Abstract: A sheathed blade assembly for minimizing or preventing contact between the moving interior blade and the exterior sheath. The assembly includes an exterior sheath having a first portion and second portion with an inner lumen therebetween, an interior blade movable within the inner lumen of the exterior sheath, a first pocket within a first surface of the interior blade, and a first ball bearing within the first pocket. The first ball bearing creates a clearance amount between the first surface of the interior blade and the first portion of the exterior sheath. The assembly may also include a second pocket within a second surface of the interior blade for a second ball bearing. The second ball bearing creates a clearance amount between the second surface of the interior blade and the second portion of the exterior sheath. The second pocket is in a staggered configuration relative to the first pocket.

Abstract: An oscillating tool includes a housing, a motor housed in the housing and a clamp assembly operatively driven by the motor in an oscillating motion. The clamp assembly can hold an accessory such as a blade or sanding attachment, and the clamp assembly includes a first clamp and a second clamp. The oscillating tool also includes a clamp lever and an actuating lever. The clamp lever is operatively coupled to the first clamp to move the first clamp such that clamp assembly is moved from a closed position to an open position. The actuating lever is operatively coupled to the clamp lever to effect movement of the clamp lever, movement of the clamp lever causing the clamp assembly to move from the closed position to the open position.

Abstract: A probe device (50), for a resectoscope (10) or another microinvasive instrument for working or manipulating tissue, includes a probe shaft (60) with a cylindrical portion (66) for arrangement in an instrument shaft (20) and with a distal end for arrangement near a distal end of the instrument shaft (20), an effecting device at the distal end of the probe shaft (60), and a sealing device (70) with a probe shaft channel (76) in which the cylindrical portion (66) of the probe shaft (60) is arranged. The probe shaft (60) is movable relative to the sealing device (70) parallel to the longitudinal axis of the probe shaft (60) and parallel to the longitudinal axis of the probe shaft channel (76). The sealing device (70) is formed from metal or ceramic or from another non-elastic material and is connected permanently to the probe shaft (60).

Abstract: Provided is a semi-cylindrical osteotomy device including: a guide portion where a tibia accommodating space in which a tibia is accommodated is formed; a cutter portion moving in the tibia accommodating space and cutting the tibia while moving along an inner circumferential surface of the guide portion; and a driving unit driving the cutter portion. According to the semi-cylindrical osteotomy device, stability of a surgery is increased by inserting the guide portion by approaching a side surface of the tibia to minimize an exposed portion of a bone. Also, a wire saw moves along a slit of the guide portion, and thus a cut bone surface of a semi-cylindrical shape is easily and quickly formed.

Abstract: An intra-osseous support structure can be used to fixate opposed portions of bone. In some examples, the intra-osseous support structure is positioned in openings formed in adjacent portions of bones. Fasteners are inserted through the bone portions to secure the intra-osseous support structure in the bones. Depending on the application, one or more external bone plates may also be applied to the bone portions. The external bone plate may be in compression while the intra-osseous support structure is in tension under load in situ.

Abstract: A clamping apparatus with a control mechanism includes a cam, a cam post, a handle, and a handle plate. The cam is configured to rotate into a clamped position in which the clamping apparatus is in a clamped state and an unclamped position in which the clamping apparatus is in an unclamped state. The cam post is rotatable with the cam. The handle is movable into a first position and a second position. The handle plate is rotatable with the handle. The handle plate is configured to rotate the cam post in a first direction when the handle moves from the first position to the second position. The handle plate is configured to rotate in a second direction without rotating the cam post in the second direction for a predetermined distance when the handle moves from the second position to the first position. The first direction is opposite to the second direction.

Abstract: Implant devices and cutting clamp apparatuses and methods for creating the implants for insertion into a patient's joint to restore anatomic length and assist in final positioning of the bones following removal of cartilage and/or bone in preparation for fusion. A first implant is a biplanar implant having a shape to mimic the normal anatomical shape of the bones the implant is configured to mate with. The first implant may be cut using a cutting clamp and jig having the anatomical shape of the bones the implant will be inserted within or between. A second implant is a cylindrical piece of bone having a convex end and a concave end for mating with bones reamed to have the opposite mating surfaces. The second implant is created using cup and cone reamers having dimensions corresponding to the size of the patient's bones. Surgical methods for inserting the implants within a patient.

Abstract: This invention discloses methods and devices using an improved surgical saw blade for resecting bone tissue during surgical procedures. The surgical saw blade may be used on oscillating, reciprocating, rotary or vibrational surgical saws. The disclosure describes the use of a cutting blade to resect hone tissue without excessive temperature rise during typical surgical procedures. The cutting blade provides a self-clearing design that includes at least two teeth disposed to prevent accumulation of bone chips within the proximity of the teeth. The design of the cutting blade allows the mechanical motion of the blade and other interactions between the blade and the tissue to remove accumulated bone chips and prevent excessive temperature rise.

Abstract: Methods and apparatus are provided for selective surgical removal of tissue, e.g., for enlargement of diseased spinal structures, such as impinged lateral recesses and pathologically narrowed neural foramen. In some embodiments, a surgical tissue removal device includes a flexible elongate body that is adapted to conform with the target anatomy and a guidewire connector at the distal end region of the flexible elongate body configured to removably connect to the end of a guidewire so that the guidewire and flexible elongate body can be pulled distally. The body may have at least one blade edge, and the flexible elongate body may be a thin, flat, ribbon shaped flexible body that includes a profile having a width that is substantially greater than a height.

Abstract: An effective technique is provided for rationally clamping and holding various kinds of tool bits which can be selectively replaced with each other and attached to the driving shaft, in a power tool The power tool includes a driving shaft 125 for driving a tool bit 109A or 109B which is arbitrarily selected from various kinds of tool bits, a first clamping element 133 provided on the driving shaft 125 and a second clamping element 135A, 135B provided separately from the driving shaft 125 and can be fixed to the driving shaft 125. The selected tool bit 109A, 109B is clamped and held between the first clamping element 133 and the second clamping element 135A, 135B.

Abstract: A forceps for use in surgery for dissecting tissue includes a pair of jaw members movable from an open position in spaced relation relative to one another to a closed position. The jaw members each have an outer housing extending along the length thereof to a distal end of the jaw members. The outer housing of one of the jaw members includes a textured surface at a distal end configured to interface with and dissect tissue during the movement of the jaw members from the closed to open positions. A dissecting tip may be selectively extendable from a channel defined in one of the jaw members to engage and separate tissue when in the extended position.

Abstract: A surgical blade assembly for use with a driver includes a blade with a distal cutting portion, and a proximal end has a first dimension which is less than what is applicable for use with a specific driver head. An insert is affixed to the blade proximal end and, when affixed to the blade proximal end, is configured to enable the blade for use with the driver head. A surgical cutting tool includes such a surgical blade assembly and a driver head receiving the blade assembly. A surgical cutting tool kit includes a driver with a head for receiving the blade assembly, and a plurality of such surgical blade assemblies for use with the driver, wherein the blades have different thicknesses (a) and/or widths and the corresponding inserts are configured such that the proximal ends of the surgical blade assemblies all include at least one same constant dimension (b).

Abstract: A surgical cutting blade for cutting bone material when the blade is coupled to a hand-held surgical saw includes a distal portion comprising a plurality of cutting teeth, a shank portion adjacent the distal portion, and a proximal portion adjacent the shank portion. The proximal portion may include a longitudinally extending slot having a proximal opening. The slot may be shaped to receive a portion of the surgical saw through the proximal opening. The proximal portion may have a plurality of deflectable fingers respectively separated from a plurality of main body portions by respective gaps. The plurality of deflectable fingers may extend adjacent the longitudinally extending slot, and may deflect into the gaps to increase and decrease a width of a portion of the slot.

Abstract: The present invention discloses a rongeur type bone and cartilage removal device incorporating first and second pivotally secured handles, the first handle terminating at a forward end in a first jaw exhibiting a plurality of extending teeth, with second handle terminating in a second jaw opposing the first jaw and exhibiting a continuous blade edge against which the teeth seats during pivotal motion of the jaws.

Abstract: A dual port ablation cannula kit includes a trocar and a hollow shaft defining a longitudinal lumen. The shaft has a proximal segment and a distal segment, such that the distal segment includes a distal tip substantially aligned with the shaft to permit passage of the trocar within the hollow shaft. The distal tip also is configured with a tissue-gripping surface in as much as a plane of the tissue-gripping surface is substantially perpendicular to a longitudinal axis of the shaft, dual ports extending from an exterior surface of the hollow shaft, each port defining a hollow passageway into the hollow shaft, and dual couplers, one coupling a suction line to one of the dual ports and another coupling an irrigation line to another of the dual ports. Finally, the kit can include a laser fiber.

Abstract: A surgical sagittal saw capable of actuating an assembly that includes a static bar and at least one drive rod and a blade head, both of which are pivotally mounted to the bar. The saw includes a receiving surface on which the blade assembly bar is seated. A clamp removably holds bar in a static position against the receiving surface. The saw includes at least one drive pin. When the bar is mounted to the plate, the drive pin engages the assembly drive rod. A motor is connected to the drive pin to oscillate the pin.

Abstract: Disclosed herein is a system for releasing a ligament. In one embodiment, the system includes a proximal handle, a tubular body, and a flexible body. The tubular body includes a proximal end and a distal end. The handle is coupled to the proximal end. The flexible body extends through the tubular body and includes a tissue cutting portion. The flexible body or tubular body is longitudinally displaceable to move the tissue cutting portion between a non-deployed state and a deployed state.

Abstract: A surgical saw includes a shaft, a first saw blade mounted on the shaft, a second saw blade mounted on the shaft parallel to the first saw blade, the first saw blade having a first tooth having two distal tips, and the second saw blade having a second tooth with a distal tip, the second tooth bent towards the first saw blade and the distal tip of the second tooth aligned with a centerline between the two distal tips of the first tooth.

Abstract: A material removing tool, such as a cutting or grinding tool, adapted to be oscillated by the output shaft of a manually operable motor-driven apparatus, is provided with at least one elongated cutting edge defined by teeth or analogous cutting elements arranged in at least one at least substantially straight linear array.

Abstract: Some embodiments of the invention provide an instrument for mechanically removing segments of tissue from a patient during a minimally invasive surgical procedure. An exemplary instrument provides an inlet for receiving tissue a mechanism for cutting away received tissue and for simultaneously moving the cut away tissue away from the inlet to allow additional material to enter the inlet for removal wherein multiple specimens can be captured and eventually removed from the patient's body without the need of removing the instrument after each capture.

Abstract: A spherical osteotomy device for the efficient surgical sectioning of bone includes a part spherical body and a shank. The part spherical body includes an outer surface, an inner surface, a cutting end between the outer surface and the inner surface, an axis extending from the outer surface through the inner surface, and an origin on the axis. The inner surface has a substantially constant radius extending from the origin. The shank extends outwardly from the outer surface of the body and is substantially aligned with the axis. Other embodiments of an osteotomy device are described. Also provided is a method of using the osteotomy device for performing spherical osteotomies.

Abstract: The present invention discloses a rongeur type bone and cartilage removal device incorporating a pistol shaped body exhibiting a forward extending barrel terminating in a powered saw drive including a plurality of blades. A passageway extends through an interior of the barrel and communicates the forward chain drive with a rearward positioned debris collection chamber. A power supply is incorporated into the body and, upon actuating a trigger, closes a circuit with the saw drive and a separate vacuum inducing drive in order to successively excise increments of bone for evacuation through the passageway and into the collection chamber.

Abstract: A spherical osteotomy device for the efficient surgical sectioning of bone includes a part spherical body and a shank. The part spherical body includes an outer surface, an inner surface, a cutting end between the outer surface and the inner surface, an axis extending from the outer surface through the inner surface, and an origin on the axis. The inner surface has a substantially constant radius extending from the origin. The shank extends outwardly from the outer surface of the body and is substantially aligned with the axis. Other embodiments of an osteotomy device are described. Also provided is a method of using the osteotomy device for performing spherical osteotomies.

Abstract: The invention includes a system and method for the loosening of tissue. In one embodiment, a device for use in an intervertebral tissue removal procedure includes a cannula having a first end portion for insertion into tissue, a feed passage within the cannula, a return passage within the cannula, and a loosening member movable within the feed passage and the return passage and at least partially deployable away from the first end portion of the cannula.

Abstract: An apparatus, system and method are presented by which certain surgical procedures normally done by powered surgical handpieces may be accomplished by powered arthroscopic handpieces, thus obviating the need to use powered surgical handpieces.

Abstract: The present invention relates to a surgical handpiece for driving a surgical tool, with a housing, in which there are arranged a drive in the form of a compressed air motor and at least one bearing or gear part cooperating with the drive on the output side, further comprising at least one lubricant spray connection for coupling to a lubricant spray source, and which is in fluidic connection with at least one of the at least one bearing or gear part and the compressed air motor.

Abstract: A method for conducting a surgical procedure is described herein. The surgical procedure includes creating a pathway through a nasal cavity, creating an opening through a section of skull that is connected to the nasal cavity, harvesting a portion of the skull formed by creating the opening to expose a dura layer of the brain, cutting a section of the dura layer to expose a section of brain tissue, and inserting a tissue resection device through the nasal cavity to take tissue samples from the exposed brain tissue. The dura layer is then secured over the exposed brain tissue so as to create a watertight seal and the previously harvested portion of the skull is inserted in in the opening and secured to the skull to close the opening.

Abstract: A surgical saw includes a shaft, a first saw blade mounted on the shaft, a second saw blade mounted on the shaft parallel to the first saw blade, the first saw blade having a first tooth having two distal tips, and the second saw blade having a second tooth with a distal tip, the second tooth bent towards the first saw blade and the distal tip of the second tooth aligned with a centerline between the two distal tips of the first tooth.

Abstract: A handpiece and system having a surgical handpiece adapted to perform an operation on a patient, the surgical handpiece having a primary circuit being driven by an applied signal. A controller is operatively coupled to supply operating power to the surgical handpiece. A hand switch is operatively coupled in conjunction with the surgical handpiece to at least partially control an operation of the surgical handpiece. The switch has a secondary resonant circuit receiving the applied signal from the primary circuit and couples a response signal back to the primary circuit. Detection circuitry, operatively coupled to primary circuit, is responsive to a characteristic parameter of the response signal indicative of the presence of the hand switch in proximity of the surgical handpiece.

Abstract: A surgical sagittal saw with a head that is able to index, rotate, relative to the longitudinal axis of the saw housing. The head has a neck that extends into an open distal end of the housing. A biasing assembly holds the head and neck sub-assembly in the open distal end of the housing. The biasing assembly is rotatable relative to the housing. A separate lock mechanism selectively holds the head in a fixed orientation around the saw housing longitudinal axis.

Abstract: Provided is an improved morcellator for severing and removing tissue from a patient's body with functional and structural improvements in disposable cutter assembly and reusable drive assembly to prevent body fluid from entering the sterile region of the cutter assembly and infection from transmitting to reusable drive assembly.

Abstract: The present application describes apparatus and methods for coating a base surgical or dental implement with a nickel boron or nickel phosphorous coating.

Abstract: A cutting saw blade for use with an oscillatory power tool used in surgical bone cutting procedures including a blade having a distal end provided with teeth whose tips are located on a tangent line perpendicular to the long axis of the blade. The teeth are configured substantially as right triangles with their hypotenuses facing either towards the center of the blade or away from the center of the blade. A central tooth can be optionally provided. The surgical saw blade may have a distal end having at least one pair of teeth configured to be adjacent to each other and each of the pair of teeth is configured as a right triangle each having a hypotenuse which is oriented at least one of towards and away from the centrally positioned long axis.

Abstract: A method and system for conducting surgical procedures is disclosed.

Abstract: A handpiece and system having a surgical handpiece adapted to perform an operation on a patient, the surgical handpiece having a primary circuit being driven by an applied signal. A controller is operatively coupled to supply operating power to the surgical handpiece. A hand switch is operatively coupled in conjunction with the surgical handpiece to at least partially control an operation of the surgical handpiece. The switch has a secondary resonant circuit receiving the applied signal from the primary circuit and couples a response signal back to the primary circuit. Detection circuitry, operatively coupled to primary circuit, is responsive to a characteristic parameter of the response signal indicative of the presence of the hand switch in proximity of the surgical handpiece.

Abstract: A device for modifying tissue in a spine may include: a shaft having a proximal portion and a distal portion, the distal portion having dimensions which allow it to be passed into an epidural space of the spine and between target and non-target tissues; at least one distal force application member extending from the distal portion of the shaft and configured to facilitate application of at least one of anchoring force and tensioning force to the shaft; at least one movable tissue modifying member coupled with the shaft at or near its distal portion; at least one drive member coupled with the at least one tissue modifying member to activate the at least one tissue modifying member; and at least one power transmission member coupled with the at least one drive member to deliver power to the at least one drive member.

Abstract: A cutting saw blade for use with an oscillatory power tool used in surgical bone cutting procedures including a blade having a distal end provided with teeth whose tips are located on a tangent line perpendicular to the long axis of the blade. The teeth are configured substantially as right triangles with their hypotenuses facing either towards the center of the blade or away from the center of the blade. A central tooth can be optionally provided. The surgical saw blade may have a distal end having at least one pair of teeth configured to be adjacent to each other and each of the pair of teeth is configured as a right triangle each having a hypotenuse which is oriented at least one of towards and away from the centrally positioned long axis.

Abstract: A surgical saw blade coupler for removably holding a surgical saw blade. The surgical saw blade may be of various shapes and sizes, including, but not limited to straight or crescentic. The surgical saw blade coupler includes a cap, a pin and a driver. The driver is rotatably coupled to a motor within a housing. A cup is located within the housing within a bearing. The cap and the pin form a slot which receives a first end of the surgical saw blade. The cap and the pin also form a groove for receiving a back edge of the surgical saw blade. The surgical saw blade coupler is moveable between an open position in which the surgical saw blade may be removed, exchanged or inserted, and a closed position. A biasing spring acts against a button and the pin to close the coupler.

Abstract: A coupling device for connecting tools with different configuration to a driving mechanism. The coupling device may have a longitudinal axis, a first clamping device which may engage a tool with a peg-shaped clamping segment and a second clamping device which may engage a tool with a generally flat portion. The coupling device may be used to connect a tool to a drive shaft which may be attached to a motor. The tools may be locked or unlocked relative to the coupling device by sliding a sleeve along the axis of the coupling device. The sleeve may be biased in a locked position by biasing means such as a spring. The coupling device may be configured so that the first and second tool may be prevented from rotating and/or moving axially with respect to the drive shaft.

Abstract: Some embodiments of the invention provide an instrument for mechanically removing segments of tissue from a patient during a minimally invasive surgical procedure. An exemplary instrument provides an inlet for receiving tissue a mechanism for cutting away received tissue and for simultaneously moving the cut away tissue away from the inlet to allow additional material to enter the inlet for removal wherein multiple specimens can be captured and eventually removed from the patient's body without the need of removing the instrument after each capture.

Abstract: In order to improve a surgical DC power tool such that it can be operated, where applicable, under sterile conditions, in particular, using conventional DC voltage supplies, a surgical switch mode power supply for a surgical DC power tool is suggested, comprising a switch mode power supply circuit arrangement, a switch mode power supply housing and a circuit receptacle formed in the housing of the switch mode power supply for accommodating the circuit arrangement of the switch mode power supply, wherein the housing of the switch mode power supply has a switch mode power supply interface which is designed in such a manner that it can be brought into engagement with and/or connected to an interface of the DC power tool provided for a mains-independent energy source. Furthermore, an improved surgical DC power tool is suggested.

Abstract: A tool (1, 31) for cutting bone comprises an elongate blade (7,37) connectable to a generator of longitudinal-mode ultrasonic vibrations. The blade (7,37) has two lateral cutting edges (9,10) linked by a rounded distal tip (8). A series of triangular teeth (13) extends along each cutting edge (9,10) and the distal tip (8). The blade (37) may taper towards each cutting edge (9,10) and the distal tip (8). A variant of the tool (21) comprises an elongate part-cylindrical blade (27) connectable to a generator of torsional-mode ultrasonic vibrations. The blade (27) has a cutting edge at its distal tip (28) provided with a plurality of triangular teeth (23). All forms of the tool (1, 21, 31) are particularly suitable for cutting cancellous bone around an implant to be removed during revision of a joint arthroplasty.

Abstract: A device for accessing and for isolating a desired site within a patient's body, and for obtaining a body of tissue from a patient at the site that includes an electrosurgical cutting electrode near the distal tip of a shaft, an anchoring mechanism and an electrosurgical side-cutting device. Methods are provided for accessing a target site within a patient's body, anchoring a body of tissue at the site, and isolating the body of tissue at the site. The method may be performed for a surgical biopsy or lumpectomy at the target site within a patient's body.

Abstract: The present disclosure relates to methods for joining ceramics to metals and a tool for use in the methods. A medical device and a method of manufacturing a medical device is also disclosed.

Abstract: A saw blade comprising a blade body having a longitudinal axis, a cutting means disposed at a first end of the blade body and a prearranged hub section having an outer periphery located at a second end of the blade body is shown. The prearranged hub section comprises an elongated slot formed in the hub section which extends from the outer periphery along a longitudinal axis to a U-shaped cut-out forming a hub center. The hub center is located along the longitudinal axis. The hub section includes a plurality of slots, each of the slots having a generally rectangular elongated blade driving enabling section having one end which terminates in an expanded bulbous blade driving disabling section in a position opposed to the hub center. The respective generally rectangular elongated blade driving enabling section are disposed in a pattern along a radius centered at the hub center.

Abstract: A system and method are disclosed for securing a blade to a blade post or handle base. A handle base is provided with a receiving port that includes a taper or dovetail configuration along a portion of each wall. The receiving port accepts a blade, and a cap is positioned within the exposed receiving port above the blade surface. The sides of the cap are secured within the dovetail sections along each wall of the receiving port and opposite securing ramps engage to secure the blade into position. The blade may be a keratome blade that is intended for opthalmic use, but the system and method can be used in connection with various types of opthalmic and non-opthalmic surgical knives.

Abstract: A saw blade for medical, in particular surgical, applications having a recess for mounting the saw blade inside a saw which exerts an saw movement, especially an oscillating saw movement, to the saw blade. In order to improve the dynamic behavior of the saw blade, longitudinal flat areas of a surface of the saw blade are provided with a plurality of superficial impressions of a defined contour that are aligned at an angle to the longitudinal axis of the saw blade.

Abstract: A device and method for use in a human spine to prepare a space between adjacent vertebral bodies and into the vertebral end plates to receive an implantable insert. The device includes a handle, a shaft, and a mounting member at one end of the shaft. An abrading element is mounted on the mounting member and is coupled to a drive mechanism. The drive mechanism is operable to move the abrading element in at least one degree of freedom to create surfaces having predetermined contours in the end plates of the adjacent vertebral bodies.

Abstract: The invention relates to a saw blade (1) for medical, in particular, surgical applications which comprises a recess (3) for mounting the saw blade inside a saw which exerts a saw movement, especially an oscillating saw movement, onto the saw blade (1). In order to improve the dynamic behavior of the saw blade (1), the invention provides that the flat area (6) of the saw blade (1) has a number of superficial impressions (5) of a defined contour.

Abstract: The invention relates to a surgical saw blade having a flat, plate-shaped body (1) being provided with a toothing (2) at least one edge portion, said toothing comprising a plurality of uncrossed teeth, said teeth each consisting of groups comprising three teeth (3, 4, 5) of different shape, or wherein the toothing (2) comprises pairs (5, 6) of two teeth (3, 4) being arranged symmetrically to each other in relation to a plane perpendicular to the center plane of the body (1).