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 medical device, a cooling-fluid/rinsing-fluid hose, and a method for using a medical device. The medical device includes a handpiece with an interior enclosed by a handpiece housing, preferably for receiving a drive. The medical device also has an effector arranged on or coupleable to the handpiece and a supply device for supplying cooling fluid and/or rinsing fluid to the effector. The supply device includes a guide tube or guide cannula that passes through the interior in the handpiece longitudinal direction and is rigidly connected to the handpiece. The guide tube or guide cannula, which opens to the outside in a distal and in a proximal handpiece region, longitudinally guides a preferably single-use cooling-fluid/rinsing-fluid hose that is pushed into the guide tube.

Medical devices such as osteotomes are provided. The medical device may include inner and outer members that form a working end portion. Distal end portions of the inner and outer members can cooperate to allow deflection of the working end portion. Medical devices including indicators are also provided. The indicator may communicate a direction of deflection of the working end portion to a practitioner. Additionally, medical devices including torque release mechanisms are provided. The torque release mechanism may uncouple a first portion of the medical device from a second portion of the medical device when an amount of torque applied to the medical device exceeds a predetermined value. The torque release mechanism may limit damage to components of the medical device during use of the medical device.

A discectomy tool comprising: a) a cannula having an outer surface having a longitudinal bore therein, a proximal end and a distal end; b) a steering wire disposed in the longitudinal bore; c) a flexible, hollow transmission shaft disposed in the cannula, the shaft having a throughbore, a proximal end portion, a distal end portion and an outer surface having a thread extending therefrom; d) an irrigation source fluidly connected to the throughbore; e) a cutting tip attached to the distal end portion of the transmission shaft.

An instrument sleeve is provided for use with a surgical rotary instrument having a tube extending to a distal tube end, and a cutting accessory having a head and a shank extending from the head adapted to be rotatably supported by the tube of the rotary instrument. The instrument sleeve comprises a sleeve body extending between proximal and distal sleeve portions, a first lumen for receiving at least a portion of the tube of the rotary instrument, and a shield extension coupled to the sleeve body. The shield extension extends between proximal and distal shield portions the proximal shield portion engaged with the distal sleeve portion and adapted to minimize tissue wrap about the cutting accessory shank.

A surgical instrument includes a first member defining an axis and including a cutting surface. A second member includes a cutting surface that is rotatable relative to the first member. A third member includes an outer surface. The cutting surface of the second member is rotatable relative to the outer surface to transfer the cut tissue along the axis. Systems and methods are disclosed.

A discectomy tool comprising: a) a cannula having an outer surface having a longitudinal bore therein, a proximal end and a distal end; b) a steering wire disposed in the longitudinal bore; c) a flexible, hollow transmission shaft disposed in the cannula, the shaft having a throughbore, a proximal end portion, a distal end portion and an outer surface having a thread extending therefrom; d) an irrigation source fluidly connected to the throughbore; e) a cutting tip attached to the distal end portion of the transmission shaft.

A surgical device includes a plurality of cameras integrated therein. The view of each of the plurality of cameras can be integrated together to provide a composite image. A surgical tool that includes an integrated camera may be used in conjunction with the surgical device. The image produced by the camera integrated with the surgical tool may be associated with the composite image generated by the plurality of cameras integrated in the surgical device. The position and orientation of the cameras and/or the surgical tool can be tracked, and the surgical tool can be rendered as transparent on the composite image. A surgical device may be powered by a hydraulic system, thereby reducing electromagnetic interference with tracking devices.

Systems (100, 900, 1100), devices, and methods may be used to print or use a patient-specific waterjet cut guide (104, 302, 902, 1102). A method may include receiving, at a processor, image data of a bone (102, 308) of a patient (702), rendering a model of the bone (102, 308) (704) and generating a cut guide model using the model of the bone (102, 308) (706). The method may include printing, using a three-dimensional (3D) printer, a waterjet cut guide (104, 302, 902, 1102) using the cut guide model. A method may include using the patient-specific waterjet cut guide (104, 302, 902, 1102) to perform a resection using a waterjet cutting device, the waterjet cutting device including a nozzle (108, 306, 406, 500A, 500B) insertable into a cut guide slot (106B, 304, 310, 906, 1104) of the patient-specific waterjet cut guide (104, 302, 902, 1102).

A surgical drill bit for bone drilling and for determining a characteristic of a drilling medium from a characteristic of fluid flow. The surgical drill bit includes a shank portion for coupling to a drill chuck. The shank portion defines a proximal opening. The surgical drill bit also includes a drilling portion for drilling through bone. A distal cutting region (62) of the drilling portion includes a rake surface (66), a clearance surface (68), and a flank surface (70). The flank surface (70) defines a distal opening (72) and is configured to abut the bone such that the distal opening is occluded by the bone while the rake surface is cutting into the bone. The shank and drilling portions collectively define an inner channel in fluid communication with the proximal and distal openings. The distal opening is occluded by the bone during drilling to establish fluid pressure within the inner channel.