Apparatus and method for cutting a surface at a repeatable angle

• US 5,885,293 A
• Filed: 03/03/1997
• Issued: 03/23/1999
• Est. Priority Date: 03/03/1997
• Status: Expired due to Term

• Current Assignee: Innovasive Devices Inc. (Johnson & Johnson)
• Original Assignee: Innovasive Devices Inc. (Johnson & Johnson)
• Inventors: McDevitt, Dennis
• Primary Examiner(s): Tucker, Guy V.
• Application Number:
  US08/810,649
• Time in Patent Office: 750 Days
• Field of Search: 606/102, 606/96, 606/97, 606/98, 606/86, 606/79, 606/80, 606/81, 606/82, 606/83, 606/84, 606/85, 606/87, 606/88
• US Class Current: 606/80
• CPC Class Codes: A61B 17/1635 for grafts, harvesting or transplants
• CPC Class Codes: A61B 17/1637 Hollow drills or saws producing a curved cut, e.g. cylindrical A61B10/025, A61B17/1695 take precedence
• CPC Class Codes: A61B 17/1675 for the knee
• 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

A tool for cutting surfaces at repeatable angles relative to the surface being cut is provided. In one embodiment, the tool is used for cutting a bone in a direction perpendicular to a surface of the bone. The tool includes a cylindrical bone cutter having an operable portion located at a proximal end of the cutter for cutting bone. The bone cutter has an internal surface and the internal surface defines an internal bore extending along a longitudinal axis of the cutter from a proximal end to a distal end. A probe, slidably mounted within the bore of the cutter, extends beyond the operable portion of the cutter, and is biased towards the bone surface. An indicator coupled to the probe designates the position of the probe relative to the operable portion of the cutter. When the indicator is maximally displaced away from the proximal end of the cutter, while maintaining the probe and the cutter in contact with the bone surface, the longitudinal axis of the cutter will be substantially perpendicular to the surface of the bone. At this point of maximum displacement, force may be applied to the cutter to make a cut into the bone that is orthogonal to the bone surface. Methods for using the tool are also provided.

Claims

1. A tool for cutting a surface comprising:

a cutter having an operable portion for cutting the surface;

a probe slidably disposed with respect to a longitudinal axis of the cutter for contacting the surface in a region of the operable portion of the cutter; and

an indicator coupled to the probe, the indicator designating an angular orientation of the surface relative to the longitudinal axis of the cutter.

2. The tool according to claim 1, wherein the cutter comprises any of a cannulated drill and a cannulated rod.

3. The tool according to claim 2, wherein the operable portion of the cutter is at a proximal end of the cutter and the probe extends from beyond the proximal end of the cutter to a distal end of the cutter.

4. The tool according to claim 1, wherein the probe comprises a tip extending beyond the operable portion of the cutter.

5. The tool according to claim 4, wherein the tip of the probe is substantially coaxial with the probe.

6. The tool according to claim 5, wherein the tip extends at least 0.15 inches beyond the proximal end of the probe.

7. The tool according to claim 1, wherein the cutter includes an internal surface defining an internal bore extending along the longitudinal axis of the cutter, and a proximal end of the probe slides within the internal bore of the cutter.

8. The tool according to claim 1 further comprising biasing means coupled between a housing connected to the cutter and the probe for biasing the probe towards the surface.

9. The tool according to claim 1, further comprising a housing mounted to the bone cutter for restraining the indicator and containing a distal end of the probe.

10. The tool according to claim 9, wherein the housing includes a clip for attaching the housing on the cutter.

11. The tool according to claim 10, wherein the cutter includes a handle positioned such that the clip attaches to the handle.

12. The tool according to claim 9, wherein the housing includes a cylinder located at a distal end of the tool and adapted to receive force for driving the cutter into the surface.

13. The tool according to claim 12 wherein the indicator is a ring slidably mounted on an outside surface of the cylinder.

14. The tool according to claim 13, wherein the distal end of the probe includes a pin attached to the indicator through at least one longitudinal slot in the cylinder.

15. The tool according to claim 13, wherein the cylinder includes indicia that indicates the level of the surface contacted by the probe and designated by the indicator.

16. A tool for cutting bone comprising:

a bone cutter having an operable portion for cutting a bone;

a probe slidably disposed with respect to a longitudinal axis of the cutter for contacting a surface of the bone in a region of the operable portion of the bone cutter; and

an indicator coupled to the probe, the indicator designating an angular orientation of the surface relative to the longitudinal portion of the bone cutter.

17. The tool according to claim 16, wherein the cutter comprises any of a cannulated drill and a cannulated rod.

18. The tool according to claim 17, wherein the operable portion of the cutter is at a proximal end of the cutter and the probe extends from beyond the proximal end of the cutter to a distal end of the cutter.

19. The tool according to claim 16, wherein the probe comprises a tip extending beyond the operable portion of the cutter.

20. The tool according to claim 19, wherein the tip of the probe is substantially coaxial with the probe.

21. The tool according to claim 20, wherein the tip extends at least 0.15 inches beyond the proximal end of the probe.

22. The tool according to claim 16, wherein the cutter includes an internal surface defining an internal bore extending along the longitudinal axis of the cutter, and a proximal end of the probe slides within the internal bore of the cutter.

23. The tool according to claim 16, further comprising biasing means coupled between a housing connected to the cutter and the probe for biasing the probe towards the surface.

24. The tool according to claim 16, further comprising a housing mounted to the bone cutter for restraining the indicator and containing a distal end of the probe.

25. The tool according to claim 24, wherein the housing includes a clip for attaching the housing on the bone cutter.

26. The tool according to claim 25, wherein the bone cutter includes a handle positioned such that the clip attaches to the handle.

27. The tool according to claim 24, wherein the housing includes a cylinder located at a distal end of the tool and adapted to receive force for driving the bone cutter into the bone.

28. The tool according to claim 27, wherein the indicator is a ring slidably mounted on an outside surface of the cylinder.

29. The tool according to claim 28, wherein the distal end of the probe includes a pin attached to the indicator through at least one longitudinal slot in the cylinder.

30. The tool according to claim 28, wherein the cylinder includes indicia that indicate the level of the surface contacted by the probe and designated by the indicator.

31. A tool for cutting bone in a direction substantially normal to a bone surface comprising:

a cylindrical bone cutter having an operable portion at a proximal end for cutting the bone;

a probe mounted within the cutter and slidable along a longitudinal axis of the cutter for contacting the bone surface;

a cylindrical housing connected to a distal end of the probe;

biasing means coupled between the cylindrical housing and the probe for biasing the probe beyond the proximal end of the cutter towards the bone surface;

an indicator connected to an outside surface of the cutter and connected to the cylindrical housing, the indicator slidably movable along the bone cutter and the cylindrical housing; and

a pin disposed within a longitudinal slot in the cutter, the pin connecting the probe to the indicator;

wherein when the probe and the operable portion of the cutter are in contact with the bone surface, a longitudinal axis of the cutter is approximately perpendicular to the bone surface when the indicator is maximally displaced away from the proximal end of the cutter.

32. The tool of claim 31, wherein the probe includes a body and a tip, the probe tip extending beyond a proximal end of the probe body towards the bone surface.

33. The tool of claim 32, wherein the tip is coaxial with the longitudinal axis of the cutter.

34. The tool of claim 33, wherein the tip extends at least 0.15 inches beyond the proximal end of the probe.

35. The tool of claim 34, wherein the tip is cylindrical and has a diameter less than 0.06 inches.

36. A tool for cutting bone comprising:

a drill having a drill bit with an operable portion for cutting the bone;

a probe surrounding the drill bit and slidable with respect to the bit along a longitudinal axis of the bit for contacting a surface of the bone in a region of the operable portion of the bit; and

an indicator coupled to the probe, the indicator designating an angular orientation of the surface relative to the longitudinal axis portion of the bit.

37. The tool according to claim 36, wherein the operable portion of the bit is at a proximal end of the bit and the probe is extendable beyond the proximal end of the bit.

38. The tool according to claim 36, wherein the probe comprises a cylinder having an internal surface defining a bore which extends from a proximal end to a distal end of thereof.

39. The tool according to claim 38, wherein the bit is arranged within the bore of the probe.

40. The tool according to claim 39, further comprising biasing means coupled between a housing connected to the drill and the probe for biasing the probe towards the surface.

41. The tool according to claim 36, further comprising a housing mounted to the drill for restraining the indicator and containing a distal end of the probe.

42. The tool according to claim 41, wherein the housing includes a clip for attaching the housing on the drill.

43. The tool according to claim 41, wherein the housing includes indicia that indicates the level of the surface contacted by the probe and designated by the indicator.

44. A tool for orientation on a bone surface comprising:

a tube cutting having a first end for contacting the bone surface;

a probe slidably disposed with respect to a longitudinal axis of the tube for contacting a surface of the bone in a region of the first end of the tube; and

an indicator coupled to the probe, the indicator designating an angular orientation of the relative to a surface of the bone the longitudinal axis of the tube.

45. The tool according to claim 44, wherein the tube is cylindrical.

46. The tool according to claim 45, wherein the probe extends beyond the first end of the tube towards the bone surface.

47. The tool according to claim 45, wherein the probe comprises a tip and a body, the tip extending beyond the first end of the tube.

48. The tool according to claim 47, wherein the tip of the probe is substantially coaxial with the probe.

49. The tool according to claim 48, wherein the tip extends at least 0.15 inches beyond the body of the probe.

50. The tool according to claim 44, wherein the tube includes an internal surface defining an internal bore extending along a longitudinal axis of the cutter, and a proximal end of the probe slides within the internal bore of the tube.

51. The tool according to claim 50, wherein the probe is removable from the bore of the tube such that an instrument may be placed within the bore.

52. The tool according to claim 51, wherein the instrument comprises any of a cannulated drill and a cannulated rod.

53. The tool according to claim 44, further comprising biasing means coupled between a housing connected to the tube and the probe for biasing the probe towards the bone surface.

54. The tool according to claim 44, further comprising a housing mounted to the tube for restraining the indicator and containing a distal end of the probe.

55. The tool according to claim 54, wherein the housing includes a clip for attaching the housing on the tube.

56. The tool according to claim 55, wherein the tube includes a handle positioned such that the clip attaches to the handle.

57. The tool according to claim 56, wherein the indicator is a ring slidably mounted on an outside surface of the cylinder.

58. The tool according to claim 57, wherein the distal end of the probe includes a pin attached to the indicator through at least one longitudinal slot in the cylinder.

59. The tool according to claim 58, wherein the cylinder includes indicia that indicates the level of the surface contacted by the probe and designated by the indicator.

60. A tool for cutting a surface comprising:

a cutter having an operable portion for cutting the surface;

a plurality of probes slidably disposed with respect to a longitudinal axis of the cutter for contacting the surface in a region of the operable portion of the cutter; and

an indicator coupled to at least one of the probes, the indicator designating an angular orientation of the surface contacted by that probe relative to the longitudinal axis of the cutter.

61. The tool according to claim 60, wherein the operable portion of the cutter is at a proximal end of the cutter and at least one of the probes extends from beyond the proximal end of the cutter to a distal end of the cutter.

62. The tool according to claim 60, wherein at least one of the probes comprises a tip extending beyond the operable portion of the cutter.

63. The tool according to claim 62, wherein the tip of the at least one probe is substantially coaxial with that probe.

64. The tool according to claim 63, wherein the tip extends at least 0.15 inches beyond the proximal end of the at least one probe.