Apparatus and methods provided to remove biopsy specimens from bone and/or associated bone marrow. A powered driver may rotate a biopsy needle at an optimum speed to obtain the biopsy specimen. A thread or a groove may be disposed on interior portions of the biopsy needle. The thread or groove may engage a biopsy specimen and enhance removal of a bone marrow core from cancellous bone. Manufacturing procedures are provided for bonding a single helical thread with interior portions of the biopsy needle. The apparatus may also include a biopsy sample ejector and/or ejector funnel. A biopsy needle set may include a cannula and a trocar with respective tips having optimum configurations, dimensions and/or orientations relative to each other to optimize penetration of a bone and/or bone marrow with minimum patient trauma and enhanced reliability of obtaining a biopsy specimen.

The embodiments provide devices and methods that both strengthen the bone and stimulate the bone. Bone fractures or non-unions are stabilized, integrated or healed, which results in reduction of a bone defect, such as a bone marrow lesion or edema. In addition, the distribution of forces in a joint are restored or altered to relieve pain. In general, a joint is evaluated by taking an image of the joint and one or more subchondral defects are detected. At least one of the subchondral defects may be diagnosed as the source of pain and an extent of treatment for the subchondral defect is determined. The disclosed devices and techniques are particularly suited for treating chronic defects or injuries, where the patient's natural healing response has not resolved the defect. The present disclosure also provides several exemplary treatment modalities for the different extents of treatment needed.

The shank (12) of a disposable rotary cutting tool (10) comprises a pipe section (16) cut from a drawn metal pipe. The tool head (14) is formed from a cut-out (18a, 18b) of a drawn metal sheet or a section of a metal tube by non-cutting machining. The pipe section (16) and the tool head (14) are advantageously attached by force fitting.

A tool for scrubbing, removing tissue from the medullary cavity or joint cavity of a bone or removing cartilage and/or cortical bone from a joint cavity has a proximal end, a distal end, and a cannula extending therethrough. The distal end includes at least one scraping surface and/or cutting surface to soften marrow in the medullary cavity or joint cavity as the scraping and/or cutting surface(s) are rotated or otherwise moved relative to the medullary cavity or joint cavity. When used, the tool may be attached to a drill and the cannula receives a K-wire previously inserted into the medullary or joint cavity. The drill rotates the tool around the K-wire and pushes the tool over the K-wire into the medullary cavity or joint cavity.

A tool, in particular for use as a surgical drill, has a main tool body which, in order to be connected to a tool attachment unit, has a fixing unit which is provided to be at least partly unusable after the main tool body has been detached from the tool attachment unit. The fixing unit has at least one form-fit element, which is provided to accept axial tensile forces in order to axially secure the main tool body to the tool attachment unit. The fixing unit has an assembly direction and a deflection element which points in the assembly direction, and which is provided for movably attaching the form-fit element to the main tool body. It is proposed that the form-fit element and the deflection element have different directions of extension.

A tool (1, 31) for cutting bone comprises an elongate blade (7, 37) connectable to a generator of longitudinal-mode ultrasonic vibrations. The blade (7, 37) has two lateral cutting edges (9, 10) linked by a rounded distal tip (8). A series of triangular teeth (13) extends along each cutting edge (9, 10) and the distal tip (8). The blade (37) may taper towards each cutting edge (9,10) and the distal tip (8). A variant of the tool (21) comprises an elongate part-cylindrical blade (27) connectable to a generator of torsional-mode ultrasonic vibrations. The blade (27) has a cutting edge at its distal tip (28) provided with a plurality of triangular teeth (23). All forms of the tool (1, 21, 31) are particularly suitable for cutting cancellous bone around an implant to be removed during revision of a joint arthroplasty.

A system and method are provided for making an access channel through a vertebral body to access a site of neural compression, decompressing it, and repairing the channel to restore vertebral integrity. System elements include an implantable vertebral plate, a guidance device for orienting bone cutting tools and controlling the path of a cutting tool, a bone cutting tool to make a channel in the vertebral body, a tool for opening or partially-resecting the posterior longitudinal ligament of the spine, a tool for retrieving a herniated disc, an implantable device with osteogenic material to fill the access channel, and a retention device that lockably-engages the bone plate to retain it in position after insertion. System elements may be included in a surgery to decompress an individual nerve root, the spinal cord, or the cauda equina when compressed, for example, by any of a herniated disc, an osteophyte, a thickened ligament arising from degenerative changes within the spine, a hematoma, or a tumor.

A cutting device is provided that includes a pair of cutting blades joined at a pivot point. The cutting blades are driven by an actuator to cause the cutting blades to pivot about the pivot point. The cutting device is configured to remove material underneath a surface of an implant installed on a bone during a revision arthroplasty procedure. The cutting device may travel along a length of the bone just underneath the surface of the implant to remove material and free the implant from the bone. A method for removing material underneath a surface of an implant installed on the bone is also provided. A system for removing material underneath the surface of an implant installed on the bone with the cutting device is also provided.

Trephine reamers that include a body with a hollow interior sized to receive a femoral component. A distal end of the body includes one or more teeth shaped for cutting the femur. Valleys are positioned between the teeth. The valleys accommodate the cut bone and prevent and/or reduce interference with the cutting teeth. Thus, a single trephine reamer is able to cut a greater amount of bone. Methods of cutting the femur including positioning the trephine reamer over the femoral component, and rotating the reamer such that the teeth cut the bone that extends around the component. The reamer moves along the length of the component during the cutting thus allowing for removal of the component.

A medical device for implantation in a hip joint of a human patient, the natural hip joint having a ball shaped caput femur as the proximal part of the femoral bone with a convex hip joint surface towards the center of the hip joint and a bowl shaped acetabulum as part of the pelvic bone with a concave hip joint surface towards the center of the hip joint. The medical device comprising; an artificial caput femur, comprising a convex surface towards the center of the hip joint. The artificial convex caput femur is adapted to, when implanted: be fixated to the pelvic bone of the human patient, and be in movable connection with an artificial acetabulum surface fixated to the femoral bone of the patient, thereby forming a ball and socket joint. The medical device further comprises a fixation element comprising a fixation surface adapted to be in contact with the surface of the acetabulum and adapted to fixate the artificial convex caput femur to at least the acetabulum of the pelvic bone.