Abstract: A device for suture thread cutting, containing: an external tube having a slot with a distal first edge; an internal cutter having an opening with a second edge, the wherein the slot and opening together form a pathway which guides the suture thread; wherein the internal cutter is positioned and is fitted inside the external tube; wherein the external tube and the internal cutter are movable relative to each other whereby the first and second edges are movable from a first position, in which the first and second edges are spaced a first distance apart, to a second position, in which the first and second edges are spaced a second distance apart, the first distance larger than the second distance, wherein in the first position the suture thread is retained within the slot and wherein in the second position the suture thread is cut between the first and second edges.

Abstract: A bone drill guiding device including a drill entry part comprising a cannula having a distal end portion and sized to receive a bone drill, a drill exit part comprising a fixation tip portion and a coupling that rigidly couples the drill entry part and the drill exit part so that longitudinal axes of the cannula distal portion and the fixation tip portion are arranged on a single mutual axis. In some embodiments, the coupling is a linear sliding coupling that parallels the single mutual axis.

Abstract: A kit (4000, 5100) including a guiding system and a cannulated bone material removal device, the bone material removal device (4004, 5200) having a longitudinal shaft (4024, 5202) and comprising on the longitudinal shaft a radially expandable cutting portion (4028, 5208) having a longitudinally-oriented cutting edge (2124), the radial expansion comprising an increase of a cross-sectional diameter of the bone material removal device at the longitudinal position of the expandable cutting portion; and the guiding system including an arcuate element (4008, 5102), a guiding element (4010, 5104) configured to be attached to the arcuate element, and a cannula (4002, 5106), slidably insertable into a portion of the arcuate element; wherein the bone material removal device is axially displaceable within said cannula. The kit can be used in anterior cruciate ligament (ACL) reconstruction.

Abstract: A bone material removal device including a cannula, a bone drilling forward tip and a bore widening element including a bone carving portion that slides axially relative to the cannula and extends in a circumferential direction and wherein the axial movement of the bore widening element relative to the cannula brings a carving portions to travel and extend radially in a circumferential direction beyond a surface of the cannula and carve bone from a wall of a bore.

Abstract: A bone drill guiding device including a drill entry part comprising a cannula having a distal end portion and sized to receive a bone drill, a drill exit part comprising a fixation tip portion and a coupling that rigidly couples the drill entry part and the drill exit part so that longitudinal axes of the cannula distal portion and the fixation tip portion are arranged on a single mutual axis. In some embodiments, the coupling is a linear sliding coupling that parallels the single mutual axis.

Abstract: A bone material removal device including a cannula, a bone drilling forward tip and a bore widening element including a bone carving portion that slides axially relative to the cannula and extends in a circumferential direction and wherein the axial movement of the bore widening element relative to the cannula brings a carving portions to travel and extend radially in a circumferential direction beyond a surface of the cannula and carve bone from a wall of a bore.

Abstract: An arthroscopic tool for labrum repair procedure, including: a cannulated working channel having a proximal end and a distal end; and a holding element adapted to be attached to the proximal end of the working channel for supporting a labrum during an arthroscopic labrum repair procedure.

Abstract: A bone removal device, including an elongated shaft having a longitudinal axis, a distal end and a proximal end; a movable bone borer movably coupled to the distal end of the elongated shaft, wherein the movable bone borer is configured to rotate around the longitudinal axis; and a rotatable bone borer adjuster mounted on a proximal side of the elongated shaft and to the movable bone borer, wherein the adjuster is configured to rotate around an axis which is different from a rotation axis of the movable bone borer.

Abstract: An articulating working channel system for use with a plurality of flexible tools which are adapted to be interleaved in a single surgical procedure, comprising: a working channel subassembly including a hollow flexible shaft; and a surgical tool subassembly including the flexible tool, wherein the flexible tool includes a flexible tube which is adapted to be inserted into the flexible shaft and wherein the flexible shaft is adapted to be articulated and the flexible tube is adapted to be passively articulated therewith.

Abstract: A method of forming a channel in a bone, the method comprising: providing a first bore in the bone; and forming, a second bore in the bone at a predefined angle from said first bore, using said first bore as a reference point for defining the location of the second bore in the bone, wherein the first and second bores intersect in the bone.

Abstract: A bone material removal device, including a tubular element comprising a proximal end and a distal end, a shaft received within the tubular element and comprising a proximal end and a distal end, a cutting tooth movably coupled to the distal end of the shaft and a shaft displacement actuator at the proximal end of the tubular element rotatably coupled to the shaft, wherein at least partial rotation of the actuator in a first direction brings the cutting tooth to travel from a closed retracted position to an open extended position.

Abstract: An articulating working channel system for use with a plurality of flexible tools which are adapted to be interleaved in a single surgical procedure, comprising: a working channel subassembly including a hollow flexible shaft; and a surgical tool subassembly including the flexible tool, wherein the flexible tool includes a flexible tube which is adapted to be inserted into the flexible shaft and wherein the flexible shaft is adapted to be articulated and the flexible tube is adapted to be passively articulated therewith.

Abstract: A bone material removal device, including a tubular element comprising a proximal end and a distal end, a shaft received within the tubular element and comprising a proximal end and a distal end, a cutting tooth movably coupled to the distal end of the shaft and a shaft displacement actuator at the proximal end of the tubular element rotatably coupled to the shaft, wherein at least partial rotation of the actuator in a first direction brings the cutting tooth to travel from a closed retracted position to an open extended position.

Abstract: A drill device including a shaft having a proximal end and a distal end, one or more first reaming heads configured to be positioned along the shaft adjacent the distal end and one or more second reaming heads configured to be positioned along the shaft at a location axially proximally spaced from the first reaming head.

Abstract: A method of forming a channel in a bone, the method comprising: providing a first bore in the bone; and forming, a second bore in the bone at a predefined angle from said first bore, using said first bore as a reference point for defining the location of the second bore in the bone, wherein the first and second bores intersect in the bone.

Abstract: A finger mounting for a surgical instrument includes a sleeve dimensioned to be received on the outer end of a finger of a user. The sleeve has an open proximal end for application to the outer end of the user's finger, an open distal end for exposing the outer tip of the user's finger when mounted thereon, and an inner diameter which decreases from the proximal end to the distal end for facilitating the application of the sleeve to the user's finger. The sleeve is formed of an elastic material and with a longitudinal split along its length to permit its diameter to be increased in order to accommodate fingers of different thicknesses.

Abstract: A surgical instrument for use in attaching soft tissue to a bone in a surgical site, includes an elongated shaft carrying, at its distal end, a clamping device having clamping jaws and a piercing device for piercing soft tissue, and further carrying, at its proximal end, manipulatable members for manipulating the clamping device to clamp soft tissue between the clamping jaws, and for manipulating the piercing device for piercing the soft tissue when clamped between the clamping jaws, and for drawing a suture through the pierced soft tissue. The surgical instrument further includes, at its distal end, a socket dimensioned to receive an anchor to be implanted in a bore in the bone, which anchor also has secured thereto a suture to be passed through the pierced soft tissue and to be tied to the bone. The invention is particularly described with respect to a method wherein the tissue to be attached is labrum tissue detached from the glenoid bone in a shoulder joint.

Abstract: Described is an arthroscopic bone transplanting procedure for transplanting a section of a first bone to a second bone. The described procedure is particularly useful for the treatment an anterior shoulder instability, where the first bone is the coracoid and the second bone is the glenoid. Also described is a kit of medical instruments particularly useful in such a procedure.

Abstract: A medical implement for separating tissue at a surgical site includes an elongated rod carrying an inflatable balloon of triangular configuration having first and second apices defining a base for engagement with one tissue layer, and a third apex engageable with a second tissue layer effective, upon the inflation of the balloon, to separate the tissue layers. Also described are the use of the medical implement in the performance of arthroscopic surgical procedures in the shoulder of a patient for creating a free space between the deltoid muscle or the glenoid socket and the humerus bone.