An orthopedic impacting tool comprises a motor, an energy storage chamber, a striker, and an anvil. The motor stores energy in the energy storage chamber and then releases it, causing the striker to apply a controlled force on an adapter to create a precise impact for use in a surgical setting. The tool may further comprise a combination anvil and adapter. The tool further allows forward or backward impacting for expanding the size or volume of the opening or for facilitating removal of a broach, implant, or other surgical implement from the opening. An energy adjustment control of the tool allows a surgeon to increase or decrease the impact energy. A light source and hand grips improve ease of operation of the tool.

A needle dispenser includes a hopper configured to receive and hold a plurality of bulk needles for dispensing. A singularizing drum is positioned to rotate with a portion of the singularizing drum exposed to the interior of the hopper. The singularizing drum includes at least one groove in an outer surface of the singularizing drum. A positioning drum positioned to rotate adjacent to the singularizing drum. The positioning drum includes at least one groove in an outer surface of the positioning drum. The singularizing drum and the positioning drum rotate in coordination to pass a needle from the at least one groove of the singularizing drum to the at least one groove of the positioning drum.

An arm device includes a joint portion configured to be rotated to thereby change a position and/or a posture of a surgical tool, and an actuator configured to generate a driving force that rotates the joint portion, and to allow a rotation of the joint portion in accordance with an externally applied force. Moreover, the arm device is configured to estimate an external force applied to the surgical tool, to obtain a value of a driving force of the actuator based on a weight of the surgical tool and the external force, and to control the actuator based on a value of the driving force.

A vacuum motor has a piston that linearly oscillates in the internal space of a housing. A gas outlet and a gas inlet (supplying ambient air) located in the housing terminate in the space between the piston and the housing rear side. The piston never covers the outlet or inlet. A valve body closes the inlet. A pestle moves within the housing between the piston and valve body. When the piston moves toward the rear side of the space, the valve body moves against the force of a spring and opens the inlet. The free cross-section of the opened inlet is at least equal in size to the free cross-section of the outlet. A surgical drive system, a medical lavage system, and a medical device for brushing, rasping or sawing of tissue or bone—all include the vacuum motor. Also disclosed is a method for operating the vacuum motor.

Apparatus and methods are described allow the techniques of endoscopic and laparoscopic surgery to be combined into a minimally invasive hybrid surgical technique called NOTES-assisted laparoscopic surgery. Manual and robotic-controlled versions of a modular laparoscopic tool are described having a small diameter shaft that is delivered laparoscopically to a surgical site. Larger diameter working tips are delivered through a NOTES delivery tube inserted to the surgical site through a natural orifice and joined to the shaft of the modular laparoscopic tool. Larger diameter working tips improve the effectiveness of the modular laparoscopic tools and the number and size of laparoscopic ports used can also be reduced.

A pressure wave device for the treatment of a human or animal body having a pneumatic drive for generating a pressure wave for coupling into the human or animal body, having at least one compressor for generating source gas and having a handpiece into which the source gas can be introduced and by means of which a pressure wave is generated, and having a pressure regulating device for adjusting a pressure wave generating pressure for generating the pressure wave, where the at least one compressor for generating source gas is adjustable in steps to at least two power levels, and the pressure regulating device regulates the pressure wave generating pressure (P.sub.D_i) by adjusting the source gas pressure (P.sub.s_i) at each power level, such that each power level is thereby preferably determined by a range of pressure wave generating pressure values and frequencies of the activation of the pressure waves, and the selection of a power level is preferably carried out using a table in which the respective ranges of pressure wave generating pressure values and frequencies are stored.

The present invention relates to a pneumatic impact tool for hip surgery, comprising a housing with a cylinder/piston assembly with a pneumatically driven piston and a tool holder. The impact tool has two or more handles which are arranged at regular intervals around the cylinder/piston assembly.

There is disclosed in one example an apparatus for extracting a foreign body (FB) from a bodily orifice, including: a connector having a receiver to pneumatically seal to a suction source; a hollow shaft pneumatically coupled to the connector; a hollow tip pneumatically coupled to the hollow shaft; and a valve disposed between the hollow tip and the connector, wherein the valve is biased to an open position, and the valve, when closed pneumatically isolates the hollow tip from the connector, and when open allows a continuous air flow passage between the connector and the hollow tip; and means to release the valve, whereby the valve opens when the means are activated.

A method of changing a bone angle includes creating an osteotomy between a first portion and a second portion of a tibia of a patient; creating a cavity in the tibia by removing bone material along an axis extending in a substantially longitudinal direction from a first point at the tibial plateau to a second point; placing a non-invasively adjustable implant into the cavity, the non-invasively adjustable implant comprising an adjustable actuator having an outer housing and an inner shaft, telescopically disposed in the outer housing, and a driving element configured to be remotely operable to telescopically displace the inner shaft in relation to the outer housing; coupling one of the outer housing or the inner shaft to the first portion of the tibia; coupling the other of the outer housing or the inner shaft to the second portion of the tibia; and remotely operating the driving element to telescopically displace the inner shaft in relation to the outer housing, thus changing an angle between the first portion and second portion of the tibia.

A surgical instrument system comprising a completely replaceable cartridge jaw is disclosed.