Bone-tendon-bone drill guide

• US 5,697,933 A
• Filed: 12/18/1995
• Issued: 12/16/1997
• Est. Priority Date: 12/18/1995
• Status: Expired due to Fees

• Current Assignee: Weber Lifttechnik GmbH
• Original Assignee: Medicinelodge, Inc (Nelso Antolotti)
• Inventors: Goble, E. Marlowe, Chervitz, Alan, Gundlapalli, Ramarao
• Primary Examiner(s): Tucker, Guy V.
• Application Number:
  US08/574,398
• Time in Patent Office: 729 Days
• Field of Search: 606/96, 606/97, 606/98, 606/86, 606/88, 606/90, 606/79, 606/102, 606/206, 606/205, 606/207, 606/208
• 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: A61F 2/0811 Fixation devices for tendons or ligaments
• CPC Class Codes: A61F 2002/087 Anchor integrated into tendons, e.g. bone blocks, integrated rings
• CPC Class Codes: A61F 2240/001 Designing or manufacturing processes

Abstract

A bone-tendon-bone drill guide for use is guiding drilling to form a pair of transverse holes through a bone end of a bone-tendon-bone ligament graft to receive a suture or sutures threaded therethrough to form a suture sling or craddle supporting the bone end as the suture are pulled into a tunnel section of a straight that has been formed into a patient'"'"'s bone. The drill guide includes a pair of scissor arms connected at a pivot that are formed to where moving of lower hand engaging portions of the arms together also moves upper ends of the arms together whereacross opposing jaws are maintained. The jaws each include curved surface therealong for engaging a bone end fitted therebetween and each preferably includes spikes that extend from a jaw face for engaging, to hold in place, the bone end as a drill is turned through straight drill guide holes formed through a jaw to form transverse holes through the bone end, with the drill to exit the bone end and pass through openings formed through the other jaw. To lock the jaws in place, the drill guide further includes a straight brace that is pivotally connected to the lower end of one scissoring arm to pivot an edge thereof into alignment with a single tooth that extends from the bottom end of the other scissoring arm, the straight brace including a series of teeth formed along its edge to engage the single tooth and is spring biased to urge the series of teeth against the single tooth, urging a meshing engagement therebetween.

Claims

1. A bone-tendon-bone drill guide comprising, a pair of scissor arms connected together by a pivot whereby moving together of lower hand engaging portions of said scissor arms moves scissor arm top ends together;

a pair of opposing first and second jaw means that are each mounted at approximately their horizontal center to extend across and at approximately a ninety (90) degree angle to a scissor arm top end and each jaw means having a half cylindrical surface formed along its longitudinal axis that are in opposition to one another forming, when said scissor arm top ends are closed together essentially an open cylinder;

a pair of parallel drill guide means mounted at spaced points along a longitudinal axis of said first jaw means each having a guide hole formed therethrough with the other or second jaw means including like openings therethrough that each align with one of said drill guide means guide holes and have a greater diameter than each said guide hole; and

means for locking in place said scissoring arms after said jaw means have been closed together over an item to be drilled.

2. A bone-tendon-bone drill guide as recited in claim 1, further including spike means mounted to extend outwardly from each first and second jaw means opposing face for engaging a bone end of a ligament graft when said first and second jaw means are closed thereon.

3. A bone-tendon-bone drill guide as recited in claim 2, wherein a pair of spike means are mounted to extend from the first jaw means half cylindrical surface along its longitudinal axis and each is adjacent to one of the drill holes and is proximate to an end of said first jaw means;

and a single spike means is mounted in the second jaw means, centered between the openings formed therethrough.

4. A bone-tendon-bone drill guide as recited in claim 1, further including scale markings scribed at spaced intervals along an edge of a top surface of the first or second jaw means.

5. A bone-tendon-bone drill guide as recited in claim 1, wherein the drill guide means are a pair of identical short cylindrical sections that are each secured to an outer or top surface of the first jaw means opposite to its half cylindrical surface wherethrough the guide holes are formed.

6. A bone-tendon-bone drill guide as recited in claim 1, wherein the means for locking the scissoring arms in place is a straight brace that is pivotally connected on one end to a bottom end section of the first of the pair of scissor arms, whereby the straight brace can pivot so as to align a brace edge with a bottom end section of the other or second scissor arm wherefrom a single tooth means extends;

and forming a series of teeth means along said brace edge that will travel along said single tooth as the scissoring arms lower hand engaging portions are moved towards one another, with one of said series of teeth to slide into engagement with said single tooth, maintaining the positioning of said scissoring arms and the opposing jaw means.

7. A bone-tendon-bone drill guide as recited in claim 6, further including a spring means for biasing the edge of the straight brace at its pivot coupling to the end of the first scissor arm towards the single tooth that extends from the second scissor arm bottom end section.

8. A bone-tendon-bone drill guide as recited in claim 7, wherein the spring means is straight steel rod that is connected at a bottom end to an undersurface of the first scissoring arm lower portion bottom end, and is bent slightly outwardly therefrom, and includes an upper end that is fitted through an outstanding post that is mounted to said first scissoring arm lower hand engaging portion proximate to the bottom end thereof, the post to include a longitudinal slot formed therein that the straight brace end is fitted into, and includes a pin fitted through aligned holes formed through side of said longitudinal slot and straight brace end as the pivot coupling, the said steel rod upper end to engage a rounded end of said straight brace adjacent to said pivots whereby, when said straight brace is pivoted across said scissoring arms lower portions, said steel rod will provide a spring biasing to said straight brace to urge the straight brace edge wherein the series of teeth are formed against the single tooth.

9. A bone-tendon-bone drill guide as recited in claim 7, further including a section of spaced markings indicative of distance formed along a surface of the straight brace, opposite to a section of the series of teeth that will engage the single tooth that functions as a pointer that aligns with a line from one of each of said spaced markings that is in alignment with one of the series of teeth that said single tooth is in meshing engagement with, said spaced markings to indicate the distance between the jaw means opposing half cylindrical surfaces.