Abstract: An orthopedic device holder and related system and method are disclosed. The orthopedic device holder can include a body member, a cannulated plunger, and a resilient member. The body member can include a longitudinal main body and an extension portion. The cannulated plunger can be slidably mounted inside the body member and movable between a first position and a second position. The plunger can be configured such that in the second position, a plunger distal end extends past a main body distal end, and in the first position, the plunger distal end assumes a more proximal position. The resilient member can be positioned adjacent a plunger proximal end and can be configured to urge the plunger towards the second position. The extension portion of the body member can project distally from the main body distal end and can include a locking member, which can be configured to fit into a mating recess of an orthopedic device.

Abstract: Driver assemblies, drivers, drill bits, and methods for determining information (such as impedances, voltages, voltage differences, and changes in such information) about biological material during a medical procedure.

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: A kit for use in performing joint arthroplasty is provided. The kit (400) includes a trial (12) and a reamer (2). The reamer (2) is for preparing a cavity (4) in the intramedullary canal (8) of a long bone (8) with the use of a driver (10) and to assist in performing a trial reduction. The reamer (2) includes a first portion (14) for placement at least partially in the cavity (4) of the long bone (8) and a second portion (16) operably connected to the first portion (14). The reamer (2) is removably connected to the driver (10) to rotate the reamer (2). The trial (12) is removably attachable to the reamer (2).

Abstract: The present invention is directed to material removal instrument for forming cavities in interior body regions, particularly cavities in intervertebral discs and vertebrae. The instrument includes a cannula and a rotation mechanism disposed at least partially within the cannula. A cutting element extends from the rotation mechanism and impacts and dislocates tissue as the rotation mechanism is rotated within the body. Dislocated tissue with withdrawn from the body via the cannula.

Abstract: Disclosed in some embodiments are instruments and associated methods for the subchondral treatment of defects near a peripheral articular surface of a joint.

Abstract: A bone cutting device extends from a proximal end to a distal end and has a sharpened cutting surface adjacent the distal end, the cutting surface being dimensioned to permit cutting of bone, the bone cutting device being formed of an implant grade material and an outer surface of the bone cutting device is one of carburized and nitrided.

Abstract: Surgical techniques, instruments and systems for bone fusions and repairs (for example, phalangeal fusion) which allow alignment of small bones (for example, phalanges) without the use of guidewire and cannulated instrumentation such as, for example, drills and drivers, and cannulated screws. A drill/driver hybrid instrument (a combined drill/driver device) may be used in fusion of two small bones (for example, in interphalangeal fusion). One end of the hybrid instrument is provided with a plurality of flutes so that the instrument can be used as a drill to remove bone. The other end is shaped to mate with a device to be inserted intraarticularly (for example, interphalangeally), acting as a driver for that device.

Abstract: An orthopaedic surgical instrument assembly includes a system handle configured to clamp a broach and femoral stem trial assembly. The system handle includes a clamp lever and a release lever both pivotally coupled to the system handle, and a leaf spring connecting the clamp lever and the release lever. When the release lever is moved from an unclamped position to a clamped position, the leaf spring is put in tension, and the clamp lever engages a flange of the broach, securing the broach to the system handle. Methods of assembling the system handle are described and claimed.

Abstract: A retro guidewire reamer includes a cutting member, and a mechanism for moving the cutting member from a closed position to a deployed position in a single manual motion. Once a desired size of a bone tunnel is established, a surgeon uses the reamer to create a primary bone tunnel over a guidewire from the outside in. The surgeon retracts the guidewire, and activates the mechanism to deploy the cutting member within the bone joint to conform to the size of a tendon graft. The surgeon uses the deployed cutting member to create a counter bore through the bone in a retrograde manner. Once the counter bore is drilled, the surgeon activates the mechanism to close the cutting member, allowing the reamer to be withdrawn through the primary tunnel. The retro guidewire reamer can be used to provide more accurate bone tunnel placement during ligament reconstruction surgery.

Abstract: This application relates generally to broaches. More specifically, this application relates to broaches used to shape bores in bone. The broaches can shape the bores to receive an implant and also cut additional tubes or channels for receiving bone graft material and/or biologic aids.

Abstract: A drill guide assembly according to an exemplary aspect of the present disclosure includes, among other things, a drill sleeve and an alignment bar spaced from the drill sleeve. A positioning of the drill sleeve is linked to a positioning of the alignment bar.

Abstract: A reamer for use in minimally invasive hip replacement surgical approaches is provided. The reamer spindle includes an elongate housing portion that extends along a first axis and a neck or distal portion that extends along a second axis, wherein the second axis extends at an angle of between about 35 degrees and about 65 degrees relative to the first axis. A reamer head is removably connectable to the distal neck portion and has a surface configured to cut bone.

Abstract: A bone repairing kit including a drilling device, a pushing device, a clamping member and a hole saw. An end of a tube body of the drilling device is a knife portion. When the tube body rotates with respect to a femur, a bone column is cut by the knife portion and located in the tube body. The pushing device includes a hollow tube and a push bar. The hollow tube is for receiving the tube body. The push bar is for touching and pushing the bone column in the tube body. The clamping member is for clamping the bone column. The hole saw includes a receiving body and cutting knives. The receiving body has a recess for receiving an end of the bone column. The cutting knives surrounding on an inner wall of the recess are for cutting an edge of the end of the bone column.

Abstract: Surgical instruments for use in implanting a stem component into a knee of a patient include a canal reamer and an associated implant reference guide.

Abstract: An implant assembly includes a first implant member, a second implant member, and a contractible element that is connected between the first and second implant members. The first implant member is configured to be placed against a first bone portion, and the second implant member is configured to be placed against a second bone portion. The contractible element is fixed at a first end to one of the first and second implant members, and movable at a second end with respect to one of the first and second implant members so as to induce tension in the suture, thereby providing a compressive force against the first and second bone portions. The second end can then be fixed with respect to the first and second implant members. The contractible element can contract in length in response to bodily fluids, thereby ensuring adequate post-operative compression. An instrument is also disclosed that is configured to implant the first and second implant members adjacent the first and second bone portions, respectively.

Abstract: A surgical device according to an exemplary aspect of the present disclosure includes, among other things, a tube and a cutting blade movable between a first position in which the cutting blade is concealed inside the tube and a second position in which the cutting blade is exposed through a sidewall of the tube.

Abstract: The sacral-iliac joint between an iliac and a sacrum is fused either by the creation of a lateral insertion path laterally through the ilium, through the sacral-iliac joint, and into the sacrum, or by the creation of a postero-lateral insertion path entering from a posterior iliac spine of an ilium, angling through the sacral-iliac joint, and terminating in the sacral alae. A bone fixation implant is inserted through the insertion path and anchored in the interior region of the sacrum or sacral alea to fixate the sacral-iliac joint.

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: A dilation introducer for orthopedic surgery is provided for minimally invasive access for insertion of an intervertebral implant. The dilation introducer may be used to provide an access position through Kambin's triangle from a posterolateral approach. A first dilator tube with a first longitudinal axis is provided. An access cannula may be introduced over the first dilator tube. A drill may be inserted through the access cannula and used to perform a foraminoplasty. Surgical instruments may pass through the access cannula to operate on an intervertebral disc and/or insert an intervertebral implant.

Abstract: A system for repairing a soft tissue or bone defect can include a C-shaped guide member having a first end and a second end and configured to extend around a condyle area of a femur of a patient. The guide member includes a threaded bore at the first end, and the second end configured to rest on a tibia of the patient. The system includes a cannulated bullet threadably received in the threaded bore and configured to be threadably advanced to secure the guide member relative to the femur. The system also includes a drilling member insertable through the bullet and configured to drill a femoral bore through the femur.

Abstract: A cochlear fenestration burr includes a shaft oriented along a longitudinal axis of rotation of the burr, a cylindrical depth stop member oriented along the axis, the depth stop member having a thickness dimension, a diameter dimension and a contact surface, an extension member extended outward from the contact surface and coaxial with the axis, a cutting member having a cutting surface supported by the extension member, and a cutting tip at the end of the cutting member in the center of the cutting surface and coaxial with the axis. A maximum cutting depth is defined by a distance along the axis between an end of the cutting tip and the contact surface. A cutting grit is disposed on the cutting tip and cutting surface.

Abstract: A minimally invasive and particularly small apparatus for drilling into bone and for providing for delivery of medical treatment is provided. The directional drilling apparatus includes a miniature shaft, a bit, first shaft-mounted thrust ring, second shaft-mounted thrust ring, a tubing jacket surrounding the shaft and intermediate the first and second shaft-mounted thrust rings, and a guide tube encapsulating the tubing jacket. As a result, a hole, targeted towards a cancerous lesion within the bone, is possible. After removal of the shaft and the tubing jacket, treatment may be introduced through the particularly small passage created by the directional drilling apparatus or through the passage via a capillary inserted through at least a portion of the guide tube and the passage, which guide tube may include a hypodermic needle.

Abstract: A method of milling a calcar region of the femur. The method includes using a miller assembly including a cutter and a frame. The frame has a longitudinal axis and a cutter mount for mounting the cutter at a first angle with respect to the longitudinal axis of the frame. The cutter mount extends at the first angle from the longitudinal axis of the frame and receives a portion of the cutter and maintain the received cutter oriented at the first angle during rotation. The frame includes a handle that forms a portion of a drive joint for coupling the frame to a drill. The handle is coupled to the drill and the miller assembly is inserted into the femur such that the cutter is located in the calcar region. The drill is then operated, causing the cutter to rotate and mill bone in the calcar region.

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: A surgical system for performing a surgical procedure includes a machining tool and a stationary tool. The machining tool has a first contact surface having a hardness. The stationary tool has a second contact surface at least partially formed of a magnesium alloy. The second contact surface is biocompatible and bioabsorbable, and has a hardness. The hardness of the first contact surface is greater than the hardness of the second contact surface.

Abstract: Disclosed are devices and methods for creating a bore in bone. The devices and methods described involve driving a rotating bit in an axial direction such that both rotation and linear movement are controlled and measurable. The instrument is useful for a surgeon to control and simultaneously measure the travel of the tool into the bone and prevent injury to surrounding structures.

Abstract: One embodiment of the present invention includes a surgical instrument including an instrument body including a shaft having a distal end, a proximal end and a length therebetween; and a bushing having a length, wherein at least a portion of the length of the bushing includes a spring portion including a resilient member, wherein the bushing is cannulated such that the shaft of the instrument is positioned therethrough.

Abstract: Disclosed are apparatus and systems for rotary osteotomy that afford increased control of a trajectory angle and direction/re-direction of the tip of an osteotomy apparatus, controllability of the depth of the tip or fine rotation of the device, and tactile feedback. The apparatus includes a tip portion having a first diameter at a first end and a second diameter at a second end larger than the first diameter, wherein at least a part of the tip portion includes a plurality of pitched threads. A shank is fixedly connected to the second end of the tip portion and has at least a third diameter. A handle is fixedly connected to the shank and arranged distal from the tip portion. The handle has a fourth diameter that is at least greater than the second diameter of the tip portion and the third diameter of the shank.

Abstract: A prosthesis (20) for use in performing joint arthroplasty is provided. The prosthesis (20) is to be fitted to a long bone (3). The prosthesis includes a first body (22) having a first body articulating surface (24) defining a generally circular outer periphery (26) of the first body articulating surface (24). The first body (22) has a support surface (28) opposed to the articulating surface (24). The support surface (28) is adapted to receive the head of the long bone (3). The prosthesis (20) also includes a second body (30) operably associated with the first body (22). The second body (30) has a second body articulating surface (32) extending from a portion of the circular outer periphery (26) of the first body articulating surface (24). A tool kit for preparing a humerus to receive a prosthesis is also disclosed.

Abstract: Surgical tools are disclosed for minimally-invasive planing of bone surfaces that will support prosthetic implants, such as cartilage-repair implants. Such planing tools must create smooth surfaces that will closely fit the anchoring surface of an implant. Such tools can use a rotating cylindrical burr, partially covered by a cowl having adjustable components to control grinding depth and bone curvature. Burrs can be mounted on the ends of rotating shafts, or they can be angled, using drive-coupling interfaces. In other embodiments, shaver or burr tools can be supplemented by accessory-type devices (such as suction tubes, cautery tips, and pinchers) that can be extended beyond the normal working tip of a tool, to enable additional functions that will be useful during surgery.

Abstract: The invention relates to a surgical tool (10) for reaming the diaphyseal canal of long bones, in particular of the femur, humerus, or tibia, in order to insert an intramedullary rod. The modular reaming head includes: a central core (60) and a peripheral bushing (24) that is coaxial to said central core (60) and connected via a plurality of vanes (41a-41e) connecting a front surface (12) of the tool (10) to a rear surface (11) of the tool (10), and teeth (26a-26e) on the outer surface of said peripheral bushing (24). The openings allow material to pass toward the rear when the tool advances within the diaphyseal canal, minimizing pressure and friction, resulting in a positive effect on the rate of clinical complications. The tool is preferably made using the metal injection molding (MIM) technique in order to reduce production costs and enable the one-time use thereof. The reaming head of the invention can be perfectly combined with composite or metal drive shafts.

Abstract: A flip retrograde cutting instrument and method of retrograde drilling using such an instrument. A method of forming a socket includes providing a flip retrograde cutter, inserting the cutter into a joint with a blade of the cutter in a straight position, pivoting the blade to a non-straight flip position, locking the blade in the flip position, and retrograde drilling a socket using the blade in the flip position.

Abstract: A guide assembly includes a guide having a first attachment portion and a second attachment portion, an aimer arm coupled to the first attachment portion of the guide and having a distal portion configured to engage a bone surface, a surgical instrument coupled to the second attachment portion of the guide and defining a longitudinal axis that is substantially co-radial with the distal portion of the aimer arm, and one or more depth limiting elements configured to limit movement of a distal end of the surgical instrument beyond a preset location along the longitudinal axis. The distal portion of the aimer arm has an aiming feature configured to contact a bone surface. A portion of the aimer arm extends beyond the longitudinal axis of the surgical instrument. In use, a clamping force is generated between the distal portion of the aimer arm and the distal end of the surgical instrument.

Abstract: A surgical apparatus having a locking mechanism that receives a cutting burr and that may include a loading and running position. The locking mechanism may include a motor driven spindle that carries a locking pawl and a detent pawl that lock the cutting burr in place an prevent the cutting burr from inadvertently falling out of the surgical drill instrument when in its load position. A diamond-shaped portion of the cutting burr may be formed in a six-sided diamond configuration and a perpendicular back end surface. The end of the cutting burr may include another diamond-shaped portion formed in a six-sided diamond shape surface that mates with a complementary surface formed in the receiving end of the spindle of the motor/locking mechanism. In an aspect, the attachment of the cutting burr is such that the cutting burr has substantially zero axial movement and runs true in the running condition.

Abstract: Disclosed is a drilling device and a method for the drilling of human or animal bone tissue. The method comprises the following steps; (a) providing a drill having an electrically conductive bone cutter and an electrically conducting nosepiece assembly spaced apart from the electrically conductive bone cutter and acting as a counter electrode; (b) placing the electrically conductive bone cutter and nosepiece assembly into contact with the bone tissue to be drilled; (c) measuring the electrical impedance between the bone cutter tip and the nosepiece or the current through the cutter motor; (d) commencing drilling and moving the bone cutter toward the bone surface; (e) starting a step counter when the impedance reduces or the cutter motor current increases; (f) incrementing the step counter with every step of the vertical drive motor until the step count reaches the prespecified value thereby controlling the depth of the hole drilled.

Abstract: A system can include a sizing and drill guide having a body with a bone engaging side, an opposite side and first and second guide holes. The bone engaging side can include a profile for positioning in the trochlear groove and the guide holes can include axes that can be orientated at an acute angle. Retaining members can be positioned in bores formed in the body and can fix the guide to the femur. A cutting device can be guided by the guide holes and can include a bone engaging end having a body and first and second cutting portions. The first cutting portion can have a smaller diameter than the second cutting portion and can be axially spaced apart therefrom so as to form a stepped pocket in the femur. The body can include an outer diameter sized to be complimentary to an inner diameter of the guide holes.

Abstract: A peripheral peg drill component comprising a housing having a first side and a second side opposite the first side, at least two drill bits extending from the second side of the housing, and a driving mechanism located within the housing, the driving mechanism including a series of pulleys and a belt that together are configured to rotate the at least two drill bits and cause them to simultaneously penetrate a bony surface.

Abstract: A peripheral peg drill component comprising a housing having a first side and a second side opposite the first side, at least two drill bits extending from the second side of the housing, a defined opening on the second side of the housing, the defined opening being configured to receive an alignment pin extending from a bony surface, and a driving mechanism within the housing, the driving mechanism being configured to rotate the at least two drill bits and cause them to simultaneously penetrate the bony surface.

Abstract: Methods and devices are provided for forming holes in bone to stimulate bone growth. In one exemplary embodiment, a surgical instrument set can include a driver having a first mating element, and a bone pick have a second mating element configured to releasably mate with the first mating element at any of a plurality of angular orientations. When releasably mated together, the driver and the bone pick can be configured to be adjustably positioned relative to one another with three degrees of freedom, e.g., pitch, yaw, and roll. The bone pick can include a piercing tip configured to form a hole in a bone, such as in microfracture. When the driver and the bone pick are releasably mated together, the driver can be configured to be struck, impacted, or otherwise manipulated to drive the piercing tip into the bone.

Abstract: The present invention features new methods, apparatuses and devices for fixing adjacent bone segments, segments of a bony structure and adjacent vertebrate of a spine. The methods, apparatuses and devices utilize a new apparatus for forming a channel in a surface of the bone or bony structure segments or adjacent vertebra or a channel submerged within the bone or bony structure segments or adjacent vertebra. In more particular embodiments such apparatuses and methods including forming an arcuate channel and which channel can receive therein a curved rod or implant member, which also preferably is arcuate, and avoids the associated problems with prior cage or straight rod and screw systems. Also featured are systems, apparatuses and methods for repairing, replacing or augmenting the nucleus and/or annulus of a disc.

Abstract: A kit (400) for use in performing joint arthroplasty is provided. The kit (400) includes a trial (12) and a reamer (2). The reamer (2) is for preparing a cavity (4) in the intramedullary canal (8) of a long bone (8) with the use of a driver (10) and to assist in performing a trial reduction. The reamer (2) includes a first portion (14) for placement at least partially in the cavity (4) of the long bone (8) and a second portion (16) operably connected to the first portion (14). The reamer (2) is removably connected to the driver (10) to rotate the reamer (2). The trial (12) is removably attachable to the reamer (2).

Abstract: A quick-connect drill bit assembly comprising a drive shank and a drill bit releasably attached to the drive shank, the drill bit being configured to bore a first hole in a bone through a drill guide. A portion of the drill bit is configured to remain within the first hole after the drive shank is detached therefrom, the drill bit being configured to prevent the drill guide from rotating with respect to the bone as a second hole is bored into the bone.

Abstract: Provided is a cutting instrument including: an elongated member including a tubular portion 105 and a shaft-like portion 101 inserted in the tubular portion 105; a blade 201 including two edges, the blade 201 being provided at an end of the elongated member and being pivotable between a housed position and a projected position; and a motion mechanism that converts a relative movement of the tubular portion 105 and the shaft-like portion 101 resulting from an operation of an operation portion 102 to 104 into pivoting of the blade between the housed position and the projected position, wherein the cutting instrument moves toward the operation portion while rotating in its entirety with the two edges of the blade 201 projected on opposite sides of the tubular portion 105, thereby drilling a hole with a diameter larger than an outer diameter of the tubular portion 105.

Abstract: Tissue removal probes comprise an elongated member, a drive shaft rotatably disposed within the member, and a rotatable tissue removal element mounted to the distal end of the drive shaft. One tissue removal element comprises a plurality of tissue-cutting filaments affixed at proximal and distal ends of the tissue removal element. The cutting filaments may have optional hinge points that allow the distal end of the tissue removal element to be inverted, thereby transforming the tissue removal element from a tissue-cutting device to a tissue-grasping device. Another tissue removal element may have a blunted tip to prevent distal tissue trauma and an irrigation port to provide irrigation fluid to the removed tissue and/or tissue removal element. Another tissue removal element has a proximal and distal spiral grooves that are oppositely pitched, so that removed tissue can be collected in the middle of the tissue removal element.

Abstract: An acetabular reaming system is disclosed of the type having a driver and a tool held together by a quick-release coupling mechanism. The tool (10) has a hollow body (12) defining a domed shape with a rotational axis (14), an apex (16) aligned with the axis (14) and a hemispherical wall (18) extending from the apex (16) to an equatorial rim (20) spaced 90 degrees from the axis (14). The rim (20) has an edge (22) visible to the user that indicates the position of the tool (10) relative to the bone. A first plurality of cutting sites (24) is arrayed along the body (12) and a second plurality of cutting sites (28) is arrayed circumferentially along the edge (22). Preferably, the first plurality of cutting sites (24) present raised first teeth (30, 130, 230, 330) having a profile selected from continuous squared (30), continuous rounded (130), discontinuous squared (230) and tongued (330) profiles.

Abstract: A measurement system for measuring a parameter of the muscular-skeletal system is disclosed. The measurement system comprises a capacitor, a signal generator, a digital counter, counter register, a digital clock, a digital timer, and a data register. The sensor of the measurement system is the capacitor. The measurement system generates a repeating signal having a measurement cycle that corresponds to the capacitance of the capacitor. The capacitor comprises more than one capacitor mechanically in series. Electrically, the capacitor comprises more than one capacitor in parallel. In one embodiment, the capacitor includes a dielectric layer comprising polyimide. A force, pressure, or load is applied to the capacitor that elastically compresses the device. The capacitor is shielded from parasitic coupling and parasitic capacitance.

Abstract: Surgical fasteners, including tacks are disclosed for fastening a surgical mesh to underlying tissue during surgical procedures to repair body tissue, such as in hernia repair. Such tacks can include a head, a elongated body portion having a distal end and a proximal end, and an anchoring element on an outer surface of the body portion for inhibiting the removal of the tack from the mesh and body tissue.

Abstract: A drill bit for drilling through bone is disclosed. The drill bit comprises an elongated fluted portion that terminates in an end face that is oriented substantially transverse to a longitudinal axis of the fluted portion. The drill bit further comprises a trocar tip protruding from the end face of the fluted portion. The trocar tip comprises a base and terminates in a pointed end. The end face of the fluted portion extends radially beyond and surrounds the base of the trocar tip.

Abstract: A system for anterior cruciate ligament (ACL) reconstruction using holes in bone created by retrograde cutting. A rotary cutter, mounted onto an insertion post of a tibial guide, is inserted through an anteromedial portal and the rotary cutter placed on the anatomical origin of an ACL tibial insertion. A drill pin is drilled through the tibia and advanced until it contacts and engages a cannulation in the rotary cutter on the guide. Further rotation of the drill pin disengages the rotary cutter from the guide. The retrograde drill pin is then retracted and simultaneously rotated for retrograde cutting of a socket or tunnel of desired depth in the tibia. A similar system is provided to form a socket or tunnel in the femur except that a femur guide is used in place of the tibial guide.