A method comprises the steps of: fixing a distal end of a first member of a surgical instrument with tissue, the surgical instrument including a second member having a longitudinal passageway configured for disposal of the first member and being connected with a navigation component such that the distal end is disposable with the passageway at a selected distance from the navigation component, the navigation component being positioned relative to a sensor to communicate a signal representative of an orientation of the first member; removing the second member from the first member; and connecting a third member with the first member along the orientation such that a distal end of the third member is fixed with the tissue. Systems, spinal implants, constructs and instruments are disclosed.

A connection member for connecting a surgical tool to a plurality of different kinds of corresponding connector. A surgical tool including the connection member. A surgical kit including the surgical tool. The connection member includes an elongate shaft having a longitudinal axis, a proximal end and a distal end. The connection member also includes a plurality of connection features located at the proximal end of the shaft. The plurality of connection features includes at least one connection feature for mating with a first kind of corresponding connector. The plurality of connection features also includes at least one connection feature for mating with a second, different kind of corresponding connector. The connection member may be a male connection member and the corresponding connectors may be female. A method including providing the surgical tool and connecting the connection member to a corresponding connector.

A surgical instrument comprises a hand-held portion configured to be manipulated by a user and a pivoting portion operatively coupled to the hand-held portion. The pivoting portion is configured to pivot with respect to the hand-held portion according to first and second degrees of freedom. The pivoting portion includes an accessory drive motor, an accessory drive member configured to be driven by the accessory drive motor, a plurality of lead screws, a carriage including a central aperture axially extending through the carriage and configured to interface with and linearly translate along the plurality of lead screws, and a linear drive motor configured to rotate the plurality of lead screws to linearly translate the carriage relative to the hand-held portion with respect to a third degree of freedom. The accessory drive member extends through and is configured to move within the central aperture of the carriage.

The present disclosure provides a cutting tool for surgical procedures. More specifically, the present cutting tool is suitable for bi-directional cutting and removal of soft and hard tissues for surgical procedures. The cutting tool includes a substantially rigid shaft having a shaped end portion. The shaped end portion includes a plurality of shaped talons; each talon including a body bent to retain tissue, and each talon including a cutter end. The cutter end includes both acute and obtuse cutting surface relief angles for diverse cutting action with respect to hard and soft tissues.

The present invention relates to a connection set for connecting a tool to a hand-held machine tool, which consists of, or comprises, a receptacle and an insert. The receptacle is designed provided and/or suitable to be fastened to a machine tool and to receive an insert. The insert is designed, provided and/or suitable for being fastened to the tool and for being releasably, at least in sections, inserted into the receptacle. In this, both the receptacle and the insert are continuous in the longitudinal direction and circumscribe each a lumen. Furthermore, the receptacle comprises one or several stationary pins projecting from an inner wall into the lumen and one or several movable pins. The outside of the insert comprises one or several guides, which are provided, designed or suitable for guiding the pins along the outside of the insert when inserting the insert into the lumen of the receptacle.

A system for robotic surgery makes use of an end-effector which has been configured so that a drill connected thereto is guided in its trajectory and limited in its advancement into an associated anatomical feature by a drill guide. The drill guide may be adjusted manually to engage a corresponding surface of the drill after its advancement by a pre-selected amount. The drill guide likewise includes features to guide the drill during trajectories having oblique angles relative to the surface of the anatomical feature associated with the medical procedure.

A device for drilling into bone includes a luer portion having a luer thread. A bit portion is rigidly coupled to the luer portion, the bit portion configured to be detachably coupled to a bit driver. An adapter portion is rigidly coupled to the bit portion. A drilling portion is rigidly coupled to the adapter portion, the drilling portion comprising a flute configured to create a hole in the bone. A channel extends through the luer portion, the bit portion, the adapter portion, and the drilling portion.

Described are systems, targets, and methods for registering a tool for use in optical tracking. A first target and a second target are attached to the tool, with the first target having a known spatial relationship to the tool or end effector of the tool. By determining a spatial feature of the first target and a pose of the second target, and using the known spatial relationship between the first target and the tool or end effector of the tool, a spatial relationship between the second target and the end effector can be determined. Subsequently the first target can be removed, and the end effector is trackable based on only tracking of the second target. In some implementations, the first target is removably couplable to the tool by the same interface by which the end effector is removably couplable to the tool.

A surgical instrument comprises a hand-held portion configured to be manipulated by a user and a pivoting portion operatively coupled to the hand-held portion. The pivoting portion is configured to pivot with respect to the hand-held portion according to first and second degrees of freedom. The pivoting portion includes an accessory drive motor, an accessory drive member configured to be driven by the accessory drive motor, a plurality of lead screws, a carriage including a central aperture axially extending through the carriage and configured to interface with and linearly translate along the plurality of lead screws, and a linear drive motor configured to rotate the plurality of lead screws to linearly translate the carriage relative to the hand-held portion with respect to a third degree of freedom. The accessory drive member extends through and is configured to move within the central aperture of the carriage.

A rotary drive tool for coupling of a surgical instrument, the rotary drive being intended to be enclosed within an envelope in such a way that the rotary drive tool can be used in a sterile environment. The rotary drive tool has a body with an end configured to removably engage the envelope intended to enclose the rotary drive tool. A coupling piece is disposed within the body, the coupling piece engaging and driving, in rotation, a surgical instrument.