Abstract: The present technology relates to surgical drilling devices, and associated systems and methods. In some embodiments, a surgical drilling device includes a drill bit and a retraction mechanism. The retraction mechanism can include a housing, a slide assembly within the housing and operably coupled to the drill bit, a spring element engaging the slide assembly, and a locking element coupled to the slide assembly. The locking element can be movable between a locked configuration and an unlocked configuration based on an amount of force applied by the drill bit to the slide assembly. When in the locked configuration, the locking element can secure the slide assembly to the housing. When in the unlocked configuration, the locking element can allow the spring element to displace the slide assembly proximally within the housing to retract the drill bit.

Abstract: A method of using a medical tool comprising a cranial access drill includes placing a guide-hub against a cranial drilling surface, guiding a drill bit into the guide-hub along an axial direction of the guide-hub, drilling the cranial drilling surface in the axial direction with the drill bit using a motor, detecting, using a controller, an electrical parametric change at the drill bit that corresponds to puncturing the cranial drilling surface, and deactivating, using the controller, the motor in response to detecting the electrical parametric change.

Abstract: A drilling system includes a guide-hub that includes contact feet configured to be placed against a drilling surface to maintain a fixed angle with the drilling surface. A drilling insert includes a drill bit and a harness. The drilling insert is configured to be inserted into the guide-hub and the harness is configured to detect when the drill bit punctures the drilling surface and automatically prevent further drilling.