A blade assembly for use with a surgical saw. The blade assembly may comprise a static guide bar, a blade and a drive member, that when actuated, oscillates the blade. The blade may further comprise teeth that extend distally from the static guide bar, the teeth adapted to form a kerf in tissue against which the teeth are pressed. The static guide bar may be dimensioned to fit into the kerf formed in the tissue cut by the teeth. The static guide bar may comprise a thickness dependent on a length of the static guide bar. The blade assembly may be configured such that blade may be the only oscillating component of the blade assembly to provide a generally constant mass moment of inertia irrespective of the mass and/or length of the static guide bar.

Methods of joint repair employing sutures and attached fixation devices are discussed. For example, a bone block graft procedure (e.g., Latarjet) is discussed which employs fixation devices to secure contact between graft surfaces of two bones. A suture construct, including a continuous suture loop routed through a first fastener, is secured to a first bone. Looped ends of the suture loop are passed through passageways formed in the two bones. The looped suture ends are further routed through a second fastener. The second fastener is mounted to the second bone and a sliding knot, formed in the looped suture ends, is advanced into contact with the second fastener. The suture is further tensioned using a tensioner device to secure the two bones together.

The present disclosure relates to an ultrasonic bone scalpel bit and a robot-assisted ultrasonic bone power system using the ultrasonic bone scalpel bit. The ultrasonic bone scalpel bit includes a scalpel bit end portion located at a distal end of the scalpel bit, the scalpel bit end portion being formed to have a flat shape and provided with a cutting portion, wherein the cutting portion includes a distal end portion, a first side portion and a second side portion, the first side portion and the second side portion being symmetrically arranged relative to a longitudinal axis of the scalpel bit end portion in a width direction of the scalpel bit end portion; the cutting portion further includes a plurality of protrusions formed near the distal end portion, the plurality of protrusions projecting outward from the first side portion and the second side portion symmetrically relative to the longitudinal axis in the width direction of the scalpel bit end portion; and a recess which is recessed toward a proximal end of the scalpel bit end portion is formed on the distal end portion.

An ultrasonic horn for use with an ultrasonic surgical handpiece including a resonator comprises a linear cutting blade at the distal end of a horn body. The linear cutting blade includes adjacent side-by-side rows of teeth each of which includes a land through which ultrasonic waves are propagated outwardly from the distal end. The lands of the rows of teeth are angled so that the propagated ultrasonic waves of one plurality of lands intersects the propagated ultrasonic waves from the other row of lands. Shear stress fields are developed at the intersections of the ultrasonic waves that will perform the cutting function on target tissue. An irrigation arrangement is also disclosed.

A surgical saw system including a saw, a blade cartridge and an attachment. The saw including a housing and a reciprocating shaft. The blade cartridge that may be removably coupled to the saw includes a bar and a rack. The bar includes a first holding feature. The rack is moveably disposed within the bar, and is configured to removably couple to the reciprocating shaft of the saw. The attachment is disposed between and connecting the bar of the blade cartridge to the saw. The attachment may include a coupling feature in selective releasable engagement with the first holding feature of the bar to hold the bar static relative to the saw. The blade cartridge may also include a drive link that extends from reciprocating shaft of the saw and the rack for imparting the reciprocal motion of the reciprocating shaft to the rack.

The present invention includes a novel procedure and corresponding medical devices for a Percutaneous Posterior Lumbar Interbody Fusion (PePLIF). In PePLIF, the surgeon performs the entire operation percutaneously without the use of a microscope, endoscope, or magnifying loupes. An adjustable retractor system is disclosed that enables the surgeon to percutaneously perform the surgery through accessing the facet joint (and later disc space) that was created by said retractor system. This retractor system provides the surgeon a safe area to work and operate without fear of damaging nerves, blood vessels, or other tissue. An expanding trial may be inserted into and removed from the disc space through the interior of the retractor system to determine the proper size for the expandable cage. The retractor system also enables the expandable cage to be inserted into the disc space.

A tool bit for an ultrasonic osteotome includes a bit body, an arbor fixed to the bit body, and a flat end portion fixed to the arbor. A toothed edge extends linearly along a length direction of an end portion of the tool bit, and recesses are distributed evenly on the toothed edge to form teeth spaced apart from each other. The toothed edge extends linearly along a length direction, and the cutting edges of teeth are distributed linearly, e.g., instead of having a sharp structure, thus will not scrape and hurt other tissues during cutting. Since the thickness of the cutting edge is the same as that of the back edge, when cutting bone tissues, the incision is wide, thus the end portion is not easy to be clamped by bone tissue, which effectively prevents the end portion from breaking and reduces occurrence chances of surgery accidents.

A differential pressure motor comprising two working pistons and a rod that move in a hollow space. Walls defining the hollow space have five openings. A valve piston moves between and against the working pistons and can be driven by the working pistons. The valve piston with the five openings forms a valve with which an alternate impact of a first pressure and a second pressure on the working pistons is controllable when the pressures are applied to three of the five openings such that the working pistons periodically move which drives a periodic movement of the valve piston. Also disclosed are a surgical drive system with, a medical lavage system for the debridement of soft tissue and/or bone tissue having, and a medical device for brushing, rasping or sawing soft tissue and/or bone tissue with such a differential pressure motor, and a method for operating a differential pressure motor.

A passive end effector of a surgical system includes a base, a first mechanism, and a second mechanism. The base attaches to an end effector coupler of a robot arm positioned by a surgical robot. The first mechanism extends between a rotatable connection to the base and a rotatable connection to a tool attachment mechanism. The second mechanism extends between a rotatable connection to the base and a rotatable connection to the tool attachment mechanism. The first and second mechanisms pivot about the rotatable connections to constrain movement of the tool attachment mechanism to a range of movement within a working plane. The tool attachment mechanism is configured to connect to a surgical saw including a saw blade for cutting.

A surgical saw blade cartridge includes a bar, a blade and a drive link. The bar includes a first plate and an opposed second plate defining a space therebetween, and an opening in at least one of the plates for releasable connection to a saw. The blade includes a base moveably disposed in the space between the plates and a head integral with the base located outside of the bar. The head has teeth at least as wide as a portion of the bar adjacent the head. The drive link extends through the bar and is moveable therein with a proximal end configured for attachment to a drive component of the saw and a distal end connected to either the base of the blade or a pivot link. The bar includes a structural member adjacent the head that extends forward of the head.