A system to be used for transmitting ultrasonic vibration, the system including a sonotrode designed to vibrate in a stationary wave having at least one node position between the distal end and the proximal end of the sonotrode, and a guide shaft with a through opening. During operation the sonotrode extends through the through opening of the guide shaft and the distal end of the guide shaft is situated on a distal side of the most distal node position of the sonotrode. The sonotrode and the guide shaft are adapted to each other for radial clearance between the sonotrode and the guide shaft to be a minimum for a sonotrode portion comprising the most distal node position.

An osteotome guide is provided. The osteotome guide includes a handle, a shaft within the handle and slidable to a selected longitudinal position with respect to the handle, a tool coupler attached to a distal end of the shaft for receiving a working tool, and a lock assembly to lock the shaft into the selected longitudinal position with respect to the handle.

A penetrator assembly operable to provide access to a bone marrow is provided. The penetrator assembly may include an outer penetrator and a removable inner trocar operable to penetrate bone and bone marrow. The removable inner trocar may include a groove operable to receive a portion of the bone and bone marrow when the outer penetrator and the removable inner trocar penetrate the bone and bone marrow. The removable inner trocar may include a receptacle operable to receive a portion of a connector operable to releasably attach the penetrator assembly to a powered apparatus, and a release mechanism disposed within the receptacle and operable to engage the portion of the connector.

An apparatus for releasably holding a surgical tool having a body, the body having a longitudinal axis, a monolithic construction, and a shape apportioned to be grasped by a human hand, with body further having a tool engaging portion, a hand receiving portion, and a button pressing portion. A longitudinal bore is disposed along the longitudinal axis of the body, and on one end. A transverse bore is disposed through the body into the longitudinal bore, with the transverse bore disposed such that the longitudinal axis of the transverse bore intersects the longitudinal axis of the longitudinal bore. A button disposed on and pivotably attached at a resilient member to the button pressing portion of the exterior of the body, with the button being proximal to the tool engaging portion. The button has a button bore and a boss extending from the button bore into the transverse bore which is alignable with the longitudinal bore. The button is disposed on the body to be thumb pressable, the button suitable for selectively engaging a corresponding groove on surgical tool.

Medical devices for creating or expanding a cavity within bone of a patient are disclosed. In some circumstances, a medical device, such as an osteotome is designed to facilitate simultaneous advancement and articulation of a distal portion of the osteotome. Simultaneous advancement and articulation of the distal portion may reduce one or more forces on the distal portion of the osteotome relative to other methods in which advancement and articulation are separated in time, thereby decreasing the risk of breakage or other damage to the osteotome.

A powered surgical tool system capable of providing energization signals to plural powered surgical handpieces. The system includes a console to which at least one footswitch is attached. The footswitch can be mapped to control any one of the handpieces connected to the console. The console includes a display on which representations of the footswitch and handpieces connected to the console are presented. The representations of the handpieces are in different colors. When the footswitch is mapped to a specific handpiece, the representation of the footswitch is presented in the same color as the representation of the handpiece to which the footswitch is mapped. When plural footswitches are attached to the console, the representation of each footswitch is presented in a color corresponding to the color of the representation of the handpiece to which the footswitch is mapped.

A device is provided for sterile coupling of a percutaneous surgical instrument to a rotary drive tool (5). The device has a flexible envelope (1) confining the drive tool (5), a connector piece (3) coupling to the percutaneous surgical instrument via one end, and to the drive tool (5) via its other end, by passing through the envelope via an opening (12) A tubular ring (2) is positioned on the inner surface of the envelope (1) in the area of the opening (12) and is configured to rigidly connect the envelope (1) to the body of the drive tool (5). The connector piece (3) passes through the ring and turns freely inside the ring when driven by the rotary drive tool (5). The connector piece (3), the ring, and the envelope interact in order to form a leaktight barrier between the inside and the outside of the envelope (1) in the area of the opening (12).

An implant for an artificial hip joint and, more specifically, a dual mobility acetabular cup assembly for an artificial hip joint is configured to have improved locking mechanism between a liner and a shell and improved resistance to micromotion and to guide the liner into the shell with proper orientation by providing stable liner-shell fastening structure to the acetabular cup assembly.

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.

A set of surgical instruments for an artificial hip joint implant and, more specifically, a set of improved surgical instruments, can be used in direct anterior approach hip replacement surgery and are capable of minimizing damage, such as muscle damage, which may arise during surgery, by resolving problems that existing surgical instruments possess.