Distribution services, namely, distribution of medical, surgical, and biological implants and instruments, including, pedicle screws, transarticular screws, translaminar screws, occipital plates, cervical implants, thoracic screws and plates, bone void fillers, bone matrixes, demineralized bone graft matrixes, amniotic tissue, and amniotic fluid therapy mixtures

Biological orthopedic tissue intended for subsequent implantation; Biological amniotic tissue intended for subsequent implantation