Multi-pin clamp and rod attachment

• US 20020077629A1
• Filed: 12/14/2000
• Published: 06/20/2002
• Est. Priority Date: 12/14/2000
• Status: Active Grant

• Current Assignee: Synthes USA LLC (Johnson & Johnson)
• Original Assignee: Synthes USA LLC (Johnson & Johnson), Synthes AG Chur
• Inventors: Mazzio, Michael Charles, Preston, Charles Dean II, Hoffman, Mindy Lynn
• Granted Patent: US 6,565,564 B2
• Time in Patent Office: Days
• US Class Current: 606/59
• CPC Class Codes: A61B 17/6466 with pin-clamps movable along a solid connecting rod

Abstract

The present invention provides a simplified external bone fixator assembly which allows the surgeon to snap the assembly onto a bone fixation rod at an intermediate location along the length of the rod. It is not necessary to “thread” the assembly onto the rod starting at the end and sliding it down the length of the rod to the desired location. In particular, this invention provides a novel bone pin locking assembly for use with standard bone fixation rods, and bone pins. The bone pin locking assembly includes a bone pin vise, a single-piece fixation rod clamp, and a coupling to allow relative adjustment of the pin vise and the rod clamp. The rod clamp is a single-piece construction, having a jaw capable of loosely capturing the bone fixation rod when the surgeon presses the jaw onto the rod. The assembly may be rigidly fixed to the rod using a bolt which tightens the jaw onto the rod.

Claims

1. An external fixator for reducing fragments of a bone comprising:

a bone fixation rod having a longitudinal axis and two ends,

at least two sets of bone pins, each set comprising at least one bone pin, and each bone pin having a proximal end and a distal end, the distal end being insertable into bone on either side of a fracture, and

a bone pin locking assembly for use with the bone fixation rod and bone pins, the assembly comprising;

a pin vise portion comprising first and second engaging faces, capable of engaging the proximal ends of the bone pins, and

a rod attachment portion comprising;

a single-piece fixation rod clamp having a jaw portion, a

coupling portion and a longitudinal axis,

a coupling having a rod clamp cooperating portion and a pin vise cooperating portion,

wherein the jaw portion of the single-piece fixation rod clamp permits engagement of the bone fixation rod when the single-piece fixation rod clamp is pressed onto the bone fixation rod, thereby mechanically coupling the bone pin locking assembly to the bone fixation rod.

2. The external fixator of claim 1 wherein the assembly is capable of being immobilized along the bone fixation rod without freedom to rotate or move.

3. The external fixator of claim 1 wherein the single-piece fixation rod clamp jaw portion comprises first and second opposing jaws having a clearance therebetween which is sufficient to provide an interference between the opposing jaws and bone fixation rod when the bone fixation rod is initially inserted into the single-piece fixation rod clamp jaw portion.

4. The external fixator of claim 3 further comprising first and second spring arms, wherein the first opposing jaw connects to the first spring arm, and the second opposing jaw connects to the second spring arm, such that when the first and second opposing jaws are positively displaced from a rest position, a resulting spring force is generated which forces the jaws back to the rest position.

5. The external fixator of claim 2 further comprising a bolt disposed within and operatively associated with the single-piece fixation rod clamp jaw portion, wherein immobilization is achieved by the tightening of the bolt.

6. The external fixator of claim 1 wherein the single-piece fixation rod clamp jaw portion engages the bone fixation rod when the single-piece fixation rod clamp is pressed onto the bone fixation rod in a direction substantially along the single-piece fixation rod clamp longitudinal axis.

7. The external fixator of claim 1 wherein the single-piece fixation rod clamp jaw portion engages the bone fixation rod when the single-piece fixation rod clamp is pressed onto the bone fixation rod in a direction substantially perpendicular to the longitudinal axis of the bone fixation rod.

8. An external fixator for reducing fragments of a bone comprising:

a bone fixation rod having a longitudinal axis and two ends,

at least two sets of bone pins, each set comprising at least one bone pin, with each bone pin having a proximal end and a distal end, the distal end being insertable into bone on either side of a fracture, and

a bone pin locking assembly for use in an external fixator system with the bone fixation rod and bone pins, the assembly comprising;

a pin vise portion comprising first and second engaging faces, capable of engaging the proximal ends of the bone pins, and

a rod attachment portion comprising;

a single-piece fixation rod clamp having a jaw portion, a coupling portion and a longitudinal axis,

a rotatable coupling with a rod clamp cooperating portion and a pin vise cooperating portion, the coupling allowing;

(i) rotation of the single-piece fixation rod clamp about a first axis substantially perpendicular to the pin vise portion engaging faces, and (ii) rotation of the single-piece fixation rod clamp about the rod clamp longitudinal axis, the rod clamp longitudinal axis being substantially perpendicular to the first axis,

wherein the jaw portion of the single-piece fixation rod clamp permits engagement of the bone fixation rod when the single-piece fixation rod clamp is pressed onto the bone fixation rod, thereby mechanically coupling the bone pin locking assembly to the bone fixation rod.

9. The external fixator of claim 8 wherein the assembly is capable of being immobilized along the bone fixation rod without freedom to rotate or move.

10. The external fixator of claim 9 further comprising a bolt disposed within and operatively associated with the single-piece fixation rod clamp jaw portion, wherein immobilization is achieved by the tightening of the bolt.

11. The external fixator of claim 8 wherein the single-piece fixation rod clamp jaw portion comprises first and second opposing jaws having a clearance therebetween which is sufficient to provide an interference between the opposing jaws and bone fixation rod when the bone fixation rod is initially inserted into the single-piece fixation rod clamp jaw portion.

12. The external fixator of claim 11 further comprising first and second spring arms, wherein the first opposing jaw connects to the first spring arm, and the second opposing jaw connects to the second spring arm, such that when the first and second opposing jaws are positively displaced from a rest position, a resulting spring force is generated which forces the jaws back to the rest position.

13. The external fixator of claim 8 wherein the single-piece fixation rod clamp jaw portion engages the bone fixation rod when the single-piece fixation rod clamp is pressed onto the bone fixation rod in a direction substantially along the single-piece fixation rod clamp longitudinal axis.

14. The external fixator of claim 8 wherein the single-piece fixation rod clamp jaw portion engages the bone fixation rod when the single-piece fixation rod clamp is pressed onto the bone fixation rod in a direction substantially perpendicular to the longitudinal axis of the bone fixation rod.

15. The external fixator of claim 8, wherein the rotatable coupling pin vise cooperating portion comprises a bearing face incorporating serrations which cooperate with serrations in the pin vise portion, and whereupon engagement of the cooperating serrations serves to prevent relative rotational movement between the coupling portion and the pin vise portion.

16. The external fixator of claim 15, wherein the rotatable coupling pin vise cooperating portion further comprises a spring and a bore, wherein the spring is partially slidably accepted within the bore and compressed between the rotatable coupling pin vise cooperating portion and the pin vise portion, and wherein the spring provides a force tending to separate the rotatable coupling portion and the pin vise portion to allow free relative rotational movement during operation.

18. The external fixator of claim 17 wherein the assembly is capable of being immobilized along the bone fixation rod without freedom to rotate or move.

19. The external fixator of claim 18 further comprising a bolt disposed within and operatively associated with the single-piece fixation rod clamp jaw portion, wherein immobilization is achieved by the tightening of the bolt.

20. The external fixator of claim 17 wherein the single-piece fixation rod clamp jaw portion comprises first and second opposing jaws having a clearance therebetween which is sufficient to provide an interference between the opposing jaws and bone fixation rod when the bone fixation rod is initially inserted into the single-piece fixation rod clamp jaw portion.

21. The external fixator of claim 20 further comprising first and second spring arms, wherein the first opposing jaw connects to the first spring arm, and the second opposing jaw connects to the second spring arm, such that when the first and second opposing jaws are positively displaced from a rest position, a resulting spring force is generated which forces the jaws back to the rest position.

22. The external fixator of claim 17 wherein the single-piece fixation rod clamp jaw portion engages the bone fixation rod when the single-piece fixation rod clamp is pressed onto the bone fixation rod in a direction substantially along the single-piece fixation rod clamp longitudinal axis.

23. The external fixator of claim 17 wherein the single-piece fixation rod clamp jaw portion engages the bone fixation rod when the single-piece fixation rod clamp is pressed onto the bone fixation rod in a direction substantially perpendicular to the longitudinal axis of the bone fixation rod.

24. The external fixator of claim 17 wherein the pin vise portion clamping face grooves comprise arcuate cutouts for contacting the bone pins along less than 180 degrees of the circumference of the bone pins upon tightening of the screw and nut combinations.

25. The external fixator of claim 17 wherein the pin vise portion clamping face grooves comprise cutouts of triangular cross section, capable of contacting the bone pins along less than 180 degrees of the circumference of the bone pins.

26. The external fixator of claim 17 wherein the pin vise portion clamping face comprises a plurality of grooves capable of engaging the proximal ends of the bone pins, wherein the grooves are disposed along the pin vise clamping faces between the vise bolts disposed at opposing ends of the first and second opposing plates.

17. An external fixator for reducing fragments of a bone comprising:

a bone fixation rod having a longitudinal axis and two ends,

at least two sets of bone pins, each set comprising at least one bone pin, and each bone pin having a proximal end and a distal end, the distal end being insertable into the bone on either side of a fracture, and

a bone pin locking assembly for use with the bone fixation rod and bone pins,

the assembly comprising;

a pin vise portion comprising first and second opposing plates, each plate having an outside face and a clamping face with grooves, the plates coupled with screw and nut combinations disposed at opposing ends of the plates, and which pin vise portion is capable of engaging the proximal ends of the bone pins through contact with grooves of the first and second plates upon tightening of the screw and nut combinations, and a rod attachment portion comprising;

a single-piece fixation rod clamp having a jaw portion, a coupling portion and a longitudinal axis,

a rotatable coupling with a rod clamp cooperating portion and a pin vise cooperating portion, the coupling allowing;

(i) rotation of the single-piece fixation rod clamp about a first axis substantially perpendicular to the pin vise portion engaging faces, and (ii) rotation of the single-piece fixation rod clamp about the rod clamp longitudinal axis, the axis being substantially perpendicular to the first axis,

wherein the jaw portion of the single-piece fixation rod clamp permits engagement of the bone fixation rod when the single-piece fixation rod clamp is pressed onto the bone fixation rod from the side of the bone fixation rod, thereby mechanically coupling the bone pin locking assembly to the bone fixation rod.