Abstract: Piezoelectric osteotomy devices and corresponding systems and methods for removing an acetabular cup or shell from a patient's acetabulum are disclosed. In one embodiment, the piezoelectric osteotomy device includes a piezoelectric element to actuate a cutting tip on an armature. In some such embodiments, the cutting tip may be extended and/or retracted to facilitate cutting of bone around an acetabular cup. The armature may include a fluid output port located proximate the cutting tip to mitigate heat generated by the cutting tip. In one embodiment, the piezoelectric osteotomy device is arranged and configured to provide constant current adjustment.

Abstract: A tissue protection sleeve for use in trauma surgery is disclosed. In various embodiments, the tissue protection sleeve includes an inner sleeve with a first end portion, a second end portion, a longitudinal axis, and a bore extending there through, and an outer sleeve at least partially surrounding and coupled to the inner sleeve, wherein the tissue protection sleeve is capable of flexing or bending without collapsing the bore. In some embodiments, the inner sleeve may include a number of distinct geometries to provide sufficient structural rigidity, whilst still allowing the inner sleeve to bend. Additionally, a tissue protection sleeve handle may be coupled to the tissue protection sleeve to allow for manipulation of the tissue protection sleeve. In certain embodiments, pin guide holes or channels may be used to secure the tissue protection sleeve to a patient's bone.

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: Implants, devices, systems and methods for maintaining, correcting and/or fusing joint deformities are disclosed. The implant including a first member, a second member, and a coupling member with a first end and a second end, wherein the first end engages the first member and the second end engages the second member. Methods of using the implants for maintaining, correcting and/or fusing joint deformities are also disclosed.

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, and one or more pairs of legs with teeth cut therein, the inner legs and outer legs each including an angle of about 16 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: Surgical systems, methods and surgical planning programs to facilitate preparation of an anatomical cavity to receive a cup implant. The system includes a control system, a localizer and a robotic manipulator configured to move an energy applicator that is adapted to remove tissue. The control system obtains or generates a surgical plan that defines characteristics of cement holes to be formed within a wall of the anatomical cavity for receiving bone cement. The control system registers the surgical plan to the anatomical cavity with the localizer and controls the robotic manipulator to utilize the energy applicator to form the cement holes within the wall of the anatomical cavity according to the surgical plan.

Abstract: In general, data modules for surgical instruments and methods of using data modules for surgical instruments are provided. In an exemplary embodiment, a data module is configured to be removably attached to a powered surgical tool such as an electrosurgical tool. The data module is a standalone device including electronic components that are configured to, with the data module attached to the electrosurgical tool, interact with the electrosurgical tool.

Abstract: A drill sleeve, including: an outer sleeve with an internal collet at a distal end of the outer sleeve, a slot, and an inner opening; a handle connected to the outer sleeve; an inner sleeve with an inner opening configured to receive and guide a drill bit, wherein the inner sleeve is configured to slide inside the inner opening of the outer sleeve; a trigger; a connection member connected to trigger and the inner tube, wherein the connection member passes through the slot in the outer sleeve and a biasing member configured to apply a biasing force between the handle and the trigger wherein the biasing force drives the inner sleeve into the outer sleeve, wherein when a distal end of the inner sleeve engages the internal collet, the internal collet is configured to engage a screw hole in a bone plate, align the drill sleeve with a nominal axis of the screw hole, and secure the drill sleeve to the screw hole.

Abstract: The present invention concerns a spinal cage hammer including an elongated body comprising a proximal end and a distal end, the elongated body extending from the proximal end to the distal end and defining a cavity extending from the proximal end to the distal end, the at least one cavity being configured to receive at least one portion of a spinal cage holder for holding a spinal cage. The spinal cage hammer includes an interface wall or surface configured to enter into contact with the spinal cage holder to transfer a force to the spinal cage holder.

Abstract: Disclosed herein are push activated intraosseous (IO) access devices, and methods thereof. Embodiments include replaceable and rechargeable or non-rechargeable battery packs, or spring driven devices. Intraosseous access devices often require training to ensure correct placement of the access device. Users must coordinate the opposing actions of pulling proximally on a trigger, while applying sufficient distal drive force to penetrate the bone. Devices disclosed herein include an intuitive operation with a unidirectional activation and drive force application. Further the trigger is both activated and deactivated automatically to prevent premature activation and prevent “backwalling”. The device includes various indicators to further guide a user in placing the device correctly, with little or no training. Devices further include replaceable battery packs to ensure a full charge is available when the device is used, and to provide a multi-use device that requires less storage.

Abstract: Methods of harvesting cancellous bone and bone marrow include extracting loosened cancellous bone and bone marrow—including a liquid component thereof—to a collection container that has a first cup and a suction port to which a suction source is connected. After extraction, the suction source is disconnected and a lid of the collection container is removed and replaced with a lid having a plunger with a press head that is configured to filter the extracted liquid by depressing the plunger toward a bottom of the first cup. The filtered liquid is poured through a suction port into a second cup while depressing the plunger, thereby separating the liquid from a semi-solid mass of cancellous bone that remains. The bone is extracted through a cortical opening in the femur, tibia, or calcaneus, or from an intermedullary canal that is preferably formed by reaming of the tibia using an orthopedic reamer.

Abstract: A surgical handpiece system for performing measurement functions and surgical operations. The system includes a handpiece assembly. The handpiece has a handpiece housing and a drive cannula rotatably coupled to the handpiece housing. The drive cannula extends along an axis and is configured to receive torque from a motor. A surgical attachment module has an attachment housing removably coupleable to the handpiece housing. The surgical attachment module has a drive shaft rotatably coupled to the surgical attachment housing and configured to receive torque from the drive cannula to operate an end effector. A measurement module has a measurement housing removably coupleable to the handpiece housing. The measurement module is configured to perform measurement functions associated with operation of the handpiece assembly.

Abstract: An instrument access device of a teleoperated surgical system includes an envelope, a clamp, and a plurality of ports. The envelope includes a distal opening and a cavity. The clamp is in the distal opening of the envelope. The plurality of ports are coupled to the envelope. The plurality of ports are proximal to the clamp and the distal opening of the envelope. Each of the plurality of ports includes a seal, which is sized and shaped to seal an outer surface of a cannula and to fix a position of the cannula relative to the port and the envelope.

Abstract: Release System and Cutting Profile applied to disposable self-locking intracranial drill bit, comprising a disposable cranial drill bit, for single-use, assembled from a coupling mechanism with an internal drill bit and another external one, where an axial load is applied to the cutting edges to transmit the rotary movement to the device, so that, after accessing the cranial bone the mechanism is released and the drill bit ceases its movement, being the coupling mechanism composed by a mechanical arrangement of two sliding helical cams, which interact with a ring, the geometry of which results in coupling, when the drill bit contacts the cranial bone surface, and the drill bit release, once the internal drill bit crossed the bone without affecting the lower cranial layers. The set is encapsulated in a plastic body, which allows the drill bit assembly in a number of craniotomy equipment.

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 autograft forming bone anchor is provided including an elongated anchor core having a tip at a distal end and coupled to a head at a proximal end, and a segmented helical thread defining one or more gaps therein, each gap defining at least a trailing wall, the trailing wall having a cutting surface including at least one cutting edge. A plane of the cutting surface that extends through a point of contact of the cutting surface with the anchor core and the cutting edge, is angled at an angle (?) with respect to a radius (r) of the bone anchor, and the bone cutting surface and the cutting edge are configured to cut bone and guide bone fragments radially inwards. Other embodiments are also described.

Abstract: An orthopedic drill bit that is configurable to form a first bone tunnel having a first bore when inserted through a bone and a second, larger bore as the drill is partially withdrawn from bone to produce a reverse counterbore for accepting an anchor. The drill bit has a shaft with a pivotal cutting tip that is movable from a narrow boring configuration into a wider boring configuration. The drill bit has a body enclosing the shaft that is biased into engagement with the cutting tip. Rotation of the body allow a user to move the cutting tip from the narrower bore configuration used to drill a pilot hole into a wider bore configuration used to drill a reverse counterbore for accepting the anchor.

Abstract: An ultrasonic system includes generator means for ultrasonic microvibrations; waveguide means connected to and extending away from the generator means to bend at least in part; an operating element joined to a stationary bending node, so that flexural microvibrations are transmitted by the waveguide means to the operating element as alternating torsional or flexural microvibrations.

Abstract: A spinal bone graft includes one or more cortical bone portions forming a first unit. The first unit includes an engagement surface for contacting bone, and a mating surface. The mating surface forms at least one first undercut. The bone graft also includes one or more cortical bone portions forming a second unit. The second unit includes an engagement surface for contacting bone, and a mating surface. The mating surface forms either at least one second undercut, or at least one connector. In the former, at least one connector is received in each of the first and second undercuts to interconnect the first and second units. In the latter, the at least one connector of the second unit is received in the first undercut of the first unit to interconnect the first unit and second unit.