Abstract: A surgical cutting device, particularly a sagittal saw, having an elongated tubular housing containing therein a driving mechamism which extends outwardly from one end of the housing and has a saw blade mounted thereon. A driving connection, such as a flexible drive cable or the like, extends into the other end of the housing and is drivingly connected to the driving mechanism. The driving mechanism includes a crank structure connected between a rotatable input shaft and one end of a blade mounting member, which member has the saw blade mounted on the other end thereof. A pivot structure coacts with the blade holding member for permitting angular oscillation of the blade holding member while also simultaneously permitting the blade holding member to be reciprocated in the longitudinal direction thereof. The crank structure causes the blade holding member to be simultaneously angularly oscillated and linearly reciprocated, whereby the blade is cyclically moved around a substantially elliptical path.