SURGICAL INSTRUMENT WITH INTEGRATED COMPRESSION AND DISTRACTION MECHANISMS
First Claim
1. A surgical instrument, comprising:
- an alignment tube constructed for receiving a driver;
a sliding bar connected to said alignment tube at a first angle, wherein a portion of said sliding bar comprises teeth;
a shaft having a threaded hole;
a pivot locking knob having a threaded end complementary to said threaded hole of said shaft; and
an elongated body having an opening constructed for accommodating said sliding bar, a gear mechanism for engaging said teeth of said sliding bar inside said elongated body, and a shaft connection mechanism for joining said shaft, said pivot locking knob, and said elongated body, wherein said shaft is movable about a pivot, wherein said shaft is lockable at a second angle relative to said elongated body utilizing said pivot locking knob, and wherein turning said gear mechanism which is engaged with said teeth of said sliding bar changes a linear distance between said shaft and said alignment tube.
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0 Petitions
Accused Products
Abstract
Embodiments disclosed herein provide a combination compressor/distractor useful for fitting a spinal stabilization system in a patient through minimally invasive surgery. The spinal stabilization system may comprise screws anchored in vertebrae. The vertebrae may need to be compressed or distracted. One embodiment of an instrument disclosed herein may comprise a shaft for engaging one of the screws through an extender sleeve. A driver may engage another screw through an opening of the instrument. Through this engagement, a surgeon may use the rack and pinion of the instrument to compress or distract one or more levels of the vertebrae in a parallel motion, which can be advantageous clinically in certain situations.
167 Citations
20 Claims
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1. A surgical instrument, comprising:
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an alignment tube constructed for receiving a driver; a sliding bar connected to said alignment tube at a first angle, wherein a portion of said sliding bar comprises teeth; a shaft having a threaded hole; a pivot locking knob having a threaded end complementary to said threaded hole of said shaft; and an elongated body having an opening constructed for accommodating said sliding bar, a gear mechanism for engaging said teeth of said sliding bar inside said elongated body, and a shaft connection mechanism for joining said shaft, said pivot locking knob, and said elongated body, wherein said shaft is movable about a pivot, wherein said shaft is lockable at a second angle relative to said elongated body utilizing said pivot locking knob, and wherein turning said gear mechanism which is engaged with said teeth of said sliding bar changes a linear distance between said shaft and said alignment tube. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10)
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11. A method for adjusting a distance between one or more levels of vertebrae, comprising:
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inserting a shaft of a surgical instrument into a first extender sleeve, wherein said first extender sleeve is coupled to a first collar of a first bone fastener assembly anchored in a first vertebra, wherein said first bone fastener assembly is locked to prevent polyaxial movements, wherein said surgical instrument further comprises; an alignment tube; a sliding bar connected to said alignment tube at a first angle, wherein a portion of said sliding bar comprises teeth; a pivot locking knob; and an elongated body having an opening constructed for accommodating said sliding bar, a gear mechanism for engaging said teeth of said sliding bar, and a shaft connection mechanism for joining said shaft, said pivot locking knob, and said elongated body; locking said shaft at a second angle relative to said elongated body utilizing said pivot locking knob; inserting a driver through said alignment tube of said surgical instrument and into a second extender sleeve, wherein said second extender sleeve is coupled to a second collar of a second bone fastener assembly anchored in a second vertebra; and manipulating a distance between said first vertebra and said second vertebra by moving said driver, said alignment tube, said second extender sleeve, said second bone fastener assembly, and said second vertebra in a linear motion parallel to said elongated body. - View Dependent Claims (12, 13, 14, 15)
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16. A surgical system, comprising:
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a first driver; a second driver; and a surgical instrument comprising; an alignment tube constructed for receiving said first driver; a sliding bar connected to said alignment tube, wherein a portion of said sliding bar comprises teeth; a shaft having a lockable end; a pivot locking knob having an end portion complementary to said lockable end of said shaft; and an elongated body having an opening constructed for accommodating said sliding bar, a gear mechanism for engaging said second driver and said teeth of said sliding bar, and a shaft connection mechanism for joining said shaft, said pivot locking knob, and said elongated body, wherein said shaft is movable about a pivot, wherein said shaft is lockable at a pivot angle relative to said elongated body utilizing said pivot locking knob, and wherein turning said second driver attached to said gear mechanism which is engaged with said teeth of said sliding bar changes a linear distance between said shaft and said first driver. - View Dependent Claims (17, 18, 19, 20)
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Specification