Apparatuses and systems including at least one of mounting and removal of a femoral component on a femur are disclosed. The instrument can include a handle, a plunger, first and second arms and a knob. The handle can define a recess. The recess can extend along a portion of an elongate length of the handle. The plunger can be moveably disposed within the recess and can be configured to extend through an opening in a distal end of the handle to engage a pad to contact the pad against the femoral component. The first and second arms can be pivotally coupled to the handle and can be pivotable relative to one another. The first and second arms can each have at least one coupling feature configured to engage with a corresponding second coupling feature in the femoral component. The knob can be configured to operatively actuate the plunger to move the plunger proximal/distal within the recess to engage the plunger with and disengage the plunger from the pad. The instrument can reduce surgical time by providing a secure grasping and manipulation of the femoral component.

Various exemplary gas spring surgical impacting tools and methods of using gas spring surgical impacting tools are provided. In general, a surgical impacting tool includes a gas spring assembly. The gas spring assembly includes a sealed chamber configured to contained compressed gas therein. The surgical impacting tool also includes a motor configured to cause compression of the gas in the sealed chamber. The compression and decompression of the gas is configured to drive movement of a surgical implement attached to the surgical impacting tool and configured to impact bone.

A penetrator assembly for penetrating a bone and associated bone marrow is provided. The penetrator assembly may include a first connector having a first end and a second end; an outer penetrator extending from the second end of the first connector; the outer penetrator comprising a longitudinal passageway and a first tip; a second connector having a first end and a second end; and an inner penetrator extending from the second end of the second connector, the inner penetrator comprising a second tip. The first connector may be configured to engage the second connector, and the inner penetrator may be disposed in the longitudinal passageway of the outer penetrator when the first connector is engaged with the second connector.

An instrument configured to attach to a bone anchoring element during surgery includes an elongate portion and an end portion having a first side and an opposite second side, where the elongate portion extends away from the first side, and where an opening is defined at the second side to accommodate at least a portion of a head of the bone anchoring element. The opening of the end portion has a first section sized to permit insertion and removal of the head therethrough, and a second section forming a seat for the head. When the head is held in the seat, the seat prevents removal of the head through the opening, while the head is movable unobstructedly from the second section back towards the first section.

A rotary impactor for orthopedic surgery includes an output anvil and a hammer that is capable of imparting linear and rotary force on the anvil. The anvil may be moveable on a leadscrew element to alternately generate energy in an energy storage means and to move along the leadscrew element to impact the anvil. A viscoelastic mechanism or a dampening mechanism is used to reduce the reflected force and or torque during operation of the rotary impactor. High frequency linear impacts by the impactor obviate the need for a surgeon to provide an external push force on the impactor in order to perform a successful surgical operation.

A hand-held spring-driven impact device (e.g., spring tool) configured with removable and replaceable tips. The spring tool may include a helical spring that is coupled to a first anvil at one end and a second anvil at the other end. The spring tool may include a locking mechanism on the first anvil and/or the second anvil. The locking mechanism may be configured to securely fasten a tip to the spring tool. The tip may include a single-sided tip or a double-sided tip. The spring tool may include an ergonomically curved gripping surface and/or a friction component to assist in holding the spring tool. In some examples, the spring tool may include a ball bearing situated between the first anvil and the second anvil to transfer impact force when applied at an angle. Additionally, the spring tool may include a cover to protect the spring during use.

A penetrator assembly for penetrating a bone and associated bone marrow is provided. The penetrator assembly may include a first connector having a first end and a second end; an outer penetrator extending from the second end of the first connector; the outer penetrator comprising a longitudinal passageway and a first tip; a second connector having a first end and a second end; and an inner penetrator extending from the second end of the second connector, the inner penetrator comprising a second tip. The first connector may be configured to engage the second connector, and the inner penetrator may be disposed in the longitudinal passageway of the outer penetrator when the first connector is engaged with the second connector.

In general, orthopedic instrument adapters and methods of using orthopedic instrument adapters are provided. In an exemplary embodiment, an adapter is configured to releasably attach to an end effector configured to impact bone. The end effector can be a broach, chisel, or other surgical implement. The adapter includes a spring-loaded hook that is configured to releasably seat in a cut-out formed in the end effector. The adapter is also configured to releasably attach to a surgical impacting tool, such as an orthopedic impactor, configured to drive impacting of the end effector relative to bone.

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 layer is gently pulled in a non-surgical manner and a fastener of the invention is driven through the skin layer into the bone layer to effect a skin tightening procedure.

An automated system to remove the stuck implants/objects form bone including an adjustable shaft attached to the implant with a releasable retaining mechanism for releasably retaining a sliding weight. The automated device comprises a guide rod having a first end and a second end; a shaft member coupled to the guide rod which is movable relative to the first end of the guide rod; a sliding weight slidable along the guide rod between the first end of the guide rod and the striking member; a motor to control the device, a regulator to run machine at specific frequency of reverse impacts.