Abstract: A surface protection system comprising a protective sleeve positionable over an orthopedic tool or implant, for example the tapered end of an orthopedioc femoral stem implant to shield the covered surface from exposure to abrasive particles during an automated polishing process is described. The protective sleeve comprises a body having an annular sidewall that extends from a proximal end to a distal end and is composed of a polymeric material. A cavity resides within the body extending through the distal end to a proximal end sidewall positioned perpendicular to the annular sidewall. The protective sleeve further comprises at least one annular recess intermediate at least two annular ridges that reside along an interior surface at the distal end of the sleeve. These series of annular ridges and recesses form a removably tight seal around the exterior surface that minimizes the migration of abrasive polishing particles to the exterior surface of the orthopedic tool or implant.

Abstract: An acetabular reaming system is disclosed of the type having a driver and a tool held together by a quick-release coupling mechanism. The tool (10) has a hollow body (12) defining a domed shape with a rotational axis (14), an apex (16) aligned with the axis (14) and a hemispherical wall (18) extending from the apex (16) to an equatorial rim (20) spaced 90 degrees from the axis (14). The rim (20) has an edge (22) visible to the user that indicates the position of the tool (10) relative to the bone. A first plurality of cutting sites (24) is arrayed along the body (12) and a second plurality of cutting sites (28) is arrayed circumferentially along the edge (22). Preferably, the first plurality of cutting sites (24) present raised first teeth (30, 130, 230, 330) having a profile selected from continuous squared (30), continuous rounded (130), discontinuous squared (230) and tongued (330) profiles.

Abstract: A reamer for use in minimally invasive hip replacement surgical approaches is provided. The reamer spindle includes an offset elongate housing portion that extends from a proximal housing end portion a distal housing end portion. A handle assembly, preferably comprising a durable lightweight material such as carbon fiber that is removably connectable to the housing of the reamer spindle. A reamer head is removably connectable to the distal neck portion and has a surface configured to cut bone.

Abstract: An orthopedic prosthetic impactor used for the implantation of double mobility cup implants is described. The impactor consists of a drive train, a C-shaped housing, and a prosthetic cup engaging subassembly. The subassembly comprises an impaction plate, a primary cup contacting member, a secondary cup contacting member and a wedging assembly. The primary and secondary cup contacting members, contactable with an interior surface of the prosthetic cup implant. When activated by the drive train, the wedging assembly moves in a proximal direction towards the impaction plate, positioning the wedging assembly in a contactable relationship with the primary and secondary members thereby preventing the members and a connected prosthetic implant cup from moving during implantation.

Abstract: An orthopaedic prosthetic inserter used for the implantation of double mobility cup implants is described. The inserter consists of a drive train, a C-shaped housing, and a prosthetic cup engaging subassembly. The subassembly comprises an impaction plate, a grasping plate and a domed nose. When activated by the drive train, a plurality of hook ends extending from the grasping plate latch onto the cup of the prosthetic to hold and manipulate the prosthetic cup during implantation.

Abstract: An orthopedic impactor device for positioning an orthopedic prosthetic cup implant during a hip replacement surgery is described. The impactor is designed with a “one piece” elongated body portion, having a distal prosthetic cup engagement portion which is separated from a proximal strike plate by an elongated body and handle portions. A connection rod, connectable to an orthopedic prosthetic cup, is positioned longitudinally within the through-bores of the body and handle portions. A lever arm, having a linkage member, is pivotally connected to the rod such that when the lever arm is pivoted towards the exterior surface of the annular sidewall of the handle portion, the distal end of the rod moves within the body portion.

Abstract: A reamer for use in minimally invasive hip replacement surgical approaches is provided. The reamer spindle includes an elongate housing portion that extends along a first axis and a neck or distal portion that extends along a second axis, wherein the second axis extends at an angle of between about 35 degrees and about 65 degrees relative to the first axis. A reamer head is removably connectable to the distal neck portion and has a surface configured to cut bone.

Abstract: An acetabular reaming system is disclosed of the type having a driver and a tool held together by a quick-release coupling mechanism. The tool (10) has a hollow body (12) defining a domed shape with a rotational axis (14), an apex (16) aligned with the axis (14) and a hemispherical wall (18) extending from the apex (16) to an equatorial rim (20) spaced 90 degrees from the axis (14). The rim (20) has an edge (22) visible to the user that indicates the position of the tool (10) relative to the bone. A first plurality of cutting sites (24) is arrayed along the body (12) and a second plurality of cutting sites (28) is arrayed circumferentially along the edge (22). Preferably, the first plurality of cutting sites (24) present raised first teeth (30, 130, 230, 330) having a profile selected from continuous squared (30), continuous rounded (130), discontinuous squared (230) and tongued (330) profiles.

Abstract: An improved insert for assembly with a bone plate is described. The insert has a first opening adapted to receive a set screw and a second opening adapted to receive a bone screw. The insert is connectable to the bone plate using a set screw. The insert in conjunction with the set screw provides an improved range of relative motion for placing the bone screw at outboard locations with respect to the bone plate. That way, bone fragments that are not necessarily reachable using the bone plate without the insert can be secured together for improved healing.

Abstract: A disposable reamer is provided, made up of a base and a thin-walled, perforated cutting body of flat metal stock affixed thereto. The base and body may be molded together or assembled together in a mechanical manner. The body is optionally formed so as to comprise a plurality of appendages connected at a center so as to improve die forming of the body into a final desired shape while at the same time minimizing stress-induced deformation in the body.

Abstract: A surgical tool handle for releasable connection to a surgical tool is described. The tool handle comprises a housing providing a linkage chamber extending from a proximal housing grip end to a distal housing tool end for receiving a surgical tool. A tool linkage is partially housed within the housing linkage chamber comprising an axial handle region extending along axis A-A and a radiused housing region curving about a focal point. That way, a locking pawl of the tool linkage changes planes from its proximal end to a distal extending hook end. This provides a relatively short connection to a surgical tool that is optimum in the tight space requirements of a minimally invasive hip surgery.

Abstract: A surgical tool handle for releasable connection to a surgical tool is described. The tool handle comprises a housing providing a linkage chamber extending from a proximal housing grip end to a distal housing tool end for receiving a tool. A tool linkage is partially housed within the linkage chamber. That way, manipulation of the tool linkage causes a locking pawl to pivot with respect to the housing from an open configuration ready to receive a tool for attachment to the housing to a closed configuration engageable with the tool supported at the distal housing tool end.

Abstract: An orthopedic impactor device for positioning an orthopedic prosthetic cup implant during a hip replacement surgery is described. The impactor is designed with a “one piece” elongated body portion, having a distal prosthetic cup engagement portion which is separated from a proximal strike plate by an annular sidewall. A handle portion is positioned circumferentially around the annular sidewall of the elongated body in a slidable relationship along a longitudinal axis. A rod, connectable to an orthopedic prosthetic cup, is positioned within a cavity of the body and connected to the proximal ring. A lever arm having a distal wedge portion is pivotally connected to the handle portion such that when the lever arm is pivoted towards the annular sidewall of the handle portion, the distal end of the rod moves within the body cavity.

Abstract: An orthopedic impactor device for positioning an orthopedic prosthetic cup implant during a hip replacement surgery is described. The impactor is designed with a “one piece” elongated body portion, having a distal prosthetic cup engagement portion which is separated from a proximal strike plate by an elongated body and handle portions. A connection rod, connectable to an orthopedic prosthetic cup, is positioned longitudinally within the through-bores of the body and handle portions. A lever arm, having a linkage member, is pivotally connected to the rod such that when the lever arm is pivoted towards the exterior surface of the annular sidewall of the handle portion, the distal end of the rod moves within the body portion.

Abstract: Disclosed is a surgical tool holder adapted to connect to a disposable cutting tool, and the surgical instrument combination. The tool holder has a shank with a quick tool coupling at one end and a drive adaptor at a second end. The coupling assembly has a coupling interface for holding the tool, and has a debris reservoir. A locking mechanism is engageable with the shank by a lock interface that holds the coupling assembly in functional assembly, and when unlocked allows component parts of the coupling assembly to be separated for cleaning and sterilization. The surgical tool has a flat base and complementary fittings adapted to be received by the holder's coupling interface. The combination of the flat base with the reservoir defines a relatively enclosed collection space to receive cutting debris from the tool while the holder and tool are coupled together.

Abstract: A reamer for use in minimally invasive hip replacement surgical approaches is provided. The reamer spindle includes an elongate housing portion that extends along a first axis and a neck or distal portion that extends along a second axis, wherein the second axis extends at an angle of between about 35 degrees and about 65 degrees relative to the first axis. A reamer head is removably connectable to the distal neck portion and has a surface configured to cut bone.

Abstract: A torque-limiting driver for orthopedic surgical use is described. The torque-limiting driver has a housing to which a torque force may be applied and transferred to a driver output shaft. The housing encloses a cam bearing assembly having a ball cage disposed so that balls of the ball cage move along a first vector path (Vr) radial to the axis of rotation. The bearing assembly also has an inner race abutting the ball. The inner race travels along a second vector path (F) parallel to the axis of rotation. The first vector path (Vr) and the second vector path (F) are not co-axial. A bearing load assembly applies a bias force (F) to the inner race of the cam bearing assembly to set the calibrated maximum amount of torque that can be transmitted via the housing through the cam bearing assembly to the output shaft of the torque-limiting driver.

Abstract: A reamer for use in minimally invasive hip replacement surgical approaches is provided. The reamer spindle includes an elongate housing portion that extends along a first axis and a neck or distal portion that extends along a second axis, wherein the second axis extends at an angle of between about 35 degrees and about 65 degrees relative to the first axis. A reamer head is removably connectable to the distal neck portion and has a surface configured to cut bone.

Abstract: An orthopedic prosthetic impactor used for the implantation of double mobility cup implants is described. The impactor consists of a drive train, a C-shaped housing, and a prosthetic cup engaging subassembly. The subassembly comprises an impaction plate, a primary cup contacting member, a secondary cup contacting member and a wedging assembly. The primary and secondary cup contacting members, contactable with an interior surface of the prosthetic cup implant. When activated by the drive train, the wedging assembly moves in a proximal direction towards the impaction plate, positioning the wedging assembly in a contactable relationship with the primary and secondary members thereby preventing the members and a connected prosthetic implant cup from moving during implantation.