A number of surgical procedures, particularly orthopaedic procedures, involve manual percussion, typically mallet-applied. As discussed in detail herein, such procedures can be problematic as they not only require a second set of hands but are often associated with incomplete and/or uncontrolled axial movement and/or injury to the surgeon's hands. Described herein are specialized hand-held devices, as well as systems, kits, and methods associated therewith, that avoid such problems by joining or replacing the external mallet with an internal hammer that can automate the delivery of controlled repetitive strikes, more particularly repeated strikes to a proximal end of a drill, driver and/or insertion device, so as to mete out pre-determined incremental movement to a distal end component, such as a sharpened socket-forming tip, an interference-plug type suture anchor, or a dilating device for modifying the cross-section of a tunnel formed in a bone. The present invention has particular utility in connection with ligament, tendon and joint reconstruction procedures, such as shoulder, ankle, and knee repair. The present invention is also applicable to those surgical procedures that require the production of and access to off-axis bone sockets.

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.

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.

An orthopaedic surgical instrument may include an elongated body with an implant end and an impactor end. A latch lever may be pivotally coupled to the elongated body. The latch lever may be moveable between an open position and a latched position in which the latch lever is retained within the body. An acetabular shell component may be rigidly attached to the implant end of the elongated body. An automated surgical impactor may be attached to the impactor end.

An orthopedic surgical instrument or impactor is disclosed. The surgical instrument being configured to provide a first forward energy or motion to drive a surgical tool (e.g., a broach, a rasp, a cutting tool, etc.) and/or an orthopedic implant (e.g., an intramedullary nail, a stem, etc.) into a patient's bone and a second reverse energy or motion to, for example, remove a stuck or lodged surgical tool or implant from a patient's bone. In one embodiment, the surgical instrument incorporates dual springs and dual masses (impactors) to store and release energy on demand to deliver an impact force in both forward and reverse directions. In one embodiment, the surgical instrument may also include a forward energy adjuster and a reverse energy adjuster so that a user can independently adjust the amount of energy provided in the forward and reverse directions as well as a means to adjust impact frequency.

Tools, assemblies, surgical systems enable impacting a prosthesis into a surgical site. The tool has an impactor head with a surface to receive an impact force that is manually imparted by a user. A tool shaft has a distal portion and a proximal portion fixed to the impactor head. The tool shaft can be supported by a robotically manipulated tool guide for alignment of the tool shaft relative to the surgical site. A compliance mechanism of the tool has a proximal body coupled to the distal portion of the tool shaft and a distal body supported by the proximal body. The distal body is adapted to releasably attach directly to the prosthesis. The distal body is moveable relative to the proximal body for providing compliant motion of the distal body and prosthesis relative to the tool shaft in response to the impact force that is manually imparted by the user.

Disclosed herein are surgical impact tools and methods of use thereof. The surgical impact tools can include a roller assembly, an impact structure, and a tool holder. The roller assembly can be connected to a motor and include a plurality of rollers supported by a respective roller arm. The impact structure can define a spring and an impact cavity including forward and reverse impact surfaces. The impact structure can include a wall comprising a plurality of thread elements connected to the wall and engageable with the roller assembly. Each of the thread elements can include a pair of helical end surfaces and a pair of axially extending surfaces that are engaged by the plurality of rollers. During use rotation of the roller assembly against the helical ends of the thread elements can cause axial movement of the impact structure to apply a load on the spring and generate impact forces.

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.

In a device for introducing shock waves into a living body by way of at least one element (4; 12; 14) which transmits the shock waves and upon which shock pulses act, wherein at least one spring member (2) is used for generating the shock waves, a tensioning device is associated with the spring member and allows for an abrupt release of the spring member while delivering a shock pulse.