Methods of harvesting cancellous bone and bone marrow include extracting loosened cancellous bone and bone marrow—including a liquid component thereof—to a collection container that has a first cup and a suction port to which a suction source is connected. After extraction, the suction source is disconnected and a lid of the collection container is removed and replaced with a lid having a plunger with a press head that is configured to filter the extracted liquid by depressing the plunger toward a bottom of the first cup. The filtered liquid is poured through a suction port into a second cup while depressing the plunger, thereby separating the liquid from a semi-solid mass of cancellous bone that remains. The bone is extracted through a cortical opening in the femur, tibia, or calcaneus, or from an intermedullary canal that is preferably formed by reaming of the tibia using an orthopedic reamer.

The present disclosure includes apparatuses for a bone graft harvesting device. An example apparatus includes a blade tip including a proximal end and a distal end, wherein the distal end of the blade tip includes a number of blades configured to morcellate bone in response to being rotated and a lead tip located within the blade tip and configured to maintain the bone graft harvesting apparatus centered on a bone graft punch hole.

Embodiments of a reamer device for removing tissue from a patient, including a shaft, a cutting head having at least four cutting blades, and a depth-limiting flange extending radially outwardly away from the at least four cutting blades. Some embodiments of the reamer device can have a shaft, a cutting head coupled with the shaft, and a depth limiting element. The cutting head can have at least four cutting blades. In some embodiments, the depth limiting element can have a distal surface configured to contact a surface of the patient's tissue to limit a depth into the patient's tissue that the at least four cutting blades can advance to, and/or can be configured to extend radially outwardly of the at least four cutting blades so that the depth limiting element contacts a surface of the patient's tissue adjacent to a cutout created by the at least four cutting blades.

A device is provided, including a cutting rib, the cutting rib including an arcuate portion having an outer sharp edge and a centralizer configured to receive the cutting rib through a radial slot, the radial slot forming a gap with the cutting rib. The arcuate portion of the cutting rib is formed into a profile that follows a surface of the centralizer, the outer sharp edge of the arcuate portion of the cutting rib has a wavy profile that forms a tunnel in the gap between the centralizer and the cutting rib, and the outer sharp edge of the arcuate portion of the cutting rib protrudes outwardly from the surface of the centralizer. A method for using the device to cut bone in a surgical configuration is also provided.

Certain embodiments of the invention relate to a surgical procedure resulting in the fusion of transverse processes. The disclosure herein presents novel approaches for accessing transverse processes of the spine, novel methods for the delivery of fusion material for the fusion of said transverse processes, and novel tools to facilitate the procedure. Certain embodiments of the invention include a graft delivery assembly, which has a delivery shaft, delivery sheath, and at least one curved rod. Bony material is position with a graft delivery assembly, in which retraction of the delivery shaft or sheath places the bone fusion material to the fusion site. The graft delivery assembly further includes features to decorticate and prepare the bone surface for fusion.

Methods and devices for harvesting cancellous bone are disclosed. The bone-harvesting device may include a cannula and a bone receptacle in communication with the cannula, wherein the cannula including a cutting surface positioned at or adjacent the distal end, the cutting surface being oriented at an angle, the angle being greater than 90 degrees relative to the longitudinal axis of the cannula, and the harvested bone is adapted to move from a position adjacent to the cutting surface through the cannula into the bone receptacle. The cutting surface of the cannula may be positioned at or adjacent the distal end, and positioned at least in part radially outward of the outer face of the cannula. The cannula may include a cutting surface positioned at or adjacent the distal end and an occluding geometry that partially occludes the distal end of the cannula adjacent the cutting surface. In addition, a suction port may be provided in communication with the bone receptacle.

A technique for harvesting bone graft material for spinal and other fusion surgeries. In the disclosed embodiment, a bone cutting blade is placed in a disc space between two vertebrae to be fused. The blade cuts into the vertebrae and forms solid segments of autologous bone inside each vertebra. Each bone segment is urged out of its associated vertebra until a first portion of the segment enters the opposite vertebra, an intermediate portion spans the disc space, and a second portion remains in the associated vertebra. Each segment thus forms a strut graft to promote a healthy and permanent fusion. In another embodiment, a wire is placed in the disc space and rotated to cut grooves in the vertebrae, causing a slurry of morselized cortical and cancellous bone to ooze into a cage that is placed in the disc space. The slurry heals to fuse the vertebrae solidly and permanently.

The present invention provides for a removable second stage biocompatible substrate filter that includes biocompatible implant material configured to trap second stage operative particulate matter that may include at least one of bone fragments, plasma, stem cells, cellular matter, and growth factors captured from irrigation fluid. The second stage biocompatible substrate filter may be configured to combine with bone fragments captured from irrigation fluid by a first stage filter and may be configured to be operable with a reaming and collection device.

An adapter assembly for connecting an end effector to an actuation assembly includes a base member defining a plurality of notches spaced at least partially about a circumference of the base member, a handle supported on the base member and rotatable about a longitudinal axis of the base member, and a latch mechanism supported on the handle assembly and selectively engageable with the base member. The latch mechanism includes a button member and a locking member. The button member is movable between a first position in which the locking member is received within one of the plurality of notches to lock the handle relative to the base member, and a second position in which the locking member is spaced from the plurality of notches to unlock the handle relative to the base member.

A bone fusion system including a collection vessel, an abrading and harvesting device, tubing and a probe. The abrading and harvesting device includes a needle portion and a sharpened tip. The needle portion has a central bore extending therethrough. The needle portion has a distal end. The sharpened tip is attached to the distal end of the needle portion. The tubing is operably connecting the collection vessel and the abrading and harvesting device. The probe has a threaded portion and a tip portion at a distal end of the threaded portion. The threaded portion has a thread on an outer surface thereof. The tip portion is unsharpened and does not have a thread on an outer surface thereof. The probe is extendible through the central bore.