Coordinated sizer-punch tool for articular cartilage repair

A system for use in repairing joint articular cartilage lesions, the system comprising:

• A) a first non-trephine cutting tool and a second non-trephine cutting tool, each having
• i) a closed geometric peripheral shape, wherein the peripheral shape of the first non-trephine cutting tool is different from the second non-trephine cutting tool in at least one of a size, a geometric peripheral shape, or a curvature of a cutting edge, and
• ii) the cutting edge is sufficiently sharp to cut, by the application of force normal to the cutting edge, through
• a) cartilage surrounding a joint articular cartilage lesion from a repair site while having insubstantial effect on subchondral bone underlying the cartilage surrounding the joint articular cartilage lesion cartilage being cut, and
• b) a cartilage repair patch;
• B) at least two lesion sizing elements,
• i) a first of the at least two lesion sizing elements having a first site marking feature that allows for placement of registration markings on cartilage surrounding a joint articular cartilage lesion for the first cutting tool, and
• ii) a second of the at least two lesion sizing elements having a second site marking feature that allows for placement of registration markings on cartilage surrounding a joint articular cartilage lesion for the second cutting tool;
• and
• C) a repair patch support, associated with one of the first or second cutting tool, which will support a specific cartilage repair patch that was cut using the one of the first or second cutting tool, and will assist in one or more of transfer to the repair site, or proper placement at the repair site, of a specific cartilage repair patch cut using the one of the first or second cutting tool.