Piezoelectric osteotomy devices and corresponding systems and methods for removing an acetabular cup or shell from a patient's acetabulum are disclosed. In one embodiment, the piezoelectric osteotomy device includes a piezoelectric element to actuate a cutting tip on an armature. In some such embodiments, the cutting tip may be extended and/or retracted to facilitate cutting of bone around an acetabular cup. The armature may include a fluid output port located proximate the cutting tip to mitigate heat generated by the cutting tip. In one embodiment, the piezoelectric osteotomy device is arranged and configured to provide constant current adjustment.

A front end attachment for a powered surgical tool comprises a nose and an irrigation fitting. The nose extends forward from a proximal end of the nose. The nose defines a bore and an enclosed channel. The bore is for receiving a cutting accessory for movement therein. The enclosed channel extends longitudinally and helically along the nose such that, as the channel extends longitudinally, the channel curves around the nose so as to curve around the bore. The irrigation fitting is received by the enclosed channel in the nose.

A coil former for an electric motor, in particular a high-speed surgical motor, in which a rotor is surrounded concentrically by the substantially hollow-cylindrical coil former, carries at least one stator winding. To ensure that as narrow an air gap as possible is permanently maintained between the coil former, which is preferably produced using an injection-molding method often with complex shaping, and a rotor, which runs in the coil former, the coil former is formed either by a non-conductive fully ceramic body, or is in the form of a composite body in which at least one dimension-stabilizing frame element is embedded by injection-molding with plastic in a plastic body which is preferably produced by injection molding.

A battery pack assembly or enclosure comprises one or more batteries having an electrochemical cell and an enclosure having at least an outer wall configured to create a sealed volume of space substantially around the batteries. An atmosphere of the volume of space comprises gas having a thermal conductivity less than 0.018 watts per meter per degree Celsius. This atmosphere of gas provides an insulative layer between the outer wall of the enclosure and the batteries. With this insulative layer, the battery pack assembly can be subjected to autoclaving without damaging the batteries. The battery pack assembly can be used to power surgical tools or other devices that are subjected to autoclaving.

A system includes a handpiece and a removable tool assembly including a holder body, a shaft, a medical tool, a guard, and a sleeve. The body engages the handpiece and defines a bore. The shaft extends within the bore and the tool is provided to the distal end of the shaft. The guard is coupled to the body via a snap fit connection at the bore and may be friction fit to a bearing sleeve located between the guard and the shaft, such that longitudinal translation of the guard relative to the body longitudinally displaces the guard. The shaft extends within the bore of the body and the guard. The guard is positioned relative to the body by a distance to define a working length of the tool between the distal end of the guard and the distal tip of the tool. The working length of the tool may be used to cut tissue, without concern that cutting will be deeper than intended.

A method of performing arthroplasty of an anatomical joint for receipt of an implant is disclosed. The method includes developing a preoperative plan, designing a patient specific guide based on the preoperative plan, obtaining the patient specific guide, placing the patient specific guide relative to the identified bone, fixing a pair of pins into the bone to establish an Alpha plane and executing the preoperative plan while referencing the Alpha plane. A desired amount of remaining first bone is determined based on a condition of the anatomical joint and a desired orientation of the implant. The patient specific guide includes a pair of bores defined therein and located in positions to accept a complementary pair of pins. The bores are arranged at locations on the patient specific guide to orient the respective pins in a direction optimized for surgeon access to the first bone and to establish the Alpha plane.

A method for inserting an interspinous spinal implant into an opened gap between first and second spinous processes of adjacent superior and inferior vertebras, respectively includes the following. First forming an opened gap between a first spinous processes of a superior vertebra and a second spinous processes of an adjacent inferior vertebra by first inserting a decompression knife into diseased areas of the adjacent superior and inferior vertebras, then cutting fascia tissue, then separating soft tissue from bone by rocking the decompression knife back and forth, and then inserting a broach cutter into the diseased areas of the adjacent superior and inferior vertebras and cutting interspinous ligament between the adjacent superior and inferior vertebras. Next, determining and selecting an appropriate sized and shaped interspinous spinal implant for the opened gap by inserting a sizing tool into the opened gap, and sizing the opened gap with the sizing tool. Next, inserting the selected interspinous spinal implant into the opened gap with an insertion tool, and then compressing first and second elongated components of the interspinous spinal implant onto first and second opposite sides of the first and second spinous processes with a compressor tool, respectively. Finally, locking the interspinous spinal implant onto the first and second spinous processes of the adjacent superior and inferior vertebras with a locking driver.

Tools and methods for expanding a precursor hole in a host material to receive a fixture. The precursor hole is enlarged by a rotary tool having helical flutes and interposed lands. The flutes have a negative rake angle. The lands each have a working edge that cuts the host material when the tool is rotated in a cutting direction, and that condenses the host material when the tool is rotated in a densifying direction. The body of the rotary tool has a stopper section that plugs the hole when a certain depth is reached. When the tool is used with a copious wash of irrigating fluid at or below the necessary depth, hydraulic pressure builds inside the precursor hole. The hydraulic pressure can be advantageously exploited in cutting mode to autograft a slurry of host material particles into the sidewalls of the hole and create an incipient densifying crust.

A power tool for removing an intervertebral disc and preparing vertebral endplates is described. The power tool may include a cutting element, and the height of the cutting element may be adjustable. The cutting element may be a braided cable and may include one or more beads to enhance the effectiveness of the cable. The cutting element may have a minimum height requirement, which may not be satisfied in patients with a collapsed disc due to degenerative disc disorder. For these patients, also described are bone tamps for increasing the intervertebral distance and providing access to tissues distal to the tamp. One type of bone tamp features an inflatable balloon with an inner lumen. Another type of bone tamp includes an expanding distal end and an inner cannula. Also described is a manual expander scraper tool that is compatible with both types of bone tamp.

Tools and methods for expanding a precursor hole in a host material to receive a fixture. The precursor hole is enlarged by a rotary tool having helical flutes and interposed lands. The flutes have a negative rake angle. The lands each have a working edge that cuts the host material when the tool is rotated in a cutting direction, and that condenses the host material when the tool is rotated in a densifying direction. The body of the rotary tool has a stopper section that plugs the hole when a certain depth is reached. When the tool is used with a copious wash of irrigating fluid at or below the necessary depth, hydraulic pressure builds inside the precursor hole. The hydraulic pressure can be advantageously exploited in cutting mode to autograft a slurry of host material particles into the sidewalls of the hole and create an incipient densifying crust.