Orthopedic drills are currently used for various operations in surgical fields such as orthopedics, ear, nose, and throat surgery. The path that orthopedic drills travel through the tissue is controlled manually by surgeons, and manual control leads to the risk of damaging areas such as nerves and tissues. In our study, an innovative approach is presented against existing drill designs and breakthrough detection problems. In the proposed model, the change in the load torque and the change in friction force caused by the tissue change in the drilling path are considered as a disturbance effect, and a disturbance observer has been developed that allows these disturbances to be observed. Observation of the disturbance effects allows the perception of the hardness of tissue change during drilling since it gives the change of load torque changes and friction coefficient, which cannot be measured under normal operation. The performance of the proposed approach has been proven by simulation study.