Orthopaedic cutting instrumentation with cam locking arrangement

• US 5,683,396 A
• Filed: 02/20/1996
• Issued: 11/04/1997
• Est. Priority Date: 02/20/1996
• Status: Expired due to Fees

• Current Assignee: Smith & Nephew Richards Incorporated (Smith & Nephew PLC)
• Original Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Inventors: Tokish, Leonard J., Roberson, Raymond H., Marik, Gregory C., Salehi, Abraham B., Schumacher, Brian, Lackey, Jennifer J.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): Shai, Daphna
• Application Number:
  US08/603,630
• Time in Patent Office: 623 Days
• Field of Search: 606/82, 606/86, 606/87, 606/88, 606/89, 606/96, 606/79
• US Class Current: 606/87
• CPC Class Codes: A61B 17/154 for preparing bone for knee prosthesis
• CPC Class Codes: A61B 17/155 Cutting femur
• CPC Class Codes: A61B 17/157 Cutting tibia

Abstract

A knee cutting instrument apparatus includes an elongated alignment rod that can enable a surgeon to define alignment with a patient'"'"'s long bone. An instrument block body can slide upon the alignment rod between its end portions. A locking member forms a connection with the rod at a selected position along the rod. The locking member includes a cam locking arrangement that rotates about a pivot on the instrument body. The cam has a handle portion or arm that enables a user to rotate the cam and its locking tab about its pivot. Part of the locking cam includes a locking tab having a slot that extends circumferentially about ninety degrees (90°) around the pivot of the cam. The slot is positioned radially in between the pivot and the periphery of the locking member at a locking member bearing surface. The slot provides a closed end portion and an open end portion that communicates with the locking member periphery at a positioned spaced away from the bearing surface. The slot is preferably sufficient long enough that it extends circumferentially the full length of the bearing surface.

Claims

1. A knee cutting instrument comprising:

a) an alignment rod for defining alignment with a patient'"'"'s long bone;

b) a cutting instrument that slides upon the alignment rod;

c) a locking member that forms a connection with the rod at a selected position along the rod, the locking member including a cam member that rotates about a pivot on the cutting instrument, said cam member having a body with an arm for enabling a user to move the cam;

d) the locking member including a portion with a bearing surface that engages the rod, said portion having a slot that extends about the pivot in between the pivot and the periphery of the locking member; and

e) the slot having a closed end portion and an open end portion that communicates with the locking member periphery.

2. The knee cutting instrument of claim 1 wherein the slot extends at least ninety degrees about the pivot.

3. The knee cutting instrument of claim 1 wherein the slot has a curved portion.

4. The knee cutting instrument of claim 1 wherein the locking member has opposed flat surfaces and the slot communicates with each of the opposed flat surfaces.

5. The knee cutting instrument of claim 1 wherein the locking member has a center of rotation defined by the pivot, and the arm extends farther from the pivot point than the bearing surface.

6. The knee cutting instrument of claim 1 wherein the slot is between about 0.006 and 0.100 inches in thickness.

7. The knee cutting instrument of claim 1 wherein the slot has an "S"-shaped portion.

8. The knee cutting instrument of claim 1 wherein the slot is about 0.014 inches in thickness.

9. The knee cutting instrument of claim 1 wherein the rod has a flat, longitudinally extending surface thereon.

10. The knee cutting instrument of claim 1 wherein the open end of the slot is spaced away from the bearing surface.

11. A knee cutting instrument comprising:

a) an alignment rod having rod end portions and a linear axis that can be used by a surgeon to define alignment with a patient'"'"'s long bone;

b) a knee cutting instrument guide that slides upon the alignment rod between the rod end portions;

c) said guide including a locking member that forms a connection with the rod at a selected position along the rod, the locking member including a cam member that rotates about a pivot on the cutting instrument, said cam member having a body with an arm for enabling a user to move the cam member and a locking portion with a bearing surface that engages the rod, said locking portion of the locking member having a curved slot that extends about the pivot in between the pivot and the periphery of the locking member; and

d) the curved slot having a closed end portion and a variable radius of curvature.

12. The knee cutting instrument of claim 11 wherein locking portion has a bearing surface at the slot.

13. The knee cutting instrument of claim 12 wherein the slot extends continuously along the bearing surface.

14. The knee cutting instrument of claim 12 wherein the locking member has a center of rotation defined by the pivot, and the arm extends along a first radial line a distance that is farther from the pivot than the distance that the bearing surface extends from the pivot.

15. The knee cutting instrument of claim 12 wherein the rod has a flat, longitudinally extending rod surface thereon, and the bearing surface engages the rod at the flat rod surface.

16. The knee cutting instrument of claim 11 wherein the locking member has opposed flat surfaces and the slot communicates with each of the flat opposed surfaces.

17. The knee cutting instrument of claim 11 wherein the slot is between about 0.006 and 0.100 inches in thickness.

18. The knee cutting instrument of claim 11 wherein the slot has an "S"-shaped portion.

19. The knee cutting instrument of claim 11 wherein the slot is about 0.014 inches in thickness.

20. The knee cutting instrument of claim 11 wherein the open end of the slot is spaced away from the bearing surface.

21. An orthopaedic instrument comprising:

a) a pair of orthopaedic instruments, a first of said instruments having a locking member;

b) wherein the first instrument is movable along a second of the instruments into different positions;

c) wherein the locking member secures the pair of instruments together in a selected position of one instrument relative to the other instrument;

d) the locking member including a cam member that rotates about a pivot on the first instrument, said cam member having a body with an arm that enables a user to rotate the cam between engaged and disengaged positions;

e) the locking member having a locking portion with a periphery that includes a bearing surface that engages the second instrument;

f) a slot that extends generally about the pivot and generally in between the pivot and periphery of the locking member;

g) said slot having a closed end portion; and

h) wherein when the locking member is engaged, the bearing surface is in contact with the second instrument.

22. The orthopaedic instrument of claim 21 wherein the slot has an open end portion.

23. The orthopaedic instrument of claim 22 wherein the slot open end portion is spaced away from the bearing surface.

24. The orthopaedic instrument of claim 21 wherein the locking member orients in the same predetermined position when in the engaged position.

25. An orthopaedic instrument comprising:

a) a pair of orthopaedic instruments, a first of said instruments having a locking member;

b) wherein the first instrument is movable along a second of the instruments into different positions;

c) wherein the locking member secures the pair of instruments together in a selected position of one instrument relative to the other instrument;

d) the locking member including a cam member that rotates about a pivot on the first instrument, said cam member having a body with an arm that enables a user to rotate the cam between engaged and disengaged positions;

e) the locking member having a locking portion with a periphery that includes a bearing surface that engages the second instrument;

f) a slot that extends generally about the pivot and generally in between the pivot and periphery of the locking member;

g) said slot having a closed end portion;

h) wherein when the locking member is engaged, the bearing surface is in contact with the second instrument; and

i) wherein the locking member includes means for enabling the locking member to surpass a critical peak force at a selected point of travel along its range of motion in between disengaged and the engaged positions, and once the selected point of travel is reached, an applied force prevents further travel of the locking member.

26. An orthopaedic instrument comprising:

a) a pair of orthopaedic instruments, a first of said instruments having a locking member;

b) wherein the first instrument is movable along a second of the instruments into different positions;

c) wherein the locking member secures the pair of instruments together in a selected position of one instrument relative to the other instrument;

d) the locking member including a cam member that rotates about a pivot on the first instrument, said cam member having a body with an arm that enables a user to rotate the cam between engaged and disengaged positions;

e) the locking member having a locking portion with a periphery that includes a bearing surface that engages the second instrument;

f) a slot that extends generally about the pivot and generally in between the pivot and periphery of the locking member;

g) said slot having a closed end portion;

h) wherein when the locking member is engaged, the bearing surface is in contact with the second instrument; and

i) wherein said slot allows deflection of a portion of the locking member upon actuation of the locking member to the engaged position until a peak deflection is surpassed, and wherein any additional deflection applies to a force preventing further cam motion beyond the engaged position.