Implants include fixation features which slidingly receive fixation elements. The fixation features may be negative or positive features, such as undercut channels or posts. Examples include unicompartmental tibial trays having a ridge protruding from the bone-facing side, an undercut channel formed within the ridge. Instruments are disclosed for preparing a ridge-receiving feature in bone. Implants and fixation elements are configured for implantation without penetrating a cortical wall of a bone. Instruments and surgical methods are disclosed.

A depth limiting device includes a braking structure; a limited shrinking structure, the limited shrinking structure including a part that surrounds a moving object and being in a home position or a compressed position; and a structure adapted for pushing the limited shrinking structure to the home position. The braking structure brakes the moving object such that the moving object moves together with the depth limiting device. When the moving object enters into a subject, the part of the limited shrinking structure is pressed against the subject, and the limited shrinking structure moves from the home position to the compressed position and stops the moving object from entering further into the subject.

Provided is a prosthesis for ankle arthroplasty including a talar dome component configured to be attached to a talus bone. Also provided is a guide instrument for guiding a reamer to prepare a talus to receive the talar dome component.

A powered surgical instrument comprising a housing, an elongate shaft, an articulation joint, a rotary drive member configured to rotate in response to rotary motion from an electric motor, a coupling portion, and a stapling attachment releasably attachable to the coupling portion is disclosed. The stapling attachment is secured to the coupling portion by rotating one of the stapling attachment and the coupling portion relative to the other of the stapling attachment and the coupling portion. The stapling attachment comprises an elongate channel configured to receive a staple cartridge. The stapling attachment further comprises an anvil, a drive screw, and a firing member operably engaged with the drive screw. The coupling portion operably couples the rotary drive member and the drive screw when the stapling attachment is attached to the elongate shaft. The firing member is advanced distally within the stapling attachment when the drive screw is rotated.

An exemplary hand-held, power operated rotary knife dermatome comprises a blade housing assembly and a depth gauge assembly. The blade housing assembly includes an annular blade housing and a blade lock ring for rotatably supporting an annular rotary knife blade. The annular blade housing includes a shield extending radially inwardly from a blade receiving body and including an inner wall defining a tissue directing surface, the tissue directing surface including a first tissue guide surface extending upwardly from a lower end of the shield, the first tissue guide surface extending substantially parallel to the blade housing axially extending center line. The blade receiving body includes an annular blade channel extending axially upwardly from a lower surface of the blade receiving body, a bearing surface axially spaced from a lower surface of the blade receiving body, and a threaded portion formed on the outer surface of the annular blade housing.

Implant bending instruments disclosed herein can have a plurality of bending elements that can be symmetrically driven to bend or contour an implant, such as a spinal rod. A single actuator handle can be moved to drive a compound gear train and move the bending elements to intersect an implant-receiving channel and bend an implant received therein. Instruments of the present disclosure can have an increased mechanical advantage than conventional bending instruments thereby allowing for an increased amount of force to bend an implant. A locking pawl can selectively prevent counter rotation of the gear train such that the handle can be actuated a plurality of times to achieve a desired contour angle.

Embodiments described herein are directed to a system for providing alternating freeze and thaw cycles. The system includes a controller, a vessel for holding a working fluid, a pressure generator, a cooler, a cooler heat exchanger, a heater, a heater heat exchanger, a check valve, and a treatment instrument. In some embodiments, the treatment instrument includes a distal end, a proximal end, a connecting portion adjacent to the proximal end, a needle element adjacent the distal end, a handle portion disposed between the proximal and distal end, and a depth-limiting element to limit an injection depth of the needle element.

A surgical instrument comprising a first jaw, a moveable second jaw, and one or more mounting brackets that retain said second jaw to said first jaw is disclosed.

Forceps that include a hand piece, a jaw assembly connected to the hand piece, and a web. The jaw assembly is moveable between an open position and a closed position. The web is adapted to block an anatomical feature from extending beyond a proximal end of a gripping section of the jaw assembly. The web remains generally stationary relative to the handpiece when the jaw assembly is moved between an open position and a closed position.

Medical devices may include a patient-engaging section and an instrument-engaging section positioned on a body of the device and the methods of forming such devices. Medical devices described herein may include resection guides, resection guide locators, and/or instruments for use in surgical methods. Devices described herein may have sections that are complementary to a natural anatomical surface of a target area of bone of a predetermined patient. In some instances, a resection guide and resection guide locator may have portions configured to couple the resection guide to the resection guide locator. Resection guides and/or resection guide locators may include openings for receiving an instrument or tool during an operation on the predetermined patient target area of bone.