A surgical device for preparation of an implant site is disclosed. The device comprises a body capable of being held by a user and an insert that is capable of being coupled to an end of the body. An ultrasound transducer is disposed within the body and provides an ultrasound frequency vibration to the insert in response to an electrical signal. The insert includes a tip having a plurality of cutting elements disposed in a substantially circular configuration. The insert also includes a channel having an opening at the tip for the passage of fluid.