Abstract: A medical device and method for providing an implant to an anatomical site are disclosed. The medical device generally comprises a sleeve having first and second ends, a cutting frame coupled to the second end, and a rod received in an inner bore of the sleeve. The cutting frame defines a guide configured to direct a cutting tool for reciprocal motion along a cutting plane. When the implant is positioned within the inner bore, the rod and sleeve are used to gauge a depth of the anatomical site and to advance a portion of the implant beyond the cutting plane. The implant may then be cut to an appropriate size to fit the anatomical site.