Manzaneda's Tool: Adaptation of the Piezotome for Rib Remodeling Surgery without Incisions

For rib remodeling surgery without incisions (RibXcar), a piezotome is used, which is a piezoelectric device that allows for selective and delicate manipulation of the bone, thanks to microvibrations that facilitate precise and smooth cuts. The piezotome, in its original form, requires the adaptation of the tip shape to perform costal surgery; therefore, Manzaneda's tool was created, which is composed of three parts: first, modification of the shape of the tip of the piezotome; second, the experimentation with materials for coating the tip of the piezotome; and third, the sterilization of the piece. We found that the material that best adheres and protects the adapted tip of the piezotome is the Rust-Oleum High Heat. After applying the tip coating, the piece was sterilized, and finally, Manzaneda's tool was obtained, which is specifically for use in RibXcar rib remodeling surgery. Manzaneda's tool is a safe and customizable tool for RibXcar surgery.