Transosseous guide
First Claim
Patent Images
1. An instrument for placing a member transosseously through first and second transverse, intersecting bone tunnels, the instrument comprising:
- a guide body defining a first guide axis and a second guide axis, the first guide axis and the second guide axis intersecting at a location spaced from the guide body;
a first tunnel member engaged with the guide body coaxial with the first guide axis,the first tunnel member having a proximal end a distal end, the first tunnel member being substantially linear such that the first guide axis extends through the proximal end and a distal most portion of the distal end of the first tunnel member, the first tunnel member having a first longitudinal passage at least partway through the first tunnel member;
a second tunnel member engaged with the guide body coaxial with the second guide axis, the second tunnel member having a proximal end and a distal end nonparallel to the distal end of the first tunnel member, the second tunnel member having a second longitudinal passage at least partway through the second tunnel member; and
a passer;
wherein the first tunnel member, the second tunnel member, and the passer, collectively, are configured such that the passer can be inserted, in one motion, from the proximal end of the second tunnel member, through the distal end of the second tunnel member, through the distal end of the first tunnel member, and to the proximal end of the first tunnel member.
4 Assignments
0 Petitions
Accused Products
Abstract
Instruments and methods for surgical transosseous attachment to a bone include a guide able to guide the formation of intersecting bone tunnels and a passer able to pass a member through the bone tunnels.
-
Citations
30 Claims
-
1. An instrument for placing a member transosseously through first and second transverse, intersecting bone tunnels, the instrument comprising:
-
a guide body defining a first guide axis and a second guide axis, the first guide axis and the second guide axis intersecting at a location spaced from the guide body; a first tunnel member engaged with the guide body coaxial with the first guide axis, the first tunnel member having a proximal end a distal end, the first tunnel member being substantially linear such that the first guide axis extends through the proximal end and a distal most portion of the distal end of the first tunnel member, the first tunnel member having a first longitudinal passage at least partway through the first tunnel member; a second tunnel member engaged with the guide body coaxial with the second guide axis, the second tunnel member having a proximal end and a distal end nonparallel to the distal end of the first tunnel member, the second tunnel member having a second longitudinal passage at least partway through the second tunnel member; and a passer; wherein the first tunnel member, the second tunnel member, and the passer, collectively, are configured such that the passer can be inserted, in one motion, from the proximal end of the second tunnel member, through the distal end of the second tunnel member, through the distal end of the first tunnel member, and to the proximal end of the first tunnel member. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22)
-
-
23. An instrument for placing a member transosseously through first and second transverse, intersecting bone tunnels in a bone, the instrument comprising:
-
a guide body defining a first guide axis and a second guide axis, the first guide axis and the second guide axis intersecting at a location spaced from the guide body; a first tunnel member engageable with the guide body coaxial with the first guide axis, the first tunnel member having an outer surface, a proximal end, a distal end, and a first longitudinal passage at least partway through the first tunnel member, the first tunnel member being substantially linear such that the first guide axis extends through the proximal end and a distal most portion of the distal end of the first tunnel member, the first tunnel member outer surface having a recess formed therein and communicating with the first longitudinal passage; a second tunnel member engaged with the guide body coaxial with the second guide axis, the second tunnel member having an outer surface, a proximal end, a distal end nonparallel to the distal end of the tunnel member, and a second longitudinal passage at least partway through the second tunnel member, the second tunnel member outer surface having an opening formed therein and communicating with the second longitudinal passage, the recess of the first tunnel member being operable to receive the distal end of the second tunnel member with the opening communicating with the recess, wherein the first longitudinal passage, recess, opening, and second longitudinal passage form a continuous passage from the proximal end of the first tunnel member to the proximal end of the second tunnel member; and a passer operable to extend from the proximal end of the second tunnel member, through the second side opening, through the first side opening, and to the proximal end of the first tunnel member in one continuous path. - View Dependent Claims (24, 25)
-
-
26. An instrument for placing a member transosseously through first and second transverse, intersecting bone tunnels, the instrument comprising:
-
a guide body defining a first guide axis, a second guide axis, and a third guide axis, the second and third guide axes intersecting the first guide axis at a location spaced from the guide body, the second and third guide axes intersecting the first guide axis at the same location; a first tunnel member engaged with the guide body coaxial with the first guide axis, the first tunnel member having a proximal end a distal end, the first tunnel member being substantially linear such that the first guide axis extends through the proximal end and a distal most portion of the distal end of the first tunnel member, the first tunnel member having a first longitudinal passage at least partway through the first tunnel member, the first tunnel member including a first side wall and a first side opening in the first side wall nearer the distal end than the proximal end, the first longitudinal passage extending from the proximal end of the first tunnel member toward the distal end of the first tunnel member and communicating with the first side opening; a second tunnel member selectively engageable with the guide body coaxial with one of the second and third guide axes, the second tunnel member having a proximal end and a distal end nonparallel to the distal end of the first tunnel member, the second tunnel member having a second longitudinal passage at least partway through the second tunnel member, the second tunnel member including a second side wall and a second side opening in the second side wall nearer the distal end than the proximal end, the second longitudinal passage extending from the proximal end of the second tunnel member toward the distal end of the second tunnel member and communicating with the second side opening, the first tunnel member and second tunnel member being engageable at their distal ends so that the first side opening and second side opening are in communication with one another; and a passer operable to extend from the proximal end of the second tunnel member, through the second side opening, through the first side opening, and to the proximal end of the first tunnel member in one continuous path. - View Dependent Claims (27, 28)
-
-
29. An instrument for placing a member transosseously through first and second transverse, intersecting bone tunnels, the instrument comprising:
-
a guide body defining a first guide axis and a second guide axis, the first guide axis and the second guide axis intersecting at a location spaced from the guide body; a first tunnel member engaged with the guide body coaxial with the first guide axis, the first tunnel member having a proximal end a distal end, the first tunnel member being substantially linear such that the first guide axis extends through the proximal end and a distal most portion of the distal end of the first tunnel member, the first tunnel member having a first longitudinal passage at least partway through the first tunnel member; a second tunnel member engaged with the guide body coaxial with the second guide axis, the second tunnel member having a proximal end and a distal end nonparallel to the distal end of the first tunnel member, the second tunnel member having a second longitudinal passage at least partway through the second tunnel member; and a passer operable to extend from the proximal end of the second tunnel member, through the distal end of the second tunnel member, through the distal end of the first tunnel member, and to the proximal end of the first tunnel member; wherein one of the first tunnel member and the second tunnel member comprises a feature that contacts the passer during motion of the passer through the second tunnel member and/or the first tunnel member, to direct the passer away from the second guide axis. - View Dependent Claims (30)
-
Specification