A medical instrument system includes a handpiece and a surgical tool. The handpiece has a housing in which a drive and/or a gearing mechanism is accommodated and which preferably has a housing part which is or can be attached to the housing. The surgical tool is supported on the housing and/or the housing part by a plurality of rotary bearings. The surgical tool is or can be coupled to the drive and/or gearing mechanism for conjoint rotation and in an axially fixed manner so as to transmit a torque from the drive and/or gearing mechanism to the tool. A first of the rotary bearings at a distal end portion of the tool is connected to the tool to form a unit. A second of the rotary bearings is accommodated in the housing or the housing part, proximally to the first rotary bearing, so as to be stationary.

A bone material removal device including a cannula, a bone drilling forward tip and a bore widening element including a bone carving portion that slides axially relative to the cannula and extends in a circumferential direction and wherein the axial movement of the bore widening element relative to the cannula brings a carving portions to travel and extend radially in a circumferential direction beyond a surface of the cannula and carve bone from a wall of a bore.

A method of performing a surgical procedure with a surgical tool assembly includes inserting a surgical tool into a passage of a patient. The surgical tool can include a main unit and a first rigid sheath. The main unit includes an inner tube that is received within an outer tube. The first rigid sheath removably receives the main unit. The surgical tool can be removed from the passage of the patient, and the first rigid sheath can be completely removed from the main unit. A second rigid sheath having a different shape from the shape of the first rigid sheath can then be removably attached to the main unit instead of the first rigid sheath.

A bone material removal device, including a tubular element comprising a proximal end and a distal end, a shaft received within the tubular element and comprising a proximal end and a distal end, a cutting tooth movably coupled to the distal end of the shaft and a shaft displacement actuator at the proximal end of the tubular element rotatably coupled to the shaft, wherein at least partial rotation of the actuator in a first direction brings the cutting tooth to travel from a closed retracted position to an open extended position.

A multi-barrel drill guide and anchor deployment assembly with an elongated body extending along a longitudinal axis having a proximal end and a distal end, an elongated distal guide tube attached to and extending from the distal end, a handle extending from the elongated body between the proximal end and the distal end, and a sliding inserter movably connected to the elongated body and configured to move between the proximal and distal ends of the elongated body. The elongated body has a first channel extending from the proximal end to the distal end and a second channel extending from the distal end to a position between the distal and proximal ends. The second channel extends at an angle relative to the first channel and intersects the first channel at a convergence area at the distal end.

An embodiment in accordance with the present invention provides a continuum dexterous manipulator (CDM) with a specially designed flexible tool, to be used as a handheld or robotic steerable device for treatment of hard-tissue-related diseases. The CDM of the present invention works well in treatment of soft and sticky material (similar to a lesion) as well as milling the hard tissues (e.g. sclerotic liner of osteolytic lesions) and bone tumors. The present invention is also directed to flexible drilling tools as well as characterization and evaluation of integrating these tools with the CDM in curved-drilling of hard bone towards treatment of hard tissue related diseases (e.g. osteonecrosis or pelvic fracture). The present invention can also include use of various types of drill geometries, aspiration and irrigation, and endoscope view in curved-drilling and trajectory planning.

A system, method and/or reamer driver device provides a driver which has a mean for remotely connect or disconnect (release) the reamer without having to manipulate a release sleeve located close to the surgical tool connector. The surgical reamer driver has a transmission drive train, a housing assembly enclosing the transmission drive train and a locking surgical tool connector. The driver further includes a device for remotely inducing relative movement of the transmission drive assembly with respect to at least a portion of the housing assembly to activate locking and unlocking of the locking surgical tool connector.

A surgical guidance device is cannulated for passage of a guidewire or pin and includes a hand grip and differential control assembly for driving the guidewire or pin and differentially driving a screw, such as but not limited to a pedicle screw, into bone. The differential control assembly resides in a housing, and includes a differential control assembly for gripping and locking or releasing the guidewire or pin and effecting directional movement (relative to the user holding the surgical guidance device) either distally into the bone or proximally away from bone to thereby drive or retract the guidewire. The differential control assembly also allows distal or proximal drive of a screw, such that one or both the guidewire and screw can be passed proximally or distally alone or together.

Tools, devices and systems that include a generally cylindrical, hollow shaft, and a suction canister are provided with advantageous interconnectivity features and functions that enable ease of manufacturing, lowered manufacturing costs, and allow for a platform of different shaft embodiments and canister embodiments that may be manufactured in different combinations to form an array of unique instruments. The interconnectivity may be irreversible or reversible, and the connection features maintain an air tight seal between the components. Tools, devices and systems are also provided that include collection functionality that can be employed to manipulate the volume of tissue collected while using a tissue collection feature/function. This may be undertaken to restrict total volume of the collection chamber in a way that allows for continuous suction flow rate to take place while collecting the desired amount of tissue. Containing the tissue to a pre-set volume can enable a user to effectively ascertain the volume of tissue collected.

A cutting accessory for use with a powered surgical handpiece includes an elongated shaft, a tissue working member, and a proximal section. The elongated shaft has proximal and distal ends, and a longitudinal axis. The working member is attached to the distal end of the shaft. The proximal section extends proximally from the distal end and includes a plurality of faces extending inwardly from an outer surface of the shaft. Each face has at least one shallow portion and is shaped to receive a clamping member. At least two of the faces are arranged linearly, extending along the shaft proximal section. A flat extends distally forward of the distalmost face, and is located a distance from the shaft longitudinal axis greater than the distance the shallow portions are located from the longitudinal axis and less than the distance the outer surface of the shaft is from the longitudinal axis.