Disclosed is a craniotomy milling system, which includes a computer numerical milling machine having a spindle configured to be positioned relative to a craniotomy location of a cranium of a patient and an end mill. The craniotomy milling system includes a controller for controlling the feed rate of the end mill. The craniotomy milling system includes an impedance measurement system and an axial force sensor. The craniotomy milling system includes a processor electrically coupled with a controller, the impedance measurement system, and the axial force sensor. The processor is configured to send a signal to the controller to change the feed rate of the end mill in response to a change in impedance or a change in axial force.

The present disclosure is directed to devices, kits, and methods for treating lumbar spinal stenosis by at least partially decompressing a compressed nerve root. The method can include identifying the compressed nerve root and percutaneously accessing a region of a lamina located adjacent to the compressed nerve root. The method can also include forming a channel through the region of the lamina, wherein the channel can be formed medial to a lateral border of the lamina. Further, the method can include expanding the channel in a lateral direction.

A system of robotic surgery includes components capable of drilling a bore in the cranium of a patient in connection with craniotomy and other cranial surgeries. A perforator associated with such system is controlled by suitable computer-implemented instructions to maintain the perforator tip along a desired trajectory line while moving the perforator bit at locations proximal to such perforator tip in a circular motion, thereby imparting a conical oscillation to the perforator bit relative to the trajectory line. The angle at which the perforator bit is oscillated relative to such trajectory line results in the bore formed in the cranium having a diameter larger than the bit diameter, and the larger diameter and related conical oscillation is selected so as to reduce frictional force opposing withdrawal of the bit from the situs of the bore, thereby reducing the risk of jamming of the bit during its associated operations.

A surgical bur including flutes and lands. Each of the flutes includes a cutting edge, rake surfaces and a clearance surface. The rake surfaces of one of the flutes are decoupled from each other. Each of the lands is disposed between a pair of the flutes.

A surgical system includes a surgical tool, a tracking system configured to obtain tracking data indicative of positions of the surgical tool relative to an anatomical feature, an acoustic device, and a computer system programmed to control the acoustic device to provide acoustic feedback to a user based on the tracking data.

A bone implant drill includes a bearing received in a sleeve. A transmission shaft includes a rod extending through the bearing and a transmission member formed on an end of the rod and received in the sleeve. The other end of the rod extends beyond the sleeve. A cutting rod includes a cutter, a coupling member received in the sleeve, and a positioning member between the cutter and the coupling member. The cutter and the coupling member are provided on two ends of the cutting rod respectively. The coupling member includes second teeth releasably engageable with first teeth on a free end of the transmission member. An elastic element is mounted in the sleeve. The elastic element includes a first end mounted around the coupling member and abutting the positioning member. The elastic element further includes a second end mounted around the transmission member and abutting the bearing.

An apparatus, including an implantable portion of a transcutaneous bone conduction device and a pedestal attached to the implantable portion, the pedestal configured to be implanted into a skull bone of a recipient. In an exemplary embodiment, the apparatus is an implantable portion of a transcutaneous bone conduction device that can be fully covered by skin of a recipient.

A surgical system and method for use in implanting a neural device in a minimally invasive manner. The surgical system can include an adjustable cranial guide and various surgical tools that are dimensioned for creating a minimally invasive osteotomy and working within the subdural space.

A surgical system and method for use in implanting a neural device in a minimally invasive manner. The surgical system can include an adjustable cranial guide and various surgical tools that are dimensioned for creating a minimally invasive osteotomy and working within the subdural space.

A surgical bur includes a body and a drill point. The body includes flutes and lands. Each of the flutes includes a cutting edge, a rake face, and a clearance surface. Each of the lands is convex-shaped and disposed between a pair of the flutes. The drill point includes axial relief surfaces. Each of the axial relief surfaces has a planar area, is distinct from the lands and borders (i) a distal portion of one of the cutting edges, (ii) one of the lands, and (iii) one of the clearance surfaces.