Abstract: A number of orthopaedic surgical instruments for use in a surgical procedure to prepare a patient's femur to receive an orthopedic prosthesis are disclosed. The tools include guide tools, cutting tools, surgical blocks, and other orthopaedic surgical instruments configured to plan and guide the preparation of the patient's femur. A method of using the orthopaedic surgical instruments is also disclosed.

Abstract: An identification tag for attaching to a tool to automatically identify the tool, including, a base with a small footprint for attaching to the tool on one end of the base, an identification attachment with a larger footprint that is attached to the tool by the base at a second end of the base. Wherein the identification attachment includes, an encasement that is connected to the second end of the base, an identification circuit that fits into the encasement, a cover to seal the encasement, and wherein the identification circuit accepts communication queries and transmits identification information related to the tool wirelessly from within the encasement.

Abstract: A method and system for performing a total joint arthroplasty procedure on a patient's damaged bone region. A CT image or other suitable image is formed of the damaged bone surfaces, and location coordinate values (xn,yn,zn) are determined for a selected sequence of bone surface locations using the CT image data. A mathematical model z=f(x,y) of a surface that accurately matches the bone surface coordinates at the selected bone spice locations, or matches surface normal vector components at selected bone surface locations, is determined. The model provides a production file from which a cutting jig and an implant device (optional), each patient-specific and having controllable alignment, are fabricated for the damaged bone by automated processing.

Abstract: A trialing and preparation system for preparing a disc space between two adjacent vertebrae is provided. The system includes a guide shaft, a trialing cage or spacer, a scraper and a driving shaft. The guide shaft supports the trialing spacer within the disc space and may include an angular adjustment for such access. The scraper sleeves over the guide shaft into an abutting relationship with the adjacent vertebrae. The driving shaft is coupled to the scraper by a pivoting and reciprocation mechanism that allows angular adjustment of the scraper. Also, reciprocation of the driving shaft reciprocates the scraper through a limited sweep of motion to remove osteophytes from the vertebrae.

Abstract: A drill sleeve is provided for guiding a bone drill in alignment with the screw holes and drill guides. The drill sleeve includes a cylindrical body having a first end, a second end and a longitudinal axis extending therebetween. The cylindrical body includes a longitudinal bore therethrough that is sized for passage of a bone drill. The drill sleeve also includes a frictional retaining element for exerting a bearing force against the surface of the bone drill, such that the frictional retaining element may support at least the weight of the drill sleeve on the bone drill. The bone drill has graduated indicia, and a portion of the drill sleeve may be referenced relative to the indicia so as to be used as a depth gauge for determining the length of a drilled hole in order to select a screw fastener having the appropriate length.

Abstract: A surgical instrument for operating hip joint osteoarthritis in a human patient is provided. The hip joint comprises an acetabulum, being a part of the pelvic bone, and a caput femur, being the proximal part of the femoral bone. The surgical instrument is adapted to assist in the operating of the hip joint osteoarthritis from the abdominal side of the pelvic bone of said human patient.

Abstract: Drive shaft for interchangeable reaming heads intended for surgical use, in particular a reaming head used prior to the positioning of an intramedullary nail in the femur or in a long bone. The shaft has a rod (20) made from composite material, e.g. carbon and/or glass fiber reinforced polymer, and a connection element (35) for the coupling of an interchangeable reaming head. One portion (32) of said connection element (35) is inserted into a cavity in the first end (21) of said rod (20). The inventive shaft has a constant diameter, a smooth external surface and a low cost such that it can be disposed of after use.

Abstract: A surgical tool is disclosed. The surgical tool has a tool mounting portion having a tool mounting housing, a tool mounting plate, and a coupler to couple a shaft assembly with an articulation section to the tool mounting portion. An articulation mechanism is located within the tool mounting portion and is configured to receive a proximal end of the shaft assembly to articulate the articulation section of the shaft assembly. An interface mechanically and electrically couples the tool mounting portion to a manipulator.

Abstract: Systems and methods for treating disc herniation or degeneration, disc degeneration, and vertebral body fracture include surgical and endoscopic access and removal of disc tissue. The tissue removal devices that may be used include rotatable blade devices having flow control surfaces that may be inserted into a vertebral disc and rotated to pulverize the disc material and facilitate its removal.

Abstract: This invention relates generally to devices, systems and methods for the internal fixation of bone fractures, and particularly, to intramedullary fracture fixation devices such as those used in, for example, the treatment of long bone fractures. An IM rod preferably is provided with multiple curved sections in different planes preferably designed to conform with the long bones of a patient, both during insertion and in the rod's final position in the long bone. In addition, the overlap of portions of the curved sections results in a co-planar curvature of portions of the IM rod which assist in the insertion process by guiding the proper rotation of the IM rod as it is inserted into the bone. Spiraling flutes extending down the distal portion of the rod also assist in properly guiding and orienting the rod about its longitudinal axis during insertion such that the appropriate segment of the curved rod conforms with the appropriate portion of the long bone at the appropriate place.

Abstract: A guide assembly for use in preparing a femur for soft tissue reconstruction is provided. The guide assembly can include a guide shaft member that can extend from a proximal end to a distal end thereof and can include a distal region encompassing the distal end. The distal region can have a first bend in a first direction and a second bend in a second direction different than the first direction.

Abstract: Various arthroscopic shavers are provided that minimize contact between bodily fluid and the shaver hand piece. Arthroscopic shavers generally include a cutting assembly mated to a hand piece. In one embodiment, the shaver includes a hub that connects the cutting assembly with the hand piece and has an exit port configured to transport cut tissue and fluid from the device. In another embodiment, the shaver includes a hub configured to retrofit existing shaver hand pieces having interior lumens for removing cut tissue and fluid. The hub further includes an exit port that diverts fluid away from the hand piece.

Abstract: Reciprocating rasps for the surgical preparation of the bone prior to the implantation of a glenoid or acetabular component with complex geometry are disclosed. Surgical methods for the use of such reciprocating rasps are also disclosed. Some of the methods include inserting a guide pin into the glenoid of the patient, advancing a reciprocating surgical rasp over the guide pin, reciprocating the surgical rasp so as to abrade bone tissue to form a cavity shaped to receive the glenoid component, and implanting the glenoid component in the cavity.

Abstract: An instrument for inserting a bone anchoring element into a bone is provided, the instrument including a shaft (2) having an end portion (23, 23?) for engaging the bone anchoring element and for transferring torque to the bone anchoring element (1, 1?) and a longitudinal axis defining an axis of rotation (R); a cutting member (4, 4?) connected to the shaft (2) with cutting portions (45) that are configured to cut bone material; wherein the cutting member (4, 4?) has an outer diameter (D) defined by the cutting portions (45) that is substantially the same or larger than an outer diameter (dd) of a receiving part (500) of the polyaxial bone anchor in a region at a bottom end (500b) of the receiving part.

Abstract: An interbody axis cage for promoting stabilization and alignment of the spine following a surgical procedure is described herein. The interbody axis cage of the present invention has alternating points of axes in the X and Y direction that allow for 3-dimensional motion. The axis cage is roughly cylindrical in shape and it incorporates a threaded outerbody to facilitate screwing in and placement. The axis cage of the present invention is cannulated and incorporates a flexible reamer/cutter to “tap” for cage placement.

Abstract: Apparatuses and methods for inserting elongated fixation elements into screw implants include one or components for visualizing the insertion process from a unique vantage point. One apparatus features a steering apparatus for adjusting the position of a receiver element on a screw implant, so that an elongated fixation element, such as a rod, can be inserted through a transverse passage in the receiver element. The steering apparatus may include an extension tube and a steering control member coupled to the extension tube. The extension tube may be configured for coupling to the receiver element, and the steering control member may be configured for coupling to the extension tube. The steering control member may include an opening for receiving an endoscope. The endoscope may be used to visually monitor the elongated fixation element as it is inserted into the transverse passage of the receiver element.

Abstract: A method of accessing target tissue adjacent to a spinal nerve of a patient includes the steps of accessing a spine location of the patient by entering the patient through the skin at an access location, inserting a flexible tissue modification device through the access location to the spine location, advancing a distal portion of the first flexible tissue modification device from the spine location to a first exit location, passing through the first exit location and out of the patient, advancing the first or a second flexible tissue modification device through the same access location to the spine location and to a second exit location, and passing through the second exit location and out of the patient.

Abstract: An acetabular drill pin comprising an elongated shaft having a proximal end and a distal end opposite thereof along a longitudinal axis of the shaft; at least two depth markings along the shaft, each of the at least two depth markings being positioned a pre-defined distance from the distal end of the shaft; and a fluted portion proximate the distal end of the shaft, the fluted portion being disposed between a shoulder and a flat-bottom milling tip, the tip being configured to penetrate a peri-acetabular area of a pelvis as the fluted portion is imparted with rotary motion.

Abstract: The drilling device is composed of an articulated drill (1) provided with a metal tube (10) including, along its longitudinal axis XX?, and at one of its ends, fixing elements (11) that cooperate with a device (2) for driving it in an oscillatory movement, while the other end includes a profile (12) with a succession of alternately concave and convex loops (13) ensuring the deformation of the profile along a radius of curvature r, and at least one series of teeth (15, 16) with cutting edges (17, 18).

Abstract: An orthopedic device for correcting a femoral bone abnormality includes a patient-specific three-dimensional shell and a patient-specific guiding feature. The shell has an outer surface and an inner bone engagement surface customized in a pre-operating planning stage by computer imaging to closely mate and conform to and substantially cover a femoral head of a patient in only one position. The guiding feature is pre-operatively planned relative to the shell such that when the shell is fitted over the femoral head, the guiding feature can guide a removal tool for removing an abnormality portion of the proximal femur of the patient.

Abstract: An undercutting system for preparing a region between ilium and sacrum for sacroiliac fusion. The undercutting system includes an insertion apparatus and a cutting assembly. The insertion apparatus has an elongate shaft and a rotatable handle. The cutting assembly is operably attached to the insertion apparatus. Rotation of the handle with respect to the shaft causes the cutting assembly to move with respect to the shaft between a retracted configuration and an extended configuration. When in the extended configuration, at least a portion of the cutting assembly extends laterally from the shaft.

Abstract: A cutting tool is provided with a cutting surface on a first side of the cutting tool and an attachment member on a second side of the cutting tool. The cutting surface can have cutting edges with characteristics that vary along the cutting tool. Novel methods of manufacturing such cutting tools are also provided.

Abstract: A device for fastening a marker device to a bone, comprising a fixing element including a mounting for the marker device, comprising a spring designed to contact an abutment for exerting a force between the abutment and the fixing element in the direction of the bone.

Abstract: A trial instrument assembly for use in a surgical procedure to replace an orthopaedic joint includes a trial implant having a stem portion for fitting within a prepared cavity in the patient's bone. The stem portion defines a stem axis. A neck portion is connected to the stem portion to protrude from the cavity when the stem portion is within the cavity. The assembly includes a plane guide that extends from the neck portion in a plane that is selected from (i) a plane perpendicular to the stem axis, and (ii) a plane parallel to the stem axis, for use in determining the location of the trial implant relative to an anatomical feature in a direction measured along the stem axis or perpendicular to the stem axis, respectively.

Abstract: A drill guide assembly for drilling a tunnel having a fixed, non-zero radius of curvature, where the drill guide assembly includes a housing and a sleeve, or cutting tube, configured to reciprocate within the distal portion where the sleeve, or cutting tube, is configured to receive a bone cutting instrument.

Abstract: A tissue removal device for removing hard and/or soft tissue is disclosed. The device can have an elongated rigid shaft attached to an articulating broach. The device can be inserted through a transosseous delivery channel formed in a bone. The broach can articulate after passing through the transosseous delivery channel.

Abstract: The transoral repair of choanal atresia is a method for the surgical repair of choanal atresia that uses a transoral approach. The procedure includes the use of a curved drill, a curved shaver, curved grasping forceps, and a suction irrigator. After endotracheal intubation, a retractor is inserted to retract the tongue. A 120° angled telescope is inserted behind the soft palate into the nasopharynx to visualize the posterior choanae. A curved drill is used to drill the atretic plate from the vomer medially to the lateral pterygoid plate laterally. The drilled section of the atretic plate is removed to clear the obstruction.

Abstract: A drill system for forming a curved tunnel in a bone includes a drill bit guidance device. The drill bit guidance device includes an elongated stationary outer tube extending along a first axis and an elongated inner tube assembly. The elongated inner tube assembly is configured to slidably move within the elongated stationary outer tube along the first axis and to exit from a distal end of the elongated outer tube. The elongated inner tube assembly includes an actuating tube and an actuator tube. The actuating tube slidably moves within the actuator tube and includes a plurality of semi-cross-sectional slots extending in a slot direction perpendicular to the first axis. Each slot of the actuating tube is configured to collapse inward in the slot direction when exiting the distal end of the elongated outer tube, thereby causing a distal end portion of the elongated inner tube assembly to follow a curved path.

Abstract: A reconstruction system for ligament employing a button/loop construct with a drill pin. The drill pin has a shaft with a proximal and a distal end. A pin tip provided at the distal end of the shaft has a width greater than the shaft diameter. The pin tip helps cut a wider tunnel for fixation of ligaments/grafts in reconstructive surgeries. The shaft of the drill pin is provided with a laser marks for measurement of intraosseous length.

Abstract: A method of performing arthroplasty includes preparing a head of a long bone to receive a prosthesis using a reamer. The reamer includes a first cutting structure having an inner concave surface that defines a first cavity and terminates in a generally circular leading edge. The inner concave surface includes a first cutting feature that is spaced apart from the leading edge. An elongate member extends from the first cutting structure into the first cavity toward the leading edge that includes a second cutting feature. A second cutting structure is secured to the elongate member and positioned within the first cavity. The second cutting structure extends outwardly from the elongate member toward the inner concave surface and includes a third cutting feature.

Abstract: A device for reaming a bone includes an elongated shaft extending along a first longitudinal axis from and first end to a second end, the shaft being sufficiently longitudinally flexible to enable it to be passed through a path having a curvature of a target bone and a reaming head extending along a second longitudinal axis from the second end to a third free end, wherein the first longitudinal axis is parallel to and laterally offset from the second longitudinal axis so that, upon rotation of the shaft, the reaming head rotates eccentrically with respect to the first longitudinal axis.

Abstract: An apparatus and method for penetrating bone marrow is provided. The apparatus may include a housing such as a handheld body, a penetrator assembly, a connector that releasably attaches the penetrator assembly to a drill shaft, a gear mechanism, a motor and a power supply and associated circuitry operable to power the motor. The penetrator assembly may include a removable inner trocar and an outer penetrator or needle. It may also include a grooved trocar that allows bone chips to be expelled as the apparatus is inserted into bone marrow. Various connectors are provided to attach the penetrator assembly to the drill shaft.

Abstract: A tool kit for performing biologic vertebral reconstruction has a drilling tool including a drill bit for forming a cavity in a vertebra to be reconstructed, a biologically active jacket sized for insertion into the cavity, an artificial bone injector attachable to the biologically active jacket, and an artificial bone material injectable into the biologically active jacket by the artificial bone injector. The biologically active jacket is inserted into a cavity formed in a vertebra to be reconstructed. The artificial bone material is inserted into the biologically active jacket and allowed to set.

Abstract: Arthroplasty components include an articular surface and a bone-facing surface. The bone-facing surface bears at least one anchoring element adapted for an oblique implantation trajectory. The articular surface includes a larger radius of curvature in the superior-inferior direction than in the anterior-posterior direction. An inferior chamfer may be present on the articular surface. Instruments and implantation methods are also disclosed. Reamers include reamer heads coupled to various offset shaft configurations.

Abstract: A method and tool for creating a location for a fixation device to be secured to a bone. The method includes bringing a bone cutting tool extending along a longitudinal axis into engagement with an outer surface of the bone. The bone cutting tool is rotated about the longitudinal axis while driving it from the outer surface of the bone to a predetermined depth in the bone to form a bore. The bone cutting tool is then continuously rotated at the predetermined depth to establish an enlarged bone pocket at a distal end of the bore. The bone pocket defines a shoulder extending around a circumference between the bone pocket and bore. The bone cutting tool is removed from the bone pocket and bore. The fixation device is then inserted into the bone pocket through the bore, where it is seated against the bone pocket shoulder.

Abstract: A system includes a handpiece and a removable tool assembly including a holder body, a shaft, a cutting bur, a guard, and a sleeve. The body engages the handpiece and defines a bore. The shaft extends within the bore and the bur is provided to the distal end of the shaft. The guard is coupled to the body via a threaded mating at the bore, such that rotation of the guard relative to the body longitudinally displaces the guard. The extends within the bore of the body and the guard. The guard is positioned relative to the body by a distance to define a working length of the bur between the distal end of the guard and the distal tip of the bur. The working length of the bur is used to cut tissue, without concern that cutting will be deeper than intended.

Abstract: A surgical tool for removing a portion of an implant is provided that includes a housing, a motor contained within the housing and coupled to the housing, and an output shaft having a distal end and a proximal end opposite the distal end, wherein the proximal end is coupled to the motor and the distal end has an opening configured to rotatably engage an implant. The surgical tool further includes a counter-torque sleeve extending around the output shaft having a proximal end and a distal end opposite the proximal end, wherein the proximal end is coupled to the housing and the distal end is configured to couple to the implant relative to the counter-torque sleeve. Upon a rotational force to the implant, the forces transmitted by the output shaft and the counter-torque sleeve are balanced by the coupling of the output shaft and counter-torque sleeve through the housing.

Abstract: An apparatus for providing medical treatment includes a tool portion configured to operate relative to bone tissue, a handle portion to operate the tool portion, and a nerve monitoring system to detect neural elements. The tool portion includes an insulated shaft comprised of an electrically conductive member and a non-insulated tip. The shaft carries an electrical signal to the non-insulated tip. The handle portion, which is removably and operably connected to the tool portion, incorporates an operating system to rotationally operate the tool portion. Additionally, the nerve monitoring system is linked to the tip and is operable to detect a neural element as a function of a characteristic of the electrical signal on the tip. Upon detection of a neural element, the nerve monitoring system provides a signal to the operating system of the handle portion directing the operating system stop rotation of the tool portion.

Abstract: Low profile reamers and methods of use are provided which can, in general, allow a hole to be drilled in bone. In one embodiment, a low profile retractable bone reamer is provided having an elongate shaft with a cutting element disposed on a distal end of the elongate shaft that can be configured to drill a hole in bone. The elongate shaft and cutting element can have first and second longitudinally separated portions that are movably coupled to each other. The reamer can be configured to move between a retracted configuration, in which a the reamer has a reduced, low profile configuration, and a non-retracted configuration, in which both longitudinally separated portions of the cutting element can be positioned adjacent to one another to form a single cutting element.

Abstract: A disposable reamer designed to improve bone and tissue removal efficiency is described. The reamer device comprises a reamer body shell, a series of reamer blades and a reamer shaft interface. The reamer body shell has a hemispherical structure having a concave interior surface and a convex outer surface. The series of reamer blades have a cutting portion comprised of a series of discrete cutting edges that is bent at an angle from the planar portion of the blade. The reamer blades are positioned along the curved concave interior surface of the hemispherical shell or along the curved convex outer surface of the shell. The reamer blades are positioned along the hemispherical shell such that their leading edges lie parallel to and tangent a bisecting plane.

Abstract: Disclosed herein are systems and methods for shaping bone voids during revision procedures of total knee replacements. The systems disclosed herein generally include a cannulated reamer assembly, a reaming guide assembly, a guide tube assembly, a trial stem assembly, and an optional insertion/removal tool. Metaphyseal reconstruction devices can be used to fill the bone voids in conjunction with the systems and methods disclosed herein.

Abstract: A flexible drill with a shaft having a nitinol portion (or nitinol region) provided between a stainless steel driver end and a stainless steel drill tip. The flexible drill with nitinol shaft is provided with a bearing surface to allow centering within a drill guide, low friction bearing and flexibility to drill around a curve. The bearing surface may be formed of a fluoropolymer such as LDPE (Low Density Polyethylene). The flexible drill shaft may be used through a drill guide, such as a curved drill sleeve.

Abstract: Disclosed is a reamer for implant surgery including: cutting front end portions each of which has a sharp front end; cut edges of a horizontal line form, the cutting front end portions and the cut edges being arranged radially and alternately, wherein one side of the cutting front end portion having the sharp front end has a triangular depressed face inclined downwardly toward a rotation central axis of the cutting part, and one side of the cut edge having the horizontal line form has a triangular inclined face inclined downwardly toward the outer circumferential surface of the cutting part, wherein an inclination angle of a side inclined edge inclined downwardly at the sides of the outer circumferences of the cutting front end portion and the cut edge becomes gradually smaller in the rotation direction of the cutting part.

Abstract: Provided is a drilling device for acromioplasty including an outer tube assembly including including a head section having a rotor having a first power transmission unit having a hollow structure and configured to receive power and a twist drill coupled to a lower end of the rotor with a hollow structure and provided with a suction port formed on an outer circumferential surface thereof, and an outer tube having a tubular shape and having one end to which the head section is coupled, an inner tube assembly including an inner tube having a hollow structure and rotatably inserted into the outer tube assembly, a second power transmission unit having a hollow structure and formed at one end of the inner tube to transmit power to the first power transmission unit, a rotation transmission unit formed at the other end of the inner tube and configured to receive a rotational force from the outside, and a discharge section disposed between the rotation transmission unit and the inner tube to discharge ground bone wast

Abstract: A method and a system for cutting the knee joint using a robot. A cantilevered cutter is introduced into the knee joint from inside and outside of upper and lower bones of the knee joint to realize a tunnel cutting technique in which cutting is conducted such that tunnels are defined in bone and remnant bone is cleared. The cutter includes a shaft in which a substantial axial portion is fitted into a sleeve and a remaining axial portion serves as a cantilever extending out of the sleeve, and a head which is formed at a distal end of the shaft. A length of the cantilever and a diameter of the head are determined to have minimum sizes as long as the head can be introduced into bone in such a way as to define a tunnel and can be moved in the bone while cutting the bone.

Abstract: Devices and methods for creating lumens in the articular process of the vertebra are provided. An embodiment of the invention can be a tool that can cut a curved lumen through the articular process. The tool can have a lumen-forming arm with a rotating drill contained within that can be powered by a drill motor. The lumen-forming arm can be axially translated to cut a path through the articular process. Methods of using the resulting lumens to anchor or stabilize facet joint prosthesis, and also altering the spacing and motion at the facet joints of the vertebral column, are provided.

Abstract: An apparatus and method for penetrating the bone marrow is provided. The apparatus includes a housing, a penetrator assembly, operable to penetrate the bone marrow, a connector operable to releasably attach the penetrator assembly to a drill shaft, the drill shaft operable to connect the penetrator assembly to a gear assembly, a gear assembly operable to engage and rotate the drill shaft, a motor operable to engage the reduction gear assembly and drive the penetrator into the bone marrow by rotation of the drill shaft, and a power supply and associated circuitry operable to power the motor. The apparatus and method may be adapted to insert a probe through the skull and into the brain.

Abstract: A drill bit for drilling through bone may include a fluted portion and a trocar tip disposed at an end of the fluted portion. The trocar tip may include an outer lateral surface that is tapered at an angle ranging from about 5 degrees to about 15 degrees relative to a longitudinal axis of the drill bit.

Abstract: A device for introduction into a body in a straight configuration and assuming within the body a predefined curved configuration, includes an elongated element formed from a number of segments interconnected so as to form effective binges therebetween. When the elongated element is confined to a straight state, the effective hinges transfer compressive forces from each segment to the next so that the elongated element can be pushed to advance it through a conduit. When the elongated element is not confined to a straight state, the effective hinges allow deflection of each segment relative to adjacent segments until abutment surfaces of the segments come into abutment, thereby defining a fully flexed state of the elongated element with a predefined curved configuration. The device can be produced with a wide range of two-dimensional and three-dimensional curved forms, and has both medical and non-medical applications.

Abstract: A trackable medical instrument for use in a computer assisted image guided medical and surgical navigation systems that generate images during medical and surgical procedures, includes a guide member having an emitter array for being tracked by the system and a drive shaft contained within the guide member having a proximal and a distal end, the drive shaft being rotatable within the guide member while being fixable axially inside the guide member, the proximal end of the drive shaft having a first connector for interchangeably receiving at least one drive source, and the distal end having a second connector for interchangeably receiving at least one instrument tip.