A force-limiting and damping device has a body, a tapping element, and an elastic element. The body has a connecting segment and a holding segment. The connecting segment is formed on an end of the body and has a mounting hole. The holding segment is formed on the body opposite the connecting segment. The tapping element is connected to the body to move relative to the connecting segment. The elastic element is mounted between the tapping element and the connecting segment to abut against the tapping element and to enable the tapping element to move relative to the connecting segment. The structural relationship between the connecting segment, the tapping element, and the elastic element may provide a delayed rebound and damping effect to the reaction force, and the applied force is continuously transferred to a tapping object. This may reduce noise and the loss of energy.

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 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.

A force-limiting and damping device has a body, a tapping element, and an elastic element. The body has a connecting segment and a holding segment. The connecting segment is formed on an end of the body and has a mounting hole. The holding segment is formed on the body opposite the connecting segment. The tapping element is connected to the body to move relative to the connecting segment. The elastic element is mounted between the tapping element and the connecting segment to abut against the tapping element and to enable the tapping element to move relative to the connecting segment. The structural relationship between the connecting segment, the tapping element, and the elastic element may provide a delayed rebound and damping effect to the reaction force, and the applied force is continuously transferred to a tapping object, and this may reduce noise and the loss of energy.

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.

An instrument and apparatus for preparing a medullary cavity of a bone for an implant includes a drill for producing a bore in the medullary cavity, a fastening device for a rasp for producing an opening in the medullary cavity, and a housing. The drill and the fastening device are each translationally movable relative to the housing. The apparatus also includes a guide configured to guide the drill in a translational direction of movement of the drill for producing the bore and the rasp in the translational direction of movement or in substantially the translational direction of movement for producing the opening.

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.

Disclosed herein are linear electric surgical hammer impact tools and methods of use thereof. The linear electric surgical hammer impact tools can include a shuttle located inside a cavity of a housing. A wall of the shuttle defines a plurality of grooves extend from a first end of the shuttle to a second end of the shuttle. A piston can be located at least partially within the shuttle and arranged along the longitudinal axis of the housing. The piston includes protrusions and each of the protrusions can be arranged to travel within a respective one of the grooves of the shuttle. Motion of the piston in a first direction causes the piston to contact the first end of the shuttle and motion of the piston in a second direction causes the piston to contact the second end of the shuttle.

Methods and apparatus for creating a seam like array of suture stitches joined in series by sequential anchors in bone. The anchors are transtendon implants positioned through the tendon in the original tendon footprint and each array includes four or more anchors. The seam like array extends across at least a portion of the tendon. The stitches can extend generally perpendicular to the direction of the tendon orientation. In rotator cuff repair, the anchors are positioned in the original footprints of the infraspinatus and/or supraspinatus tendons and the seam like array extends in an anterior to posterior direction across the particular tendons torn and repaired. The entire array of anchors can be positioned in the medial half of the original footprints.