CPC Class B33Y

An implant receiver comprises a body formed by a first manufacturing method, the body including an outer surface and having spaced apart walls defining a cavity configured for disposal of a spinal implant; and at least one layer being formed onto at least a portion of the outer surface by a second manufacturing method. In some embodiments, systems, spinal constructs, surgical instruments and methods are disclosed. In some embodiments, systems, spinal constructs, surgical instruments and methods are disclosed.

Taking an intraoral scan of a patient's mouth with existing implants, creating a digital model of the patient's mouth, digitally designing a denture bar based on the digital mouth model, fabricating a physical bar based on the digital bar model, delivering the physical bar into the patient's mouth, capturing records of the patient's mouth and installed physical bar, producing a physical denture and joining it to the physical bar, and delivering the physical denture and bar into the patient's mouth, all in no more than three dental office visits. The step of digitally designing a denture bar typically includes selecting a cement gap for the abutments based on errors in the digital mouth model resulting from the intraoral scan, as well as designing lateral cement ports into the digital bar model. And the step of fabricating a physical bar typically includes using additive manufacturing such as 3D printing.

An implantable composition, method of making and using the implantable composition is provided. The implantable composition comprising a first set of fibers and a second set of fibers, the first set of fibers manufactured to have a first binding surface, the second set of fibers manufactured to have a second binding surface, the first binding surface of the first set of fibers configured to bind at least at or near the second binding surface of the second set of fibers and the second set of fibers configured to bind at least at or near the first binding surface of the first set of fibers.

A unitarily formed expandable spinal implant for insertion in a disc space between two adjacent vertebrae. The unitarily formed expandable spinal implant is moveable from an unexpanded configuration to an expanded configuration, and can be manufactured by a 3-dimensional printer. The unitarily formed expandable spinal implant includes an upper portion, a lower portion, a proximal wall, a first distal wall portion, a second distal wall portion, and a separator connected by at least one point of attachment to the spinal implant. A separation tool breaks the separator free from the at least one point of attachment, and moves the separator within the implant to force expansion thereof from the unexpanded configuration to the expanded configuration.