Orthopedic device

• US 4,721,103 A
• Filed: 08/18/1986
• Issued: 01/26/1988
• Est. Priority Date: 01/31/1985
• Status: Expired due to Fees

• Current Assignee: Yosef Freedland
• Original Assignee: Yosef Freedland
• Inventors: Freedland, Yosef
• Primary Examiner(s): Rosenbaum, C. Fred
• Assistant Examiner(s): Shedd, C. W.
• Application Number:
  US06/899,033
• Time in Patent Office: 526 Days
• Field of Search: 128/92 YW, 128/92 YT, 128/92 YY
• US Class Current: 606/319
• CPC Class Codes: A61B 17/7266 with fingers moving radially outwardly
• CPC Class Codes: A61B 17/74 Devices for the head or neck or trochanter of the femur trochanteric devices connected to the proximal part of an endoprosthetic femoral shaft A61F2/30739; endoprosthetic internal fixation devices for the head or neck of the femur A61F2/3601
• CPC Class Codes: A61F 2002/30579 with mechanically expandable devices, e.g. fixation devices

Abstract

An improved orthopedic implant device comprising an elongate shaft and an elongate sleeve engaged about and shiftable longitudinally of the shaft a plurality of elongate struts spaced circumferentially about the sleeve and shaft and shiftable between unactuated positions where they are parallel with the sleeve and actuated positions where they extend radially outward from the sleeve, pivot means connecting one end of the shafts with the sleeve, lever arms on the shafts projecting into the sleeve from the pivot means therefor and cam means between the lever arms and the shaft whereby the lever arms are pivoted between the unactuated and actuated positions upon axial shifting of the shaft relative to the sleeve.

Claims

1. An implant device for fixating bone portions in a living body comprising an elongate, vertical shaft defining the central axis of the device, said shaft has an upper deployment end portion and a lower securement end portion, said shaft has a plurality of circumferentially spaced elongate longitudinally extending radially outwardly opening strut accommodating recesses with upper and lower ends in its deployment end portion;

first cam means parts on said shaft related to each recess;

an elongate vertical sleeve with an upper deployment end portion and a lower securement end portion is engaged about and is shiftable axially relative to said shaft, said sleeve has circumferentially spaced longitudinally extending and radially opening strut accommodating slots, each registering with a related recess;

first pivot means parts related to each slot at the upper end portion of said sleeve on a turning axis normal to and extending transverse the radial plane of the recess;

a plurality of elongate flat blade-like struts with inner pivot ends and outer free ends, each strut is engaged in a related slot and recess with its flat plane parallel with said radial plane thereof;

a second pivot means part at the pivot end of each strut and engaged with said first pivot means parts related to the slot in which the strut is engaged, said struts are pivotally movable relative to said sleeve between unactuated positions where they extend longitudinally within their related slots and recesses to actuated positions where they extend radially and axially outward from said slots and recesses;

a lever arm projects from the pivot end of each strut and into its related recess;

each lever arm has second cam means parts engaged with the first cam means parts in its related recess to pivot said arm between its unactuated and actuated positiions upon axial movement of said shaft relative to said sleeve; and

manually accessible and operable drive means at and between said securement end portions of said shaft and sleeve to move said shaft axially relative to said sleeve.

2. The improved implant device set forth in claim 1 wherein said first cam means parts include a pair of axially spaced substantially upwardly and downwardly disposed cam surfaces in each recess;

said second means parts define cam follower surfaces on the lever arm and positioned between and engaging the pair of cam surfaces in its related recess.

3. The improved implant device set forth in claim 1 wherein said second cam means parts related to each lever arm define substantially vertically spaced opposing cam surfaces on said lever arms, said first cam means parts related to each recess define came follower surfaces in driving engagement with and between the pair of cam surfaces of lever arm in the recess.

4. The improved implant device set forth in claim 1 wherein said first pivot means parts related to each slot includes a pair of pivot openings on an axis extending transverse the slots, said second pivot means part at the pivot end of each strut includes an elongate pivot pin in supporting engagement with said lever arm and having end portions supportingly engaged in a related pair of pivot openings.

5. The improved implant device set forth in claim 1 wherein said first pivot means parts related to each slot includes a pair of spaced pivot openings in the sleeve on an axis extending transverse the slot, said second pivot means parts related to the pivot end of each strut includes an elongate pivot pin carried by the strut and having end portions slidably engaged in its related pair of pivot openings, said first cam means related to each recess includes a pair of axially spaced substantially downwardly and upwardly disposed opposing cam surfaces in the slot;

said second cam parts related to each lever arm define cam follower surfaces on the arm and engaging the pair of cam surfaces in its related recess.

6. The improved implant device set forth in claim 1 wherein said first pivot means parts related to each slot includes spaced pivot openings in the sleeve on an axis extending transverse the slot, said second pivot means part at the pivot end of each strut includes an elongate pivot pin carried by said lever arm on axes concentric with the axes of related pivot pin openings and with end portions slidably engaged in related pivot openings, said second cam parts on each lever arm include spaced opposing cam surfaces on said pivot arm projecting substantially radially from the turning axis of the strut, the first cam parts within each recess define cam follower surfaces in driving engagement with and between the cam surfaces of their related lever arms.

7. The improved implant device set forth in claim 1 wherein said drive means includes an elongate threaded drive part concentric with said central axis and drivingly connected with and between the deployment end portions of said shaft and sleeve and moving said shaft axially of said sleeve when rotated.

8. The improved implant device set forth in claim 1 wherein said drive means includes a manually engageable threaded drive part concentric with and positioned below the lower end of said shaft, an elongate coupling part depending from said shaft and threadedly engaged through said drive part and axially compressible spring means about said coupling part and in force transmitting engagement with and between said drive part and the deployment end portion of said sleeve.

9. The improved implant device set forth in claim 1 wherein said first pivot means parts related to each slot includes a pair of spaced pivot openings in the sleeve on an axis extending transverse said slot, said second pivot means part related to each strut includes an elongate pivot pin carried by the strut and having end portions slidably engaged in its related pair of pivot openings, said first cam means related to each recess include axially spaced substantially downwardly and upwardly disposed opposing cam surfaces and said second cam parts related to each lever arm define cam follower surfaces between and engaging a related pair of cam surfaces;

said drive means includes an elongate threaded drive part concentric with said central axis and drivingly connected with and between the deployment end portions of said shaft and sleeve and moving said shaft axially of said sleeve when rotated.

10. The improved implant device set forth in claim 1 wherein said first pivot means parts related to each slot includes a pair of spaced pivot openings in the sleeve on an axis extending transverse the radial plane of the slot, said second pivot means part related to each strut includes a pivot pin carried by the strut and having end portions engaged in its related pair of pivot openings, said second cam parts on each lever arm include a pair of substantially vertically spaced opposing cam surfaces on the pivot arm, said first cam parts on the shaft and related to each recess define cam follower surfaces in the recess and in driving engagement with and between said cam surfaces on a related lever arm, said drive means includes an elongate threaded drive part concentric with said central axis and drivingly connected with and between the deployment end portions of said shaft and moving said shaft axially of said sleeve when rotated.

11. The implant device set forth in claim 1 wherein said flat blade-like struts have oppositely disposed longitudinally extending inner and outer edges, at least one of said edges is sharpened.

12. The implant device set forth in claim 1 wherein said flat blade-like struts have oppositely disposed longitudinally extending inner and outer edges, at least one of said edges is sharpened, said first cam means parts related to each recess include a pair of axially spaced substantially upwardly and downwardly disposed opposing cam surfaces;

and said second cam means parts related to each lever arm define cam follower surfaces positioned between and engaged with a related pair of cam surfaces.

13. The implant device set forth in claim 1 wherein flat blade-like parts have oppositely disposed longitudinally extending inner and outer edges, said second cam means part on each lever arm defines vertically spaced opposing cam surfaces on the arm, said first cam means parts in each recess in the shaft define cam follower surfaces in driving engagement with and between the cam surfaces of related lever arms.

14. The implant device set forth in claim 1 wherein said elongate flat blade-like struts have flat oppositely disposed sides on planes normal to the turning axes of said struts and have oppositely disposed longitudinally extending inner and outer edges, at least one of said edges is sharpened, said slots slidably receive and support said struts, said first pivot means parts include a pair of axially spaced pivot openings in the sleeve adjacent each on an axis normal to and extending transverse the radial planes of the slot, said second pivot means part related to each strut includes an elongate pivot pin carried by said lever arm and having end portions engaged in a related pair of pivot openings, said first cam means parts include a pair of axially spaced substantially downwardly and upwardly disposed opposing cam surfaces in each recess;

and said second cam means parts on each lever arm define cam follower surfaces on the lever arm and positioned between and engaging a related pair of cam surfaces.

15. The implant device set forth in claim 1 wherein said elongate flat blade-like struts have flat oppositely disposed sides on planes normal to the turning axes of said struts and have oppositely disposed longitudinally extending inner and outer edges, at least one of said edges is sharpened, said slots slidably engage the side of and support said struts, said first pivot means parts related to each slot include a pair of axially spaced pivot openings in the sleeve on an axis normal to and extending transverse the radial planes of the slot, said second pivot means part related to each strut includes an elongate pivot pin carried by the lever arm and having end portions slidably engaged in a related pair of pivot openings, said second cam parts on the lever arms define substantially vertically spaced cam opposing surfaces on the lever arms, said first cam parts in each recess in the shaft define cam follower surfaces in driving engagement with and between the pair of cam surfaces on the lever arm related thereto.

16. The implant device set forth in claim 1 wherein said elongate flat blade-like struts have oppositely disposed sides on planes normal to the turning axes of said struts and have oppositely disposed longitudinally extending inner and outer edges, at least one of said edges is sharpened, said slots slidably engage said side of and support said struts, said first pivot means parts include a pair of axially spaced pivot openings in the sleeve adjacent each slot on an axis extending transverse the radial planes of the slot, said second pivot means part related to each strut includes an elongate pivot pin carried by the strut and having end portions slidably engaged in the pair of pivot openings related to it, said first cam means in each recess in the shaft include a pair of axially spaced substantially downwardly and upwardly disposed opposed cam surfaces;

said second cam parts on the lever arms define cam follower surfaces on the pivot arm and engaged between the pair of cam surfaces in the recess related to the lever arm, said drive means includes an elongate threaded drive part concentric with said central axis and drivingly connected with and between the deployment end portions of said shaft and sleeve and moving said shaft axially of said sleeve when rotated.

17. The implant device set forth in claim 1 wherein said elongate flat blade-like struts have oppositely disposed sides on planes normal to the turning axes of said struts and have oppositely disposed longitudinally extending inner and outer edges, at least one of said edges is sharpened, said slots slidably accommodate and support said struts, said first pivot means parts related to each slot in the sleeve include a pair of axially spaced pivot openings in the sleeve on an axis extending transverse the radial planes of the slot, said second pivot means part on each lever arm includes an elongate pivot pin supportingly engaged with the lever arms and having end portions supportingly engaged in the pair of pivot openings in the sleeve related to it, said second cam parts on each lever arm define spaced vertically spaced cam surfaces projecting radially from said turning axes of their related strut, said first cam parts related to each recess in the shaft define cam follower surfaces in driving engagement with and between the pair of cam surfaces on their related lever arm, said drive means includes an elongate threaded drive part concentric with said central axis and drivingly connected with and between the deployment end portions of said shaft and sleeve and moving said shaft axially of said sleeve when rotated.

18. The improved implant device set forth in claim 1 wherein said first pivot means parts related to each slot include a pair of axially spaced pivot openings in the sleeve on an axis extending transverse the radial planes of the slot, said second pivot means part on each lever arm includes an elongate pivot pin supporting the lever arm on an axis concentric with the axis of and having end portions engaged in a related pair of pivot openings;

and releasing means to disconnect said struts from said sleeve including enlarged access openings in said sleeve between the ends of and intersected by said slots, a manually operable releasing tool including a body slidably engaged about the securement end portion of said sleeve and shiftable axially relative thereto, axially upwardly projecting resilient arms on said body aligned with and positioned outward of said slots, inwardly projecting wedges on said arms releasably engageable in said access openings and shiftable upwardly into said slots to spread apart the upper portions of said sleeve defining said slots and move the pivot openings from engagement with said pivot pins.