Punch tools

A method of inserting an implant with a tissue of a patient, comprising;

• releasably attaching the implant to the distal end of a tissue punch having a cutting element;
• creating a bore within the tissue with the cutting element;
• and
• inserting the implant within the bore.

A tissue punch, comprising:

• a barrel defining a first open end, a second open end, and inner diameter, an outer diameter, and a lumen there through;
• a piston at least partially disposed within the lumen and pressed against the inner diameter of the barrel, the piston being configured to create negative pressure within the barrel when the piston is retracted;
• a cutting element defining a proximal end and a distal end, the proximal end of the cutting element being disposed at the second open end of the barrel, the distal end of the cutting element defining a cutting edge, the cutting element being in fluid communication with the barrel;
• and
• a spring loaded pushing element slideably disposed about the outer diameter of the barrel, at least a portion of the pushing element contouring an outer diameter of the cutting element, the pushing element being movable from a biased first position away from the cutting edge to a second position proximate the cutting edge, the pushing element tapering in width as it extends distally along the outer diameter of the barrel.