A cutting device for cutting a sternum of a patient comprises a laser source, a beam adjusting structure, a support and a correction arrangement. The laser source is adapted to generate a cut laser beam. The beam adjusting structure is arranged for directing the laser beam along a predefined cut geometry at the sternum. The support carries the laser source. The support has a mounting structure adapted to be fixed to a rib cage of the patient such that the laser source is in a predefined position with respect to the sternum. The correction arrangement is adapted to automatically identify a movement of the laser source relative to the sternum causing the cut laser beam to deviate from the predefined cut geometry and adjust the position of the laser source relative to the sternum to correct the deviation of the cut laser beam with respect to the predefined cut geometry.

An articulating drill system is provided that includes a hand-held portion and a drill portion. At least two actuators are provided for controlling at least two axes of the drill portion. A navigation system is provided to control the at least two actuators. In some embodiments, a tool is provided with the drill portion and adapted to interact with patient tissue. The drill portion can be modified to include at least two rigid objects in communication with the actuators and attached to the drill portion. The system can be used to make any linear cut within a deviation of 1.0 mm and 1.0?, or better in patient tissue.

Provided is a surgical saw for cutting a sternum comprising: a) a body, b) a handle attached to the body; c) a blade positioned in such way to cut the sternum when a user holds the handle, and d) a base below the blade configured to be positioned below the sternum, wherein the user places the base under the sternum and cuts the sternum with the blade.

An articulating drill system is provided that includes a hand-held portion and a drill portion. At least two actuators are provided for controlling at least two axes of the drill portion. In some embodiments, a tool is provided with the drill portion and adapted to interact with patient tissue. The drill portion can be modified to include at least two rigid objects in communication with the actuators and attached to the drill portion. The system can be used to make any linear cut within a deviation of ±1.0 mm and ±1.0°, or better in patient tissue.

An articulating drill system is provided that includes a hand-held portion and a drill portion. At least two actuators are provided for controlling at least two axes of the drill portion. A navigation system is provided to control the at least two actuators. In some embodiments, a tool is provided with the drill portion and adapted to interact with patient tissue. The drill portion can be modified to include at least two rigid objects in communication with the actuators and attached to the drill portion. The system can be used to make any linear cut within a deviation of ±1.0 mm and ±1.0°, or better in patient tissue.

An intraosseous access device for accessing an intraosseous space of a patient includes a manual driver and a sternal locator. The handle is connected to an inner penetrator hub, and an inner penetrator extends from the inner penetrator hub. An outer penetrator hub is releasably engaged to the inner penetrator hub. A protective cover is slidably coupled to the handle. The protective cover is operable to move from an extended position where the inner penetrator is covered, to a retracted position where the inner penetrator is exposed. The sternal locator includes a base; a collar extending from a first surface of the base for securing the intraosseous access device to restrict longitudinal separation of the intraosseous access device from the locator. The locator may be removed from the patient while the outer penetrator remains inserted in an intraosseous space of the patient.

An apparatus operable to provide access to a sternal intraosseous space in a first mode of operation and operable to provide access to a peripheral intraosseous space in a second mode of operation. The apparatus includes a manual driver and a stabilizer. The manual driver has a handle, an inner penetrator hub, and an outer penetrator hub. The stabilizer has a housing, an outer sleeve coupled to the housing and configured to move from an extended position to a retracted position in the first mode of operation, and a protective shield coupled to the stabilizer housing and configured to move from an exposed position to a shielded position in the first mode of operation. The manual driver is securely engaged to the stabilizer in the first mode of operation, and the manual driver is detached from the stabilizer in the second mode of operation.

A detachable handle assembly for a tool, the tool for creating a sub-sternal tunnel in a patient. The handle assembly includes a lock-and-release mechanism by which the tunneling assembly is attached to the handle, the mechanism being operable to detach the handle from the tunneling assembly. The handle assembly also may include a knob that interlocks with the tunneling assembly, the knob being configured for engagement by fingers of an adult hand to apply a force to rotate a boring tip of the tunneling assembly.

An apparatus for accessing bone marrow inside a bone is provided. The apparatus may include a penetrator assembly having a tissue penetrator and a hub. The tissue penetrator my have a hollow cannula disposed in fixed relation to the hub. The apparatus may also have a driver configured to insert a portion of the tissue penetrator into the bone and bone marrow, and a depth control mechanism configured to control the depth of penetration of the tissue penetrator into the bone and bone marrow. The depth control mechanism may have a sensor configured to detect a position of the bone and bone marrow. The depth control mechanism may also have a mechanical stop.

An apparatus and method for introducing portals into bone is described herein. An example apparatus for introducing portals into bone includes a handle, a base, and a driving member. The driving member can be made to project past the base by operating the handle. The base is detachable from the handle. The apparatus also includes a guide coupled at a first end to the handle and at a second end to the base. The base is detachably coupled to the guide. A base coupling detachably coupling the base to the guide includes an actuating member movable between a coupled configuration wherein the base is coupled to the guide and an uncoupled configuration wherein the base is released from the guide. The actuating member is arranged so that motion of the handle toward the base moves the actuating member from the coupled configuration to the uncoupled configuration.