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.

A handle device, in particular a surgical-tool handle device, with a first handle element and a second handle element, and with a shear joint by means of which the two handle elements are connected pivotably and separably, and with a coupling unit, which is configured to keep the two handle elements together counter to a separation direction and which comprises at least one coupling element that is configured to establish, depending on a relative position of the handle elements, a form-fit connection of the handle elements counter to the separation direction. The at least one coupling element is embodied as a centering element for centering the form-fit connection.

Described herein are devices and methods for fusion of adjacent vertebral bones of a subject using distractor platforms for the exposure and resection of at least a portion of the facet joint, such as in performance of a TLIF procedure. In one embodiment, the distractor platform contains at least a first receptacle and/or extension that are adapted to couple to the implanted screw/bone marker and the method includes advancing a first threaded segment of a first bone fastener assembly into the identified first pedicle of the first vertebral bone, wherein the first bone fastener assembly further comprises a second segment that is adapted to couple with a distraction platform adapted to concurrently attach onto at least one tissue retention blade and is adapted to retain the tissue retention blade in the displaced position.

A rongeur includes a lower member, a footplate, an upper member and an extension. The lower member is elongate along a first longitudinal axis. The footplate extends upwardly from a distal end portion of the lower member. The footplate includes a first cutting element that defines an apex spaced farthest upwardly from the first longitudinal axis. The upper member includes a second cutting element and is movable relative to the lower member. The extension is provided on the footplate and fixed to the footplate. The extension extends away from the first cutting element a maximum distance D1 measured upwardly from the apex and a maximum distance D2 measured laterally from the first cutting element and perpendicular to D1, where D1≠D2, and when D1>0 the extension is laterally confined between opposite lateral sides of the footplate above the apex of the first cutting element in an upward direction.

A rongeur includes a device body having a first arm and a second arm slidably coupled to the first arm. A handle operatively coupled to the first arm and the second arm is configured to move the second arm along a length of the first arm in a first direction and an opposing second direction. A tip assembly is removably coupled to a distal end of the device body. The tip assembly includes a first tip and a second tip slidably coupled to the first tip. A locking mechanism is configured to removably couple the first tip to the first arm and removably couple the second tip to the second arm. The second tip is movable with respect to the first tip from an open position toward a closed position as the second arm moves in the first direction.

A bone cutting assembly includes a manually actuated upper cutting element that carries a plurality of cutting blades configured to cut through frozen bone segments. A lower cutting element supports a bone segment to be cut and can include cutting blades aligned with the cutting blades of the upper cutting assembly. A pivoting linkage or a rack and pinion arrangement can be provided between the upper cutting element and a manually operated handle to provide sufficient mechanical advantage or leverage to allow an operator to manually cut through the bone.

Described herein are devices and methods for fusion of adjacent vertebral bones of a subject using distractor platforms for the exposure and resection of at least a portion of the facet joint, such as in performance of a TLIF procedure. In one embodiment, the distractor platform contains at least a first receptacle and/or extension that are adapted to couple to the implanted screw/bone marker and the method includes advancing a first threaded segment of a first bone fastener assembly into the identified first pedicle of the first vertebral bone, wherein the first bone fastener assembly further comprises a second segment that is adapted to couple with a distraction platform adapted to concurrently attach onto at least one tissue retention blade and is adapted to retain the tissue retention blade in the displaced position.

A surgical device includes one or more cameras integrated therein. The view of each of the one or more cameras can be integrated together and provided to a surgeon display and/or an assistant display. A surgical tool that includes an integrated camera may be used in conjunction with the surgical device. The image produced by the camera integrated with the surgical tool may be associated with the images generated by the one or more cameras integrated in the surgical device. The position and orientation of the cameras and/or the surgical tool can be tracked, and the surgical tool can be rendered as at least partially transparent. A surgical device may be powered by a hydraulic system, thereby reducing electromagnetic interference with tracking devices.

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.

A guillotine style cutting mechanism that can cut material without a pair of pivoting blades that are externally exposed, does not require a user to open and close two fingers to operate, and can be operated in both the left and right hands (not designed for either hand). The cutting mechanism includes a receiving inlet (trap) for receiving the material, a stationary blade within the trap and a moveable blade that enters the trap when activated by an engagement mechanism. The cutting mechanism may include an outer housing having an open interior, an extension arm extending from the housing to create the trap, a stationary blade within the trap, a movable blade formed on a rod within the housing, and an engagement button that causes the moveable blade to traverse the housing so as to extend into the trap and engage the stationary blade to cut the material.