A method and apparatus for attaching tissue to bone in a shifted position without requiring surgical detachment of muscle or connective tissue joining the tissue layer to the bone layer. The skin and/or soft tissue layer is displaced in a surgical or non-surgical manner and a fastener of the invention is driven through the skin and/or soft tissue layer into the periosteum or bone layer to affect a tissue repositioning procedure. The method and apparatus may also be used to attach tissue to tissue an a shifted position.

An electrically driven orthopedic impactor may include an adapter for interfacing between the adapter and a surgical implement. The adapter may have a first surface that transmits a forward impact energy and a second surface that transmits a reverse impact energy. The adapter can connect to the surgical implement and to the orthopedic impactor without the use of external tools. The adapter may connect to the impactor via a pushing motion and may disconnect from the impactor via a reciprocal sleeve. A sensor can communicate a spatial orientation of the adapter with respect to at least one reference point that is not located on the adapter or the impactor. A communication device may transmit frequency information or impact energy information to the impactor based on a type of surgical implement attached to the adapter.

An electrically driven orthopedic impactor may include an adapter for interfacing between the orthopedic impactor and a surgical implement. The adapter may have a first surface that transmits a forward impact energy and a second surface that transmits a reverse impact energy. The adapter can connect to the surgical implement and to the orthopedic impactor without the use of external tools. The adapter may connect to the orthopedic impactor via a pushing motion and may disconnect from the orthopedic impactor via a reciprocal sleeve. A sensor can communicate a spatial orientation of the adapter with respect to at least one reference point that is not located on the adapter or the orthopedic impactor. A communication device may transmit information to the orthopedic impactor related to frequency or impact energy settings based on a type of surgical implement attached to the adapter.

A implanting device for driving a fastener or fixation element into bone is described. Also described are methods for using a implanting device for driving a fastener or fixation element into bone and a kit comprising a pneumatic implanting device for driving a fastener or fixation element into bone.

Disclosed herein are orthopedic impact tools and methods of use thereof. The orthopedic impact tools can include a housing, a tube assembly, a reverse impact plate, an anvil and an impact mechanism. The housing can include a hand grip portion and an impact mechanism housing portion. The tube assembly can include a first tube portion and a second tube portion. The reverse impact plate can be disposed in between the first tube portion and the second tube portion. The anvil can include a forward impact surface. The impact mechanism can include a motor, a piston, a ram, and a rotary to linear conversion mechanism drivingly connecting the motor to the piston. The piston can be disposed within the first tube portion and the ram can be disposed in the second tube portion and movable into contact between the reverse impact plate and the forward impact surface.

In general, devices, systems, and methods for controlling impact direction of surgical impacting tools are provided. In an exemplary implementation, a handpiece of a surgical impacting tool includes at least one actuator configured to be actuated by a user to control a direction of impacting. The surgical impacting tool handpiece, such as a handpiece of an orthopedic impactor, is configured to drive impacting of the surgical implement relative to bone.

An apparatus and method for inserting a broach or stem into a bone, the broach and stem having an associated handle for impaction. The apparatus includes: a closed loop impactor configured to provide a series of impacts on the handle: at least one sensor configured to sense the series of impacts, including sensing the bone stress and to provide real-time feedback of a condition of the bone to the impactor's impact force, displacement and impact frequency; and a processor operably connected to the at least one sensor and configured to receive the real-time feedback therefrom, and operably connected to the impactor to control the rate and force of the impacts that the impactor applies to the broach.

A handheld surgical instrument comprising an energy storage element, wherein the energy storage element is a spring coupled to the impacting mechanism, an impacting mechanism has a tip configured to impact a bone, wherein the tip includes a tapered point, a power transmission mechanism is configured to transmit energy from the energy storage element to the impacting mechanism, wherein the power transmission mechanism includes a semi-flexible metal wire guided by a hollow shaft, wherein the hollow shaft includes a distal end, the semi-flexible metal wire is includes a bend toward the distal end, a trigger mechanism is configured to release energy from the energy storage element, wherein the bend includes an angle between 14 degrees and 46 degrees, wherein the trigger mechanism includes a manual lever which, when actuated, simultaneously retracts the tip and charges the energy storage element.

An orthopedic impacting tool comprises a motor, an energy storage chamber, a striker, and an anvil. The motor stores energy in the energy storage chamber and then releases it, causing the striker to apply a controlled force on an adapter to create a precise impact for use in a surgical setting. The tool may further comprise a combination anvil and adapter. The tool further allows forward or backward impacting for expanding the size or volume of the opening or for facilitating removal of a broach, implant, or other surgical implement from the opening. An energy adjustment control of the tool allows a surgeon to increase or decrease the impact energy. A light source and hand grips improve ease of operation of the tool.

An electrically driven orthopedic impactor may include an adapter for interfacing between the orthopedic impactor and a surgical implement. The adapter may have a first surface that transmits a forward impact energy and a second surface that transmits a reverse impact energy. The adapter can connect to the surgical implement and to the orthopedic impactor without the use of external tools. The adapter may connect to the orthopedic impactor via a pushing motion and may disconnect from the orthopedic impactor via a reciprocal sleeve. A sensor can communicate a spatial orientation of the adapter with respect to at least one reference point that is not located on the adapter or the orthopedic impactor. A communication device may transmit information to the orthopedic impactor related to frequency or impact energy settings based on a type of surgical implement attached to the adapter.