Abstract: In a saw for surgical purposes comprising a saw blade holder movable by a motor and a saw blade fixable in the saw blade holder, to enable insertion and removal of the saw blade without a tool, it is proposed that the saw blade holder comprise an insert guide for the saw blade with a holdback projection, that the saw blade carry a resilient detent projection which in a relaxed position, with the saw blade inserted in the insert guide, engages the holdback projection from behind, and that an actuating element be mounted on the saw blade holder for displacement against the resilient detent projection, the actuating element moving the resilient detent projection, during the insertion, into a tensioned position in which the detent projection is pushable past the holdback projection when the saw blade is pulled out of the saw blade guide.

Abstract: An instrument set 120 and method for preparing a site between adjacent bones for insertion of an implant includes an alignment probe 122 with a head end 124 and a cutter 134 which fits over the alignment probe 122. The alignment probe 122 can be appropriately positioned using imaging techniques and then given a quarter turn in order to anchor the head end 124 in the bones at the appropriate depth and with the appropriate alignment. The cutter 134 is then inserted over the alignment probe 122 in order to sever bone and tissue. After this is accomplished, the head end 124 is given another quarter turn freeing itself from the bone, and then the alignment probe 122 and the cutter 134 are removed with the tissue and bone captured therebetween.

Abstract: An acetabular reamer includes a base, a first set of semi-circular blades attached to the base, and a second set of semi-circular blades also contacting the base, and crossing and intersecting with the first set of blades at right angles thereto. The base preferably includes a circular plate having a hexagonal drive hole in the center thereof and a plurality of slots in the periphery thereof for anchoring the blades. Each semi-circular blade includes a first end having a projection thereon, a second end opposite from said first end and also having a projection thereon, a first edge having serrated cutting teeth thereon, a second edge opposite from said first edge, and a first and second side surface. The cutting edge of the first set of blades includes a plurality of outwardly facing slots which mate with and engage a second set of inwardly facing slots in the second edge of said second blades.

Abstract: A ring blade and drive system, and method of using same, for harvesting bone-tendon-bone ligament grafts having substantially cylindrical bone plugs. The ring blade disclosed is a circular ring having a predetermined arcuate gap formed in its periphery. The drive system includes a blade holder to peripherally hold the ring blade and a fixed-center oscillating mechanism to oscillate the ring blade about its axis within a predetermined arcuate range of motion. The ring blade structure enables the production of a substantially cylindrical bone plug of unlimited length. Harvesting of a bone-tendon-bone ligament graft is facilitated with the ring blade and method disclosed which enables the ring blade to be placed partially around a tendon segment to create bone plugs aligned with the tendon fibers included in the defined tendon segment. The cuts into the bone may be initiated into the bone at either end of the tendon segment from the tendon side through to the exterior of the bone to which the tendon is attached.

Abstract: Improved bone-cutting guides enable a surgeon to better gauge required resection characteristics. A body having an outer surface and an inner surface configured to be positioned against a bone surface to be modified includes one or more openings enabling a bone-cutting tool to be used though the body so as to perform resections beneath the inner surface. To stabilize the bone-cutting tool during the execution of a particular resection, the invention preferably further includes one of more guides which may be temporarily positioned relative to the upper surface of the body. In one embodiment, the outer surface of the body may be shaped to co-act in a joint as part of a trial reduction. For example, the outer surface may be shaped according to a natural proximal tibia, enabling a knee joint reduction to be performed prior to resection.

Abstract: Improved bone cutting guides enable a surgeon to better gauge required resection characteristics. In one embodiment at least a portion of the guide is transparent, thereby enabling the user to optimize cut estimates and to visualize the resection as it is being performed. In another embodiment, at least a portion of the outer surface of the body is shaped to interact with another bone or prosthetic element associated with a joint, thereby enabling the device to function both as a trial and as a cutting guide. In this embodiment as well the guide may be at least partially transparent to improve visualization. Although primarily intended for use in femoral-side knee arthroplasty, the invention is applicable to any procedure which might benefit from improved bone-cutting accuracy.

Abstract: A counter-balanced oscillating surgical saw for use in surgical procedures is described which greatly reduces the vibrations caused when the saw blades contact the patient's anatomy. The reduction of vibration is achieved by the present saw which uses two oscillating blades to counter the kinetic energy typically lost when only one blade is used. The preferred embodiment of the present invention includes at least two cutting blades mounted on at least two actuator blocks. The actuator blocks are preferably mounted on at least two shafts which extend from the top of the saw handle: a pivot shaft and a rotatable shaft which is rotated by an electric motor. At least two eccentric bearings are mounted to the rotatable shaft (one bearing for each actuator block) such that the bearings orbit about the rotatable shaft 180.degree. out-of-phase with respect to one another.

Abstract: A surgical saw blade guide or milling instrument guide comprising a guide body having a guiding surface thereon, and containing a magnet therein which exerts attractive force in a direction toward the guide body for attracting a bone saw blade or milling instrument to the guiding surface. The surgical saw blade guide or milling instrument guide can comprise a plurality of magnets and the magnet or magnets can themselves form part of the guiding surface. Also, a method of cutting a bone comprising the steps of magnetically attracting a surgical bone saw blade or milling instrument to a surgical saw blade guide or milling instrument guide containing a magnet, actuating a bone saw coupled to the bone saw blade or actuating a milling instrument, advancing the bone saw blade or milling instrument into the bone thereby cutting the bone, and detaching the saw blade or milling instrument from the guide.

Abstract: An instrument system and method are disclosed for preparing a distal femur for the implant of a femoral component of a knee prosthesis by the removal of natural bone in the intercondylar area of the distal femur to prepare a femoral notch, including a patella recess, subsequent to establishing distal, anterior and chamfer surfaces at the distal femur. The instrument system includes a femoral notch cutting guide for placement over the distal, anterior and chamfer surfaces of the prepared distal femur, and a femoral notch cutting punch. The femoral notch cutting punch is engaged with a first guideway in the femoral notch cutting guide to remove natural bone from the intercondylar area and establish the patella recess, and subsequently is engaged with a second guideway in the femoral notch cutting guide, transverse to the first guideway, to remove natural bone from the intercondylar area and complete the femoral notch.

Abstract: A saw blade has two portions that are adjustable relative to one another in order to vary the overall length of the saw blade. A hub portion includes a hub adapted to engage a saw. Opposite the hub is an engagement end. A blade portion carries cutting teeth. Opposite the teeth is an engagement end. The engagement end of the blade portion engages the engagement end of the hub portion. The engagement ends carry a releasable lock to hold them in engagement to form a saw blade of a particular length. To change the saw blade length, the lock is released, the engagement ends moved relative to one another, and the lock reengaged. A locking sleeve can be slid to enclose the engagement portions to more securely hold them in engagement.

Abstract: A surgical saw includes a saw assembly for being driven by a powered surgical handpiece and having a pair of parallel, co-planar guide arms, a pair of flexible, endless cutting bands disposed around the guide arms, respectively, and a drive mechanism for driving the cutting bands around the guide arms in a cutting direction. The cutting bands each include a plurality of spaced cutting teeth connected to one another by flexible band segments. The cutting bands are driven by the drive mechanism relative to the guide arms in opposite directions along defined paths to cut anatomical tissue at distal ends of the guide arms. A method of resecting bone includes the steps of driving the cutting bands relative to the guide arms in the cutting direction along the defined paths and inserting the distal ends of the guide arms in the bone to resect the bone along the plane of the guide arms.

Abstract: An osteotomy guide and surgical kit for performing a tibial osteotomy are provided, wherein the osteotomy guide comprises two or more rows of guide holes formed therethrough for attaching the guide onto a pair of guide pins in a predetermined relation to a tibia; a transverse slot, defining a transverse cutting plane; and a plurality of oblique slots angularly offset from the transverse slot, each oblique slot defining an oblique cutting plane. Additional features of the surgical kit include a transverse member adapted to pass through the transverse slot, which can be either a modified saw blade or a separate removable plate, and a locking device on the osteotomy guide for lockably engaging the transverse member and positioning the osteotomy guide at a predetermined location relative to the transverse member. A measurement guide hole is also provided in the same plane as the transverse slot so that accurate measurement of the tibial depth can be accomplished.

Abstract: Improved bone cutting guides enable a surgeon to better gauge required resection characteristics. In one embodiment at least a portion of the guide is transparent, thereby enabling the user to optimize cut estimates and to visualize the resection as it is being performed. In another embodiment, at least a portion of the outer surface of the body is shaped to interact with another bone or prosthetic element associated with a joint, thereby enabling the device to function both as a trial and as a cutting guide. In this embodiment as well the guide may be at least partially transparent to improve visualization. Although primarily intended for use in femorat-side knee arthroplasty, the invention is applicable to any procedure which might benefit from improved bone-cutting accuracy.

Abstract: A powered medical handpiece including an oscillatingly driveable chuck, and a blade fixable on the chuck and oscillating driveable thereby at a small amplitude for cutting. The chuck comprises a platform, a holddown screw having an enlarged head surrounded by a frictionally engaged cup washer and a shank structure threaded down into a central portion of the platform. A set screw limits the extent of unthreading of the screw from the platform. The blade is plate-like and has a forward cutting portion and a rearward mounting portion. The rearward mounting portion comprises a key hole having locking structure at the small diameter end thereof for resisting unthreading of the screw from a tightened position clamping the blade atop the platform. The blade further has drive openings flanking the narrow portion of the key hole for receiving upstanding drive pins and guide pins fixed on the platform.

Abstract: An instrument set 20 and method for preparing a site between adjacent bones for insertion of an implant includes an alignment probe 22 with a head end 24 and a cutter 34 which fits over the alignment probe 22. The alignment probe 22 can be appropriately positioned using imaging techniques and then given a quarter turn in order to anchor the head end 24 in the bones at the appropriate depth and with the appropriate alignment. The cutter 34 is then inserted over the alignment probe 22 in order to sever bone and tissue. After this is accomplished, the head end 24 is given another quarter turn freeing itself from the bone, and then the alignment probe 22 and the cutter 34 are removed with the tissue and bone captured therebetween.

Abstract: The present invention comprises a module for a surgical driver of the type having a handle and a barrel with an axis. The module comprises a releasable attachment mechanism for releasably attaching the module to the surgical driver, a tool mounting mechanism for releasably receiving an orthopedic surgical tool, and a rotational orientation mechanism for orienting the tool mounting mechanism in a plurality of angular positions about an axis of the barrel. The device includes a releasable locking mechanism for releasably locking the rotational orientation mechanism in one of a plurality of discrete angular positions about the axis of the barrel. The releasable locking mechanism has a locking member movable between lock and release positions. A spring biases the locking mechanism toward the lock position. The novel locking mechanism of the present invention may also be used in non-modular devices.

Abstract: A surgical instrument for shaping a patient's bone tissue at the joint to receive an implant includes a cutting block body that is sized and shaped to fit a patient's long bone at the joint during joint replacement surgery. The block is attachable to the patient's bone tissue at the joint area. A flat cutting guide surface on the block body is provided for guiding a surgeon's saw blade when the surgeon cuts bone tissue at the joint. A saw capture removably attaches to the block body at or near the flat cutting guide surface. The saw capture also provides a flat cutting guide surface thereon that is positioned generally parallel to the cutting guide surface on the block body during use, a gap being formed therebetween. Wedge locking connections are provided for affixing the saw capture to the block body at the flat cutting guide surface. The connection includes first and second interlocking connecting portions that are respectively on the block body and saw capture.

Abstract: Guide which allows a precise patellar cut to be made for fitting the prosthetic patella of a knee prosthesis using a trial femoral component, having a sliding plate (20) of a pin guide (30), a pin guide (30) comprising at least two channels (33) for guiding pins (50), which are installed perpendicularly to the sagittal plane of the condyle, and comprising two panels having two surfaces (32, 34) arranged at a right angle, the first panel having a flat surface (32) and a central aperture (31), and the second panel having a flat surface (34) towards the inside of the guide, a securing element (40) which cooperates with the shaft (23) to lock the pin guide (30) with respect to the sliding plate (20) and thus avoid translation movements.

Abstract: A knee cutting instrument apparatus includes an elongated alignment rod that can enable a surgeon to define alignment with a patient's long bone. An instrument block body can slide upon the alignment rod between its end portions. A locking member forms a connection with the rod at a selected position along the rod. The locking member includes a cam locking arrangement that rotates about a pivot on the instrument body. The cam has a handle portion or arm that enables a user to rotate the cam and its locking tab about its pivot. Part of the locking cam includes a locking tab having a slot that extends circumferentially about ninety degrees (90.degree.) around the pivot of the cam. The slot is positioned radially in between the pivot and the periphery of the locking member at a locking member bearing surface. The slot provides a closed end portion and an open end portion that communicates with the locking member periphery at a positioned spaced away from the bearing surface.

Abstract: A composite cutting block for preparing a patient's distal femur to receive a knee prosthesis includes a first block body having a triangular cross section that engages the patient's distal femur using bone tissue connectors such as bone spikes. A pair of inclined surfaces form acute angles with a flat surface, the inclined surfaces defining anterior and posterior chamfer cutting guide surfaces. A second block body has an undersurface with an elongated inverted "T" shaped slot. The first block body fits the slot so that the flat distal surfaces of the first block body and the flat distal surface of the second block body are in planes that are closely positioned upon assembly. A connector in the form of a threaded shaft holds the first block body in the slot of the second block body to define an assembled position.

Abstract: A guide and other tools for cutting a bone graft from, e.g., the patella. The guide includes a guiding portion configured to engage a bone cutting instrument (such as a saw with a curved cutting surface), and a bone-engaging portion insertable into a cut in the surface of the bone to position the guiding portion in a selected orientation with respect to the bone. During use, the guiding portion directs the bone cutting instrument to cut the graft in the selected orientation. One of the other tools used with the guide is a spacer which has a bone-engageable portion insertable into the cut in the bone surface, and a surface arranged with respect to the bone-engageable portion and configured to guide a saw in making a second cut in the bone surface parallel to the first-mentioned cut. The guide includes a housing that supports the guiding portion, and arms secured to the housing and on which the bone-engaging portions of the guide are disposed.

Abstract: A method of preparing a patient's proximal tibia with a surgical saw and cutting instrumentation is disclosed. The method of the present invention prepares the patient's proximal tibial to receive a tibial implant. The patient's intramedullary canal is first reamed and then an intramedullary rod is placed in the intramedullary canal as a reference. A first cutting instrument is bound on the rod above the patient's proximal tibia. The first cutting instrument includes a stylus that is used to set the depth of cut by referencing the top of the proximal tibia. The proximal tibia is then transversely cut with the saw by tracking the first cutting guide surfaces with the saw. The first cutting instrument is removed together with its stylus. A secondary cutting instrument is then placed on the rod above the proximal tibia. The second cutting instrument has a cutter at its center for cutting longitudinally into the proximal tibia.

Abstract: A powered bone cutting saw is used from within the intramedullary canal of a bone. A cutting blade is inserted through a bored intramedullary canal to a predetermined cutting depth. A motor is coupled to the cutting blade to rotate the cutting blade. The blade is extended to a cutting position and operated by a surgeon to cut the bone radially from the inside outwardly, transversely, to the intramedullary canal. Gearing selectable by the surgeon permits the blade to oscillate. The motor can also be coupled to a reamer tip for boring the intramedullary canal. The apparatus, including the reamer tip, can be cannulated to accept a guide wire.

Abstract: A method of preparing a patient's proximal tibia with a surgical saw and cutting instrumentation is disclosed. The method of the present invention prepares the patient's proximal tibial to receive a tibial implant. The patient's intramedullary canal is first reamed and then an intramedullary rod is placed in the intramedullary canal as a reference. A first cutting instrument is bound on the rod above the patient's proximal tibia. The first cutting instrument includes a stylus that is used to set the depth of cut by referencing the top of the proximal tibia. The proximal tibia is then transversely cut with the saw by tracking the first cutting guide surfaces with the saw. The first cutting instrument is removed together with its stylus. A secondary cutting instrument is then placed on the rod above the proximal tibia. The second cutting instrument has a cutter at its center for cutting longitudinally into the proximal tibia.

Abstract: The saw blade has a non-cutting blade area (2), whose thickness D is smaller than the width of cut S of its cutting area (4). The non-cutting blade area (2) has on either side a thin surface coating (11) of a relatively soft and biologically neutral precious metal. This leads to much better cutting characteristics and to reduced friction. The saw blade is particularly suitable for bone surgery.

Abstract: The present invention relates to an instrument and method for performing a partial knee replacement and, in particular, a single condyle replacement method. The instrument includes a tibial mounted platform which has formed thereon a keyed slot for receiving a spacer which spacer is positioned between the femur and tibia of the knee joint being replaced. The spacer receives thereon a positioning element which positioning element includes guides for guiding a drill to drill mounting holes for mounting further instruments used in the knee operation. In particular, the mounting holes are drilled when the femur and tibia are in a predetermined angular relationship with the spacer providing a predetermined spacial relationship. In this way, the mounting holes are properly determined and positioned with respect to the relationship between the femur and tibia. A saw guide is mounted to the mounting holes and used to guide a saw when cutting the anterior chamfer, the posterior chamfer and the posterior femoral cut.

Abstract: A surgical saw has a sector-shaped saw blade mounted on a shaft. The shaft is surrounded by a coaxial second shaft to which an eccentric member is mounted close to a saw blade and parallel therewith. Both shafts and thus the eccentric member and the cutting blade can be rotated with respect to each other and can be fixed in their rotational position. Depending on the rotational position, the saw blade is either covered by the eccentric member in a rest position to be inserted in a hollow bone, or is indexed in a position to be freely and gradually exposed to make a sawing operation possible.

Abstract: A bone plug cutting blade for a peripheral drive oscillating surgical saw. The blade has a split stem so that it can be placed around a tendon attached to the bone before being inserted into the saw's blade holder.

Abstract: A blade and clamp obtain a motion free coupling while remaining easily operable. The clamp comprises first and second clamping faces. The second clamping face includes a plurality of tapered lugs arranged in a radial pattern. The blade comprises a plate-like body having a primary U-shaped slot and a plurality of radial U-shaped slots which engage the tapered lugs of the clamp to produce a tight motion free coupling between the blade and clamp.

Abstract: An improved surgical cutting block for guiding bone saws in joint surgery and similar instruments. The cutting block is provided with one or more cutting guides having cutting guide surfaces positioned on exterior faces of the block or along channels within the block. The cutting guide surface is formed of a material having a Knoop hardness of 466 or greater (under a 500 gm load or greater), a chrome content of less than 10% and a nickel content of less than 4%. According to another aspect of the invention, a method of cutting bone tissue utilizing the improved surgical cutting device is disclosed wherein heat-generated damage to bone tissue is reduced and production of toxic residue is minimized.

Abstract: A device for the axial stabilization of a cutting means, used to make at least one cut at one end of a bone with a view to the fitting of a prosthesis in bone surgery. It includes an axial centering rod that is introduced partially into the intramedullar canal of said bone and is designed to receive said one cutting means. The centering rod is provided with an anchoring thread so as to form a anchor bolt that is axially stabilized in a direction parallel to the axis of the rod. A clamping device is mounted to the rod and axially clamps the cutting means inst the bone.

Abstract: A blade and clamp obtain a motion free coupling while remaining easily operable. The clamp comprises first and second clamping faces. The second clamping face includes a plurality of tapered lugs arranged in a radial pattern. The blade comprises a plate-like body having a primary U-shaped slot and a plurality of radial U-shaped slots which engage the tapered lugs of the clamp to produce a tight motion free coupling between the blade and clamp.

Abstract: A femoral preparation instrumentation system and method employs a multi-purpose sizing guide for placement at the distal femur, secured to an intramedullary alignment rod seated within the femur, enabling the determination of the appropriate size for the femoral knee prosthesis to be implanted and the setting of the axial rotational position of the femoral knee prosthesis, and providing for the accomplishment of preliminary posterior condylar cuts and the location of a distal femoral resection guide at the distal femur, while the sizing guide remains in place at the distal femur.

Abstract: A set of surgical instruments which comprises a saw guide and a drill guide respectively for guiding a saw blade cutting a bone and for guiding a drill bit for thereafter forming a passage in the bone. The saw guide has a seat formation for seating against the bone, and a guide formation for guiding the saw. The drill guide comprises a bit guide and an anchor to align the bit guide relative to the cut. Also provided are a saw guide and a drill guide; and a method of carrying out an osteotomy procedure by making an oblique cut through a long bone at a position where bone portions which are misaligned intersect each other to provide two bone fragments, whereafter they are loosely bolted together and then rotated about the axis provided by the bolting until the misalignment is reduced, after which they are bolted tightly together.

Abstract: A powered medical handpiece including an oscillatingly driveable chuck, and a blade fixable on the chuck and oscillating driveable thereby at a small amplitude for cutting. The chuck comprises a platform, a holddown screw having an enlarged head surrounded by a frictionally engaged cup washer and a shank structure threaded down into a central portion of the platform. A set screw limits the extent of unthreading of the screw from the platform. The blade is plate-like and has a forward cutting portion and a rearward mounting portion. The rearward mounting portion comprises a key hole having locking structure at the small diameter end thereof for resisting unthreading of the screw from a tightened position clamping the blade atop the platform. The blade further has drive openings flanking the narrow portion of the key hole for receiving upstanding drive pins and guide pins fixed on the platform.

Abstract: A blade with cutting part on one edge portion thereof has a remote end fixed in a chuck by pushing same end-wise into a slot in the chuck through a series of positions, namely (1) drop-out, (2) safety locked-in and (3) fully inserted locked-in.

Abstract: A saw blade retention system for retaining a saw blade to a reciprocating saw includes a shaft connected to the saw for reciprocation and having a slot for receiving the saw blade. The saw blade retention system also includes a chuck disposed about the shaft and having a slot aligned with the slot in the shaft in an unlocked position for allowing the saw blade to be disposed in the slot for the shaft. The saw blade retention system further includes a cam-type mechanism for allowing the chuck to rotate angularly relative to the saw blade and shaft to a locked position to prevent the saw blade from exiting the slots and for allowing the chuck to move axially relative to the shaft to prevent axial movement of the saw blade between the chuck and the shaft. Complementary inclined surfaces are provided on the blade and the chuck to center the blade relative to its intended path of reciprocation.

Abstract: Apparatus and method is provided for shaping bone, in which, individually or together, a gaseous fluid such as air is delivered along the shaping member to impinge upon aerosols created by the shaping of the bone and to deliver the aerosols back toward the bone away from an operator, and a cooling liquid is delivered along the shaping member, in order to cool the shaping member where it contacts the bone. Preferably, the gaseous fluid is air and it is delivered through a manifold carried by the shaping member, forming an air curtain. Preferably, the cooling liquid is at least partially water, with or without a curative substance carried therein, with the liquid preferably being delivered through the shaping member and opening in a direction toward the shaped bone. Where the shaping member is a saw, the liquid may be delivered through the interior of the saw, for discharge through at least one narrow side thereof. Alternatively, the cooling liquid may be delivered externally of the saw.

Abstract: An orthopedic jig or saw guide for preparing a femoral knee joint to receive the femoral component of a posterior stabilized prosthesis. The jig is adapted for cutting a central cavity in the distal end of the femur. In one embodiment, the cavity has a curved surface, the curve extending medial-laterally and a curved osteotome for incising a curved surface between the resulting two longitudinal incisions. The jig further comprises longitudinal saw guides for guiding a sagittal saw to make appropriate incisions parallel to the longitudinal axis of a femur.

Abstract: Apparatus and method is provided for shaping bone, in which a cooling, lubricating and/or curative fluid is delivered by means of the shaping member, in order to cool or lubricate the shaping member where it contacts the bone and/or to provide a curative fluid to the shaped surface of the bone. Preferably, the cooling fluid is at least partially water, with or without a curative substance carried therein, with the liquid being delivered at the shaping end of the member, in a direction toward the shaped bone. The fluid may be provided through the interior of the shaping member to at least one relatively narrow opening located at the shaping end of the member, or may be provided by at least one exterior channel that runs along at least one wide side of the shaping member. Optionally, cooling liquid may also be delivered through the interior of the shaping member for discharge through at least one narrow side thereof.

Abstract: A cutting saw blade for use with an oscillatory power tool used in surgical bone cutting procedures including a blade having a distal end provided with teeth whose tips are oriented in a substantially linear row so that the terminus of all teeth lie in a solitary plane. Other tooth profiles assist in the cutting phenomena. The cutting blade has several spaced-apart pairs of notches disposed in the blade edges. Each pair of notches is adapted to cooperate with a pair of pins disposed on the oscillatory power tool to firmly retain the cutting blade to the saw. By providing the cutting blade with several sets of notches, the cutting blade is adjustable, in that it can be retained within the oscillatory power tool at different lengths. It has been found that such an adjustable cutting blade, having teeth oriented in a solitary plane, does not lose efficiency as the length of the blade is changed.

Abstract: A saw blade retention system for retaining a saw blade to a reciprocating saw includes a shaft connected to the saw for reciprocation and having a slot for receiving the saw blade. The saw blade retention system also includes a chuck disposed about the shaft and having a slot aligned with the slot in the shaft in an unlocked position for allowing the saw blade to be disposed in the slot for the shaft. The saw blade retention system further includes a cam-type mechanism for allowing the chuck to rotate angularly relative to the saw blade and shaft to a locked position to prevent the saw blade from exiting the slots and for allowing the chuck to move axially relative to the shaft to prevent axial movement of the saw blade between the chuck and the shaft. Complementary inclined surfaces are provided on the blade and the chuck to center the blade relative to its intended path of reciprocation.

Abstract: A blade with a cutting part on one edge portion thereof has a remote end fixed in a chuck by pushing same end-wise into a slot in the chuck through a series of positions, namely (1) drop-out, (2) safety locked-in and (3) fully inserted locked-in.

Abstract: A modulator apparatus for use in the preparation of bone surfaces and the implantation of a modular total knee prosthesis in a patient, which apparatus comprises cutting guides, templates, alignment devices, a distractor and clamping instruments which provide modularity and facilitate bone resection and prosthesis implantation.

Abstract: A circularly oscillating saw, used mainly in the surgical field which, while having minimal dimensions, must have a high cutting capacity with an atraumatic cool cut, without running hot itself. The saw provides a direct connection of the saw blade with an eccentric and a suitable bearing approximately in the center between the saw blade tip and the eccentric, which provides a circularly oscillating cutting. The saw allows a cut to take place not only in parallel to the saw blade but in all directions of a plane. In addition, contamination of a wound by lubricants and bearing debris is prevented because of the excellent transport of chips and coolant. Also, the saw is to easily cleaned, sterilized and repaired while the manufacturing of this precision instrument is efficient. An internal cooling protects from the saw running-hot and ensures an optimal coolant supply. Drive-side and output-side sealing devices achieve a hermetic sealing-off of the saw mechanism.

Abstract: The bone saw guide of this invention allows precise perpendicular or angular cutting of a bone with a conventional bone saw. An inverted U-shaped blade guide portion positions the blade and an upstanding saw guide portion guides the neck of the saw. A plate connects the two portions. The invention allows a bone segment to be removed and the cut ends to be compressed together to shorten the bone.

Abstract: A method and apparatus for performing arcuate osteotomies wherein a wedge-shaped correction is filed rather than sawed from the bone. A combined saw and file for use in the method has a curved blade with teeth along a longitudinal edge for making an arcuate cut in the direction perpendicular to the edge, and file teeth on one or both of its curved faces for filing out the correction. The effective width of the the blade determines the tip width of the correction; the thickness of the blade determines the width of the arcuate kerf; and the radius of curvature of the blade determines the radius of the arcuate cut. Also disclosed is cutting guide for guiding a saw/file or other cutting implement to make the arcuate cut and the correction.

Abstract: The surgical saw blade includes a main body portion and a cover portion joined to provide an enclosed manifold space. Irrigation channels extend from the manifold space to saw teeth provided on the saw blade. In one embodiment of the invention the saw teeth are provided at an end portion of the saw blade. In another embodiment of the invention the irrigation channels extend toward saw teeth provided along the longitudinal side edge of the saw blade. In either embodiment of the invention the irrigation channels commonly communicate with the fluid manifold and are uniformly distributed among the cutting teeth to provide a uniform distribution of fluid during a cutting action. Depending upon the positioning of the saw teeth on the blade and the movement provided to the blade, one embodiment of the saw blade can be used for oscillatory cutting action and another embodiment of the saw blade can be used for reciprocating cutting action.

Abstract: A patella cutting clamp comprises a pair of jaw members joined together in scissors-like relation for pivotal movement relative to each other about a pivot axis intermediate their ends. Each jaw member has a handle portion extending in one direction from the pivot axis and a jaw portion extending in the other direction. The jaw portions have edges facing each other that are shaped for engagement with opposite borders of a patella. Teeth along the patella-gripping edges grip and hold the patella firmly. Saw guide slots in the jaw portions lying in a common plane guide the saw when the saw cut is made. A patella elevator member is attached to the jaw members for movement along the pivot axis and has a platform portion adapted to engage the anterior aspect of the patella. A mechanism is provided for establishing and maintaining a predetermined position of the elevator member relative to the jaw members and thereby positioning the patella at a predetermined position relative to the saw guide slots.

Abstract: A power saw for cutting the bone plug portions of a tendon graft which is to be transplanted. The saw blade is a circular ring of teeth which is oscillated about the circle center by a peripheral drive, thereby enabling circular bone plugs to be cut and eliminating the need to manually trim the bone plugs to an approximately circular cross section.