Abstract: An orthopaedic instrumentation assembly for preparing a bone to receive an orthopaedic implant includes a rasp which is insertable within an opening in the bone and has an attachment end with a projection extending therefrom. A handle is attached to the projection. A cutting guide has a first leg and an adjoining second leg. The first leg is attached to the rasp and/or handle adjacent to the attachment end. The second leg is disposed at an obtuse angle relative to the first leg to thereby lie adjacent to the bone.

Abstract: A handle assembly (1) has a handle body (4), an arm (8) and a trigger mechanism (6). The handle body (4) has a recess (18) for receiving an instrument to be held by the handle assembly (1). The arm (8) pivots in relation to the handle body (4) and the trigger mechanism (6) holds the arm (8) in two positions relative to the handle body (4). A third position enables the arm (8) to be detached from the handle body (4). In the first position, the arm (8) is locked adjacent the handle body (4) such that a projection (30) from the arm (8) engages the recess (18) in which a neck of an instrument being held can be inserted.

Abstract: This orthopedic assembly has a connection between the ancillary tool and the stem or raspatory that allows both the raspatory and the femoral stem to be positioned in the intramedullary channel of a femur by means of the same ancillary tool. The connector includes a tapped hole extending from the bottom of a conical recess in the femoral end of the stem, or of the raspatory, and a threaded projection provided on the ancillary tool and designed to be screwed into the tapped hole. The bottom of the conical recess in the raspatory and in the stem has a profiled indentation whose edge includes alternating concave and convex curves and is designed to receive a male indexing part of a corresponding profile arranged on the end of the removable neck.

Abstract: A bone fusion apparatus and method for positioning over and attachment to a desired bone area which can provide for radial compression of bones, with particular suitability for wrist fusion by attachment to suitable bones such as, for example, a plurality of carpus area bones, with or without attachment to the radius bone and/or to one or more metacarpal bones. The bone fusion apparatus includes an annular plate having an outer side for at least partially contacting bone and an opposite inner side. The plate has a top outer edge of greatest diameter and a smaller diameter, bottom inner edge which defines an at least substantially central opening through the plate. The plate is substantially conical in shape such that the plate tapers outwardly from the inner edge of the plate to the outer edge of the plate. The plate defines a plurality of preferably countersunk holes therethrough between the inner edge and the outer edge, wherein each of the holes is adapted for receiving a bone fastener.

Abstract: A bone milling tool for precise preparation of bones includes a milling head connected to a driveshaft. The driveshaft simultaneously serves as a guide element which is guided in a bone. The bone milling tool further includes a toothing which is arranged on the milling head facing the driveshaft.

Abstract: Instruments and a method are provided for reducing the gap between an implant head and the underlying resected bone surface to produce a more anatomic joint reconstruction. This is accomplished by providing a reamer for counter boring the resected surface to receive the collar so that a portion of the collar is recessed into the resected surface. The present invention permits the flexibility and stability of a collared two-piece implant while maintaining the close fit of a unitary implant.

Abstract: The rasp (1) has a support unit (3), which is surrounded by an envelope (4) of metal, which forms rasp teeth (5). This mode of construction permits the use of very thin sheet for envelope (4) and cost-favorable plastic for support unit (3), which makes possible the formation of a stable, well-cutting, disposable rasp.

Abstract: A motor driven reciprocating surgical file apparatus and method for trimming and shaping hard body materials. A small file is detachably mounted on the distal end of a reciprocating offset arm. The offset arm allows the file to be inserted and manipulated in a surgical site. The file is comprised of a slender elongated upward extending arm and an adjoining lower file portion. A plurality of teeth surround the file portion and are arranged to shape and trim bone and cartilage in a direction which is substantially parallel to the reciprocating motion of a motor's output shaft. A coupling is provided on the reciprocating arm for detachably mounting optional files. A control circuit allows a surgeon to vary the rate at which the file reciprocates. In a first aspect of the invention, the reciprocating file is driven by a battery operated electric motor. In a second aspect of the invention, the reciprocating arm is driven by an AC motor.

Abstract: A broach for shaping a medullary cavity in a bone to receive an orthopaedic prosthesis which is tapered inwardly in a direction from its proximal end toward its distal end. The broach has (a) a proximal portion on which a plurality of cutting teeth are arranged to cut the internal surface of the cavity to receive the broadened proximal portion of the prosthesis, (b) a plug portion at or towards the distal end of the broach, and (c) an elongate connecting portion by which the plug portion is connected to the proximal portion. The transverse dimension of the connecting portion is less than that of the plug portion and the proximal portion, and the width of the plug portion is greater at a point between its ends than at any other point along its length, the surface at the point of greatest width being convex when the broach is viewed from the side.

Abstract: A method for making an acetabular reamer for an acetabular reamer comprising the steps of: fabricating a bowl shaped cup-blank having outer and inner bowl shaped surfaces, perforating a plurality of holes through the cup-blank, the holes each are surrounded by a curved margin, deforming outwardly of the outer surface a cutting portion of the margin of each of the holes, thereby forming cutting edges, the cutting portions are curved outwardly of the outer surface, the cutting edges are curved tangentially of the outer surface and disposed to cut upon rotation of the acetabular reamer.

Abstract: A machining assembly, including a novel broach design, are disclosed for preparing a femoral medullary cavity for receipt of a femoral prosthetic stem, wherein the configuration of the implantation site allows for the neutral alignment of the prothesis within the medullary cavity for improved rigid fixation of the prosthetic stem therein. Aspects of the inventive machining assembly include a novel broach comprising a proximal lateral recess that allows for initial avoidance of the greater trochanter during implantation, thereby resulting in the preparation of a neutrally aligned cavity with respect to the broach. The machining assembly also includes a means for subsequently removing the bone of the greater trochanter once neutral alignment between the medullary cavity and broach are achieved for the subsequent implantation of a neutrally aligned femoral prosthesis.

Abstract: A drill attachment (10) for decreasing the rotational speed/increasing the output torque of a cutting accessory (14) that is attached to a drill such as a surgical drill (10). The drill attachment has an input drive shaft (34) that is coupled to the drive shaft (16) of the drill to rotate in unison with the drill drive shaft. The input drive shaft rotates a set of axially fixed input planet gears (58). The input planet gears rotate a ring gear (66) that is fitted around the input planet gears. The ring gear rotates a set of axially fixed output planet gears (70). The planet gears rotate an output drive shaft (84). By the selective dimensioning of the drive shaft and gears the output speed/torque can be reduced and increased as desired.

Abstract: The invention provides means for evaluating the fit of a knee replacement prosthesis on a resected tibial surface. A provisional instrument for this purpose includes a positioning tray having a peripheral profile corresponding to that of the tibial platform of the prosthesis, the tray having an upper surface and an under surface which is substantially flat and free from projections and the tray having a plurality of holes for receiving pins for temporarily attaching the positioning tray in a desired position on the resected tibial surface. Also disclosed is a jig for guiding, drilling and broaching operations, the jig having an aperture which is shaped to guide the broach.

Abstract: An intramedullary rod or nail for aligning a fractured long bone has a rod (100) that is inserted into the bone, with two longitudinal slots (120) into which cutting splines (200) are slid. The splines have cutting teeth (250) for cutting grooves into the bone as the splines slide along the slot. The cutting edges are substantially transverse to the length of the splines and rod. The tooth top surfaces (252) are disposed at gradually increasing radial heights. Recesses (251) between the cutting teeth store bone shavings to prevent jamming. The bone segments are held against bending, rotation, and lateral displacement because the splines are firmly engaged in the grooves they have cut. A blank spline without teeth may replace the cutting spline.

Abstract: A combination broacher-reamer includes a generally longitudinally symmetrical cutting tool which is provided with a plurality of longitudinal broaching cutting teeth as well as a plurality of axial reaming cutting teeth. According to a presently preferred embodiment, the broacher-reamer is generally cylindrical with a smooth blunt distal tip and a tapered distal cutting portion. The proximal end of the tool is provided with a handle and one or more witness marks are provided on the shank of the tool. If the handle is removable the shank may be coupled to a motor or impacting tool. An exemplary broacher-reamer according to the invention is approximately 6.78 inches long with an overall maximum diameter of approximately 0.843 inches. The proximal end of the tool has a diametrical throughbore which is dimensioned to receive the handle which is approximately 3.94 inches long. The cutting portion of the tool begins approximately 3.0 inches distal of the proximal end and terminates approximately 1.

Abstract: A method and apparatus prepares a joint surface to receive a prosthetic joint implant during the replacement of a defective human joint. In particular the invention provides an implant preparation device that will smooth or alter a bearing surface of a first side of a joint before surgically attaching a joint implant to a second side of the joint. The implant or joint preparation device has an abrasive bearing surface that is used to smooth the bearing surface of the remaining natural joint.

Abstract: An apparatus and method for positioning an orthopedic implant within a cavity in a bone, including a plug member which is inserted into the cavity in the bone. A cutter movably engages the plug member and is used to create a first mating surface in the bone. A positioning jig having a second mating surface which is adapted to substantially mate with the first mating surface and a third surface adapted to removably engage the orthopedic implant is used to center the orthopedic implant within the cavity in the bone. Upon the second mating surface of the positioning jig mating with the first mating surface within the bone and the third surface removably engaging the orthopedic implant, the orthopedic implant is substantially centrally positioned within the cavity of the bone.

Abstract: A surgical tool for use in preparing a graft path in anterior cruciate ligament reconstruction in a knee joint in which aligned tibial and femoral osseous tunnels are made for a bone-tendon-bone graft or similar surgery where two bone tunnels are in alignment. The tool comprises an elongated guide body having a guide shaft capable of being positioned within the tibial tunnel and extending into the femoral tunnel, and an elongated channel-like main body which is coaxial with the guide shaft. The main body includes a rasping head and is rotatably and axially slidable on the guide shaft for guided rasping of bone surfaces along the graft path. The rasp head fully encircles the guide shaft and is capable of following the guide shaft to enter and extend beyond the tibial tunnel. The leading end of the guide body includes a guide head with a flexible structure for connecting the head to the guide shaft.

Abstract: An impact tool useful for performing a number of different surgical and industrial functions is provided. The invented tool can perform such surgical functions as freeing cement, implanting pins, and setting guides and industrial functions such as installing various fasteners. The tool comprises a body having a quick disconnect assembly coupled to a second end for quickly attaching and detaching different desired surgical and industrial implements to the tool. The quick disconnect assembly communicates with an impact inducing assembly is retained in a channel in the body. The impact inducing assembly causes an implement retained in the quick disconnect assembly to deliver an impact with a calibrated force to a desired object. The orientation of the components of the impact inducing assembly can be inverted so that the tool is actuated to apply an instantaneous extraction force to the desired fastener or surgical aid.

Abstract: The tool of the present invention comprises a stem. Cutting teeth extend outward from the stem. The stem has a central, longitudinal passage, connects to a suction or evacuation line. An outlet of the passage is at or near the cutting site. As material is cut, the suction carries the material to the central passage where it is evacuated. In one embodiment, each tooth has a cutting edge and a back side. One or more tubes connect the central passage to the back side of the cutting teeth. Suction from the central passage acts on the tubes to create suction at the cutting site. In another embodiment, the central passage is open at the distal end of the tool. Suction at the distal end cut material toward the distal end of the tool and into the central passage where it is evacuated from the tool.

Abstract: A machining assembly, including a of the disclosure novel broach design, are disclosed for preparing a femoral medullary cavity for receipt of a femoral prosthetic stem, wherein the configuration of the implantation site allows for the neutral alignment of the prothesis within the medullary cavity for improved rigid fixation of the prosthetic stem therein. Aspects of the inventive machining assembly include a novel broach comprising a proximal lateral recess that allows for initial avoidance of the greater trochanter during implantation, thereby resulting in the preparation of a neutrally aligned cavity with respect to the broach. The machining assembly also includes a guide and a second cutting instrument for removing the bone of the greater trochanter once neutral alignment between the medullary cavity and broach are achieved for the subsequent implantation of a neutrally aligned femoral prosthesis.

Abstract: A method of preparing an intramedullary canal of a bone for joint arthroplasty including drilling a hole into the intramedullary cavity of a bone and inserting a centering rod longitudinally into the intramedullary canal of the bone. The rod is inserted to align the rod along the longitudinal axis of the bone. Osteotomizing the articulating surface of the bone and preparing the intramedullary canal of the bone to receive a prosthesis. The preparation including placing cannulated instruments in a telescoping manner over the centering rod and into the intramedullary cavity to create a canal suitable for receiving a bone prosthesis. The cannulated instrumentation includes a cannulated tamp, a cannulated osteotomy guide, a cannulated reamer, a cannulated box chisel, and a cannulated broach. The instrumentation is also disclosed.

Abstract: The bone rasp (10) is provided with a rotatable drum-shaped rasp tool (36) with a cylinder wall (62) and a housing (12) provided with a cylindrical reception chamber (20) for the rasp tool (36) and a supply well (34) for bone pieces, extending radially from the reception chamber (20). The cylinder wall (62) of the rasp tool (36) is provided with a plurality of through bores (60) arranged adjacent to each other in several axially extending rows (58). The cylinder wall (62) comprises several teeth (68) respectively arranged between two adjacent through bores (60) and projecting beyond the portions (80) of the cylinder wall (62) located in front of them when viewed in radial extension of the rasp tool (36). The teeth (68), in plan view of the cylinder wall (62), are substantially tapered in V-shape, the tip pointing in rotational direction (70) of the rasp tool (36), and the tips of adjacent teeth (68) are connected, forming a cutting edge (72) with arcuate and pointed sections.

Abstract: An improvement in a surgical instrument set and procedure for the preparation of a proximal femur to receive a revision femoral implant component includes a revision broach for mimicking a selected one of a plurality of revision femoral implant components and the insertion of the revision broach into the proximal femur to a location which emulates the location of the selected one of the plurality of revision femoral implant components, and utilizing a stop member positioned at a selected one of a plurality positions located longitudinally along the revision broach and corresponding to one of a plurality of resection levels determined by the selected revision femoral implant component to maintain the revision broach seated at the emulating location during subsequent trial reduction utilizing a trial neck and a trial head coupled to the revision broach.

Abstract: Instrumentation is provided for forming a cavity in the distal femur and for using that cavity as a reference for making exterior distal cuts of the femoral bone. At least a part of the walls of the cavity are formed by the cortical (hard) bone of the femur. In addition to its use in cutting the exterior bone, the cavity also serves to affix a femoral knee prosthesis to the femoral bone.

Abstract: A device for preparing the ends of bones includes an elongated handle and at least one rasping head connected to the handle. The rasping head has first and second surfaces and rasping teeth which extend outwardly from the first surface. The ends of a pair of bones which form a joint are separated, and the rasping head is inserted between the end of the bones. One of the bones is forced against the second surface of the rasping head to force the rasping teeth against the end of the other bone, and the handle is moved back and forth through a limited arc to rotate the rasping teeth over the end of the other bone to prepare the end of the bone.

Abstract: The device contains a rasp (2) corresponding to the implant shaft, which comprises a shaft body (4), which can be driven into the osseous tissue, and a neck part (5) protruding therefrom, which can be equipped with a test ball corresponding to the ball-and-socket joint, and a grip part (7) which can be coupled to the rasp (2) for the insertion and withdrawal of the shaft body (4). The grip part (7) contains a guide bush (10), which can be slipped onto the neck part (5), and a slip-on part (14) having a stop face which can be placed on a front support face of the neck part (5). On the grip part (7) is articulated a coupling part (11), which comprises a claw (27) which through a recess in the guide sleeve (10) can engage in a recess of the neck part (5) and can be disengaged from it.

Abstract: The invention relates to equipment consisting of awl and rasp for preparing the medullary cavity when implanting endoprostheses in long bones. According to the invention, each of the shafts is designed as a hollow body. At the cutting teeth arranged on the outer side of the shaft, there are openings which are directed into the shaft interior. The excavated material collects in the hollow space of the awl or rasp shaft and can be removed from there via apertures at the proximal end and distal end of the shaft by irrigation and/or suction, or is removed together with the instrument after the latter has been used.

Abstract: The rasps of a first set of metaphyseal rasps are capable of working, in a first stage, the femoral canal in the zone of the metaphysis until the bony part K1, K2 is reached and cut into to form the metaphyseal seat for a femoral component of a hip prosthesis, the rasps having guide stems which act in the zone of the diaphysis. The rasps of a second series of sub-metaphyseal and diaphyseal rasps are capable of working, in a second stage, the femoral canal in the sub-metaphyseal zone and the adjacent zone of the diaphysis, until the bony part K3 is reached and cut into to complete the seat for the femoral component.

Abstract: A bone marrow rasp for forming bone cavities, particularly in femurs, having a tubular hollow body which is open at its distal end for the axially directed reception of bone material, has openings formed along its circumference which are in communication with the hollow space for the discharge of lateral bone material, and is connected along its outer surface with rasp elements which protrude beyond the outer surface and at least partially cover the openings.

Abstract: Instrumentation is provided for forming a cavity in the distal femur and for using that cavity as a reference for making exterior distal cuts of the femoral bone. At least a part of the walls of the cavity are formed by the cortical (hard) bone of the femur. In addition to its use in cutting the exterior bone, the cavity also serves to affix a femoral knee prosthesis to the femoral bone.

Abstract: A method and apparatus prepares a joint surface to receive a prosthetic joint implant during the replacement of a defective human joint. In particular the invention provides an implant preparation device that will smooth or alter a bearing surface of a first side of a joint before surgically attaching a joint implant to a second side of the joint. The implant or joint preparation device has an abrasive bearing surface that is used to smooth the bearing surface of the remaining natural joint.

Abstract: A method and related instruments are provided for the preparation, stabilization and fusion of the middle and distal phalanx bones in the finger. The method includes the steps of cutting the head of the middle phalanx to form one side of a miter joint and drilling a guide bore through both bones. The adjacent end of the distal phalanx is smoothed using a rotary disk with a center guide post to create the opposing side of the miter joint. A fixation plate is secured to the top of the finger and includes a positioning tube that extends into the guide bore. A screw assembly extends through the tube and into the bones to provide a compressive force across the miter joint. The preferred apparatus includes a combination drill template/saw guide for drilling the guide bore and cutting the middle phalanx, a rotatable disk for smoothing the distal phalanx and a screw assembly having spirally expanding strands at its distal end for anchoring the assembly in the distal phalanx.

Abstract: An improved surgical broach for preparing an intramedullary canal of a bone for receiving a prosthesis is described, wherein the broach comprises a plurality of cutting teeth having different configurations and placement upon the broach for optimizing cutting efficiency and speed for improved surgical ease-of-use while minimizing gap formation between the prosthesis and the intramedullary canal.

Abstract: A surgical tool for use in preparing a graft path in anterior cruciate ligament reconstruction in a knee joint in which aligned tibial and femoral osseous tunnels are made for a bone-tendon-bone graft or similar surgery where two bone tunnels are in alignment. The tool comprises an elongated guide body having a guide shaft capable of being positioned within the tibial tunnel and extending into the femoral tunnel, and an elongated channel-like main body which is coaxial with the guide shaft. The main body includes a rasping head and is rotatably and axially slidable on the guide shaft for guided rasping of bone surfaces along the graft path. The rasp head fully encircles the guide shaft and is capable of following the guide shaft to enter and extend beyond the tibial tunnel. The leading end of the guide body includes a guide head with a flexible structure for connecting the head to the guide shaft.

Abstract: The present invention relates to an adjustable provisional device for aligning a joint center distance of a joint prosthesis to a natural joint center distance. The device includes a neck having a groove and a main body with a bore for receiving the neck.

Abstract: A surgical device capable of cutting and removing medium to hard body tissue such as cartilage and bone from a joint region or similarly restricted interior space within the body is disclosed. The surgical instrument includes a stationary carrier sized for insertion into a joint or similar restricted interior space within the body and having a first and second end. The carrier is provided with an apical aperture at the end to be inserted into the joint. A cutter is axially disposed within the carrier and is provided with at least one cutting surface at one end that protrudes from the aperture of the carrier. The cutter is further provided with an axial conduit that terminates in at least one opening on or proximate to the cutting surface of the cutter. The cutter is driven by a motor that moves the cutter in a linearly reciprocating fashion that abrades away tissue depending on the configuration of the cutting surface.

Abstract: An adjustable locking handle securely grips an associated surgical tool for fixing the tool to the handle. The tool has first and second coupling portions, while the handle has an elongated body with fixed and movable jaws thereon respectively adapted for engagement with the first and second coupling portions on the tool. The movable jaw is pivotally movable about a fixed axis between locking and unlocking conditions relative to the fixed jaw by means of a linkage including a locking lever pivotally mounted on the body and a release lever pivotally interconnecting the locking lever and the jaw.

Abstract: An orthopedic instrument having a quarter-turn disconnect apparatus. A female socket is provided on a broach or cutting instrument and a male plug with a locking mechanism is provided on a cutting apparatus. The male plug is inserted into the socket and pushed forward slightly against the resistance of a spring. The plug or socket are then turned one-quarter turn at which point the locking mechanism falls into place.

Abstract: A bone rasp for the working of bones said rasp having a plastic toothed working section with teeth and cutting edges and a connecting section, optionally made of plastic, for connecting the rasp to an impact tool. This rasp can be manufactured inexpensively, making possible one-time use and thereby making cleaning and sterilization of the used rasp unnecessary.

Abstract: A rasp-like instrument for forming a cavity in the intermedullary passage of a femur for the implantation of a femoral stem prosthesis. The rasp includes a detachable extension end which can be removed when the rasp is used to form the cavity for the primary implant stem and connected to provide a deeper cavity for the revision implant stem.

Abstract: An impactor/extractor holder for a femoral trial and/or a knee implant to hold and guide those items onto the resected end of a femur. The impactor/extractor holder comprises two opposed clamping arms for gripping the opposite outer edges of the trial and/or implant, and an abutment table movable relative to the clamping arms so as to be capable of being advanced against the outer surface of the trial and/or implant after the sides have been clamped by the clamping jaws. The abutment table has a cushioning surface for contacting the trial and/or implant which is adapted not to damage the outer surface of the implant or trail. A threaded mechanism is provided for moving the abutment table relative to the clamping jaws to advance the cushioning surface of the abutment table against the outer surface of the implant or the trial to securely and rigidly lock the trial or implant on the impactor/extractor holder. A trial rasp is also disclosed.

Abstract: A surgical device capable of cutting and removing medium to hard body tissue such as cartilage and bone from a joint region or similarly restricted interior space within the body is disclosed. The surgical instrument includes a stationary carrier sized for insertion into a joint or similar restricted interior space within the body and having a first and second end. The carrier is provided with an apical aperture at the end to be inserted into the joint. A cutter is axially disposed within the carrier and is provided with at least one cutting surface at one end that protrudes from the aperture of the carrier. The cutter is further provided with an axial conduit that terminates in at least one opening on or proximate to the cutting surface of the cutter. The cutter is driven by a motor that moves the cutter in a linearly reciprocating fashion that abrades away tissue depending on the configuration of the cutting surface.

Abstract: A system for profiling an anatomic patella includes a grinding tool having a handle portion and a grinding surface operatively connected thereto. The grinding surface is a concave dome shape for forming a dome shaped surface on an anatomic patella. A guide member is connectable to the patella. The guide member guides the grinding surface of the guide tool to a predetermined medial portion of the patella to shape the patella to match an articulating surface of a femoral prosthesis.

Abstract: A broach handle for use with an orthopedic broach includes an elongated handle having one end portion for making a connection with the broach and another end portion for gripping by the user and having an anvil that allows the handle to be hammered. A rotating locking member is carried in a slot at the distal end portion of the handle. The rotating locking member has inclined surfaces that allow the broach to separate from the handle when the inclined surface is positioned adjacent the broach. The rotating locking member also includes a thickened portion that forms a connection with the broach when positioned adjacent the broach.

Abstract: The system and instrumentation of this invention provides a torque wrench adapter for the femoral rasp and for the hip stem implant. Each adapter includes a shaft for connecting a motion indicator thereon. The motion indicator includes a port for accepting the shaft of either the rasp adapter or the implant adapter and an indicator needle which is linked through spring mechanisms to shiftable leg. In use, the leg is anchored at one end to the femur such that the leg moves with the femur and relative to the indicator housing which causes a deflection in the indicator needle to apprise the surgeon of small movement of either the rasp or the implant relative to the femur.

Abstract: A surgical rasp is provided which includes a plurality of teeth each having a concave cutting face. The concave cutting face preferably provides an essentially self-sharpening tooth configuration for prolonging the useful life of the rasp. The rasp is preferably provided with a convex trailing face and an arcuate trough which aid in allowing removed tissue to move free of the rasp teeth. The rasp includes a handle presenting preferably a pair of opposed ends defining a longitudinal axis therebetween, with rows of teeth being provided on tungsten carbide inserts brazed or otherwise affixed to each of the ends.

Abstract: An apparatus for holding a surgical broach during a surgical broaching procedure comprises a handle body with a handle bearing surface formed on one end of the body, an elastically deformable link member, and a loading arrangement connected to the handle body. The loading arrangement is adapted to apply a tensile connecting force on the link member and the link member is adapted to apply the connecting force to the broach to be connected to the handle. The connecting force applied to the broach by the link member pulls the broach toward the handle body with the handle bearing surface mating with a corresponding bearing surface formed on the broach. The broach includes a latch surface by which the connecting force is applied to the broach with the link member.

Abstract: A bone rasp for preparing the medullary canal of the femur includes a rasp blade portion shaped and tapered so as to conform to the medullary canal and a handle portion which is designed to be manually attached to the rasp blade and detached from the rasp blade for sterilizing and storing. The handle portion is arranged into two components which are pivotally connected and pinned together. The stationary portion of the handle attaches directly to the rasp blade and the movable or adjustable portion is pinned to the stationary portion at a pivoting location and secured in a selected orientation by a second pin. A series of seven oblong slots are disposed in the stationary portion and arranged on 71/2.degree. intervals so as to give the adjustable portion of the handle an approximate 45.degree. range of adjustment.

Abstract: A surgical instrument for dilatation and enlargement of the corpora cavernosa of the penis for use in surgical operations for the implantation of a penile prosthesis, the instrument having a mono-unit body of stainless steel and having two sectors including an operative sector and a handle sector, the operative sector having a substantially cylindrical configuration and being of considerable length with a slight curvature along its length forming a concave area on one side, the one side being smooth and slightly flattened, and a second side opposite the one side, the second side having ten longitudinal nerves arranged parallel to each other and in close proximity, and between which there are grooves which are also longitudinal, each of the nerves being provided with a longitudinal alignment of twelve uniformly distributed protuberances, each of the protuberances having a sawtooth shape including an oblique slanting planar surface which faces away from the handle sector, the end of the operative sector opposit