Orthopedic drill guide device

• US 4,945,904 A
• Filed: 10/25/1989
• Issued: 08/07/1990
• Est. Priority Date: 10/25/1989
• Status: Expired due to Fees

• Current Assignee: W. L. Gore & Associates (W.L. Gore & Associates)
• Original Assignee: W. L. Gore & Associates (W.L. Gore & Associates)
• Inventors: Oden, Robert R., Zukowski, Stanislaw L., Bolton, Carl W.
• Primary Examiner(s): Yu, Mickey
• Assistant Examiner(s): BROWN, MICHAEL A
• Application Number:
  US07/427,164
• Time in Patent Office: 286 Days
• Field of Search: 606/79, 606/87, 606/88, 606/96, 606/97, 606/98, 606/104, 606/53, 606/102
• US Class Current: 606/96
• CPC Class Codes: A61B 17/1714 for applying tendons or ligaments implements for applying tendons or ligaments A61F2/0805
• CPC Class Codes: A61B 17/1764 for the knee

Abstract

An orthopedic drill guide device is described, its intended use being to locate and guide the drilling of holes in bone for the purpose of implanting tissue repair devices.

Claims

1. An orthopedic drill guide device comprising:

(a) a handle;

(b) a tibial component; and

(c) a threaded nut for securing the tibial component to the handle;

said handle having an arm with a first and second end, attached to said first end of said arm is a hollow sleeve having a longitudinal axis and a means for slideably receiving and aligning with the tibial component, attached to said second end of said arm is a pilot tube with a longitudinal axis parallel to the longitudinal axis of said hollow sleeve, said pilot tube having at one end at least one bone-engaging tooth;

said tibial component having an alignment rod with a first and second end, said alignment rod having a threaded section extending over all or part of its length beginning from said first end, said alignment rod having a longitudinal axis and engaging said slideably and receiving aligning means of the hollow sleeve of the handle in a direction parallel to the longitudinal axis of the alignment rod, said tibial component having a locating arm with a first and second end and an inner and outer edge, the first end of said locating arm being attached to the second end of said alignment rod, the second end of said locating arm being tapered to a sharp point, the inner edge of said locating arm intended to contact the posterolateral corner of the intercondylar notch of a femur bone, said inner edge contact in conjunction with the tapered point of the second end of the locating arm and a tooth of the pilot tube of the handle planarly locating said drill guide for the purpose of drilling a through-hole in a bone;

wherein the threaded section of the tibial component alignment rod is positioned in the hollow sleeve of the handle so that the means for slideably receiving and aligning the alignment rod with the hollow sleeve is engaged, the sharp pointed second end of the tibial component locating arm is positioned to engage one surface of a tibial bone and the bone engaging tooth of the tubular pilot of the handle is positioned to engage a second surface of the tibial bone, the nut being threaded onto the alignment rod threads to compressively secure the handle and tibial component to the bone for the purpose of aligning and drilling a through-hole in said tibial bone.

2. The drill guide device of claim 1 in which a hollow bullet-shaped pilot of smaller inside diameter than the pilot tube of the handle is present in the pilot tube.

3. The drill guide device of claim 2 in which said hollow bullet-shaped pilot incorporates a retaining ring that removably retains said hollow bullet-shaped pilot in the pilot tube of the handle.

4. The drill guide device of claim 1 in which said means for slideably receiving and aligning comprises the hollow sleeve of the handle and alignment rod of the tibial component having mating cross sections, said cross sections being of other than round form.

5. The drill guide device of claim 4 in which said cross sections are of square form.

6. The drill guide device of claim 1 in which said means for slideably receiving and aligning comprises a longitudinal slot cut through the wall of the hollow sleeve of the handle parallel to the axis of the hollow sleeve, and a pin protruding from the surface of the alignment rod of the tibial component, said pin intended to slideably receive and align with the slot of said hollow sleeve.

7. The drill guide device of claim 1 in which said means for slideably receiving and aligning comprises a longitudinal slot cut through the wall of the hollow sleeve of the handle parallel to the axis of the hollow sleeve, and a key protruding from the surface of the alignment rod of the tibial component, said key intended to slideably receive and align with the slot of said hollow sleeve.

22. The drill guide device of claim 1 or 8 in which said means for slideably receiving and aligning comprises mating splines cut into the interior surface of the hollow sleeve of said handle and the exterior unthreaded surface of said alignment rod, said splines oriented parallel to the axes of said hollow sleeve and alignment rod.

8. An orthopedic drill guide device comprising:

(a) a handle;

(b) a femoral component; and

(c) a threaded nut for securing the femoral component to the handle;

said handle having an arm with a first and second end, attached to said first end of said arm is a hollow sleeve having a longitudinal axis and a means for slideably receiving and aligning with the femoral component, attached to said second end of said arm is a pilot tube with a longitudinal axis parallel to the longitudinal axis of said hollow sleeve, said pilot tube having at one end at least one bone-engaging tooth;

said femoral component having an alignment rod with a first and second end, said alignment rod having a threaded section extending over all or part of its length beginning from said first end, said alignment rod having a longitudinal axis and engaging said means for slideably receiving and aligning of the hollow sleeve of the handle in a direction parallel to the longitudinal axis of the alignment rod, said femoral component having a locating rod with a first and second end, the first end of said locating rod being attached to the second end of said alignment rod at an included angle between about 40 and 60 degrees;

wherein the locating rod of the femoral component is positioned in a previously drilled through-hole in a tibial bone, the hollow sleeve of the handle is positioned over the alignment rod of the femoral component so that the means for slideably receiving and aligning the alignment rod with the hollow sleeve is engaged and the bone engaging tooth of the tubular pilot of the handle is positioned to engage a surface of a femur, the nut being threaded onto the alignment rod threads to compressively secure the handle and femoral component to the femur and tibia bones for the purpose of aligning and drilling a through-hole in the femur bone.

9. The drill guide device of claim 8 in which the locating rod of the femoral component is increased in diameter by fitting a tubular sleeve over the curved outer surface of said locating rod.

10. The drill guide device of claim 8 in which the femoral component is intended for use in locating a tissue repair device for over-the-top placement, the second end of the locating rod of said femoral component having a surface perpendicular to the axis of the alignment rod.

11. The drill guide device of claim 10 in which the included angle between the alignment rod and the locating rod of the femoral component is between about 50 and 60 degrees.

12. The drill guide device of claim 10 in which the included angle between the alignment rod and the locating rod of the femoral component is about 55 degrees.

13. The drill guide device of claim 8 in which the femoral component is intended for use in locating a tissue repair device for anatomical placement, the second end of the locating rod of said femoral component being cut away so as to provide a relieved area with a flattened surface, said surface being perpendicular to the plane through the axes of the alignment rod and locating rod, said relieved area being on the side of the locating rod adjacent to the alignment rod, said relieved area incorporating a pin lying along the axis of the pilot tube, said pin having an exposed pointed tip, said pin being of length such that the locating rod may be inserted without interference into a tibial through-hole of diameter slightly larger than the first end of the locating rod, said locating rod being of length such that the second end of said locating rod serves as a stop against the posterior outlet of the femur when the included angle between the femur and tibia are correct for drilling the femoral through-hole in proper relationship to the tibial through-hole.

14. The drill guide device of claim 13 in which the included angle between the alignment rod and the locating rod of the femoral component is between about 40 and 50 degrees.

15. The drill guide device of claim 13 in which the included angle between the alignment rod and the locating rod of the femoral component is about 45 degrees.

16. The drill guide device of claim 8 in which a hollow bullet-shaped pilot of smaller inside diameter than the pilot tube of the handle is present in the pilot tube.

17. The drill guide device of claim 16 in which said hollow bullet-shaped pilot incorporates a retaining ring that removably retains said hollow bullet-shaped pilot in the pilot tube of the handle.

18. The drill guide device of claim 8 in which said means for slideably receiving and aligning comprises the hollow sleeve of the handle and alignment rod of the femoral component having mating cross sections, said cross sections being of other than round form.

19. The drill guide device of claim 18 in which said cross sections are of square form.

20. The drill guide device of claim 8 in which said means for slideably receiving and aligning comprises a longitudinal slot cut through the wall of the hollow sleeve of the handle parallel to the axis of the hollow sleeve, and a pin protruding from the surface of the alignment rod of the femoral component, said pin intended to slideably receive and align with the slot of said hollow sleeve.

21. The drill guide device of claim 8 in which said means for slideably receiving and aligning comprises a longitudinal slot cut through the wall of the hollow sleeve of the handle parallel to the axis of the hollow sleeve, and a key protruding from the surface of the alignment rod of the femoral component, said key intended to slideably receive and align with the slot of said hollow sleeve.

23. The drill guide device of claim 8 having a cylindrical stop slideably attached to the locating rod of said femoral component.