A system comprising: a device comprising: a body extending along a longitudinal axis between opposite proximal and distal ends (18, 20), the body comprising a proximal chamber, a distal chamber and a wall between the chambers (22, 24), the body including a first port in communication with the proximal chamber and a second port in communication with the distal chamber; and a shaft movably positioned within the body, the shaft extending through the wall and comprising a proximal plunger positioned within the proximal chamber and a distal plunger positioned within the distal chamber, a delivery device coupled to the proximal end; a bone filler dispenser coupled to the device; and a mixing device coupled to the bone filler dispenser, wherein pressure from the delivery device is introduced through an opening in the proximal end to move the shaft such that the proximal plunger moves a fluid within the proximal chamber out of the first port and the distal plunger moves a fluid within the distal chamber out of the second port to simultaneously actuate the bone filler dispenser such that materials within the bone filler dispenser move into the mixing device, wherein the bone filler dispenser comprises a third port that is connected to the first port by tubing and a fourth port that is connected to the second port by tubing, the third port being in communication with a first barrel of the bone filler dispenser, the fourth port being in communication with a second barrel of the bone filler dispenser, the first barrel comprising a first plunger movably disposed therein and the second barrel comprising a second plunger movably disposed therein, and wherein the fluids move out of the first and second ports (52, 62) and into the barrels (104, 108) to move the first and second plungers (102, 106) relative to a body of the bone filler dispenser such that the first plunger moves a first material out of the first barrel and into the mixing device and the second plunger moves a second material out of the second barrel and into the mixing device. a device comprising: a body extending along a longitudinal axis between opposite proximal and distal ends (18, 20), the body comprising a proximal chamber, a distal chamber and a wall between the chambers (22, 24), the body including a first port in communication with the proximal chamber and a second port in communication with the distal chamber; and a shaft movably positioned within the body, the shaft extending through the wall and comprising a proximal plunger positioned within the proximal chamber and a distal plunger positioned within the distal chamber, a body extending along a longitudinal axis between opposite proximal and distal ends (18, 20), the body comprising a proximal chamber, a distal chamber and a wall between the chambers (22, 24), the body including a first port in communication with the proximal chamber and a second port in communication with the distal chamber; and a shaft movably positioned within the body, the shaft extending through the wall and comprising a proximal plunger positioned within the proximal chamber and a distal plunger positioned within the distal chamber, a delivery device coupled to the proximal end; a bone filler dispenser coupled to the device; and a mixing device coupled to the bone filler dispenser, wherein pressure from the delivery device is introduced through an opening in the proximal end to move the shaft such that the proximal plunger moves a fluid within the proximal chamber out of the first port and the distal plunger moves a fluid within the distal chamber out of the second port to simultaneously actuate the bone filler dispenser such that materials within the bone filler dispenser move into the mixing device, wherein the bone filler dispenser comprises a third port that is connected to the first port by tubing and a fourth port that is connected to the second port by tubing, the third port being in communication with a first barrel of the bone filler dispenser, the fourth port being in communication with a second barrel of the bone filler dispenser, the first barrel comprising a first plunger movably disposed therein and the second barrel comprising a second plunger movably disposed therein, and wherein the fluids move out of the first and second ports (52, 62) and into the barrels (104, 108) to move the first and second plungers (102, 106) relative to a body of the bone filler dispenser such that the first plunger moves a first material out of the first barrel and into the mixing device and the second plunger moves a second material out of the second barrel and into the mixing device.