Surgical instrument

• US 4,566,466 A
• Filed: 04/16/1984
• Issued: 01/28/1986
• Est. Priority Date: 04/16/1984
• Status: Expired due to Fees

• Current Assignee: Dale B. Ripple, David Bartholomew Smith
• Original Assignee: Dale B. Ripple, David Bartholomew Smith
• Inventors: Smith, David W., Ripple, Dale B.
• Primary Examiner(s): ROSENBERG, PETER
• Application Number:
  US06/600,970
• Time in Patent Office: 652 Days
• Field of Search: 128/92 E, 128/92 A, 128/303 R, 128/781
• US Class Current: 606/102
• CPC Class Codes: A61B 17/15 Guides therefor arrangements for guiding straight saw blades in general B23D51/025
• CPC Class Codes: A61B 90/06 Measuring instruments not otherwise provided for
• CPC Class Codes: A61F 2/442 Intervertebral or spinal discs, e.g. resilient non-disc-shaped intervertebral inflatable pockets A61F2/441; non-disc-shaped intervertebral fusion implants A61F2/4455
• CPC Class Codes: A61F 2/4455 for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages intervertebral discs A61F2/442
• CPC Class Codes: A61F 2/4657 Measuring instruments used for implanting artificial joints for surgical instruments A61B90/06
• CPC Class Codes: A61F 2002/2839 Bone plugs or bone graft dowels
• CPC Class Codes: A61F 2002/4649 Bone graft or bone dowel harvest sites
• CPC Class Codes: A61F 2002/4661 for measuring thickness
• CPC Class Codes: A61F 2002/4662 for measuring penetration depth

Abstract

An improved surgical instrument for performing an anterior cervical interbody arthrodesis includes a template head and a handle connected by a stem. The head has a predetermined thickness and a plurality of depth indicating lines marked on one of the surfaces thereof. The handle is grasped by a surgeon and the template head is inserted into a space previously occupied by an intervertebrated disc after removal of the disc by the surgeon. The depth of penetration of the head into the space is determined from the depth indication lines and the width of the space determined from the thickness of the template head. The head of the device is layed on an exposed iliac crest of the patient to provide a template for removing the desired thickness of bone graft. The removed bone graft is layed on the flat surface of the head and sized in thickness by the indication lines in relationship to the depth of the space previously measured the indication lines on the head. This produces an accurately sized bone graft in both length and thickness which is then placed in the space between the end plates of spaced vertebral bodies to be fused thereby.

Claims

1. A set of surgical instruments for sizing a graft to be removed from the iliac crest for insertion into a space between distracted vertebral bodies, each of said instruments including, a template head and handle means for inserting the head into the the space formed between the distracted vertebral bodies, said template head having a generally rectangular configuration formed by a pair of spaced parallel flat surfaces separated a predetermined distance by a generally flat planar outer end surface, an inner end surface, and a pair of flat planar side surfaces connected to the outer end surface by rounded corners to provide a desired thickness for each template head for determining the width of the space between the vertebral bodies with the thickness of the individual template heads varying in thickness with respect to each other to provide a range of template head thicknesses.

2. The set of surgical instruments defined in claim 1 in which depth indicating means is formed on at least one of the flat surfaces of each of the template heads for indicating distance from the planar outer end surface of said template head to indicate the depth of penetration of the head into the space between the vertebral bodies.

3. The set of surgical instruments defined in claim 1 in which the depth indicating means is a series of spaced parallel lines formed on the template head and extending parallel to the outer end surface of the head.

4. The set surgical instruments defined in claim 3 in which the lines are recessed in the template head by engraving.

5. The set of surgical instruments defined in claim 4 in which the depth indicating lines are spaced in at 1 mm intervals.

6. The set of surgical instruments defined in claim 1 in which the template head has a width of approximately 1.5 cm and a length of approximately 2 cm.

7. The set of surgical instruments defined in claim 1 in which the template heads vary in thickness from 5 mm to 12 mm.

8. The set of surgical instruments defined in claim 1 in which the overall length of each instrument is approximately 5 cm.

9. The set of surgical instruments defined in claim 1 in which the handle means is a cylindrical-shaped member having a knurled outer surface;

and in which said handle member is connected to the head by a cylindrical rod.

10. The set of surgical instruments defined in claim 1 in which each template head varies in thickness approximately 1 mm from the adjacent sized head in the set of instruments.

11. The set of surgical instruments defined in claim 10 in which the set includes eight template heads ranging in thickness from 5 mm to 12 mm.

12. The set of surgical instruments defined in claim 11 in which the template heads are solid bodies of stainless steel.