the top cover plate faces the inner surface of the upper closing plate;

(d) a bottom cover plate joined to the lower closing plate, the bottom cover plate including a bottom, outer surface and an
opposing top, inner surface, wherein the outer surface of the bottom cover plate faces the inner surface of the lower closing
plate;

(e) a deformable body located between the top and bottom cover plates having a first side wall located between the inner surfaces
of the bottom and top cover plates, wherein the deformable body is a separate part from the top cover plate and the bottom
cover plate; and

(f) a continuous, uninterrupted fiber wound along a fiber path that extends sequentially (1) from beneath the inner surface
of the top cover plate and (2) over a portion of the outer surface of the top cover plate between the inner surface of the
upper closing plate and the outer surface of the top cover plate and (3) back past the inner surface of the top cover plate
and (4) traversing the first side wall and (5) past the inner surface of the bottom cover plate and (6) over a portion of
the outer surface of the bottom cover plate between the inner surface of the lower closing plate and the outer surface of
the bottom cover plate and (7) back past the inner surface of the bottom cover plate and (8) traversing the first side wall
and again (9) passing from beneath the inner surface of the top cover plate and (10) over a portion of the outer surface of
the top cover plate between the inner surface of the upper closing plate and the outer surface of the top cover plate and
(11) back past the inner surface of the top cover plate;

wherein the continuous, uninterrupted fiber is located entirely between the inner surfaces of the upper and lower closing
plates.

US Pat. No. 9,084,685

FEMORAL PROSTHESIS WITH INSERTION/EXTRACTION FEATURE

DePuy Synthes Products, I...

1. A femoral prosthesis system, comprising:
a femoral prosthesis including
a femoral stem with a proximal end portion defining a proximal stem axis,
a neck portion located proximally of the proximal end portion, and
an insertion/extraction cavity extending distally from a proximal surface of the neck portion, the cavity defining an insertion/extraction
cavity axis which, when projected onto a coronal plane including the proximal stem axis, is not parallel with the proximal
stem axis; and

an insertion/extraction instrument including
a distal end portion configured to couple with the insertion/extraction cavity, and
a shaft defining an impact axis and configured such that the impact axis is parallel with the insertion/extraction cavity
axis when the insertion/extraction instrument is coupled with the femoral prosthesis, wherein the impact axis is aligned with
the insertion/extraction cavity axis when the insertion/extraction instrument is coupled with the femoral prosthesis.

US Pat. No. 9,078,717

SCREW WITH VARIABLE DIAMETER CANNULATION AND DRIVER

DePuy Synthes Products, I...

1. A bone fixation screw extending along a longitudinal axis, the bone fixation screw comprising:
a screw head defining a slot configured to engage a driver, the slot defining a slot cross-sectional dimension in a direction
transverse to the longitudinal axis, the screw head further defining a proximal end of the bone fixation screw; and

a threaded shaft that defines a distal screw tip that is distal to the screw head, the distal screw tip defining a distal
end of the bone fixation screw; and the bone fixation screw defining an opening extending longitudinally through the screw
head and at least into the threaded shaft, wherein the slot extends from the proximal end and opens directly into a first
portion of the opening having a first cross-sectional dimension in a direction transverse to the longitudinal axis, a second
portion of the opening having a second cross-sectional dimension in a direction transverse to the longitudinal axis is disposed
distal of the first portion, and a transition portion tapers radially outward from the first portion to the second portion,
wherein the threaded shaft completely encircles the transition portion along a direction parallel to the longitudinal axis,
and wherein the second cross-sectional dimension is greater than the first cross-sectional dimension, and the slot cross-sectional
dimension is greater than the first cross-sectional dimension, the second portion is sized to receive a driver abutment that
is inserted distally through the first portion into the second portion, and the first cross-sectional dimension is less than
a cross-sectional dimension of the driver abutment when the driver abutment is disposed in the second portion.

US Pat. No. 9,061,089

BIOCOMPATIBLE, BIODEGRADABLE POLYURETHANE MATERIALS WITH CONTROLLED HYDROPHOBIC TO HYDROPHILIC RATIO

DePuy Synthes Products, I...

1. A biocompatible, biodegradable material comprising a segmented linear aliphatic polyurethane material and creatine, wherein
said aliphatic polyurethane material comprises:
A) at least two biocompatible polyols, (i) susceptible to hydrolytic and/or enzymatic degradation and (ii) having a molecular
weight of 100 to 20,000 daltons and a number of active hydroxyl groups per molecule of at least two or higher, wherein at
least one of said polyols is hydrophobic, and said hydrophobic polyol is a poly (?-caprolactone) diol;

B) 1,6-hexamethylene diisocyanate;
C) 1,4-butane diol and, optionally, one or more additional low molecular weight chain extenders having (i) a molecular weight
of 18 to 1000 daltons and (ii) the functionality of at least two or higher; and

D) cyclohexane dimethanol dimethacrylate, and optionally one or more additional hydroxyacrylates;
wherein the biocompatible, biodegradable material is in the form of a solid having a nonporous structure, or in the form of
a liquid that when solidified, produces a nonporous structure.

US Pat. No. 9,050,147

SYSTEM AND METHODS FOR MINIMALLY INVASIVE SPINE SURGERY

DePuy Synthes Products, I...

1. A surgical instrument for securing a spinal fixation rod with a first and a second spinal fixation device, the surgical
instrument comprising:
a driver configured to apply torque to a locking cap of the first spinal fixation device, so as to lock the locking cap against
the spinal fixation rod, the driver defining a longitudinal axis, a proximal end, and a distal end opposite the proximal end
along the longitudinal axis, such that the driver is elongate along the longitudinal axis, the driver also comprising a driver
shaft located between the proximal end and the distal end;

the driver shaft located within and extending through a tubular sleeve such that: (i) the shaft of the driver is rotatable
with respect to the sleeve about the longitudinal axis and (ii) the sleeve is prevented from translating along the longitudinal
axis of the driver; and

an actuator comprising (1) a distal end that is configured to fit over the spinal fixation rod, (2) a proximal end opposite
the distal end, (3) a proximal body portion located distally of the proximal end, (4) a distal body portion located proximally
of the distal end, and (5) an intermediate body portion located between the proximal body portion and the distal body portion,
wherein the intermediate body portion defines a recess sized to receive the shaft of the driver such that the shaft of the
driver extends through the recess;

wherein the distal end, proximal end, proximal body portion, distal body portion, and intermediate body portion of the actuator
are integrally formed together, and

wherein the actuator pivots, translates, and rotates about shaft of the driver.

US Pat. No. 10,105,230

SELF-CENTERING, ANTI-SEIZING ACETABULAR LINER

DEPUY SYNTHES PRODUCTS, I...

1. A kit for use in arthroplasty comprising:an acetabular shell which has (i) an inner surface, (ii) an outer surface, and (iii) a shell locking section, and
an acetabular liner adapted to be inserted into the acetabular shell, the acetabular liner including (i) an inner bearing surface, (ii) an outer bearing surface, and (iii) a peripheral rim extending between the inner bearing surface and the outer bearing surface, wherein the inner bearing surface is generally concave and adapted to engage a femoral head, and the outer bearing surface is generally convex and adapted to engage the inner surface of the acetabular shell,
wherein the outer bearing surface of the acetabular liner includes a liner locking section extending from the peripheral rim, a composite-curved section extending from the liner locking section at a first transition point, and a curved dome section extending from the composite-curved section, wherein at the first transition point, the composite-curved section is tangential to the liner locking section;
wherein the composite-curved section includes a curved radial portion having a radius and a curved tangential portion having a radius, wherein the curved radial portion extends from the liner locking section at the first transition point, and wherein the curved tangential portion extends tangentially from the curved radial portion at a second transition point;
wherein the radius of the curved tangential portion is different from the radius of the curved radial portion;
wherein the dome section extends from the composite-curved section at a third transition point, and the dome section is tangential to the composite-curved section at the third transition point;
wherein the shell locking section and the liner locking section are self-locking tapers, and wherein the shell locking section is configured to mate with the liner locking section,
wherein there is continuity between the liner locking section and the curved radial portion, and continuity between the curved tangential portion and the dome section, so that no edge, corner, or sharp point exists on the entire outer surface of the acetabular liner, and
wherein the structure of the outer bearing surface of the acetabular liner is configured to prevent the occurrence of a cross-locked taper junction when inserted into an acetabular shell.

US Pat. No. 9,808,232

DILATION SYSTEM

DePuy Synthes Products, I...

1. A dilation system, comprising:
a first dilator having an outer surface, a proximal end, a tapered distal end, and a bore extending from the proximal end
to the tapered distal end, the first dilator having a first guide and a second guide formed on the proximal end thereof, the
bore sized to receive a stimulating probe;

a second dilator having a proximal end, a tapered distal end, an intermediate section positioned between the proximal end
of the second dilator and the tapered distal end of the second dilator, and a generally C-shaped transverse cross section
with an outer surface and an inner surface, the inner surface of the second dilator at the tapered distal end of the second
dilator being sized and configured to be matingly received over the outer surface of the first dilator at the tapered distal
end of the first dilator, the inner surface of the second dilator being configured along at least a portion of the intermediate
section of the second dilator to be laterally inserted into engagement with the first guide of the first dilator, and the
inner surface of the second dilator being configured along the proximal end of the second dilator to engage with the first
guide of the first dilator in a way that the second dilator is slidably retained on the first dilator as the second dilator
is slid along the first dilator from the proximal end of the first dilator toward the distal end of the first dilator; and

a third dilator having a proximal end, a tapered distal end, an intermediate section positioned between the proximal end of
the third dilator and the tapered distal end of the third dilator, and generally C-shaped transverse cross section with an
outer surface and an inner surface, the inner surface of the third dilator at the tapered distal end of the third dilator
being sized and configured to be matingly received over the outer surface of the first dilator at the tapered distal end of
the first dilator, the inner surface of the third dilator being configured along at least a portion of the intermediate section
of the third dilator to be laterally inserted into engagement with the second guide of the first dilator, and the inner surface
of the third dilator being configured along the proximal end of the third dilator to engage with the second guide of the first
dilator in a way that the third dilator is slidably retained on the first dilator as the third dilator is slid along the first
dilator from the proximal end of the first dilator toward the distal end of the first dilator.

US Pat. No. 9,681,879

SURGICAL DRILL INSTRUMENT WITH MOTOR AND LOCKING MECHANISM TO RECEIVE AN ATTACHMENT AND A CUTTING BURR

DePuy Synthes Products, I...

1. A surgical drill, comprising:
a cutting burr including a shank defining a first six-sided portion and a second six-sided portion,
a spindle rotatable about a central axis, the spindle defining a cylindrical main body, the main body including a reduced
diameter portion, opposing flattened portions defining bearing surfaces extending parallel to the central axis, and a conical
shaped portion between the reduced diameter portion and the opposing flattened portions, the spindle further defining a keyed
slot adapted to receive the first six-sided portion of the cutting burr;

a locking mechanism-releasably mounted to the spindle and comprising a plurality of concentrically disposed sleeves;
a detent pawl that contacts the second six-sided portion of the cutting burr at a predetermined force such that the cutting
burr is movable in an axial direction while retaining the cutting burr within the surgical drill when the locking mechanism
is in a loading position;

a locking pawl pivotally attached to the spindle and having an engagement end adapted to engage adjacent surfaces of the second
six-sided portion of the cutting burr received within the locking mechanism when the locking mechanism is in a running position;
and

a motor for driving the spindle and the locking mechanism,
wherein the spindle includes a first and second aperture extending through the spindle at a location adjacent the opposing
flattened portions, the first and second apertures sized and b configured to allow the detent and locking pawls to extend
into the spindle and engage the cutting burr.

US Pat. No. 9,408,713

FLEXIBLE VERTEBRAL SPACER

DePuy Synthes Products, I...

1. A method for positioning a flexible interbody spacer into a intervertebral disc space between adjacent vertebrae using
a non-linear approach, the method comprising the steps of:
positioning a guide rail instrument that defines a track such that both: 1) a distal end of a guide rail body of the guide
rail instrument faces a vertebra adjacent to the intervertebral disc space, and 2) an end of the track faces the intervertebral
disc space;

engaging an engagement member of the guide rail instrument with an exterior surface of the vertebra adjacent to the intervertebral
disc space, such that the engagement member both: 1) is secured relative to the vertebra adjacent to the intervertebral disc
space, and 2) extends beyond both the distal end of the guide rail body and the end of the track with respect to a direction;

slidably engaging a flexible interbody spacer with the guide rail instrument;
moving the flexible interbody spacer in the direction and along a non-linear insertion path guided by the guide rail instrument
to the intervertebral disc space;

placing the flexible interbody spacer in the intervertebral disc space; and
disengaging the engagement member from the vertebra adjacent to the intervertebral disc space.

US Pat. No. 9,402,535

NEURAL TISSUE RETRACTION AND PRESERVATION DEVICE

DePuy Synthes Products, I...

1. A neural tissue retractor comprising:
a) first and second legs, each leg having an inner portion, an outer portion, an inner surface and an outer surface,
b) a curved intermediate section connecting the inner portions of the first and second legs to provide compression and expansion,
c) first and second feet respectively extending outward from the outer portions of the first and second legs, wherein the
feet extend away from each other,

d) a retractor shield connected to the curved intermediate section,wherein the first foot extends outwardly with respect to the inner and outer portions of the first leg,wherein the second foot extends outwardly with respect to the inner and outer portions of the second leg,wherein the first foot extends outwardly with respect to the inner and outer surfaces of the first leg,wherein the second foot extends outwardly with respect to the inner and outer surfaces of the second leg, andwherein the retractor shield contacts only the curved intermediate section.

US Pat. No. 9,393,129

BELLOWS-LIKE EXPANDABLE INTERBODY FUSION CAGE

DePuy Synthes Products, I...

1. An intervertebral fusion device for fusing an intervertebral disc space, comprising:
a) a tube having a distal end portion, an intermediate portion, a proximal end portion, and a longitudinal axis, the intermediate
portion comprising a plurality of pleats arranged substantially perpendicular to the longitudinal axis when in a radially
collapsed configuration,

b) a first cable disposed within the tube and,
c) a second cable disposed outside the tube and fixed to the distal end portion of the tube,
wherein tensioning of the second cable causes the tube to curve;
wherein the first cable is fixed to the distal end portion of the tube and runs through the tube so that the first cable extends
past the proximal end portion of the tube in a direction of the longitudinal axis,

wherein the tube has the radially collapsed configuration when the first cable is relaxed and a radially expanded configuration
when the first cable is tensioned,

wherein the second cable is configured to be fixed to the proximal end portion of the tube when the second cable is tensioned,
wherein the tube forms a plurality of rings in its expanded configuration, wherein at least one ring located in the intermediate
portion of the tube comprises a plurality of teeth.

US Pat. No. 9,320,619

SIZING INSTRUMENT AND PUNCH FOR USE IN A SURGICAL PROCEDURE TO IMPLANT A STEMLESS HUMERAL COMPONENT

DePuy Synthes Products, I...

1. A surgical instrument assembly for use during a surgical procedure to implant a stemless humeral component to replace the
humeral head of a patient's humerus, comprising:
a surgical punch configured to punch holes in the patient's humerus to receive a number of legs of the stemless humeral component,
the surgical punch comprising a number of tines,

a sizing instrument having a generally dome-shaped round body having a flattened upper surface and a planar opposite, lower
surface, with a number of punch guide holes formed therein, and an elongated drill guide bore extending through a center of
the sizing instrument from the upper surface to the lower surface, and

a trial head component, comprising:
(i) a generally hemispherically-shaped trial bearing surface, (ii) an underside surface opposite the trial bearing surface,
and (iii) a center lug extending laterally away from the underside surface,

wherein each of the punch guide holes is positioned in a location that aligns with one of the tines of the surgical punch,
wherein each of the tines of the surgical punch is generally T-shaped when viewed in a cross-section extending orthogonal
to a longitudinal axis of the tine, and

wherein the center lug is configured to be frictionally secured to the sizing instrument when the center lug is inserted into
the drill guide bore.

US Pat. No. 9,308,090

COATING FOR A TITANIUM ALLOY SUBSTRATE

DePuy Synthes Products, I...

1. A surgical implant comprising:
a metallic substrate;
a tantalum interlayer disposed adjacent to the metallic substrate and comprising ?-tantalum and amorphous tantalum;
at least one diamond like carbon (“DLC”) layer disposed adjacent the tantalum interlayer;
wherein the tantalum interlayer has a phase gradient from ?-tantalum to ?-tantalum or from amorphous tantalum to ?-tantalum
between a metallic substrate side and a DLC side;

wherein the DLC layer has a hardness value and an elastic modulus value; and wherein the hardness value has a gradient increasing
away from the tantalum side; and wherein the elastic modulus value has a gradient increasing away from the tantalum side.

US Pat. No. 9,254,126

NON-RIGID SURGICAL RETRACTOR

DEPUY SYNTHES PRODUCTS, I...

1. A method of providing access to a surgical site in a patient, the method comprising:
preparing the incision prior to attaching an anchor;
wherein the step of preparing the incision comprises the steps of:
inserting a guide into the incision;
sweeping back muscle and tissue from the surgical site; and
finding a target for attaching a flexible strap formed of a biocompatible material;
attaching a bone anchor on a distal end of the flexible strap formed of the biocompatible material to a bone in the surgical
site at the target through an incision wherein the bone is a vertebra of a spine and the surgical site is a spinal column
of the patient;

pulling a proximal end of the flexible strap out of the incision to retract tissue in the incision;
placing an anchoring ring externally over the incision, the anchoring ring having a central opening for surrounding the incision
site and anchoring portions distributed on the periphery of the ring for receiving the proximal ends of the flexible strap;
and

securing the proximal end of the flexible strap in an anchoring portion distributed on the periphery of the ring.

US Pat. No. 9,226,745

METHOD AND APPARATUS FOR GUIDING A SUTURE THREAD

DePuy Synthes Products, I...

1. A suture device configured to guide a suture thread, the suture device comprising:
a sleeve including a sleeve body that defines a proximal end, a distal end spaced from the proximal end along a central axis
in a distal direction, and a sleeve length that extends from the proximal end to the distal end, the sleeve defining an opening
extending along the central axis between the proximal end and the distal end; and

a plunger including a plunger body that extends along the central axis when the plunger is disposed in the opening of the
sleeve, the plunger body defining a plunger proximal end, a plunger distal end spaced from the plunger proximal end along
the central axis, and a plunger length that extends from the plunger proximal end to the plunger distal end, the plunger length
being greater than the sleeve length, the plunger body defining a channel that extends from the plunger body proximal end
to the plunger body distal end, wherein the plunger defines a clamp, the clamp including a pair of surfaces that are configured
to capture the suture thread so as to releasably attach the suture thread to the plunger, and wherein when the plunger is
slidably disposed in the opening of the sleeve, the plunger is movable in the distal direction from a first retracted position
in which a distal portion of the suture thread is located in the suture device to a second advanced position in which the
distal portion of the suture thread extends out of the suture device.

US Pat. No. 9,204,911

ANCHOR-IN-ANCHOR SYSTEM FOR USE IN BONE FIXATION

DePuy Synthes Products, I...

1. A method of securing first and second bone anchors to an intramedullary nail, the method comprising the steps of:
inserting the first bone anchor into a bone along a central longitudinal axis, the first bone anchor having a head and a shaft
that extends from the head along the central longitudinal axis, and further inserting the first bone anchor into an aperture
that extends through the intramedullary nail while the intramedullary nail is disposed in a medullary canal of the bone; and

inserting the second bone anchor into a bore that extends through the head of the first bone anchor along a central bore axis
of the bore, wherein the central bore axis is angularly offset with respect to the central longitudinal axis, and further
inserting the second bone anchor into the bone.

US Pat. No. 9,131,966

VERTEBRAL MANIPULATION ASSEMBLY

DePuy Synthes Products, I...

1. A vertebral manipulation instrument comprising:
a connecting rod that is elongate along a longitudinal direction, the connecting rod defining a first plurality of adjustment
locations and a second plurality of adjustment locations;

a first arm supported by the connecting rod and oriented substantially transverse to the connecting rod, the first arm configured
to engage a first bone fixation member;

a second arm supported by the connecting rod and oriented substantially transverse to the connecting rod, the second arm configured
to engage a second bone fixation member,

a coarse adjustment assembly that is configured to be actuated so as to move the first arm from a first one of the first plurality
of adjustment locations to a second one of the first plurality of adjustment locations that is disposed adjacent the first
one of the first plurality of adjustment locations, and lock the first arm with respect to movement from the second one of
the first plurality of adjustment locations, the first one of the first plurality of adjustment locations spaced a first distance
from the second one of the adjustment locations along the longitudinal direction; and

a fine adjustment assembly that is configured to be actuated so as to move the second arm from a first one of the second plurality
of adjustment locations to a second one of the second plurality of adjustment locations that is spaced a second distance from
the first one of the second plurality of adjustment locations a second distance along the longitudinal direction, the second
distance less than the first distance.

US Pat. No. 9,119,639

ARTICULATED CAVITY CREATOR

DePuy Synthes Products, I...

1. An articulated tip assembly for creating a cavity in a body, the articulated tip assembly comprising:
an enclosure having a proximal end and a distal end, the enclosure adapted to change shape;
a shaft coupler coupled to the proximal end of the enclosure;
a plurality of interconnecting curving elements enclosed within the enclosure and movably coupled to the shaft coupler, each
of the plurality of interconnecting curving elements includes a first channel;

a tip having:
a body portion coupled to the distal end of the enclosure and coupled to the plurality of interconnecting curving elements,
a proximal end of the body including a partially-cylindrical convex male portion for operatively coupling with a corresponding
partially-cylindrical concave female portion of an adjacent interconnecting curving element;

a head at a distal end of the body portion, the head defining a diameter greater than a diameter of the body portion, wherein
the head continuously tapers from the distal end of the body portion to a distal edge of the head, the distal edge located
at an end of the head opposite the distal end of the body portion;

a first channel extending from the body portion into a bore provided in the head, the bore passing through the head from an
opening in the partially-cylindrical convex male portion to an opening in a distal end of the head; and

a second channel extending from the body into a second bore provided in the head, the second channel including an upper surface,
a portion of the upper surface defines a sloped surface extending in a direction away from a centerline of the channel,

and
an off-center cable fixedly coupled to the tip and passing through the first channel provided in each of the plurality of
interconnecting curving elements and the first channel provided in the body of the tip and into the bore provided in the head
of the tip, wherein a force applied to the off-center cable causes the plurality of interconnecting curving elements to approximate
a curved shape.

US Pat. No. 9,095,452

DISASSEMBLY TOOL

DEPUY SYNTHES PRODUCTS, I...

1. A disassembly tool for disassembly of a first component of a prosthesis to a second component of the prosthesis for use
in joint arthroplasty, the tool comprising:
a first member having a radial portion operably associated with the first component and adapted to exert a radial force on
the first component;

a second member operably associated with the second component, the second member having a second member longitudinal axis;
and

a drive mechanism coupled to the second member, such that as the drive mechanism is activated, the second member exerts a
force against the second component in the direction of the longitudinal axis, wherein such exertion of force against the second
member further causes the second member to move relative to the first member along the second member longitudinal axis

wherein the first member has a distal end and further includes a sleeve having a tapered distal portion and an expansion member
at the distal end of the first member, the expansion member including a cylindrical inner wall, wherein the tapered distal
portion of the sleeve engages the cylindrical inner wall, such that the expansion member engages a recess of the first component
and expand into the recess of the first component.

US Pat. No. 9,084,682

INTERVERTEBRAL IMPLANT, INSERTION TOOL AND METHOD OF INSERTING SAME

DePuy Synthes Products, I...

1. A method of inserting an intervertebral implant into an intervertebral disc space defined between a first vertebra and
a second vertebra, the method comprising the steps of:
inserting an arm of an implant insertion instrument into a recess of the intervertebral implant by moving the implant insertion
instrument relative to the intervertebral implant in an insertion direction, the recess being at least partially defined by
first and second side walls of a keel of the intervertebral implant;

advancing the implant insertion instrument so as to insert the intervertebral implant into the intervertebral disc space until
an upper surface of the intervertebral implant faces the first vertebra, a lower surface of the intervertebral implant that
is opposite the upper surface faces the second vertebra, and the keel is positioned within a cutout defined by one of the
first and second vertebrae; and

removing the arm of the implant insertion instrument from the recess of the intervertebral implant by moving the implant insertion
instrument relative to the intervertebral implant in a direction opposite the insertion direction while the intervertebral
implant remains in the intervertebral disc space.

US Pat. No. 9,060,871

TOTAL DISC REPLACEMENT DEVICE

DePuy Synthes Products, I...

1. An intervertebral implant for implantation between an upper vertebra and a lower vertebra, the intervertebral implant comprising:
a first member including a top surface configured to face at least a portion of the upper vertebra when the intervertebral
implant is implanted between the upper and lower vertebrae, the first member further including a bottom surface and a first
peripheral edge;

a second member having a top surface spaced from the bottom surface of the first member in a first direction, the second member
further including a bottom surface and a second peripheral edge, the bottom surface configured to face at least a portion
of the lower vertebra when the intervertebral implant is implanted between the upper and lower vertebrae; and

a single, continuous elastomeric material disposed between said bottom surface of said first member and said top surface of
said second member,

wherein one of said bottom surface of said first member and said top surface of said second member is provided with a first
constraint, and the other of said bottom surface of said first member and said top surface of said second member is provided
with a second constraint and the intervertebral implant is configured to be assembled such that:

a) the first constraint is at least partially surrounded by the second constraint thereby allowing a first maximum amount
of relative movement of the first and second members in a second direction, and a second maximum amount of relative movement
in a third direction that is different than the second direction, the first maximum amount different than the second maximum
amount, and both the second and third direction being transverse to the first direction; and

b) the elastomeric material is disposed between the bottom surface of the first member and the top surface of the second member
both at a first location between the first constraint and the second constraint, and at a second location not between the
first constraint and the second constraint.

US Pat. No. 9,055,975

SURGICAL INSTRUMENT AND METHOD OF POSITIONING AN ACETABULAR PROSTHETIC COMPONENT

DePuy Synthes Products, I...

1. A method of positioning an acetabular prosthetic component in a patient's surgically-prepared acetabulum, the method comprising:
moving a first linkage relative to a base attached to the patient's pelvis to align the first linkage with the patient's vertical
axis such that a longitudinal axis of the first linkage extends parallel to the patient's vertical axis when the patient is
in a standing position,

locking the first linkage in position relative to the base,
securing a second linkage to the first linkage when the patient is in a recumbent position, the second linkage having an alignment
axis corresponding to a desired abduction angle and a desired anteversion angle of the acetabular axis of the acetabular prosthetic
component,

attaching the acetabular prosthetic component to the second linkage such that the acetabular axis of the acetabular prosthetic
component is parallel with the alignment axis of the second linkage, and

advancing the acetabular prosthetic component into the patient's surgically-prepared acetabulum to position the acetabular
prosthetic component in the patient's surgically-prepared acetabulum at the desired abduction angle and the desired anteversion
angle.

US Pat. No. 9,509,917

WIDE DYNAMIC RANGE USING MONOCHROMATIC SENSOR

DePuy Synthes Products, I...

1. A digital imaging method for use with an endoscope in ambient light deficient environments comprising:
illuminating the environment with pulsed electromagnetic radiation;
sensing a plurality of differing exposures of reflected electromagnetic radiation with a pixel array of an image sensor;
receiving image data from said pixel array corresponding to the plurality of differing exposures of reflected electromagnetic
radiation;

creating a plurality of exposed frames from said image data, wherein each exposed frame corresponds to a different exposure;
emitting pulses of electromagnetic radiation during a predefined portion of a frame readout period of the image sensor during
which pulse sensitive pixels are not being read;

creating a single display frame from the plurality of exposed frames; and
creating a stream of images by sequentially combining a plurality of display frames taken using the plurality of differing
exposures to provide increased dynamic range.

US Pat. No. 9,498,294

SYSTEMS AND METHODS FOR TAGGING AND TRACKING SURGICAL DEVICES AND SURGICAL ACCESSORIES USING RADIO FREQUENCY IDENTIFICATION TAGS

DePuy Synthes Products, I...

1. A radio frequency identification (RFID) assembly, comprising:
a thumb grip, comprising:
an annular disc including a proximal surface and a distal surface;
a protrusion extending from the proximal surface; and
a threaded distal portion extending from the distal surface; and
a RFID tag rotatably secured to the threaded distal portion,
wherein the RFID tag is disposed within a casing having a bore extending therethrough,
wherein the threaded distal portion includes a rod extending from a distal end of the threaded distal portion, and
Wherein the rod is disposed within the bore of the casing to rotatably secure the RFID tag to the thumb grip.

US Pat. No. 9,474,912

RED LIGHT IMPLANTS FOR TREATING OSTEOPOROSIS

DEPUY SYNTHES PRODUCTS, I...

1. A method of treating a spine of a patient, comprising the steps of:
a) implanting an implant into a spine, and
b) irradiating a bone in the spine with an effective amount of red light to induce osteointegration around the implant,wherein the light enters the bone via a transmitter located underneath the skin of the patient.

US Pat. No. 9,393,118

IMPLANTS WITH ROUGHENED SURFACES

DEPUY SYNTHES PRODUCTS, I...

1. An implant comprising a metallic matrix, made by a method comprising:
mixing at least one metal powder with extractable particles of salt or sugar, thereby forming a powder mixture in which said
metal powder and extractable particles assume respective positions;

shaping said powder mixture into a shaped object;
compacting said shaped object to form a green body;
exposing said green body to a solvent in which said extractable particles are soluble to remove at least a portion of said
extractable particles thereby forming a green body having a porosity of about 50 to 90%; and

impacting said green body that has been exposed to said solvent with a particulate material for a time and under conditions
effective to displace a portion of said metal powder from said green body, said particulate material being soluble in an aqueous
fluid;

immersing said green body that has been impacted with a particulate material in a bath comprising an aqueous fluid to remove
said particulate material;

sintering said green body having a portion of said metal powder displaced therefrom to form the implant;
wherein at least one surface of the metallic matrix has a roughness that corresponds to a Pa value of at least 50, a roughness
that corresponds to a Pp value of at least 90, a roughness that corresponds to a Pt value of at least 200, or a roughness
that corresponds to a Pq value of at least 60.

US Pat. No. 9,351,738

CUSTOMIZED PATIENT-SPECIFIC ORTHOPAEDIC PIN GUIDES

DEPUY SYNTHES PRODUCTS, I...

1. An orthopaedic surgical instrument system, comprising:
a customized patient-specific femoral pin guide assembly, comprising:
a guide block having a bone-facing surface configured to be positioned into contact with an anterior surface of a femur of
a patient, the bone-facing surface including a patient-specific negative contour shaped to match a corresponding contour of
a patient's femur,

a first removable drill bushing locked in a first hole of the guide block, and
a second removable drill bushing locked in a second hole of the guide block, and
a patient-universal distal cutting block configured to be positioned into contact with the anterior surface of the patient's
femur, the patient-universal distal cutting block having a pair of locating holes, and

wherein a first distance is defined between the first hole and the second hole of the guide block, and
wherein a second distance is defined between the pair of locating holes of the patient-universal distal cutting block, the
second distance matching the first distance.

US Pat. No. 9,326,800

DEVICE FOR THE CEMENT AUGMENTATION OF BONE IMPLANTS

DePuy Synthes Products, I...

1. A device for cement augmentation of the bone implants, the device comprising:
a hollow cylinder including a shell and defining a closed front end configured to be inserted into bone, an opposed open rear
end that includes an inner surface defining a bore hole, and an inner cavity that is in communication with the bore hole,
the shell defining a plurality of perforations that extend through the shell in communication with the inner cavity;

a bone implant having a length so as to define a proximal end and an opposed distal end, the bone implant having an exterior
thread that extends from the distal end toward the proximal end along a portion of the length, the exterior thread of the
bone implant configured to mate with the inner surface of the hollow cylinder to thereby advance the portion of the bone implant
having the exterior thread into the hollow cylinder as the bone implant is rotated with respect to the hollow cylinder; and

unhardened bone cement
wherein (i) the hollow cylinder received the unhardened bone cement in the inner cavity, and (ii) the length of the bone implant
is sufficient to extend within a majority of the cavity such that the distal end of the bone implant presses against the bone
cement as the bone implant advances into the hollow cylinder, and the perforations are sized such that the pressed bone cement
is driven through the perforations, wherein the hollow cylinder has a length and the perforations have a maximum distance
to the front end of the shell that is equal to approximately the length of the hollow cylinder/2.

US Pat. No. 9,314,231

USE OF AN EXPANDABLE STENT AS AN IMPLANT CONDUIT IN THE LATERAL APPROACH TO THE SPINE

DePuy Synthes Products, I...

1. A spinal surgery device, comprising:
an electrified probe having an outer surface b) a mesh stent having an inner surface and an outer surface, an unexpanded condition
and an expanded condition, wherein the inner surface of the stent in its unexpanded condition contacts the outer surface of
the electrified probe,

c) an elongated sheath having a distal end, an inner surface, an outer surface and a throughhole extending from the inner
surface to the outer surface of the sheath, wherein the inner surface of the sheath contacts the outer surface of the stent
in its unexpanded condition.

US Pat. No. 9,277,947

VARIABLE ANGLE BONE FIXATION DEVICE

DEPUY SYNTHES PRODUCTS, I...

8. A bone fixation system, comprising:
a bone screw having a head and a shaft, the head having a proximal end, a distal end spaced from the proximal end in a distal
direction, and an outer surface that extends from the distal end to the proximal end, wherein the outer surface of the head
carries a thread that is sloped in the distal direction as it extends clockwise about the outer surface with respect to a
view in the distal direction, the head further defining a groove that extends into the outer surface along a path that interrupts
the thread, wherein the path is sloped counterclockwise as it extends in the distal direction with respect to the view in
the distal direction, wherein the outer surface of the head is one of carburized and nitrided so that the head has a first
hardness; and

an elongated bone plate that extends along a plate axis and defines a first surface configured to contact bone in an operative
configuration, and a second surface opposite the first surface, the bone plate having a plate hole that extends therethrough
from the first surface to the second surface, the bone plate having a second hardness,

wherein the first and second hardnesses are selected so that a difference therebetween increases a strength of an interface
between the bone screw and the bone plate and avoids burring of the threaded head when the bone screw is inserted through
the plate hole of the bone plate.

US Pat. No. 9,241,742

METHODS AND DEVICES FOR POLYAXIAL SCREW ALIGNMENT

DePuy Synthes Products, I...

1. A polyaxial screw alignment instrument, comprising:
an elongate frame having a longitudinal axis extending therethrough;
a plurality of connection caps slidably disposed along the elongate frame, each connection cap being configured to removably
couple to a polyaxial screw extension tube and to selectively lock relative to the elongate frame such that a distance between
the plurality of connection caps and an angular orientation of each connection cap relative to the elongate frame is maintained;
and

a transverse angle indicator that is coupled to the elongate frame such that the transverse angle indicator can rotate about
the longitudinal axis of the elongate frame to indicate an angular orientation of the elongate frame in a plane transverse
to the longitudinal axis of the elongate frame;

wherein the transverse angle indicator comprises a bubble level coupled to the elongate frame.

US Pat. No. 9,175,386

COATING FOR A COCRMO SUBSTRATE

Depuy Synthes Products, I...

1. A coating for a CoCrMo substrate comprising:
a first layer comprising Ta(CoCrMo)0.5-2.0;

a second layer comprising alpha-tantalum;
a third layer comprising tantalum carbide; and
a fourth layer comprising diamond-like carbon (DLC),
wherein the first layer, second layer, third layer, and fourth layer have a total thickness in the range of 0.5 ?m to 10 ?m,
and

wherein the first layer has a thickness of 1 nm to 5 nm, the second layer has a thickness of 20 nm to 1000 nm, and the third
layer has a thickness of about 0.5 nm to 10 nm.

US Pat. No. 9,168,148

ARTICULATING DISC IMPLANT

DePuy Synthes Products, I...

1. A method of delivering and positioning an intervertebral implant into an intervertebral space between a superior vertebra
and an inferior vertebra, the method comprising:
engaging a first articulating surface of an upper part of the implant with a second articulating surface of a lower part of
the implant, such that the first articulating surface defines a first radius of curvature in a first direction and a second
radius of curvature in a second direction that is perpendicular to the first direction, and the second articulating surface
defining a third radius of curvature in the first direction and a fourth radius of curvature in the second direction;

after the engaging step, inserting the intervertebral implant into the intervertebral disc space along an anterior-posterior
direction such that a first surface of the upper part that is spaced from the first articulating surface engages an endplate
of the superior vertebra, a second surface of the lower part that is spaced from the second articulating surface engages an
endplate of the inferior vertebra, the first and third radii of curvature are substantially equal along the anterior-posterior
direction, and one of the second and fourth radii of curvature varies along a medial-lateral direction that is perpendicular
to the anterior-posterior direction.

US Pat. No. 9,131,945

CUSTOMIZED PATIENT-SPECIFIC REVISION SURGICAL INSTRUMENTS AND METHOD

DEPUY SYNTHES PRODUCTS, I...

1. A method of performing an orthopaedic surgical procedure, the method comprising:
aligning a customized patient-specific guide block with a first prosthetic component implanted in an end of a bone of a patient,
attaching the customized patient-specific guide block to the first prosthetic component in a unique location and orientation
on the end of the bone,

advancing a guide pin through a guide pin hole of the customized patient-specific guide block into the bone when the customized
patient-specific guide block is positioned on the first prosthetic component,

detaching the customized patient-specific guide block from the first prosthetic component and the end of the bone while leaving
the guide pin secured to the bone,

removing the first prosthetic component from the end of the bone,
engaging an alignment block with the guide pin to position a cutting block on the bone, and
resecting the end of the bone using the cutting block to guide the resection.

US Pat. No. 9,107,716

FLEXIBLE MAXILLO-MANDIBULAR FIXATION DEVICE

DePuy Synthes Products, I...

1. A maxillo-mandibular fixation kit comprising:
a first bone fixation body including a first plurality of interconnected links adjacent to each other along a respective first
longitudinal direction between opposed first and second ends of the first bone fixation body, the first plurality of links
defining a plurality of crests and an opposed plurality of valleys configured so that the first bone fixation body has an
undulating shape,

the first bone fixation body including 1) a first plurality of bone attachment locations, each of the first plurality of bone
attachment locations defined at a respective one of the first plurality of valleys, and 2) a first plurality of securement
locations, each of the first plurality of securement locations defined at a respective one of the first plurality of crests,
wherein the links of the first plurality of links are flexible in the longitudinal direction such that a length of the first
bone fixation body defined from the first end to the second end is adjustable along the longitudinal direction; and

a second bone fixation body including a second plurality of interconnected links extending in a respective second longitudinal
direction between opposed first and second ends of the second bone fixation body, the second plurality of links defining a
plurality of crests, a plurality of valleys, a second plurality of bone attachment locations, and a second plurality of securement
locations, wherein the links of the second plurality of links are flexible in the second longitudinal direction;

wherein the first and second pluralities of securement locations are configured to engage with a securement device that fixes
the first bone fixation body with respect to the second bone fixation body.

US Pat. No. 9,101,416

SPINAL ROD APPROXIMATOR

DePuy Synthes Products, I...

1. A tool for seating a spinal rod in a rod-receiving portion of a spinal implant, the tool comprising:
a body having a proximal end and a distal end, the distal end of the body including a first and second flexible branch for
gripping a spinal implant, the flexible branches being spaced-apart a distance to form a first recess, the first recess opening
at an end of the distal end of the body and extending proximally from the end;

an inserter shaft slidably received within the body, the inserter shaft having a distal end adapted to hold a closure mechanism
for the implant, the inserter shaft having a proximal end, a distal end, and a transition zone located between the distal
and proximal end, the transition zone having a diameter larger than the proximal end of the shaft;

a threaded collar, adapted to couple the body and the inserter shaft, wherein the inserter shaft forces a spinal rod into
the rod-receiving portion of the implant; and

an outer sleeve mounted about the distal end of the body and movable between a first position and a second position in which
the outer sleeve surrounds the branches to inhibit separation of the first and second flexible branches, the outer sleeve
including a pair of spaced-apart arms at a distal end of the outer sleeve, the arms of the outer sleeve defining a second
recess, the second recess aligning with the first recess of the distal end of the body when the outer sleeve is in the second
position to accommodate a spinal rod within the first recess and the second recess.

US Pat. No. 9,089,333

STRETCH RESISTANT THERAPEUTIC DEVICE

DEPUY SYNTHES PRODUCTS, I...

1. A stretch resistant therapeutic device for release and deployment within a patient's vasculature, comprising:
a vasoocclusive coil having a proximal end and a distal end, said vasoocclusive coil defining a lumen between said proximal
and distal ends, said vasoocclusive coil including a distal therapeutic portion;

a stretch resistant member extending through said lumen of said vasoocclusive coil, said stretch resistant member having distal
and proximal ends, said stretch resistant member being fixedly attached at the distal end to the distal end of said vasoocclusive
coil, said proximal end of said stretch resistant member including at least one rounded member; and a syringe having a distal
end including a body of constraining material forming a tubular distal tip detachably retaining and forming a tight fluid
seal about said at least one rounded member and about the proximal end of the vasoocclusive coil to capture said at least
one rounded member and the proximal end of the vasoocclusive coil within an inner lumen of the tubular distal tip, and wherein
said syringe is operative to dislodge said at least one rounded member from said body of constraining material to deploy said
vasoocclusive coil within the patient's vasculature.

US Pat. No. 9,055,984

STERNAL RECONSTRUCTION SYSTEM

DePuy Synthes Products, I...

1. A sternal reconstruction system for securing parts of a sternum comprising:
a flexible cable having opposed first and second ends;
an end fitting member attached to the first end of the flexible cable, the end fitting member having a cross-sectional dimension
greater than that of the flexible cable;

a fitting piece having a first end, a second end opposite the first end of the fitting piece, a length measured from the first
end of the fitting piece to the second end of the fitting piece, and a first channel and a second channel each extending substantially
parallel through the fitting piece along an entirety of the length from the first end of the fitting piece to the second end
of the fitting piece; and

a ferrule including a first end and a second end opposite the first end of the ferrule, the ferrule defining a hole that is
sized to receive the flexible cable, the first end of the ferrule defining a first opening of the hole, the second end of
the ferrule defining a second opening of the hole, the ferrule including a sharp edge positioned within the hole, such that
the sharp edge is configured to cut the flexible cable during crimping of the ferrule onto the flexible cable;

wherein the sternal reconstruction system defines an assembled configuration in which: 1) the end fitting member abuts the
first end of the fitting piece at a first location aligned with the first channel, and 2) the ferrule is crimped to the flexible
cable such that the first end of the ferrule abuts the second end of the fitting piece at a second location and the first
opening of the hole faces and overlaps with the second channel.

US Pat. No. 9,943,318

RECIPROCATING RASPS FOR USE IN AN ORTHOPAEDIC SURGICAL PROCEDURE

DEPUY SYNTHES PRODUCTS, I...

1. A method of surgically implanting a glenoid component into a glenoid of a patient, comprising:inserting a guide pin into the glenoid of the patient,
advancing a reciprocating surgical rasp over the guide pin,
reciprocating the surgical rasp so as to abrade bone tissue to form a cavity shaped to receive the glenoid component, and
implanting the glenoid component in the cavity,
wherein the surgical rasp comprises a shaft having a base of a cutting head secured to one end of the shaft and the shaft has an elongated bore formed therein, wherein a perimeter of the base comprises substantially parallel superior and inferior sides and anterior and posterior sides joining the superior and inferior sides, and
wherein advancing the surgical rasp over the guide pin comprises advancing the surgical rasp such that the guide pin is received into the elongated bore.

US Pat. No. 9,855,086

DOUBLE THREADED GUIDANCE OR STIFFENING WIRE FOR MULTIPLE USE VERTEBRAL AUGMENTATION (VA) BALLOON

DePuy Synthes Products, I...

1. A reusable tool, comprising:
a catheter structure having an outer body and an inner body extending within the outer body;
an expandable structure connected at a proximal end to the outer body, the expandable structure having a distal thread at
a distal end of the expandable structure; and

a guidance wire disposed within the inner body, the guidance wire having a second threaded portion adapted to engage the distal
thread; and

a connector connected to the catheter, the connector having an inflation port in fluid communication with the outer body of
the catheter and a rotatable cap coupled to the guidance wire, where rotation of the rotatable cap transfers torque to the
guidance wire to engage the second threaded portion with the distal thread.

US Pat. No. 9,855,088

TORQUE LIMITING INSTRUMENT

DePuy Synthes Products, I...

1. A torque limiting instrument comprising:
a shaft having a driving end;
a displaceable member disposed radially out from the shaft and rotatably fixed to the shaft,
a deformable gasket disposed between the shaft and the displaceable member; and
a cover that extends about the displaceable member such that the displaceable member is disposed between the cover and the
deformable gasket,

wherein the cover is rotatably coupled to the displaceable member until a torque applied to the cover in a first direction
of rotation reaches a predetermined threshold, at which point the cover causes the displaceable member to bias the deformable
gasket to deform a sufficient distance such that the cover becomes rotatably decoupled from the displaceable member in the
first direction of rotation.

US Pat. No. 9,808,255

EMBOLIC COIL DETACHMENT MECHANISM WITH FLEXIBLE DISTAL MEMBER, RESISTIVE ELECTRICAL HEATING ELEMENT AND SHAPE MEMORY POLYMER ELEMENT

DEPUY SYNTHES PRODUCTS, I...

1. A detachment system for delivering embolic coils to a treatment site in a vasculature of a patient, comprising:
an elongated, flexible shape memory polymer tube having a longitudinal axis, a distal portion and a proximal portion, said
elongated, flexible shape memory polymer tube having a tubular wall with an inner wall surface defining an interior lumen
extending through the elongated, flexible shape memory polymer tube between the distal portion and the proximal portion of
the elongated, flexible shape memory polymer tube, the distal portion of the elongated, flexible shape memory polymer tube
having a permanent shape and a temporary shape;

a therapeutic embolic coil releasably mounted to the distal portion of said elongated, flexible shape memory polymer tube,
said embolic coil having a distal end and a proximal end;

a headpiece having a distal portion and a proximal portion, the distal portion of the headpiece being attached to the proximal
end of the embolic coil, and the proximal portion of the headpiece being releasably attached within said distal portion of
said elongated, flexible shape memory polymer tube, said permanent shape having an enlarged diameter configuration with an
inner diameter that is larger than an outer diameter of the headpiece; and

a resistive heating element contained within the interior lumen of the distal portion of the flexible shape memory polymer
tube, and disposed longitudinally along and in immediate contact with the inner wall surface of the tubular wall of the distal
portion of the flexible shape memory polymer tube between the inner wall surface of said tubular wall of said elongated, flexible
shape memory polymer tube and said proximal portion of said headpiece, and wherein said proximal portion of the headpiece
is configured to be releasable from said distal portion of said elongated, flexible shape memory polymer tube by heating of
said distal portion of the elongated, flexible shape memory polymer tube to cause said distal portion of the elongated, flexible
shape memory polymer tube to change from said temporary shape having a reduced diameter configuration to said enlarged diameter
configuration.

US Pat. No. 9,585,769

DRILL GUIDE FOR USE IN A SURGICAL PROCEDURE TO IMPLANT A STEMLESS HUMERAL COMPONENT

DEPUY SYNTHES PRODUCTS, I...

1. A surgical instrument for use during a surgical procedure to implant a stemless humeral component to replace the humeral
head of a patient's humerus, comprising:
a drill guide having a guide body comprising (i) a planar lower surface, (ii) an elongated boss secured to, and extending
downwardly from, the lower surface, and (iii) a stepped upper surface defining a plurality of discrete planar drill-stop surfaces,

wherein (i) each of the drill-stop surfaces of the stepped upper surface is spaced apart from the lower surface by a distance
that is different than each of the other drill-stop surfaces, and (ii) each of the drill-stop surfaces has a number of drill
guide holes formed therein, the drill guide holes extending through the guide body and opening into the lower surface.

US Pat. No. 9,579,215

DISTRACTIBLE INTERVERTEBRAL IMPLANT

DePuy Synthes Products, I...

1. A distractible intervertebral implant configured to be inserted along an insertion direction into an intervertebral space
defined between a first vertebral body and a second vertebral body that is spaced from the first vertebral body along a second
direction perpendicular to the insertion direction, the distractible intervertebral implant comprising:
a first implant body that defines a first inner surface, a first outer surface opposite the first inner surface, a first ramped
surface, and a second ramped surface spaced from the first ramped surface along the insertion direction, the first outer surface
configured to face the first vertebral body when the distractible intervertebral implant is disposed in the intervertebral
space, and the first and second ramped surfaces being angled with respect to the insertion direction, wherein the first implant
body further defines a first bore that extends through the first implant body and that is configured to receive a first fixation
member so as to affix the first implant body to the first vertebral body; and

a second implant body that defines a second inner surface, a second outer surface opposite the second inner surface, a third
ramped surface, and a fourth ramped surface spaced from the third ramped surface along the insertion direction, the second
inner surface and the second outer surface configured to face the first inner surface and the second vertebral body, respectively,
when the distractible intervertebral implant is disposed in the intervertebral space, and the third and fourth ramped surfaces
being angled with respect to the insertion direction, wherein the second implant body further defines a second bore that extends
through the second implant body and that is configured to receive a second fixation member so as to affix the second implant
body to the second vertebral body, and wherein the first implant body defines a first recess configured so as to allow the
second fixation member to pass through the first recess as the second fixation member is inserted into the second bore.

US Pat. No. 9,486,247

ROD ATTACHMENT FOR HEAD TO HEAD CROSS CONNECTOR

DePuy Synthes Products, I...

1. A spinal fixation system, comprising:
a bone anchor having a bone-engaging portion and a spinal fixation element receiving portion with opposed arms extending substantially
parallel to a longitudinal axis that extends from a proximal end to a distal end of the bone anchor and configured to receive
a spinal fixation element therebetween;

a spinal rod having first and second ends; and
a clamp that is matable to the spinal fixation element receiving portion of the bone anchor, the clamp having a first plate
disposed above a second plate, the two plates each having an opening extending therethrough, and the two plates being connected
by a receiving portion that is offset from the opening, the receiving portion being configured to receive the spinal rod therethrough;

wherein the first and second plates are movable toward one another to clamp the spinal rod within the receiving portion.

US Pat. No. 9,439,769

MOBILE BEARING GLENOID PROSTHESIS

DePuy Synthes Products, I...

1. A method of installing a prosthesis assembly, comprising:
installing a base component in a prepared glenoid vault;
selecting a glenoid bearing component including a bearing surface comprising a first articulating portion partially surrounded
by a first rim portion, a second articulating portion partially surrounded by a second rim portion, and a third articulating
portion partially surrounded by a pair of spaced apart third rim portions, wherein the first rim portion, the second rim portion,
and the pair of spaced apart third rim portions define a non-circular shape when projected onto a plane, and the first rim
portion has a first radii of curvature on the plane, the second rim portion has a second radii of curvature on the plane;

axially aligning a plurality of slots in one of the glenoid bearing component and the base component with a plurality of ridges
in the other of the glenoid bearing component and the base component, each of the plurality of slots having a maximum length
which is greater than a maximum length of a respective one of the plurality of ridges;

engaging each of the plurality of ridges with the respective one of the plurality of grooves thereby rotatably coupling the
glenoid bearing component and the base component and limiting axial movement of the glenoid bearing component relative to
the base component; and

placing the bearing surface into articulating contact with a humeral head.

US Pat. No. 9,408,719

INTERVERTEBRAL PROSTHESIS OR DISK PROSTHESIS

DePuy Synthes Products, I...

1. A surgical method, comprising:
inserting an intervertebral implant into a disc space between upper and lower vertebrae; and
delivering a flowable material into a cavity of the implant to cause the flowable material to flow asymmetrically out of the
implant and into the surrounding disc space through openings formed in the implant;

wherein the implant includes:
a first lateral side being substantially straight and having at least one of the openings formed therein, the at least one
opening of the first lateral side having a combined cross-sectional area A1;

a second lateral side being substantially straight and having at least one of the openings formed therein, the at least one
opening of the second lateral side having a combined cross-sectional area A2;

wherein A1 is greater than A2 such that delivering the flowable material comprises delivering a greater amount of flowable material through the at least
one opening of the first lateral side than through the at least one opening of the second lateral side.

US Pat. No. 9,393,046

METHOD AND SYSTEM FOR TRANS-LAMINA SPINAL FIXATION

DePuy Synthes Products, I...

1. A method of providing spinal stabilization, comprising:
positioning a first plurality of fixation assemblies within a first plurality of vertebrae in a trans-lamina orientation such
that a proximal receiving head of each fixation assembly is disposed on a first side of a midline of a patient's spinal column
and a distal end of each fixation assembly is disposed on a second, opposite side of the midline of the patient's spinal column;

positioning a second plurality of fixation assemblies within a second plurality of vertebrae in a trans-lamina orientation
such that a proximal receiving head of each fixation assembly is disposed on the second side of the midline of the patient's
spinal column and a distal end of each fixation assembly is disposed on the first side of the midline of the patient's spinal
column;

positioning a first spinal stabilization element within the proximal receiving heads of the first plurality of fixation assemblies;
and

positioning a second spinal stabilization element within the proximal receiving heads of the second plurality of fixation
assemblies;

wherein the first plurality of vertebrae are distinct from the second plurality of vertebrae and each of the first plurality
of vertebrae is adjacent to one of the second plurality of vertebrae and not adjacent to others of the first plurality of
vertebrae.

US Pat. No. 9,393,064

CAM LOCK

DePuy Synthes Products, I...

1. An aiming device, comprising:
a body extending longitudinally from a first end to a second end and including a first body opening extending laterally therethrough
along a first axis, the first body opening being sized and shaped to receive a device therein, the first end of the body including
a coupling for coupling the body to an implantable device in an aiming configuration in which the first body opening is aligned
with a corresponding first implant opening extending through the implantable device so that a device inserted through the
first body opening in the body will pass along an axis of the first implant opening; and

a lock releasably coupled to the body and movable relative thereto between an unlocked and a locked configuration, the lock
including an engaging portion extending into the first body opening in the locked configuration to engage an outer surface
of a device received therein to lock the device in a desired position within the first body opening.

US Pat. No. 9,387,091

SPINAL FUSION IMPLANT

DePuy Synthes Products, I...

1. A surgical method comprising:
inserting a guide into a space between adjacent vertebrae; and
advancing a cage along the guide, the cage having one or more flexible joints that allow the cage to move between a curved
configuration and a straight configuration;

wherein as the cage is advanced along the guide, the cage conforms to a curved portion of the guide such that the cage moves
from the straight configuration to the curved configuration.

US Pat. No. 9,351,765

SECURING DEVICE TO SECURE FIXATION DEVICES TO BONE PORTIONS

DePuy Synthes Products, I...

10. A method for securing a first bone portion to a second bone portion by way of a fixation device with a securing device
where both bone portions have an upper surface and a lower surface, the method comprising the steps of:
placing the fixation device with respect to the first and second bone portions, such that an elongated section of the fixation
device is disposed between the first bone portion and the second bone portion, a lower member that is connected to the elongated
section is positioned below the lower surfaces of the bone portions, and an upper member that is slidable along the elongated
section is positioned above the upper surfaces of the bone portions;

positioning the securing device onto the elongated section of the fixation device so that a slot defined by a plate of a grip
member receives the elongated section, wherein the slot has a first side surface and an opposite second side surface that
each extend substantially parallel to the elongated section; and

moving first and second handles of the securing device toward each other so as to 1) cause a tensioning member of the securing
device to exert a pulling force on the grip member to cause the plate to rotate to cause the first and second side surfaces
of the plate to rotate in unison so that the grip member that is movably connected to the second handle grips the elongated
section of the fixation device, 2) cause the tensioning member of the securing device to exert a pulling force on the grip
member to slide the grip member and the plate away from the upper surfaces of the bone portions and to create a tension force
in the elongated section, and 3) after the tensioning member has exerted the pulling force, cause a cutting member of the
securing device to cut the elongated section at a point adjacent the upper member of the fixation device, such that the elongated
section extends between the upper member and the lower member.

US Pat. No. 9,320,543

POSTERIOR DYNAMIC STABILIZATION DEVICE HAVING A MOBILE ANCHOR

DePuy Synthes Products, I...

1. A posterior dynamic spinal stabilization system comprising:
a) a rod having a first end and a second end,
b) a mobile anchor having i) a shank and ii) a rod-receiving portion mated to the first end of the rod, wherein the rod-receiving
portion is adapted to translate along the rod and pivot about the shank, the mobile anchor adapted for translation and pivoting
along the rod after implantation,

c) a fixed anchor having i) a shank and ii) a rod-receiving portion locked to the second end of the rod, the fixed anchor
adapted to lock to the second end of the rod after implantation, and

d) a first motion limiting stop positioned on the rod at a location cranial to the mobile anchor,
e) a set screw adapted to seat in the rod-receiving portion of the mobile anchor, the set screw comprising a low friction,
upper bearing surface for bearing upon the rod and reducing wear generation, and

f) lower bearing seated within the rod-receiving portion of the mobile anchor and having a surface adapted for receiving a
rod, the surface possessing a low friction face that reduces wear generation,
wherein the low friction surface of the lower bearing has an arcuate contact surface adapted for contacting the rod.

US Pat. No. 9,265,538

DUAL PIVOT INSTRUMENT FOR REDUCTION OF A FIXATION ELEMENT AND METHOD OF USE

DePuy Synthes Products, I...

9. A method for reducing a spinal fixation element into a bone anchor, comprising:
removably attaching a cap element to a proximal portion of a percutaneous access device having a central axis extending therethrough,
the cap element having a bore with a central axis which is substantially collinear with the central axis of the percutaneous
axis device, the cap element further being pivotally coupled to a distal portion of a first support wherein the first support
is pivotally coupled to an actuator in a scissors-like manner;

removably coupling a driver to the actuator such that the driver extends through the bore of the cap element along the central
axis of the bore and resides at least partially disposed within the percutaneous access device, the driver having a yoke interface
formed on a portion thereof;

positioning a yoke element formed on a distal portion of the actuator above the cap element; and
supplying an actuation force to the actuator to move the yoke towards the cap element such that the yoke contacts the yoke
interface of the driver to cause the driver to slide linearly and along the central axis in a distal direction of the percutaneous
access device thereby reducing a spinal fixation element into a bone anchor.

US Pat. No. 9,241,739

SPINAL STABILIZING AND GUIDING FIXATION SYSTEM

DePuy Synthes Products, I...

1. A system to stabilize and guide the growth of a spinal column having a first vertebra and a second vertebra, the system
comprising:
a cable;
an elongated support member that extends along a longitudinal direction and has an outer surface;
at least one guiding connector having a bone connecting portion and a guiding portion, the bone connecting portion configured
and adapted to firmly secure the guiding connector to the first vertebra and the guiding portion having a bearing element
defining a first passageway having an inner surface and a second passageway having an inner surface, the second passageway
being substantially parallel to the first passageway, each of the first and second passageways being configured to selectively
and individually slidably receive a first portion of the elongated support member, the guiding portion further including a
transverse opening located between the first passageway and the bone connecting portion, the transverse opening configured
to receive the cable, the cable being configured to secure the inner surface of the first passageway to the outer surface
of the first portion of the elongated support member, wherein the bearing element permits relative sliding movement of the
elongated support element in the first passageway; and

at least one bone fixation element having an elongated support member receiving channel configured to receive a second portion
of the elongate support member, the second portion spaced from the first portion along the longitudinal direction, a locking
mechanism and a bone anchoring portion, the bone anchoring portion configured and adapted to firmly secure the bone fixation
element to the second vertebra to provide a firm anchoring point, and the locking mechanism configured and adapted to firmly
secure the second portion of the elongated support member in the channel,

wherein the guiding connector is configured to be moveable along the elongated support member when 1) the at least one guiding
connector is anchored to the first vertebra, 2) the at least one bone fixation element is anchored to the second vertebra,
and 3) the elongated support member is firmly secured in the channel.

US Pat. No. 9,211,153

EXPANSION SCREW BONE TAMP

DePuy Synthes Products, I...

1. A method of augmenting a fractured vertebral body in a patient, comprising the steps of:
a) selecting an expandable sleeve characterized by a collapsed configuration and an expanded configuration, and comprising
a cannulated shaft having a bore, a proximal end, a distal end, a threaded bushing and a plurality of longitudinal slits opening
onto the distal end and forming at least two legs in the cannulated shaft,

b) inserting the expandable sleeve into the fractured vertebral body in its collapsed configuration,
c) expanding the sleeve to its expanded configuration to tamp the fractured vertebral body,
d) rotating the expanded sleeve without simultaneous longitudinal movement of the rotating expanded sleeve so that bone in
a first conical region is tamped,

e) returning the expanded sleeve to its collapsed configuration,
f) removing the sleeve from the vertebral body to leave a cavity having a conical region in the fractured vertebral body,
and

g) filling the cavity with bone cement.

US Pat. No. 9,192,416

INTRAMEDULLARY ROD WITH SPIRALING FLUTES

DePuy Synthes Products, I...

1. A method for treating long bone fractures, comprising:
creating an entry site into a medullary canal of a long bone, the entry site being laterally offset from a longitudinal axis
of the medullary canal;

positioning an intramedullary rod at an opening of the entry site in an initial position relative to the bone, the intramedullary
rod extending along a rod longitudinal axis and including a head and a stem, the stem comprising first, second and third curved
segments, wherein the first and second curved segments curve relative to the rod longitudinal axis in a first plane and the
third curved segment curving relative to the rod longitudinal axis in a second plane, and the rod includes a plurality of
spiral flutes extending along a portion of the stem; and

inserting the intramedullary rod into the medullary canal of the bone by moving the intramedullary rod distally with respect
to the bone, the spiral flutes rotating the intramedullary rod about the rod longitudinal axis as the intramedullary rod is
inserted distally into the bone so that the first and second curved segments conform to the opening of the entry site as the
intramedullary rod is moved from the initial position to a desired final position within the medullary canal.

US Pat. No. 9,168,138

ASPIRATING IMPLANTS AND METHOD OF BONY REGENERATION

DePuy Synthes Products, I...

16. An intervertebral fusion cage, comprising:
a) an upper surface adapted for gripping an upper vertebral body and comprising an upper throughole therethrough,
b) a lower surface adapted for gripping a lower vertebral body and comprising a lower throughole therethrough,
c) a sidewall connecting the upper and lower surfaces and comprising an aspiration port therethrough, and
d) at least one compressible endplate seal disposed about either the upper or lower throughhole,wherein the aspiration port comprises a one-way valve that enables aspiration while preventing subsequent leakage,wherein the seal lines the throughhole.

US Pat. No. 9,138,247

CUSTOMIZED PATIENT-SPECIFIC ORTHOPAEDIC PIN GUIDES

DEPUY SYNTHES PRODUCTS, I...

1. A method of performing an orthopaedic surgical procedure on a femur of a patient, comprising:
assembling a customized patient-specific femoral pin guide assembly by (i) locking a first removable drill bushing into a
first hole of a customized patient-specific femoral pin guide, (ii) locking a second removable drill bushing into a second
hole of the customized patient-specific femoral pin guide, (iii) locking a third removable drill bushing into a third hole
of the customized patient-specific femoral pin guide, and (iv) locking a fourth removable drill bushing into a fourth hole
of the customized patient-specific femoral pin guide,

positioning the assembled customized patient-specific femoral pin guide assembly in contact with the femur of the patient,
inserting a pair of guide pins into the anterior surface of the femur of the patient by (i) advancing a first guide pin of
the pair of guide pins through the first removable drill bushing, and (ii) advancing a second guide pin of the pair of guide
pins through the second removable drill bushing,

drilling a pair of holes into the distal surface of the femur of the patient by (i) advancing a drill bit through the third
removable drill bushing and into the distal surface of the femur of the patient, and (ii) advancing the drill bit through
the fourth removable drill bushing and into the distal surface of the femur of the patient,

removing the customized patient-specific femoral pin guide assembly and the pair of guide pins from the femur of the patient,
positioning a patient-universal distal cutting block into contact with the femur of the patient subsequent to removal of the
pair of guide pins, and

making a distal cut in the femur of the patient with the patient-universal distal cutting block.

US Pat. No. 9,101,413

POP ON SPREADER SYSTEM

DePuy Synthes Products, I...

1. A spreader system comprising:
a first post configured to be coupled to a first bone fixation element that is attached to a first bone part, the first post
including a first post body that is elongate along a first direction and defines a proximal end and a distal end spaced from
the proximal end along the first direction, the first post further including a first socket that extends into the distal end
of the first post body and a first expandable member disposed within the first socket such that as the first socket receives
a head of the first bone fixation element the first expandable member expands to permit the first socket to receive the head,
and after the first socket has received the head the first expandable member contracts to thereby couple the first bone fixation
element to the first post such that the first post is poly-axially pivotable relative to the head of the first bone fixation
element; and

a second post configured to be coupled to a second bone fixation element that is attached to a second bone part,
wherein at least one of the first post and second post is configured to move relative to the other after the first and second
posts have been coupled to the first and second bone fixation elements, respectively.

US Pat. No. 9,060,821

LOCKING AND LAGGING BONE SCREWS

DePuy Synthes Products, I...

1. A locking and lagging bone screw elongate along a central axis, the bone screw comprising:
a head having a first end and a second end opposite the first end along the central axis, the head further having an outer
surface which is at least partially threaded; and

a shaft configured to be coupled to the head, the shaft having a first end that 1) faces the second end of the head when the
shaft is coupled to the head, and 2) is spaced from the second of the head along the central axis when the shaft is coupled
to the head, the shaft further having a second end adapted to be fastened to bone, and the shaft is at least partially threaded,

wherein the head is adapted to rotate independently of the shaft, the head is rotatable by a first driver, the shaft is rotatable
by a second driver, the shaft comprises both a first thread type and a second thread type, and the head comprises a third
thread type.

US Pat. No. 9,055,918

SYSTEM AND METHOD FOR DETERMINING PATIENT FOLLOW-UP SUBSEQUENT TO AN ORTHOPAEDIC PROCEDURE

DePuy Synthes Products, I...

1. A system for monitoring a patient's use of an orthopaedic joint which includes first and second joint prosthesis components,
comprising:
an implantable sensor which, when implanted in a patient, is operable to monitor a number of cycles of use of the orthopaedic
joint,

a processor in communication with the sensor, and
a memory device electrically coupled to the processor, the memory device having stored therein a plurality of instructions
which, when executed by the processor, cause the processor to (i) monitor output from the sensor to determine the number of
cycles of use of the orthopaedic joint, and (ii) to generate a message to the patient indicative of a need to initiate communication
with an orthopaedic care provider if the number of cycles of use of the orthopaedic joint exceeds a predetermined threshold
value,

wherein the implantable sensor comprises a permanent magnet embedded in the first joint prosthesis component and a Hall effect
switch embedded in the second joint prosthesis component, the system further comprising electronics associated with the permanent
magnet and the Hall effect switch that are adapted to determine a number of occasions in which the first and second joint
prosthesis component are in a predetermined position relative to one another.

US Pat. No. 9,808,281

PATIENT-MOUNTED RETRACTION

DePuy Synthes Products, I...

1. A retractor assembly comprising:
a retractor body including a proximal end defined along a first axis and a distal end opposite the proximal end, the proximal
end defining an inner surface that faces the first axis, and an outer surface opposed to the inner surface, wherein at least
a portion of the retractor body is open so as to define a channel, the channel being elongate along the first axis, and the
retractor body further defines at least one flange extending outwardly therefrom between the proximal and distal ends;

an anchor receptacle disposed at the distal end of the retractor body, the anchor receptacle defined along a second axis that
extends through the channel, the anchor receptacle having an anchor receptacle proximal end and an anchor receptacle distal
end that is spaced from the anchor receptacle proximal end along the second axis, wherein the channel is open from the proximal
end of the retractor body toward the anchor receptacle proximal end,

wherein the second axis is offset with respect to the first axis such that 1) an entirety of the proximal end of the retractor
body is offset from the second axis in a direction that is perpendicular to the second axis, and 2) the outer surface of the
proximal end of the retractor body faces the second axis; and

a locking assembly carried by the anchor receptacle, the locking assembly configured to attach to the retractor body and to
a bone anchor that is configured to be driven into an underlying target location of a patient such that the bone anchor is
connectable to the retractor body.

US Pat. No. 9,585,705

BONE FIXATION MEMBER SYSTEMS AND METHODS OF USE

DePuy Synthes Products, I...

1. A bone fixation kit comprising at least one bone fixation member that is configured to compress first and second bone segments
in an approximated position, the at least one bone fixation member comprising:
an elongate strap defining a distal end and a proximal end opposite the distal end, the elongate strap made of at least a
first material and having a plurality of teeth, the elongate strap including a metal insert disposed at the distal end;

a locking head that extends from the proximal end of the strap, the locking head having a housing, a strap receiving slot
that extends through the housing, and a toothed locking member that extends into the strap receiving slot such that when the
strap is inserted through the strap receiving slot in an insertion direction, the toothed locking member engages at least
one of the teeth to prevent the strap from translating through the strap receiving slot in a direction that is opposite the
insertion direction;

a leader portion that extends from the distal end of the strap, wherein the leader portion is made of at least a second material
that is different than the first material, such that the leader portion is more flexible than the strap; and

a needle that extends from the leader portion such that the leader portion is connected between the strap and the needle.

US Pat. No. 9,498,262

MINIMALLY INVASIVE FIXATION SYSTEM

DePuy Synthes Products, I...

47. A minimally invasive fixation system comprising:
a first tissue protection portion configured to be mounted to a first bone anchor, the first tissue protection portion comprising
a first wall having a first proximal portion and a first distal portion, the first wall defining a first axis that extends
along a first direction from the first proximal portion to the first distal portion, the first wall extending around the first
axis to define a first passageway, the first wall defining a perimeter that extends around the first axis, wherein the perimeter
at the first proximal portion extends around the first axis an angular amount less than at the first distal portion, wherein
the first wall comprises a first edge extending helically around the first axis from the first proximal portion toward the
first distal portion;

a second tissue protection portion configured to be mounted to a second bone anchor, the second tissue protection portion
comprising a second wall, the second wall has a second proximal portion and a second distal portion, the second wall defines
a second axis that extends along a second direction from the second proximal portion to the second distal portion, the second
wall extends around the second axis to define a second passageway, and the second proximal portion does not extend as far
around the second axis as the second distal portion.

US Pat. No. 9,445,844

COMPOSITE MATERIAL POSTERIOR DYNAMIC STABILIZATION SPRING ROD

DePuy Synthes Products, I...

1. A posterior dynamic spinal stabilization system, comprising:
a) a rod having a first end portion, an intermediate portion having a substantially helical portion having a centerline, and
a second end portion,

b) a first bone anchor having i) a shank and ii) a rod-receiving portion mated to the first end portion of the rod,
c) a second bone anchor having i) a shank and ii) a rod-receiving portion mated to the second end portion of the rod, wherein
the substantially helical portion of the rod comprises a polymer matrix reinforced with continuous fibers,

wherein substantially all of the fibers are oriented substantially parallel to the centerline of the helical portion, wherein
the rod is modular, and comprises separate intermediate portion and end portions, wherein the intermediate portion comprises
a pair of threaded ends having a threadform, and wherein the threaded ends of the intermediate portion each comprise a polymer
matrix reinforced with continuous fibers, wherein the fibers are oriented substantially parallel to a contour of the threadform.

US Pat. No. 9,433,510

EXPANDABLE INTERVERTEBRAL IMPLANT AND ASSOCIATED METHOD OF MANUFACTURING THE SAME

DePuy Synthes Products, I...

1. An expandable intervertebral implant configured to be implanted into an intervertebral space defined between a superior
vertebra and an inferior vertebra, the expandable intervertebral implant comprising:
a superior bone contacting member that defines a superior portion of a proximal terminal end of the implant and a superior
portion of a distal terminal end of the implant that is opposite the proximal terminal end of the implant along a longitudinal
direction, the superior bone contacting member defining a superior bone facing surface configured to face the superior vertebra
when the implant is disposed in the intervertebral space, the superior bone contacting member including a first superior bone
contacting component, a second superior bone contacting component spaced from the first superior bone contacting component
along a lateral direction that is perpendicular to the longitudinal direction, wherein the superior bone contacting member
defines a superior abutment surface;

a first expandable lateral component interconnected between the first and second superior bone contacting components along
the lateral direction, wherein the first superior bone contacting component defines a first inner surface and a first outer
surface opposite the first inner surface along the lateral direction, the second superior bone contacting component defines
a second inner surface and a second outer surface opposite the second inner surface along the lateral direction, the first
and second inner surfaces face each other, and the first expandable lateral component extends from the first inner surface
to the second inner surface;

an inferior bone contacting member that defines an inferior portion of each of the proximal terminal end and the distal terminal
end, the inferior bone contacting member defining an inferior bone facing surface configured to face the inferior vertebra
when the implant is disposed in the intervertebral space, the inferior bone contacting member spaced from the superior bone
contacting member in a vertical direction that is perpendicular to both the lateral direction and the longitudinal direction,
the inferior bone contacting member including a first inferior bone contacting component, a second inferior bone contacting
component spaced from the first inferior bone contacting component along the lateral direction, wherein the inferior bone
contacting member defines an inferior abutment surface;

a second expandable lateral component interconnected between the first and second inferior bone contacting components along
the lateral direction, wherein the first inferior bone contacting component defines a third inner surface and a third outer
surface opposite the third inner surface along the lateral direction, the second inferior bone contacting component defines
a fourth inner surface and a fourth outer surface opposite the second inner surface along the lateral direction, the third
and fourth inner surfaces face each other, and the second expandable lateral component extends from the third inner surface
to the fourth inner surface; and

at least one expandable vertical component interconnected between the superior and inferior bone contacting members along
the vertical direction, wherein the implant is expandable in situ in both the vertical direction and the lateral direction
from a first insertion configuration to a second expanded configuration, whereby 1) the first expandable lateral component
expands along the lateral direction as respective entireties of the first superior bone contacting component and the second
superior bone contacting component move away from each other along the lateral direction, 2) the second expandable lateral
component expands along the lateral direction as respective entireties of the first inferior bone contacting component and
the second inferior bone contacting component move away from each other along the lateral direction, and 3) the at least one
expandable vertical component expands along the vertical direction as respective entireties of the superior bone contacting
member and the inferior bone contacting member move away from each other along the vertical direction,

wherein when the implant is in the first insertion configuration, the at least one abutment surface of the superior bone contacting
member abuts the at least one abutment surface of the inferior bone contacting member, and when the implant is in the second
expanded configuration, the at least one abutment surface of the superior bone contacting member is spaced from the at least
one abutment surface of the inferior bone contacting member along the vertical direction,

wherein when the implant is in the second expanded configuration, the implant defines 1) a line that extends along the superior
bone facing surface from the first outer surface to the first inner surface a first distance in a plane that is oriented in
the vertical and lateral directions, wherein the plane is disposed midway between the proximal terminal end and the distal
terminal end, 2) a second straight line that extends from the first line at first inner surface to the second inner surface
a second distance in the plane, and 3) a third line that extends along the superior bone facing surface from the second straight
line at second inner surface to the second outer surface a third distance in the plane, such that a sum of the first and third
distances is greater than the second distance, and

wherein when the implant is in the second expanded configuration, the implant further defines 1) a fourth line that extends
from the third outer surface to the third inner surface a fourth distance in the plane, 2) a fifth straight line that extends
from the fourth line at the third inner surface to the fourth inner surface a fourth distance in the plane, and 3) a sixth
line that extends from the fifth straight line at the fourth inner surface to the fourth outer surface a sixth distance in
the plane, such that a sum of the fourth and sixth distances is greater than the fifth distance.

US Pat. No. 9,427,266

BUMP CUT ON HOLE EDGE

DePuy Synthes Products, I...

1. A bone fixation device, comprising:
an elongated body having a first channel extending therethrough from a proximal end to a distal end, the elongated body being
configured and dimensioned for insertion into a bone;

a first opening formed on a first side wall of the body, the first side wall being configured to face a lateral direction
when implanted in a target orientation within the bone;

a second opening formed on a second side wall of the body opposite the first opening;
a second channel extending through the body from the first opening to the second opening along a channel axis, the second
channel dimensioned to permit insertion of an implant therethrough;

a first bump disposed on a periphery of the first opening at a location at which a stress concentration would be at a maximum
if no such first bump were formed, the first bump being dimensioned to diffuse a concentration of stress about the periphery
due to forces applied thereto by an implant extending through the second channel; and

a second bump on the periphery of the first opening, the second bump being dimensioned to diffuse a concentration of stress
about the periphery of the first opening due to forces applied thereto by an implant extending through the second channel,
wherein the second bump is positioned opposite the first bump,

wherein the first bump is defined by first and second milled portions disposed on first and second sides thereof, each of
the first and second milled portions having a radius of curvature selected to diffuse the concentration of stress on the first
apex and the first bump is formed between, and the first bump is formed by creation of the first and second milled potions.

US Pat. No. 9,421,056

BALLOON WITH SHAPE CONTROL FOR SPINAL PROCEDURES

DePuy Synthes Products, I...

1. A surgical method comprising:
inserting into a disc space at least a portion of an assembly comprising an inner elongate member co-axially contained within
a substantially straight outer cannula, wherein the inner elongate member comprises a shape memory material and has a distal
end portion, a proximal end portion, an upper surface, and a lower surface, and wherein the substantially straight outer cannula
has a distal end,

causing the distal end portion of the inner elongate member to distally extend past the distal end of the substantially straight
outer cannula to expose the distal end portion of the inner elongate member, thereby causing the distal end portion of the
inner elongate member to revert to a curved memorized shape, whereby the distal end portion of the inner elongate member substantially
approaches a proximal portion of the inner elongate member, and

delivering a fusion material into the curved memorized shape via a path between the upper and lower surfaces of the inner
elongate member to encourage fusion through the curved memorized shape.

US Pat. No. 9,381,054

SELF HOLDING FEATURE FOR A SCREW

DePuy Synthes Products, I...

1. A bone fixation device comprising:
an elongated body having a proximal end having a head portion and a distal end, the elongated body extending from the proximal
end of the head to a shaft at the distal end along a central longitudinal axis, wherein the head portion has a larger diameter
than the shaft portion and the head portion is adapted to seat against a structure to define a limit to which the shaft may
be inserted through the structure;

a slotted opening extending distally from the proximal end into the head by a predetermined distance, the opening defining
a spring portion on a lateral side thereof, the spring portion being biased toward the central longitudinal axis and configured
to be deflectable away from the central longitudinal axis upon application of a radially expansive force thereto; and

a recess extending distally into the head from the proximal end, the recess being configured and dimensioned to engage a driving
mechanism and to permit the driving mechanism to pivot with respect to the central longitudinal axis of the bone fixation
device without causing pivotal movement of the bone fixation device, wherein the driving mechanism comprises a shaft having
a substantially spherical tip at a distal end thereof, and the substantially spherical tip comprises a plurality of circumferentially
disposed facets.

US Pat. No. 9,375,297

METHOD OF SURGICAL PLANNING

DePuy Synthes Products, I...

1. A method of pre-operatively forming a surgical splint configured to receive a patient's dentition when the patient's skull
is in a post-operative shape, the method comprising:
obtaining a 3-D facial computer model in a computer of at least the patient's maxilla, mandible, and dentition, the 3-D facial
computer model including first virtual dentition, wherein at least a portion of the first virtual dentition has a first virtual
surface geometry that defines at least one first fiduciary marker, the at least one first fiduciary marker defining a first
location that identifies a first anatomical feature of the first virtual dentition;

obtaining a 3-D optical intra-oral scan of the patient's dentition in the computer so as to produce second virtual dentition,
wherein at least a portion of the second virtual dentition has a second surface geometry that defines at least one second
fiduciary marker, the at least one second fiduciary marker defining a second location that identifies a second anatomical
feature of the second virtual dentition;

aligning the first fiduciary marker with the second fiduciary marker;
after the aligning step, replacing the first virtual dentition of the 3-D facial computer model with the second virtual dentition
to form a composite 3-D virtual model, the composite 3-D virtual model having third virtual dentition in a planned post-operative
configuration; and

constructing a surgical splint having a negative impression of at least a portion of the third virtual dentition.

US Pat. No. 9,361,410

SURGICAL GUIDES FROM SCANNED IMPLANT DATA

DePuy Synthes Products, I...

1. A method of making a patient specific surgical guide that is configured to guide a movement of a cutting tool toward a
tissue body, the method comprising:
obtaining a virtual three-dimensional model of a fixation member, the obtained virtual three-dimensional model of the fixation
member having a planned post-operative shape and defining at least one hole that is configured to receive a fastener;

processing the virtual three-dimensional model of the fixation member so as to couple the virtual three-dimensional model
of the fixation member to a first virtual three-dimensional model of the tissue body, the first virtual three-dimensional
model of the tissue body defining a first region, such that a central axis of the at least one hole is substantially aligned
with a first target location of the first region;

creating a virtual three-dimensional model of a guide that defines at least one hole; and
processing the virtual three-dimensional model of the guide so as to couple the virtual three-dimensional model of the guide
to a second virtual three-dimensional model of the tissue body having a second region that is substantially identical to the
first region, such that a central axis of the at least one hole of the virtual three-dimensional model of the guide is substantially
aligned with a second target location of the second virtual three-dimensional model of the tissue body, wherein the second
target location is positioned identically with respect to the first target location relative to the respective first and second
virtual three-dimensional models of the tissue body.

US Pat. No. 9,333,088

INTERVERTEBRAL IMPLANT

DePuy Synthes Products, I...

7. An implant comprising:
an upper endplate defining a first bone facing surface configured to engage an adjacent first vertebral surface, and an inner
surface opposite the first bone facing surface in a transverse direction, the first bone facing surface defining a rear section,
and a front section spaced forward from the rear section in a longitudinal direction which is perpendicular to the transverse
direction;

a lower endplate defining a second bone facing surface configured to engage an adjacent second vertebral surface, wherein
the second bone facing surface is substantially planar and spaced from the first bone facing surface along the transverse
direction, and each of the endplates defines a rear end and a front end spaced forward from the rear end along the longitudinal
direction such that the front end is spaced from the rear end along a direction of insertion into an intervertebral space,
the upper and lower endplates each further defining respective laterally opposed sides extending between the respective front
and rear ends, the respective laterally opposed sides spaced from each other along a lateral direction that is perpendicular
to both the longitudinal direction and the transverse direction;

a first joint member configured to be carried by the upper endplate, the first joint member defining a rounded surface; and
a second joint member configured carried by the lower endplate, the second joint member defining a rounded surface that is
configured to provide an articulating joint with the rounded surface of the first joint member so as to allow for universal
movement between the upper and lower endplates; and

a plurality of bone fixation spikes spaced along the longitudinal direction, the bone fixation spikes projecting out from
the first bone facing surface, wherein

1) each of the plurality of bone fixation spikes defines a footprint at the first bone facing surface from a view in the transverse
direction,

2) each of the plurality of bone fixation spikes individually combines with the upper endplate to define a respective single
cylindrical recess, such that each cylindrical recess is associated with only an individual one of the plurality of bone fixation
spikes, each recess having a circular perimeter that is defined only by the respective individual one of the plurality of
bone fixation spikes and the first bone facing surface, and

3) the circular perimeter has a center that is positioned at the first bone facing surface outside the footprint of the respective
individual one of the plurality of bone fixation spikes.

US Pat. No. 9,289,538

METHOD OF FORMING AND THE RESULTING MEMBRANE COMPOSITION FOR SURGICAL SITE PRESERVATION

DePuy Synthes Products, I...

1. A membrane for securement to a patient's bone or soft tissue to reduce the formation of tissue adhesions following a surgical
procedure comprising a hydrogel including poly(vinyl alcohol) crosslinked to a second polymer, wherein a ratio of the poly(vinyl
alcohol) to the second polymer ranges from about 75:1 to about 200:1, wherein the membrane has a static coefficient of friction
between about one hundredth (0.01) and about one-half (0.5), a kinetic coefficient of friction between about one hundredth
(0.01) and about one-half (0.5), and flexibility of less than thirty millimeters (30 mm) bend length, and wherein the membrane
is formed into a single, planar sheet.

US Pat. No. 9,186,484

GUIDEWIRE INSERTION METHODS AND DEVICES

DePuy Synthes Products, I...

1. A guidewire insertion device, comprising:
an outer sheath having an outer surface and an inner lumen extending therethrough;
a dilator having an inner lumen extending therethrough and being configured to be removably disposable within the outer sheath;
a guidewire configured to extend through the inner lumen of the dilator such that the guidewire is removably and replaceably
disposable within the dilator; and

a collar slidably disposed around the dilator and movable between at least a locked position in which the guidewire is locked
to the dilator such that the guidewire is not movable relative to the dilator and an unlocked position in which the guidewire
is movable relative to the dilator;

wherein the dilator includes first and second arms which are movable such that the arms engage the guidewire when the collar
is in the locked position and such that the arms do not engage the guidewire when the collar is in the unlocked position.