Abstract: A surgical apparatus generates energy that is input onto an appliance. The appliance is one of an implant to be implanted in human or animal bone tissue by the input of the energy, and of a tool being an ultrasonic bone cutting and/or punching tool for cutting and/or punching living human or animal bone tissue by input of energy onto the implant in a surgical operation. The apparatus includes a control device and at least one handpiece, the handpiece being equipped to be held by a surgeon during the operation and to couple the energy into the appliance. The apparatus further includes a reading device equipped to read out, from an appliance data carrier, appliance data dedicated to the appliance. The control device checks, depending on the appliance data, whether the handpiece is suitable for the appliance and chooses operating parameters depending on the appliance data.

Abstract: Medical cutting devices with coolant modules and channels and associated methods are disclosed. According to an aspect, a cutting device includes a working blade body having a first end and a second end. The first end is configured to operatively connect to a source of movement. The second end defines a blade edge. The cutting device also includes a channel defined within the working blade body for carrying coolant for transferring heat from the second end of the working blade body.

Abstract: A reference jig comprises a base adapted to be secured to a distal end of a bone. An adjustment mechanism has a bracket, one or more rotational joints operatively mounting the bracket to the base, whereby the bracket is rotatable in two or more rotational degrees of freedom relative to the base, and one or more translational joints. A landmark alignment unit is operatively connectable to the bracket by the at least one translational joint, the landmark alignment unit having a bone alignment component configured to be aligned with at least one bone landmark.

Abstract: An attachment for a drill includes an inner housing configured to be coupled to the drill. The attachment also includes an outer housing positioned at least partially around the inner housing. The attachment also includes a vertical guide coupled to or integral with the inner housing. The attachment also includes a horizontal guide coupled to or integral with the outer housing. The attachment also includes a guide adapter configured to move along the vertical guide and the horizontal guide. The inner housing and the vertical guide are configured to move vertically with respect to the outer housing and the guide adapter, and the inner housing and the guide adapter are configured to move laterally with respect to the horizontal guide and the outer housing.

Abstract: A surgical handpiece assembly for operating a bit having resilient arms to engage the handpiece assembly. The handpiece assembly includes a housing assembly. A drive cannula is coupled to the housing assembly and receives torque from a motor. The drive cannula extends along an axis. The drive cannula has an internal surface defining a bore that extends along the axis. The bore receives the bit. The internal surface has a driving portion to transmit torque to the bit. A retention surface near an end of the drive cannula assists the resilient arms of the bit to retain a position of the bit relative to the drive cannula. A release assembly proximal the drive cannula includes a release member moveable relative to the retention surface to disengage the resilient arms from engagement with the retention surface to permit the bit to move relative to the drive cannula.

Abstract: A bone cutting apparatus for holding a bone graft for shaping and sizing during surgery, including a polygonal cutting box having two opposing sides, at least one open side, and a base. The opposing sides have cutting slots, and a cutting accessory attaches to one of the opposing sides and has a central cutting slot that aligns with and expands the size of a cutting slot to pass a saw blade. A graft holding plate includes a platform with an upper surface to support a bone graft and further includes an underside with a pedestal configured to secure the holding plate to the base of the cutting box. The platform has a plurality of openings for passing screws into the bone graft. A top is placed on the opposing sides and includes downwardly oriented fenestration extensions configured for placement in the open sides and completes the enclosure for cutting.

Abstract: Systems and methods for ultrasonically-assisted placement of orthopedic implants is described herein. An example method may comprise delivering ultrasonic energy to a surgical instrument such as a screw driver, Jamshidi needle, awl, probe, or tap that is in contact with the bone region targeted for removal and/or being prepared for implant placement. The method may further comprise delivering the ultrasonic energy via a probe passed through a cannulated surgical instrument and/or implant. An example system may comprise an ultrasonic generator coupled to a transducer, a probe or surgical instrument coupled to the transducer, a cannulated surgical instrument that allows passage of the probe, and a computing device configured to control the ultrasonic generator and take input from the user.

Abstract: Surgical instruments with ultrasonic cutting and sensing capabilities, as well as related systems and methods, are disclosed herein. In one aspect, the present disclosure provides a surgical instrument including a housing; an ultrasonic transducer contained in the housing and capable of acting as an ultrasonic receiver; an output member at least partially received in the housing and configured to be driven by the ultrasonic transducer; a dissection head having an attachment portion configured to be selectively driven by the ultrasonic transducer; and a controller operable to initiate and stop the ultrasonic transducer according to an alternating duty cycle.

Abstract: A coupling assembly for coupling a rod to a bone anchoring element, including a receiving part having first and second ends, a recess at the first end for the rod, and an accommodation space for a head of the bone anchoring element, the accommodation space having an opening at the second end to permit insertion of the head into the receiving part, a retainer element configured to be arranged at least partially in the accommodation space and to hold at least part of the head, and a spring element configured to be arranged at least partially in the accommodation space and to be compressed in an axial direction. The retainer element and the spring element are separate parts. When the retainer element and the spring element are in the accommodation space of the receiving part in a first position, the spring element extends into the recess of the receiving part.

Abstract: A spinal implant is provided including an upper surface, a lower surface, a front surface and a back surface, two side surfaces extending between the upper surface and the lower surface, the two side surfaces extending between the front surface and the back surface and an opening positioned closer to the back surface than the front surface. The opening is provided to contain graft material that spans between a cortical rim of the upper vertebral body and the cortical rim of the lower vertebral body. The method includes packing the opening with graft material, wherein the graft material spans between the decorticated cortical rim of the upper vertebral body and the decorticated cortical rim of the lower vertebral body.

Abstract: According to particular embodiments, the present staple includes a low-profile bridge and has the capacity for high sustained compression. In some embodiments, the staple includes a bridge with a continuous cross-section, legs with teeth cut therein (e.g., opposed to protruding from, as discussed herein), and legs including an angle of about 24 degrees.

Abstract: Various embodiments of cervical plates for treating the spine are provided. The cervical plates include an access surface and a bone facing surface. The cervical plate further includes at least one hole between the access surface and the bone facing surface. The hole includes a trajectory surface that guides an anchor into a corner or edge of a vertebral body, wherein a portion of the hole extends into the disc space region. In some embodiments, the cervical plate includes a ledge to support high angle screw insertion. In some embodiments, an interbody implant is provided. The cervical plate and the interbody spacer can have a corresponding curvature.

Abstract: The present disclosure provides a bone-implantable device and methods of use. The bone-implantable device comprises a body having an exterior surface, wherein a portion of the exterior surface includes a cured osteostimulative material comprising MgO.

Abstract: A reamer that creates blind holes in a bone has a reamer body connected to a reamer shaft. The reamer body has a shell curvature having at least a portion of a hemisphere, a convex curved exterior surface and a concave curved interior surface, extending from an apex to a lower edge. The reamer body is capable of being rotated about a perpendicular axis; and has at least a first and second left-hand spiral reamer blade. Each left-hand spiral blade extends from the lower edge to the apex and contacts each other at the apex. Each blade is positioned near a slot. When the reamer body rotates and contacts a bone or tissue, the left-hand spiral blades cut bone and pushes the cut bone toward the apex of the exterior surface.

Abstract: A surgical instrument employs a mass-spring system to drive the periodic reversal of the rotational direction of a bone dissection head. The instrument comprises a housing, a harmonic oscillator contained in the housing, an output member at least partially received in the housing and configured to be driven by the harmonic oscillator to reversibly rotate about a longitudinal axis in alternating directions, a dissection head having an attachment portion configured to be selectively driven in alternating rotational directions by the output member to remove material from a target bone, and a controller operable to initiate and stop the harmonic oscillator.

Abstract: Expandable fusion devices, systems, instruments, and methods thereof. The expandable fusion device is capable of being installed inside an intervertebral disc space to maintain normal disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. The fusion device may include a body, a first endplate, and a second endplate. A drive screw may be rotated to move the first and second endplates outwardly and into an expanded configuration. Instruments may be provided to ensure the implant is inserted safely and as intended.

Abstract: An orthopedic impactor tool may include a motor, a linear motion converter operatively coupled to the motor, a thrown mass operatively coupled to the linear motion converter, and an anvil including a at least one impact surface. During an operational cycle of the orthopedic impactor tool, the motor may generate rotational motion that drives the linear motion converter. The linear motion converter may, while being driven by the rotational motion, convert the rotational motion into linear motion and communicate the linear motion to the thrown mass. The linear motion, communicated to the thrown mass, causes the thrown mass to accelerate and impact the at least one impact surface imparting a linear impact force on the anvil. The motor and the linear motion converter may operate on independent axes.

Abstract: An alignment device includes a first member, a second member, and a guide. The first member has an elongated body and is configured to be at least partially inserted into a canal in a first bone portion. The second member includes a body attachable to the first member and an arm extending from the body. The arm defines a track. The guide is configured to translate along the track defined by the arm. The guide includes an aperture configured to receive an alignment member therethrough. The guide is configured to be positioned at a desired position along the track to allow insertion of the at least one alignment member through the aperture and into the first bone portion at a desired trajectory.

Abstract: A surgical drill bit for bone drilling and for determining a characteristic of a drilling medium from a characteristic of fluid flow. The surgical drill bit includes a shank portion for coupling to a drill chuck. The shank portion defines a proximal opening. The surgical drill bit also includes a drilling portion for drilling through bone. A distal cutting region (62) of the drilling portion includes a rake surface (66), a clearance surface (68), and a flank surface (70). The flank surface (70) defines a distal opening (72) and is configured to abut the bone such that the distal opening is occluded by the bone while the rake surface is cutting into the bone. The shank and drilling portions collectively define an inner channel in fluid communication with the proximal and distal openings. The distal opening is occluded by the bone during drilling to establish fluid pressure within the inner channel.

Abstract: A method of drilling holes in bone and harvesting bone fragments for bone grafting utilizes a specially designed drill bit having a point angle of 115° to 120°; a lip relief angle approximately 10° to 14°, two or three flutes defining a helix angle from 13° to 17° at a distal end, and a helix angle of 31° to 35° in the proximal direction. The drill bit is rotated at less than 75 rpms, preferably less than 50 rpms. At such a slow rotation speed, cooling fluid is not necessary and the drill bit does not heat up sufficiently to cause necrosis of adjacent tissues. The helix angulation of the proximal portion of the drill bit facilitates harvesting bone fragments, which can be reused in bone grafting.