Applicator device for controllably injecting a surgical cement into bones

• US 6,676,663 B2
• Filed: 07/19/2001
• Issued: 01/13/2004
• Est. Priority Date: 07/19/2001
• Status: Expired due to Fees

• Current Assignee: Antonio Pérez Higueras, Tomás Martín Valdiviesa
• Original Assignee: Antonio Pérez Higueras, Tomás Martín Valdiviesa
• Inventors: Higueras, Antonio Pérez, Valdiviesa, Tomás Martín
• Primary Examiner(s): Philogene, Pedro
• Assistant Examiner(s): BONDERER, DAVID A
• Application Number:
  US09/908,989
• Publication Number:
  US 20030018339A1
• Time in Patent Office: 908 Days
• Field of Search: 606/92, 606/93, 606/94, 128/DIG.12, 222/390, 604/97.02, 604/97.01, 604/135, 604/152, 604/154, 604/155, 604/187, 604/197, 604/199, 604/207, 604/208, 604/211, 604/218
• US Class Current: 606/93
• CPC Class Codes: A61B 17/3472 for bones, e.g. intraosseus injections
• CPC Class Codes: A61B 17/8822 characterised by means facilitating expulsion of fluid from the introducer, e.g. a screw pump plunger, hydraulic force transmissions, application of vibrations or a vacuum
• CPC Class Codes: A61B 17/8833 Osteosynthesis tools specially adapted for handling bone cement or fluid fillers; Means for supplying bone cement or fluid fillers to introducing tools, e.g. cartridge handling means
• CPC Class Codes: A61F 2/44 for the spine, e.g. vertebrae, spinal discs
• CPC Class Codes: A61F 2/4601 for introducing bone substitute, for implanting bone graft implants or for compacting them in the bone cavity
• CPC Class Codes: A61F 2310/00353 Bone cement, e.g. polymethylmethacrylate or PMMA

Abstract

An applicator device for controllable injecting a cement into bones, particularly, in percutaneous vertebroplasty, comprising an elongated body with an inner axial cavity, a guiding block having an inner thread closing a first end of the axial cavity, a rotatable spin having a central outer thread portion and a distal end emerging from an axial cavity through the guiding block, the spin being axially movable within the axial cavity when being rotated, a syringe holder compartment for tightly holding a syringe body within an axial space being in axial continuation of the axial cavity, the syringe holding compartment comprising a hollow body being releasably fastened by fastening means within at least an end portion of said axial cavity, and at least a first axial rib outwardly protruding from the hollow body, the first axial rib fitting within a complementary first axial slot in said end portion of the axial cavity.

Claims

1. An applicator device for controllably injecting a cement into a bone, the device comprising

an elongated body having a first end portion, a second end portion, a first side wall, a second side wall, and a bottom portion,

an axial space between the first side wall, the second side wall and the bottom portion, the axial space having a first end and a second end,

a guiding block closing the first end of the axial space and located at said second end portion, the guiding block having an inner path with an inner thread,

a rotatable spin having an outer threaded portion, a distal end emerging from the axial space by the first end of the axial space through the inner path of the guiding block, and a proximal end protruding into the axial space, the spin being axially movable within the axial space when being rotated within the inner thread of the guiding block, said proximal end pressing a plunger into a syringe body when said pin is screwed into said axial space,

a syringe holder compartment, for holding the syringe body having an open insertion end for insertion of the plunger, and an outlet end with a tubular outlet, the syringe body containing the cement,

wherein the syringe holder compartment is a hollow body being releasably fastened by fastening means to said second end portion of said elongated body and comprising

an axial inner cavity being in axial alignment with said axial space,

an open end for insertion of the syringe body by its outlet end, and

an abutment end for abutment thereagainst of the outlet end of the syringe body, the abutment end having an opening for said tubular outlet to protrude out of the hollow body, and wherein the fastening means comprise

an axial rib downwardly protruding from the hollow body, the axial rib fitting within a complementary axial recess within said bottom portion at said second end portion of the elongated body,

at least two lateral projections emerging respectively from lateral portions of said rib, said projections respectively fitting within holding slots in opposed wall portions of said recess,

whereby the holding slots respectively comprise at least first sections that extend into the wall portions in a direction being at least perpendicular to said axial space such that when said projections are fitted within said holding slots, axial movement of the hollow body towards said second end of the elongated body is prevented.

2. An applicator device according to claim 1, wherein said holding slots are angular slots respectively comprising, in addition to said first sections, second sections being coaxial with said axial space and extending towards said second end of the elongated body.

3. An applicator device according to claim 1, wherein said guiding block for said spin, fixed within said axial space, to said first end portion of said bottom portion of said elongated body.

4. An applicator device according to claim 1, wherein said guiding block or said spin, comprises a main body and a protruding portion emerging from the main body, said protruding portion fitting within a hole in said first end portion of said bottom portion.

5. An applicator device according to claim 1, wherein said guiding block for said spin comprises a main body and a protruding portion emerging from the main body, said protruding portion fitting within a hole in said first end portion of said bottom portion, and wherein said protruding portion is releasably blocked in said hole by blocking means, the blocking means comprising

a straight passage extending through said bottom portion of the elongated body from one side surface to an opposite side surface, said passage comprising a section having an open side section coinciding with said hole,

a least one recess in the protruding portion, said lateral recess facing the open side section of the passage,

a blocking bolt fitting within the passage, the bolt having a first bolt head and a second bolt head for retaining the bolt within the passage, and a narrowed portion,

the bolt being slidable within said passage between a blocking position in which the narrowed portion of said protruding portion is not located in said open side section of the passage so that the bolt fits within said lateral recess, and a release position in which said narrowed portion is located in said open side section such that said protruding portion may be extracted from said hole,

a helicoidal spring arranged around the bolt between said first bolt head and said passage for resiliently holding the bolt in the blocking position.

6. An applicator device according to claim 5, wherein said straight passage has a first widened end portion for at least partially housing said helicoidal spring and a second widened end portion for housing said second bolt head.

7. An actuator device according to claim 1, wherein said spin comprises a first half section comprising said proximal end and a first half of said outer threaded portion and a second half section comprising said distal end and a second half of said outer threaded portion, the first half and the second half being symmetric with regard to an axis being perpendicular in respect of a longitudinal axis of the spin, and wherein said distal end of the spin is releasably coupled to a rotating knob.

8. An applicator device according to claim 7, wherein the spin further comprises a first polygonal portion between said proximal end and the outer thread, and a second polygonal portion between said distal end and said outer thread.

9. An applicator device according to claim 1, wherein the spin further comprises a polygonal portion between said distal end and said outer thread.

10. An applicator device according to claim 1 wherein said proximal end of the spin is convex.

11. An applicator device according to claim 1, wherein said distal end of the spin convex.

12. An applicator device according to claim 1, wherein said distal end of the spin is fixedly coupled to a rotating knob.

13. An applicator device according to claim 1, wherein said distal end of the spin is releasably coupled to a rotating knob.

14. An applicator device according to claim 1, wherein said plunger has an end widened end portion which is radially guided within said axial space.

15. An applicator device according to claim 1, wherein said hollow body comprises elongated axial slot penetrating through at least one wall portion selected among an upper and lateral wall portions of said hollow body, said axial being coaxial to the axial cavity.

16. An applicator device, for controllably injecting a cement into a bone, the device comprising

an elongated body having a first end portion, a second end portion, a first side wall, a second side wall, and a bottom portion,

an axial space between the first side wall, the second side wall and the bottom portion, the axial space having a first end and a second end,

a guiding block closing the first end of the axial space and located at said second end portion, the guiding block having an inner path with an inner thread,

a rotatable spin having an outer threaded portion, a distal end emerging from the axial space by the first end of the axial space through the inner path of the guiding block, and a proximal end protruding into the axial space, the spin being axially movable within the axial space when being rotated within the inner thread of the guiding block, said proximal end pressing a plunger into a syringe body when said pin is screwed into said axial space,

a syringe holder compartment, for holding the syringe body having an open insertion end for insertion of the plunger, and an outlet end with a tubular outlet, the syringe body containing the cement,

wherein the syringe holder compartment is a hollow body being releasably fastened by fastening means to said second end portion of said elongated body and comprising

an axial inner cavity being in axial alignment with said axial space,

an open end for insertion of the syringe body by its outlet end, and

an abutment end for abutment thereagainst of the outlet end of the syringe body, the abutment end having an opening for said tubular outlet to protrude out of the hollow body,

wherein the hollow body fits between opposed sections of said side walls of the elongated body and wherein the fastening means comprise two lateral projections emerging respectively from opposed lateral portions of said hollow body, said projections respectively fitting within holding slots in said opposed sections of side walls of the axial space, said holding slots comprising at least first sections that respectively extend into said opposed sections of the side walls in a direction being at least perpendicular to said axial space such that when said projections fit within said holding slots, axial movement of the hollow body towards said second end of the elongated body is prevented.

17. An applicator device according to claim 16, wherein said slots are angular slots respectively comprising, in addition to said first sections, second sections being coaxial with said axial space and extending towards said second end of the elongated body.

18. An applicator device according to claim 16, the hollow body further comprises an axial rib downwardly protruding from the hollow body, the axial rib fitting within a complementary axial recess within said bottom portion at said second end portion of the elongated body.