WO2007139713A2 - Instrumentation for fixation devices - Google Patents
Instrumentation for fixation devices Download PDFInfo
- Publication number
- WO2007139713A2 WO2007139713A2 PCT/US2007/011796 US2007011796W WO2007139713A2 WO 2007139713 A2 WO2007139713 A2 WO 2007139713A2 US 2007011796 W US2007011796 W US 2007011796W WO 2007139713 A2 WO2007139713 A2 WO 2007139713A2
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- irrigation
- bone
- instrument assembly
- soft tissue
- driver
- Prior art date
Links
- 230000002262 irrigation Effects 0.000 claims abstract description 49
- 238000003973 irrigation Methods 0.000 claims abstract description 49
- 210000004872 soft tissue Anatomy 0.000 claims abstract description 34
- 210000000988 bone and bone Anatomy 0.000 claims abstract description 33
- 238000005553 drilling Methods 0.000 claims abstract description 15
- 239000012530 fluid Substances 0.000 claims abstract description 6
- 238000004891 communication Methods 0.000 claims abstract description 3
- 230000008685 targeting Effects 0.000 claims description 29
- 230000001681 protective effect Effects 0.000 description 12
- 230000000712 assembly Effects 0.000 description 6
- 238000000429 assembly Methods 0.000 description 6
- 238000003780 insertion Methods 0.000 description 4
- 230000037431 insertion Effects 0.000 description 4
- 238000000034 method Methods 0.000 description 4
- 230000002669 organ and tissue protective effect Effects 0.000 description 4
- 230000007613 environmental effect Effects 0.000 description 3
- 238000010079 rubber tapping Methods 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 230000008878 coupling Effects 0.000 description 1
- 238000010168 coupling process Methods 0.000 description 1
- 238000005859 coupling reaction Methods 0.000 description 1
- 239000012634 fragment Substances 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000005086 pumping Methods 0.000 description 1
- 210000002303 tibia Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1728—Guides or aligning means for drills, mills, pins or wires for holes for bone plates or plate screws
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1613—Component parts
- A61B17/1633—Sleeves, i.e. non-rotating parts surrounding the bit shaft, e.g. the sleeve forming a single unit with the bit shaft
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1655—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for tapping
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8061—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2217/00—General characteristics of surgical instruments
- A61B2217/002—Auxiliary appliance
- A61B2217/007—Auxiliary appliance with irrigation system
Definitions
- Various instruments are known for use in surgical procedures affixing internal fixation plates to bone portions.
- Such devices can include, for example, targeting jigs for the fixation plates, irrigation instruments for use with bone drilling, and push-pull reduction devices.
- the present teachings provide an instrument assembly for bone drilling.
- the instrument assembly can include a soft tissue sleeve defining an internal channel, and an irrigation cap removably coupled to the sleeve.
- the irrigation cap can include a delivery port connectable to an irrigation source for delivering irrigation to the internal channel, the port in fluid communication with the internal channel.
- the present teachings provide a temporary fixator for an internal fixation device including a tubular component defining an internal bore, and a shaft having a bone-gripping tip.
- the shaft can be threadably coupled with the bore of the tubular component.
- the present teachings provide an instrument assembly for internal bone fixation including a driver having helical irrigation grooves, a temporary fixator, a soft tissue sleeve having an internal channel, and an irrigation cap.
- the temporary fixator can include a tubular component and a shaft with a bone-gripping tip received in the tubular component.
- the tubular component can have a spherical tip for contacting an inner wall of a hole of an internal fixation device.
- the channel of the soft tissue sleeve can be configured to receive selectively the driver and the temporary fixator.
- the irrigation cap can include a delivery port for connection to an irrigation source and can be removably connected to the soft tissue sleeve when the driver is received in the soft tissue sleeve.
- FIG. 1 is an isometric view of an exemplary targeting device according to the present teachings
- FIG. 2 is an isometric environmental view an exemplary targeting device according to the present teachings shown with a fixation device and soft tissue guide assemblies;
- FIGS. 3-7 illustrate an exemplary procedure for using the targeting device of FIG. 2;
- FIG. 8 is an isometric environmental view of an exemplary irrigation assembly according to the present teachings shown in use with a targeting device and a fixation device;
- FIGS. 9A-D are a series of views illustrating insertion of a driver shaft and bone screw through an irrigation cap and into a soft tissue sleeve of the irrigation assembly according to the present teachings;
- FIGS. 9E and 9F are detailed views illustrating an exemplary connection of the irrigation cap and the soft tissue sleeve according to the present teachings
- FIG. 10 is an environmental view of a temporary fixator according to present teaching shown in use with a fixation device for a bone;
- FIG. 11 is a plan view of an exemplary temporary fixator according to the present teachings, the temporary fixator shown with a soft tissue protective sleeve;
- FIG. 12 is a plan view of an exemplary temporary fixator according to the present teachings, the temporary fixator shown with a soft tissue protective sleeve;
- FIG. 13 is a plan view of a detail of a drill shaft of the temporary fixator of FIG. 11 ;
- FIG. 14 is a plan view of a detail of a drill shaft of the temporary fixator of FIG. 12;
- FIG. 15A is a plan view of an exemplary tubular component for the temporary fixators of FIGS. 11 and 12; [0020] FIG. 15B is a plan view of a drill shaft of the temporary fixator of
- FIG. 11 The first figure.
- FIG. 15C is a plan view of a drill shaft of the temporary fixator of FIG. 12.
- the targeting device 100 can be plate-like with an upper surface 101, a lower surface 103, a first or proximal end 102 and a second or distal end 104.
- the targeting device 100 can include adjacent the proximal end 102 one or more holes 106 extending through the thickness of the targeting device 100 from the upper surface 101 to the lower surface 102 and adapted to receive drill guides, protective sleeves, drills or other instruments.
- the targeting device 100 can include a series of through-holes 112 adjacent a side surface 114 that extends between the proximal end 102 and the distal end 104 of the targeting device.
- the targeting device 100 can also include a series of side-entry slots 108 defined along the side surface 114 and open from the side surface 114. Each of the side-entry slots 108 can include a portion defining a partially circular, open aperture 110.
- the targeting device 100 can be used to align a drill or other instrument at a desired position and trajectory with respect to various holes 82 in an internal fixation device 80, such as, for example, a proximal tibial plate.
- Each side-entry slot 108 of the targeting device 100 can be configured for receiving a soft tissue guide assembly 120 laterally through the side-entry slot 108.
- the soft tissue guide assembly 120 can include a drill guide 121, such as a hex guide, for guiding or engaging a drill or a driver, and a soft tissue protective sleeve 122 defining an internal channel 111.
- the soft tissue guide assembly 120 can also include an external threaded portion 124 and a knob 126 threadably movable relative to the threaded portion 124. In this manner, the targeting device 100 can be applied or removed while one or more soft tissue guide assemblies 120 with protective sleeves 122 are still attached to the fixation device 80.
- a soft tissue guide assembly 120 including a protective sleeve 122 can be inserted in one of the holes 82 at a distal end 84 of the fixation device 80, as illustrated in FIG. 3, by free-hand targeting. This procedure can be repeated for inserting another soft tissue guide assembly 120 having a protective sleeve 122 in one of the holes 82 at the proximal end 86 of the fixation device, as illustrated in FIG. 4. Holes 82 that will not be otherwise used for bone fixation can be selected for attaching the targeting device 100 to the fixation device 80.
- the targeting device 100 can be aligned such that corresponding slots 108 are aligned with the drill guide assemblies 120 that are already attached to the fixation device 80.
- the targeting device 100 can then be translated laterally (e.g. in the direction of arrow A) onto the protective sleeves 122 of the soft tissue guide assemblies 120, below the threaded portions 124 of the soft tissue guide assemblies 120.
- the targeting device 100 can be translated along the protective sleeves 122 up to the threaded portions 124.
- the knobs 126 can be rotated clockwise to lock the targeting device 100 to the protective sleeves 122, as illustrated in FIG. 6.
- the targeting device 100 supported at the distal and proximal ends by two soft tissue guide assemblies 120 can be used to target, drill and insert a bone screw 88 into any of the other holes 82 of the fixation device 80 using a third soft tissue guide assembly 120.
- the targeting device 100 is illustrated in an application in which irrigation can be provided for reducing the increased temperature created by friction between the bone 60 and a self-drilling/self- tapping bone screw 88 during drilling, or generally between the bone 60 and any drilling instrument.
- the targeting device 100 can be attached to the fixation device 80 as described above.
- the targeting device 100 can also be cantilevered at the proximal end 102 using a proximal support 128. Irrigation can be provided by an irrigation assembly 130.
- the irrigation assembly 130 can include a soft tissue guide or sleeve, such as the protective sleeve 122 of the soft tissue guide assembly 120 described above, for example, and a driver 132 having a front tip 134 engageable with a head 89 of the bone screw 88, a driver shaft 133, and an opposite driver end 136 that can be coupled to a handle.
- the driver shaft 133 can have a substantially constant outer diameter D adapted to fit into the protective sleeve 122, and a plurality of helical grooves 138 extending along the entire length of the portion of driver shaft 133 received within the internal channel 111, between the front tip 134 and the driver end 136 of the driver 132.
- the grooves 138 can guide and deliver irrigation along the driver shaft 133 to the bone screw drill site.
- the constant diameter D can improve the accuracy and stability of the trajectory of the bone screw 88 and provide more uniform irrigation flow.
- the irrigation assembly 130 can also include an irrigation cap 140 having a delivery port 142 for connection to an irrigation source 50.
- the irrigation cap 140 can be adapted to be removably coupled to the soft tissue guide assembly 120 adjacent the knob 126, such that the irrigation cap 140 can be optionally assembled to the soft tissue guide assembly 120 only when irrigation is needed, and can otherwise be removed.
- the irrigation cap 140 can include a threaded portion 143 threadably coupled to an internal threaded portion 129 the threaded portion 124 of the protective sleeve 122.
- the irrigation cap 140 includes an axial bore 127 for allowing insertion of the driver shaft 133. It will be appreciated that other forms of connection can be used to removable attach the irrigation cap 140 to the soft tissue guide assembly 120, such as, for example, a snap-on connection, a. prong-and groove connection, or other available connections.
- the irrigation assembly 130 can be used to reduce the temperature at the insertion site during a self-drilling procedure, as illustrated in FIG. 8, by pumping irrigation fluid through the delivery port 142 into the protective sleeve 122 while the driver shaft 133 is rotated to drive the self-drilling bone screw 88 into the bone 60. As the driver shaft 133 rotates, the irrigation fluid is guided along the irrigation grooves 138 and out of the protective sleeve 122 on to the insertion site of the bone screw 88. In other applications, the irrigation assembly 130 can be used to provide irrigation at a drill site when drilling is performed directly by another drilling or reaming device. The irrigation fluid can be removed by a separate aspiration device.
- the temporary fixator 150 can include a tubular component 152 and a shaft 154 that can be received within the tubular component 152 and coupled thereto.
- the shaft 154 can include a first threaded portion 156 terminating at a bone-gripping tip 158, an unthreaded portion 162 and a second threaded portion 155 of larger diameter.
- the tip 158 can be self- tapping and include one or more cutting flutes 160.
- the shaft 154 and or the first threaded portion 156 can be provided in various lengths for use in unicortical fixation, as illustrated in FIGS. 11 , 13 and 15C, or in bicortical fixation, as illustrated in FIGS. 12, 43 and 15B.
- FIGS. 11 and 12 illustrate the temporary fixator 150 in use with a soft tissue protective sleeve 122.
- the tubular component 152 can include a spherical or otherwise rounded or shaped tip 164 at an end adjacent to the bone- gripping tip 158 of the shaft 154, as assembled.
- the spherical tip 164 is adapted to interface in contact with an inner wall 81 of a spherical or otherwise rounded or shaped hole 82 in a fixation device 80, as illustrated in FIG. 10.
- the tubular component 152 can include a gripping portion 157 with internal threading for rotational coupling to the second threaded portion 155 of shaft 154.
- the temporary fixator 150 can be used to pull/push a bone fragment or bone portion 60 and the fixation device 150 toward one another.
- the shaft 154 of the temporary fixator 150 can be driven into the bone 60 through the hole 82 of the fixation device 80 to a depth appropriate for unicortical or bicortical fixation, when the corresponding unicortical or bicortical shaft 154 is used.
- the tubular component 152 can be threadably rotated about the shaft 154, such that the tubular component 152 advances relative to the shaft 154 toward the fixation device 80 such that the spherical tip 164 can push against the inner wall 81 of the hole 82, bringing the bone 60 and the fixation device 80 toward one another.
- the interfacing of the spherical tip 164 and the inner wall 81 of the spherical hole 82 allows adjustment of the relative position of the fixation device 80 on the bone 60 in any direction, as illustrated in FIG. 15, in which a second temporary fixator 150 is shown in phantom lines to illustrate two exemplary orientations.
- the targeting device 100, the irrigation assembly 130, and the temporary fixator 150 can be provided as an instrument kit in various sizes, and can be used together or separately as determined by the operation surgeon in a particular application.
Abstract
An instrument assembly for bone drilling. The instrument assembly can include a soft tissue sleeve defining an internal channel, and an irrigation cap removably coupled to the sleeve. The irrigation cap can include a delivery por connectable to an irrigation source for delivering irrigation to the internal channel, the port in fluid communication with the internal channel.
Description
INSTRUMENTATION FOR FIXATION DEVICES
INTRODUCTION
[0001] Various instruments are known for use in surgical procedures affixing internal fixation plates to bone portions. Such devices can include, for example, targeting jigs for the fixation plates, irrigation instruments for use with bone drilling, and push-pull reduction devices.
[0002] It is still desirable to have improved instruments that can be used selectively together or separately with ease and without requiring extensive disassembly and re-assembly during the surgical procedures.
SUMMARY
[0003] According to one aspect, the present teachings provide an instrument assembly for bone drilling. The instrument assembly can include a soft tissue sleeve defining an internal channel, and an irrigation cap removably coupled to the sleeve. The irrigation cap can include a delivery port connectable to an irrigation source for delivering irrigation to the internal channel, the port in fluid communication with the internal channel.
[0004] According to another aspect, the present teachings provide a temporary fixator for an internal fixation device including a tubular component defining an internal bore, and a shaft having a bone-gripping tip. The shaft can be threadably coupled with the bore of the tubular component.
[0005] According to another aspect, the present teachings provide an instrument assembly for internal bone fixation including a driver having helical irrigation grooves, a temporary fixator, a soft tissue sleeve having an internal channel, and an irrigation cap. The temporary fixator can include a tubular component and a shaft with a bone-gripping tip received in the tubular component. The tubular component can have a spherical tip for contacting an inner wall of a hole of an internal fixation device. The channel of the soft tissue sleeve can be configured to receive selectively the driver and the temporary fixator. The irrigation cap can include a delivery port for connection to an
irrigation source and can be removably connected to the soft tissue sleeve when the driver is received in the soft tissue sleeve.
[0006] Further areas of applicability of the present invention will become apparent from the description provided hereinafter. It should be understood that the description and specific examples are intended for purposes of illustration only and are not intended to limit the scope of the invention.
BRIEF DESCRIPTION OF THE DRAWINGS
[0007] The present invention will become more fully understood from the detailed description and the accompanying drawings, wherein:
[0008] FIG. 1 is an isometric view of an exemplary targeting device according to the present teachings;
[0009] FIG. 2 is an isometric environmental view an exemplary targeting device according to the present teachings shown with a fixation device and soft tissue guide assemblies;
[0010] FIGS. 3-7 illustrate an exemplary procedure for using the targeting device of FIG. 2;
[0011] FIG. 8 is an isometric environmental view of an exemplary irrigation assembly according to the present teachings shown in use with a targeting device and a fixation device;
[0012] FIGS. 9A-D are a series of views illustrating insertion of a driver shaft and bone screw through an irrigation cap and into a soft tissue sleeve of the irrigation assembly according to the present teachings;
[0013] FIGS. 9E and 9F are detailed views illustrating an exemplary connection of the irrigation cap and the soft tissue sleeve according to the present teachings;
[0014] FIG. 10 is an environmental view of a temporary fixator according to present teaching shown in use with a fixation device for a bone;
[0015] FIG. 11 is a plan view of an exemplary temporary fixator according to the present teachings, the temporary fixator shown with a soft tissue protective sleeve;
[0016] FIG. 12 is a plan view of an exemplary temporary fixator according to the present teachings, the temporary fixator shown with a soft tissue protective sleeve;
[0017] FIG. 13 is a plan view of a detail of a drill shaft of the temporary fixator of FIG. 11 ;
[0018] FIG. 14 is a plan view of a detail of a drill shaft of the temporary fixator of FIG. 12;
[0019] FIG. 15A is a plan view of an exemplary tubular component for the temporary fixators of FIGS. 11 and 12; [0020] FIG. 15B is a plan view of a drill shaft of the temporary fixator of
FIG. 11; and
[0021] FIG. 15C is a plan view of a drill shaft of the temporary fixator of FIG. 12.
DESCRIPTION OF VARIOUS ASPECTS [0022] The following description is merely exemplary in nature and is in no way intended to limit the invention, its application, or uses. For example, although the instruments of present teachings are illustrated in association with a particular fixation device (i.e. for the proximal tibia), the instruments can be used in other applications, including but not limited to applications in connection with other internal fixation devices.
[0023] Referring to FIG. 1 , an exemplary targeting device 100 according to the present teachings is illustrated. The targeting device 100 can be plate-like with an upper surface 101, a lower surface 103, a first or proximal end 102 and a second or distal end 104. The targeting device 100 can include adjacent the proximal end 102 one or more holes 106 extending through the thickness of the targeting device 100 from the upper surface 101 to the lower surface 102 and adapted to receive drill guides, protective sleeves, drills or other instruments. The targeting device 100 can include a series of through-holes 112 adjacent a side surface 114 that extends between the proximal end 102 and the distal end 104 of the targeting device. The targeting device 100 can also include a series of side-entry slots 108 defined along the side surface 114 and open
from the side surface 114. Each of the side-entry slots 108 can include a portion defining a partially circular, open aperture 110.
[0024] Referring to FIGS. 2-7, the targeting device 100 can be used to align a drill or other instrument at a desired position and trajectory with respect to various holes 82 in an internal fixation device 80, such as, for example, a proximal tibial plate. Each side-entry slot 108 of the targeting device 100 can be configured for receiving a soft tissue guide assembly 120 laterally through the side-entry slot 108. The soft tissue guide assembly 120 can include a drill guide 121, such as a hex guide, for guiding or engaging a drill or a driver, and a soft tissue protective sleeve 122 defining an internal channel 111. The soft tissue guide assembly 120 can also include an external threaded portion 124 and a knob 126 threadably movable relative to the threaded portion 124. In this manner, the targeting device 100 can be applied or removed while one or more soft tissue guide assemblies 120 with protective sleeves 122 are still attached to the fixation device 80.
[0025] In an exemplary procedure for attaching the targeting device 100 to the fixation device 80, after the fixation device 80 is inserted and placed relative to the bone, a soft tissue guide assembly 120 including a protective sleeve 122 can be inserted in one of the holes 82 at a distal end 84 of the fixation device 80, as illustrated in FIG. 3, by free-hand targeting. This procedure can be repeated for inserting another soft tissue guide assembly 120 having a protective sleeve 122 in one of the holes 82 at the proximal end 86 of the fixation device, as illustrated in FIG. 4. Holes 82 that will not be otherwise used for bone fixation can be selected for attaching the targeting device 100 to the fixation device 80.
[0026] Referring to FIG. 5, the targeting device 100 can be aligned such that corresponding slots 108 are aligned with the drill guide assemblies 120 that are already attached to the fixation device 80. The targeting device 100 can then be translated laterally (e.g. in the direction of arrow A) onto the protective sleeves 122 of the soft tissue guide assemblies 120, below the threaded portions 124 of the soft tissue guide assemblies 120. Referring to FIG. 6, the targeting device 100 can be translated along the protective sleeves 122 up to the threaded
portions 124. The knobs 126 can be rotated clockwise to lock the targeting device 100 to the protective sleeves 122, as illustrated in FIG. 6. Referring to FlG. 7, the targeting device 100 supported at the distal and proximal ends by two soft tissue guide assemblies 120 can be used to target, drill and insert a bone screw 88 into any of the other holes 82 of the fixation device 80 using a third soft tissue guide assembly 120.
[0027] Referring to FIG. 8, the targeting device 100 is illustrated in an application in which irrigation can be provided for reducing the increased temperature created by friction between the bone 60 and a self-drilling/self- tapping bone screw 88 during drilling, or generally between the bone 60 and any drilling instrument. The targeting device 100 can be attached to the fixation device 80 as described above. The targeting device 100 can also be cantilevered at the proximal end 102 using a proximal support 128. Irrigation can be provided by an irrigation assembly 130. [0028] Referring to FIGS. 9A-F, the irrigation assembly 130 can include a soft tissue guide or sleeve, such as the protective sleeve 122 of the soft tissue guide assembly 120 described above, for example, and a driver 132 having a front tip 134 engageable with a head 89 of the bone screw 88, a driver shaft 133, and an opposite driver end 136 that can be coupled to a handle. The driver shaft 133 can have a substantially constant outer diameter D adapted to fit into the protective sleeve 122, and a plurality of helical grooves 138 extending along the entire length of the portion of driver shaft 133 received within the internal channel 111, between the front tip 134 and the driver end 136 of the driver 132. The grooves 138 can guide and deliver irrigation along the driver shaft 133 to the bone screw drill site. The constant diameter D can improve the accuracy and stability of the trajectory of the bone screw 88 and provide more uniform irrigation flow.
[0029] The irrigation assembly 130 can also include an irrigation cap 140 having a delivery port 142 for connection to an irrigation source 50. The irrigation cap 140 can be adapted to be removably coupled to the soft tissue guide assembly 120 adjacent the knob 126, such that the irrigation cap 140 can be optionally assembled to the soft tissue guide assembly 120 only when
irrigation is needed, and can otherwise be removed. The irrigation cap 140 can include a threaded portion 143 threadably coupled to an internal threaded portion 129 the threaded portion 124 of the protective sleeve 122. The irrigation cap 140 includes an axial bore 127 for allowing insertion of the driver shaft 133. It will be appreciated that other forms of connection can be used to removable attach the irrigation cap 140 to the soft tissue guide assembly 120, such as, for example, a snap-on connection, a. prong-and groove connection, or other available connections.
[0030] The irrigation assembly 130 can be used to reduce the temperature at the insertion site during a self-drilling procedure, as illustrated in FIG. 8, by pumping irrigation fluid through the delivery port 142 into the protective sleeve 122 while the driver shaft 133 is rotated to drive the self-drilling bone screw 88 into the bone 60. As the driver shaft 133 rotates, the irrigation fluid is guided along the irrigation grooves 138 and out of the protective sleeve 122 on to the insertion site of the bone screw 88. In other applications, the irrigation assembly 130 can be used to provide irrigation at a drill site when drilling is performed directly by another drilling or reaming device. The irrigation fluid can be removed by a separate aspiration device.
[0031] Referring to FIGS. 10-15, a temporary fixator 150 according to the present teachings is illustrated. The temporary fixator 150 can include a tubular component 152 and a shaft 154 that can be received within the tubular component 152 and coupled thereto. The shaft 154 can include a first threaded portion 156 terminating at a bone-gripping tip 158, an unthreaded portion 162 and a second threaded portion 155 of larger diameter. The tip 158 can be self- tapping and include one or more cutting flutes 160. The shaft 154 and or the first threaded portion 156 can be provided in various lengths for use in unicortical fixation, as illustrated in FIGS. 11 , 13 and 15C, or in bicortical fixation, as illustrated in FIGS. 12, 43 and 15B.
[0032] FIGS. 11 and 12 illustrate the temporary fixator 150 in use with a soft tissue protective sleeve 122. The tubular component 152 can include a spherical or otherwise rounded or shaped tip 164 at an end adjacent to the bone- gripping tip 158 of the shaft 154, as assembled. The spherical tip 164 is adapted
to interface in contact with an inner wall 81 of a spherical or otherwise rounded or shaped hole 82 in a fixation device 80, as illustrated in FIG. 10. The tubular component 152 can include a gripping portion 157 with internal threading for rotational coupling to the second threaded portion 155 of shaft 154. [0033] Referring to FIG. 10, the temporary fixator 150 can be used to pull/push a bone fragment or bone portion 60 and the fixation device 150 toward one another. In use, the shaft 154 of the temporary fixator 150 can be driven into the bone 60 through the hole 82 of the fixation device 80 to a depth appropriate for unicortical or bicortical fixation, when the corresponding unicortical or bicortical shaft 154 is used. The tubular component 152 can be threadably rotated about the shaft 154, such that the tubular component 152 advances relative to the shaft 154 toward the fixation device 80 such that the spherical tip 164 can push against the inner wall 81 of the hole 82, bringing the bone 60 and the fixation device 80 toward one another. The interfacing of the spherical tip 164 and the inner wall 81 of the spherical hole 82 allows adjustment of the relative position of the fixation device 80 on the bone 60 in any direction, as illustrated in FIG. 15, in which a second temporary fixator 150 is shown in phantom lines to illustrate two exemplary orientations.
[0034] It will be appreciated that the targeting device 100, the irrigation assembly 130, and the temporary fixator 150 can be provided as an instrument kit in various sizes, and can be used together or separately as determined by the operation surgeon in a particular application.
[0035] The foregoing discussion discloses and describes merely exemplary arrangements and uses of the present teachings. One skilled in the art will readily recognize from such discussion, and from the accompanying drawings and claims, that various changes, modifications and variations can be made therein without departing from the spirit and scope of the invention as defined in the following claims.
Claims
1. An instrument assembly for bone drilling comprising: a soft tissue sleeve defining an internal channel; and an irrigation cap removably coupled to the sleeve, the irrigation cap having a delivery port connectable to an irrigation source for delivering irrigation to the internal channel, the port in fluid communication with the internal channel.
2. The instrument assembly of claim 1 , further comprising a driver for performing a bone drilling operation, the driver having a shaft including a portion received in the channel, the portion having helical irrigation grooves substantially along its entire length.
3. The instrument assembly of claim 2, wherein the portion of the shaft received in the channel has a substantially constant diameter.
4. The instrument assembly of claim 2, wherein the bone drilling operation includes self-drilling of a bone screw and the driver includes a tip configured for engaging a head of the bone screw.
5. The instrument assembly of claim 4, in combination with the bone screw.
6. A temporary fixator for an internal fixation device comprising: a tubular component defining an internal bore; and a shaft having a bone-gripping tip, the shaft threadably coupled with the bore of the tubular component.
7. The temporary fixator of claim 6, wherein the tubular component includes a tip adapted to contact an inner hole of one of the plurality of holes of the internal fixation device when the bone-engaging tip of the shaft is engaged with the bone.
8. The temporary fixator of claim 7, in combination with the internal fixation device.
9. The temporary fixator of claim 8, wherein the tip and the inner wall of the hole of the internal fixation device are shaped for engagement in any relative orientation.
10. An instrument assembly for internal bone fixation comprising: a driver having helical irrigation grooves; a temporary fixator including a tubular component and a shaft with a bone-gripping tip received in the tubular component, the tubular component having a spherical tip for rotatably contacting an inner wall of a hole of an internal fixation device; a soft tissue sleeve having an internal channel configured to receive selectively the driver and the temporary fixator; and an irrigation cap removably connectable to the soft tissue sleeve when the driver is received in the channel, the irrigation cap having a delivery port for connection to an irrigation source.
11. The instrument assembly of claim 10, wherein the soft tissue sleeve includes a threaded portion and a knob for securing the soft tissue sleeve in one of the side-entry slots of the targeting device.
12. The instrument assembly of claim 10, wherein the driver includes a tip engageable with a head of a self-drilling bone screw.
13 The instrument assembly of claim 10, further comprising a targeting device having a plurality of side-entry slots adapted to receive the soft tissue sleeve sideways.
14. The instrument assembly of claim 14, wherein the plurality of the side-entry slots correspond to a plurality of holes in the fixation device.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/439,419 US7727236B2 (en) | 2006-05-23 | 2006-05-23 | Instrumentation for fixation devices |
US11/439,419 | 2006-05-23 |
Publications (2)
Publication Number | Publication Date |
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WO2007139713A2 true WO2007139713A2 (en) | 2007-12-06 |
WO2007139713A3 WO2007139713A3 (en) | 2008-08-21 |
Family
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2007/011796 WO2007139713A2 (en) | 2006-05-23 | 2007-05-17 | Instrumentation for fixation devices |
Country Status (2)
Country | Link |
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US (2) | US7727236B2 (en) |
WO (1) | WO2007139713A2 (en) |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8282638B2 (en) | 2006-05-23 | 2012-10-09 | Ebi, Llc | Instrumentation for fixation devices |
CN105935310A (en) * | 2016-04-01 | 2016-09-14 | 北京良之介医疗科技有限公司 | Locking and external fixation device used for treatment of tibial fractures |
Families Citing this family (21)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8372083B2 (en) * | 2006-12-21 | 2013-02-12 | Zimmer, Inc. | Surgical instrument adapter |
US20080183172A1 (en) * | 2007-01-26 | 2008-07-31 | Zimmer Technology, Inc. | Retention feature for plate guides |
US9289220B2 (en) * | 2008-06-24 | 2016-03-22 | Extremity Medical Llc | Intramedullary fixation assembly and method of use |
WO2010117940A1 (en) * | 2009-04-08 | 2010-10-14 | Synthes Usa, Llc | Osseosynthesis plate with keyhole feature |
WO2011019797A2 (en) * | 2009-08-11 | 2011-02-17 | The Cleveland Clinic Foundation | Method and apparatus for insertion of an elongate pin into a surface |
US8696680B2 (en) | 2009-08-11 | 2014-04-15 | The Cleveland Clinic Foundation | Method and apparatus for insertion of an elongate pin into a surface |
GB2473874A (en) * | 2009-09-29 | 2011-03-30 | Peter Giannoudis | Surgical plate and nail implant |
US20110251616A1 (en) * | 2010-04-12 | 2011-10-13 | K2M, Inc. | Expandable reamer and method of use |
US8439932B2 (en) * | 2010-05-03 | 2013-05-14 | Biomet Manufacturing Corp. | Submuscular plating system |
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US9155548B2 (en) * | 2013-03-12 | 2015-10-13 | Hsieh-Hsing Lin | Positioning device for bone drilling |
AU2014237911B2 (en) | 2013-03-15 | 2018-02-15 | Innovision, Inc. | Bone screws and methods of use thereof |
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US10610368B2 (en) | 2018-05-26 | 2020-04-07 | Acumed Llc | Ankle fusion system with expandable spacer |
CA2960373C (en) | 2014-09-12 | 2020-03-10 | Innovision, Inc. | Bone drill guides and methods of use thereof |
CN104323818B (en) * | 2014-10-20 | 2016-08-24 | 宝鸡市中医医院 | The bone drilling device that a kind of portability is easy to operate |
US10537371B2 (en) * | 2015-12-23 | 2020-01-21 | Osteomed Llc | Wrist plate and drill guide |
DE102017121242A1 (en) * | 2017-09-13 | 2019-03-14 | Ot Medizintechnik Gmbh | Positioning device for fixing a polyaxial plate to a tubular bone by means of a hole section |
US11207154B2 (en) | 2018-03-12 | 2021-12-28 | Musc Foundation For Research Development | Irrigated surgical guides and methods of manufacturing the same |
IL265710A (en) * | 2019-03-28 | 2019-05-30 | Howard Charles | A wire guide |
Citations (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20050085824A1 (en) * | 2003-10-15 | 2005-04-21 | Hand Innovations, Inc. | JIG assembly for implantation of a fracture fixation device |
Family Cites Families (22)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3128768A (en) * | 1961-11-24 | 1964-04-14 | Rosemount Eng Co Ltd | Surgical drill |
US3765034A (en) * | 1971-02-12 | 1973-10-16 | F Johnston | Femoral hip prosthesis with positioning and drill guide assembly |
US3892232A (en) * | 1973-09-24 | 1975-07-01 | Alonzo J Neufeld | Method and apparatus for performing percutaneous bone surgery |
US4549538A (en) * | 1982-11-12 | 1985-10-29 | Zimmer, Inc. | Pin inserter sheath |
JP2911903B2 (en) * | 1988-09-07 | 1999-06-28 | 株式会社リコー | Sublimation type thermal transfer recording medium |
CH681421A5 (en) * | 1990-06-06 | 1993-03-31 | Synthes Ag | |
US5049150A (en) * | 1990-12-27 | 1991-09-17 | Zimmer, Inc. | Tool for gripping a bone fragment |
US5405348A (en) * | 1993-02-12 | 1995-04-11 | Anspach, Jr.; William E. | Surgical cutting instrument |
US5971988A (en) * | 1995-04-07 | 1999-10-26 | Komet Praezisionswerkzeuge Robert Breuning Gmbh | Device for chip removing machining |
US5649931A (en) * | 1996-01-16 | 1997-07-22 | Zimmer, Inc. | Orthopaedic apparatus for driving and/or removing a bone screw |
US6238400B1 (en) * | 1998-05-01 | 2001-05-29 | Medtronic Xomed, Inc. | Method and apparatus for trephination and irrigation of the frontal sinus cavity |
ATE290825T1 (en) * | 1999-02-03 | 2005-04-15 | Synthes Ag | SURGICAL DRILL |
US6635067B2 (en) * | 2000-09-24 | 2003-10-21 | Medtronic, Inc. | Liquid cooled, powered surgical handpiece |
EP1205151B1 (en) * | 2000-11-13 | 2007-04-18 | Benoist Girard SAS | Targeting apparatus for use in performing transfemoral osteotomy |
DE60127638T2 (en) * | 2000-11-13 | 2007-07-19 | Benoist Girard Sas | Targeting device for resection of the femur for transfemoral osteotomy |
US6916323B2 (en) * | 2001-08-21 | 2005-07-12 | Depuy Products, Inc. | Method and apparatus for percutaneously securing a bone screw and a bone plate to a bone of a patient |
US6783533B2 (en) * | 2001-11-21 | 2004-08-31 | Sythes Ag Chur | Attachable/detachable reaming head for surgical reamer |
US6951562B2 (en) * | 2002-11-13 | 2005-10-04 | Ralph Fritz Zwirnmann | Adjustable length tap and method for drilling and tapping a bore in bone |
US7141074B2 (en) * | 2003-09-17 | 2006-11-28 | Depuy Spine, Inc. | Variable depth drill with self-centering sleeve |
US7299561B2 (en) * | 2003-10-15 | 2007-11-27 | Depuy Products, Inc. | Gauge system for use in implantation of a fracture fixation device |
US20070270771A1 (en) * | 2006-04-24 | 2007-11-22 | Ralph James D | Autologous bone harvest during osteotomy and bone drilling procedures |
US7727236B2 (en) | 2006-05-23 | 2010-06-01 | Ebi, Llc | Instrumentation for fixation devices |
-
2006
- 2006-05-23 US US11/439,419 patent/US7727236B2/en not_active Expired - Fee Related
-
2007
- 2007-05-17 WO PCT/US2007/011796 patent/WO2007139713A2/en active Application Filing
-
2010
- 2010-05-27 US US12/788,354 patent/US8282638B2/en active Active
Patent Citations (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20050085824A1 (en) * | 2003-10-15 | 2005-04-21 | Hand Innovations, Inc. | JIG assembly for implantation of a fracture fixation device |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8282638B2 (en) | 2006-05-23 | 2012-10-09 | Ebi, Llc | Instrumentation for fixation devices |
CN105935310A (en) * | 2016-04-01 | 2016-09-14 | 北京良之介医疗科技有限公司 | Locking and external fixation device used for treatment of tibial fractures |
Also Published As
Publication number | Publication date |
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US7727236B2 (en) | 2010-06-01 |
US20100234898A1 (en) | 2010-09-16 |
US8282638B2 (en) | 2012-10-09 |
WO2007139713A3 (en) | 2008-08-21 |
US20070276401A1 (en) | 2007-11-29 |
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