Surgical instrument set

• US 4,997,432 A
• Filed: 03/14/1989
• Issued: 03/05/1991
• Est. Priority Date: 03/23/1988
• Status: Expired due to Term

• Current Assignee: Waldemar Link GmbH & Co. KG
• Original Assignee: Waldemar Link GmbH & Co. KG
• Inventors: Keller, Arnold
• Primary Examiner(s): Hafer, Robert A.
• Assistant Examiner(s): BROWN, MICHAEL A
• Application Number:
  US07/323,939
• Time in Patent Office: 721 Days
• Field of Search: 128/92 VZ, 128/92 V, 128/92 VT, 128/92 YM, 128/303 R, 128/321, 128/345, 128/20, 623/17, 606/53, 606/61, 606/99, 606/100, 606/205-209
• US Class Current: 623/17.11
• CPC Class Codes: A61B 17/025 Joint distractors
• CPC Class Codes: A61B 17/2804 with two or more pivotal connections A61B17/29 takes precedence
• CPC Class Codes: A61B 2017/0256 for the spine
• CPC Class Codes: A61F 2/4425 made of articulated components
• CPC Class Codes: A61F 2/4611 of spinal prostheses
• CPC Class Codes: A61F 2002/30642 having a single rolling (or sliding) ball articulating between two cups
• CPC Class Codes: A61F 2002/30663 multiaxial, e.g. biaxial; multipolar, e.g. bipolar or having an intermediate shell articulating between the ball and the socket
• CPC Class Codes: A61F 2002/3082 Grooves
• CPC Class Codes: A61F 2002/30841 Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes
• CPC Class Codes: A61F 2002/30892 parallel
• CPC Class Codes: A61F 2002/443 having two transversal endplates and at least one intermediate component
• CPC Class Codes: A61F 2002/4622 having the shape of a forceps or a clamp
• CPC Class Codes: A61F 2002/4627 with linear motion along or rotating motion about the instrument axis or the implantation direction, e.g. telescopic, along a guiding rod, screwing inside the instrument
• CPC Class Codes: A61F 2002/4628 with linear motion along or rotating motion about an axis transverse to the instrument axis or to the implantation direction, e.g. clamping

Abstract

The surgical instrument set for the insertion of intervertebral endoprostheses, which consist of two stop plates and a sliding core to be arranged between them, is characterized in that it has spreading forceps (9) which have, at their front end on each spreading jaw (10, 11), an essentially U-shaped recess surrounding one stop plate on three sides and gripping the edge, the thickness of the spreading jaws (10, 11) in the spreading direction being essentially identical to the thickness of the stop plates.

Claims

1. A surgical set for the insertion of an endoprosthesis into a space between two vertebral bodies, comprising in combination:

an endoprosthesis having two stop plates to be secured in said space and a sliding core to be arranged between the plates, each plate having a peripheral edge; and

a spreading forceps (9) which have a front end formed as spreading jaws, each spreading jaw (10,

     11) having a substantially U-shaped recess (19) surrounding one stop plate (3) on three sides and gripping the peripheral edge of the stop plate, the thickness of the two spreading jaws (10,

     11) in the spreading direction being substantially identical to the thickness of the two stop plates (3) when secured in the spaces between the vertebral bodies.

2. The surgical instrument set according to claim 1, characterized in that the spreading jaws (10, 11) are provided, in the area of the inner sides of the legs of the U, with grooves (20) for receiving the stop plates (3), which grooves are arranged in a plane perpendicular to the spreading direction.

3. The surgical instrument set according to claim 2, characterized in that the grooves (20) have bevelled walls.

4. The surgical instrument set according to claim 1, characterized in that, on each spreading jaw (10, 11), a resiliently yielding catch (21) is provided at a front end of a groove.

5. The surgical instrument set according to claim 1, characterized in that the spreading jaws (10, 11) are connected to a scissor-like parallel guide (12).

6. The surgical instrument set according to claim 1, characterized in that the spreading forceps (9) have a detachable notch device (16, 17) for holding a selected spread position of the spreading jaws.

7. The surgical instrument set according to claim 1, characterized in that the spreading forceps (9) are provided, in the area of the spreading jaws (10, 11), with means defining a contact surface, oriented substantially transverse to the direction of insertion, for engaging a substantially rod-shaped driving-in instrument (32).

8. The surgical instrument set according to claim 1, characterized in that the set includes a substantially screw-driver-like rod-shaped element (36) which bears, at its one end, a hand grip (37), and in that the other end has the form of an oblong plate (38).

9. The surgical instrument set according to claim 1, characterized in that the set includes a holding instrument (23) which is rod-shaped with front and back ends, and is provided, at the front end, with resilient holding elements (24, 25) for surrounding a sliding core (4) at the core periphery over an angular range of more than 180°

.

10. The surgical instrument set according to claim 9, characterized in that two holding elements (24, 25) are provided which are connected integral with each other, extend in each case over an angular range of approximately 90°

and are connected to a bar (29) which extends through the holding instrument (23) designed in tube form (at

     28), in that the holding elements (24,

     25) bear against the inside of the tube end by means of oblique surfaces (30) diverging from each other towards the front, and in that at the other end a screw arrangement (26) is provided for exerting a tensile force on the bar (29).

11. The surgical instrument set according to claim 1, characterized in that the set includes a bar-shaped element (39) on which a model of a sliding core is attached at the front.

12. The surgical instrument set according to claim 11, characterized in that the set has various sizes of forceps and models of a sliding core.

13. The combination comprising a surgical forceps and an intervertebral device having two stop members each having a stop plate for bearing against a respective vertebral body, wherein each stop plate has an external edge along at least two opposed lateral sides, and wherein said forceps includes two opposed, elongated spreading jaws for simultaneously carrying said two stop members, respectively, each spreading jaw having a thickness in the spreading direction and defining a substantially U-shaped recess adapted to surround one of the stop plates on three sides and to engage the edge of said one plate, the thickness in the spreading direction of the spreading jaw which defines said recess being substantially identical to the thickness of said one stop plate, whereby the two stop members can be intervertebrally inserted simultaneously with the jaws and the spreading force of the jaws can be transmitted through the plates to the respective vertebral bodies.

14. The surgical forceps of claim 13, wherein each spreading jaw is provided, on the inside surfaces of the lateral legs of the U, with grooves lying on a plane perpendicular to the spreading direction, for receiving the external edges of a stop plate.

15. A surgical instrument set for insertion of an endoprosthesis in the space between two vertebral bodies, comprising:

an endoprosthesis having two stop plates and a sliding core to be arranged between the plates, each stop plate having a portion of given thickness to occupy some of said space and an external edge along at least two opposed lateral sides of said portion;

a forceps having,

a pair of opposed, elongated, substantially parallel spreading jaws for carrying said two stop plates simultaneously, each spreading jaw defining a substantially U-shaped recess adapted to surround said first portion of one stop plate on three sides and to engage the respective external edge, the thickness in the spreading direction of the spreading jaw which defines said recess being substantially no greater than the thickness of said portion of the respective stop plate and

means for spreading the jaws in parallel while the stop plates are carried thereon in said space and against said vertebral bodies to separate the stop plates; and

a holding member for sliding a core between the separated stop plates, the holding member including a substantially rod like handle and a pair of resilient holding elements for surrounding the sliding core periphery over an angular range greater than 180 degrees.

16. The surgical instrument set of claim 15, wherein each spreading jaw is provided, on the inside surfaces of the lateral legs of the U, with grooves lying on a plane perpendicular to the spreading direction, for receiving the external edges of a stop plate.

17. A surgical instrument set for the insertion of an intervertebral endoprostheses between two axially spaced apart vertebral bodies defining opposed vertebral surfaces, comprising:

two stop plates to be inserted into the space between and secured to the opposed surfaces of said bodies, each plate having projection means on one side for penetrating one of the vertebral surfaces, substantially planar load transfer means for bearing against said one surface, said load transfer means having a peripheral edge, and wall means defining a socket on the other side of the plate;

forceps having two jaws for carrying two respective stop plates one on top of the other for insertion into the space between the bodies, the jaws being hinged to spread the plates axially part in parallel in said space and against said surfaces, each jaw including generally U-shaped means for supporting one of the stop plates by the peripheral edge such that the plate sockets face each other, the U-shaped means having a thickness in the spreading direction substantially equal to the thickness of the load transfer means and the wall means; and

a sliding core for insertion between the wall means after the plates have been spread apart axially by the jaws.