Orthopaedic instruments for use in a direct anterior approach orthopaedic surgical hip replacement procedure on a patient's femur are disclosed. One such orthopaedic instrument may be embodied as a cement nozzle sized for insertion in a medullary canal of the patient's femur. The cement nozzle may include a first lumen for introducing a bone cement composition into the medullary canal. The cement nozzle may also include a second lumen for removing one or more bodily fluids from the medullary canal during introduction of the bone cement composition. The first and second lumens may each be curved along a distal portion of the cement nozzle.

A storage and mixing device for PMMA bone cements having a cylindrical interior of the cartridge that is delimited on a front side by a cartridge head with a closed delivery opening, a plunger which is arranged to be axially movable in the cylindrical interior of the cartridge and which is spaced from the cartridge head. The plunger circumferentially rests against the inner wall of the interior, so that the plunger divides the interior of the cartridge into two sections in a gas-tight manner, a powdery first parent component of the bone cement, which is contained in the interior between the plunger and the cartridge head, a feed-through which is arranged in the cartridge head or in the cylinder barrel of the cartridge between the plunger and the cartridge head, wherein the feed-through is connected to a fluid line in which a monomer liquid as a second parent component of the bone cement is contained or into which a monomer liquid is fillable or introducible. A filter is arrangeable in the cartridge head, in the feed-through and/or in the fluid line, wherein the filter is permeable to the monomer liquid and impermeable to the first parent component, wherein the plunger is spaced from a back side of the cylindrical interior, located opposite the front side, to an extent that, by moving the plunger in the direction of the back side, a reduced pressure is producible in the interior of the cartridge between the plunger and the cartridge head, wherein the reduced pressure is able to suck the monomer liquid out of the fluid line into the interior of the cartridge.

An inflatable bone tamp is provided that includes a shaft with proximal and distal portions and a central longitudinal axis. A balloon is attached to the shaft such that a material can flow through the shaft and into the balloon to inflate the balloon. A flow controller controls the flow of the material through the shaft and into the balloon. Kits, systems and methods are disclosed.

Apparatus is provided that includes a surgical tool for use with solid particles and a physiological liquid solution. The surgical tool includes (a) a shaft unit, which is shaped so as to define a delivery lumen, and a distal opening, which is disposed within 10 mm of a distal end of the shaft unit, in fluid communication with the delivery lumen; (b) a composition source, which is coupled in fluid communication with the delivery lumen, and which is configured to provide a solid-liquid composition of the solid particles and the physiological liquid solution; and (c) a pump, which is configured to pump the solid-liquid composition through the distal opening via the delivery lumen.

A handle connectable to a screw-type mechanical drive component for transmitting to the latter a first torque comprises first connection means, defining a constraint axis, for the connection of the handle to the mechanical drive component, a ring nut to which a second torque is manually applicable, support means of the ring nut for rotatably supporting the latter around an axis of rotation coinciding, in use, with the constraint axis, second means for connecting the ring nut to the support means, for connecting/disconnecting the ring nut and the support means in a mechanical and selective way, so that the ring nut is kinematically connected to the support means when rotated around the axis of rotation with a second torque lower than a threshold value and kinematically disconnected from the same upon exceeding such a threshold value.

Disclosed herein is a steerable and curvable drill that can be used for various applications including vertebroplasty. The drill can include an elongate, tubular body, having a proximal end, a distal end, and a central lumen extending therethrough; a deflectable zone on the distal end of the tubular body including one or more laser cuts, deflectable through an angular range; an insertable wire insertable into at least a portion of the central lumen of the elongate, tubular body; a handle on the proximal end of the tubular body; a deflection control on the handle; a drill control on the handle; a drive shaft within the elongate tubular body having a proximal end and a distal end; and a boring element on the distal end of the device for creating a cavity within bone. The boring element can be operably connected to the distal end of the drive shaft via a crimping mechanism. Systems and methods involving the drill are also disclosed.

Disclosed herein are systems and methods for graft delivery with accurate dispensing. For example, a device for delivering graft material to a target site includes an actuation mechanism and a tube. The tube defines a lumen and an open end and is configured to receive graft material through the open end. The tube includes a pressure relief opening and a dosage window. The pressure relief opening is disposed in a wall of the tube, defining a pressure chamber between the open end and the pressure relief opening. The device further includes a plunger positioned within the lumen of the tube and coupled to the actuation mechanism such that at least a portion of the plunger (or the actuation mechanism) is visible through the dosage window. The actuation mechanism is configured to advance the plunger toward the open end to deliver graft material through the open end.

The invention as described herein provides methods for treating a bone of a patient, including locating a treatment volume in a bone of the patient, administering a sclerosing agent to the treatment volume, and, after administering the sclerosing agent, administering bone graft material to the treatment volume. In some embodiments, the sclerosing agent and the bone graft are administered in a minimally invasive manner using a delivery device. The placement of the delivery device and/or the administration of the sclerosing agent and/or bone graft can use imaging to guide the placement and/or administration. The patient can be a pediatric patient and the treatment volume can comprise a bone lesion, a unicameral bone cyst or an aneurysmal bone cyst.

According to one example, a valve for an apparatus configured to mix bone cement is disclosed. The valve can include a base defining a first portion of a passage. The passage can be configured to allow a component of the bone cement through the valve. The valve can include a projection extending from the base to a base opposing end and forming a second portion of the passage that communicates with the first portion. The projection can have a frustoconically shaped surface that comprises one of an outer surface or an inner surface that forms a part of the second portion of the passage.

A system including a flow diverter for delivering bone cement. A cannula coupler is coupled to the flow diverter and configured to be coupled to a delivery cannula. A drool accumulator is coupled to the flow diverter. A user input mechanism is coupled to the flow diverter and configured to actuate a valve and establish fluid communication between the cement reservoir and one of the cannula coupler and the drool accumulator. The fluid communication may be interrupted between the cement reservoir and the other one of the cannula coupler and the drool accumulator. A cement delivery input mechanism may be coupled to the cement reservoir and configured to be actuated to direct the bone cement from the cement reservoir towards the flow diverter. An actuator may be coupled to the drool accumulator and configured to direct the bone cement received in the drool volume towards the flow diverter.