Orthopedic implants, systems, instruments, and methods. A bi-portal lumbar interbody fusion system may include an expandable interbody implant and minimally invasive pedicle-based intradiscal fixation implants. The interbody and intradiscal implants may be installed with intelligent instrumentation capable of repeatably providing precision placement of the implants. The bi-portal system may be robotically-enabled to guide the instruments and implants along desired access trajectories to the surgical area.

A cage holder includes an elongated body having a proximal end and a distal end, the elongated body extending from the proximal end to the distal end. The cage holder further includes means for transferring energy centrally from the proximal end to the distal end through the elongated body.

A system for penetrating the lateral cortex of a long bone includes a tubular cortex penetrator having an inner surface and an outer surface, a proximal end, and a distal end comprising a beveled cutting edge configured to penetrate the lateral cortex. A guide wire is configured to pass over the tubular cortex penetrator, and a guide sleeve is configured to surround the outer surface of the tubular cortex penetrator. A hollow extraction screw with an axial bore, a proximal end, a distal end, and a threaded cutting edge is configured to pass through the axial bore of the hollow extraction screw; and the hollow extraction screw is configured to retract into a distal end of a bore through the tubular cortex penetrator.

A surgical instrument for releasably connecting to a surgical tool, having three main sections that are able to articulate 360 degrees in 60-degree increments. The articulation of the sections allows for the distal end of the surgical instrument to be spatially offset from the proximal end, yet maintain parallel longitudinal axes. Varying surgical tools can be connected to the surgical instrument via an adapter.

Systems and methods may display an indication of an impact force from a driving device. A method may include displaying the indication of the impact force with a light. The light may be located on the driving device, a component attached to the driving device, a user interface, or the like. Different colors may be used to indicate different impact forces. For example, a first light color may correspond to an impact force below a first threshold, a second light color may correspond to an impact force above a second threshold, and a third light color may correspond to an impact force between the thresholds. The impact force may be detected using a sensor, which may output a voltage to cause the illumination.

Systems and methods may display an indication of an impact force from a driving device. A method may include displaying the indication of the impact force with a light. The light may be located on the driving device, a component attached to the driving device, a user interface, or the like. Different colors may be used to indicate different impact forces. For example, a first light color may correspond to an impact force below a first threshold, a second light color may correspond to an impact force above a second threshold, and a third light color may correspond to an impact force between the thresholds. The impact force may be detected using a sensor, which may output a voltage to cause the illumination.

A motor-driven orthopedic impacting tool is provided for orthopedic impacting in the hips, knees, shoulders and the like. The tool is capable of holding a broach, chisel, or other end effector, which when gently tapped in a cavity with controlled percussive impacts, can expand the size or volume of an opening of the cavity or facilitate removal of the broach, implant, or other surgical implement from the opening. A stored-energy drive mechanism stores potential energy and then releases it to launch a launched mass or striker to communicate a striking force to an adapter in either a forward or reverse direction. The tool may further include a combination anvil and adapter and an energy adjustment mechanism to adjust the striking force the launched mass delivers to the adapter in accordance with a patient profile.

A motor-driven orthopedic impacting tool is provided for orthopedic impacting in the hips, knees, shoulders and the like. The tool is capable of holding a broach, chisel, or other end effector, which when gently tapped in a cavity with controlled percussive impacts, can expand the size or volume of an opening of the cavity or facilitate removal of the broach, implant, or other surgical implement from the opening. A stored-energy drive mechanism stores potential energy and then releases it to launch a launched mass or striker to communicate a striking force to an adapter in either a forward or reverse direction. The tool may further include a combination anvil and adapter and an energy adjustment mechanism to adjust the striking force the launched mass delivers to the adapter in accordance with a patient profile.

A femoral finishing rasp assembly for use in an orthopaedic surgical procedure includes a femoral finishing rasp and an impactor adaptor. The femoral finishing rasp includes femoral-facing anterior and posterior surfaces, each of which includes a corresponding set of rasping teeth. The impactor adaptor is configured to couple to an exterior surface of the femoral finishing rasp and to an orthopaedic impactor to facilitate the use of the femoral finishing rasp on a distal end of a patient's surgically-prepared femur. A method for performing an orthopaedic surgical procedure using the femoral finishing rasp assembly is also disclosed.

A femoral finishing rasp assembly for use in an orthopaedic surgical procedure includes a femoral finishing rasp and an impactor adaptor. The femoral finishing rasp includes femoral-facing anterior and posterior surfaces, each of which includes a corresponding set of rasping teeth. The impactor adaptor is configured to couple to an exterior surface of the femoral finishing rasp and to an orthopaedic impactor to facilitate the use of the femoral finishing rasp on a distal end of a patient's surgically-prepared femur. A method for performing an orthopaedic surgical procedure using the femoral finishing rasp assembly is also disclosed.