Resected bone and/or tissue removal instruments and related methods are disclosed. The instruments include a first elongate member including a first head portion with a front edge and a first handle portion. The instrument further includes second elongate member rotatably coupled to the first elongate member at a first rotation point, the second member including a second handle portion and an end portion. The instrument also includes a third elongate member rotatably coupled to the first elongate member at a second rotation point, the third member including a second head portion and an end portion. The end portions of the second and third members are rotatably coupled at a third movable rotation point positioned between the first and second rotation points. The second head portion includes an interior surface with a front cutting tooth defining a free end of the second head portion.

A medical instrument includes two handle elements that are pivotable relative to one another and a spring unit that has two spring ends. Each spring end is connected to one of the handle elements so that when at least one of the handle elements is pivoted out of a starting position, the spring unit can pivot the handle element back into the starting position. The spring unit provides a substantially consistent spring force when the handle elements are pivoted. The spring unit includes a first spring leg and a second spring leg. At least one of the spring ends projects into a recess formed in the associated handle element and bonded to the associated handle element. The medical instrument can be produced by bending at least one of the spring legs, inserting the spring leg into an indentation in one of the handle elements, and bonding the spring leg to the handle element.

A resecting probe includes a shaft assembly having an outer sleeve and an inner sleeve. The outer sleeve has an axial bore and an outer window in a distal side thereof, and the inner sleeve has an axial extraction channel and inner window in a distal side thereof. The inner sleeve is rotationally disposed in the axial bore of the outer sleeve to allow the inner sleeve window to be rotated in and out of alignment with the outer sleeve window, and the shaft assembly forms a flow aperture in a distal portion when the inner cutting window and the outer cutting window are out of alignment. An electrode is carried on the inner sleeve, and a motor drive is coupled to rotate the inner sleeve relative to the outer sleeve. A controller is coupled to the motor drive and controls rotation of the inner sleeve and can stop rotation of the inner sleeve in a stop position where the outer and inner windows are out of alignment, providing the flow aperture to allow cooling of fluid in a working space and cooling of the probe handpiece during use.

Methods are provided for extracting bone marrow cells from bone obtained from deceased donors, for preparing the bone marrow for cryopreservation and for obtaining desired cells from cryopreserved and fresh bone marrow.

A self-cleaning tissue removal instrument is disclosed and described herein. The self-cleaning tissue removal instrument generally comprising: a handle operably coupled with a proximal end of a rail portion; a jaw portion operably coupled to a distal end of the rail portion, a longitudinal axis running along the proximal portion to the distal portion of the self-cleaning tissue removal instrument; wherein the jaw portion is moved from an open position to a closed position by operation of the rail portion translating along the longitudinal axis of the self-cleaning tissue removal instrument, and the jaw portion clamps down and removes tissue in the closed position; and a cleaning mechanism operably coupled with the rail portion, whereby the cleaning mechanism disengages any tissue attached to the jaw portion when the jaw portion longitudinally translates to the open position.

Aspects of the invention include minimally invasive tissue modification systems. Embodiments of the systems include a minimally invasive access device having a proximal end, a distal end and an internal passageway. Positioned among the distal ends of the devices are a visualization element and an illumination element. Also provided are methods of using the systems in tissue modification applications, as well as kits for practicing the methods of the invention. Internal tissue visualization devices having RF-shielded visualization sensor modules are also provided. Minimally invasive RF tissue modulation devices are provided. In some aspects, the devices include a hand-held control unit and an elongated member. In some aspects, RF tissue modulation devices are provided and include an adapter that operably couples to a hand-held medical device. The adapter generates RF energy for delivery to a plasma generator on an elongated member.

The methods and devices disclosed herein are effective in the promoting the reattachment of delaminated cartilage to bone. The methods (and related devices) are effective in the removal of the acellular layer of the delaminated cartilage or effective in the indentation of the acellular layer of the delaminated cartilage thereby exposing the underlying chondrocyte cells and thereby allowing the promotion of the reattachment of the delaminated cartilage.

The various embodiments relate to cutting tools including non-shearing cutting blades which allow in-line cutting of various materials. The cutting tools further include handles, pivot assemblies, and a capture space for removing cut materials. In use, the cutting blades are brought together, forming a capture space that holds materials cut by the cutting blades. The cut material does not fly off or become lost in the patient and can be removed within the capture space. Various embodiments of the cutting tools include cutting blades angled inward towards an inner surface. Various embodiments further relate to methods of using the cutting tools for removing crimped cable ends, suture knots or soft tissue from a patient.

A glenoid implant is disclosed which has a protruding surface on a first side arranged to engage the surface of a cavity formed in a glenoid extending between peripheral glenoid surfaces and a flat surface adjacent the protruding surface of the implant arranged to engage the peripheral glenoid surfaces adjacent the cavity. The implant also has a wear-resistant surface on a second side opposite the flat surface and the protruding surface.

A system including a bone punch tool and a needle guide. The bone punch tool can include a support arm having a support arm proximal portion and a support arm distal portion, a pivot arm having a pivot arm proximal portion and a pivot arm distal portion, and an arcuate punch configured to punch through bone. The pivot arm distal portion can be pivotably coupled to the support arm distal portion, such that the pivot arm proximal portion is configured to be moved away from the support arm proximal portion to extend the arcuate punch into a punch position to punch an arcuate hole through bone. The needle guide can be configured to guide a needle through the arcuate hole.