Modular drill guide

• US 20040186482A1
• Filed: 03/21/2003
• Published: 09/23/2004
• Est. Priority Date: 03/21/2003
• Status: Active Grant

• Current Assignee: Depuy Acromed Incorporated (Johnson & Johnson)
• Original Assignee: Depuy Acromed Incorporated (Johnson & Johnson)
• Inventors: Kolb, Eric D., Haylock, Jonathan, Tremblay, Phil
• Granted Patent: US 6,960,216 B2
• Time in Patent Office: Days
• US Class Current: 606/96
• CPC Class Codes: A61B 17/1728 for holes for bone plates or plate screws
• CPC Class Codes: A61B 17/1757 for the spine

Abstract

A modular drill guide for use in securing a spinal fixation plate to a spine is provided. The drill guide generally includes a shaft having a proximal end and a distal end adapted to engage a spinal fixation plate, and at least one guide member removably and replaceably matable to the shaft. The guide member can have a connector member with at least one bore extending therethrough for receiving at least a portion of the shaft, and at least one barrel formed thereon and defining a lumen for receiving a tool, such as an awl, a drill bit, a fastener, or a driver device. The shaft can optionally be coupled to an elongate member having a proximal end and a distal end. The barrel(s) include a bore formed therethrough for receiving a tool.

Claims

1. A modular drill guide, comprising:

an elongate member having a proximal end and a distal end;

a shaft coupled to the elongate member and having a proximal end and a distal mating end adapted to mate to a spinal fixation plate; and

at least one guide member removably mated to the elongate member and having at least one barrel formed therein, the at least one barrel defining a bore for receiving a tool.

2. The modular drill guide of claim 1, wherein the elongate member has an inner lumen extending therethrough between the proximal and distal ends thereof, and wherein the shaft is rotatably disposed within the inner lumen of the elongate member.

3. The modular drill guide of claim 2, wherein the elongate member includes a locking element effective to prevent rotation of the shaft with respect to the elongate member.

4. The modular drill guide of claim 1, further comprising a mating element disposed between the elongate member and the guide member for removably mating the guide member to the elongate member.

5. The modular drill guide of claim 4, wherein the mating element has a connection selected from the group consisting of an interference fit, a dovetail connection, a snap-fit connection, and a tongue-and-groove connection.

6. The modular drill guide of claim 4, wherein the mating element comprises one of a female and a male dovetail element formed on the guide member, and the other one of a male and a female dovetail element formed on the elongate member.

7. The modular drill guide of claim 4, wherein the guide member is slidably matable onto the elongate member in a proximal-to-distal direction.

8. The modular drill guide of claim 7, further comprising a stop member formed on at least one of the guide member and the elongate member to prevent distal movement of the guide member with respect to the elongate member beyond a particular position.

9. The modular drill guide of claim 1, wherein the distal mating end of the shaft includes an engagement mechanism formed thereon for mating with a spinal fixation plate.

10. The modular drill guide of claim 9, wherein the engagement mechanism is selected from the group consisting of threads, a hook member, a twist-lock member, and a snap-fit member.

11. The modular drill guide of claim 9, wherein the proximal end of the shaft includes a gripping element formed thereon.

12. The modular drill guide of claim 1, wherein the distal end of at least one of the elongate member and the guide member includes an alignment mechanism adapted to align the modular drill guide with a spinal fixation plate engaged by the distal mating end of the shaft.

13. The modular drill guide of claim 12, wherein the alignment mechanism is selected from the group consisting of at least one protrusion adapted to fit within a corresponding detent formed on a spinal fixation plate, and at least one flange adapted to be positioned adjacent an edge of a spinal fixation plate.

14. The modular drill guide of claim 1, wherein the guide member includes a connector having a mating element formed thereon for mating to the elongate member, and first and second barrels.

15. The modular drill guide of claim 14, wherein the mating element is disposed on the proximal end of the connector and is adapted to mate to a corresponding mating element formed on the distal end of the elongate member.

16. The modular drill guide of claim 15, wherein the mating element has a snap-fit connection.

17. The modular drill guide of claim 15, wherein the connector further includes a bore extending therethrough for receiving a portion of the shaft.

18. The modular drill guide of claim 14, wherein the mating element comprises a T-slot formed in the connector and effective to mate to a corresponding T-shaped element disposed on the elongate member.

19. The modular drill guide of claim 18, wherein the T-slot extends between proximal and distal ends of the connector such that the connector mates to the elongate member in a proximal-distal direction.

20. The modular drill guide of claim 19, further comprising a stop member formed in at least one of the T-slot and the T-shaped element and effective to prevent distal movement of the connector with respect to the elongate member beyond a particular position.

21. The modular drill guide of claim 18, further comprising a retaining element disposed within the T-slot of the connector for temporarily securing the guide member to the elongate member.

22. The modular drill guide of claim 21, wherein the retaining element comprises a ball plunger adapted to sit in a corresponding detent formed on the elongate member.

23. The modular drill guide of claim 1, wherein the guide member mates to one of a distal portion and a middle portion of the elongate member.

24. The modular drill guide of claim 1, further comprising a handle member mated to at least one of the elongate member and the guide member.

25. The modular drill guide of claim 24, wherein the handle member is rotatably mated to at least one of the elongate member and the guide member.

26. The modular drill guide of claim 1, wherein the at least one barrel is adapted to receive a tool selected from the group consisting of an awl, a drill bit, a fastening element, and a driver device.

27. A modular drill guide, comprising:

a shaft having a proximal end and a distal end adapted to engage a spinal fixation plate;

at least one guide member removably and replaceably matable to the shaft, the guide member having a connector member with at least one bore extending therethrough for receiving at least a portion of the shaft, and at least one barrel formed thereon and defining a lumen for receiving a tool.

28. The modular drill guide of claim 27, further comprising a mating body for removably and replaceably mating the guide member to the shaft, the mating body having an inner lumen formed therein for receiving at least a portion of the shaft.

29. The modular drill guide of claim 28, wherein the mating body includes a proximal end and a distal end, and wherein the connector member has a generally elongate cylindrical shape having a proximal end and a distal end, the proximal end of the connector being adapted to removably mate to the distal end of the mating body.

30. The modular drill guide of claim 29, wherein the shaft extends through the bore in the connector member and through the inner lumen in the mating body when the guide member is mated to the mating body.

31. The modular drill guide of claim 29, wherein the at least one barrel on the guide member is formed on the distal end of the connector member.

32. The modular drill guide of claim 28, further comprising a handle member extending outward from the mating body to facilitate grasping of the device.

33. The modular drill guide of claim 27, wherein the distal end of the connector includes an alignment mechanism adapted to align the guide member with a spinal fixation plate engaged by the distal end of the shaft.

34. A modular drill guide kit, comprising:

an elongate member having a proximal, handle end and a distal mating end adapted to removably mate to a spinal fixation plate; and

a plurality of guide members removably and replaceably matable to the elongate member, each guide member having at least one barrel formed thereon and disposed at a predetermined angle with respect to a longitudinal axis of the elongate member, each of the plurality of guide members having at least one barrel with a predetermined angle different from the predetermined angle of the at least one barrel formed on another one of the plurality of guide members.

35. The modular drill guide kit of claim 34, further comprising a mating element disposed on the elongate member and on each of the plurality of guide members for removably mating each guide member to the elongate member.

36. The modular drill guide kit of claim 35, wherein the mating element comprises one of a female dovetail and a male dovetail element formed on each of the plurality of guide members and the other one of a female dovetail and a male dovetail element formed on the elongate member.

37. The modular drill guide kit of claim 36, wherein the dovetail element on each guide member is slidably matable onto the dovetail element on the elongate member in a proximal-to-distal direction.

38. The modular drill guide kit of claim 34, wherein the distal mating end of the elongate member includes an engagement mechanism formed thereon for mating with a spinal fixation plate.

39. The modular drill guide kit of claim 34, wherein the distal end of the elongate member includes an alignment mechanism adapted to align the modular drill guide with a spinal fixation plate engaged by the distal mating end of the shaft.

40. The modular drill guide kit of claim 34, wherein the guide member includes first and second barrels and a connector having a first end mated to the first barrel and a second, opposed end mated to the second barrel, the connector further including a mating element formed between the first and second ends thereof for mating the guide member to the elongate member.

41. The modular drill guide kit of claim 40, wherein the connector includes a proximal end and a distal end, the proximal end being adapted to mate to the distal end of the elongate member.

42. The modular drill guide kit of claim 41, wherein the mating element is disposed on the proximal end of the connector and is adapted to mate to a corresponding mating element formed on the distal end of the elongate member.

43. The modular drill guide kit of claim 42, wherein the mating element has a snap-fit connection.

44. The modular drill guide kit of claim 41, wherein the connector further includes a bore extending therethrough for receiving a portion of the shaft.

45. The modular drill guide kit of claim 41, wherein the mating element comprises a T-slot formed in the connector and effective to mate to a corresponding T-shaped element disposed on the elongate member.

46. The modular drill guide kit of claim 45, wherein the T-slot extends between proximal and distal ends of the connector such that the connector mates to the elongate member in a proximal-distal direction.

47. The modular drill guide kit of claim 45, further comprising a retaining element disposed within the T-slot of the connector for temporarily securing the guide member to the elongate member.

48. The modular drill guide kit of claim 34, wherein the guide member mates to one of a middle portion and a distal portion of the elongate member.

49. The modular drill guide kit of claim 34, wherein each barrel has a predetermined angle in the range of about 0°

to 15°

.